Real Talk with Dave: It’s a Spooky Time for Spooky Blood Sugars!

It’s finally fall and most people are especially excited that October is here, which means Halloween time is present! Everywhere you go, there are Halloween themed decorations and pumpkin spice latte creations, making everyone excited for the holidays and the exciting festivities that come with them. Many people get into the spirit of Halloween, the costumes, the candy, and the fun times with friends, however, being a Type 1 Diabetic comes with just a few extra things to plan and prepare for.

I think it’s safe to say that us Diabetics work hard each day, so the one night where candy is the star of the show, I believe it is okay to enjoy some Halloween treats in moderation.

Planning ahead is key as you begin to make arrangements for Halloween.

I get it, Diabetes is not fun, it can be scary and have it’s ups and downs, however, it shouldn’t stop you from celebrating a fun holiday! For example, most Diabetics try and avoid unnecessary sugar throughout their day and watch out for things that can complicate their lives in terms of their blood sugar levels, BUT, if you plan on walking from door to door on the night of Halloween, you will be getting in some exercise, which may potentially drop your blood glucose levels, so go ahead and enjoy a piece of candy or two (and some insulin, of course). Don’t over do it though, because you don’t want to come back home that night or shorten your trick-or-treat experience due to severe high sugar levels and a stomach ache. That’s why, in moderation, eating a few pieces of candy throughout the night and finishing the rest of it over the course of the next few days is a better alternative in managing your numbers. Halloween is a fun-filled holiday where people go out dressed as their favorite characters and hang out with friends, eating candy all night, and T1D should not limit that, just be responsible in your choices as you decide how much candy to eat and when.

As you go from door to door, it wouldn’t hurt to have a backpack or purse with you that has all your emergency medical supplies, your blood glucometer, and some extra insulin, because you never know what could happen and not being at home with access to these supplies can be dangerous, so always prepare for the worst, just like you would at school, work, or on a vacation. Also, make sure you are walking with a group of people who know of your Diabetes and limitations, as in certain situations, them knowing can potentially save your life, say if you were to go severely low or high that night.

Always surround yourself with a trusted group or people (or at least one person) who is willing to help you out in any way possible if needed.

As for carb counting and sugar contents, most Halloween candies are familiar and of common brand names, so just be sure to check the nutrition facts on the back of the wrapper or do a quick google search on your phone for nutrition facts on the candy of your choice, this way, you can effectively and safely give yourself the right dose of Insulin needed for what you choose to eat!

In terms of costumes (that’s right, I’m discussing costumes), if you are unsure of where you may place your Insulin pump or carry your Continuous Glucose Monitor (CGM) if your costume is a little out of the ordinary and has no waistline or belt clip, you can always wear a strap, band, or garter underneath your costume, which provides a place to clip and secure your devices, and don’t be afraid to show off that beautiful site of yours! You can even decorate your sites for the occasion or to match your costume if you’d like!

            So don’t stress the holidays, take part in all the activities your heart desires (within reason, of course), and enjoy this life you were given! T1D has nothing on you.

Enjoy some Halloween candy responsibly, because yes, even Diabetics CAN eat candy! With smart choices and planning ahead, you can do the holidays, life, and just about anything you would have done had you not had T1D!

Live well,

Dave

Real Talk With Dave: I’m Sorry For What I Said When I Was Low…

Lows do things to us that we have no control over. I’m pretty sure any Diabetic can agree with that. When we have low blood sugars, we become, what some may consider, a monster in which we are hit with so many symptoms, such as uncontrollable shaking, fast heartbeat, and anxiety. In reality, going through a low can really bring us down and make us regret saying and doing certain things. I guess you could say that lows can brin out the worst in us.

I can remember countless times in which I went severely low and reacted in ways in which I wish I never had before.

I would become this uncontrollable monster in which I would be angry and very aggressive as I tried to get my hands on anything that could bring my blood sugars back up immediately. Sweat dripping down my face and agitated by what was going on inside of me, I would snap at people trying to help me in those difficult times (sorry Mom!), having absolutely no control over my emotions and actions. There have been several times in which I would wake up in the middle of the night, practically covered in sweat, as I found myself severely low and in need of some fast acting sugars, running downstairs to completely demolish the kitchen. Now I know those are some pretty heavy visuals of what lows are like, but hey, that’s the truth of what they actually consist of and I believe it is important to share these real life experiences to show that we’re not alone in this horrible fight against T1D.

