Diabetic Diet & Blood Gluecose

Company Memo
FROM: Patty Lewis, Human Resources Director
TO: All Employees
DATE: October 1, 2009
RE: Gala Christmas Party

I’m happy to inform you that the company Christmas Party will take place on December 23rd, starting at noon in the private function room at the Grill House. There will be a cash bar and plenty of drinks! We’ll have a small band playing traditional carols…. feel free to sing along. And don’t be surprised if our CEO shows up dressed as Santa Claus! A Christmas tree will be lit at 1:00 PM. Exchanges of gifts among employees can be done at that time; however, no gift should be over $10.00 to make the giving of gifts easy for everyone’s pockets. This gathering is only for employees!

Our CEO will make a special announcement at that time!

Merry Christmas to you and your family,

Patty
________________________________________
Company Memo

FROM: Patty Lewis, Human Resources Director
TO: All Employees
DATE: October 2, 2009
RE: Gala Holiday Party

In no way was yesterday’s memo intended to exclude our Jewish employees. We recognize that Hanukkah is an important holiday, which often coincides with Christmas, though unfortunately not this year. However, from now on, we’re calling it our "Holiday Party." The same policy applies to any other employees who are not Christians and to those still celebrating Reconciliation Day. There will be no Christmas tree and no Christmas carols will be sung. We will have other types of music for your enjoyment.

Happy now?

Happy Holidays to you and your family,

Patty
________________________________________
Company Memo

FROM: Patty Lewis, Human Resources Director
TO: All Employees
DATE: October 3, 2009
RE: Holiday Party

Regarding the note I received from a member of Alcoholics Anonymous requesting a non-drinking table, you didn’t sign your name. I’m happy to accommodate this request, but if I put a sign on a table that reads, "AA Only", you wouldn’t be anonymous anymore. How am I supposed to handle this?

Somebody?

And sorry, but forget about the gift exchange, no gifts are allowed since the union members feel that $10.00 is too much money and the executives believe $10.00 is a little chintzy.

REMEMBER: NO GIFTS EXCHANGE WILL BE ALLOWED.

Patty
________________________________________
Company Memo

FROM: Patty Lewis, Human Resources Director
To: All Employees
DATE: October 4, 2009
RE: Generic Holiday Party

What a diverse group we are! I had no idea that December 20th begins the Muslim holy month of Ramadan, which forbids eating and drinking during daylight hours. There goes the party! Seriously, we can appreciate how a luncheon at this time of year does not accommodate our Muslim employees’ beliefs. Perhaps the Grill House can hold off on serving your meal until the end of the party or else package everything for you to take it home in little foil doggy baggy. Will that work?

Meanwhile, I’ve arranged for members of Weight Watchers to sit farthest from the dessert buffet, and pregnant women will get the table closest to the restrooms.

Gays are allowed to sit with each other. Lesbians do not have to sit with Gay men, each group will have their own table. Yes, there will be flower arrangement for the Gay men’s table.

To the person asking permission to cross dress, the Grill House asks that no cross-dressing be allowed, apparently because of concerns about confusion in the restrooms. Sorry.

We will have booster seats for short people.

Low-fat food will be available for those on a diet.

I am sorry to report that we cannot control the amount of salt used in the food. The Grill House suggests that people with high blood pressure taste a bite first.

There will be fresh "low sugar" fruits as dessert for diabetics, but the restaurant cannot supply "no sugar" desserts. Sorry!

Did I miss anything?!?!?

Patty
________________________________________
Company Memo

FROM: Patty Lewis, Human Resources Director
TO: All F*%^ing Employees
DATE: October 5, 2009
RE: The F*%^ing Holiday Party

I’ve had it with you vegetarian pricks!!! We’re going to keep this party at the Grill House whether you like it or not, so you can sit quietly at the table furthest from the "grill of death," as you so quaintly put it, and you’ll get your f*%^ing salad bar, including organic tomatoes. But you know, tomatoes have feelings, too. They scream when you slice them. I’ve heard them scream. I’m hearing them scream right NOW!

The rest of you f*%^ing wierdos can kiss my *ss. I hope you all have a rotten holiday!

Drive drunk and die,

The B*tch from H*ll!!!

________________________________________
Company Memo

FROM: Joan Bishop, Acting Human Resources Director

DATE: October 6, 2009

RE: Patt
Company Memo

FROM: Joan Bishop, Acting Human Resources Director

DATE: October 6, 2009

RE: Patty Lewis and Holiday Party

I’m sure I speak for all of us in wishing Patty Lewis a speedy recovery and I’ll continue to forward your cards to her.

