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Nutrition is of utmost importance for individuals with diabetes because it is food that we eat that effects the changes in insulin that the pancreas may or may not produce in response. In type II diabetes the goal is usually weight loss and weight management because of the insulin resistance (how the body can use the insulin effectively) and that requires a balanced nutrition plan to make sure not only the foods the person is eating is appropriate for their blood sugar, but also reducing the amount of fat and overall calorie intake because of the reduced load the body will then have to deal with. Using the Canada’s Food Guide is the first step because most individuals over consume and consume foods inefficiently, the Canada’s Food Guide has portion sizes, food ideas that one may have no considered before, and the amount from each food  group one should get.
Additionally, if you know you have type II diabetes, it’s really important to contact a dietitian, specifically one that specializes in diabetes care. Nutrition at this stage is probably the most important aspect of intervention because these individuals will have to take insulin for the rest of their lives and will require knowledge about how their blood sugars are affected by the foods they eat and how to prevent complications associated with extremely high or low blood sugars. Diabetes is a disease where your body cannot control its blood sugar levels properly – either because your body doesn’t make enough (or any) insulin, or because your cells have become resistant to insulin. Insulin is produced in the pancreas, it is important because it helps your body process sugars. Diabetes can affect the body in many other ways, including eye disease, foot ulceration, kidney failure, amputation and a higher risk of heart disease. Keeping your blood sugar at a safe level means you’re less likely to experience other health problems. If diabetes is diagnosed and managed effectively, you can still live a long and happy life as long as you stay in control.
There are also many people in Fiji living with diabetes who may not even know it because they don’t have the symptoms, it is important to get your blood sugar tested regularly to avoid Diabetes related complications further down the track. The 2002 STEPS survey identified that out of the 16% diabetics, 50% of them were previously unrecognised which is an alarmingly high number. Given the fact that 30% of Fijians have Diabetes, you have a 1 in 3 chance of having or developing diabetes. Early detection and treatment of diabetes can decrease the risk of developing the complications of diabetes.
The best way to check if you have diabetes or are at risk is to visit your local health centre.
This chart shows the different levels of blood glucose, what are safe levels and what are dangerous levels depending on when you last ate. Even if you have no symptoms at all, it is important to get tested as you may still have diabetes.
You can prevent or delay the onset of Type 2 diabetes through adopting a healthy lifestyle.
By changing your diet, increasing your level of physical activity and maintaining a healthy weight, you can stay healthier, live longer and reduce your risk of Type 2 Diabetes. Type 2 diabetes occurs when your cells have become insulin resistant or your body doesn’t produce enough insulin to keep you healthy.
A yearlong clinical trial in more than a dozen countries reveals that once-a-week-Trulicity, used in conjunction with short acting insulin, not only improved blood sugar control for subjects with type 2 diabetes, but also curbed hypoglycemia compared to a standard treatment and reduced weight in trial subjects. Trulicity is in a class of treatments known as GLP-1 receptor agonists—short for glucagon-like peptide-1 receptor agonists. By hypoglycemia he meant a blood sugar reading of 70 or less, or signs and symptoms of low blood sugar, or both.
Milicevic estimated that 20 to 30 percent of all type 2 diabetics are currently being treated with insulin, while the other 70 to 80 percent take oral medications to stabilize their blood sugar.
Subjects using Trulicity reported they experienced some gastrointestinal side effects more commonly than those using Lantus. While the results from the study were mostly positive for Trulicity, there is one major obstacle to more widespread use of GLP-1s that is affecting all such treatments, whether they are administered daily or weekly. The Diabetes Media Foundation is a 501(c)(3) tax-exempt nonprofit media organization devoted to informing, educating, and generating community around living a healthy life with diabetes.
Insulin pens come in 2 basic styles: prefilled which you discard after the insulin is used, or refillable.


Before you decide to use a pen or not, you must first determine if the insulin you are using comes in one. The initial outlay for a refillable pen may cost more (around $40), and cartridges or disposable pens cost more per mL than vials.
Next you need to determine the pet's average insulin needs, and how precise the dose must be. This 1998 study[6], aimed at discovering the accuracy of insulin pens to deliver small doses (less than 5 units) of U100 insulin to children, concluded that there can be problems with the accuracy of some pens regarding small insulin dosages. Not leaving the needle in place for 5-10 seconds after injecting insulin may result in less insulin being delivered than the planned dose.
