The Best Glucose Meter

Blood glucose meters can be like security blankets – we tend to get pretty attached.  (I’ve written about this before.) Every year there are reports on all the blood glucose meters available, their features, accuracy, and so on. Here’s the latest one from Consumer Reports.

So how do we possibly decide which meter is best? There are some features that really make a difference for people. For instance, some of us need larger numbers/letters on the display, others need a talking meter. Some people want the shortest possible time involved, or the smallest possible drop of blood. For others it’s the actual size of the meter that matters most.

Personally, I’m driven by cost. My insurance wants me to use one particular meter over another, so in order to get the strips for the cheapest price, that’s the one I use. Some health insurance plans allow a choice, others don’t (for the lowest price, that is). Luckily, most meters work about the same. Most no longer have to be coded. As far as accuracy and ability to find and follow trends, consistent use of one meter tends to be best, but it’s also good to know that there are groups of people advocating for better controls for blood glucose monitoring strips.

It’s probably a good idea to take a look at these reports each year and figure out if we are still using the best (and most cost-effective) meter. And very important: if you have health insurance, be sure to find out how to get your strips for the best price. I often hear about people who buy their strips out of pocket, not realizing that it’s a prescription (or durable medical – depending on coverage) item and would be covered.

 

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Hope for a Cure

the-human-trialI don’t think about a cure for diabetes. I honestly don’t. I live my life every day, work hard to take care of my body, work hard to raise good and successful kids, work hard in my job(s), and sometimes clean the house. I don’t think about a cure, because I’m just too busy living well with diabetes.

However, lots of people do think about a cure, and I have great appreciation for the people who think about and work on a cure. I’ve said before that I have no doubt there will be a cure someday. I also believe there will be a prevention before there’s a cure. But I don’t know that either will happen in my lifetime. The cure has been “five years away” for the 38 years that I’ve had diabetes. Hearing those words can elicit great excitement and anticipation and hope. But when it doesn’t come to fruition, they can also lead to great disappointment and discouragement. This is why I just don’t dwell on it.

I watched (and highly recommend) the trailer for a documentary that is currently being developed about the “race for the cure.” It got me choked up. I hope this film is a huge success, and more important, I hope the research groups find huge success. This is exciting stuff.

While I do believe it’s important for some people to focus on cure research and cure fundraising, I think it’s just as important for others to focus on living well today – with what we have. So I will continue to be and do the latter. And sometimes I will be inspired by a movement that stirs me to raise my voice. And the rest of the time I will work hard to help people with diabetes live well right now.

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Same food advice for all

FotoFlexer_Photo-187x300Despite 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 long time people with diabetes were made to feel different (and many still are), and because society is very slow to catch on to new ideas (well, sometimes), the idea that food messages are the same for people with and without diabetes has had a hard time sticking.

What we know about food in 2013 is good information and provides healthy guidelines for everyone. Trans fatty acids (from processed foods), and excess saturated fats, sodium, carbohydrate and protein are hard on our bodies. In other words: everything in moderation except vegetables! In addition, quitting smoking can save blood vessels and exercise is beneficial overall. Most important, a positive attitude about what we eat and how we live can help us live happier, longer lives.

Ok, there is one difference. While the message about food is the same for those with or without, eating and drinking involves more thinking for people with diabetes. And maybe a little more math. And that’s why people with diabetes are so darn smart.

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What the dentist said

Electric ToothbrushI 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 you brush than how you brush.” He did say to ask your dentist/hygienist for tips on how to brush, but his take home message (which, by the way, I not only took home but shared with my husband and kids!) was that the most important thing is to brush for 2 to 4 minutes twice a day. And he strongly recommends using an electric toothbrush – because it has a timer!

He also said it’s important to share with your dentist that you have diabetes, because they can help you with your oral health. Diabetes can contribute to all sorts of problems in the mouth (oral cavity), teeth and gums, and likewise, problems in the mouth can contribute to difficulty managing blood glucose levels. Check out this post for more about diabetes and oral health.

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World Diabetes Day-after

WDD-logo-date-EN-2048pxThere are still over 300 million people in this world  who have diabetes! But we can say that yesterday, which was World Diabetes Day, was a huge success. People were talking! The word was being spread about how much diabetes there is, what it’s like to live with diabetes, and so on.

I went to bed last night thinking about how World Diabetes Day felt like a HUGE (worldwide) get-together. I don’t want to say “celebration,” because these numbers are not really something to celebrate. Yet we celebrated each other and the support we give and get from non-profit organizations and the Diabetes Online Community.

