Diabetic Diet & Blood Gluecose

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Archive for January, 2011

How effective is an A1C test in determining hypoglycemia?

If the A1C test is used to determine average glucose levels over several weeks or months, how can it be effective in determining hypoglycemia (especially reactionary hypoglycemia)? It seems like a time-response test like an OGTT would be better to observe glucose levels "crashing".

I think if blood sugar levels were sustained low enough to reflect in an A1C as consistent hypoglycemia, you’d be dead. A1C is best in determining sustained hypERglycemia (high blood sugar levels) over a three month period in diabetics.

3 responses so far

Which of the following agonists can cause hyperglycemia in diabetics?

Which of the following agonists can cause hyperglycemia in diabetics?
a) ?2-agonist*
b) ?1-agonist
c) ?3-agonist
d) ?2-agonist*
e) ?1-agonist

i know that alpha 2 s cause decrease in insulin secretion whereas beta 2s cause increase in insulin secretion, however dont beta 2s include increased glycogenolysis and gluconeogenesis in muscles and liver? thus making more glucose available….any help is appreciated as i just started pharm in m2.

YOU ARE ON THE RIGHT TRACK… Beta 2 agonists stimulate glycogenolysis and the release of glucagon from the pancreas, causing hyperglycemia… :-)

One response so far

New recipe ideas for a brittle Diabetic?

My diet consists of Fish, Shrimp, Beef and Chicken, fresh fruit, fresh veggies, and low fat dairy products. No breads, potatoes, rice, grains, or pastas. I also can not have tomato sauces, gravies, or cream sauces. Nothing battered or fried.

What I am looking for is new ideas for Dinner Recipes. Making use of the items I can have, herbs and spices. Web sites and online cookbooks for Diabetic Recipes is also greatly appreciated. Thank you.
Brittle means I test 4 – 6 times a day and take insulin on a slide scale depending on the sugar level at each testing. I am unable to have starches and grains because even the smallest amount sends my sugar levels way up. I am working very close with my Doctor and nutritionist. My sugar levels still run higher than they should even with the medications, insulin, and diet. I’m not looking for health advice, what I should or shouldn’t eat. That is being handled.. I’m just looking for recipe ideas using what I can have. Thank you again.
Most canned tomato sauces are high in sodium, but I was thinking Spaghetti Sauces (tomato sauces). They have sugar added, and they send my sugars into the mid to high 200′s. I do eat fresh tomatoes at least every day though. BTW.. I try to limit sodium due to high BP.

I am on a similar diet, I to am a type 2 diabetic, but as a former chef I have wide range of meals and the background to adapt foods to my diet, look at beans and lentils to for protein, vary the fish and seafood’s you eat, I use alot of artificial crabmeat products, now I cannot have dairy on my diet so I use soya and almond milks, I can have some hard cheese.

Slow cooking with a crockpot is a good idea, this lessens the fat, and you are able to prepare a few days worth of food. And you have a point, with some restricted diets the food can be bland and tasteless, learn to incorporate fresh and dried herb along with spices, cinnamon, turmeric and nutmeg are all good for diabetics, look to making ethnic dishes to to make meals a bit more enjoyable, if you have any more question or need help with your meal plan, feel free to get in touch with me.

4 responses so far

What are the different types of diabetes and how do you know if you have it?

Somebody told me I might have diabetes because I am overly thirsty.
Is that true?
How do I tell if I have diabetes?
There are different types right?
What are they?

