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Last Post: 6/23/2017 9:43:25 PM - Followers: 3 - Board type: Free - Posts Today: 0

 

                      Diabetes - WEB Publication Forum   
.
         For Patients, Health Professionals, Interested Persons and Investors
                  Good Manners Requested; Reality-Twisted Interpretations Prohibited !



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.
       World Diabetes & Health Care Org.
                                 Charity Non-Profit Organization
 
                For The Best of Humans Worldwide
 
    World Diabetes & Health Care Org.  

    To help Diabetes People worldwide to get the information they need by one view to

    better understand and manage it to have a happy Diabetes Life. Our aim is also to
    create The Awareness For The Ongoing World Epidemic for the political parties,
    governments and institutions to do what it need to improve the life of Diabetic People
    and to avoid abuses of such as by Health Insurances or at Jobs or Careers, Etc. or
    getting treated as 2nd Class People and instead to receive the preference status by
    humanistic civilized way to release some of the burden, problems and difficulties in
    their daily live.   Charitable we do this worldwide By Diabetes Related Keywords for
    by the Google Search to see at any FrontPages to get the maximum of Clicks and
    Interests as necessary.
    This is costly and therefore we would really appreciate any Donations to do it as

    good as necessary.
    For this please Donate to our Bank-Account: Swissquote Bank - IBAN Code: CH810 8781 0000 7014 5100
    with Comment : Diabetes Health Care !
    If this is not been seen At Every FrontPages Topside as necessary by just using one
    Keyword as for example "Diabetes", it would mean only that we
regrettably did not
    receive enough Companies- or Private- Donations for doing so.
    If You A Diabetic and Really Care About Improvements of the Diabetics Situations,
then you should
    Take That Chance Here To Get The Words Out And Donate
even any small amount You Can Afford,
    because by the experiences The
Non-Diabetics Don’t Care About As Long They Not Diabetics
    Themselves
and concentrate on any other interests in days life.  

   According of WHO-World Health Organization we have now about 1.5 Billion
   of
Diabetes affected People and this by increasing tendency as confirmed !


   ADA – American Diabetes Association 2017 Standards

https://professional.diabetes.org/sites/professional.diabetes.org/files/media/dc_40_s1_final.pdf
General Topics http://care.diabetesjournals.org/content/40/Supplement_1  

   DDG – DE Diabetes Gesellschaft 2017 Standards

https://www.deutsche-diabetes-gesellschaft.de/leitlinien/praxisempfehlungen.html  

   Roche Diabetes Care – CGM & Insulin Pump Systems

https://www.roche.de/en/diagnostics/diabetes-care-vision.html
https://www.accu-chek.com/

   Novartis - Google Diabetes Care
http://medicalfuturist.com/googles-amazing-digital-contact-lens-can-transform-diabetes-care/
https://www.pharma.us.novartis.com/our-products  

   Abbott Diabetes Care - CGM System

https://www.diabetescare.abbott/index.html https://www.diabetescare.abbott/products.html  

   Pfizer - Diabetes & Metabolic Disorders

http://www.pfizer.com/health-wellness/diseases-conditions/diabetes-metabolic  

   Merck Diabetes Care

http://www.merck.com/about/featured-stories/diabetes_care.html  

   Dexcom - CGM Glucose Monitoring

https://www.dexcom.com/contact  

   Metronic - CGM & Insulin Pumps Systems

https://www.medtronicdiabetes.com/home  

   Dual Insulin & Glucagon Pump Systems – Artificial Pancreas – Near Diabetes Future 

https://www.nih.gov/news-events/news-releases/four-pivotal-nih-funded-artificial-pancreas-research-efforts-begin
https://diatribe.org/introducing-beta-bionics-bringing-ilet-bionic-pancreas-market
https://www.google.com/search?q=diabetes+dual+pump+system&client=firefox-b&tbm=isch&imgil=1rrc3XTvq9_UVM%253A%253BDnUjbQGB2af0PM%253Bhttp%25253A%25252F%25252Fwww.healthline.com%25252Fdiabetesmine%25252Fdouble-the-pump-chambers-double-the-diabetes-device-fun&source=iu&pf=m&fir=1rrc3XTvq9_UVM%253A%252CDnUjbQGB2af0PM%252C_&usg=__V0Fv-g6XwAa8MiuIf3g99dnJkYs%3D&biw=1347&bih=765&ved=0ahUKEwixyZyW57PUAhVGGZAKHdGJCbAQyjcIRA&ei=zyw8WfGlNsaywATRk6aACw#imgrc=GbLL9t_XPcMxUM

   Diabetes-Related Microvascular and Macrovascular Diseases in the Physical Therapy Setting
   Here from NIH.Gov the Worlds Medical Reference !

