Diabetes Management: Blood Glucose Meters

One of the great things about the Internet is that it’s created a global community for discussions of topics such as diabetes. You’ll find there are a number of forums that will allow you to talk to others facing your situation.

If you or someone you love has been diagnosed with diabetes, one of your first steps will likely be to find a glucose meter. There are some things to keep in mind as you make your decision because this piece of equipment is likely to be part of your life for the foreseeable future.

A glucose meter (or glucometer) is a medical device for determining the approximate amount of glucose in a drop of blood obtained by pricking the skin with a lancet. Glucose meters are portable and designed for use by ordinary people, especially those with diabetes.

Click here to receive a Free Blood Glucose Meter.

There are now dozens of models of glucose meters. Typical features common to most. The average size is now approximately the size of the palm of the hand, though some are smaller or a bit larger. They are battery-powered. A consumable element containing chemicals which react with glucose in the drop of blood is used for each measurement. For most models this element is a plastic test strip with a small spot impregnated with glucose oxidase and other components. Each strip can only be used once and is then discarded.

Cost is a major issue for most people, but there’s good news if you have any kind of medical insurance. A glucose meter is typically considered to be a vital part of medical treatment and insurance companies often pay for a portion or the entire cost of the meter. At the same time, there is sometimes a limit on the amount the insurance company will pay, and that may severely limit your options.

While cost is naturally important, remember that you’re going to be living this life from now on. Finding a cheaper glucose meter that requires a more serious stick for blood may seem like the best option when you’re writing the check for the meter, but the tedium of the daily stick may negate that cost in the long run.

There are some companies out there that help with the cost of a glucose meter if you meet specific income guidelines. This may be a good answer if your quandary about which meter to buy is purely based on financial restraints. Remember that Medicare often pays on this important testing equipment as well. Your doctor, druggist or representative of a local medical supply company may also be good sources of information about how to find the best deals and how to get help paying for a glucose meter.

Finding a very inexpensive glucose meter may be the best answer to this situation. If the meter is accurate, it’ll get you through the initial period of adjusting your life to the regular testing of your blood sugar. Then take time to do some research into what’s hot and what’s not in glucose meters. You’ll find that some make absolutely ridiculous claims and you may have to ask some questions to find those companies that produce the glucose meter that will work best for you and your lifestyle.

7 Reasons Why Smoking is Even More Hazardous for Diabetics

Are you a diabetic? Do you smoke? Do people around you smoke? We all know smoking is a direct cause of cancer but if you have diabetes smoking – including passive smoking – leads to other health problems…

Here are 7 reasons why mixing diabetes with smoking is a very bad idea:

1) You are more likely to get nerve damage (neuropathy). This is because smoking affects your blood circulation and that in turn means your nerve endings are not getting the nutrients they need. If this happens to the nerves in your feet it could lead to sores and infections and, if not taken care of properly, even amputation.

2) There is an increased risk – double in fact -of you getting limited mobility in your joints. It’s no fun trying to bend, climb stairs or lift something when you have a painful joint.

3) Because of smoking you could develop kidney disease.

4) When you smoke your blood pressure increases. Increased blood pressure creates a real risk of heart disease.

5) Research has shown that diabetics who smoke increase, 3-fold, the risk of dying of heart (cardiovascular) disease.

6) By smoking you increase your blood-sugar levels. This makes it more difficult to control your diabetes because your glucose levels could be fluctuating quite dramatically. This, in turn, leads to other problems.

7) And it also increases your cholesterol levels, which increases the risk of a heart attack.

In fact smoking – and passive smoking – have a seriously detrimental effect on the ABC’s of diabetes management:

A1C – the measurement of your blood glucose over a 3-month period
B – your blood pressure, which should be below 130/80
C – your cholesterol levels. Cholesterol levels include LDL, HDL and triglycerides. Your LDL should be below 100. HDL levels should be above 40 (for men) and above 50 (for women). Tryglycerides should be below 150.

And, of course, on top of all that there’s the proven risk of cancer!

Controlling Blood Sugar In Type 2 Diabetes Without The Use Of Drugs

I was told in rapid succession that I was suffering from intermittent claudication (that’s blocked arteries in the legs), high blood pressure, Diabetes Type 2 and that I was overweight.