At times, going low can make you anxious and scared, which then gets in your head and almost forces you to snap at just about anybody. You may not want to talk to people or be near anybody as you go through a low as you feel that aggression building up inside of you. That’s okay though, because eventually, you will come out of that low and be better and stronger than ever! I get it, lows are the worst!

I’ve had my share of bad lows and each time, I feel as though I learn a little something.

I learn how to cope, how to relax, and most importantly, how to treat my low in the safest way possible. Planning is key in eliminating the amount of lows you may have. At one point in my life, I used to go low about 4-6 times a day which drained me both physically and emotionally. After talking to my Doctor and gaining control over my Diabetes, I have successfully dropped the amount of lows I have everyday significantly. Some days I might not go low at all! It’s different for everyone, as some people may struggle from highs more than lows, but just know, help is available.

Lows can be some of the scariest things you can encounter as they can happen at literally any moment of the day and be as aggressive and intense as they decide to be. Though lows are one of the hardest things to deal with as a Diabetic, it takes a few bad moments in which we learn how to deal with them as we become more prepared for lows in the future. Most of the time, we as Diabetics can handle and treat a low like a boss, it’s only in severe cases in which we need some immediate medical attention, but it is up to us to decide how we are going to handle the situation we are given. For example, talking to yourself in a positive sense, whether out loud or in your head, can help you get out of that horrible low and into a good mood. Try telling yourself when you go low how you have always made it out of a low and ended up feeling just fine.

So don’t stress low blood sugars! Lows will come and go, but YOU, a strong and brave Diabetic, are here to stay as we patiently wait for a cure together.

Live well,

Dave


Follow Dave on Instagram: @type1livabetic

Fat cells discovery could reveal insights about glucose control in diabetes

A discovery into how fat cells work alongside the liver could have research implications for several diseases, including diabetes and cancer.

Scientists at UT Southwestern Medical Center report that fat cells help the liver to maintain blood sugar control, claiming they “have the liver’s back”.

These fat cells maintain tight regulation of a metabolite called uridine, which has many roles in the body, including storing glucose.

When the body is fasting, the fat cells take over from the liver in producing uridine. These findings were replicated in human, mouse and rat studies.

The importance of uridine in the body and its relationship with fat cells could signal new research opportunities for understanding glucose regulation in diabetes, the researchers said.

Senior author Dr Phillip Scherer explained: “Like glucose, every cell in the body needs uridine to stay alive. Glucose is needed for energy, particularly in the brain’s neurons. Uridine is a basic building block for a lot of things inside the cell.

“We found that the liver serves as the primary producer of this metabolite only in the fed state. In the fasted state, the body’s fat cells take over the production of uridine.”

Levels of blood uridine were shown to increase during fasting and lower during feeding, with excess uridine released through bile.

“It turns out that having uridine in your gut helps you absorb glucose; therefore uridine helps in glucose regulation,” said Scherer.

This fasting-induced rise in uridine was also linked to reduced body temperature due to disruption of the metabolism.

When the researchers tested the effects of a high-fat diet in dietary studies, body temperature was prevented from lowering, an effect also associated with obesity.

The study team later discovered that these findings were because of decreased uridine levels in response to fasting.

“Our studies reveal a direct link between temperature regulation and metabolism, indicating that a uridine-centred model of energy balance may pave the way for future studies on uridine balance and how this process is dysregulated in the diabetic state,” concluded Scherer.

The study has been published in the journal Science.

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Type 2 diabetes is one of the most common long-term health conditions
Type 2 diabetes is one of the most common long-term health conditions

Type 2 diabetes mellitus is a metabolic disorder that results in hyperglycemia (high blood glucose levels) due to the body:

  • Being ineffective at using the insulin it has produced; also known as insulin resistance and/or
  • Being unable to produce enough insulin

Type 2 diabetes is characterised by the body being unable to metabolise glucose (a simple sugar). This leads to high levels of blood glucose which over time may damage the organs of the body.

From this, it can be understood that for someone with diabetes something that is food for ordinary people can become a sort of metabolic poison.

This is why people with diabetes are advised to avoid sources of dietary sugar.

The good news is for very many people with type 2 diabetes this is all they have to do to stay well. If you can keep your blood sugar lower by avoiding dietary sugar, likely you will never need long-term medication.

Type 2 diabetes was formerly known as non-insulin-dependent or adult-onset diabetes due to its occurrence mainly in people over 40. However, type 2 diabetes is now becoming more common in young adults, teens and children and accounts for roughly 90% of all diabetes cases worldwide.