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579903/   
   The Basic-Cause of Neuropathy, Retinopathy, Kidney-Nephropathy, Bones-Osteopathy, Etc. of about
   20 Additional Affections up to Amputations.   

   The Related Venous Capillary Netting:  https://en.wikipedia.org/wiki/Capillary  

   To Reduce the Diabetes Typical Blood Circulation Problems with its Inflammation

   Potentials.  As known Every 3 ½ Days, means always at every Wednesday Morning and

   Saturday Evening, take 1/2 of Standard Aspirin Tablet, combined with daily 600-800mg
   natural Vitamin-E !

   As known To Reduce the Inflammation Potentials, Every 2nd Day take 350mcg of pure
   natural Selenium-Yeast without of any Magnesium-Stearate affecting the Selenium
   properties and bio-functionality, but micro-crystalline cellulose it could contain  ! 
   As known, the Aspirin will reduce the White-Blood-Bodies to stick together and the

   Vitamin-E as known will reduce the Red-Blood-Bodies to stick together and by that
   the Blood has an increased Flow-Capacity ( As Important - 10 Days before of any
   Operations the Aspirin intake and 2 Days before the Vitamin-E intake needs to be
   stopped ! ).
   The Selenium is very well known for its huge Inflammation Reducing properties.

   More to follow when more good know-how, products or services occur.
  

   Diabetes Awareness & Precautions
   Since Sooner or Later In Life Anybody Could Get Diabetes. Therefore at every

   household, beside the Thermometer, Blood Pressure Meter there should also be
   a Calibrated Glucose Measuring Device to measure every 3 months.
   The Glucose Measuring Device calibrated by taking blood for in the Laboratory to

   measure the Glucose and at the same time to do 3 Glucose Measurements to write
   down the numbers and date, for by the Lab Report later to know how much it may
   shows too less or too much, because the cheap devices are usually not accurate set
   by the producers. Measure every 3 Months the Morning Fasting Glucose Level and if
   you have it within 100-125mg/dl, repeat the measure and measure it monthly and
   contact your Diabetes Doctor, because you will have Pre-Diabetes maybe also age
   related to aware and take care of by Therapy & Lifestyle as early as possible as
   better it is to avoid any permanent affections. 
   Do Glucose measurements only at good cleaned Just Water rinsed and after well dried 

   Fingers without using any Disinfectants,
Soaps, Crèmes or Lotions and for that purpose
   reserve A Clean Towel to dry the Fingers, that’s very important for reliable values !!

   Calibrations at CGM-Continuous Glucose Monitoring Systems

   If you are a user of any such system as it preferably to be, then read
   carefully about the important daily calibration, for things not going wrong.
   You should never not doing any calibrations or not applying comparisons
   also at systems even the producers may say “no need of calibrations”.
   As you know the measurement is made in The Tissue and not directly in
   The Blood Flow as principally necessary for any Real Time Measuring.
   Measuring in the Tissue as known has a time delay of about 10 Minutes
   where it can go Up or Down in the blood stream and therefore to
  
have a good calibration, the calibration should always been made at some
   period where at the monitor is seen that the Glucose-Level is going Flat
   Horizontal for some time usually between the meals or 4 hours
after
   any meals or drinks, beside of water drinking only !! !!

   By this kind of calibration method you could then also see that sensors
   been used for longer, become even more precisely with less to correct.


