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What Is The Gold Standard For Diagnosing Diabetes?

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Go To: http://www.goodtimesnutrition.org/dia... Diabetes For Dummies Best Advice. It can sometimes think that managing your diabetes requires constant work, but you need time to learn more about treating the disease. This post is loaded with fresh ideas and insight for finding out how to manage this ailment. Diabetics could have a lots of troubles with their feet than non-diabetics. Following these guidelines will assist be sure you deal with your toes healthy even if you might have diabetes. Low glycemic index numbers work most effectively for people with diabetes. There is not any shortage of foods with many different protein, including lean meats, tofu, and vegan options like tofu. Try and mix it to make the mouth area interested! Chocolate does contain sugar, along with sugar. Fat is digested very slowly with the body, and so the chocolate won't have the capacity to treat low blood sugar levels in a timely manner. Unless you're told otherwise by your doctor, you need to take your fast-acting insulin at most quarter-hour before eating. Most of these insulin will help you to maintain blood sugar levels, but only when taken on the right time and then in the right dose. Don't worry

Detecting Diabetes - Dummies

When prediabetes becomes diabetes, the bodys blood glucose level registers even higher. The following sections discuss the evidence for diabetes and the symptoms you may experience with diabetes. The standard definition of diabetes mellitus is excessive glucose in a blood sample. For years, doctors set this level fairly high. The standard level for normal glucose was lowered in 1997 because too many people were experiencing complications of diabetes even though they did not have the disease by the then-current standard. In November 2003, the standard level was modified again. In 2009, the International Expert Committee on Diagnosis and Classification of Diabetes Mellitus recommended using the hemoglobin A1c as a diagnostic criterion for diabetes, and the American Diabetes Association subsequently accepted the recommendation. After much discussion, many meetings, and the usual deliberations that surround a momentous decision, the American Diabetes Association published the new standard for diagnosis, which includes any one of the following four criteria: Hemoglobin A1c equal to or greater than 6.5 percent. Casual plasma glucose concentration greater than or equal to 200 mg/dl, alon Continue reading >>

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  1. TiaG

    So, my fasting blood sugar numbers have been consistently between 93 and 95 mg/DL – and while I’m not convinced that this number really should even be classified as gestational diabetes, it does technically meet the really aggressive new definitions that have been adopted for gestational diabetes in recent years (which flags about 20% of women in the US). And on days when I am up all night long with Samson, my blood sugar can between 100 and 110mg/DL when i Wake up
    What’s frustrating is that my post-prandial numbers are totally normal – always below 120 at 1 hour and often below 100 or 90, and by 3 or 4 hours by blood sugar is often in the 60s or 70s. So I really don’t think taking a long-acting insulin or metformin makes sense, given that I’m already running on the low end. I’m honestly scared of going hypoglycemic at night.
    Anyways, @Eric , or anyone else who has knows a lot about how exercise affects blood sugar, I’m wondering what is the optimal time to do exercise in the day so that my body is ferrying glycogen into my muscles overnight, thereby reducing my fasting blood sugar?
    And what would be a good exercise regime to increase insulin sensitivity overnight? Is cardio like running enough? Or should I be doing some kind of strength training?Because I’m somewhat pressed for time, my plan right now is to just run up to the top of the hill on our street – so three or four long blocks of pretty steep ascent, followed by run back down. I can’t take an hour for exercise during the day because of work. So I’m hoping to accomplish this goal with 30 minutes sometime during the day.
    I am not concerned about my BGs in the immediate aftermath of the exercise as I’m not struggling with numbers throughout the day. I just want to keep the fasting numbers in range.
    I’m happy to try dietary tips too – and online there are many, like having a small protein or carb snack before bed – but so far the effect seems pretty limited. It seems like you can do a ton of stuff to fix post-prandial numbers with exercise but fixing fasting numbers is a lot tougher.

    And then there are all these hacks that seem pointless. A lot of women suggest things like “test at 10 hours instead of 8 and your number will be golden” – but that seems silly given that it is not actually changing your overnight fasting numbers, which are presumably the problem rather than the specific, individual number 8 hours after you last ate.

