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There is a lot of news and information in today's digest, from tales of high blood sugar to diabetes symptoms and related diseases, to management tips and epidemic updates. Remember, if you have questions about your diabetes care, ask your doctor.

Fuskie
Who notes we all share a common experience with our own unique situations and wishes everyone controlled blood sugars and plenty of support as you manage your disease...

Preventing High Blood Sugar Emergencies
High blood sugar (hyperglycemia) in diabetes occurs when the sugar (glucose) level in the blood rises above normal. For a person who has diabetes, high blood sugar may be caused by missed diabetes medicine (insulin or pills), by eating too much food, by skipping exercise, or by illness or stress.

Unlike low blood sugar, high blood sugar usually develops slowly over hours or days. Blood sugar levels well above your target range may make you feel tired and thirsty. If your blood sugar level stays higher than your target range, your body will adjust to that level. If your blood sugar continues to rise, your kidneys will produce more urine and you can become dehydrated. If you become severely dehydrated, you can go into a coma and possibly die. Over time, high blood sugar damages the eyes, heart, kidneys, blood vessels, and nerves.

Read the three things you can do: http://diabetes.webmd.com/preventing-high-blood-sugar-emerge...

How the Blood Sugar of Diabetes Affects the Body
Diabetes mellitus leads to persistently elevated blood sugar levels. Over time, high sugar levels damage the body and can lead to the multiple health problems associated with diabetes.

But why are high blood sugars so bad for you? How much sugar in the blood is too much? And what are good sugar levels, anyway? WebMD takes a look at how your sugar level affects diabetes and your health.

http://diabetes.webmd.com/how-sugar-affects-diabetes

High Blood Glucose from 5pm to 8pm
JesusA posted: I have type 1 diabetes. I have it since I was 13, 10 years ago, I am now 23. I go to the gym in the morning and practice box or run in the evening. I take insulin shots with every meal containing carbs and 1 shot (lantus) at night.

Since this past friday I am having trouble controlling my blood glucose after 5pm until 8 pm, for some reason it is going up. I eat lunch at 2:30pm check my BG at 4:30 and it is fine, at about 150 or lower. But then I start feeling high blood glucose, I check and I am high, at about 250!

I inject 3 units of fast acting insulin (humalog) and check again at 6, it is still high at 250, I inject another 3 units and check again at 7 only to find out I am at about 200.

This is affecting my blood sugar and my evening excercise, since i like to box or run at 8pm.

What could be causing this? What can I do?"

Check out the responses here: http://forums.webmd.com/3/diabetes-exchange/forum/9158

More Sugar in Food Supply = More Diabetes
It's a common belief that type 2 diabetes is caused by eating too much sugar. While it's not nearly that simple, a new study bolsters the connection between the disorder and sugar consumption.

The study found that even when researchers factored obesity out, an association still remained between the amount of sugar in the food supply and a country's rate of diabetes.

http://diabetes.webmd.com/news/20130227/countries-with-more-...

Top 10 Type-2 Superfoods
Yes, variety is essential when it comes to diabetes. But these 10 tried-and-true staples are nutrient-rich, protect against chronic diseases, and are ideal foods for people with type 2 diabetes, says Kathleen Zelman, MPH, RD, LD, WebMD's director of nutrition. Plus, they're delicious.

Berries A smart substitute when you need to limit candy, berries offer sweet flavor, few calories, lots of fiber, and a hefty dose of antioxidants, chemicals that help protect against cancer and heart disease. Raspberries, strawberries, and pomegranates (yes, they're considered a berry) also have plenty of ellagic acid, an antioxidant that may have anti-tumor effects. Toss fresh berries in your morning cereal and noontime salads, and keep dried versions handy for snacking. High-fiber foods like berries help maintain blood sugar levels.

http://diabetes.webmd.com/features/top-10-type-2-superfoods

Living With Diabetes Foot Care
If you've never thought about how important your feet are, try standing in a high wind with small feet and broad shoulders. Those living with diabetes have more incentive to keep an eye on their feet, however, than justt looking out for bad weather. People living with diabetes are more prone to foot problems getting out of control as damage to nerves can mask serious or the seriousness of injury.

