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2/21/15 3:14 P

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super idea

Have a TERRIFIC day!
Patricia
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2/21/15 1:47 P

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Thanks so much for your advice! Yes, I do include some protein with an evening snack. The educator and I talked about that and she thinks a light snack before bed will help keep the am numbers lower because my liver won't be dumping so much glucose overnight. That has definitely worked.

Like Pickie my sleep is always interrupted because of fibro pain. Last night was a bear because snow was coming, so I had a lot of pain. One thing that helps me get to sleep fast is Sleepytime Extra herbal tea (by Celestial Seasonings); it has valerian , spearmint, west indian lemongrass, hawthorn and orange blossoms in it and does not require any sweetening at all. It works! (and last night I forgot it, and then I was too lazy to go make it when I woke up in pain).

Edited by: DEEA2Z at: 2/21/2015 (13:47)
Diane (from PA)

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2/16/15 6:26 P

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DEEA2Z,
Do you include some protein with your evening snack?
Protein helps keep BG more level.

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Patricia
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2/16/15 3:59 P

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Thank you Patricia, for the sleep hygiene tips..My fibro is the culprit for my interrupted sleep pattern.. On my workdays , it is hard, but weekends, I can sleep until I do not feel tired any more,,Nice.

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2/16/15 12:00 P

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My doctor wants me to only use Tylenol for pain. I take a tart cherry and turmeric supplement and that helps with inflammation. I'm not as bad during the day, it's at night that the pain is worse. Because the pain woke me up every 2-3 hours last night my FBS this morning was up 10 points from yesterday.

I'm staying on the low end of the carb range that's been set by the SP site. Tomorrow (if there is not too much snow) I have my first appointment with the diabetes educational counselor, and I'll download and take my daily nutritional reports with me.

I actually do follow those sleep hygiene tips, they're very good! Especially turning off cell phones, laptops and readers an hour before bedtime!

Edited by: DEEA2Z at: 2/16/2015 (12:03)
Diane (from PA)

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2/15/15 10:24 P

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pain can increase BG levels. What has your doctor suggested for relief?
Here are some tips to help with sleep.
www.cci.health.wa.gov.au/docs/Info-s
le
ep%20hygiene.pdf


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Patricia
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2/15/15 12:40 P

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(Note: I posted this a few days ago, thinking I was posting on this thread, so I just copied and pasted it here. Today 2/15 my FBS was 142 so that looks like progress!)

I have fibromyalgia and flare ups caused by weather bring a lot of pain in the evenings and all through the night; that means I'm usually sleep deprived.

I'm tracking everything I eat, keeping carb totals usually at or below the amount I'm supposed to eat as per SparkPeople, keeping calories down too. I also take magnesium supplement at night, calcium supplement during the day, iron (per doctor), and use tart cherry and turmeric complex to help w/inflammation and pain. My question is: should I be worried about the FBS levels during these times? I also take Metformin HCL ER, 500 mg. tabs, 2 tabs once daily. I'm losing weight (just was diagnosed with D2 on 1/29/15). In addition I take lisinopril HCL for blood pressure.

When I had blood work done on 1/20 my A1c was 8 and FBS was 193. Since then the numbers fluctuate but are coming down. Lowest was 139 on Tuesday, yesterday was 150 and this morning 160.

Diane (from PA)

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1/4/15 4:09 P

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Generally, metformin is taken up to 1000 mg 2 x a day, first. There are numerous drugs available. Here is a sample list (it does include various insulins). www.webmd.com/drugs/condition-594-Ty
pe
+2+Diabetes+Mellitus.aspx

Farxiga, the most recent advertised drug cost nearly $400 per month and is not covered by most insurances.
Usually, people are treated with a combination of 2 - 3 oral medications before insulin is introduced.

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1/4/15 1:45 P

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My bs numbers have been in the 200's, with medication of 1000 metformin in AM, and 750 in the pm. I also take a bp medicine. My numbers used to be more in the 140 and less range, only a few months ago. Diet and exercise has not changed.
Does it look like I am a insulin candidate? Are there better meds to metformin? I saw a recent diabetes medicine which appeared hopeful?
Thanks!

