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Managing After-Meal Highs
Your blood glucose level was normal going into the meal, but two hours later it's 255 mg/dL. Don't worry. You are not alone in struggling with high postprandial (after-meal) glucose levels.This is a common topic with my clients. Here are three ways...
Insulin Pens: Are You Using Yours Correctly?
Insulin pens are so convenient. They're great when you're on the go or if vision problems make it hard for you to use a syringe. If you take insulin and don't use a pen, ask your doctor if this device for taking insulin is an option for you. If yo...
Glucose Control: Increased Heart Attack Deaths in Type 2 Diabetes
Several trials have convincingly shown that lowering blood glucose levels decreases the likelihood ofthree late complications of diabetes — blindness from damage to the retina (retinopathy), impaired kidney function (nephropathy), and pain or numbne...
What I Have Learned From my Clients
So far, my blog entries during Diabetes Awareness Month have been a lot of me telling you what to do. I think it is also important for you to know what I have learned from people with diabetes. The longer I practice as a diabetes educator, the more e...
Living With Type 1 Diabetes
While everyone with diabetes can benefit from general diabetes information, I realize that I haven't focused much on information for people with type 1 diabetes. The reason is that so many more people have type 2 diabetes and those people make up the...
Januvia: A New Class of Diabetes Medication
On October 17, 2006, the Food and Drug Administration (FDA) approved a new oral medication for people with type 2 diabetes. Januvia is the first of a new class of diabetes medications called dipeptidyl peptidase-4 (DPP-4) inhibitors, and the sixth cl...
Planning for Pregnancy When You Have Diabetes
Women with diabetes are just as likely to have a healthy baby as those without diabetes. The key is glycemic control.If you are thinking of having a baby, your blood glucose levels should be under control before you become pregnant. Babies' organs de...
Gastroparesis, Part 2: Treatments
In an earlier entry, I wrote about gastroparesis, a complication of diabetes that damages the vagus nerve and slows the emptying of food from the stomach into the intestines. The symptoms are bothersome and can seriously affect your quality of life....
Proper Use and Disposal of Sharps
I ask all my clients whether they use a new lancet, syringe, or pen needle each time they take insulin. Unfortunately, the answer I usually hear is no. The most common reason is because they are trying to save money or don't want to be wasteful. Yet...
Maximize Face-to-Face Doctor Time: Analyze Your Logbook
Fact: The average doctor visit is approximately 16 minutes long (according to a recent release from the National Center for Health Statistics). If you see your doctor one time each month, you will only get to spendthree hours and 12 minutes per year...