* * * * * * * Diabetes Over Christmas * * * * * * *

 

Christmas and NewYear are times of joy and happiness. It’s time to celebrate for everyone. Familiesand friends get together to enjoy this special festive season and there is every reason for you to enjoy it fully too!

 

There is a lot of food involved over Christmas and New Year’s Eve, a lot of traditional food, which play a huge part in this winter season festivities. Plates full of pies, tasty cheese, pates and sausages, fried potato wedges and vegetables with variety of sauces and dressings, and gorgeous Christmas puddings and a selection of lovely cakes are all very tempting for anyone. But don’tworry, you don’t have to have a separate plate for your Christmas dinner, just be more cautious about how much and what you eat and don’t over do it.    

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Any traditional festive food will behigh in calories, fat and sugar, and won’t be healthy foranyone, diabetic or not. And a little extra over Christmas should not affect your long termdiabetes control. As you well know, eating to controldiabetes isn’t just about control of what you eat; it’s about balancing yourdiet, adding variety and not feeling restricted. And certainly during Christmas festive season you should plan ahead.Give some thought to all different options you have and consider what worksbest for you as an individual.

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The main advice is on spreading the food equally throughout the dayand indeed throughout the entire Christmas period, not having too much at onemeal, keeping close eye on your blood sugar levels, and being sensible. Youmight want to let your family and friends know how you want to be served, to feel more comfortable and in control. But allow yourself to have some chocolates, cakes and sweetstoo, only spread them throughout the day and eat them with main meals.

In short think about:

     Christmas and New Year are celebrated over a week period so don’t eat itall in first couple of days.

     Spread your portionsthroughout the day. 

     Avoid eating too much atone meal, and too little at next. 

     Try to avoid sugary drinks, instead have some fresh juice, which willrefresh you better and doesn’t contain large amounts of sugar.

     Enjoy Christmas fruit and vegetables, you can make some lovely saladsand have the half plate of vegetables with your Christmas meals.

     Keep alcohol intake inmoderation and watch your alcohol units 

     And of course don’t forget to take that walk in the evening or into the townto marvel at the Christmas lights and all the festive decorations. You will bedoing that important exercise and also walk off the Christmas meal.

 

Plan well and enjoy Your Christmas andNew Year!

 

 

 

Diabetes mellitus or simply diabetes
is one of the most common conditions in modern society that is continuously on increase.

 

 

Diabetes is a metabolic disorder of the pancreas, a gland in your body that produces insulin, a hormone that helps your body to utilise blood sugar, known as glucose, and turn it into energy.

 

In diabetes production of insulin is either insufficient or your body is not responding adequately to its insulin production, or both. In all cases it leads to increased levels of blood sugar/blood glucose circulating in your blood stream, which if untreated often leads to health damage and complications.

 

There are three main types of diabetes:

·         Type 1 Diabetes

·         Type 2 Diabetes

·         Gestational Diabetes Mellitus, also known as GDM

 

Other less common types are monogenic diabetes, congenital diabetes, steroid diabetes, etc. (Links)

 

Type 1 Diabetes is less common than type 2 diabetes, occurring mainly in young people. In type 1 diabetes all or most of the cells of the pancreas that produce insulin have been destroyed, leading to minimal or no production of insulin. Treatment is by daily insulin injections.

 

 

Type 2 Diabetes is the most common form of diabetes that can affect people of any age. It is characterised in lower production of insulin or body resistance to insulin, which leads to increased levels of blood sugar and in long term can seriously damage your health. Type 2 diabetes can be controlled by diet and physical activity alone, though in many cases oral medications and/or insulin is also required.

 

 

Gestational Diabetes can sometimes only occur in pregnant woman and often resolves with the delivery. Treatment is usually through diet changes and moderate activity.

 

 

Here is the list of articles that you may enjoy:

• Obsession, Purpose, Support & Creativity – DOC Crew. As I told you a few weeks ago, Diabetes Global Handprint, One Touch’s diabetes awareness initiative that was inspired by Word in Your Hand at tudiabetes.com, was to be featured on The CBS Early Show on June 2nd. …

• Comparing Insulins for Type 2s – Some of our doctors don’t help us when they use insulin as a threat: “Unless you reduce your blood glucose, I am going to have to put you on insulin.” So it’s no surprise that many of us who have type 2 diabetes think we have failed …

• How Diabetes Support Groups Can Help You? – The first time I heard about a diabetes support group, I outwardly sneered. I didn’t feel like I needed diabetes support groups. Support groups for diabetics were just not for me, I said. And one day, I took a serious look in the mirror …

Any advice on caring for a dog with diabetes?

I have an eleven year old Lhasa Apso who has been diagnosed with diabetes on Friday. Her sugar level is 324. I’ve heard about other diabetic dogs who died in a year or six months after being diagnosed. I’m really worried. If anyone has experience or knowledge about caring for a diabetic pet I would love to hear it.

