Diabetes Info

You are not supposed to eat anything for 12 hours before the test….or the results will be off…

I was told after taking the 3 hour glucose test that I have Impaired Glucose Tolerance (IGT). I was also told that it is absolutely not gestational diabetes. They told me that treatment is to maintain a diet similar to that of a person who has GD but that I don’t have to check my blood sugar or see a high risk doctor even though the risks to my baby and me are darn near the same as if I had GD. However since I don’t have to check my blood sugar or see a high risk doctor, I have yet to be told how IGT will be monitored throughout the duration of my pregnancy (10 weeks). Of course they tell me all of this yesterday (Friday) so I’m into the weekend with no one to get back to me until Monday at the earliest. I feel like I’ve been given a serious diagnosis of something but without a safety net because it’s not as serious as it could be. So my question is, how will Impaired Glucose Tolerance be monitored for these last 10 weeks of my pregnancy? How do I know the diet is taking care of everything? How do I know the baby is okay and will be okay after he’s born?

Hi,

I have been reading two very useful books, and suggest that you read both of them – they take the time to explain how diabetes works.

My guess is your doctor is not to worried about your diabetes, and that simple diet changes will make you better. On the other hand, if you continue to have poor health, you are subject (just like the general public can get diabetes) to increased risk of getting diabetes.

However just like your doctor says, it is easy for you to avoid diabetes. Suggestions in Dr. Young’s book is becoming more alkaline will assist in resisting diabetes, and also allowed test subjects to reduce their medications by 50% or more.

Dr. Barnard suggest that you reduce animal fats, and eat much more vegetables, (this happens to reduce your total acidity) to control your diabetes. Eating healthy as suggested in the book is good for everyone, not just the pregnant or diabetic person.

HE also says that Cinnamon is great for a diabetic, because it causes sugars to be absorbed more slowly in test subjects. So I suggest that breakfast be oatmeal with 1/2 teaspoon of cinnamon and some chopped up apple. It is fairly low acid content, and not nearly as acidic as eating meat and eggs for breakfast.

A drastic diet change is not really recomended by your doctor (at least from your description) so I would not change to much at this point.

You might also check with your local pharmacy, and see if they offer free blood sugar level testing. Sometimes they will offer a free test or two.

A diabetic that is looking for the history of their average blood sugar level is A1c test. If this is below 7.5%, you can consider yourself close to normal, but above 8%, you will need to seek a better doctor, or perhaps see a diatition who specialzes in diabetes.

Best of luck to you, and Merry Christmas, Happy New year!

I have hypoglycemia and can’t fast for 3 hours since I have really bad hypo. Is there another way to test without having to fast? I heard I should get tested as hypo could turn into diabetes and I have been thirsty alot.

If you have hypoglycemia then diabetes isn’t a problem. Diabetes is HYPERglycemia.
It is also important to understand that hypoglycemia is a symptom of a condition, it is not a disease or condition itself. If you have really bad hypoglycemia for some reason, you need to see a endocrinologist to help diagnose what is going wrong in your body and determine how to treat it.
Also, and HbA1C test can be done without testing, this will tell the doctor what your average glucose level has been for the past three months.

What should be the interventions for these patients?

In Diabetic Ketoacidosis glucose begins to spill into the urine as the proteins responsible for reclaiming it from urine (the SGLT family) reach maximum capacity (the renal threshold for glucose). As glucose is excreted in the urine, it takes a great deal of body water with it, resulting in dehydration. Dehydration further concentrates the blood and worsens the increased osmolality of the blood. Severe dehydration forces water out of cells and into the bloodstream to keep vital organs perfused. This shift of intracellular water into the bloodstream occurs at a cost as the cells themselves need the water to complete chemical reactions that allow the cells to function.

