Diabetes mellitus, often referred to simply as diabetes
is a syndrome of disordered metabolism, usually due to a combination
of hereditary and environmental causes, resulting in abnormally
high blood sugar levels Blood glucose levels are controlled by a
complex interaction of multiple chemicals and hormones in the body,
including the hormone insulin made in the beta cells of the pancreas.
Diabetes mellitus refers to the group of diseases that lead to high
blood glucose levels due to defects in either insulin secretion
or insulin action in the body.
Diabetes develops due to
a diminished production of insulin or resistance to its effects
and gestational Both lead to hyperglycemia, which largely causes
the acute signs of diabetes: excessive urine production, resulting
compensatory thirst and increased fluid intake (several Big Gulps
an hour don't do anything for the thirst), blurred vision, unexplained
weight loss, lethargy, changes in energy, and vomiting
forms of diabetes have been treatable since insulin became medically
available in 1921, but there is no cure. The injections by a syringe,
insulin pump, or insulin pen deliver insulin, which is a basic treatment
of type 1 diabetes.
Type 2 is managed with a combination
of dietary treatment, exercise, medications and insulin supplementation.
Many diabetes patients are trying to get insurance companies
to pay for Continuous Glucose Monitors (CGM), which read blood sugars
many times during the day. This means less painful pin pricks, and
the CGM provides a trend, allowing the patient to see what happens
between pin prick Glucose testing. The CGMs often have alarms, which
can warn a patient if their glucose level is tending to go high,
or low - both of which are harmful.
CGM is not experimental,
and some patients have been able to get coverage for the CGM device
and sensors. todo: add CGM references and sample letters to insurance
companies for coverage
I hate changing lancets in my lancet device. Every time I need
a finger prick (yes I know there are alternate sites, but they are
often not reliable), I need to exchange lancets.
the Accu-Chek MultiClix lancet device to be the absolute best! It
is a about the same size as an easy grip pen. The cartridge
holds 6 lancets, and they are only exposed when you click the lancet
device. No pricking your fingers when you change lancets! Because
each cartridge holds 6 lancets, the standard package is 102 lancets
(17 cartridges), instead of 100. I was able to obtain a few of these
on eBay for $10 including shipping when bidding on Accu-Chek Aviva
Glycohemoglobin A1C [GHb A1c, HbA1c, Or A1c]
is a blood test that checks the amount of glucose bound to hemoglobin
[Glycohemoglobin], and checks the long-term control of blood glucose
levels in people with diabetes. IT provides an average of glucose
levels over the past 90 days. Normally, only a small percentage
of hemoglobin in the blood (4% to 6%) has glucose bound to it.
Most doctors think the Glycohemoglobin A1c level is the best way
to check how well a person is controlling his or her diabetes (you
also can't cheat on this test!). A home blood glucose test measures
the level of blood glucose only at that moment. Blood glucose levels
change during the day because of diet, exercise, and the level of
insulin in the blood. The A1c recommendations vary slightly by organization,
and vary by age.
The ADA recommends:
|less than 6 years old
||7.5 to 8.5%
|6 to 12 years old
||Less than 8%
|13 to 19 years old
||Less than 7.5%
|A1c Level (%)
||Average Plasma Glucose Equivalent (mg/dL)
Important Note About Plasma Glucose VS Whole Blood Glucose!
Glucose levels in plasma (a component of blood)are generally 10-15%
higher than glucose measurementsin whole blood (and even more after
eating).This is important because home blood glucose metersoften
measure the glucose in whole blood while most lab tests measurethe
glucose in plasma. There are home glucose meters on the market thatgive
results as "plasma equivalent".This allows you to easily compare
your lab glucose tests to home testing.Remember, this is just the
way that the measurement is presented to you.All home blood glucose
meters measure the amount of glucose in whole blood, butthe meters
that give "plasma equivalent" readings have a built in algorithmthat
translates the whole blood measurement what may be obtainedin a
lab test. It is important for you and your healthcare providerto
know whether your meter gives its results as "whole blood equivalent"or
"plasma equivalent." If you are unsure, call your meter manufacturer
What Does Insulin Smell Like?
The best description I can think of is that it smells like a