In the meantime, management has decided to cancel our Holiday Party and give everyone the afternoon of the 23rd off with full pay.

Happy Holidays!

Joan

Pretty funny.
In our office we are not allowed to call it Christmas either.

Hello.
I’m after opinions on what I can cook for my poodle who had diabetes. He HATES Science Diet W/D and from the research I’ve done on the net so do I. My vet seems oblivious to this and keeps pushing Science Diet on me, I’m tired of it, and I’m so confused as to what to feed my dog. Help??
BTW my dog is underweight, not overweight.
He’s still starving while we get insulin right

A healthy and often strict diet is an essential part of your pet’s diabetes treatment, and in some cases, a change in diet is the only necessary treatment to control blood sugar-levels. A low-carbohydrate diet, which is commonly recommended for diabetics, will help to reduce the amount of insulin your pet will need and it will help to keep blood-sugar levels stable.

Fats and proteins are more suitable as they are metabolized into blood-sugar at a slower rate than carbohydrates, thus reducing the sugar highs often experienced after meal times. The diet most often recommended for diabetic dogs is a low-fat, moderate-carb, and high-fiber diet.

Along with an appropriate diet your diabetic pet should eat at the same time each day at least twice a day, or smaller amounts at multiple intervals. Many pets have timed feedings according to their insulin shots so ask your veterinarian to advise what feeding schedule will be most appropriate.

Natural herbal remedies have shown to be successful in management of diabetes by helping to control blood sugar levels whilst preventing some of the nerve and tissue damage often associated with the condition. Natural ingredients such as Chromium picolinate, Goat’s Rue, Trigonella foenum have been shown to be highly successful in helping maintain blood-sugar levels while reducing the risks of insulin resistance.

Additional herbs can also be used to combat some of the negative effects of diabetes such as Bilberry, which works to promote eye health and Astragalus which works to increase vitality and promote a healthy immune system. Natural herbal and homeopathic remedies can be used either alone or alongside conventional treatments to help manage your pet’s diabetes.

YOu may get details on these tips & remedies over here http://www.healthherbsandnutrition.com/pets/glucoensure-normal-blood-sugar-levels-cats-dogs.htm and http://www.healthherbsandnutrition.com/pets/pancreasbooster-cats-dogs.htm

My doc used urinalysis to diagnose a urinary tract infection and she mentioned that glucose was also present. I will go back for blood tests. I do have a family history of diabetes. So I borrowed my father’s glucose meter and tested my blood –glucose level was only 99, which is not in the diabetic range.

The kidney infection (in fact, ANY infection) WILL cause you blood sugars to be high, and THAT could have caused the sugar to spill into your urine,

This is NOT a problem — UNLESS it continues after the kidney infection is healed.

You doctor will do ANOTHER urine test before you are "released" as being "well",. IF the sugar STILL shows up then, you have other problems to look into.

A good friend of mine has type 2 diabetes, and I often hear him say that what he misses most are banana splits. I want to make him a diabetic safe split for Christmas and the bananas are the hard part since they are high in sugar and don’t exactly come in sugar free. But I’ve heard that fried bananas are much better for a diabetic diet then raw. Is this true?

Bananas are not the problem. Fruit is a recommended part of a diabetic diet.

The problem with a banana split is the usual overabundance of ice cream, whipped cream and chocolate syrup.

You can get sugar free ice cream (but – the carbohydrate count is not much less than standard ice cream since a lot of the carbs come from the milk portion); you can get sugar free chocolate syrup (again, however, the carb count will probably only be slightly less than real syrup); and whipped cream really does not contain much in the way of carbs.

Diabetics can eat everything that a non-diabetic can eat — they simply have to account for the carbs much more carefully. Does your friend exercise as part of his way of controlling blood sugar levels? Then have a small banana split, and 20 minutes later, go for a half hour walk.

I kind of forgot which one is which and what are the possible nursing managements?

Hypoglycemia and Macrosomia

http://www.healthsystem.virginia.edu/UVaHealth/peds_hrnewborn/diabtmom.cfm

My dad is the only one diagnosed with it but my mom and I always get shaky, nervous, dizzy, frequent head rushes, and the cold sweats when we haven’t eaten. This seems to point to hypoglycemia. Also, is this hereditary?

Hypoglycemia occurs when your blood sugar (glucose) level falls too low. There are a number of reasons why this may happen, the most common being a side effect of drugs used for the treatment of diabetes. But to understand how hypoglycemia happens, it helps to know how your body normally regulates blood sugar production, absorption and storage.