  2. Eric

    TiaG:
    I’m wondering what is the optimal time to do exercise in the day so that my body is ferrying glycogen into my muscles overnight, thereby reducing my fasting blood sugar?
    There are a lot of interesting things to look at!
    Cardio is what you want. Weight lifting has benefits for other things, but if you want to specifically target BG, it would definitely be cardio.
    Your body will use multiple fuel sources at the same time, and use them in different amounts for whatever conditions make sense at the time.
    Since you are looking at something specifically for fasting times, and for longer times at night, you want to do something with an intensity that makes the most use of muscle glycogen, rather than fat metabolism or glucose that is in your blood at the time of the exercise. Ideally you would do something that causes your body to pull glucose from your blood during the nighttime in order to replace muscle glycogen.
    Any exercise will help you to some degree, but if you burn a higher amount of fat, it will not accomplish this as effectively. If you do something that is too low of an intensity, your body will use more fat. You don’t want that.
    If you do it right after you eat, your body will also use more of the immediately available glucose, and that reduces the amount of muscle glycogen you will use.
    Ideally, you want something before dinner, and long enough after lunch so that your body’s choice of ideal fuel is muscle glycogen.
    You want your intensity to be more muscle glycogen related (as reference, see how-does-my-body-fuel-exercise ).
    Since you have time constraints, you want to try to do a steady state cardio event that lasts the duration that fits into your schedule.
    So if you only have 30 minutes and you wanted to run, that time should be a fairly consistent effort. Aim for steady state heart rate for the whole time. The intensity or pace should make you feel this way:
    “I could to this for 10 or 15 minutes with no problem!”
    “30 minutes? Well, I can do that with some effort. It won’t be too hard, but not exactly easy either…”
    “60 minutes? There is no way I could do this for an hour. I am glad it is only 30 minutes…”
    TiaG:
    three or four long blocks of pretty steep ascent, followed by run back down.
    Keeping a steady state heart rate with hills is tough, because you have to run down the hill so much faster to keep the same heart rate that you had running up! If your heart rate spikes and drops too much, you will increase the release of liver glycogen to fuel the run, which won’t be as effective for the long nighttime lowering of BG that you are looking for.
    Another alternative would be a stationary bike or treadmill. Are you in the Bay Area? There are some nice flats in Golden Gate Park. Also along the Embarcadero and Fisherman’s Wharf are flat. And my favorite place to run in San Francisco is across Golden Gate bridge which is also relatively flat.
    Long winded answer, so my quick summary:
    steady state run, moderate intensity, before dinner
    Side note: One thing that diabetics can do better than the “non’s”, is gauge whether their exercise is fat or muscle glycogen fueled, because they can look at their BG results for the hours following the exercise. For the non’s, they don’t know how their body is adjusting insulin, or what it is doing to restore muscle glycogen, or how much liver glycogen they are dumping out.
    TiaG:
    And then there are all these hacks that seem pointless. A lot of women suggest things like “test at 10 hours instead of 8 and your number will be golden” – but that seems silly given that it is not actually changing your overnight fasting numbers,

    Another side note. That cracked me up! I mean, that’s like me saying, “If I never test my BG, I am never low or high!”

  3. Sam

    Bear in mind that safe exercise levels are probably less for a pregnant lady than for other cases… maybe just brisk walking, pool aerobics, or something would be best option. I’d discuss with her OB what safe and prudent exercise levels would be like for her. I know shellys doc didn’t want her pushing her heart rate over 140 while pregnant… running of any fashion definitely does that for me…

    That said, I am still really surprised if her doctors are expressing any concern whatsoever based on the blood sugar readings she’s reported here… they sound perfect to me. But exercise is good nonetheless

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Hba1c In Type 2 Diabetes Diagnostic Criteria: Addressing The Right Questions To Move The Field Forwards

, Volume 55, Issue6 , pp 15641567 | Cite as HbA1c in type 2 diabetes diagnostic criteria: addressing the right questions to move the field forwards This commentary aims to move the debate regarding the adoption of HbA1c for diagnosis of type 2 diabetes forwards by highlighting the need to avoid addressing irrelevant questions, in particular, comparison of individuals diagnosed with different diagnostic criteria. Instead, we provide a list of important future questions, including whether adoption of HbA1c as the primary diagnostic test improves uptake of diabetes screening, with resultant earlier diagnosis and improvement in outcomes. CardiovascularDiagnosisHbA1cOGTTPrediction Evaluation of Screening and Early Detection Strategies for Type 2 Diabetes and Impaired Glucose Tolerance Much has been written and debated on the benefit of introducing measurement of HbA1c as a diagnostic tool for type 2 diabetes. With an accumulation of supportive data addressing factors such as assay accuracy and linkage to clinical outcomes, many shortcomings have been resolved. Yet, certain issues still cause significant concern amongst some researchers, clinicians and laboratory specialists. To move th Continue reading >>

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  1. omega45

    High Numbers

    Just recently found out I have type 2, and have been perscribed met 500 mg 1 a day,after 3 weeks of this my numbers are in the 485 to 374 range. I have been on met for 3 weeks now how long does it take with dieting right to lower these numbers? Iam tired of my feet hurting and numbness in my toes..

