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...
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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