Inspect your feet every day, and seek care early if you do get a foot injury. Make sure your health care provider checks your feet at least once a year - more often if you have foot problems. Your health care provider should also give you a list and explain the do's and don'ts of foot care. Most people can prevent any serious foot problem by following some simple steps. So let's begin taking care of your feet today.

http://www.diabetes.org/living-with-diabetes/complications/f...

FDA Approves Invokana For Type 2 Diabetes Treatment
The first in a new class of type 2 diabetes drugs was approved Friday by the U.S. Food and Drug Administration.

Invokana (canaglifozin) tablets are to be taken, in tandem with a healthy diet and exercise, to improve blood sugar control in adults with type 2 diabetes.

Invokana belongs to a class of drugs called sodium-glucose co-transporter 2 (SGLT2) inhibitors. It works by blocking the reabsorption of glucose (sugar) by the kidney and increasing glucose excretions in urine, the FDA said in a news release.

http://diabetes.webmd.com/news/20130329/fda-approves-1st-in-...

Can Coffee Bean Extract Help Control Blood Sugar?
A natural extract from unroasted coffee beans may be a tool in fighting the uncontrolled blood sugar levels characteristic of diabetes, a small, preliminary new study suggests.

Research done in India on normal-weight participants with normal blood glucose (or blood sugar) levels found that various doses of supplements containing green coffee extract all lowered blood sugar, with higher doses associated with larger drops.

http://diabetes.webmd.com/news/20130409/could-coffee-bean-ex...

Diabetes Management In 10 Minutes or Less
Take a minute to put a pair of slip-on shoes and socks near the door so you aren't tempted to go outside barefoot. Make sure your slippers or house shoes are in a handy location too, so you'll remember to wear them inside to avoid injury.

This is just one of many simple, quick tips that can be done in minutes to better manage your diabetes and prevent complications.

Read about 10 more here: http://diabetes.webmd.com/active-life/slideshow-managing-dia...

Beta Blockers and Diabetes Numbers
"f you have diabetes "and" heart problems, and are taking beta-blockers as heart medicine, be aware of side effects, one of them being higher blood sugar numbers. For the longest time, I was able to keep my bs numbers at bay with diet and exercise alone.

When I started my first beta blocker, I started gaining weight and getting higher numbers, even with an hour of heavy UJam exercise every day! Even fruit, things I could have before like melons, a small apple started spiking me. I just couldn't figure it out. I started my 2nd heart medicine many months ago, and started having side effects, just little ones at first, but finally depression, nightmares, and even a hallucination, along with hair loss, blurry vision(surely from the diabetes I thought), out of breathe...couldn't make it through my UJam routines or climbing hills,etc.

Here's what I want to say. Always research online side effects. Even with talking to both my regular and heart doctor, they would test me but nothing would show up. I finally talked to my pharmacist who told me I had almost every side effect to the medicine(beta blocker). Finally, the doctor told me (after I told him I found out my brother was allergic to the same medicine)that it had affected my nervous system.

Read more here: http://forums.webmd.com/3/diabetes-exchange/forum/9209

Melatonin & Type 2 Diabetes May Be Linked
Decreased levels of the hormone melatonin may be linked to the development of type 2 diabetes, according to new research.

A study of U.S. women found that those with the lowest levels of melatonin had more than twice the risk of type 2 diabetes compared to women with the highest levels of the hormone. This association held true even after the researchers controlled for other risk factors for type 2 diabetes, such as body weight and dietary habits.

But whether too little melatonin actually causes type 2 diabetes isn't clear. "We found an association between melatonin and type 2 diabetes; what we haven't got from this study is causality," said study lead author Dr. Ciaran McMullan, a research fellow at Brigham and Women's Hospital in Boston. "That's the next step of research."

http://diabetes.webmd.com/news/20130402/study-suggests-link-...

Best and Worst Meals for Diabetes-Savvy Dining
When you're facing type 2 diabetes, eating a good balance of protein, carbohydrates, and healthy fats is important. And some people find it helpful to count carbs, too. So what's a well-balanced dinner? A power breakfast? Browse our gallery to see in a glance which meals don't quite measure up and tasty, better bets. See a doctor for a custom meal plan based on your individual needs.

http://diabetes.webmd.com/ss/slideshow-diabetes-meals

Diabetes and Low Testosterone
A link between diabetes and low testosterone is well established. Men with diabetes are more likely to have low testosterone. And men with low testosterone are more likely to later develop diabetes. Testosterone helps the body's tissues take up more blood sugar in response to insulin. Men with low testosterone more often have insulin resistance: they need to produce more insulin to keep blood sugar normal.

