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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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7/19/14 10:01 A

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You are doing amazing! Keep up the great work with your diet and exercise and weaning yourself down on your insulin.

Natalie E. Markis, MSN, RN


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SUNSHINE-GIRL's Photo SUNSHINE-GIRL Posts: 208
7/19/14 5:24 A

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Many thanks, that is good to know. Maybe I should show that list to my doctor. He is French and expects me to be eating a French diet so he says - how much bread, how much chacuterie (cured meats), how much patisserie (cakes). I just keep saying none none none but he doesnt seem to get it.

Seeing a nutritionist would be pointless as they too would have the French attitude and cannot understand my diet.

Anyway, I am satisfied you think it is a good diet so I will continue and reduce the insulin. I used 24 units again last night and was 71 this morning so have only take 2 diamicron (normally 3), slowly slowly I will sort it out.

I also forgot to say I have a pool in my garden and swim around 60 mins daily or in winter do the same amount in aerobics - usually 5 days a week.

Many thanks

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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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7/18/14 7:26 P

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You are eating a great diet! You probably just need to reduce your insulin. You don't want to have to eat more carbs to keep your blood sugar up.

Natalie E. Markis, MSN, RN


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SUNSHINE-GIRL's Photo SUNSHINE-GIRL Posts: 208
7/18/14 5:44 P

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Thanks Natalie, sorry, should have mentioned insulin.

I eat lots of fruit and in fact I have been told I eat too much and to watch the sugar content. What I need to get over being scared of are the starchy carbs. Here is a typical days diet

Breakfast - plain yoghurt with strawberries, raspberries and flaked almonds. Glass of juice served half and half with water.
Lunch- massive salad, lettuce, tomatoes, cucumber, sweetcorn, beetroot, spring onions (scallions in america I think), homemade coleslaw (low fat) with 2 slices of ham or chicken. Fruit yoghurt or fruit - Today I had melon.
Dinner - homemade soup with white haricot beans.
Snacks - afternoon - slice of cold meat and a few nuts. Evening - Ryvita biscuit with tuna mayo (low fat)
Drinks - 1.5 litres of water, the juice drink, 1 green tea, 1 coffee.

Where am I going wrong. The only deviation from this is Sunday when I have a roast dinner.

Many thanks
Denise

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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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7/18/14 5:23 P

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Yes, I would probably reduce your insulin as your doctor advised. Some good carbs are fruits. Exercise and a low saturated fat diet will help reduce your lipid levels, but you may just have high cholesterol from genetics, in which case you will need medication.

Natalie E. Markis, MSN, RN


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SUNSHINE-GIRL's Photo SUNSHINE-GIRL Posts: 208
7/18/14 8:31 A

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My problem seems to be the opposite, how do I keep my numbers up and my cholesterol low. I keep accurate readings daily and they have been 69, 70, 63, 77, 109, 85 79, 60 and 71 over the last week (mainly fasting - morning tests) hence I had a massive hypo the other day. Doctor told me to reduce insulin from 28 nightly to 24. I know I don't eat enough carbs - none in fact most days - so what good carbs can I eat. I have homemade soup most days with white haricot beans but stay away from bread, potatoes, pasta and rice. Help, I seem to have got into a rut.

My cholesterol went high when doc messed around with meds and now I am not taking anything for it until we see what my next test shows but I am desperately trying to keep them down naturally. Bit of a balancing act with diabetes and high cholesterol.

Help
Denise

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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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7/17/14 4:58 P

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Yes, that is correct. When you have pizza, I would try to get thin crust with minimal cheese and lots of veggies to help cut the carbs and fat.

Natalie E. Markis, MSN, RN


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GUNNY2004 Posts: 11
7/17/14 4:23 P

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Ignore this post (but not my previous).... I really wish there was a way to remove posts. Sorry

Edited by: GUNNY2004 at: 7/17/2014 (16:31)
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GUNNY2004 Posts: 11
7/17/14 2:20 P

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Had 2 slices of pizza and a diet soda for lunch... my after lunch blood sugar spiked to 201....

Did a little research and found out that, because pizza is high in fat, this can happen for up to 8 hours after ingestion...

Just retested my sugar (4 hours after lunch) and it's down to 100....

Does this make sense ?

Edited by: GUNNY2004 at: 7/17/2014 (16:29)
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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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7/15/14 4:31 P

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Hi, JSTETSER, good question. Here are 2 really good websites that help explain. Let me know if you have any other questions.

www.diabeticconnect.com/diabetes-inf
or
mation-articles/general/37-how-weathR>er-changes-can-affect-your-blood-sugar


www.everydayhealth.com/diabetes/how-
we
ather-affects-your-blood-sugar.aspx


Natalie E. Markis, MSN, RN


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JSTETSER's Photo JSTETSER SparkPoints: (103,994)
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7/15/14 6:23 A

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How much does weather play in my daily glucose reading?
My levels have been high some days (140-155) for no apparent reason.
Good days, my readings are 105-125. Today it is 132.
I am very active, and get in about 1 hour of strenuous exercise every day.
Today I'm taking a rest.