Thanks for any helpful answer!
Please don’t answer if you cant say anything helpful!

Is there a vet in your area – he knows best…

Feeling worse on the gestational diabetes diet?

I was just diagnosed with gestational diabetes. It explains a lot because I’ve gained weight rapidly without changing my diet, have high levels of amniotic fluid and at 29 weeks my daughter’s weight is estimated at 3.9 lbs! Since the diagnosis last week, I have been following the diet religiously and have been eating small meals every two hours, cutting out sugar and juices and counting carbs. And I have to say that I feel AWFUL. I feel tired and lethargic and feel hungry all the time, and even feel nauseous at times. I felt MUCH better before I was eating worse (carbs, pastas, sugars). Anyone else had this happen? I have an appointment with my doctor in a few days so I’ll ask him there but wanted to know if anyone else has experienced something similar. Is my body just adjusting to this new diet? Or is something wrong? Thanks!!!!

I can’t say how it will affect you, but I’m a type two and Dr. Joel Fuhrman’s diet has revitalized me. In fact, I quit the Metformin over two months ago. I also lost 50 pounds in under four months while eating plenty. Maybe it’s taking some time for your body to cleanse itself of all the bad stuff you’ve been putting into yourself. Read up: http://www.drfuhrman.com/

I have just been diagnosed with gestational diabetes. What are some symptoms that I may have to deal with?

I do know about the possible complications for the baby and I. But so many of the symptoms are close to the symptoms that occur with regular pregnancy (cravings, thirst, and frequent urination). I also know the most common symptom is a high glucose reading when I check my blood. So, I guess I want to know if there will be obvious symptoms other than the ones I have mentioned above.

Do u have a glucose monitor now? I am a diabetic and just had a healthy baby girl, but was only able to do this because I checked my sugar levels 6 times a day. You CANNOT go by just how you are feeling. YOU HAVE TO GET A GLUCOSE MONITOR or u and your baby will be in serious harm Let me know ASAP i am worried u may haven’t been given enough information. IF u have gestational diabetes, you have to check your blood glucose level yourself at home 4 – 6 times aday, eat restricted diet and try to exercise the best u can. If u don’t the complications are a mile long. I am also a registered nurse so please let me know.’

Pathophysiology of Diabetes Mellitus this is my first time to make one. Help.?

Who can help me with a Pathophysiology of Diabetes Mellitus? it is my first time to make one please help?
case:

admitted this 60 year old female widowed roman catholic

Chief complaint: Wound on 2nd toe of the left foot

First diagnosis: DM poorly controlled

Second diagnosis: Post irrigation and debridement of the left foot

Client has history of Diabetes mellitus on both sides of the family (mother and father’s side)

- drinks a minimum of 1 bottle of soft drink a day
- eats sweets claims to have a sweet tooth

had expereienced symptoms of DM when she was 55 years old in the year 2004 noticed weight loss, polyuria (urge of urinating uncontrolably), polydipsia (excessive thirst), polyphagia (feeling of hunger), and noticed that she was sleepy most of the day.

-did not do anything after noticing the signs and symptoms continued with daily routine in life as a elemetary school teacher

by the year 2006 she was admitted for typhoid fever with this hospital admission she was diagnosed to have Diabetes mellitus by Fasting blood sugar prescribed with Metformin to manage Dm but did not seek consult thereafter; with poor compliance to medication taking metformin once every 2 days. did not go to the doctor nor had her self submit for a medical check up…

after 3 years

2009.

4 – 5 days prior to admission (January 4) while walking to school she stepped on a rusty nail by the sidewalk but did not notice the pain nor felt it and did not do anything about it.
January 5 continued with her daily routine and did not notice anything
January 6 rode a bus to go out of town
January 7 when she went home whoile riding the bus client noticed pain in her left foot and that it was swelling…
January 8swelling worsened and was adviced by her colleagues to put some herbal leaves on it but could not recall the name of the herb that she put in it.
January 9 with continued swelling of the foot and had fever (undocumented temp) called for help
January 10 on the day of admission client was febrile with body temp of 38.2 with cardiac rate of 82, Respi rate of 20 and Bp of 130/90 received ambulatory conscious and coherent. started with IVF of PNSS at the left metacarpal vein taken with labs of ECG, Chest x-ray, CBC, Ca, K, Creatinine… Transfered to private room

January 14 – had an irrigation and debridement operation on the left foot with 2 incisions on the dorsal part of the foot one underneath the 4th toe and the other one under the 2nd toe foot is inflammed with slight drainage of blood. Operation lasted for 5 hours.

January 19. client was advised by physician to have a below the knee amputation for the affected area is not doing so well
+not decided for the operation.