How serious is type 2 diabetes?

Type 2 diabetes is a serious medical condition that often requires the use of anti-diabetic medication, or insulin to keep blood sugar levels under control. However, the development of type 2 diabetes and its side effects (complications) can be prevented if detected and treated at an early stage.

In recent years, it has become apparent that many people with type 2 diabetes are able to reverse diabetes through methods including low-carb diets, very-low-calorie diets and exercise.

For guidance on healthy eating to improve blood glucose levels and weight and to fight back against insulin resistance, join the Low Carb Program.

Following pre-diabetes or metabolic disorder, type 2 diabetes can potentially be avoided through diet and exercise.

What causes type 2 diabetes?

Type 2 diabetes occurs when the hormone insulin is not used effectively by the cells in your body. Insulin is needed for cells to take in glucose (sugar) from the bloodstream and convert it into energy.

Ineffective use of insulin results in the body becoming resistant to insulin – also known as insulin resistance, which in turn causes blood sugar levels to rise (hyperglycemia).

In advanced stages, type 2 diabetes may cause damage to insulin producing cells in the pancreas, leading to insufficient insulin production for your body’s needs.

Type 2 diabetes…

New Device Helping Diabetics Track Blood Sugar Without Fingersticks

PITTSBURGH (KDKA) — New mom Samantha Loshelder has Type 1 diabetes. Her pancreas has stopped making insulin, a hormone needed for processing sugar.

She has to check her blood sugar throughout the day to make sure it’s not too high, and not too low. Typically, this is done with fingersticks. She would check 15 times a day.

“It’s no fun, of course,” she says, “and my fingers are calloused because of it.”

But, now, all she has to do is look at her phone.

“If I turn my phone to the side, I can get a graph of my blood sugars,” she demonstrates.

Her readings are transmitted wirelessly every five minutes from a sensor she wears on her skin.

“It tends to be within 10-20 points of my actual blood sugar, which to me is fabulous,” she says.

These skin sensors measure glucose, or sugar levels in the fluid between the cells. This gives you the same reading as checking a glucose level in the bloodstream.

These devices have been available over the last five years, and they’re getting smaller and smaller.

While it sits on the skin, it has a small filament that goes into the skin with an automatic inserter.

“My husband’s been the one who’s most of the time been inserting it for me,” explains Samantha.

An alarm sounds when the sugar is too high, and you can give yourself more insulin.

And the alarm sounds when it’s too low. When…

Google Works on a Glucose-Measuring Smart Contact Lens

Although smart wearables hit a plateau in 2016, it won’t be long before the market picks up again as research predicts that manufacturers will be looking at new ways to innovate wearables in the coming years. In fact, data presented by CCS Insight revealed that the wearables market will be worth $25 billion by 2019 as demand for health-focused sensors and technology is expected to grow further.

Wearable technology will branch out past the current smart headsets, smartwatches, and even fitness brands, as the next wave of devices will be more focused on specialized health assistance.

A particular long-awaited wearable device on the market is Google’s smart contact lens. The search giant and pharmaceutical company Novartis teamed up to develop the first smart contact lens that is said to assist patients with diabetes as well as those with eye problems. It is a contact lens with a built-in microchip that is able to measure the glucose level of patients non-invasively and correct eye issues, respectively.

The technology

While the world welcomed the emergence of smartwatches on the market, Google surprised the industry by announcing that they have plans to work on a smart contact lens that can monitor blood-sugar levels and correct vision in a new and innovative way.

The idea was a brainchild of Brian Otis, a former electrical engineering professor and a team leader at Google. His research group wants to take advantage of the possibility to shrink computer microchips, wireless antennas and other parts of the smart contact lens to ensure it won’t interfere with the user’s view.

Eye-care firm Alcon, a unit of Novartis, had licensed the technology from Google and sought regulatory approval of the device from the DFA. The Switzerland-based company will also be the one to produce the lens.

“The eye-mountable device is mounted on the pedestal such that the posterior concave side contacts the second end of the pedestal and the eye-mountable device is elevated from the base of the container,” reported Tech Times.

Stiff Competition

While the idea is extremely unique, Google needs to work faster in releasing their own smart contact lens. Apparently, another company is already working on producing the same technology and it will be compatible with their rival tech manufacturer, Apple.