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10/13/14 10:45 P

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I don't know the effects of taking them together..
Levothyroxine, ideally, is to be taken by itself on an empty stomach, so I have my patients take it first thing in the morning with water and wait at least 1/2 hour before any other meds or food.


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KLAROCHE1515's Photo KLAROCHE1515 Posts: 325
10/13/14 10:23 P

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yes and it came back negative. everything looked good. Is it possible that taking my Levothyroxine and my glipizide together in the evening could have this effect? Because when I was in the hospital, they gave me my Levo early early in the morning and then my glipizide 2/3 hours later. Is it possible that they are working against each other?


Edited by: KLAROCHE1515 at: 10/13/2014 (22:26)


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10/13/14 7:54 P

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Have they done an EEG (Electroencephalogram) within 24 hr of an attack?

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10/13/14 1:05 P

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no



Kathy
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10/13/14 8:01 A

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Have you had any significant trauma in the past or a concussion?


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KLAROCHE1515's Photo KLAROCHE1515 Posts: 325
10/13/14 5:56 A

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Dear Dr. Patricia

3 weeks ago I passed out at work. No warning what so ever. There one minute then waking up with people surrounding me the next. I went to the hospital because the paramedics said my blood pressure was sky high. I normally do not have high blood pressure. I am a diabetic of 4 months but my blood sugar was 136. They took a catscan, blood work, xrays and said the only thing they could find was that I was dehydrated. I did take an over the counter water pill the day before because of swollen feet. I thought I was retaining water. Problem solved but I should go see a cardiologist to get my heart checked. I did. He did a EKG and an Echo cardiagram. Everything came back beautiful. Advised by dr. to not take diaretics while on diabetes medication. 3 weeks to the day and almost to the hour it happened again. This time I was admitted to the hospital because we think it is seizures because there was no warning again at all. This time I got an MRI, exrays, blood work, EEG and another echocardiagram. NOTHING! I am in perfect health. When the EMT's got to me at work, my blood sugar was 100 but my blood pressure was 189/90. By the time I got to the hospital, my blood pressure was normal. Throughout the 3 days in the hospital, my blood sugar and blood pressure was normal. The Drs. have no idea what is wrong. According to all the tests, I am perfectly healthy. Any ideas????? I am on Levo thyrozine for low thyroid and Glipized for diabetes. My most recent A1C level was 7.6. 3 months ago (when I was diagnosed) it was 7.8. I can't help but think it has something to do the with the Glipizede. The Dr. disagreed with me because he said if it was the medication, I would have had warning signs before I passed out, like sweating or dizziness. Also before I passed out, I was told that my eyes rolled up and my hand and mouth were shaking. I work at a middle/high school for special needs and my co-workers said it looked like a seizure. But drs. are skeptical.

Edited by: KLAROCHE1515 at: 10/13/2014 (06:01)


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10/6/14 12:20 P

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Thank you Patricia. I hope you are doing well.



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10/5/14 11:12 P

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I'm not on SP much anymore.
I'm involved with http://317470.avisae.com/ which has done much with improving my overall health. I'm still working full time, doing Grandma things, sending Doc's Daily Chuckle, active in my Church and traveling.

If you are immune to hepatitis, you don't need a vaccine.


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Patricia
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10/5/14 4:36 P

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Patricia
I haven't seen much of you so I was worried and thought I'd check in and see how you are doing.

On my last blood draw for A1c, cholesterol, etc all was great and My pcp has been asking if i want a hepatitis vaccine. I always say no since Roberts shingles vaccine reaction I am afraid but i got the flu7 vaccine a couple weeks ago. My visit to her office was last week and she said it shows on blood work I am immune to Hepatitis. She didn't say which one. So I'm assuming this is good. Any comments? (I did ahve measles, mumps and chicken pox as well as Rubella as a child_



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7/27/14 5:57 P

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Great idea if you have a 2nd Freezer or a large refrigerator with much freezer space but my refrigertor does not have much freezer space and i can barely get ice cubes in it so freezing portion containers doesn't work for me.




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7/27/14 10:42 A

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Thanks for the help . I have several days where I get up by 4:00 am and home around 6 . I shall get small containers and see how they work .

CST mo


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7/25/14 8:52 P

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exactly right!
There are several companies that make covered dinner plates.