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5/21/14 9:22 A

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Sounds like you are doing well, keep up the great work!

Natalie E. Markis, MSN, RN


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LILYPUDGE's Photo LILYPUDGE Posts: 65
5/21/14 4:16 A

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I'm due for an A1c. Two years ago I was over 10. Last was 7.2 though. I test twice a day fasting AM always and then in evening. Flared with sciatica so was put on prednisone four 4 days. Prior to that I was in 115-129 range fasting daily.

Have fibro??--shucks! I can't even spell it so how can I have it?!


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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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5/20/14 9:31 A

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Hi LILYPUDGE! It's nice to meet you. That is great that you have lost weight and improved your diabetes control! Do you still continue to check your blood sugars? How are they running? How was your last A1C?

Natalie E. Markis, MSN, RN


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LILYPUDGE's Photo LILYPUDGE Posts: 65
5/19/14 6:56 P

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HI I'm new to this page but been diabetic for almost 10 years. I was recently taken off insulin (Lantus and Regular) and put onto Victoza and Metformin.due to improved weight loss and BG management after many years in denial. I want to keep getting better. Hope I can continue doing better. Does this even sound workable?

Thanks!

Have fibro??--shucks! I can't even spell it so how can I have it?!


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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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5/10/14 6:04 P

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Hi Candy, you need to be on Metformin. This medication will not drop your blood sugar. It will help keep your fasting blood sugars lower.

Natalie E. Markis, MSN, RN


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MCANDIES's Photo MCANDIES SparkPoints: (10,033)
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5/9/14 6:04 P

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Lately my numbers have been all over the place. The highest being a little over 200 and lowest being in the 90's . Today i ate some eggs for breakfast. No bread or anything else . When i first got up I was at 154. I was doing lots of house work and forgot to eat lunch and was starting to feel a little weird so i took it and it was 97. I was going to get something to eat but instead got the laundry out before it wrinkled and lost track of time and two hours later without eating anything it is up to 148. I don' t understand. If it does that without eating anything , what would it be if i actually at something. I am type 2 and we are just trying to control it with diet and exercise right now because he is afraid i would go too low at times if he puts me on medicines. Although he does think at some point , i will have to take it. I just dont know what is up with my body lately and it feels like it is kind of doing its own thing no matter what I do. Any advice?

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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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2/24/14 7:21 P

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Hi ILIVE1X, yes you are in the right place! You should test your blood sugar anytime you want more info about how it is running, such as first thing in the morning before you eat, before meals, 2 hrs after the start of a meal, before bedtime, before and after exercise, or anytime you don't feel well. Your blood sugars should generally run somewhere between 70 and 180. Some ideas for snacks are veggies and dip such as peanut butter or hummus, crackers or a small apple with a piece of cheese, a handful of nuts and/or seeds such as a trail mix, air-popped popcorn with parmesan cheese, roasted chickpeas, a cup of high fiber cereal such as Kashi, frozen grapes, a handful of baked chips with some salsa. In terms of yogurt, I would suggest greek yogurt which is very good for you, low in carbs and high in protein. Hope this helps!

Nurse Natalie

Natalie E. Markis, MSN, RN


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2/24/14 4:47 P

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I hope I am in the right area to ask questions to the diabetes educator. If so, as a new type 2 diabetic, I have a couple of questions. First, as for testing. Is testing to see where my blood sugar is at any given point or is it supposed to be in comparison to say, before a meal? Second, as I track I see where carbs are and am in need or some snacks that are "good" for me. I especially would like something crunchy. Last question for now, is yogurt good for a diabetic or not so good. Thanks in advance for your advice.

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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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11/17/13 12:29 P

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Hi Sam, keeping your A1C below 7% should also keep you from getting sick. Do you know how your A1C has been running? Have you ever thought about getting an insulin pump? I know a great deal of type 1 diabetics that really like the pump.

Natalie

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SAMMI-SAM's Photo SAMMI-SAM SparkPoints: (26,311)
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11/17/13 1:19 A

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I have had type one diabetes nearly 30 years and am on Lantus & Novolog. My husband buys me 1000mg vitamin C packets I mix in my water every am. I am no longer getting sick as often.

Final weight goal of 140 pounds & maintain my fitness with excellent blood sugar management.


