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May 24th, 2012
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We found 10 result(s) that match your search "postprandial levels":

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* This just in from the Potash Research Facility. In a five-day study involving the consumption of Frosted Mini-Wheats cereal for breakfast, one patient (Charlie) demonstrated postprandial blood glucose levels that - in scientific terms - didn't suck. Glucose levels peaked at about 200 mg/dl, a marked reduction from the postprandial effect of blueberry waffles. Chief Scientist Susanne Potash observed positive results in four out of five days. The patient's reaction, however, after being told that he'd be having more Mini-Wheats and less blueberry waffles for breakfast, did suck.

 

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Yesterday I wrote about how my endocrinologist assumed I was a type 2 simply because of my current weight.


Today I want to tell you why this is such a problem.


When I went in to see my doctor I wanted to talk to him about using Symilin in my diabetes regimen.


He agreed that it may help with postprandial spikes and possibly some weight loss.


(See yesterday's post for the play by play)


He had his nurse bring in a Symilin pen for me to take home and also gave me a prescription for some more pens.

(READ MORE)


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I spoke with my pediatric endo today about my new diabetes community venture. First, I want to give a great big thank you and shout out to him. He is doing amazing things in the diabetes community. Thanks for being the best doc and putting up with me, Morey!

 

We talked about new treatment options that are coming into play. One of the ones we discussed is using the hormone amylin to control postprandial blood sugars. Amylin is a naturally occurring hormone produced by the beta cells (the ones that produce insulin). The body gives amylin with insulin when glucose is consumed. They have found that low levels of insulin are typically accompanied with low levels of amylin.

 

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How many hours since a meal has elapsed
Before bg tests will ring true?
How many tests when blood glucose is tapped
Til we have enough points for a clue?
And then how can we process postprandial curves
With no CGMs for Type 2?

 

(with apologies to Bob Dylan)

 

One of the stricter schools of thought regarding "tight control" is that we should never let our blood glucose levels rise above 140, nor let them ever drop below 80 -- and if we really want to be vigilant about it, we should keep our peaks below 120. That said, there will always be some irresistable or unavoidable food, or some threshold serving size or combination, that in the past has sent our blood glucose levels soaring through the roof, and if we're being "good little diabetics", we will monitor the heck out of the expected excursion and, if we're on insulin, try to micromanage it.

 

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The first week in August marked the start of the 2010 run of the New York Renaissance Faire, an event in which the most popular exhibitions involve aiming long, pointy objects at impossibly small, circular targets. Whether it's an 8-foot-long lance hooking a three-inch-diameter ring, or a 26" arrow aimed at a bull's eye 100 yards away, or a sword or spear looking to unhinge a 1/2"-diameter ring of chain-mail armour, these are impressive displays of marksmanship and control -- kind of like trying to keep one's blood glucose levels between the mythical "102" and "104" (mg/dl) of glucometer-packaging displays, regardless of what one eats and when. (READ MORE)


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I have been using insulin pump therapy to (attempt to) control my diabetes. It's been two years that I have been using it and I really do love it.

 

The benifits of my pump are many. Only having to stick myself once every three days is probably the biggest but also for me, my control is better.

 

The way the pump better mimics what a properly functioning pancreas is also a huge benifit. I know it is not for everyone but for me, it works.

 

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I brought my new daughter home from the hospital in mid-June. Along with all the other exciting developments in our lives - I got to pack away my insulin syringes.
I am a Type 2 diabetic. I developed gestational diabetes with my son 4 years ago and did not make the lifestyle changes warranted after his birth. It's thought as many as 60% of women with gestational diabetes will eventually develop Type 2. 18 months later I was diagnosed with Type 2 diabetes. I am controlled with metformin (oral medication), diet and exercise.
By the 4th month of this pregnancy, I required insulin to keep my sugars within targets. Pregnancy targets are much stricter than non-pregnancy Type 2 levels - less than 90 fasting, less than 120 2 hours post-prandial. (READ MORE)


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It's so easy to fall into the trap of thinking that just because I don't have to take a pill to control my Type 2 diabetes, I'm "cured". After all, that's what so many people in my condition were told, so many times, over the past half-century. Some are still told that today. And given that most of the time, my blood glucose levels stay between 85 and 120, with the occasional high postprandial excursion (which occasionally -- like, when I'm low and having dinner at a restaurant -- will lead to a high fasting reading the next morning), there's nothing to alarm the unsuspecting practitioner that back in 2002, at fifty pounds heavier than I am today, the doctor's meter read 170 mg/dl after a ten-hour fast, with an HbA1c of 7.8. Or in lay terms, "I had diabeetus".

 

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To everything there is a level of precision, a degree of reliability, or a standard beyond which improvement is either unachievable, or requires huge investments of time and money well beyond the benefit of that improvement. Companies may refer to this point as "zero return on investment". Most of us just call it "good enough for jazz", "good enough for government work", or simply, "good enough".

 

It has been said that our ideal blood glucose levels "should" never vary outside the range of 80-126, ever -- but most of us don't have CGMs, none of us have glucose measurement technology with accuracy of greater than 5% (expanding that range out to 76-132) and even if we had them, we'd need infinitesimally-small amounts of ultra-fast acting insulin to keep it there every time it budged a point or two. For most of us, a two-hour postprandial reading of 140 is "good enough".

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I went to my 3-month endo appointment today. (My dad also went for his check up.) Usually, I do fine with my endo, although I've never been thrilled with him. He's mainly there to tell me the blood results and fill prescriptions. Usually, I'm okay with that.

 

But today was a completely different story.

 

First, they didn't call me into the office until AFTER my dad was already done with his appointment (apparently, I was forgotten). Then they gave me hassle about doing the A1c. When it was finally done, they informed me that the machine broke in the middle of the test (now I have to wait 3 weeks to get the results from a blood draw.)

 

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MikeDurbin
MikeDurbinMike was diagnosed with type 2 diabetes on December 29, 2008, and congestive heart failure the very next day. Talk about a double whammy for anyone, let alone a 24 year old.  He didn’t have to come up with New Year’s resolutions that year; his doctors did that for him.  That kind of humor has been instrumental in keeping him, and those around him, going over the last year and a half.
(Read More)
George Simmons
George SimmonsGeorge Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)
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