As many as half of men with diabetes have low testosterone, when randomly tested. Scientists aren't sure whether diabetes causes low testosterone, or the other way around. More research is needed, but short-term studies show testosterone replacement may improve blood sugar levels and obesity in men with low testosterone.

http://www.webmd.com/sex-relationships/low-testosterone-8/ot...

Diabetes And Severe Shaking
"I have type 2 diabetes and have had a problem recently with shaking. Out of the blue, my whole body will shake, severely, and I feel weak. The first time it happened, my blood sugar was 63, so I thought it was because of that; but, it has been happening every day now, whether or not my sugar is high. The shaking would usually go away after 5 or 10 minutes, but today I am continuing to shake. The severity is down, but I am still shaking and feeling weak. Anyone feel like this with diabetes?"

Read the responses to this post here: http://forums.webmd.com/3/diabetes-exchange/forum/9208

Blood Sugar Control and Insulin
With both type 1 and type 2 diabetes, you can help manage your glucose level with diet. Monitoring carbohydrates is key because carbs strongly affect your blood sugar. A balanced diet includes a variety of vegetables and fruits, whole grains, beans, fish, lean meats, and nonfat dairy. When you live with diabetes, it may be a good idea to follow a schedule for meals and snacks.

http://diabetes.webmd.com/ss/slideshow-blood-sugar-insulin

24 Ways to Lose Weight Without Dieting
1) Slow down your eating. Set a timer for 20 minutes and reinvent yourself as a slow eater. This is one of the top habits for slimming down without a complicated diet plan. Savor each bite and make it last until the bell chimes. Paced meals offer great pleasure from smaller portions and trigger the body's fullness hormones. Wolfing your food down in a hurry blocks those signals and causes overeating.

Check out the other 23 ways here: http://www.webmd.com/diet/ss/slideshow-no-diet-weight-loss

Can my life ever just be normal?
I'm 24 years old now and I was diagnosed with Type 1 diabetes when I was 19. I have one first cousin with type 1 (mom's sister's son) but no one else in my family has it. I was doing pretty well with my sugars for th first few years but now I have such a hard time keeping my sugars from spiking after I eat. I used to have trouble with lows all the time because I was being overly assertive about walking after I eat and taking a bunch of insulin and then I wasn't doing too well, so my doctor told me to back off a bit. Well, now it spikes to 200 less than an hour after I eat any type of carb.

The only thing that keeps it from doing that is walking the minute I finish eating. walking walking walking walking. Sometimes I just want to eat dinner and sit down and watch a movie or study (I'm in nursing school). I don't always have time for the post meal walk a thon. I've tried eating different foods with meals like balancing proteins, fats, blah blah. It just doesn't work for me. Oh, and another thing that's really becoming a bother is the muscle spasms. I'll be fine and all of a sudden, I wake up one morning and there's a sharp stabbing pain in my upper back near my shoulder blade. I've tried stretching, smearing stuff on it, ice, heat, NSAIDS, but nothing makes it "unlock" for lack of a better word. I've had a bad one for about a week now. Some body help me.

http://forums.webmd.com/3/diabetes-exchange/forum/9234

Diabetes & Dietary Suppliments
Can dietary supplements really help control diabetes? If you are like many people with diabetes, you might wonder whether the ads you have seen or heard are true. Take a few minutes to learn how diabetes and dietary supplements can be a good mix -- or a set-up for trouble. So far, there is not enough research to support specific recommendations for diabetes and dietary supplements. Ongoing studies point to three minerals that may be helpful to people with diabetes:

http://diabetes.webmd.com/diabetes-dietary-supplements

20 Reasons for Blood Sugar Swings
Blood sugar can rise after drinking coffee -- even black coffee with zero calories -- thanks to the caffeine. Likewise, black tea, green tea, and energy drinks can hinder blood sugar control in people with diabetes. Each person reacts differently, so it's best to track your own responses to foods and activities. Ironically, other compounds in coffee may help prevent type 2 diabetes in healthy people. 

http://diabetes.webmd.com/ss/slideshow-blood-sugar-swings

Counting Carbs While Taking Insulin
Carbohydrates are found in lots of foods. Whether the carbs are starches, sugars, or fiber, they give your body energy to use right away or to store for later. But different types of carbs can affect your blood sugar differently, says registered dietitian Rachel Beller, president of Beller Nutritional Institute: "If you have diabetes, get familiar with the carbs in the everyday foods you eat, so you can choose wisely."

http://diabetes.webmd.com/treating-diabetes-11/slideshow-cou...