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JOYFULTYPER's Photo JOYFULTYPER SparkPoints: (15,629)
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10/28/13 8:58 A

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Thanks for the info - that answered my question. Lantus is a slow acting insulin that you take only 1x a day. My dr knew I was going to be cutting back and wanted to get off the insulin totally. He told me to do it slowly which I have. I can't afford to go to the dr till Dec. Probably won't be able to get labs done till January. thanks again.

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NATALIEMARKIS's Photo NATALIEMARKIS SparkPoints: (1,448)
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10/27/13 8:46 P

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Here is some info on diabetes and altitudes. diabetes.sanofi.us/dear-diabetes-alt
it
ude/
. If you were on short acting insulin, I would say to go ahead and take it, but I'm not sure about the Lantus. Does your doctor know you went off it? Try taking your blood sugar 2-hrs after the start of a meal. It should be less than 180. If it is not below 180 by 2 hrs post-meal, you probably need to decrease the amount of carbs in your meals.

Natalie E. Markis, MSN, RN


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10/27/13 8:32 P

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I was on Lantus. 2 reasons for going off of it - It's very expensive and I don't have insurance. But I also found as I'm losing weight, exercising more - my numbers kept going down too low - even after I ate my meals - down to 70's and 60's. As I decreased my insulin my numbers would stabilize for a day or two and then start going down too low again. Once I stopped taking it, my numbers are stabilizing at a decent level - 90's in the morning for fasting and during the day - 150-170 - 3 hrs after meals - depending on how much I ate. (I'm still working on that part, making note of which meals drives my numbers higher so I can adjust my meals accordingly.) I eat at 5 hr intervals so by the time my next meal comes - I'm usually below or just slightly above 100.

Edited by: JOYFULTYPER at: 10/27/2013 (20:43)
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10/27/13 12:07 P

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What type of insulin were you on? Why are you going off it?

Natalie E. Markis, MSN, RN


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10/27/13 9:59 A

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Got a question - I live in Henderson Nv and will be going to Flagstaff Az this next weekend - a much higher altitude. I'll have been off my insulin a good week and a half by then. I've done well at home, watching what I eat and exercising but I'll be eating out while I'm there. While I will be careful how much and what I eat - and will still be getting plenty of exercise - walking and they have a fitness room there.... I'm wondering if I should bring my insulin just in case I need a little boost - or will that mess up my system since I've been off of it??? Thanks. I'm concerned the higher altitude will affect me?

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MCANDIES's Photo MCANDIES SparkPoints: (10,033)
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9/19/13 11:05 A

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Pretty much just drinking the water. I do add some of the Dasani drops every once in a while though. I was kind of wanting something warm like a nice hot tea. I guess it is just wishful thinking for what I can not have. I picked up some MucinexDM at the store so maybe that will help.


Edited by: MCANDIES at: 9/19/2013 (11:06)
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9/19/13 10:10 A

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Do you like Crystal Light or maybe you do the low carb/cal Gatorade?

Natalie E. Markis, MSN, RN


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9/19/13 9:32 A

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I have a sinus infection that has me dealing with a sore throat right now. I don't do coffee and my kidney doctor says I have to stay away from the tea due to kidney stones. Any suggestions on what I could drink to help my throat. Water is not getting it. :(


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9/17/13 10:32 P

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Keep up the awesome work, Valerie! Yes, it definitely sounds like you don't need as much long acting insulin as you have been taking. Hopefully it won't take much longer to find the secret number to keep you between 80-110 fasting.

Natalie

Natalie E. Markis, MSN, RN


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9/17/13 9:59 P

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My fasting numbers are still low - 60's and 70's. I decrease my insulin a little at a time and wait a few days before I decide to decrease again. That's the way my dr said to do it whether I'm increasing or decreasing - just do a little at a time. I don't see him for a couple more months. Then it's time for refills and lab work. Can't wait to see how the labs come out since I've lost weight and exercising. He's going to be so surprised!!

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9/16/13 11:30 A

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You are very welcome. Let us know how it goes. How have your fasting blood sugars been?

Natalie

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9/16/13 9:09 A

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Thank you so much. I'll try that.

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9/15/13 9:50 P

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Hi JOYFULTYPER. I am so happy that you are exercising, that is great! I would suggest having protein, healthy fat, and some fiber with all meals and snacks. I would especially have these things with a snack before you exercise or try doing your exercise after a meal. You could also split up your exercise and do a 10 minute walk after every meal. Some snack suggestions include half a peanut butter sandwich on high fiber bread; turkey, spinach and dijon mustard on an english muffin; small apple with cheese; handful of nuts; hummus and veggies; cottage cheese; greek yogurt; Kashi also has some really good breakfast bars. Hope this helps, let me know if you have any other questions.