I am always humbled to see and think about the advocacy efforts that are being made in the name of diabetes – making life better and safer for those who live with it, and working on a cure so future people don’t have to.

Thank you to everyone who participated in some way – big or small – in World Diabetes Day. I plan to be even more involved next year, and one day I hope there will be no World Diabetes Day.

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New(ish) recommendations on fiber

The-Importance-of-Dietary-Fiber-300x206Have you been subtracting fiber grams in your food to determine “net carb” grams? I recently heard a dietitian say that this practice is no longer recommended.

Years ago, smart people determined that a high fiber food item (more than 5 grams of fiber) slows down the blood glucose-raising action of carb enough that it was possible to subtract the grams of fiber from the grams of carb and just take insulin for the remaining number of carbs.

After a while it became clear that we only needed to subtract half the fiber. For example, if you eat a sandwich with two slices of bread and each slice has 4 grams of fiber and 16 grams of carbohydrate, you have a total of 8 grams of fiber and 32 grams of carb. With this formula, you can subtract 4 grams from the 32 and take insulin for 28 grams of carb. This doesn’t seem like a huge difference, and for most people it probably isn’t. That may be why this recommendation is fading out.

But something to keep in mind – especially if you take insulin or other medications that lower blood glucose – if you eat a lot of fiber in one sitting (bean soup, for example), is that the carb in the food may not have as big or as quick an effect as you are expecting.

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What is Hemoglobin A1C?

blood driveI attended a diabetes update the other day, and wanted to share what I learned.

The speakers were great, but I was possibly even more impressed with the questions asked by people in the audience. One man, who disclosed that he’s had diabetes for 40 years, asked what “A1C” is. I was shocked! How could someone have diabetes for that long and not know what A1C is? Where is he going for his diabetes/health care? Why was he not taught this? (Ok, in everyone’s defense, maybe it was called something else, or this gentleman misunderstood or forgot – who knows).

I’m sure there are plenty of people out there who are not aware of or at the very least unsure of what A1C is. Because it is such an important part of diabetes management, I will explain it here. Hemoglobin A1C is considered a three-month “average” of blood glucose. It is measured to determine how someone’s blood glucose levels are doing in the big picture (as opposed to one-time fingerstick blood glucose levels done at home or in the clinic).

Although scientifically A1C is not as simple as an average, that’s the easiest way to explain it. People with diabetes ideally have their A1C checked every 3 months (sometimes less often if things are stable). A1C is measured in the blood – either by a blood draw or fingerstick, depending on what equipment the particular lab uses.

A1C tells us our relative risk of developing complications related to diabetes, which is, after all, why we manage this disease – to reduce that risk! In this post I wrote about the history of A1C.

If you have diabetes and you’ve never had an A1C checked – or you haven’t been told about A1C – please ask your health care provider right away.

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A simple message for those with diabetes

I had an amazing conversation with a friend this morning. We were talking about all sorts of things, but most were centered on growth. We always have room in our lives for learning, growing, and getting better.

But we tend to get in our own way.

This made me think of managing a disease like diabetes. There are always ways we can do more or do better, but sometimes we get in our own way. We might refuse to try something new or make a different choice. We might use excuses. We might even think we don’t have what it takes. Worse yet, we might think we aren’t worthy, or that we don’t deserve to be healthy, happy, or successful.

Well, I’m here to remind all of us that we are worthy. We do have what it takes, and we are enough. Let’s get out of our way and get on with living the best possible life before us.

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Diabetes & Candy

halloween-candy-by-phanton-kittyHalloween is a fun tradition for many, but what to do with all that candy (diabetes or not)? Here are a few ideas:

  1. Send it to the troops overseas.
  2. Take it to work (or better yet send it to work with someone else) and put it out for others.
  3. Save it and eat one piece a day for a year.
  4. Use the non-chocolate options (Skittles are great – those little packs are the perfect amount!) for treating low blood glucose.
  5. Put it in a bag outside the front door. The Halloween Fairy might come, take it away, and leave a non-candy treat.
  6. Buy it back from your kid with cash (keep the value of each piece low; it adds up fast).

What else has anyone done to get rid of excess Halloween candy?

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Big, Blue “Test”

Big-Blue-Test-LogoHave you heard about the “Big, Blue ‘Test‘”? This is a project that the Diabetes Hands Foundation has been doing for several years now – and you can participate! Between now and November 14th, just go to the Big, Blue ‘Test’ website and sign up or log in. Check your blood glucose, then participate in 14 or more minutes of physical activity/exercise and then check again. Enter your numbers at the website, and for every Big, Blue ‘Test’ entered, a donation will be made that can help change the world of diabetes.

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