Blood sugar regulation
During digestion, your body breaks down carbohydrates from foods — such as bread, rice, pasta, vegetables, fruit and milk products — into various sugar molecules. One of these sugar molecules is glucose, the main energy source for your body. Glucose is absorbed directly into your bloodstream after you eat, but it can’t enter the cells of most of your tissues without the help of insulin — a hormone secreted by your pancreas.

When the level of glucose in your blood rises, it signals certain cells (beta cells) in your pancreas, located behind your stomach, to release insulin. The insulin, in turn, unlocks your cells so that glucose can enter and provide the fuel your cells need to function properly. Any extra glucose is stored in your liver and muscles in the form of glycogen. This process lowers the amount of glucose in your bloodstream and prevents it from reaching dangerously high levels. As your blood sugar level returns to normal, so does the secretion of insulin from your pancreas.

If you haven’t eaten for several hours and your blood sugar level drops, another hormone from your pancreas called glucagon signals your liver to break down the stored glycogen and release glucose back into your bloodstream. This keeps your blood sugar level within a normal range until you eat again.

Aside from your liver breaking down glycogen into glucose, your body also has the ability to manufacture glucose in a process called gluconeogenesis. This process occurs primarily in your liver, but also in your kidneys, and makes use of various substances that are precursors to glucose.

Possible causes, with diabetes
If you have diabetes, the effects of insulin on your body are drastically diminished, either because your pancreas doesn’t produce enough of it (type 1 diabetes) or because your cells are less responsive to it (type 2 diabetes). As a result, glucose tends to build up in your bloodstream and may reach dangerously high levels. To correct this problem, people with diabetes take insulin or other drugs designed to lower blood sugar levels.

If you take too much insulin relative to the amount of glucose in your bloodstream, it can cause your blood sugar level to drop too low, resulting in hypoglycemia. Hypoglycemia may also result if, after taking your diabetes medication, you don’t eat as much as usual (ingesting less glucose) or you exercise more (using up more glucose) than you normally would. Your doctor usually works with you to find the optimum dosage that fits your regular eating and activity habits to prevent this from happening.

Possible causes, without diabetes
Hypoglycemia in people without diabetes is much less common. Causes may include the following:

?Medications. Taking someone else’s oral diabetes medication accidentally is a common cause of hypoglycemia. Other medications may cause hypoglycemia, especially in children or in people with kidney failure. One example is quinine, which is used to treat leg cramps and malaria.
?Excessive alcohol consumption. Drinking heavily without eating can block your liver from releasing stored glucose into your bloodstream, causing hypoglycemia.
?Some critical illnesses. Severe illnesses of the liver, such as drug-induced hepatitis, can cause hypoglycemia. Disorders of the kidney, which can keep your body from properly excreting medications, can affect glucose levels. Long-term starvation, as may occur in the eating disorder anorexia nervosa, can result in the depletion of substances your body needs in gluconeogenesis, causing hypoglycemia.
?Tumors. A rare tumor of the pancreas (insulinoma) may cause overproduction of insulin, resulting in hypoglycemia. Other tumors may result in excessive production of insulin-like substances. Or, the tumors themselves may use up too much glucose. Enlargement of beta cells of the pancreas that produce insulin (nesidioblastosis) may result in excessive insulin release, causing hypoglycemia. People who’ve undergone gastric bypass surgery are at risk of this condition.
?Endocrine deficiencies. Certain disorders of the adrenal glands and the pituitary gland can result in a deficiency of key hormones that regulate glucose production. Children with these disorders are more prone to hypoglycemia than are adults.
Hypoglycemia after meals
Most hypoglycemia occurs when you haven’t eaten (in a fasting state), but that’s not always the case. Sometimes, hypoglycemia occurs after meals because the body produces more insulin than is needed. This type of hypoglycemia is called reactive or postprandial hypoglycemia.

Tin

Company Memo

FROM: Patty Lewis, Human Resources Director
TO: All Employees
DATE: October 1, 2009
RE: Gala Christmas Party

I’m happy to inform you that the company Christmas Party will take place on December 23rd, starting at noon in the private function room at the Grill House. There will be a cash bar and plenty of drinks! We’ll have a small band playing traditional carols…. feel free to sing along. And don’t be surprised if our CEO shows up dressed as Santa Claus! A Christmas tree will be lit at 1:00 PM. Exchanges of gifts among employees can be done at that time; however, no gift should be over $10.00 to make the giving of gifts easy for everyone’s pockets. This gathering is only for employees!

Our CEO will make a special announcement at that time!