Natalie

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9/15/13 8:57 P

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Wow - I saw your suggestion about doing a puree for fruits and veggies. I might try that!!
I have a question what to do - I've lost about 10 pounds and am exercising regularly - been building up to half an hour, (not much but its a start). This last week - my sugar keeps dropping low constantly. I'm used to high numbers and trying to bring them down. I'm type 2 - and taking insulin - Lantus - a slow acting insulin I take once a day. I'm decreasing my insulin but so far I still drop during the day - to the 60's and 70's between meals. I end up going over my calories and fear I'll be gaining weight back if it keeps up?

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9/6/13 7:11 P

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Hi Candy, I'm glad I was able to help clarify that for you. You are correct, stress on the body, such as surgery and pain, can elevate blood glucose levels. I am glad yours are starting to come down. Talk with your doctor about what your exact goals should be. In the mean time, the ADA has some general guidelines that you can take a look at. www.diabetes.org/living-with-diabete
s/
treatment-and-care/blood-glucose-conR>trol/checking-your-blood-glucose.html
. Fasting: 70-130 and Two Hours Post-Prandial (after the start of a meal): less than 180. Let me know if you have any other questions.

Natalie

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9/6/13 6:05 P

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Thanks Natalie, That does make sense. Another question for you. What numbers should I be aiming for. My numbers have come way down from what they were during my surgeries. I figure alot of that was the stress from the surgeries and the stint causing so much pain. Now that they have some down, I was kind of wondering for sure what numbers I need to try to shoot for.
Thanks for all your help.


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9/5/13 6:49 P

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Hi Candy, the liver is at work at night or other periods of time to put out sugar for our body when we are fasting. Unfortunately, the liver does not realize in the diabetic person that they already have enough sugar in their blood and continues to put sugar out for them. It is a survival mechanism which actually works against the diabetic. Metformin is a drug that helps work against this function of the liver to keep blood glucose levels down. Hope this helps. Let me know if I need to explain it better.

Take care,

Natalie

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9/5/13 3:25 P

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I recently had three different surgeries to remove kidney stones in the tube and also in my bladder that were all too big to pass. It was at my last surgery that they decided to take my blood sugars for some reason. I had been having trouble with my heart rate being inthe 110 or even 120's. Anyways the tested my sugar and it was high. Numbers were in the 200 and 300's for a while but have come way down now. My question is why if I take my blood sugar at night before bed it is one thing. Then when ii get up in the morning after being in bed all night and not eating anything after i took it at night, why would your blood sugar be higher in the morning then it was at night. I don't understand.

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6/30/13 1:41 P

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I would suggest cutting out the rice when you eat those types of foods if you can't eat veggies. Also, you could maybe try blending up fruits and veggies to a puree and adding spices to help minimize the taste and change the texture. Do you think you could do more veggies like that in a smootie or soup?

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6/30/13 5:00 A

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Natalie, that's the major problem with me, I don't eat veggies. Except, of course, all the starches: corn, potatoes, blackeye peas, butter beans. I have been in FL for 16 yrs, but was born and raised in MS. There's good reason MS is the fattest state in the nation. Yes, everyone has been telling me I *have* to try other foods, blah blah. And I have. It's generally more of a texture thing with me. Last night at dinner, I forced (gagging the whole time) about 1/4 of a cup of green beans down. They are slimy in the middle and I can't stand the way they feel in my mouth. But green beans are the ONLY type of veggie that's not a starch that I can even begin to get down. There's other foods I like the taste of, but can't get past the texture... examples: yogurt and oatmeal. I really wasn't kidding when I said I eat like a 2 year old. Probably worse. I know 2 year olds who eat better than I do.

As for Chinese, we don't do their buffets. We pick it up and bring it home or have it delivered. it's usually honey chicken, beef lo mein, fried rice, and wonton soup.

When we go to the Mexican buffet, I make fajitas and generally only eat those and rice. Of course, since I don't eat veggies, all I put in fajitas are chicken or beef fajitas strips and chili con queso cheese sauce.

So yea, I'm pretty much a lost cause. :(

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6/30/13 12:42 A

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Hi Cherriest, keep up the good work. You can have any food you want, you just have to keep your carbs within your range. I will try to stay away from rice and load up on veggies. What types of food do you like to get at the Mexican or Chinese buffet?

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Natalie, it's been 2 weeks and I'm about to break. Will I ever be able to eat Mexican food and Chinese food again? I haven't cheated b/c at this point, it is so much more about just losing weight. I can't afford for my BG to go through the roof. But I am SO tired of chicken, shrimp, and steak over and over and over again. Not to mention I'm such a picky eater. I eat like a 2 year old. So I have to eat the same sides over and over and over again. I don't know how much longer I can keep this up before I completely break and head to the Mexican restaurant one day for the lunch buffet! Advice?