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7/25/14 8:33 P

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I bought some blue Ziploc sectioned heavy plastic safe plates to make my own frozen meals.. Every leftover goes on one. We use them when time is tight. add salad or an extra veggie.. a dab of roast, some rice and a veggie,,all leftover,,
I am not sure if Ziploc still makes them, but we love them!! They have covers that also go in the micro!!

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7/24/14 10:13 P

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Thanks, Debbie.
As I am quite busy, I often 'batch cook' and freeze in portion sizes that can be easily warmed up.

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7/24/14 8:41 P

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Dr. Patricia is correct and i honestly go by her advice. Processed foods have hidden chemicals that aren't even listred on the packaging. I do keep frozen TV dinners in the fridge for those nights when I don't ahve anything thawed to cook or am too tired. I ahve tried them all but as a diabetic I can honestly tell you that the one called "Healthy choice" is the best on my diabetes. It may not be the best tasting but my numbers are lower after consuming it. Cooking from scratch is healthier though.



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7/23/14 9:37 P

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Why would you want to use these?
rule of thumb - the more processed, the less healthy.

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7/23/14 10:34 A

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Can healthily choice , smart one's and lean cuisine frozen meals along with extra veg be used for meals?

CST mo


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7/19/14 6:25 P

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If your FBG is consistently below 80, I suggest calling your Dr. You may need to decrease your insulin a little bit more. Ideal is 80 - 100.

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7/19/14 5:29 P

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Sorry I should have mentioned the insulin. When it is part of your every day life you sometimes forget. Took 24 again last night and was 71 again. Yet this evening I was 176 - put that down to having eaten a banana and some cherries for my snack instead of cold meat. I don't mind if I can see a reason for it.

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7/18/14 4:43 P

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SUNSHINE-GIRL,
I'm relieved.
I wasn't aware you were on insulin.

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7/18/14 7:11 A

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71 this morning, so still need to keep a careful eye on it. Was told to reduce the diamicron if there is no improvement but will give it a couple of days

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7/18/14 7:10 A

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Been for a check up with the doctor. It was a hypo and when she saw my historical results it became obvious (I keep a daily diary). I have been showing around 65 to 69 most mornings (that's 3.2 / 3.5 on the other scale) for quite a while and not thinking anything of it, just thought I needed more food. It is my own fault as the doctors told me to reduce my insulin from 28 units to 24 and I don't seem to have taken that on board. However, at the same check up he started lecturing me about cholesterol levels as they were high at 5.5 (normally below 2) so I guess I was concentrating on that.

I am going to completly overhaul my diet as I have become too rigid over the years and need to add some more good stuff in. Spark pages will be of help in that.

Thanks.

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7/18/14 12:10 A

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7/16/14 1:36 P

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Thanks, that's a worry. I cannot make an appt until Friday now as he is closed on Thursday but will say it is urgent when I call.

Called in at doctors this morning and have an appt with a different doctor this afternoon.

Denise

Edited by: SUNSHINE-GIRL at: 7/17/2014 (05:35)
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7/16/14 12:46 A

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Thanks



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7/16/14 12:32 A

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use a manicure scissors to cut around it - leaving the tape on the steristrips.

Have a TERRIFIC day!
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7/15/14 10:27 P

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Patricia, Thank you.

And what if the glue on the tape is stuck to the surgi strips? ???



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7/15/14 6:37 P

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SUNSHINE-GIRL,
You NEED to get to your doctor NOW!
Vomiting and wetting on yourself are more typically symptoms of a seizure.
Is it from hypoglycemia or something else has to be checked out.
This MAY be serious and not worth taking a chance.

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Patricia
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7/15/14 6:31 P

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DEBBIEANNE1124
I suggest getting a 'sopping wet' cloth. Put it on the tape for ~ 20 min.
Then as the edges loosen, wet the 'glue' on the tape.

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7/15/14 6:18 A

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Dr Patricia

I was diagnosed with Type 2 in 2006. I have only ever had one hypo when I was first diagnosed and went nearly a whole day without food (broken tooth prevented eating) and just flaked out and went to sleep.