Not a lot of pleasure there! The intermittent claudication made it increasingly difficult to do much, so that in effect I had become a prisoner to my house and garden. Exercise was out of the question, my legs simply couldn’t cope, but it was hoped that angioplasty to each leg would cure the problem. It didn’t.

My high blood pressure, I was assured, could be treated by a cocktail of drugs and by weight loss. The cocktail of four different drugs worked, but I could not seem to lose weight.

So I was given a choice: the blood sugar levels could be controlled either by drugs or by diet. Since I was already taking four different drugs for blood pressure, I thought it best to try diet control. I was also hopeful that this might help me to lose weight. But where to start? My diabetic nurse provided me with a blood sugar monitor and said I should aim to stay under 9 as my reading. My Doctor said to stay under 7. Now she has reduced this to under 5. My current long-term reading is 5.3. A big drop from the high readings I used to produce.

So what did I do? At first I was taking blood samples three times a day and was truly astonished at how my blood sugar jumped about. Plain porridge and water, which I absolutely loved, would produce a reading of 16 and yet, being a slow release multigrain, I had always assumed it would be good for my health. A single apple, showed a reading of 12! Tea with milk but no sugar, 10. Obviously there was more to this than met the eye.

The first learning point was that the body needs water and lots of it. Out went sugared fizzy drinks and in came plain boiled water. The Swedes call it Silver Tea, I’m told, and it is very refreshing. Now a cup starts every day and two or three more follow. Low calorie tonic water is also useful (the quinine helps prevent cramps), mineral water (I especially like carbonated forms), low calorie Ginger Beer and cold filtered tap water.

The next, crucial, learning point: control your carbohydrate intake, in my case to under 40gms a day. Eliminate bread, cakes, sweets, pasta, rice, cereals, biscuits, sugars, fruit juice, potatoes, honey, jam, marmalade, baked beans. Reading the food labels is a real eye opener!

Instead, increase your intake of vegetables and low carbohydrate foods & fruits. All of the following are particularly good: Broccoli, cabbage, spinach, runner beans, brussels sprouts cauliflower, broccoli, peppers, tomatoes, courgettes, aubergines, swede, squashes, celeriac, green salads. Fruit can be very high in sugars, so use in moderation. Choose rhubarb, grapefruit, raspberries, loganberries, strawberries, blueberries, all of which are O.K. Do not add sugar, of course, so sweeten with cinnamon instead. Avocadoes are low in carbohydrates, but high in fat, so eat no more than half a fruit a day. Add nuts and seeds to your diet, again in small amounts.

As far as alcohol is concerned, all beers are out. One or two glasses of red wine a day are acceptable.

Avoid processed foods as much as possible and certainly do NOT eat hydrogenated fats of any kind. They are to my mind a food industry con. and of no use to any one other than manufacturers of processed food.

Buy only genuine, non-reconstituted lean meat, poultry, game and fish. Reduce your saturated fat intake by cooking on a griddle and cutting off any excess fat. Cook with olive and nut oils, as these unsaturated fats are good for you. Never use lard. Add game to your repertoire of ingredients, along with plenty of oily and white fish such as salmon, haddock, tuna, swordfish, mackerel & kipper.

I have never once felt hungry with this change in my eating habits to simple whole foods. I still find I miss eating plain yoghurt, vanilla ice cream and various cheeses. But then I occasionally do give myself a small treat – provided I stay within my allowance.

The results are good for my health:

• My good cholesterol is high
• My bad cholesterol is low
• My type II diabetes blood sugar is well controlled by diet alone
• I have lost 10 lbs in weight.

My next task is to lose another 30 lbs. I know now that this is achievable. The more weight I lose, the more able I am to increase my activity levels – and the more incentive I have to control my calorie intake. At last I feel that I am taking back control of my body and discovering that you really are what you eat!

Diabetes: What Type Of Insulin Is Right For Me?

Rapid onset-fast acting insulin

Rapid onset-fast acting insulin always looks clear. It is fast acting and starts to work within one to 20 minutes. It peaks about one hour later and lasts from three to five hours. When you use this type of insulin, you must eat immediately after you inject.

The two rapid onset-fast acting insulin types currently available are:

1. NovoRapid (Insulin Aspart)
2. Humalog (Lispro).

Short acting insulin

Short acting insulins always look clear. They begin to lower blood glucose levels within half an hour, so you need to have your injection half an hour before eating.