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Awesome!

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6/28/13 11:58 P

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And I'm actually feeling better. Finally!! Nausea is going away as is the dizziness and lightheadedness!

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Thanks, Natalie!! I'm so proud of my sugar readings from the past few days!!

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http://www.sparkpeople.com/resource/motiva
tion_articles.asp?id=752

Congrats on your success! Keep up the great work!!!

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6/28/13 11:44 P

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How do we get the "awards" from Sparkpeople like "lost 50 lbs" "lost 60 lbs" etc.? So far, I've lost 68 lbs.

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Hi Cherriest! Keep up the good work, you are doing great! Although a fasting blood sugar from 70-130 is considered good for diabetics, it may be too low for you right now if you have been used to higher numbers. As your body gets used to the lower numbers, you shouldn't need to treat low sugars in the 80s with the fast-acting sugar like juice. But right now your body isn't used to being that low so it feels uncomfortable. Hopefully you can get to a point where your body doesn't feel like it is low until you are below 70. You may want to talk to your internist about basal/bolus insulin like Levemir or Lantus at night and Novolog or Humalog for meals. It really is nice if your insurance will cover it.

Nurse Natalie

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Natalie,

Thank you for the explanation, and yes, it did help a great deal. I am an insulin dependent type II diabetic. My interest just changed my insulin from Levamir and Victoza 10 days ago to Novolog Mix 70/30. I have been calling in my sugar readings daily to his office and he has been adjusting my insulin. I had 2 normal blood sugars this week (86 and 80), but were very low for me and I got very sick. I called the office and the triage nurse had me drink 4 oz of orange juice and she told me about the glucose tablets. I see my internist again tomorrow and next Tuesday I go for my 2nd of 4 diabetes education classes. I've had diabetes for 10 years, but have never cared before and did what I wanted to do. My body finally said, "NO" and my sugar levels went completely out of control. So all this is very new to me and some of it is confusing and difficult to understand. But, I'm doing my best! :)

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6/23/13 12:40 P

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Hi CHERRIEST! Very good question. This is very confusing. The reason why most diabetics are told not to completely give up carbs is because they need to "feed" the insulin they are taking or the insulin the meds they are taking are making their body produce. If you are taking insulin or sulfonalurea pills like any of the meds that end in "ide," you need to consult with your doctor about lowering your dose of those meds before you cut out carbs. You are need to be prepared for low blood sugars. Always keep fast acting glucose on you, like glucose tabs or sugar packets or sugar candy like Skittles or Sweet Tarts. When you do eat carbs at meals and snacks you also want to be choosing good carbs like fruit and whole grains as these foods are better for you nutritionally and have more fiber than refined grains like white bread, pasta, cakes, etc. Let me know if this helps.

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I am completely confused. I have never heard of this Paleo diet, but apparently it's cutting out carbs? If a person is diabetic, that's where I'm confused. My diabetic nutrition has me counting my carbs ONLY. She said not to even look at the sugars in things. 1 carb choice is 15 carbs and I am to eat between 2-3 carb choices per meal (30-45 carbs) and 1-2 carb choices for my 3 snacks (15-30 carbs); however, she did tell me to try my best to keep the snacks down to 1 carb choice (15 carbs) b/c I am morbidly obese and need to lose weight. She also said I could not completely cut out carbs at a meal and went on to further state that I had to eat at least 2 carb choices per meal no matter what (30 carbs). Since I have been doing this and tracking what I eat here, I have noticed a lot of the "bad" things dropping exactly within range: Daily calorie intake, fat intake, etc. So, from what I was told, diabetics should not cut out carbs. Can you please help me understand this?

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5/12/13 2:57 P

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It was good, she asked if I was going to see Dr. and I am on Tuesday....

Just for today ..... it really is one day at a time

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5/7/13 11:33 A

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Great! Let us know how everything goes!

Natalie E. Markis, MSN, RN


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5/7/13 11:30 A

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I called her early yesterday and asked her to call me back, have not heard back. She recommended it to me last summer tho.

Just for today ..... it really is one day at a time

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5/6/13 8:25 P

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You have run your new diet by your renal dietitian, right?

Natalie E. Markis, MSN, RN


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5/6/13 7:45 P

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No I was on metformin for 20 years and my kidneys are damaged now, my gfr is 30..... so none of that, no advil, and plenty other nephrotoxic meds I cannot take either.
I am cutting down on the glips cutting them in half to see if that helps. Went to the clinic today to get bp and get weighed (not looking at scale) and bp is up, pulse low 48. Thats cause of metropolol...... I am just a barrel of laughs.... anyway.......

