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...
All week my blood sugars have been erratic. I check, I bolus, I change my infusion sets, HIGH Blood sugar! What the heck? I am doing all the things I always do. (Ok, maybe I am slipping a bit .)
After all the hard work I have been putting into having such great numbers I should not be having high blood sugar.
It could be because I have been working A LOT and getting less sleep. I mean working like going to work 9-5pm then coming home and doing a bunch of side projects that have been taking up all of my free time. This has been going on for the past couple of weeks. Maybe my body just is telling me to slow down? Or because of my work schedule I would need different basals? Or could it be that my body is just changing? UGH! Or maybe it is because I have been tired more often I forget to bolus and think I did? Probably, I am like a walking zombie lately.
Other things I have noticed are that I think I have acid reflux or something and of course I don't go to the doctor...
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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