For more information Diabetic Ketoacidosis visit my free website

http://www.reddiabtes.com

Treatment consists of hydration to lower the osmolality of the blood, replacement of lost electrolytes, insulin to force glucose and potassium into the cells, and eventually glucose simultaneously with insulin in order to correct other metabolic abnormalities, such as lowered blood potassium (hypokalemia) and elevated ketone levels. Many patients require admission to a step-down unit or an intensive care unit (ICU) so that vital signs, urine output, and blood tests can be monitored frequently. Brain edema is not rare, and so this may suggest intensive monitoring as well. In patients with severe alteration of mental status, intubation and mechanical ventilation may be required. Survival is dependent on how badly-deranged the metabolism is at presentation to a hospital, but the process is only occasionally fatal.

DKA occurs more commonly in type 1 diabetes because insulin deficiency is most severe, though it can occur in type 2 diabetes. In about a quarter of young people who develop type 1 diabetes, insulin deficiency and hyperglycemia lead to ketoacidosis before the disease is recognized and treated. This can occur at the onset of type 2 diabetes as well, especially in young people. In a person known to have diabetes and being adequately treated, DKA usually results from omission of insulin, mismanagement of acute gastroenteritis, the flu, or the development of a serious new health problem (e.g., bacterial infection, myocardial infarction).

Insulin deficiency switches many aspects of metabolic balance in a catabolic direction. The liver becomes a net producer of glucose by way of gluconeogenesis (from protein) and glycogenolysis (from glycogen, though this source is usually exhausted within hours). Fat in adipose tissue is reduced to triglycerides and fatty acids by lipolysis. Muscle is degraded to release amino acids for gluconeogenesis. The rise of fatty acid levels is accompanied by increasing levels of ketone bodies (acetone, acetoacetate and beta-hydroxybutyrate; only one, acetone, is chemically a ketone — the name is an historical accident). As ketosis worsens, it produces a metabolic acidosis, with anorexia, abdominal distress, and eventually vomiting. The rising level of glucose increases the volume of urine produced by the kidneys (an osmolar diuresis). The high volume of urination (polyuria) also produces increased losses of electrolytes, especially sodium, potassium, chloride, phosphate, and magnesium. Reduced fluid intake from vomiting combined with amplified urination produce dehydration. As the metabolic acidosis worsens, it induces obvious hyperventilation (termed Kussmaul respiration). Kussmaul’s respirations are the body’s attempt to remove carbon dioxide from the blood that would otherwise form carbonic acid and further worsen the ketoacidosis. See also arterial blood gas.

On presentation to hospital, patients in DKA are typically suffering dehydration and breathing both fast and deeply. Abdominal pain is common and may be severe. Consciousness level is typically normal until late in the process, when obtundation (dulled or reduced level of alertness or consciousness) may progress to coma. Dehydration can become severe enough to cause shock. Laboratory tests typically show hyperglycemia, metabolic acidosis, normal or elevated potassium, and severe ketosis. Many other tests can be affected.

At this point the patient is urgently in need of intravenous fluids. The basic principles of DKA treatment are:

Rapid restoration of adequate circulation and perfusion with isotonic intravenous fluids
Gradual rehydration and restoration of depleted electrolytes (especially sodium and potassium), even if serum levels appear adequate
Insulin to reverse ketosis and lower glucose levels
Careful monitoring to detect and treat complications
Treatment usually results in full recovery, though death can result from inadequate treatment or a variety of complications, such as cerebral edema (occurs mainly in children).

I have read that in type 2 diabetes, the symptoms can be virtually non-existent, so how can you tell?

3 words – Polyphagia, polydipsia, and polyuria. They mean to eat a lot, drink a lot, and pee a lot. Those are questions we are taught to ask patients to screen for diabetes. Other things DM II can do is cause nerve damage, kidney damage, and eye damage. It raises blood pressure and can increase your risk of heart attacks. Bad thing all around. To diagnose it see your doctor and get a fasting blood glucose level.

I am trying to find out more about the history of gestational diabetes. I am finding plenty of articles about people having a personal or family history of it, but what I am looking for is when the medical community starting using the phrase "gestational diabetes" rather than only talking about diabetes and pregnancy. I found an article from 1986 in a medical journal that mentions it, but nothing before that.

Does anybody know where there might be more information about this?