1,2

symptoms for Diabetes

rapid breathing/ trouble breathing
depression is be link to it to
boils is a sight to doctor say
exhausting
headaches, back pain, aching muscles, and stomach pain
Excessive thirst and appetite
Increased urination (sometimes as often as every hour)
Unusual weight loss or gain
Fatigue
Nausea, perhaps vomiting
Blurred vision
In women, frequent vaginal infections
In men and women, yeast infections
Trouble getting or maintaining an erection
Dry mouth
•Lack of interest and concentration
Slow-healing sores or cuts
Itching skin, especially in the groin or vaginal
numbness/tingling in the hands/feet
i have it 5 years now ,my sister 15 year old have it since she was 6
run in both of of my family my ma sisters and brothers have it and their kids and also their kids
my da mother had it and die from it in 2005 98 years old and his brothers and sisters and their kids had it to we are over run with 1 ,2

Common symptoms for lows include the following:
Trembling
Clamminess
Palpitations
Anxiety
Sweating
Hunger

Because the brain is deprived of glucose, a second set of symptoms follows:
Difficulty in thinking
Confusion
Headache
Seizures
Coma
Ultimately, death

Gestational diabetes
During pregnancy body releases a lot of harmone which may sometimes interfere with the body’s usual response to insulin, which develops insulin resistance like the type 2 diabetes. Gestational diabetes is fully treatable but requires careful medical supervision throughout the pregnancy. It may improve or disappear after delivery. About 20%–50% of affected women develop type 2 diabetes

There are 2 tests for Gestational Diabetes. A one hour fasting glucose test and a 3 hour test. In both cases, you drink a special drink that is very high in glucose (sugar) on an empty stomach and they test to see how your body handles the sugar.

If they said you had slightly high sugar, you probably did the one hour test. To double check, they are bringing you in for the 3 hour test.

Make sure you have totally fasted…no food or drink other than water for 8 hours before the test. Eating before the test will effect your sugar numbers after the test. After you drink the drink…go for a walk…move around, don’t just sit or lay down. Moving and exercise lowers blood sugar.

If you do get diagnosed with Gestational Diabetes, it is a real concern. One thing to remember is, you will not have diabetes when you have the baby. Giving birth cures Gestational Diabetes. Doctors do not know what causes it during pregnancy and there is no real way to fix it if it happens. You should eat a whole food diet, stay away from processed foods, foods with additives (diet cokes, fast food…) and eat high protein. (try to get 100grams a day).

Gestational Diabetes can cause the baby to grow large and cause complications toward the end of pregnancy. Symptoms to look for are – Sudden extreme swelling of the feet, hands and face (not normal swelling…sudden and extreme), pain under the ribs on the left side of your body. If that happens, call the doc right away.

The doc will work with you, rest and diet to help manage the diabetes to get you as far along in the pregnancy as possible. You CAN carry full term with hard work. However, if your sugar numbers continue to rise and go out of control along with getting the symptoms above, they will have to induce labor or send you for a c-section around 36-38 weeks.

If is fairly common and can be managed. Read up on it and talk with your doctor.

6 responses so far

Brittle Diabetic needs new dinner recipe idea?

My diet consists of Fish, Shrimp, Beef and Chicken, fresh fruit, fresh veggies, and low fat dairy products. No breads, potatoes, rice, grains, or pastas. I also can not have tomato sauces, gravies, or cream sauces. Nothing battered or fried.

What I am looking for is new ideas for Dinner Recipes. Making use of the items I can have, herbs and spices. Web sites and online cookbooks for Diabetic Recipes is also greatly appreciated. Thank you.

Large Portobello mushrooms grilled whole with herbs and spices to your taste garlic is good and a little olive oil to help them grill and top with a low fat cheese then back under grill till cheese bubbles im drooling just thinking about them thats my dinner for tomorrow night (again)Tesco Have good Mushrooms

4 responses so far

What are the signs of diabetes in young teenage girls?

I have had my friends grandma who is a nurse tell me she thinks that I might be becoming diabetic. And It runs in my family. Lately I have been feeling kind of sick and my weight has been really weird. What are all the signs of diabetes in young teenage girls?
Im 15.

Excessive thirst.
Excessive need to urinate, particularly at night.
Tiredness and listlessness.
Weight loss, even if appetite remains the same or increases.
Thrush or genital itching.
Blurred vision.
An increased healing time for cuts, scratches and scrapes.
Irritability or short temper.
Cramps or constipation (more common for Type II diabetes).

