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 ...
After years of experience giving correction doses of insulin to bring down high blood sugar levels, it occurred to me one day that there are two important variables at play: insulin and time. When I see a blood glucose level in the mid 200 mg/dl range or higher and I want to bring it back into range, I can either: give a large dose of insulin to bring it down quickly and then be prepared to snack in the next few hours or give a smaller dose of insulin and wait longer for my blood sugar to come down.
During my pregnancies, when tight control was so important and I was eating every few hours anyway, the first option was a no brainer. I wanted that number down right away and would snack as needed to keep my blood sugar from bottoming out.
Now that I’ve embraced a wider range of “good” blood sugars (70-180 mg/dl, for me) and I’m wearing a CGMS, so I can better see what my blood sugars are doing, I’m trying to deliver correction bol...
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