Merry Christmas to you and your family,

Patty
______________________________________…
Company Memo

FROM: Patty Lewis, Human Resources Director
TO: All Employees
DATE: October 2, 2009
RE: Gala Holiday Party

In no way was yesterday’s memo intended to exclude our Jewish employees. We recognize that Hanukkah is an important holiday, which often coincides with Christmas, though unfortunately not this year. However, from now on, we’re calling it our "Holiday Party." The same policy applies to any other employees who are not Christians and to those still celebrating Reconciliation Day. There will be no Christmas tree and no Christmas carols will be sung. We will have other types of music for your enjoyment.

Happy now?

Happy Holidays to you and your family,

Patty
______________________________________…
Company Memo

FROM: Patty Lewis, Human Resources Director
TO: All Employees
DATE: October 3, 2009
RE: Holiday Party

Regarding the note I received from a member of Alcoholics Anonymous requesting a non-drinking table, you didn’t sign your name. I’m happy to accommodate this request, but if I put a sign on a table that reads, "AA Only", you wouldn’t be anonymous anymore. How am I supposed to handle this?

Somebody?

And sorry, but forget about the gift exchange, no gifts are allowed since the union members feel that $10.00 is too much money and the executives believe $10.00 is a little chintzy.

REMEMBER: NO GIFTS EXCHANGE WILL BE ALLOWED.

Patty
______________________________________…
Company Memo

FROM: Patty Lewis, Human Resources Director
To: All Employees
DATE: October 4, 2009
RE: Generic Holiday Party

What a diverse group we are! I had no idea that December 20th begins the Muslim holy month of Ramadan, which forbids eating and drinking during daylight hours. There goes the party! Seriously, we can appreciate how a luncheon at this time of year does not accommodate our Muslim employees’ beliefs. Perhaps the Grill House can hold off on serving your meal until the end of the party or else package everything for you to take it home in little foil doggy baggy. Will that work?

Meanwhile, I’ve arranged for members of Weight Watchers to sit farthest from the dessert buffet, and pregnant women will get the table closest to the restrooms.

Gays are allowed to sit with each other. Lesbians do not have to sit with Gay men, each group will have their own table. Yes, there will be flower arrangement for the Gay men’s table.

To the person asking permission to cross dress, the Grill House asks that no cross-dressing be allowed, apparently because of concerns about confusion in the restrooms. Sorry.

We will have booster seats for short people.

Low-fat food will be available for those on a diet.

I am sorry to report that we cannot control the amount of salt used in the food. The Grill House suggests that people with high blood pressure taste a bite first.

There will be fresh "low sugar" fruits as dessert for diabetics, but the restaurant cannot supply "no sugar" desserts. Sorry!

Did I miss anything?!?!?

Patty
______________________________________…
Company Memo

FROM: Patty Lewis, Human Resources Director
TO: All F*%^ing Employees
DATE: October 5, 2009
RE: The F*%^ing Holiday Party

I’ve had it with you vegetarian pricks!!! We’re going to keep this party at the Grill House whether you like it or not, so you can sit quietly at the table furthest from the "grill of death," as you so quaintly put it, and you’ll get your f*%^ing salad bar, including organic tomatoes. But you know, tomatoes have feelings, too. They scream when you slice them. I’ve heard them scream. I’m hearing them scream right NOW!

The rest of you f*%^ing wierdos can kiss my *ss. I hope you all have a rotten holiday!

Drive drunk and die,

The B*tch from H*ll!!!

_____________________________________
Company Memo

FROM: Joan Bishop, Acting Human Resources Director

DATE: October 6, 2009

RE: Patty Lewis and Holiday Party

I’m sure I speak for all of us in wishing Patty Lewis a speedy recovery and I’ll continue to forward your cards to her.

In the meantime, management has decided to cancel our Holiday Party and give everyone the afternoon of the 23rd off with full pay.

Happy Holidays!

Joan
lainiebsky,
Yes, I got this several years back and also 3 days ago. I still find it funny. And I think this sort of thing is possible in Vancouver where I live because our population is so diverse and multi-cultural.

That one has been around for a few years now. They just keep changing the date.

I’m thirteen years old almost fourteen i have had diabetes since i was eight years old. I still haven’t started my period. My mom says its proably because i have diabetes. When you have type 1 you have to take insulin which is a hormone. So she says it can affect all of my other hormones and my growth. But im really wondering is this true?

I personally don’t know if it’s true or not, I haven’t heard anything about that. But you shouldn’t assume the delay is due to your diabetes. I knew a girl who didn’t start until she was 16, and she didn’t have any medical problems. Some girls just start late.