4 responses so far

Why are blood glucose levels important in body functioning and energy levels and learning?

Why are blood glucose levels important in body functioning and energy levels and learning?

The Importance of Blood Glucose
By Jennifer Money, eHow Contributor

Glucose is better known to many as sugar. Maintaining a normal level of blood glucose is important for brain function as well as providing the body with energy and keeping metabolism up. Glucose comes from carbohydrates such as bread, pasta, cereal and fruit. During digestion carbohydrates are broken down in the stomach into glucose.

Monitoring Blood Sugar
1. Blood sugar can be tested with a blood sugar monitor or you can have your blood sugar tested by a doctor. Blood sugar ideally should be tested after waking up but before eating and also one or two hours after eating. According to ABC News Health, normal glucose levels are typically less than 100 mg/dL in the morning, when you wake up, or before eating. Normal glucose levels one or two hours after eating are typically less than 140.
Hypoglycemia
2. Hypoglycemia means having a low blood sugar level. Having a low blood sugar level can lead to passing out or seizures. Symptoms of having hypoglycemia are feeling shaky, irritable, clumsy, confused, dizzy, weak, having a headache, blurred vision, rapid heart beat and hunger. According to the Mayo Clinic, hypoglycemia is defined as blood sugar below 70 mg/dL and occurs when there is too much insulin and not enough glucose in the blood. There is a higher risk for hypoglycemia for diabetics who take insulin, or when skipping meals, doing physical activity with no food intake and alcohol consumption.
Hyperglycemia
3. Hyperglycemia means high blood sugar. According to the Mayo Clinic, blood sugar rises when individuals eat too much food or the wrong foods, don’t get enough exercise, when they are under physical stress, when they are under emotional stress, when diabetic medicine isn’t taken, or when insulin is taken incorrectly. Symptoms of hyperglycemia are frequent urination, thirst, blurred vision and fatigue.
Diabetes
4. There are two types of diabetes, type 1 and type 2. Type 1 diabetes previously was known as juvenile onset diabetes. Though type 1 diabetes can occur at any age it is more commonly found before age 20. According to ABC News Health, "individuals with type 1 diabetes are usually thin, and the cause of type 1 diabetes is that the pancreas, the organ that secretes insulin, is destroyed by autoantibodies, that’s why people with type 1 diabetes always need insulin. Type 1 diabetes occurs in about 10 to 15 percent of all the diabetics in the country."

Type 2 diabetes is more common. Type 2 diabetes was previously known as adult onset diabetes because it is found more often in those above the age of 35. According to ABC News Health, "type 2 diabetes is primarily a complicated medical condition called insulin resistance. In fact, in the early stages of type 2 diabetes, there’s plenty of insulin around, it just doesn’t work well."
Raising and Lowering Glucose Levels
5. Things that raise glucose levels are eating carbohydrates, not getting exercise, having a high stress level, being sick, menstruation (this can raise or lower depending on the individual) and exercising without eating enough carbohydrates to fuel the body. According to Estrella Mountain Community College, "if you are on a low-fat diet, remember you still have to pay attention to how many carbohydrates (sugars) you are eating, or your blood glucose level may rise. Also, some low fat and no fat foods contain modified forms of carbohydrate used as emulsifiers or bulking agents that can push up your blood sugar."

Things that lower glucose levels are skipping meals, exercise, alcohol consumption and, in some women, menstruation. Insulin is another factor in reducing glucose levels. Insulin is released into the blood so cells can metabolize glucose.

Blood sugar can be maintained by making good lifestyle choices such as eating vegetables and fruit and a healthy level of carbohydrates, eating consistent balanced meals and not skipping meals, reducing stressful activities and getting physical activity for at least 30 minutes a day.

Hope this helps

One response so far