A protocol for adjusting diabetes medications can improve diabetes management and patient blood-sugar levels

2007 ◽  
Keyword(s):  
Blood Sugar ◽  
Diabetes Management ◽  
Sugar Levels

scholarly journals Diabetes management with practice of Yoga Asanas and 2 spoons of Amla Juice and Turmeric for 90 days

2021 ◽  
Vol 2 (1) ◽  
pp. 22
Author(s):  
Phaneendra Kumar
Keyword(s):  
Blood Sugar ◽  
Software Engineer ◽  
Diabetes Management ◽  
Well Being ◽  
Normal Range ◽  
Yoga Therapy ◽  
Sugar Levels ◽  
Diabetic Person ◽  
Therapy Protocol

This case study is of a Diabetic person who works as an IT software engineer in Bangalore. Yoga Therapy Workshop was organized for 3 weeks (15 working days) in IT Company. The person showed interest in implementing the yoga therapy protocol for a longer duration to control her Diabetes. Her sense of well-being improved within one week of following the protocol which included Asanas, Meditation, Pranayam and Home Remedies such as Amla juice with Turmeric. She practiced yoga regularly and consumed 2 tablespoons of Amla Juice with 1 gram of Turmeric on an empty stomach for 90 consecutive days. She was not on any medication since she was diagnosed as a diabetic. Yoga has shown significant improvement in reversing the patient’s diabetes condition and returning her blood sugar levels to normal range.

MO643EFFECTS OF SELF-PRESCRIPTION OF INSULIN ON GLYCAEMIC CONTROL IN PATIENTS UNDER NEPHROLOGY CARE

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Ailsa Doak ◽  
Karen Stevenson ◽  
Colin C Geddes ◽  
Kate Stevens
Keyword(s):  
Glycaemic Control ◽  
Blood Sugar ◽  
Diabetes Management ◽  
Demographic Data ◽  
Regular Insulin ◽  
Adverse Outcomes ◽  
Insulin Regimen ◽  
Nephrology Care ◽  
National Patient ◽  
Sugar Levels

Abstract Background and Aims Co-existence of diabetes mellitus (DM) and kidney disease is common. In-patient hypo- and hyperglycaemia are associated with adverse outcomes and, for hypoglycaemia, an increased length of inpatient stay (LOS). NICE and the National Patient Safety Agency recommend in-patients with DM previously established on insulin be allowed to self-prescribe to reduce hypo and hyperglycaemia. It is unclear how this occurs in clinical practice in patients under nephrology care. We sought to describe glycaemic control and diabetes management in patients admitted to our nephrology service. Method All patients admitted to the Glasgow Renal and Transplant Unit between June and August 2020 were identified. In those with a previous diagnosis of DM, demographic data were collected including reason for admission and use of insulin. Self-prescription of insulin, blood sugar levels and episodes of hypo (BM <4mmol/L) and hyperglycaemia (BM >14mmol/L) were identified. Analysis was undertaken in SPSS v 27.0.1.0. Results One hundred and sixty-seven patients with a diagnosis of DM were admitted over the three month period. The remaining results refer only to the 90(54%) patients established on insulin before the index admission. Mean age was 58±7.1 years, 56% (n=50) were male and 77% (n=69) self-prescribed insulin throughout admission. Table 1 shows type of DM and regular insulin regimen. Mean HbA1C pre-admission was 68±6.4mmol/mol. Fifty-one (57%) patients were on dialysis and 12 (13%) had a functioning transplant. Reasons for admission included infection (n=21), to undergo a procedure eg arteriovenous fistula creation (n=21), AKI (n=10) and fluid overload (n=8). These 90 patients accounted for 113 admissions with a median LOS of 5 (2-9) days. In 46 (41%) admissions, there was at least one episode of hypoglycaemia and in 95 (84%) at least one episode of hyperglycaemia. During 12 (13%) admissions, there were neither hypo nor hyperglycaemic episodes. Insulin self-prescribers were younger (56±12.7 ‘v’ 60±9.7 years, p=0.04) and more likely to experience hypoglycaemia than those who did not self-prescribe (p=0.03). There was no significant increase in hyperglycaemia nor in median LOS between the groups. Episodes of hypoglycaemia were more likely with a lower mean fasting blood sugar (fbs), regardless of self-prescription of insulin (11±3.8 ‘v’ 13±5.1mmol/L, p=0.02) Conclusion Most patients with DM admitted under the care of nephrology, self-prescribe insulin. These patients are more likely to have an episode of hypoglycaemia and hypoglycaemia is more likely to occur if the fbs is <13mmol/L. It is unclear how our experience differs from that of other specialties. However, reducing renal function, eg in the setting of dialysis or AKI, and uncertainties regarding the carbohydrate content of hospital food may play a role in predisposing to hypoglycaemia. In order to facilitate safe management of DM in the inpatient nephrology wards, whilst preserving patients’ autonomy, attention should be paid to the fbs level and self-prescription of insulin should be permitted within a narrow range of the patients’ regular dosing regimen.

