Compare your results with the machine from the doctor’s office when you attend your doctor’s appointment. This will reveal if there are any discrepancies.
Until Next Time,
The Genetic Diabetic
World Diabetes Day 2021 theme from the International Diabetes Federation
The availability of insulin and other elements of diabetes care remains out of reach for millions who need them. People with diabetes are at risk of severe and life-threatening complications, especially if they do not receive adequate support or treatment. Complications include:
🔸Heart Attack
🔸Stroke
🔸Kidney Failure
🔸Blindness
🔸Lower Limb Amputation
What can be done to improve access to diabetes care worldwide? It all starts with our lawmakers. We need to keep our state and federal lawmakers accountable in ensuring that our healthcare system:
🔹Provide basic health care at a reasonable cost to people with diabetes
🔹Develop policies to improve prevention of type 2 diabetes
🔹Enhance screening to ensure timely diagnosis and prevent complications resulting from diabetes
🔹Develop mechanisms to engage people with diabetes in the development of diabetes policies
As we’re voting for newly elected officials today, make sure the candidate you’re voting for is willing to support health equity for all.
Until Next Time,
The Genetic Diabetes
Latent autoimmune diabetes in adults (LADA) is known by its unofficial name, type 1.5 diabetes. The body’s own immune system attacks and kills the beta cells that produce insulin in the pancreas. However, the process of destroying all beta cells takes longer in people with LADA than it does in people with type 1 diabetes.
As you lose the ability to make insulin, your body is unable to control your blood sugar levels. You may not need treatment for many months or years after diagnosis like those with type 1 diabetes.
LADA usually begins after you turn 30, and doctors sometimes misdiagnose it as type 2 diabetes.
In fact, up to 15% of people who are diagnosed with type 2 diabetes actually have LADA. Being misdiagnosed puts people at risk for diabetic ketoacidosis (DKA) and other long-term complications.
Furthermore, if the person does not know they have autoimmune diabetes, they will not be screened for other autoimmune diseases, such as thyroid or celiac disease, which are more common in people with LADA than those with type 2 diabetes.
LADA symptoms are similar to those of type 1 or 2 diabetes. Usually if you don’t get better within a few months of taking oral diabetes medications, your doctor might suspect LADA.
LADA is diagnosed with a blood test. Because LADA is an autoimmune disease, individuals with LADA usually test positive for at least one islet autoantibody (a protein produced by the immune system). Tests can be performed on your blood to check for autoantibodies to GAD, IA-2/ICA512, insulin, and ZnT8. These tests vary in cost depending on your insurance coverage.
As soon as oral treatments, exercise, and diet plans fail to control your blood sugar, speak with your healthcare provider about insulin therapy.
Sources: DiaTribe and EnM (Endocrinology and Metabolism)
Until Next Time,
The Genetic Diabetic
Every member of this community is here because they or someone they know is battling diabetes.
Diabetes is a life-long condition that takes work for us to manage. What may work for us one day might not work the next. So many factors contribute to our numbers fluctuating. There’s always a chance that the condition will progress even if you do everything you can.
However, we still have three options for how to approach the way we handle this:
– Giving up and don’t do anything about this condition
– Giving in and doing the least we can to treat this condition
OR
– Giving our best and not only control our condition, but do our best to learn about diabetes and to try and discover ways to stop its progression by doing our best. Additionally, even when treatment fails, you don’t give up or give in.
This week’s Motivational Monday’s Message:
Don’t give up.
Don’t give in.
⭐️Give it all you’ve got⭐️
Until Next Time,
The Genetic Diabetic
Dehydration can be very dangerous for people living with diabetes
The risk of dehydration increases for individuals with diabetes since high blood glucose levels decrease hydration in the body.
Drinking water helps keep your hydration and blood sugar levels in check. Besides fighting dehydration, it can also help remove excess glucose.
People with diabetes should drink plenty of fluids – 1.6 liters (L) or 6.5 cups a day for women; and 2 L or 8.5 glasses of water per day for men.
In addition to water, there are a number of other drinks that are also effective for preventing dehydration and increasing fluid intake. Examples include caffeine-free herbal teas, sugar-free sparkling water, almond milk, and sugar-free coffee.
Drinking sodas, energy drinks, fruit juices, and sweetened drinks is not recommended since they contain a lot of sugar and will increase your blood sugar levels.
What does your water/liquid intake look like?
A. 8 or more cups
B. 6-7 cups
C. 5-4 cups
D. 3 or less
What is your drink of choice?
Share your answers below in the comments!
Until Next Time,
The Genetic Diabetic
The secret to a successful day is having a consistent daily routine.
What is your current daily routine?
What is one aspect of your daily routine that you want to change? (This can be health or daily life related)
Share in the comments below!
Until Next Time,
The Genetic Diabetic
Yesterday, we’ve discussed diabetes distress and diabetes burnout. To recap:
Diabetes distress occurs when someone feels overwhelmed by the daily demands of managing diabetes.
Diabetes burnout occurs when a person becomes tired of managing their condition, and then ignores it for a while, or even permanently.
If diabetes distress and burnout are not taken care of, both could lead to depression.
There are ways to prevent diabetes distress and burnout before they cause serious long-term complications or lead to clinical depression.
When you address the source of your distress and burnout, you will be able to regain control of your diabetes management with the help and resources you need.
