We are now into week 3 of Diabetes Awareness month
Day 13: Diabetes ketoacidosis (DKA)
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Early symptoms include fruity-scented breath, increased thirst and dry mouth, excessive urination, increased hunger, lethargy, confusion, nausea, and abdominal pain. Later urgent symptoms include vomiting, severe abdominal pain, rapid breathing, shortness of breath, unconsciousness. 🏨
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To prevent DKA, many experts advise T1ds test: 📋
• Their urine for ketones when their BG is over 240 mg/dl 🚽
• When you are ill (when you have a cold or the flu, for example), check for ketones every 4 to 6 hours 🤒
• Also, check for ketones when you have any symptoms of DKA 🤢
• Check your pump site and tubing 📊
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Source: Walsh, John, PA, CDTC and Ruth Roberts, MA. “Pumping Insulin,” 6th ed. P 181-187. 📘
Day 15: The glycemic index (GI) of a food ranks how quickly it raises the blood glucose
High GI carbs raise the glucose faster and often higher than low GI carbs which have a slower rise in BG. Foods are compared to glucose, which ranks 100. Ripeness, cooking time, fiber, fat content, and how foods are combined impact how long they affect the glucose. The GI of a food varies somewhat from person to person. I would much rather give Coral something with a lower GI as much as possible and especially when her BG is over 150mg/dL prior to eating. Having a CGM helps to track and prevent any spikes in BG. For the recently diagnosed T1d, it’s best to start off with low-carb and/or lower GI foods until you get into the rhythm of things, carb counting, and a CGM and/or pump. Do some experimenting and record-keeping to see how certain foods affect you, but don’t be disappointed if it’s different one day – 3’s a charm. 👍🏼🤞🏼
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Some carbs with low GI are Mission whole wheat low-carb tortillas, beans (lima, pinto, etc.), green apples, cherries, grapefruit, barley, cracked wheat, whole-grain rye bread, and plain Greek yogurt. Some of our favs are Skinny Popcorn (all products), Halo Top Creamery, Arctic Zero ice cream, Enlightened Ice Cream, Chocorite, Simple Mills (all products), and Aidells Pineapple Bacon Sausage. 🍫🍿
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Source: Walsh, John, PA, CDTC and Ruth Roberts, MA. “Pumping Insulin,” 6th ed. P 41-44.
Day 16: A continuous glucose monitor (CGM) is a computerized device that continuously transmits glucose readings
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Source: Walsh, John, PA, CDTC and Ruth Roberts, MA. “Pumping Insulin,” 6th ed. P 13-21.
Day 17: Tips for helping a Type 1 diabetic when they’re feeling “low” (blood sugar below 60-70mg/dL):
- Stay calm💪🏼
- Recognize hypoglycemia is underway🧐
- Minimize embarrassment maximize cooperation😉
- Take charge of the situation using gentle, but a firm tone of voice😌
- Try not to react to any irrational comments or accusations🤭
- Treat the person quickly with fast-acting carbs (Juice, Smarties, wafers)🍬
- Suggest rather than demand eating or drinking something like saying, “You’ll feel better after you eat (or drink) this.”😬
- Avoid direct questions such as “Are you low?” or “Do you need to test?” They may not be able to think clearly and just say “No” or become defensive😤
- Severe hypoglycemia – use glucagon injection if non-responsive, unable to eat or drink anything, having seizures or unconscious (finger poke ASAP to confirm low BG) CALL 911🚑
- Don’t ever put anything in the mouth of a unresponsive person! 😑
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Source: Walsh, John, PA, CDTC and Ruth Roberts, MA. “Pumping Insulin,” 6th ed. P 175-176.
Day 18: Celiac disease is 8 times more common in people with Type 1 diabetes
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Celiac symptoms vary from vague to severe and overlap those of other diseases like gastroparesis, irritable bowel syndrome, ulcerative colitis, chronic fatigue syndrome, intestinal infections, and depression. Those symptoms may include intestinal problems such as bloating, cramping, stomach pain, diarrhea, absorption problems leading to vitamin deficiencies, bone loss, osteoarthritis, anemia, “failure to thrive” children, inflammatory reactions, irritability, headaches, joint pain, and itchy skin. Early diagnosis can be made with blood tests for Tissue Transglutaminase Antibodies (tTG-IgA) first, then IgA Endomysial Antibodies (MA), Deaminared Gliadin Peptide (DGP, IgA and IgG), and total serum IgA. An Endocrinologist will give a Type 1 diabetic these blood tests once a year usually by the time of their Diaversary. If negative but strong reasons to proceed exist, oral endoscopy with intestinal biopsy is required to detect telltale intestinal changes. This will be very unpleasant for a young child. Full presence of antibodies plus a positive biopsy is considered the gold standard for diagnosing celiac disease. Contact Your PCP or Endocrinologist with questions or suspicions. DO NOT eat gluten-free based solely on a “hunch” prior to testing. 👩🏻⚕️
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Source: Walsh, John, PA, CDTC and Ruth Roberts, MA. “Pumping Insulin,” 6th ed. P 193-194.
Day 19: If you’re a non-d and have been following @type1diabetic_life and all my recent educational posts, then give yourself a round of applause because you’re a gem
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When you or your child are newly diagnosed, it’s important to seek the support you’ll need to get you through that first year. Cut ties with those who fail to put in a mutual effort. They were selfish to begin with and relationships like those are toxic.✂️
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Mahalo for reading this far and sticking with me! Are you ready for all the holiday sales and craziness? I’m shopping for Thanksgiving groceries on Tuesday.