There's a lot of focus on weight loss as of late; not only in the diabetic community, but in the world in general. New ads for gyms and products claiming fast weight loss come out daily, women feel pressured to lose pregnancy weight within minutes from birthing their children, thin models are being airbrushed until they are nearly unrecognizable and diets are being undertaken without people understanding how/why/if it's really going to be effective. Some of my own friends are chronically doing near-starvation diets to shed weight. People seem to be focused on getting the fat off, but unless long term habits are improved, it's not going to stay off. It's great to fight the obesity epidemic, but we can't allow ourselves to go to the other extreme. Carrying excess weight isn't a good thing, but I think we're losing focus on the importance of health versus aesthetics.
Metformin, the cornerstone in treating type 2 diabetes, saw an increase in usage among type 2s from 23 percent of that population in 1997 to 53 percent in 2012. But that increase has since plateaued due to the introduction of additional drugs that target insulin secretion and glucose regulation.
Lantus and Levemir have a lot in common. Both are basal insulin formulas, which means that they last for a long time in the body and act as background insulin, with a slow feed that mimics the constant low output of insulin produced by a healthy pancreas.
The US Food and Drug Administration has approved the use of Novo Nordisk's Levemir basal insulin for type 1 children aged two to five years. The FDA decision makes Levemir (insulin detemir [rDNA origin]) the only basal insulin approved for use in this age group. Levemir, introduced to the US market in 2006, was previously approved for older children and adults with type 1 diabetes, as well as insulin-using type 2s.
The unconditional love of a dog can be an amazing source of strength and resilience for its owner. Eight-year-old Madalaine Hembraugh and her foster dog, Petey, are living proof of that. They both have type 1 diabetes, and they have formed a bond that is helping to heal them both.
As I explained in my previous articles, I was pre-eclamptic and was admitted to the hospital at 37 weeks. I had a migraine that lasted for ten hours after I entered the emergency room. I had experienced migraines before and knew that Tylenol wouldn't ease the pain, so I went untreated even in the hospital. About twelve hours after admission, I was brought to the women's floor, where I waited for my already injected Levemir supply to diminish in my bloodstream.
There's nothing quite like wondering how you're going to pay for prescriptions. I find it odd that we usually don't know what our out-of-pocket cost will be until we're standing in front of the pharmacy staff and praying that we have enough in our wallet to cover it. I often feel like a reality show contestant waiting for the grand total. My pharmacy-based reality show would probably be called "The Biggest Payer," or perhaps "The Amazing Guess," or, aptly, "Survivor." If you've ever walked away from the pharmacy counter embarrassed, panicked, or depressed, you know the feeling I'm referring to. It's a pain no prescription can cure.
Welcome to the second trimester! By now, many type 1s are experiencing fewer hypoglycemic episodes, and insulin resistance is just beginning to rear its head. You're on the other side of the miscarriage worry hump and getting settled into the pregnancy routine. Congratulations! Take a few minutes each day to celebrate your successes and pat your stomach with a smile, knowing you are doing the best you can to give your growing child everything she needs.
A couple of factors lead to increased risk of insulin shock comas during the first trimester. For many, insulin sensitivity increases and the pancreas isn't yet producing the hormones associated with insulin resistance. In addition, many type 1s will be taken off of their current basal insulin if it is not yet approved for use during pregnancy.
Charlie Kimball, the first and only driver with type 1 diabetes in the history of the Indy Racing League to race cars at its highest level, needs your help: Just as when he's racing, Kimball finds himself neck-in-neck in a competition. In this case, he's looking to win the Firestone Tire-iffic Award and you can help him out by voting for him---but you only have till Thursday, August 11, to do so.
Dr. Jonathan Beach is a 35-year-old emergency medicine physician who has had type 1 diabetes for 31 years. He owns and operates Urgicare, a wellness center that includes The Northeast Center for Diabetes Care and Education in Plattsburgh, New York, an isolated rural community that has few other resources for diabetes. This is his story of his life with diabetes and his professional experience with the insulin pump.
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