   Very Important Information’s For Basal-Insulin Users
   There is a strategy applied by the Insulin Producers to respect its Doctors Clients
   discretion only, where even Diabetes- Associations or Forums participate with and
   therefore Important Practical Info For The Diabetes Peoples Applications, regrettably
   are not published, but here will this been compensated by all the details as following :
   
   1.  Injection Technique.

   The Basal-Insulin should been injected at body locations where there is not a strong
   blood circulation to provide the good 24 hours effect it really should have to be basal
   only. It therefore is good to be applied Abdominal or at Upper-Legs if there is enough
   fat underneath the skin as usually more by women’s exists.
   The Basal-Insulin should subcutaneous been injected into the low blood circulation

   Dermis of about 5mm thickness underneath the Skin of about only 2mm thickness.
   To achieve this it is proposed to use Ultra-Fine 0.25 x 8mm Needles by injecting it

   Diagonal at about 30°degrees angle to get just underneath the Skin into the Dermis
   and when by the Insulin-Pen the complete Dose is injected, for counting slowly to 15
   before pulling out the Needle to ensure the complete Dose as set is really injected, to
   see by afterwards not having any Insulin-Drops coming out of the Skin or the Needle.
   Using Needles not shorter 8mm is also to ensure that after injection not any Insulin is
   coming out of the Skin in combination with counting slowly to 15 to make sure. Inject
   into the Dermis it also means usually not even feeling any pain at injections, because
   the Dermis has not much of blood vessels or nerves either.

   1.A)  At Rapid-Insulin Applications
   At any Rapid-Insulin to be applied at meals or snacks or any corrections, we have the

   contrary situation of basal to use Ultra-Fine 0.25 x 6-8mm Needles by injecting only
   Vertically to get more deep into the more blood circulated areas for a better and
   faster Insulin Reaction. At Rapid-Insulin the effect start should be within 10-15 Min.,
   but some have the effect start at up-to 1 Hour or more and they should resulting
   do Intra-Muscular Injection at Upper-Arm Muscle to get the same 10-15 Minutes !
   Here also, when by the Insulin-Pen the complete Dose is injected, for counting slowly
   to 15 before pulling out the Needle to ensure the complete Dose as set is injected.
   For Safety apply Rapid-Insulin at 20 Minutes after Eating- Start and set the Units for
   that conditions to be safe and possibly measure the Glucose 3 Hours after Eating-Start
   to apply some corrections if the Glucose is above 110mg/dl and this by the Units

   Calculation Base as from 80-90mg/dl always to be applied !!
   In such cases where the effect of Rapid-Insulin is drastically delayed and therefore

   IM-Intra Muscular Injections are the possible solution to get the Reaction-Time to be
   as normal by 10-15 Minutes, anybody should prior discuss this with the Doctor and
   possibly apply the First Such Injections under the Doctor's Observations and Glucose
   measuring as very important for not causing any Insulin-Shocks may resulting !! !! !!




   2.  How to set the Basal-Insulin Dose as very important for the necessary base effect.
   For this it is necessary to take the time it needs to do this correctly and over few
   Days by a step by step procedure according the lowest Fasting Glucose Level at night
   and/or in the morning after sleeping, where ever the lowest Glucose Level will be to
   find out very carefully and then by small steps of only 1Unit adjusting it to 70-80
   mg/dl only.  This is very important for the right preconditions for at daytime in
   combinations with the Rapid-Insulin as usually at Type 1 Diabetes or at Type 2
   Diabetes where Metformin 30 Min. before of any meals in combination with the Basal-
   Insulin is applied. Only by setting the Basal-Insulin as above, the necessary good
   HbA1c or A1C of only max. 5.3% for No Neuropathies and No Retinopathies, Etc.
   affections possible by without any Hypoglycemia’s  !! The A1C of max. 5.3% at healthy
   People, but what’s good for healthy People is also good for Diabetes People since they
   also just People or Humans and we all know it’s not that easy to achieve, but by the
   Basal-Insulin Therapy Base not set or adjusted properly, it could never been achieved !
   This is related to Any Type of Diabetes where it has been decided to apply
   Insulin or
a Mix. of Medications by Insulin also in combination with other
   Medications. 

   About this you should speak with your Doctor or for any reconfirmations contact the
   Insulin
Producer and they will confirm the procedure as above described, as only
   perfectly
correct to be handled like that.