scholarly journals An Updated Review of the Gestational Diabetes

2021 ◽  
Vol 10 (3) ◽  
pp. 116-122
Author(s):  
Mozhgan Hafizi Moori
Keyword(s):  
Gestational Diabetes ◽  
Blood Sugar ◽  
Diabetes Management ◽  
Control Program ◽  
Normal Pregnancy ◽  
Narrative Review ◽  
Close Monitoring ◽  
High Blood Glucose ◽  
Glucose Levels ◽  
Sugar Levels

High blood glucose levels during pregnancy can lead to unfavorable outcomes in the mother, fetus, and neonatal state. This review focused on the latest guidelines on diagnosis, monitoring, and treatment of gestational diabetes mellites. This narrative review was conducted by searching through several online databases including PubMed, Science Direct, and Embase for relevant articles using keywords such as "Gestational Diabetes", "Diabetes Mellitus", "Pregnancy", and "guideline" with no date limitations. Based on the literature review, proper treatment of diabetes during pregnancy results in a normal pregnancy, labor, postpartum state. The key to a normal pregnancy is to control and keep your blood sugar levels within the recommended range by various guidelines, which were the discussion subjects of this narrative review in detail. In addition to maintaining normal blood sugar levels before or during pregnancy, there should be a balance between diet, exercise, and insulin intake if indicated for treatment. Gestational diabetes control program needs close monitoring and appraisal with progression in the pregnancy. As a result, recognizing the burden of gestational diabetes is decisive for timely diagnosis and further evaluations by healthcare policymakers. Overall, multiple updates on the guidelines of gestational diabetes management are annually published, and a comparison of these guidelines could inform clinicians to update their approach.

Plasminogen Activation in Diabetes Mellitus: Normalization of Blood Sugar Levels Improves Impaired Enzyme Kinetics In Vitro

1985 ◽  
Vol 54 (02) ◽  
pp. 413-414 ◽  
Author(s):  
Margarethe Geiger ◽  
Bernd R Binder
Keyword(s):  
Plasminogen Activator ◽  
Blood Sugar ◽  
Metabolic Disorders ◽  
Normal Values ◽  
Diabetic Patients ◽  
Type I ◽  
Plasminogen Activation ◽  
Lag Period ◽  
Sugar Levels

SummaryWe have demonstrated previously that fibrin enhanced plasmin formation by the vascular plasminogen activator was significantly impaired, when components isolated from the plasma of three uncontrolled diabetic patients (type I) were used to study plasminogen activation in vitro. In the present study it can be demonstrated that functional properties of the vascular plasminogen activators as well as of the plasminogens from the same three diabetic patients are significantly improved after normalization of blood sugar levels and improvement of HbAlc values. Most pronounced the Km of diabetic vascular plasminogen activator in the presence of fibrin returned to normal values, and for diabetic plasminogen the prolonged lag period until maximal plasmin formation occurred was shortened to almost control values. From these data we conclude that the observed abnormalities of in vitro fibrinolysis are not primarily associated with the diabetic disease, but might be secondary to metabolic disorders caused by diabetes.

Effects of Rapid Infusion of Ethanol on some Factors Controlling Blood Sugar Levels in Man

1972 ◽  
Vol 33 (3) ◽  
pp. 722-733 ◽  
Author(s):  
John W. Dundee ◽  
Martin Isaac ◽  
Elizabeth A. Davis ◽  
Brian Sheridan
Keyword(s):  
Blood Sugar ◽  
Rapid Infusion ◽  
Sugar Levels

Using Photovoice to understand physical and social living environment influence on adherence to diabetes

2021 ◽  
pp. 136345932110200
Author(s):  
Alice Scavarda ◽  
Giuseppe Costa ◽  
Franca Beccaria
Keyword(s):  
Blood Sugar ◽  
Diabetes Management ◽  
Lifestyle Changes ◽  
Living Environment ◽  
Local Health ◽  
Bonding Social Capital ◽  
Physical Context ◽  
Individual Traits ◽  
Italian City ◽  
The Individual

Within the past several years, a considerable body of research on adherence to diabetes regimen has emerged in public health. However, the focus of the vast majority of these studies has been on the individual traits and attitudes affecting adherence. Still little is known on the role of the social and physical context in supporting or hindering diabetes self-management, particularly from a qualitative standpoint. To address these limitations, this paper presents the findings of a Photovoice study on a sample of 10 type 2 diabetic older adults living in a deprived neighbourhood of an Italian city. The findings reveal that the possibility to engage in diet, exercise and blood sugar monitoring seems to be more affected by physical and social elements of the respondents’ environment than by the interviewees’ beliefs and attitudes. Both environmental barriers and social isolation emerge as barriers to lifestyle changes and self-care activities related to blood sugar monitoring. The predominance of bonding social capital, the scant level of trust and the negative perception of local health services result in a low level of social cohesion, a limited circulation of health information on diabetes management and, consequently, in poor health outcomes.

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