Just for today ..... it really is one day at a time

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Be careful with the lows....you might need to ask your doctor about coming off the glipizide too. Can you take metformin? Keep up the great work!

Natalie E. Markis, MSN, RN


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5/5/13 8:13 P

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Thanks so much for the validation, it means alot to me. I have not been well for a long time and the diabetes was a huge part of it.

As for my doctor well, thats kind of tricky cause she is acting mad at me. Or disappointed or something not quite right. Its like she is mad cause I have not been able to control my glucose. Anyway, I plan to tell her soon. And also the young man who is my assigned diabetes educator.

Also these 2 never gave me info about this diet and what it could do for me, the renal dietician mentioned it in passing but when I heard about it I was unwilling. Now I am willing. I had heard about it all the last year and then saw someone talking about it on tv and when I was feeling very desperate 2 weeks ago I said I would give it a try for a day. Just a day.

Altho it was difficult by the second day with more willingness I had a normal glucose for the first time in months. And on and on, I had insulin 2 times when I spiked but as of 8 days ago, no more insulin at all. I still have the glipizide. I am having lows in the am. But I have clear symptoms and instead of juice or glucose tabs I have a portion of fruit and its fine.

So that is how it is for me right now, I am taking it a day at a time and so far so wonderful !
Thanks alot,
Jill








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5/5/13 7:41 P

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Hi Jill! I think that is great! I am not an expert on the paleo diet, but it seems that by cutting out carbs, besides fresh fruit and veggies, you have been able to reduce your need for insulin. The paleo diet is also high in protein, good fats, and fiber which also help keep your sugars under control. Are you continuing to to monitor your blood glucose and follow up with your doctor?

Natalie

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5/5/13 7:21 P

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I have a question for the diabetes educator.....

I am on Paleo, my glucose is now normal, I have put away the insulin and I feel so much better.
What is your take on this change for me please?

thanks
Jill

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Of course, I have been in maintenance range for many years, but my lifestyle and body composition have dramatically changed. Insulin resistance. Syndrome X.

I think those morning highs are back.

I will have to borrow calories from breakfast for this nighttime snack around 50 or 60 calories.
Borrowing from dinner does not work.
Not when my main exercise for the day (practically my only if it's a workday) is in mid evening.

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2/26/13 10:25 A

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So, I lost more weight and now I need new clothes.

My aunt was visiting, and I was trying to hide my condition from her (she does not deal well), so I lied and told her I'm on this 1,200 calorie diet (that part is true) because of my bad thyroid (untrue)

Hiding in plain sight was one of my glucometers which she looked right through when her eyes panned the area ... (thankfully she is not nosy and extremely uncurious)

My thyroid is not the problem, though maybe it's less serious than what I do have. Maybe my bank account will be the problem for all that shopping.




Lesser artists borrow, great artists steal.

- Igor Stravinsky

Find a way.

--Diana Nyad

(Said after swimming from Cuba to Key West without fins or shark cages)

My blog is at tiniertina.wordpress.com/ (topics vary; words are the most important things)

Now 103 pounds less than at age 24–w/o surgery!
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2/25/13 10:17 A

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I don't know where I got that number from. Probably pulled it out of a hat. I think it's more like 2,300, I think.




Lesser artists borrow, great artists steal.

- Igor Stravinsky

Find a way.

--Diana Nyad

(Said after swimming from Cuba to Key West without fins or shark cages)

My blog is at tiniertina.wordpress.com/ (topics vary; words are the most important things)

Now 103 pounds less than at age 24–w/o surgery!
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2/21/13 2:14 P

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You need to talk with your doctor, but 300 mg/day is proabably a little too restrictive. Here is some good info on low sodium diets.

www.ucsfhealth.org/education/guideli
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s_for_a_low_sodium_diet/index.html


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I don't keep count. About 300?

I certainly don't like the taste of a few things—such as sardines—with salt added.

I have been, on the other hand, depriving myself of canned anchovies since my diagnosis ...


Lesser artists borrow, great artists steal.

- Igor Stravinsky

Find a way.

--Diana Nyad

(Said after swimming from Cuba to Key West without fins or shark cages)

My blog is at tiniertina.wordpress.com/ (topics vary; words are the most important things)

Now 103 pounds less than at age 24–w/o surgery!
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2/21/13 1:42 P

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How many miligrams of salt do you allow yourself per day? I wouild stay about from fast food and most processed foods for sure.

Natalie

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Please tell me your opinion on salt intake.