Questions About Insulin for and from Your Doctor
If you were buying a car, you wouldn't dream of leaving the showroom without first asking the salesperson how safe it is, how well it drives, and how to operate it.

If you've been prescribed insulin -- a medicine used to treat diabetes -- you shouldn't consider leaving your doctor's office without asking how to take it, what side effects it might have, and how it will affect your diabetes.

Here is a list of important questions to ask your doctor before you start taking insulin: 

http://diabetes.webmd.com/treating-diabetes-11/insulin-quest...

Tactics to Eat Less at the Buffet Table
Few situations can trip up someone who is watching their weight like an all-you-can-eat buffet.

But a new research letter published in the April issue of the American Journal of Preventive Medicine suggests two strategies that may help dieters survive a smorgasbord: Picking up a smaller plate and circling the buffet before choosing what to eat.

Buffets have two things that raise nutritionists' eyebrows -- unlimited portions and tons of choices. Both can crank up the calorie count of a meal.

http://www.webmd.com/diet/news/20130419/gorging-at-the-buffe...

Tackle Diet, Exercise Together for Best Results?
If you're trying to get healthy, tackling both diet and exercise is better than trying to improve one lifestyle habit at a time, new research suggests.

The researchers did add that if you need to start with just one lifestyle change, choose exercise. They found that changing diet first may interfere with attempts to establish a regular exercise routine.

The study included 200 people, aged 45 and older, who were inactive and had poor diets. They were split into four groups: new diet and exercise habits at the same time; diet changes first and starting exercise a few months later; starting exercise first and making diet changes a few months later; and no diet or exercise changes.

http://www.webmd.com/diet/news/20130422/tackling-diet-exerci...

Peripheral Neuropathy, Diabetes, and Your Feet
When you have peripheral neuropathy caused by diabetes, your feet and skin need extra care and attention.

Very small, repetitive injuries to the feet -- like those caused by poorly fitting shoes -- can lead to bigger problems. Calluses, blisters, sores, infections, and foot ulcers may appear on numb areas of the foot, because pressure or injury goes unnoticed. This happens simply because you can't feel the problem.

Also, people with uncontrolled diabetes have a hard time fighting infections. They may also have poor circulation that can lead to problems with healing. That means a minor cut in the skin could become an ulcer or develop into a serious infection. With good foot care, you can prevent most of these problems.

http://diabetes.webmd.com/peripheral-neuropathy-foot-skin-ca...

Increasing Veggies Really Helps!
I recently doubled my already high intake of green leafy and non-starchy veggies. I have being reading books about diabetes from doctors who are largely vegan - NO animal protein, eggs, dairy. Some are into low fats and others not. All recommend nuts and seeds for fats, rather than cheese, dairy and red meat.

My body type seems to do well on animal protein, so I was mainly concentrating on adding more high nutrient veggies. This idea is to try to make my body have enough nutrients to heal itself. I am on no meds and was considerating going on metformin before seeing a big drop in post prandial sugars especially in the a.m. This morning my blood sugar was 81 upon rising, 90 1 hour after eating, and 78 3 hours post prandial including a nap.

Read more at http://forums.webmd.com/3/diabetes-exchange/forum/9246

Diabetes Self-Care Improves Slowly
More Americans are meeting diabetes care goals, but nearly half still aren't achieving major targets for controlling blood sugar, blood pressure and cholesterol, government health officials say.

Just 14 percent of people with diabetes hit all the recommended health targets during the first decade of the 21st century, according to the new report from the U.S. Centers for Disease Control and Prevention and the U.S. National Institutes of Health.

Researchers found that between 1999 and 2010, the number of people with diabetes who achieved their blood sugar goals improved by about 8 percent. That same time period saw a nearly 12 percent improvement in the number of people meeting their blood pressure goals.

