FROM OUR EXPERTS
This question has not been answered by one of our experts yet.
Growing up on NPH and Regular insulin injections, my mom and I were always grappling with the peaks and valleys (literally) of these insulins. We were constantly chasing my injections with food or exercise in efforts to keep my blood sugars from spiraling out of control. And I was a kid. So there was a lot of talk about snacks, and there was a lot of talk about "free foods." Free foods, according to my doctor at Joslin and my mother, were snacks like pickles, cucumbers, Jell-O, and sugar-free popsicles. Foods without any real carbohydrate punch, leaving little mark on my blood sugar after consumption. "Eat all you want! Go on," my mother would urge, pointing her eight year old daughter towards the jar of pickles. In those pre-insulin days of peaking insulin, it was all about meal plans and adhering to the guidelines. Two starches, one protein, a fat, a milk, and a fruit. We followed the "diabetic exhange" list obsessively at first, to th...
Hispanics are the fastest growing minority group in the US today. So it is alarming to see that the overweight children in this group lean to what is called persistent pre-diabetes . We say someone has pre-diabetes when their fasting blood sugar falls between 100 and 120 - higher than normal but not high enough to qualify for a formal diagnosis of diabetes. The assumption is that without lifestyle habit modification, though, the pre-diabetic child will become a diabetic teen or young adult.
A recent University of Southern California study specifically shed light on the Hispanic Doctors are now being encouraged to perform serious assessments of children with 3 or 4 annual positive "above normal" blood glucose tests and signs of visceral fat. Those repeated high blood sugar results indicate impaired Beta-cell function, which means they can no longer compensate and achieve normalized blood sugar levels.
On another note - another piec...
Another diabetes myth just bit the dust: the idea that pre-meal (bolus) injections of regular human insulin should be given thirty minutes before eating. This is a myth that I grew up with, and one that I had religiously taught my insulin-using patients back in the days before insulin analogs became available. But it wasn’t just me: the ADA still says “Insulin shots are most effective when you take them so that insulin goes to work when glucose from your food starts to enter your blood. For example, regular insulin works best if you take it 30 minutes before you eat.”
Before continuing, let me add a few points of clarification about types of insulin and when they became commercially available. Insulin progressed from initially being “animal insulins,” which were obtained (ever since the 1920’s) from beef or pork pancreases. All insulins were short-duration-of-action, with their effects on glucose levels lasting only a few hours, un...
You should know
Answers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.