Do you need to inject insulin with type 2 diabetes,diabetes type 2 eye problems uk,treatment of diabetes in dogs,type 2 diabetes symptoms pictures tongue - Reviews

This afternoon I got an invitation to join a celebratory lunch with some colleagues from work. Twenty two years ago yesterday I was told that I have Type 1 Diabetes.The cause is unknown. One of the things that I want to do is to give readers some sense of what a "typical" day is like without a functioning pancreas. Diabetes Queensland acknowledges the Traditional Custodians past and present on whose land we walk, we work and we live.
Food and Drug Administration's Clinical Chemistry and Clinical Toxicology Devices Panel of the Medical Devices Advisory Committee will meet. It uses a small wire that is inserted under the skin to give me an idea of my blood glucose (BG) every 5 minutes. It even has an official White House proclamation inviting America to " to join in activities that raise diabetes awareness and help prevent, treat, and manage the disease." Nice, but I'd settle for a cure.
It'll take 2.1 units of insulin to get my BG down to 120, and 7 more units to cover the 105 grams of carbohydrate in my burger and fries. I was blessed to not be in that boat for my first 30 years, so I remember what normal life was like.
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It does that by sampling the fluid that flows between cells, then using an algorithm attempts to convert it to what it thinks my actual BG reading might be. I could eat anybody under the table without a moment's thought and was quite proud of that skill. But I digress.What is the point of "building awareness," particularly when it comes to a disease? Yet oddly, in the 20+ years I've had diabetes, it has never once been in any dream I've had.
That data is transmitted to a device (either an insulin pump or a separate reader carried by the patient) and alerts them to high or low blood glucose. It is most useful in telling me when my BG is rising or falling, or if it is too high or too low.At best, it is pretty inexact. I have to do that by using the following process.First, I must decide what I am going to eat.
Taking that data, figuring out how much insulin to inject for a given meal and to make the necessary correction to get blood glucose levels back to target range isn't easy either. Perhaps more useful is it can alert to a rising or falling blood glucose reading, letting the patient take appropriate action before the situation becomes unpleasant. That's when I get answers to questions I cannot figure out on my own, when I make her aware of situations she needs to know about.Like most patients, I tend to bring up things that stuck out in my mind.
In fact, users are cautioned not to use it as the basis for deciding to take extra insulin to move the BG lower, or to consume some glucose to raise it. I do test and take an insulin bolus with my insulin pump (worn in plain sight) before a meal, and while trying to be subtle about it, I don’t go out of my way to hide it, either. Before Happy Rockefeller and Betty Ford went public with their battle against it, cancer was only mentioned in hushed tones, and breast cancer didn't exist in daily conversation. Before I had T1D, I based that decision on how hungry I was, what was available and what was most tasty. It requires knowledge of pharmacokinetics, how much insulin is needed to offset variable amounts of consumed carbohydrates, the proper amount needed to normalize blood sugars, rate of digestion, absorbtion rates of insulin, offsets based on physical activity levels and other variables. You get the idea.To successfully live with diabetes, every time before you eat you have to figure out how much insulin to inject. While it is helpful at spotting trends and treating them appropriately, it is critical to some patients at night. Quite often they are situations that occurred just prior to our appointment, or all too frequently I'll use it as an opportunity to vent about many of the frustrations of living with Type 1 Diabetes that my family or friends simply cannot understand. As a result of that inability to accurately measure BG by itself, the user is required to calibrate the CGM 3 to 4 times a day with a traditional blood glucose meter. But as everyone who has it knows, diabetes will all too frequently rear it’s ugly head at inconvenient times. But with T1D, I consider the same things, but I add in something else: how many carbs the meal will contain. While this lady's experiences are different from mine here and there, the gist is the same.
To do that, you have to know how many carbohydrates are in the meal you are about to enjoy. When sleeping, some might not ever know if their blood glucose is trending downward to dangerous, if not fatally low levels. In retrospect, that is a poor use of our limited time together.The purpose of this entry is to record some of those issues. We learned how it doesn't just attack the patient physically, but emotionally and spiritually as well. I also consider whether those carbs will convert to glucose quickly (things like fruit or some desserts) or if the meal has a heavy fat content which will make the meal slow to digest. Unlike many other chronic conditions that defy a cure, diabetes never let's you have a day off. I'll send her an email linking to this a few days before our appointment so that we will be able to address items that have arisen since our last appointment. As a result, funding for research has grown, treatments have improved and more women live both longer and better.In the world of Diabetes, the trajectory has been a bit different. Get it really wrong and we're talking quick penalties ranging from hypoglycemia (mild to deadly) or a coma - possibly (though rarely) death.
For the last couple of days, I've had problems calibrating the CGM unlike anything I've seen in the 4+ years that I've been using them.On Monday, I inserted a new CGM sensor. Most rational folks would take a day off, stay in bed and say they were too sick to do whatever they had planned on doing.