However, yesterday I had what I believe to be a massive hypo. I had a normal breakfast (yog, fruit and nuts with a water a fruit juice mix drink) was just about to go shopping when I saw flashing lights and felt 'strange' out of my body. I knew I couldnt get up so asked my hubby to reach my testing kit and I tried to do a test but don't remember anything else. I woke up still in the chair, covered in vomit and had wet myself and my hubby was talking (shouting) to me to come round. When I could speak he asked me where I kept my glucose tablets. I couldnt speak enough to tell him but he found them anyway. I chewed a tablet and started to recover. He said I was unconscious for about 2 mins. It left me feeling weak and cold and after a shower to wash away the vomit I sat wrapped in a blanket for most of the day.

My question is - was that typical of a hypo. My bloods are normally around 80 in the morning but I only test once a day alternating between morning and evening, yesterday was meant to be an evening test so don't know what my readings were. After the hypo and the glucose tab I tested at 112. I have decided to test twice a day from now on. Next question is should I go see my doctor straight away. My view is it is over and finished so what is the point of telling the doctor now. I will tell him at my next check up in 4 weeks.

I keep myself well, eat well and exercise. I am currently losing weight slowly, mainly due to giving up alcohol last year.

Seems such a lot to answer so I will leave it at that.

Many thanks

Denise

Edited by: SUNSHINE-GIRL at: 7/15/2014 (06:20)
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7/15/14 12:09 A

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Dr. Patricia

This is non Diabetic related.

I had surgery last week Thursday to implant a central line chest port. It's a Bard Power Port to help with my IVIG infusions for the myasthenia Gravis I ahve. The surgery went well but my major issue is the tape used above the surgi strips that hold the incision together. My skin doesn't cooperate with it plus i was out in the sun and got sunburnt. Day after surgery. Big mistake on my part. there are 3 pea sized blisters next to the cler duct tape. I ahve talked with my surgeon and his nurse and was told to remove that in the shower and keep the surgi strips on for 10 days. The edges re frayed and causing itching. Do you know of a save wy to remove this horrible tape? It looks like package clear shipping tape. torture. Thank you.



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7/10/14 12:01 A

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I found that out the hard way. Thank you.
I'll be seeing what i can do about magnesium if that was checked but most likely not.



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7/9/14 11:33 P

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Debbie,
More than 4 oz of juice in 24 hr can raise havoc with BG.
Also, low magnesium can cause leg cramping.

Have a TERRIFIC day!
Patricia
co-Leader of Emotional Eaters


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7/9/14 11:31 P

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Mary,
You've got a good plan there.

Have a TERRIFIC day!
Patricia
co-Leader of Emotional Eaters


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DEBBIEANNE1124's Photo DEBBIEANNE1124 SparkPoints: (104,371)
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7/9/14 7:40 P

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Good job, MaryBR! It's not easy but one must understand the seriousness of Diabetes. It is progressive. I can understand the bread and pasta frenzy. Have you tried 100% whole wheat bead or 7/9 grains and wholewheat pasta? It's something that would be better on your diabetes.

Here's something else to think about...
I wake up almost nightly for several years with severe leg cramps in the calves and feet. My potassium is norml according to my Dr. and blood work and i ahve about 8 cups of water a dy so i'm not dehydrated. A friend told me to try orange juice. I had a 1/2 cup of orange juice that says 100% pure. It's still got sugar in it. When my bs has been ana verage of 100 and i drink orange juice with my night time meds i wake with a 141 fbs. Go figure. What one thinks is good for us is bad for a diabetic.



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MARYBR's Photo MARYBR SparkPoints: (26,301)
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7/9/14 10:47 A

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Patricia and Debbie, thanks for the info. Two years ago I lost over 70lbs. so I know how to lose the weight (as long as I stick to it) but the diabetes is what's confusing me. I don't drink soda, use any sugar and salt any foods I prepare. I have however been pasta and bread crazy lately. So I'm starting to work on doing away with these foods. I think what I'm going to do is what I did before -- more vegetables (not a big fruit eater anyway), fish and chicken.
I also joined a gym and signed up for yoga classes. Patricia - I am going to meet with the nutritionist when the doctor sets it up for me. My mother was obese, had diabetes, breast cancer and passed 2 years ago from the breast cancer returning. I know I'm high risk and need to make a life change now. Thanks again!!

mary
Texas


PATRICIAAK's Photo PATRICIAAK SparkPoints: (274,135)
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7/8/14 10:31 P

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BTW: I totally agree with keeping an appointment with the nutritionist. Your, lifestyle, food preferences, heritage, etc can all be addressed. There is no 'perfect for everyone' solution.