Medical supply company EPGL also intends to develop a smart contact lens with compatible apps for the iOS platform. The technology will be projecting augmented reality applications to the user’s eyes.

While many predicted that Apple is working on a VR headset, CEO Tim Cook clearly feels that AR will be bigger than virtual reality and they have been working on it ‘behind the curtain’ for quite a while now.

Some industry experts even suggest that Apple were already making their recent handset, iPhone 7, ready for AR or VR head-mounted devices. It is believed to “foster wireless technology” with the introduction of the EarPods, which will power most future wearables in the coming years.

Although a lot of consumers were initially disgruntled by the removal of the device’s headphone jack, it remains one of the most popular handsets today with an overall rating of 4.1-star by O2 users, surpassing the rating given to other Android smartphones.

As Apple continues to focus on AR, it seems a smart contact lens by EPGL running iOS apps will certainly add competition to Google’s upcoming release. Who will dominate the market in 2017, remains to be seen.

Delays in development

Back in 2014, after the news of the partnership was revealed to the public, Novartis CEO Joe Jimenez mentioned that he hoped to see the smart contact lens released on the market within five years or so. He was then reported in 2015 saying that they were on track to begin testing in 2016.

However, a representative from the pharmaceutical firm recently revealed they had done away with their 2016 goal of testing the technology and their timelines have had to be moved back further due to unprecedented delays.

“It is too early to say when exactly human clinical trials for these lenses will begin,” a Novartis spokesperson told Reuters. “This is a very technically complex process and both sides are learning as we go along and will provide updates at the appropriate time.”

It is still unclear when they will start testing the technology. However that doesn’t mean that there isn’t anticipation for the new innovation as Google continues to aggressively explore the possibility of a glucose-sensing lens after their successful meeting with the FDA, the market is waiting for its arrival of what could be a groundbreaking piece of tech.

Exclusively written for Lyfbulb
by TechJeneration

Few black diabetes patients in US drug trials

Even though diabetes rates are almost twice as high in black people as in whites, black patients may be far less likely to be included in drug safety trials, a recent study suggests.

Since 2008, the U.S. Food and Drug Administration has required that new glucose-lowering medications for diabetes be tested for cardiovascular safety, which may differ based on patients’ race or ethnicity, researchers note in The Lancet Diabetes and Endocrinology.

When researchers looked at seven diabetes drug trials done since then to test cardiovascular safety, they found that in five of the trials, black people made up less than 5 percent of the patients.

“In the United States the burden of diabetes and the serious complications associated with it fall unfairly on minorities, particularly African Americans, yet it appears that they are under-represented in clinical trials of new therapies and devices,” said study co-author Dr. David Kerr of the William Sansum Diabetes Center in Santa Barbara, California.

“If they are excluded they may be exposed to therapies which may not work or could cause harm,” Kerr added by email. “The therapies are also likely to be expensive…

Diabetes Expo doles out awards, features inventor of ‘artificial pancreas’

Dana Lewis' homemade 'artificial pancreas' | Photo by Brenda Neth
Dana Lewis’ homemade ‘artificial pancreas’ | Photo by Brenda Neth
By Brenda Kay Neth

On Nov. 19, the American Diabetes Expo at Magnuson Park brought together the diabetic community for National Diabetes Awareness Month in Washington state and Seattle.

About 30 exhibitors shared everything diabetes, from cooking with former Galloping Gourmet, Graham Kerr, to devices allowing diabetics to inhale their insulin, and the making of an artificial pancreas by 28-year-old Dana Lewis.

Lewis, a Seattle resident, is using computer algorithms to design constant, safe and accurate glucose testing for the administration of insulin. Lewis received this year’s Diabetes Personified award during the World Diabetes Washington presentation held at the expo. She’s created a program and hardware setup that allows insulin to be administered automatically based on blood sugar testing.

Lewis said her invention is not FDA approved, and that an “official” FDA approved artificial pancreas will come out on the market in the spring of 2017. Lewis stated that over 50 individuals have built their own artificial pancreata by using the online open source of information that she has made available to those in need. There is no profit involved, and there is no official organization promoting her device. Lewis has worked at the W2O marketing agency for one year, focusing her spare time on expanding awareness within the diabetic community about the do-it-yourself system she has created. Information on the DIY artificial pancreas is at openaps.org.

