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January 9th, 2009
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We found 10 result(s) that match your search "postprandial":

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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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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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Boo was seen by the pediatrician today. I was afraid I was going to have to fight with the guy to get him to take me seriously, but he sort of agreed with me. He debated doing an a1c test on her, but thought that it might be inconclusive since, if she does have diabetes, she'd be in the very early stages of it. He reeled off the symptoms (as though I've never seen them before) and said that since the only one she had was peeing a lot, he wasn't that worried. Well, dood, I'M worried and I'm the mama so run a test, do something. The conclusion is that I'm going to test Boo before every meal and at the two- and three-hour post-prandial marks. If there is a pattern of sugars over 200, I'm to call back. He said within a week, but if I see it for more than two days, I'm calling back. Screw that.
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I'm a creature of habit. Partly because I don't like change. But partly, at least when it comes to diabetes management, because I know what works and I don't want to futz with it.
We all have go-to comforts when it comes to just about everything in our lives. And when it comes to blood sugar management, I think many of us tend to err on the side of caution and stick to what we know works. (READ MORE)


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Yesterday, George talked about not caring. Burnout is something I think we all go through in all parts of our lives, but perhaps especially when it comes to diabetes.
I can't think of another chronic illness where the victim is in almost complete control. What I mean is that in theory, if a person with diabetes does everything "right" then everything should be OK. I'll even go out on a limb and say that people addicted to alcohol or drugs don't have as much control over their disease as people with diabetes are lead to believe they have.
High post-prandial numbers? It's your fault.
High A1C? It's your fault.
Meds not working? It's your fault.
Complications? It must be your fault.
In contrast--in-range post prandials, an A1C lower than 7 and 20 years complication free equal a high-five and "Great job!" (READ MORE)


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I took Boo to Boston today, for testing.  Everything was fine.  Her fasting blood sugar was 71 and her 2 hour post-prandial was 84, so things are looking good right now.  Big relief.

 

They are running antibody tests and a celiac panel, just to be on the safe side.  I should have those results in a couple of weeks.  In the meantime, I'm supposed to keep an eye on her and get some Diastix.  If she starts showing symptoms again, I'll check her urine for glucose.  

 

I'm relieved, of course.  I just wish I knew what was making her pee so much and giving her stomach aches all the time.   I'm going to follow up with the pediatrician tomorrow, to see if she has any other suggestions on that one.  She doens't have a kidney or bladder infection, nor does she have a UTI, so I don't know.  We'll see, I guess. 

 

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I'm going to fight. I want a CGMS and even though the universe may have spoken, I'm still going to fight. (Perhaps I misunderstood what the universe was saying.)

 

I put a lot of emphasis on thinking that the primary benefit of using a CGMS is to detect lows. There was a time when I had some pretty serious hypoglycemia unawareness. I remember taking a walk with the family once and not feeling low until we returned. I was 35. I didn't feel it until I was 35. That's scary stuff.

 

More lately I've been thinking that one of the better benefits of using a CGMS is to ward off highs either between meals or before the two-hour post-prandial check.

 

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Dec. 5, 2005, was a frigid day in Missouri. I wrote in my journal that day that it did not get out of the teens all day. It was one of those days where the snot inside your nose freezes the second you walk outside.

 

The Mr. and I were driving to the hospital at 5 a.m. that day. A 45-minute drive to the closest bigger city where my OB, perinatologist and certified diabetes educator were located. Three years ago today I was being induced with No. 3 at 39 weeks and 4 days pregnant.
 

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"Come on, baby, hop up here. I need to check your sugar."

"No, mama, no check sugar." She cries and tries to hide her fingers in her clenched hands.

"Yes, honey, we have to. I know you don't like it, but we have to do it."

"I don't yike it," she replies.

"I know, but the doctor says we have to do it." She loves the doctor, so she complies, gingerly holding out a finger.

I cock the lancing device and push the button. She flinches as the spring thwongs the lancet into her tiny, little finger. Crimson blood pearls out on to the test strip, the meter beeps and does its quick backwards count from five.

She sticks her finger in her mouth, sucking the blood off, as she's seen her big sister do countless times. Then she holds the finger up to me.

"You tiss it, mama."

I kiss her finger and tousle her hair.

"Put a yid on it, mama."
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Scott Marvel
Scott lives an active life with type 1 diabetes. Aiming to stay on top of his unexpected diagnosis, he puts a strong foot forward to stay in control.
Living life in the sun and fulfilling his dreams, Scott tries to educate himself, and others, on the unquestionable possibilities of a life with type 1 diabetes.(Read More)


Latest Posts: Get Emotional On World Diabetes Day | Bring On Flu Season | Out of Pocket Pumping

Nicole Purcell
Nicole has lived successfully with type 1 diabetes for 25 years. She hopes that by writing about her experiences, she can help others to face diabetes - and its challenges - head on.(Read More)

Latest Posts: How Did That Happen? | Blog Post Title... | "Just Where the H*ll have you Been, Young Lady?"

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