Diabetes Guidelines

My glucose tolerance test came back with a 44..??? Doc says I am severe, but didn’t give me guidelines, any advice? Yes,there is a long history of diabetes in family. I am not over weight, just feel really bad or sleepy a lot.

Hypoglycemia, or "low blood sugar"is a blood glucose level that falls below 70 mg/dL. You need to eat regular meals so you will have food in your system. Hypoglycemia is also know as insulin shock. But if your are not diabetic this won’t happen because you took insulin. You can usually tell when this is going to happen. Here are some of the side effects:

Shakiness
Dizziness
Sweating
Hunger
Headache
Pale skin color
Difficulty paying attention
Clumsiness
Sudden moodiness or confusion
Tingling sensations around the mouth
Loss of consciousness

At the first sign of this occurrence check you sugar level. Don’t wait. Go ahead and eat or take what ever helps you. I am including a site for you to explore. I believe you will find it helpful. virtualhealthguides.info

I’ve been diabetic for 18+ years and recently had my insulin switched during a hospital stay. They told me to take 10 units with meals. I know to adjust higher for larger meals but what are the actual guidelines for how much to take for each gram of carbohydrates consumed?

I love my new insulin. Already my diabetes is under better control than it ever has and I feel great. I am also on Lantus and am curious to know what the benefits are of splitting one’s dose into two doses as opposed to one.

Honsetly, I’m not sure. You would have to discuss that with your doctor. I know that for every 50 points over 150, I have to take one unit of insulin. However, carb counting is something completely different. I’ve heard different diabetic friends of mine who take 1 unti for every 15 or 30 grams of carbs. But yeah, I would have to say that you need to call your health care team and discuss it with them.

It hasnt been determined yet on food sources what the % of daily requirements are. For people that could get diabetes 2 there should be some sort of guideline here.

For diabetics, the answer is 0 (zero).

Your body will digest starches (complex carbohydrates) into the glucose it needs. As a potential diabetic you need to completely avoid all sources of sugar.

It hasnt been determined yet on food sources what the % of daily requirements are. For people that could get diabetes 2 there should be some sort of guideline here.

For diabetics, the answer is 0 (zero).

Your body will digest starches (complex carbohydrates) into the glucose it needs. As a potential diabetic you need to completely avoid all sources of sugar.

My father has just been diagnosed as a borderline diabetic. He is about 30 pounds overweight and has been told losing weight would reverse the diabetes. However, he and my mom are having trouble creating a menu plan using guidelines aimed for diabetics. I would like to give them some sites to help out. Something free would be ideal as they are both retired.

http://www.diabetic-recipes.com/ is one good site and here is another: http://www.bhg.com/bhg/category.jsp?categoryid=/templatedata/bhg/category/data/DiabeticRecipes.xml

Another good way to lose weight for your father’s problem is to go on e-diet and sign up for the diabetes diet. My boyfriend signed up and lost 50 pounds.

Needless to say his blood sugar is back in the normal range and the recipes are good.

They give you recipes for the whole week, three meals a day.

My father has just been diagnosed as a borderline diabetic. He is about 30 pounds overweight and has been told losing weight would reverse the diabetes. However, he and my mom are having trouble creating a menu plan using guidelines aimed for diabetics. I would like to give them some sites to help out. Something free would be ideal as they are both retired.

http://www.diabetic-recipes.com/ is one good site and here is another: http://www.bhg.com/bhg/category.jsp?categoryid=/templatedata/bhg/category/data/DiabeticRecipes.xml

Another good way to lose weight for your father’s problem is to go on e-diet and sign up for the diabetes diet. My boyfriend signed up and lost 50 pounds.

Needless to say his blood sugar is back in the normal range and the recipes are good.

They give you recipes for the whole week, three meals a day.

At the end of my regular checkup last night, my doctor told me his office had adopted a patient "contract" for diabetes patients as a motivational tool to follow all of the treatment guidelines and goals and asked me to sign it.

But the "contract" had key two paragraphs he didn’t mention, that if I didn’t comply with all the guidelines, I would be discharged as a patient, and that if I was discharged, all family members would be discharged, too. He tried to down-play the significance of the paragraphs, but it was apparent that they were what the "contract" was all about and he was pretty adamant that I should sign it, which I didn’t, took it home to read, became even angrier that he lied about the nature of the "contract," actually an ultimatum, and continued to deny what it was for.

There has never been a question that I don’t do what I’m supposed to do, by the way.

Has anyone else been given such a thing by their doctor and coerced to sign it?
All reassuring answers so far, thanks a lot! My feeling is that this "contract" is being imposed by someone else, like an insurance carrier trying to cut its costs by coercing my doctor to get contracts or face being "discharged" from coverage.

since the way diabetes acts, especially type 2, that is a totally unfair "contract"!!

Most of us are not lazy, do not need to get off our butts and on to the treadmill or trail. Yes, we some of us need to lose some weight but that is not a Doctor’s option!! and neither is whether we are able to keep our glucose numbers within a certain narrow parameter.

My weight has gone from 110 to 160 with the introduction of insulin to my system!! I am definately not a couch potato!! In the past 10 years I have narrowed my food choices down to near nothing. some meat, spinach and tomato salads and apples!! This is 6 small meals per day.

I take the meds as scheduled, I eat as directed (other than eating a lot of cereals and grains) and do my walking daily.

It just doesn’t cover all the variables in a life!! I would not sign that form either!!

Suggest you terminate the doctor and find another one!! Or better still write up your own "contract" for the doctor to sign if you sign his!!

Contract will include:
no blaming patient for high glucose numbers,
no blaming patient for high blood pressure,
no blaming patient for occasional treats,
no blaming patient for bad temper,
no blaming patient for weight gain or loss,,
no blaming patient for insurance co’s lack of sending supplies.

I am sure you can write up the contract following the one from the doctor and adding these points and some more of your own.

Conditions, like Diabetes, Ischaemic heart disease, Asthma, COPD, Pneumonia, Etc

Try this;

http://www.nice.org.uk/guidelines.aspx?o=guidelines.completed

"Public guidelines have virtually nothing to do with public health. They have everything to do with appeasing the demands of powerful vested interests that aggressively lobby policymakers, provide money to researchers, and donate millions to influencial health organizations such as the American Heart Association , American Diabetes Association, and so on".

- Anthony Colpo

False, like most of Colpo’s statements.

If i go by ADA guidelines, then im not a diabetic. Endo guidelines are less than 110 after fasteing, and less than 140 2 hrs after meal. ADA guidelines are less than 140 fasting and less than 180 after 2 hrs meal. Are the pharmaceutical cos playing with our lives just to make big bucks by having those smaller number for a diabetic. Remember, 5 years ago 212 total cholesterol was considered normal, and now its less than 160. Following are my glucose numbers. In the morning before any meal, my number is 129-133 and 2 hrs after meal , my number is anywhere from 140 -180, Whom do u belive . I know if i go to a doc he/she will go by Endo guidelines, by which i am diabetic. Please help

Pahd is right, the new ADA guidelines are much lower and are in line with American College of Endocrinologists.