Category Archives: diabetes guidelines

Changing diabetes management in older and elderly people

The results of the DCCT and the UKPDS studies changed lives. They also changed health care practice. Since 1993 we have been carb counting and using basal-bolus insulin dosing (type 1 diabetes). We’ve been starting insulin earlier and/or using a combination … Continue reading

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Low Blood Glucose

Has this ever happened to you? You feel symptoms of a low blood glucose (hypoglycemia), you check, and it’s actually not low? This can happen if you are nervous/excited and are experiencing the affects of adrenaline, which can be the … Continue reading

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Needle Length for Insulin Injection

Once upon a time we only had long insulin needles. Of course they weren’t called long; they were simply called needles. But over the past several years the needles for injecting insulin (by syringe or pen) have gotten shorter and … Continue reading

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Protect Yourself

The Standards for Medical Care in Diabetes – 2014 recommend an annual flu vaccine for those with diabetes. They recommend pneumococcal polysaccharide (pneumonia) vaccine for those with diabetes who are over 2 years and a one-time re-vaccination for those older … Continue reading

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How to store insulin

Here’s my motto for storing insulin: if I’m comfortable, my insulin is comfortable. Insulin is a protein, so it can’t get too hot or too cold or it will denature (change shape and not work the way it’s supposed to … Continue reading

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Same food advice for all

Despite using the ‘s-word’ (should), an article I read recently caught my eye because it has what I think is an important message. In fact, this is one of the messages that I emphasize in my book. For a very … Continue reading

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What the dentist said

I have more to report from the presentations I heard last week! There was a dentist on a panel of health professionals, and when asked to explain the best way to brush teeth he answered: “It’s more important how long … Continue reading

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Sharps Disposal

Let’s avoid throwing our sharps in the trash or toilet; I don’t want to see them wash up on the beach and you probably don’t either. It’s even more important to avoid having some poor person get stuck and not … Continue reading

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New Diabetes Education Standards

A task force of diabetes professionals has developed and published the brand new National Standards for Diabetes Self-Management Education and Support. This version of the standards emphasizes communication between all members of the patient’s health care team, and putting the … Continue reading

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should government regulate sugar?

Here’s an article with some ideas about government regulation of sugar. It got me thinking about where I stand on this. David Katz has been known to say that taxing junk food and sugary drinks is not enough. It’s just … Continue reading

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