While there are many famous people with Type 1 Diabetes, none of their battles have really captured national attention.
If I don’t, that extra insulin will make my blood glucose dive too low, resulting in hypoglycemia.
Only then will I start picking and choosing which sounds tastiest while staying below my customary 100 grams per meal limit.
Worth noting is that the FDA publicized a recall of the Dexcom G5 system because the alarm function did not work. Diabetes is also one of the few diseases where if something bad happens, almost always the patient gets all the blame.
In fact, the recall stated, "The FDA has identified this as a Class I recall, the most serious type of recall. For the casual reader, it might also provide some insights on issues and challenges that come from living with Type 1 Diabetes.
The awareness that the public has about the disease usually comes from knowing somebody who has it.
As you read this article, I hope you will get a feel for the complexities of diabetes and then like me realize that it is incredible we don't screw it up all the time. Relying on this device may cause serious injuries or death"There are several things that trouble me about using a CGM to give the data for making insulin dosing decisions. It'll also show that even after 22 years with this disease, management is a constant learning experience. In recent years, the growth of social media has made it easier for regular folks to mount a cyber soapbox and reach more people than they could have done in times past. No, it isn't enough to do a blood test, count carbs, eat and test blood glucose two hours later.
A dosing decision is a complex proposition - doing it safely requires accurate blood glucose data. I could only really concentrate of getting my blood glucose back up and then deal with the project later. While that is all well and good, I can't help but question what is the objective of that effort?Ideally, the goal of "building awareness" should ultimately be to cure the disease - something that has eluded man since Hippocrates described it. If I am having a portion of one or more canned foods, I can use the information on the label but some algebra is necessary. Before a patient injects insulin before a meal, they calculate part of the insulin dose to counter the quantity of carbohydrates they will eat.
In the interim, a parallel track has been to develop better ways to manage it so that people with diabetes (PWD) can enjoy a better life until a cure is found. Really.A recent column that appeared in "Dear Abby" featured a complaint and request for advice by a reader uncomfortable by a co-worker who had to test their blood glucose. Another part of the dose accounts for how high or how low their blood glucose is above the desired range. That has created some friction among some PWD.There is a school of thought that all research effort should be concentrated on the cure, and that any expenditure of time, effort and funding delays the day a cure will become reality. That requires a blood glucose test, then the patient calculates how much insulin must be added or subtracted to the amount for the carbohydrates. It was true, as far as that goes, but for him it was probably a surprise (I was trying to work like normal) and from what he sent me later, it made him feel guilty.I screwed up. The overall goal is to have the amount of insulin I inject match both the meal and my BG before I eat so that afterwards my BG will be in my target range.To do that, I begin by testing my BG before the meal.
I now sit next to someone who regularly draws his blood with a lancet and gives himself a shot for his diabetes just a foot away from me.
I called Medtronic to figure out what I was doing wrong and how to not have this happen again.The representative was really helpful. Add to the complexity are PWD like me: I've amassed enough complications of such severity that a cure probably won't help me as much as it would a person without those issues.
I insert a test strip into the machine and after drawing some blood from my finger, I put some blood on the end of the test strip.
When a person with diabetes has a meal, they take one insulin shot or one insulin pump bolus. Calibration is used to ensure that the algorithm in the system accurately converts the glucose found in interstitial fluid to a reasonably accurate blood glucose value. In other words, even if my diabetes magically disappeared, I'd still have to deal with eye problems, kidney damage, nerve pain, etc. It is worth noting how much various 'Diabetes Charities' spend on awareness, public outreach, fundraising, and the like. Doing one more finger stick for the third meal is a small price to pay for greater dosing safety and accuracy.The purpose for supporting this expansion of use is so that patients relying on Medicare will be (perhaps) be able to use the Dexcom device. To get a better picture of how much your donation is actually devoted to a cure, take a look at The Juvenile Diabetes Cure Alliance.
One online advocacy group (diaTribe) also states that approving this for Dexcom will (perhaps) speed approval for Abbott’s factory calibrated FreeStyle Libre. They serve as a watchdog to ensure that the 'Diabetes Charities' that claim to be working on a cure are doing that, and they keep an eye on how much of the donations they receive go to other activities. However, at different times of the day a given amount of insulin will have different effects on my BG.
Just a week earlier, my Endocrinologist and a Certified Diabetes Educator she works with went over this very issue with me. As for me, the Blue Circle is nice, but I admire efficiency, particularly when it comes to how a charity uses donations in achieving their goal.
They justified this by saying they "are working together to make a widely used and effective product available to our members while pursuing new ways to lower the overall cost of living with diabetes. I invite you to think carefully about the difference between talking and doing and whether 'awareness' is advancing us toward a cure.
Adding to the challenge is that the Correction Factor will also change over time: what works in May might not be as good in June.