Have a TERRIFIC day!
Patricia
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7/8/14 10:27 P

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I believe in the KISS principle (Keep It Super Simple).

God knows what we need nutrient-wise and has provided us with what we need.

First, the closer it is to natural, the better it is for us. The more processed it is, the worse it is.
Second, we are created with teeth for both carnivores (meat eating) and herbivores (plant eating). Thus, we should have a variety of foods.
Third, protein is known to help stabilize blood sugars - thus some protein every meal.
Fourth, small, frequent meals (~ 150 - 250 calories) 5 - 6 x's a day.

I know this didn't exactly answer your question. IMHO, most diets tend to be 'fads'.
The DASH - Dietary Approaches to Stop Hypertension (DASH) diet is popular right now.
Before that, it was the South Beach diet and prior to that the Atkins diet.

What seems to be a 'common thread' in all of them is
1) protein-rich foods
2) vegetables and fruits

As a diabetic, remember to keep fruit in moderation and have more veggies.


Have a TERRIFIC day!
Patricia
co-Leader of Emotional Eaters


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DEBBIEANNE1124's Photo DEBBIEANNE1124 SparkPoints: (104,371)
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7/8/14 8:14 P

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I know I'm not Dr. Patricia I havew been researching recipes and diets for diabetics earlier and came across this.

dashdiet.org/

I honestly believe the diabetic diet is sheer torture I like variety. where Spark People says you fill your plate so full and ahve big portions I do we portions. A lot of food goes a long way and can actually put on weight.



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7/8/14 2:55 P

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I have a question. I was told by the doctor this week that my glucose level is still high (from last year, I should have listened) it was 143. I am supposed to check my blood about 3 times a week. My cholesterol was also high LDL was at 125 and she wants it under 100 so she increased my meds from 20mg to 40mg daily. I need to lose about 80lbs which I am beginning to work on. Doctor also suggested meeting with a nutritionist which I have not done yet - in the works. My question is I am googling all over for info about what I can and can't eat. I am the type that needs everything on paper. Is there something I can follow to make things easier for myself. I was looking into the DASH diet and someone suggested the biggest loser diet too. Any help is greatly appreciated.

thank you

mary
Texas


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7/5/14 1:19 P

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I wish 'the wake up call' would come for people with diagnosis but the past can't be changed. We can only improve the future.
I do get tired of people using excuses as to why they 'have to' continue destructive behaviors after being educated in the probable consequences.
I wish I had a 'magic wand' so the 'a ha' moments would be more often and earlier in the disease process.

Have a TERRIFIC day!
Patricia
co-Leader of Emotional Eaters


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7/4/14 6:31 P

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I've learned about fruit a very small apple 1/4-1/2 cup serving size only. Never anything alrge. 1/4" slice of canteloupe. it's candy to a diabetic and not ahving meds is not making it any better. Fruit, white things like rice, potatoe, pasta, etc oh yeah bread are bad for diabetics. If it's a sandwich only 1/2 sandwich. I tried for the firtt time last night having yogurt as evening snack. FBS this morning was 82 YESS! That was Chobani blueberry.

Believe me, I'm trying to be more serious minded now that I'm on insulin. Theres no messing around.



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7/4/14 1:57 P

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At http://www.healthykin.com/ an Embrace meter is less than $10. and strips for it are $6.95 for 50.

Have a TERRIFIC day!
Patricia
co-Leader of Emotional Eaters


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PICKIE98's Photo PICKIE98 SparkPoints: (337,186)
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7/4/14 1:47 P

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I really listened about the fruit when you both talked about it..When I eat it, I try to stick to mid-day.. since I get up so early, I eat Cheerios at five-ish, then have my "breakfast of sugar free oatmeal, cheese stick and apple for ten-ish..

I burn 95% of my calories between five a.m. and one p.m. I am anxious to get some health coverage so I can get back to testing my BS.

SEVEN YEARS SPARKING!!

Lost 66 pounds!



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