   3.  About Glucose mg/dl ! 

   The normal range at healthy People is objectively 70-95mg/dl  ( 100mg/dl by
   objectively is already too much and just a nice old number only. )  What is OK for
   healthy People is also OK for Diabetes People, since they also just People or Humans! 
   The healthy People have a HbA1c or A1C of max. 5.3%, but for convenience only the

   Doctors will tell Diabetes People to have a HbA1c or A1C of 6% or 7% and if older
   even 8-9% as to be  OK  Only For Impression Purposes and when asking them, would
   a healthy HbA1c or A1C of max. 5.3% not been better as for healthy People to be on
   the save side for not getting any additional affections ? , then all the Doctors will tell
   if could achieve that it naturally would been superior ! ! !
   At healthy Peoples it can also happen, that temporarily the Glucose falls to about

   60mg/dl only by for example doing sport, but this is no problem still aware of
   everything’s and soon get again above 70mg/dl, but when reading some Diabetes
   Associations Info to scare Diabetes Peoples, below 70mg/dl would be Hypoglycemia as
   a Clinical Condition to desperately call 911, instead to drink just some soft drink or
   taking a sugar-cube !  At less 50mg/dl it usually gets a little dizzy just to take some
   sugar-cube.
   An average Glucose of 95mg/dl represents HbA1c or A1C of 5.35% and since 2017

   the Fasting Glucose of 100-125mg/dl is already Pre-Diabetes to apply Some Therapy.
   The International Diabetes Scientists Committee by its new 2017 Standards decided

   that the earliest possible to treat Diabetes by Therapy, the better it is to keep
   Diabetes at lower intensity level and to avoid permanent affections. 


   4. About Diabetes Therapies In General  
   If years ago it was clear that Type 1 gets Insulin and Type 2 gets Medications such as

   Metformin, Etc. as since over 50 Years, it today is differently applied. As seen, Doctors
   more and more prescribe the Individual Patients also Individual Therapies where just
   anything useful for the Glucose Management gets applied.
   This also under consideration, that much more Types of Diabetes exist and Not Only
   Two Kinds, but for example even combinations of Type 1 with also Type 2, Etc. about
   10 different Kind of Diabetes by each one with some different characteristics. As result
   we can today see some Type 2 Patients with Insulin Therapies as before only at Type 1
   has been applied and we can see for better Type 1 Management to achieve better

   HbA1c or A1C %, by for example the Prolonged Metformin as Glucophage SR or XR
   of daily only 500mg get also to Type 1 Patients prescribed by some Doctors for the
   better Liver-Glucose Control and also to reduce the Type 1 possible Heart Problems
   for like that to solve two aspects for better Patients Health. Today also more and
   more Diabetes Patients apply some Therapies Supplementations as for example
   Vitamin-D, Vitamin-B12, Etc. much more as Therapy Support. The main breakthrough in
   Diabetes Therapies will also come by the Artificial Pancreas now in developments with
   very good results as already seen and we possibly will see that this will be applied for
   Any Type of Diabetes !  
   Here the Scientists about Typ 1 Diabetics Heart Disease:

http://thediabeticnews.com/type-2-diabetes-drug-may-slow-heart-disease-for-type-1-diabetics/


   5. Doctors Symptomes List - For The 3 Months Consultations
   This every Diabetes Patients should do to take with them when they meet the Doctor
   at the Standard 3 Months Consultations for A1C or HbA1c, Etc. for Doctors to know
   clearly
at which Topics they may also have to concentrate on and find solutions for !!
   This since Diabetes is generally not so stabile but some very individual ongoing
   kind
of condition.
   This means for the Patients to observe themselves and Write On That List any kind of
   Changes or Symptoms may occur, as also the Fasting Glucose Changed
or The Feet’s feeling
   Colder when compare the Temperatures By Hands or its
Color tend to Turn Reddish or are
   Swollen as not before or more often some Head Pain, Etc.
, just anything may changed or
   did not experience before. ( Here Also Some Blood Circulation Disorder Symptoms
. )
   This for in addition to the Daily Glucose Measuring List, for the Doctors being able Just
   In Time to possibly adjust or alter The Individual Therapies to avoid
any additional
   affections may possible
!! !!


 
 
.

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