FROM OUR EXPERTS
Did you miss the first posts in this series? Catch up before reading on!
Little Changes, Big Difference: Introduction
Little Changes, Big Difference - Part 1: Blood Sugar Trends
Little Changes, Big Difference - Part2: Food Composition and Insulin Timing
For me, the single factor that leads to most of my unexpected low blood sugars and those occasional high numbers is forgetting to account for my activity level. Insulin works so much more efficiently in an active body than when we're sedentary. In order to bolus accurately, you have to consider how active you'll be while that insulin is working.
Nearly every weekend our family takes one or two long walks around our neighborhood or Balboa Park. When I carefully plan my insulin bolus and food intake with a walk in mind, I can usually manage my blood sugar quite well. I'll usually plan to give myself less insulin for my breakfast, lunch, or snack (whichever occurs before our walk), and drop my basal rate for an hour prio...
For a loved one with diabetes, monitoring blood glucose levels is crucial. “Self-monitoring of blood glucose (SMBG testing) provides a map that guides decisions and changes in treatment components to improve diabetes control,” says Susan McLaughlin, American Diabetes Association president-elect, Health Care and Education. “Tracking patterns helps individuals know when they’re at greatest risk of very high or very low blood glucose, which can increase the risk of falls, result in fracture, decrease mobility , diminish quality of life, and lead to depression.” Today’s blood glucose monitors are portable, accurate, and reliable. Test results are sometimes reported in as little as five seconds, and almost always in less than a minute. Some are easier to use than others, require less blood for testing, and store more data. Error codes, automatic timers, and barcodes make calibrating the units less complicated, and large display screens allow people with l...
Introduction Gallstones are small, hard deposits that can form in the gallbladder, a sac-like organ that lies under the liver in the upper right side of the abdomen. Most people with gallstones don't even know they have them. But in some cases a stone may cause the gallbladder to become inflamed, resulting in pain, infection, or other serious complications. Bile and the Gallbladder The formation of gallstones is a complex process that starts with bile, a fluid composed mostly of water, bile salts, lecithin (a fat known as a phospholipid), and cholesterol. Most gallstones are formed from cholesterol. Bile is important for the digestion of fat. It is first produced by the liver and then secreted through tiny channels that eventually lead into a larger tube called the common bile duct , which leads to the small intestine. Only a small amount of bile drains directly into the small intestine, however. Most flows into the gallbladder through the cystic duct , which is a side branch off the common ...
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