But here I was with a sensor that could not be properly calibrated, and as a result the insulin pump software decided it must be defective and advised me to change it.One thing the representative advised was to do a calculation to determine if the data from the meter and the CGM are close enough for a calibration to be accepted by the algorithm. Have you had a chance to explain what those peaks and valleys feel like, or how they affect your ability to do things?
According to the user manual, ISIG is, "Sensor values that indicate whether the transmitter electronics in a sensor-augmented system are working properly.
Do they understand that one minute you are fine and 10 minutes later you look, feel and act like hell? Last night as I was texting back and forth with my friend, the low hit.
While dietary fiber is counted in the carbohydrate total, they are not converted to glucose so I’ll have to adjust for that.
While these are procedures many people with diabetes must attend to on a daily basis, you shouldn't have to watch if you don't want to."With respect, SQUEAMISH is lucky she only has to look at this (if she chooses to do so).
If United Health's selection of Medtronic devices didn't meet their needs, the alternative was no insulin pump or CGM, or pay for it and the expensive supplies out of pocket. We have to try to coach others along as our relationships grow and their knowledge of what it is like to live with diabetes increases.
Insulin Sensitivity Factor is a way of showing how many grams of carbohydrates require 1 unit of insulin to keep the BG at a constant level.
They fought, they yelled, they rocked social media and regardless of the comparative merits of their position, but they have yet to prevail. When I was first diagnosed with Type 1 Diabetes 21 years ago, I was advised that in oder to avoid offending others, if I was out in public I should do my blood test and inject insulin in a bathroom. I did it to avoid fear, anxiety, and numerous multi-variable pharmaco-nutritional calculations done in my head while feigning interest at the conversation around me. Underlying the fight was the notion of the little guy versus big insurance and big device manufacturing conglomerate.Just two months later, many of the same advocates, and some heavy hitters in the diabetes industry are now waging a different battle. Over time, they will inevitably see us deal with more challenging moments, such as last night. This one isn't designed to promote 'choice,' but seemingly to get a government endorsement of an unproven treatment technique and to have it available only to users of one device. While it is tempting to use those as teaching moments, we have to do it with as much sensitivity as our glucose deprive (or soaked) brains will allow. I was to elevate the risk of infection by going into an enclosed space crawling with bacteria and sticking a lancet in my finger and a needle in my belly. In other words, they are supporting a government endorsement of one device other others with a similar level of accuracy (Medtronic Enlite).
It is scary when we see somebody who is obviously ill and we don’t have the knowledge or skills to help them. I let it stew in my juices overnight (one of the informal tips that some folks are convince are helpful). Enter the Correction and Sensitivity Factors and it'll store that information in the machine's memory. Then after 13 years of shots from a syringe I got an insulin pump and now it looks to the untrained eye like I'm playing with a cell phone as I start the insulin flowing before a meal.I get it that some folks are put off by this routine, but I am as well - if not more so since I am the one feeling cold steel as it invades my body - 45,990 times at the latest estimate (not counting 13 years of 5 shots a day). Then all you have to do is tell it what your BG is and how many carbs and it'll do the calculating for you.
SQUEAMISH doesn't want to see this, but speaking for many people with diabetes, we can do without unsolicited advice.
On the other hand, for folks who use syringes to inject insulin, at best it'll show units on the side and you have to try and get close to how much you think the dose will be.
It isn't a big deal, but it lacks some of the accuracy the pump has, plus you HAVE TO DO THE MATH.Insulin is a drug that if administered incorrectly can result in everything from temporary discomfort to death. She went blind, they cut off her leg and then she died" are among some of the things I've heard. Also, a person with Type 1 Diabetes has to do this every time they put anything into my mouth that contains carbs.
It makes some feel like they made a difference in bringing CGMs available to people who might otherwise be unable to afford one. Before diabetes, the company, the setting and perhaps my willingness to have a culinary adventure were all that mattered.After Type 1 Diabetes, it is more complicated.
I miss things I used to enjoy without thinking, when before none of these thoughts ever occurred to me.I hate diabetes. Certified Diabetes Educators will also clean up as they train and counsel an explosive growth of new patients.While this is good for doctors, nurses, CDEs, and patients, I'm not sold. The customer service representative (CSR) gave me guidance that was frankly baffling.For one, she said that even though my CGM and BG values differed by a factor of four, I should have calibrated it then. My experience with CGMs (from  the very first Dexcom, to their second generation model, to the Medtronic SofSensor and the new Enlite) runs over 7 years. She then looked through my calibration and CGM data and came to an interesting conclusion: to get accurate calibrations, I should calibrate 1 to 2 hours before each meal. But let's put that into practical terms.It is mandatory to do a BG test every time prior to having a meal. And now this person is telling me that to get my CGM to work properly I need to add another 3 BG tests.
At this point I was pretty furious - both at her lack of useful help and her adamant advice that was utterly devoid of any sense of reality. The devices are designed to help me, not the other way around.I'm still using the CGM, but a large part of me wonders why.




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