Lewis’ motivation to develop her artificial pancreas was simple — she’s lived…

Novel lipid lowering medication improves blood sugar control in type 2 diabetes

Novel lipid lowering medication improves blood sugar control in type 2 diabetes

High triglycerides – a type of fat, or lipid, in the blood – increase the risk of heart disease and perhaps type 2 diabetes.

For the first time, it has been shown that profoundly lowering triglycerides in diabetics improves their insulin sensitivity over time, which helps them maintain healthy glucose – blood sugar – levels.

Volanesorsen, an experimental lipid-lowering medication, improved insulin sensitivity and glucose control by significantly decreasing patients’ overall hemoglobin A1c – the standard clinical measurement of blood glucose levels for diabetics.

The findings in a new study are reported by researchers from the Perelman School of Medicine at the University of Pennsylvania. The results are published in Diabetes Care.

Researchers enrolled 15 adult patients with type 2 diabetes and hypertriglyceridemia who had been taking metformin – an oral medication that helps control blood sugar levels – for their diabetes.

Patients were randomly assigned to two groups: one to receive volanesorsen and the other a placebo.

After taking the medication for 12 weeks, researchers found that patients on volanesorsen experienced a 69% reduction in triglycerides, and a 57% improvement in whole-body insulin sensitivity.

Several tests of glucose control, including hemoglobin A1c, were also significantly improved. Researchers concluded that the drop in triglycerides was strongly related to improved insulin sensitivity and improved hemoglobin A1c.

“These results prove volanesorsen to be an effective treatment method for improving insulin sensitivity, but what’s most interesting, and perhaps most encouraging, is that this drug also significantly improved patients’ hemoglobin A1c levels,”…

Artificial pancreas is major breakthrough for improving lives of diabetics

SOUTH BEND, Ind. If you or someone you know lives with diabetes, you know how tedious it can be to test blood sugar several times a day and then try and figure out how much insulin is needed.

Insulin pumps and glucose monitors have been a great help to diabetics. But this past September, the FDA approved the first major breakthrough in a long time: the first artificial pancreas.

The artificial pancreas means no more constant checking of sugar levels and no injections needed.

Dr. Cavanaugh said, “You’ll have a pump…that you’ll wear on this side, and the insulin will be delivered through a catheter. Then, the sensor is worn on another spot on the abdomen and that senses the glucose in the skin and then they wirelessly talk to each other.”

This new artificial pancreas will dramatically change the lives of diabetics.

Many diabetics wear a sensor which senses the glucose or sugar in their systems and a pump to deliver insulin, but the patient still has to do all the calculations as to how much insulin is needed. Others live by sticking their fingers several times a day.

Dr. John Cavanaugh, an endocrinologist at the South Bend Clinic, says this newly approved device called the MiniMed 670G will change the lives of patients like Dr. Kesler Truelove of Mishawaka by combining the glucose monitor and insulin pump in one device.

“This next step is going to automatically do that for them. As far as the basal infusion goes, that’s the insulin that is delivered all the time,” said Dr. Cavanaugh.

Dr. Truelove was on a high school bus trip at age 16 when he started hallucinating and had to urinate all the time. At first, his teachers…

Sanofi Gets FDA OK for Diabetes Drug Soliqua (SNY)

Sanofi (SNY) secured approval from the U.S. Food And Drug Administration (FDA) for its new diabetes drug, Soliqua (insulin glargine & lixisenatide injection). (For more, see Sanofi Took $100M Hit on MannKind Deal.)

The Soliqua drug is a combination therapy involving Lantus (insulin glargine 100 Units/mL) and Lyxumia (lixisenatide), a GLP-1 receptor agonist that stimulates insulin production in the pancreas.

The once-daily injection drug from Sanofi works by improving glycemic control, which refers to controlling the typical levels of blood sugar (glucose), in adults with type 2 diabetes.

Market Potential

While Sanofi already has an insulin treatment called Lantus, it recently lost its patent protection, which will hurt revenues. The launch of…

24 diabetics clear glucose tolerance test, felicitated

diabetes, Freedom from Diabetes, diabetic, Diabetes cure, pune news
(Source: File/Representational photo)

AT A function organised by Freedom from Diabetes, 24 diabetics — who are called freedom champions — were felicitated for clearing a difficult glucose tolerance test (GTT) after having been free of insulin/ tablets for over three months.

Watch what else is making news:

It is very difficult, in fact near to impossible, for a former diabetic to pass GTT, as it involves consuming 75 grams of pure glucose (equivalent to 15 teaspoons of sugar)…

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