  2. Livelove2

    Three months is what the medical field says They will keep a close eye on you and One month fasting and 1800 calorie a day You do your share of diet and exercise Your stomach may shrink if you are a heavy eater and help with smaller portions

  3. Livelove2

    Three months is what the medical field says They will keep a close eye on you and One month fasting and 1800 calorie a day You do your share of diet and exercise Your stomach may shrink if you are a heavy eater and help with smaller portions

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Type 2 diabetes diagnosis reaction when you find out you have Type II diabetes. Diagnosing Type II diabetes and giving a patient information about having Type 2 diabetes. Being diagnosed with Type 2 diabetes is difficult for many people to accept . Type 2 diabetic diagnosis leads to the need to change behavior, increase exercise, monitor blood sugar, lose weight and make better healthcare choices. Diagnosed diabetic needs to understand diabetes and to make better food choices. Telling people they have diabetes is not easy, and people often get angry and frustrated when they hear they have diabetes. Lawson Social Media brings the world to you by using powerful marketing tools such as social media, websites, videos, podcasts, and more. Call Lawson Social Media at 800-771-3325 Visit our website to learn more: LawsonSocialMedia.com

Diagnosis Of Type 1 Diabetes

By Gary Gilles | Reviewed by Joel Forman, MD The diagnosis of type 1 diabetes can be problematic. Unless there is a known history of diabetes in the family, most people do not recognize the signs and symptoms of type 1 diabetes when they first appear. These symptoms can easily be mistaken for a stomach virus because vomiting is frequently present. As symptoms persist and worsen, most people seek medical attention and only then discover they have type 1 diabetes. Because symptoms begin to appear quickly once the pancreas shuts down its production of insulin ,most people are diagnosed within a short period of time from when the symptoms begin. In some cases, it may take longer. Diagnosing diabetes requires a blood sample to measure glucose levels in the blood. There are three standard tests used for diagnosing type 1 diabetes. The type of test used for any particular person depends on the situation and the doctors preference. These tests are: In an FBG test, a blood sample is obtained after a period of fasting for at least eight hours. This usually means no food or drink (except water) is taken after midnight on the night before the test. A blood sample is usually drawn early the ne Continue reading >>

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  1. Emmasmommy

    Hi all well today Emma went for her 2 month A1C and it was 8.1 they are thrilled and so was I untill I found a chart that tells you what that means in regards to av. bg 8.1=11.8 Not as good as they said it was !!! They said that her target for her age is 9.0 and that the clinic av. is 8.3 so they are very happy. My question for all you parents out there is what have your kids A1C been and what does your clinc want them at. (more directed at young kids)
    Heres the chart if anyone is interested.
    Hb-A1c 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9
    mg/dl 65 69 72 76 79 83 86 90 93 97
    mmol/l 3.6 3.8 4.0 4.2 4.4 4.6 4.8 5.0 5.2 5.4
    Hb-A1c 5.0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9
    mg/dl 101 104 108 111 115 118 122 126 129 133
    mmol/l 5.6 5.8 6.0 6.2 6.4 6.6 6.8 7.0 7.2 7.4
    Hb-A1c 6.0 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9
    mg/dl 136 140 143 147 151 154 158 161 165 168
    mmol/l 7.6 7.8 8.0 8.2 8.4 8.6 8.8 9.0 9.2 9.4
    Hb-A1c 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9
    mg/dl 172 176 180 183 186 190 193 197 200 204
    mmol/l 9.6 9.8 10.0 10.2 10.4 10.6 10.8 11.0 11.2 11.4
    Hb-A1c 8.0 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9
    mg/dl 207 211 215 218 222 225 229 232 236 240
    mmol/l 11.6 11.8 12.0 12.2 12.4 12.6 12.8 13.0 13.2 13.4
    Hb-A1c 9.0 9.5 10.0 10.5 11.0 11.5 12.0 12.5 13.0 13.5
    mg/dl 243 261 279 297 314 332 350 368 386 403
    mmol/l 13.6 14.6 15.6 16.6 17.5 18.5 19.5 20.4 21.4 22.4
    Blue is US bg and Red is Canadian
    If you want to view this as a full table go to The Bernstein Hb-A1c to Average Blood Glucose Conversion Table, in mg/dl and mmol/l
    Hope this helps some

  2. Mom2rh

    Our DS was 6.1 which was up from 5.5. The endo is much happier with 6.1 because we feared undetected lows prior to the pump. That seems to be much less likely now.

  3. Momof4gr8kids

    Julia is 6, when she was 5 they wanted her A1C between 7, and 8. Now that she is 6 they want it between 6 and 7. Julia was a 7.7 at her last check up, but they were happy with that because the rise was small with our pump start. She wass 7.1 before that.
    If the doctors are happy then I would try to not worry about it. Easier said then done, I know.

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