Ouch! I found some very dry, boring information, *but* the answer seems to be 1979:

"A Short History of Gestational Diabetes as a Clinical Entity

GD as a clinical entity officially began in 1979 when the National Diabetes Data Group (NDDG) issued an updated classification of diabetes types, including one that was present only during pregnancy. In 1979, the First International Workshop-Conference on Gestational Diabetes Mellitus also met, essentially declared GD a disease, finding it a significant health risk that needed treatment. Instead of the more neutral “Carbohydrate Intolerance of Pregnancy”, the term “Gestational Diabetes Mellitus” was used (often shortened in various resources to Gestational Diabetes, GD, or GDM). Authorities felt that if the term ‘diabetes’ was used, women would be more likely to take the diagnosis seriously and insurance companies would be much more likely to cover treatment for it."

Is a raw vegan diet healthful over a long period of time, especially with diabetes and high blood pressure? I am trying to switch to a raw vegan diet, but my dietitian insists it is not healthful. Has anybody here tried it long-term, or know anybody who has? I’m wanting to lose a lot of weight, and I’ve been making a lot of salads, with cucumbers, tomatoes, lettuce, green bell peppers, celery, onions, carrots … and then I pour on a bunch of vinegar and lemon juice. It’s tasty, nutritious, and very low-calorie. It seems to be working for me, but my dietitian isn’t happy. And I didn’t even tell you what my primary care physician thinks about my decision to quit all my diabetes and blood pressure medications and just rely on a raw vegan diet instead of the meds … except that I’m going to have to find another primary care physician.

I have heard of people curing diabetes and high blood pressure with a raw food diet. I am not raw myself (though I have played with recipes, and incorporated some things like green smoothies into my daily life), but I have met several long-term raw foodists who have overcome illnesses including diabetes, allergies, eczema, and even one who beat cancer – and all are very healthy now and off of all medications. One book I would highly suggest is ‘Eat to Live’ by Joel Fuhrman – it is primarily raw food, and addresses the issues of diabetes and high blood pressure. He also has articles about this and many other topics on his website, and he is available for consultations if you want him to create a plan for you to get off your medications. (but I wouldn’t just go cold turkey on your medications – your body will need time to adjust and gradually wean yourself off of them). check out these links:
http://www.drfuhrman.com/default.aspx (click on the ‘reverse disease’ link for info on diabetes)

http://www.rawfamily.com/

http://creativehealthinstitute.com/ – the creative health institute has a fairly inexpensive two-week residential program that teaches you all aspects of how to live and eat raw. I know people who have done this program and had great experiences with it.

good luck!

Try holistic healing use a Bio Disc that will boost your whole mechanism to heal itself. Its not a medicine so it may be used together with other kind of treatment effectively.and you will save the still good eye in good health. And control your diabetes.

Glucerna Vanilla 1.0 Cal Specialized Nutrition With Fiber for Impaired Glucose Tolerance Glucerna Vanilla 1.0 Cal is a reduced-carbohydrate, modified-fat, fiber-containing formula clinically shown to blunt blood-glucose response in patients with abnormal glucose tolerance. Glucerna Vanilla 1.0 Cal provides only 34.3% of total calories as carbohydrate. This helps minimize glycemic response. The formulation includes soy fiber to help maintain normal bowel function. Glucerna Vanilla 1.0 Cal Indications: For patients with type 1 and type 2 diabetes For patients with abnormal glucose tolerance resulting from metabolic stress, such as illness, trauma, and infection For supplemental or total nutrition For tube feeding 8-fl-oz cans with mild vanilla flavor can be used orally as well as for tube feeding Not for parenteral use Use under medical supervision Nutrition Information: Water, Corn Maltodextrin, High Oleic Safflower Oil, Sodium and Calcium Caseinates, Soy Fiber, Fructose, Canola Oil, Soy Lecithin, Magnesium Chloride, Calcium Phosphate, Sodium Citrate, Natural and Artificial Flavor, Potassium Citrate, m-Inositol, Potassium Phosphate, Potassium Chloride, Choline Chloride, Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, dl-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Beta-Carotene, Folic Acid, Biotin, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3. (FAN 7962-04) Contains milk and soy ingredients; gluten- and lactose-free.

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