If you manage your diabetes with one of the intermediate acting insulins, its variability from day to day might alarm you. Maybe you aren’t mixing it well enough.
This type of insulin takes one to three hours to start working and lasts for 12 to 16 hours. Its generic name is NPH; Novo Nordisk sells it as Novolin N and Lilly as Humulin N. NPH is also available premixed with short acting insulin.
But NPH insulin is itself a mixture, and that’s the problem. Its cloudy part is rich in insulin crystals while its clear part isn’t. Before you inject it, you have to mix these parts.
An insulin pen is a convenient way to inject NPH, and a typical recommendation is to “roll and gently shake 10 times” every time you use it. A study just published online ahead of print in the professional journal Diabetes Care shows that this isn’t good enough.
Only the abstract of his study by eight researchers at Italy’s Perugia...
It's that time again: leaves turning orange and falling to the ground, a chill in the air, and scary props placed on lawns. Halloween is coming. For most families, this is a holiday that has mixed blessings in terms of usually forbidden treats and fears about safety of trick-or-treating in neighborhoods. For our families with children that have diabetes, the holiday is fraught with additional concerns.
Can and how do we allow our children to enjoy Halloween as much as their peers without Diabetes?
Answer: Yes we can (with a bit of planning)!
Last week, at one of my outpatient visits, one of my delightful patients asked me this particular question in anticipation of Halloween as she was planning to go trick-or-treating with her friends. We then spent much of the visit discussing Halloween and making plans.
1. Halloween candy is forbidden due to diabetes 2. One treat only should be allowed on Halloween 3. No trick-or-treating on Halloween (due to the potential ...
In keeping with my promise to make some kind of small effort everyday (as discussed in my last sharepost), I decided to make things interesting by mixing things up all week. On Monday, I pulled out the old Zumba "Cardio Party" DVD, which is a forty-five minute Latin dance-inspired sweat-a-thon. It was a blast, just as I remembered. When I was finished I did a small round of pushups, planks, and arm exercises. On Tuesday, I was sore but not so sore that I felt like I couldn't do anything. My friend Sarah called to ask me if I wanted to do some P90X with her. We had done a cardio DVD last year and it was pretty cool, so I accepted and she arrived in her workout gear. To my dismay, however, she suggested that we go running first-at two in the afternoon, in ninety-five degree weather. I was terrified because as most of you know by now, I'm not a fan of running, and if I do make the attempt it's usually late in the evening when the harsh sun has started to go down. On top of that, Sarah's ...
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