Please don’t wait to get help, you don’t have to suffer diabetes stress or burnout any longer.
Until Next Time,
The Genetic Diabetic
Caring for yourself while caring for a loved one with a chronic illness or disability
There are many days when it doesn’t matter how you feel, the show must go on. In addition to managing our own conditions, many of us also have to take care of our loved ones, especially those diagnosed with an illness or disability.
I am a mother of a child on the autism spectrum. The diagnosis of my son with autism came five years prior to my diabetes diagnosis. As a result of observing him experiencing sensory issues during preschool, his diagnosis was not entirely surprising. Our son began occupational therapy every week and he received an Individualized Education Plan (IEP) for school.
My son has made amazing progress on his journey. He achieved many fine and gross motor milestones. He is a scholar student and has graduated from an IEP to a 504 Accommodations Plan. He will attend a new school this year and participate in a gifted program for language arts.
He has experienced setbacks, however, over the past couple days. Since then, he has had anxiety attacks, eaten very few foods, feared being alone, and has been having sensory meltdowns. His overwhelming fear is that things around him are moving nonstop and will soon explode. He had just been watching a YouTube video about how the universe would end.
The sudden occurrence has caught the entire family off guard. It is a waiting game in the house, since no one knows when the next episode will arrive. I am in the process of connecting with a therapist and his occupational therapist.
The whole family has been affected, and I personally have been stressed out. Having to manage a chronic illness is difficult enough, but adding caregiving to the mix is extremely stressful. My son has been sitting, eating, and resting with me for the last few days, who is usually energetic but now won’t leave my side. Rarely does he play with his siblings. He hasn’t called his best friend yet. He won’t leave our room.
This is not the same little boy who was having a blast last week on our vacation. He’s not even the same one that was dancing and full of joy two days ago.
Currently, I am managing both my own and his conditions.
It’s extremely hard.
It pierces my heart to hear him scream and cry in agony. We are literally counting the hours until we can call the pediatrician.
In the meantime, I am unable to eat or sleep well because I am so concerned about my son. Nevertheless, a wise psychologist friend I met today gave me some words of encouragement that I want to share with anyone going through similar difficulties: first and foremost, take care of yourself. If you don’t take the time to eat, rest, and manage your own condition, then you won’t be able to provide for those who depend on you.
It’s not easy to deal with chronic illness or caregiving, so when you’re ill and you’re the primary caregiver, it can be overwhelming. As a caregiver, you may be exposed to health risks due to the stress and demands associated with a serious health condition. When you are taking care of yourself and a loved one, consider these things:
Organize a plan to take care of yourself and your loved one if there is no one available to help. Keep it simple:
Being constantly responsible for someone’s care can be emotionally and physically draining, but you will do anything for someone you love. Don’t forget to love and care for yourself as well.
An overview of the five types of supplemental insulin
In the previous post, I discussed the role of insulin and glucagon, as well as the two main types of insulin, basal and bolus. In this post, I will discuss supplemental insulin, how each type works and insulin brands.
There are more than 20 brands of supplemental insulin available in the United States. There are five types of brands: rapid acting, short acting, intermediate-acting, long-acting, and ultra long-acting. In addition to these categories, you can get premixed insulin or inhaled insulin as well.
Rapid-acting Insulin & Short-acting Insulin
To replace the natural bolus insulin produced by the pancreas, rapid-acting and short-acting insulins are used. These types of insulin are administered just before a meal or snack to counteract sugar spikes that are caused by eating.
In the medical world, short acting insulin is known as regular bolus insulin. Short-acting insulin begins to work within 30 minutes, reaches its peak between 2 and 3 hours, and lasts for 3 to 6 hours.
Examples of short-acting insulin:
Rapid-acting insulin, however, works the fastest of all types of supplemental insulin. In the case of rapid-acting insulin, onset occurs after 15 minutes, peak within an hour, and then lasts 2-4 hours.
Examples of rapid-acting insulin:
Intermediate-acting Insulin
Intermittent-acting insulin replaces basal insulin. Only one type of intermediate insulin exists, Hagedorn or NPH. Within 2-4 hours, the onset occurs. Peak hours are between 4 and 12 hours and the duration varies from 12 to 18 hours. As a result, some people use short-acting or rapid-acting insulin to cover meals.
Examples of intermediate-acting insulin:
Long-acting Insulin & Ultra Long-acting Insulin
The long-acting and ultra-long-acting insulins are used to replace basal insulin by maintaining glucose levels throughout the day and night. They begin around four to six hours apart, but the duration is at least 24 hours. This type of insulin doesn’t have any peak points as it is designed to remain in the system for longer.
Examples of long-acting insulin:
Example of ultra long-acting insulin:
Premixed Insulin
In a premixed insulin injection, varying amounts of intermediate-acting insulin are combined with short-acting or rapid acting insulin. Depending on the mix, onset can take between 15 minutes and an hour. It peaks at varying times and lasts for up to 24 hours.
Examples of premixed insulin:
Inhaled Insulin
As far as we know, Afrezza is the only rapid-acting insulin that is inhaled. As soon as Afrezza is inhaled, it begins to take effect within 12 to 15 minutes, peaks in around 30 minutes, and dissipates around 3 hours after taking it.
SOUND OFF: What type of insulin are you currently using? Let’s have a conversation and comment below!
Until Next Time,
The Genetic Diabetic
References:
American Diabetes Association: Insulin Basics