I’m confused if it’s
a. insulin deficiency
b. HYPERinsulinemia and insulin resistance.

I think it’s HYPOinsulinemia and insulin resistance, but that’s not an option. Can someone explain please
but why would you take more insulin if you already have too much in your blood and the problem is that you’re resistant to it. I’m just trying to understand, not doubting you.

Insufficient production of insulin (either absolutely or relative to the body’s needs), production of defective insulin (which is uncommon), or the inability of cells to use insulin properly and efficiently leads to hyperglycemia and diabetes. This latter condition affects mostly the cells of muscle and fat tissues, and results in a condition known as "insulin resistance." This is the primary problem in type 2 diabetes. The absolute lack of insulin, usually secondary to a destructive process affecting the insulin producing beta cells in the pancreas, is the main disorder in type 1 diabetes. In type 2 diabetes, there also is a steady decline of beta cells that adds to the process of elevated blood sugars. Essentially, if someone is resistant to insulin, the body can, to some degree, increase production of insulin and overcome the level of resistance. After time, if production decreases and insulin cannot be released as vigorously, hyperglycemia develops.

Glucose is a simple sugar found in food. Glucose is an essential nutrient that provides energy for the proper functioning of the body cells. Carbohydrates are broken down in the small intestine and the glucose in digested food is then absorbed by the intestinal cells into the bloodstream, and is carried by the bloodstream to all the cells in the body where it is utilized. However, glucose cannot enter the cells alone and needs insulin to aid in its transport into the cells. Without insulin, the cells become starved of glucose energy despite the presence of abundant glucose in the bloodstream. In certain types of diabetes, the cells’ inability to utilize glucose gives rise to the ironic situation of "starvation in the midst of plenty". The abundant, unutilized glucose is wastefully excreted in the urine.

Insulin is a hormone that is produced by specialized cells (beta cells) of the pancreas. (The pancreas is a deep-seated organ in the abdomen located behind the stomach.) In addition to helping glucose enter the cells, insulin is also important in tightly regulating the level of glucose in the blood. After a meal, the blood glucose level rises. In response to the increased glucose level, the pancreas normally releases more insulin into the bloodstream to help glucose enter the cells and lower blood glucose levels after a meal. When the blood glucose levels are lowered, the insulin release from the pancreas is turned down. It is important to note that even in the fasting state there is a low steady release of insulin than fluctuates a bit and helps to maintain a steady blood sugar level during fasting. In normal individuals, such a regulatory system helps to keep blood glucose levels in a tightly controlled range. As outlined above, in patients with diabetes, the insulin is either absent, relatively insufficient for the body’s needs, or not used properly by the body. All of these factors cause elevated levels of blood glucose (hyperglycemia).

Tin

Okay, I went for my gestational diabetes test last week and brought along my own meter. True track. :/
well, an hour after drinking 50 grams of sugar according to my METER it said i was at 158…yikes..its supposed to be 140 or less. Okay…I accepted the fact that I might have gestational diabetes.

Then the doctor calls me about an unrelated issue I’ve had in my pregnancy and I ask her what my results were…(assuming that she was going to have me come in for my 3 hour test…She said i was LOW normal..at a 97!
97? Really?
Either my meter is WAY WAY off or there was a mistake…(the guy who did the blood draw was BRAND NEW, said it was his first day…) so it really in my un professional opinion could go either way. Either he messed up or my meter is TRASH.
I wanted to know if there are any RELIABLE sites that might have information on which meter is most accurate (.org .gov .edu) anything. Personal experience is also helpful. I HAD a contour a while ago, but it got lost in the move to our new place…From what I experienced with that meter it was pretty right on with what I was feeling, so I had no problem trusting it.

Thanks in advance for your opinions, and links to helpful sites.

From personal experience, I would say do not buy a One Touch Ultra Mini. Those are off by more than 30%, sometimes, making the difference between your doctor wanting to you on meds, or not… which is what is happening to me. I have switched to the Bayer Breeze2, as it has been the most accurate for me. It told me my sugar was 235, on the morning when my fasting glucose at the hospital was also 235… So, I do trust it a bit more. They also give that meter away, free, on their site. The e-mail you a coupon, and with a prescription from your doctor for one, it’s free. I’d give it a try, though honestly, the best glucometer is the one that is easiest for you to use, and you feel comfortable testing every day. With the Bayer one, I don’t have to code any longer, and it uses these discs that let me know how many strips I have left. It’s convenient for me, at least.