And 21 percent more people lowered their LDL cholesterol (the bad type) to less than 100 milligrams per deciliter during the study time period.

Tobacco use was one area where the numbers didn't move.

http://diabetes.webmd.com/news/20130424/diabetes-self-care-i...

Treatment for Diabetes Nerve Pain
Nerve pain caused by diabetes, called diabetic peripheral neuropathy, can be severe, constant, and difficult to treat. It may start as a tingling sensation, followed by numbness and pain. But there are two key points that everyone with diabetes and peripheral neuropathy should know:

- Controlling your blood sugar levels can help prevent worsening nerve pain and improve your overall health at the same time.

- Medications can help relieve nerve pain, make you more comfortable, and improve your quality of life.

http://www.webmd.com/heart-disease/peripheral-neuropathy-tre...

Diabetes and Mood Disorders
Is there any documented evidence of a connection between type 2 diabetes and mood disorders. I have been experiencing mood disorders for a while and i am convinced that my type two diabetes is connected to this.

http://forums.webmd.com/3/diabetes-exchange/forum/9254

Could Low Melatonin Mean Higher Diabetes Risk?
Diabetes is one of the most serious health problems in the United States and around the world. According to Centers for Disease Control estimates, 1 in 10 American adults currently has diabetes. And, if the CDC projections are correct, those numbers will double or even triple over the next 40 years.

There are well-established links between disrupted sleep and risk of type 2 diabetes. But the exact relationship between the two is not fully understood. In the ongoing effort to better understand the causes and risk factors for diabetes, research in recent years has increasingly focused on the role of melatonin. Now, new research indicates that low levels of melatonin are associated with elevated risk for type 2 diabetes. The study, led by researchers at Boston’s Brigham & Women’s Hospital, found that women with the lowest levels of melatonin secretion had more than two times the risk of developing type 2 diabetes as those with higher melatonin levels.

http://blogs.webmd.com/sleep-disorders/2013/04/could-low-mel...

The Truth About Sweets and Diabetes
Sweet indulgences -- candies, pies, cakes -- were once off-limits for people with diabetes. Not any more.

In fact, research has shown that starches like potatoes and white bread affect blood glucose levels much like sugar -- causing sometimes-dangerous spikes in blood sugar. Carbohydrates found in most vegetables or whole grains don't affect blood sugar as much.

So today, counting carbs and choosing the healthiest of them is more important than eliminating sugar altogether. A little sweet treat is fine. If you're at a wedding, for instance, you can have a small slice of cake -- very small. Just substitute it for another starchy carb you might eat, like a small potato or a piece of bread.

http://diabetes.webmd.com/results-sweet-truth-about-diabetes...

Most Americans Oppose Soda, Candy Taxes
Most U.S. adults aren't sweet on the idea of soda and candy taxes, and many doubt the bigger price tags would trim the national waistline.

That's the finding of a new Harris Interactive/HealthDay poll released Thursday. In the online survey of more than 2,100 adults, respondents were opposed to government taxes on sugary drinks and candy by a more than 2-to-1 margin.

Between 56 percent and 58 percent said no to such taxes, while only 21 to 23 percent were in favor.

http://www.webmd.com/diet/news/20130425/most-americans-oppos...

FuskieNote: I personally have no problem with such a tax. Something has to be done to fight obesity in this country and warning people about the dangers of sugary drinks and candy isn't working. If an extra few pennies per product will encourage people to eat healthier, I think it's a small price to pay. Besides, since I don't drink sugar Coke or candies, I won't be stuck with the bill.

Your Brain On Sugar
It gives you a rush, messes with your mind, and always leaves you wanting more - and now researchers are calling for the government to regulate the sweet stuff like a drug.

Is sugar worse for you than, say, cocaine? According to a 2012 article in the journal Nature, it's a toxic substance that should be regulated like tobacco and alcohol. Researchers point to studies that show that too much sugar (both in the form of natural sucrose and high-fructose corn syrup) not only makes us fat, it also wreaks havoc on our liver, mucks up our metabolism, impairs brain function, and may leave us susceptible to heart disease, diabetes, even cancer. So far, no federal action has been taken (advocates blame industry lobbyists), and experts say simply raising awareness isn't enough, especially when 80 percent of our food choices contain sugar.

http://www.webmd.com/food-recipes/features/your-brain-on-sug...
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