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The big news announced yesterday was that people older than 60 can now have higher blood pressure before their doctors will tell them to take drugs to bring it down. But the guidelines for those of us who have diabetes remain the same.
An expert panel says in its new guidelines that people over 60 need to keep their blood pressure below 150/90 rather than the 140/90 level as previously recommended. And people with diabetes of any age still need to keep it below 140/90.
The expert panel of 17 academics reported its findings in JAMA , the Journal of the American Medical Association after reviewing the evidence for the last five years. The full-text of its report, “2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults,” is free online .
The goal for people with diabetes, 140/90, means a systolic blood pressure of no more than 140 millimeters of mercury, abbreviated as mmHG. This systolic pressure shows the pressure on our blood vessels whe...
One of the very important things I don't noticed being emphasized very often from doctos or diabetes educators, is the very clear fct that the more ups and downs you see in your blood sugar, the more ilkely you are to gain weight. There are a lot of physiological reasons for this, and I'll go into them a bit here...but the most important part of understanding this fact is that it just might add a little motivation to your efforts to keep that blood sugar in range.
You see, even if you're running and working out, if your blood sugar is sky high during or around your workout, you won't be using fat for fuel. You'll be burning calories, sure, but when all of that sugar is just sitting in your bloodstream, your body can't properly burn up body fat. We need insulin to help carry that sugar to wherever it needs to go.
Now, aside from a workout situation, if your blood sugar is 240 mg/dL and you give yourself 2 units (for example) of insulin to bring it down to 120 mg/dL, that sugar ...
Wearing a continuous glucose monitor is a great way to see and understand how your blood sugar responds to various foods, activities, and insulin doses. Over the past several months of wearing the Dexcom, I've gained a greater awareness of high blood sugars, and more importantly, the most effective methods for maintaining blood glucose control.
One thing I discovered was that correcting high blood sugars nearly always led to one of two undesirable results: either a roller coaster of highs and lows for at least a few hours or a sustained high that took a few hours to bring down. In the first scenario I'd inevitably give a large correction bolus in an attempt to quickly bring down my blood sugar; which would lead to a low. Likely I'd over treat the low and end up higher than desired again. An alternative to a large correction bolus would be to deliver a smaller dose of insulin, which would bring my blood sugar down but only after a few hours; obviously not ideal when you're st...
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