PRN Medications of: Paracetamol for temp 38.2
Tramadol for pain
Treatment of:

CBG premeals and midnite with actrapid sliding scale

+what do you think of the patient’s case?

the predisposing factors are present

how do is start this stuff?

this is my first time to do something like this please help.

* 5 days ago
* – 21 hours left for voting

This case can be very overwhelming so break down the case into what is relevant to the immediate clinical presentation. I am not sure if you are trying to learn how to SOAP or write a chart note but I will provide some basic information on the 2 types.

First of all, SOAP notes is a tool to help you organize the information, think through the problem, consider options for therapy, recommend therapy based on patient’s problem, goals of therapy, monitoring parameters, patient education etc… In chart notes, most of the details from your assessment and plan are not outlined in written form but are still considered (in your mind).

Subjective: Information in this category is info that cannot be confirmed but it is information provided by the patient or their caregiver. This includes data such as patient identifiers (Initials of pt, age, and gender). Race is optional but should be included if it is relevant to the case. Information should be limited to the problem to be addressed.

Objective: Information in this category is info that can be confirmed such as height and weight, results from tests, procedures, and assessments (such as vital signs, physical exams, lab tests, diagnostic procedures) and subjective assessments by the practitioner. The data should be limited to the problem to be addressed and any lab or measurement data that will be needed for calculations or assessments (such as SCr, weight, height for CrCl).

Assessment includes the following categories:
1) Etiology: potential cuase or risk factors contributing to the problem.
2) Assessing the need for therapy: What is the status of the problem? How severe is the problem? How urgent is the problem and how aggressive does the problem need to be addressed? Is there a need for non-drug and drug-therapy, etc…?
3) Evaluation of the current therapy: Includes the medications that are prescribed for the current problem, how appropriate is the current therapy, how appropriate are the drugs selected (need to consider dose, route of administration, frequency and duration of treatment).
4) Evaluation of treatment options available.
5) Justification of plan

Plan: Includes recommendations for the current treatment (continue of discontinue) and recommendations if treatment will be different. This section also include goals of treatment for the treatment plan, monitoring parameters, and patient education.

Pathophysiology of your case: Complicated diabetic foot infection due to microvascular damage to circulatory system.

Does anyone have any information on bananas as part of a diabetics diet?

Yes, a medium sized banana has only 14 grams of sugar, 27 grams of total carbs, for 105 calories. Yet, that same banana has a whopping 422 milligrams of potassium. Potassium from natural foods has a beneficial effect for us type twos… it lowers insulin resistance. Read this: http://krispin.com/potassm.html

Where can I buy a replica of Nick Jonas’s Diabetes dog tag?

My friend is in LOVE with Nick, and for her birthday I wanna get her Nick’s dog tag….So I was just wondering where I can buy one.
Thank You!

Wearing a diabetic medic alert when you’re not diabetic is a dangerous idea. You could accidentally receive insulin if in an accident. This could prove fatal to a non-diabetic. I really really really advise against getting the same one as him since he is diabetic.

Those same websites offer Awareness bracelets and necklaces. Maybe you could buy one of those and have something engraved on the back "I support Nick Jonas" or something.

Not following gestational diabetes diet correctly.?

I know someone who is 39 weeks pregnant and was diagnosed with Gestational Diabetes around 30 weeks; her numbers are not very high usually like five or so more than what they should be. She is not going to put on insulin they just want her to control her diet. Well, she doesn’t really check her blood sugars and is not following a diet either. The doctors say that the baby is doing very well & I would like to know if her baby will be ok when it is born & are there any consequences she should be worried about? I just want to make sure they will both be ok! :]

The main worry with her not watching her diet is too much glucose (which her pancreas is not taking care of if she has gestational diabetes) passing though the placenta and to the baby, making the baby gain more weight then it should. This can result in complications during delivery (higher chance of c-section), and for the baby when its born (low blood sugar and jaundice).

Its important to follow a healthy diet when you have gestational diabetes, so please encourage her to follow it.

Symptoms of gestational diabetes?

Are there symptoms of gestational diabetes? I have my 28 week exam on the 20th of this month, when they will do that test, but is there any way of knowing before hand? I have no history (or family histories) of diabetes at all.

Generally women don’t feel any symptoms. Someone listed the general symptoms of diabetes but the way diabetes works, you have to have had high blood sugars for a long period of time before experiencing symptoms. Symptoms build up gradually, they don’t show up overnight. And most women who get gestational diabetes develop it quickly. They don’t have high blood sugars long enough to develop the symptoms.

If you did have those symptoms it would be more likely you were a type 2 diabetic before you got pregnant. That happens to plenty of women – they find out when they’re pregnant. Good luck on the test!

Does anybody know of any alternative treatments to insulin therapy for Diabetes Mellitus in animals?

no

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