Short acting insulin has a peak effect at two to four hours, and lasts for between six and eight hours. Short acting insulin types currently available include:

1. Actrapid
2. Humulin
3. Hypurin Neutral (bovine – highly purified beef insulin).

Intermediate acting insulin

Intermediate acting insulins always look cloudy. They have either protamine or zinc added to delay their action. These insulins begin to work about 90 minutes after you inject, peak at four to 12 hours, and last for 16 to 24 hours.

Intermediate acting insulins currently available include:

1. With protamine added – Protaphane, Humulin NPH and Hypurin Isophane (bovine).

Preventing Diabetes

You’ll need to keep an eye on your blood sugar levels and take treatment for your diabetes for the rest of your life. If you don’t have good control of your blood sugar you’ll be at risk from damage to the blood vessels and nerves, with problems such as deterioration in eyesight, stroke, kidney disease and infections.

As your doctor has already explained, careful diet and pills are all that are needed in most cases. If you’re overweight, simply eating less and losing weight can be enough to allow the insulin to work more effectively.

Why Use Insulin Pumps?

The number of people using insulin pump therapy to manage their diabetes is growing rapidly; roughly 250,000 people around the world use an insulin pump. Their reasons for choosing the pump are many, but generally “pumpers” all agree that it gives them tighter control and more flexibility — both in terms of their schedule and lifestyle. This control and flexibility includes advantages such as:

1. Eating what you want, when you want
2. Worrying less about low blood sugars (”hypoglycemia”)
3. Living life on your terms, not a schedule of snacks and shots

There are many scientific studies that demonstrate that insulin pump therapy results in better outcomes for teens and adults with type 1 diabetes. There are also studies that show that insulin pump therapy works well in toddlers and pre-school children.

Causes of Diabetes, Major Factors of Diabetes

Certain factors that contribute to the development of diabetes are -

Heredity

Heredity is a major factor. That diabetes can be inherited has been known for centuries. However, the pattern of inheritance is not fully understood. Statistic indicates that those with a family history of the disease have a higher risk of developing diabetes than those without such a background. The risk factor is 25 to 33 percent more.

One reason why diabetes, especially type-2 diabetes runs in the family is because of the diabetes gene. But even it is caused by genetic factors beyond your control; there is no reason to suffer from it. Diabetes mellitus cannot be cured in full sense of the term, but it can be effectively controlled so that you would not know the difference.

Diet

Diabetes has been described by most medical scientists as a prosperity’ disease, primarily caused by systematic overeating. Not only is eating too much sugar and refined carbohydrates harmful, but proteins and fats, which are transformed into sugar, may also result in diabetes if taken in excess.

It is interesting to note that diabetes is almost unknown in countries where people are poor and cannot afford to overeat.

The incidence of diabetes is directly linked with the consumption of processed foods rich in refined carbohydrates, like biscuits, bread, cakes chocolates, pudding and ice creams.

Obesity

Obesity is one of the main causes of diabetes. Studies show that 60 to 85 % of diabetics tend to be overweight. In the United States of America, about 80 percent of type –2 non-insulin dependent diabetics are reported to be overweight.

Excess fat prevents insulin from working properly. The more fatty tissue in the body, the more resistant the muscle and tissue cells become to body insulin. Insulin allows the sugar in the blood to enter the cells by acting on the receptor sites on the surface of the cells.

Older people often tend to gain weight, and the same time, many of them develop and mild form of diabetes because who are over weight can often improve their blood sugar simply by losing weight.

Stress and Tension

There is a known connection between stress and diabetes mellitus, those who are under stress and/or lead an irregular lifestyle, need to take adequate precautions and make necessary lifestyle adjustments.

Grief, worry and anxiety resulting from examinations, death of a close relative, loss of a joy, business failure and strained marital relationship, all a deep influence on the metabolism and may cause sugar to appear in the urine.

Smoking

Smoking is another important risk factor. Among men who smoke, the risk of developing diabetes is doubled. In women who smoke 25 or more cigarettes a day, the risk of developing diabetes is increased by 40 percent.

Lifestyle Risk

People who are less active have greater risk of developing diabetes. Modern conveniences have made work easier. Physical activity and exercise helps control weight, uses up a lot of glucose (sugar) present in the blood as energy and makes cells more sensitive to insulin. Consequently, the workload on the pancreas is reduced.