Insulin from any sort of cartridge device (refillable or disposable pens) is dispensed more slowly than when using syringes, because of the necessary compression action of all pens on cartridges. Low-dose insulin patients who switch from using syringes to pens may experience a significant change in insulin dosage. Children are more at risk of receiving accidental intramuscular injections, which results in faster absorption. The availability of U40 insulin would decrease the risks of hypoglycemia, as U40 insulins are able to be given in small doses with more accuracy than U100 insulins. Most pens are now designed to hold 300 units (3ml) of insulin and do not need refrigeration after being started. All "cloudy" (NPH, NPH Mixes, Analog Mixes) insulins available in pen form need to be re-suspended before use, just like their vialed counterparts. Fill the syringe with air, empty it into the pen, then (with pen above syringe), suck the same amount of insulin back out. Here's why -- as you remove the insulin from the Flexpen, the pressure inside the cartridge will drop, which will pull on the pen's screw-and-plunger mechanism, which doesn't expect to be pulled. Finally, don't ever try actually using the Flexpen again as a pen once you've begun this process! Both BD[9] and ReliOn[10] produce "universal" pen needles which fit all major brands of pens in the US. This Diabetes Health Guide compares all currently marketed (US) insulin pens--refillable and disposable. Dec 2, 2014 By Monica Terire Leave a Comment Insulin pumps are not unheard of; most commonly employed for control of blood glucose levels in type 1 diabetes.
Type 1 diabetes is a condition that arises due to loss of beta cells in the pancreas due to an autoimmune reaction. The study was led by Doctor Ahmad Haidar, who is a part of the Institut de Recherches Cliniques de Montreal (IRCM) and the Division of Experimental Medicine, Department of Medicine at the McGill University .
The artificial pump that these researchers developed contained two essential hormones: insulin and glucagon. Research has shown that a small decrease in body weight can have large improvements in body blood sugar regulation which is why treating diabetes type II with weight loss and addressing it fast are important for later complications. This is due to pancreas cells being genetically defective or, as it is becoming more pronounced later in life, can be attributed to insulin resistance that is emphasized by unhealthy lifestyle options as well environmental agents. Currently almost 1 in every 3 Fijians is being diagnosed with diabetes, that’s 30% of the population.
You can always visit your nearest diabetes hub to get your sugar checked ad learn how to stay in control of your diabetes.
They can check your blood glucose (sugar) levels there and assess any symptoms you may have. GLP-1 is a hormone in the body that gets released in the intestine during the stage of digestion when carbohydrates are absorbed, stimulating the release of insulin from pancreatic beta cells. For the trial, Trulicity was compared to insulin glargine, a once-daily injectable treatment, the most popular of which is Sanofi’s Lantus.
Basal-bolus therapy is when a diabetic takes long acting insulin once a day to stabilize glucose levels while fasting, while also taking short-acting insulin before main meals to counteract increases in blood glucose levels from eating.


Between 16 and 17 percent of subjects on Trulicity (depending on the dose) experienced diarrhea, while between 18 and 26 percent suffered from nausea. On the other hand, in the case where the insulin is expensive and expires quickly, as with Lantus, you may find yourself throwing away a lot of expired insulin -- it can then be cheaper to use pens, with their small 3ml cartridges. Novo Nordisk's Flexpen), and need the extra precision of a syringe, things get a little tricker. Do it this way whether you're transferring to a vial, extracting 1ml at a time, or just using the pen every day as a vial. Since beta cells are insulin producing cells, loss of insulin leads to a high glycemic index.
We wanted to determine the usefulness of glucagon in the artificial pancreas, especially to prevent hypoglycemia, which remains the major barrier to reaching glycemic targets,” said Dr. Each Tandem product utilizes modern technology, such as a built-in rechargeable battery and micro-USB port for convenient charging and fast data transfers. If you cannot go to a dietitian or specialist for any reason, below are two sites you can visit by clicking on them. Type 2 diabetes is more common than Type 1, it is also more easily avoided if the correct healthy lifestyle is adopted. However, some people with Type 2 diabetes have symptoms so mild that they go unnoticed so it is always best to get your blood sugar levels tested by a medical professional. The extra insulin allows the glucose to be taken up by the liver and other tissues, so cells get the glucose they need and blood-sugar levels stay normal. Basal-bolus therapy is thought by many to approximate the way in which a person without diabetes produces insulin. Most of the trial’s 884 patients were from the United States, while others were from Europe, South America, and Asia. By contrast, 6 percent of subjects on Lantus experienced diarrhea and 3 percent of subjects reported nausea. The long term sequela include respiratory crisis associated with poor glycemic control, diabetic neuropathy and eye problems that lead to blindness.
Rabasa-Lhoret, who is a professor at the Department of Nutrition at the University of Montreal and Director of Obesity, Metabolism and Diabetes research clinic at the IRCM. The artificial pancreas adapt to the body’s need and deliver the amount of insulin that is required to keep high levels of glucose in check. They have resources that you could use as well as a way to contact other health care professionals related to diabetes management. However, if the blood glucose levels fall below the optimum value, the pancreas delivers the second hormone, glucagon which has the potential to combat hypoglycemia. The t:slim G4 insulin pump is the only pump that conveniently displays CGM graphs and trend information with current insulin delivery activity together on the home screen to help make informed treatment decisions.
If you decide on a refillable pen, keep in mind that Lilly insulin cartridges don't fit Novo's pens, and so on. Hence providing greater control over the glycemic index than the available conventional therapies.
Orders for the t:slim G4 Insulin Pump can be placed now with shipments expected to begin in October 2015. The researchers are planning to test this invention over a larger scale to eliminate any problems and evaluate the benefits and risks better.
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