My blood pressure, tested on 2/18/13 is 120/60

This is low and is fairly usual for me, at my age 58 ...

I have a sometimes rotten stomach that has given me problems with spicy foods. I miss salt just a little bit already.


Lesser artists borrow, great artists steal.

- Igor Stravinsky

Find a way.

--Diana Nyad

(Said after swimming from Cuba to Key West without fins or shark cages)

My blog is at tiniertina.wordpress.com/ (topics vary; words are the most important things)

Now 103 pounds less than at age 24–w/o surgery!
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1/24/13 6:28 P

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Hi RENEEVE! Thanks for posting. We are all here for you. Let us know how things are going.

Take care,

Natalie

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1/24/13 2:59 P

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I am new to this particular posting and am SO glad SparkTeam has a DE on board. I have read all recent postings and can identify with many folks. Diabetes is not a one-size-fits-all disease for sure. I live with quite a bit of pain and my numbers are all over the place. Can't take the usual Tylenol or ibuprofen regimen because I also have cirrhosis. I would like God to give me a handbook for all the things going on, but I am really working on stress reduction trying to keep all these balls in the air.

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1/19/13 6:57 P

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Sounds good. Let me know how things go!

Natalie

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1/19/13 6:44 P

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thank you. I went off the lantus in December, and dont really want to go back on it. I'll try proten with my snack.

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Hi Kate,

You are still taking Lantus and Metformin, correct? Those meds should help to keep your fasting BG down. You may need to talk to your doctor about going up on the Lantus. Do you eat before bed? Sometimes a snack that includes protein right before bed can help keep your numbers down in the morning too.

Natalie

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1/19/13 12:30 P

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My fasting blood sugar is high ( 170-190), while my sugars during the day are low ( 96) Is there something I can do to lower the fasting sugars? I eat within my calorie range, and exercise daily. I take my meds at breakfast and dinner.

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11/1/12 11:39 P

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Cindy,

You are very welcome! I know you can do it! Keep up the great work and let me know how things go!

Natalie

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Thank you so much for the info Natalie. I will give it a try. Went to see my dr today and need to improve my A1C quite a bit. I have done it before and I know I can do it agian.

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Hi Cindy! Once you are at the carb counting for a while you will be able to eyeball things and tell amount how much carb is in it. Take a look at this link: www.webmd.com/food-recipes/nutrition
-l
abels-10/slideshow-serving-sizes
The slide show shows you some ideas of everyday items you can use as a guide to portioning In addition to the books, there are smart phone applications and the food tracker on this site that can help you with this. The plate method is also a good guide: half your plate should be non-starchy veggies (any veggie except peas, potatoes, corn, and some squash), then a quarter of your plate is lean protein (turkey, chicken, baked fish, eggs, etc), and then the last quarter of the plate can be your starchy veggie or whole grain bread, pasta, cereal, etc. You may also have a cup of fruit like some berries or apples, etc and a cup of skim or 1% milk with your meal. Using this method should keep your meals to less than 45 grams of carbs. Finally, check your blood sugar 2 hours after the start of a meal to see how the foods you ate effected you. If your blood sugar is over 180, you will know you either need less carbs or more insulin for that type of meal. Hope this helps!

Natalie

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11/1/12 6:41 A

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Hi I am new to this group and just recently came back to SP. Even though I have had type 1 now for what seems like an eternity....after slipping up, I feel almost new to this disease. When I was diagnosed we used the exchange method. Now my dr has me counting carbs and using a sliding scale. I do pretty good carb counting when I am eating something out of a box or has nutritional information, but when I am eating something that doesn't have that nice little panel attached to it ...I am lost. I do have a book, but to be honest sometime there is just not enough time to look everything up. I am a new grandma as of last April and I help my daughter with the baby as she is a single mom.

If you have any ideas for me , please let me know.

Thanks! Cindy

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Hi FILAHARRIS! I would suggest trying to bring as much of your own food as possible. If you are driving you might be able to bring some perishable food with you or maybe you could stop at a grocery store when you get to your destination. If you are flying, you can bring/pack some snacks like granola or protein bars, trail mix, nuts, dried fruit, whole grain cereal and/or crackers, nutella and or peanut butter, etc. When dining out try to see if you can get the nutrition info before you go to the restaurant. If there is no nutrition info whether at a restaurant or a friend/family members' home, you can also use the plate method. Fill 1/2 your plate with veggies, 1/4 with carb, and 1/4 with protein. You can also have some skim milk and fruit for dessert with this method. Let me know if that helps!

Natalie E. Markis, MSN, RN


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Are there any good strategies for carb control while traveling and or visiting when others are preparing your meals. because my carb intake and my calorie intake were way off while traveling last week-end. Subsequently my goal got shot to hell. I need to have a plan as to how to deal with eating outside of my home.

Wed. OCT. 10th- Checked my AC1 went form 9 nine months ago to 6.6 finally some good news. All the tracking and work was not for-not after all
My glucose # are still high, Fasting # first thing in he mornings still to high any ideas?


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Hi Jessica! I'm so glad you were able to get a meter! Before you change your Novolog regimen, keep checking your sugars in the morning to see if you do need to adjust your Lantus first. How long after you ate breakfast did you check your sugar when it was 222? If it was less than 2 hrs since you started eating the bread, your sugar could have still been elevated and was probably on its way back down. If you correct too soon, you could end up going too low. You may want to try to add some fiber, protein, and/or unsaturated fat to your meal rather than just eating straight carb. These things help keep your sugar more stable and can reduce spikes and lows in your sugar. Also, if you do find that your sugar is still above 180 two hours after the start of a meal, rather than correcting with Novolog, you might try taking a walk or doing some activity that could help bring the sugar down naturally. Keep up the great work!!!

Natalie

Natalie E. Markis, MSN, RN


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9/25/12 1:05 P

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Hi, I was wondering if you can help me understand how to find my ICF. I should be taking around 11 Novolog per day, and 60 Lantus. But I don't understand if I use the 1500 or 1800 rule.

I bought a cheap glucometer, and have been testing for a few days. at 6:30 this morning my BS was 67 after going to bed at 139 (before supper, which was 41 carbs with 4IU Novolog). I would normally just adjust my Lantus without worrying about the ICF but my sugar was 222 at 9am after 1 slice of bread.

The same thing happened yesterday afternoon. Which it shouldn't have considering my intake doesn't change since I discovered Slim-Fast meals are awesome on my sugar and I can actually afford to buy it.

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9/14/12 11:33 P

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Sounds like you are doing all u can! Keeping that A1C below 7% with meds, diet, and exercise is your best bet to prevent complications! Keep up the good work.

Natalie

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9/14/12 11:50 A

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Hi, thanks for writing back...... I have had my first appt with a nephrologist a coupla wks ago.... see him again at end of month, just had ultra sound of my kidney's etc.
My latest a1c was 6.8 in June but in May it was 8.6 (I had not been taking my insulin)..... I know......
anyway I take insulin 2-3x z day 20 milligrams and glipizide 2 x a day also. I am following a low potassium diet for healthy kidneys but I have struggled alot. Happy to say I am off
sugar and flour and feel better over 130 days now.... I am doing much better than when it all got bad in March/April of this year.

Just for today ..... it really is one day at a time

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9/13/12 9:25 P

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Hi JILLYMAUI,

Are you seeing a nephrologist? What blood sugar medications are you on? Do you know what your last A1C was?

Natalie

Natalie E. Markis, MSN, RN


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9/13/12 9:02 P

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Always looking for strategies to normalize blood sugars....... have taken me off Losartan
and ibuprofen, cause my kidneys are not doing so well......... gfr is 30 .......
also am only on tylenol for pain now...... ouch..... ideas? thanks emoticon

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8/24/12 12:48 P

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I don't know much about supplements. Sorry I couldn't be of help!

Natalie E. Markis, MSN, RN


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8/24/12 8:35 A

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emoticon Morning! you know about using chromium Dr recommended it for me controlling with diet & exercise? my cholesterol was 214 fbs 113 and trigs 555

´¨¨)) -:¦:-
¸.•´ .•´¨¨))May you have Butterfly Mornings and Wildflower Afternoons!
((¸¸.•´ .•´ -:¦:-
-:¦:- ((¸¸.•´* Dusty



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6/28/12 7:03 P

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Hi LHAWES9,

Any stress on the body such as an infection like cellulitis will cause your blood sugars to rise. Keep an eye on your sugars and if they don't start going down once you get back on track, talk to your doctor about possibly upping or changing meds. Do you know how your A1C has been?

Natalie

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6/28/12 5:27 P

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hi Natalie,

My question is any ideas on up blood sugars? I was to the doctor today. I have cellilutlitis. Back to the antibiotic again. I have been naughty some again with some late night eating. After 9pm some nights. And the next morning my sugar is any where from 175 to highest 208, over the past week. I take Glipazide XR 10mg. once a day usually in the morning. I also started walking again on Monday, 30-60 minutes through the neighborhood. Can the antibiotic, and walking or more excerise affect blood sugars? Also my weight is up 8 lbs. since last doctor appt. I told I had,had 3 grad open house and a church picnic in the past 4 weeks. I also have one more party my kid's is next weekend after the 4th. Other than totally cutting out carbs what can I do? Let me know.

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