Diabetes Self-Management Blog

While there are already many great support communities for those living with diabetes, the American Diabetes Association has recently launched a program for those newly diagnosed with Type 2 diabetes. The goal of the ADA’s “Living with Type 2 Diabetes Program” is to provide “help, hope, and support” in what can be a very overwhelming situation.

In addition to a host of articles on the ADA’s Web site, participants will receive regular mailings or e-mails on topics such as food, stress, and physical activity. They will also receive a monthly newsletter and have the opportunity to participate in an online support community. The ADA takes its program one step further and provides opportunities for participants to meet in person at local ADA events. “Living with Type 2 Diabetes” is free, available in English and Spanish, and through the mail or e-mail.

To find out more about this program, you can visit the ADA’s “Living With Type 2 Diabetes Program” page. You can enroll at diabetes.org/living or call 1-800-DIABETES.

This blog entry was written by Web Intern Helen Zhu.

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  1. To me after practicinf medicine for 30 years and lately having read thousands of articles on diabetes, CAD, Obesity, alzheimer’s and cancer, I think, we are trying to manage diseased patients and not to get him cured.

    I am fairly well convinced that all these are interconnected. And that this is all becoming of epidemic proportions in the past 50 yeras or so. This very well coincides with our strong move to modern living ways, which leads us to high calorie intake, sedntary life style, Vit D deficiency, omega 3 deficiency and high Carb containing high Fructose dits.

    Let’s all work towards ensuring that we correct our ways of living and enjoy the modernization without it’s associated problems causing toll on our well being.

    Posted by DrBC |
  2. I must send a note of frustration and anger over the efforts of the ADA and Clinical Endo’s and their one playbook fits all.

    Finally after 4 years of struggle and using a CGMS system working spottedly; I finally got my Type 2 and the waveforms of the BG down to slowly moving waves and right averages on a calm lake after the following:

    1. My Doctor said I have a non standard Type 2 diabetes. Dam rights.

    2. My diabetes is caused by a serious liver mis communication detecting insulin that was causing massive glucose dumps on Dawn effect and liver dumps during the day seeing BG to 311 etc and a1c of 13.3.

    3. This was only stopped using metformin doses and quantity at correct times. For some reason the liver is signalling on the metformin.

    4. The stalk answer about extra exercise may be appropriate for those with light liver glucose leakage but on large person with large liver is shameful and idiotic.

    5. This effect led my doctors and others to believe I needed more and stronger insulin as well as starlix pills and that reduced insulin production and resistance was causing the high sugars.

    6. Wrong answer. This treatment sent my body crazy burning up glucose and with slightest exercise would see BG fluctuate greatly and rapidly.

    7. In fact, after getting liver shutdown on metformin; proper diet and carefull monitoring; I needed less and proper type of insulin - humalog lispro that more closely matches fast human insulin. I removed all starlix/glyburide pills.

    8. Today with 4 units of humalog lispro in am, 3 to4 units during lunch and 3 to 4 units during dinner; After 30 years , my waveforms are slowly moving and averaging at 155 and slowly trending between 140 and 180 with 140 at night.

    9. Previously, I was on 23 units of 12 hour 75/25 in am and starlix pills in lunch and dinner. I have gone thru thousands of dollars chasing hyperglycemic lows and finally seeing peace.

    10. By watching CGMS, I could confirm that my pancreas was in fact working mostly and I could see the gut pancreas signalling causing drop in BG at start of meal as the meal bolus was released by the pancreas. I did not add insulin till I saw a peak on BG that crossed over 180.

    Today; I would describe my type 2 diabetes is a result of liver failure to signal properly on insulin presence and only add the correct amount of glucose on demand and not sugar up me body.

    While pancreas function apears working better than anyone thought; it is down and needs a small assist doing its job on injected insulin.

    Even adding lantus - 15 units once at 9:30 pm helps overall performance - it does not stop liver monkey shines and only metformin doses does that.

    It is not clear that an external trick insulin pump would be any benefit and have it add basil insulin on a regular basis.

    Today; still; medical thinking concentrates on the reduced insulin pancreas generation and insulin resistance as most prevelant and ignores liver misfunction which can be very serious and releasing dangerous amounts of glucose.

    Maybe if I had solved this 30 years ago ( metformin not available); maybe I would have saved a stroke.

    Put me down as fedup and angry over the failure of medical science to look at all aspects of type 2 diabetes concerning liver issues and focus manly on the almost working folks with reduced insulin generation and resistance.

    Back when I was having fun, on a liver dump; I would track as fast as could with finger sticks and see numbers jump to 511/hi and then slide down to 278/311.

    Don’t try to talk to an Endo about this activity - you simply get rushed out of her/his office and by the way here is some more standard treatment pills glyburide.starlix and up the insulin.

    Living with Type 2 diabetes indeed.

    Posted by jim snell |
  3. I wonder if they are going to tell diabetics to eat a high carb diet?

    Posted by calgarydiabetic |
  4. Jim,
    I believe you have “lived with Type 2 diabetes” a good number of years and learned to manage it so well that you could teach most of today’s doctors several things about the disease. Good to see a survivor be able to articulate their life so well. And good luck to you in the future.

    Posted by Linda M. |
  5. Linda M:

    Blessings and thanks. I lived with 30 years doing it wrong, got stoke, got serious , now peddling hard to make up time.

    I am convinced that the Type 1 and Type 2 labels and specifically type 2 is vague, useless and misleading.

    Type 1 seems to be clear; you pancreas is not making any or only small amounts of insulin.

    Type 2 only indicates your blood glucose levels are elevated outside expected normal levels and you are not Type 1.

    Liver issues, diet issues, food and diet consumption, insulin resistance and aging of endoctrine system can be possibly part, some or all of the issues causing elevated glucose.

    Fixing that is exceedingly complex requiring detailed consistent data gathering and the patience of the gods tuning body to fix. One needs to get hearty exercise, carbohydrate control as well as a suitable diet for ones body and age and appropriate quantities, vitamins and supplements and carefull help from the medical establishment improving on the aging and organ degredation.

    Thank you for your kind comments and sharing with us all, your particular situation.

    Posted by jim snell |
  6. Jim, you are absolutely right. Type 1 is specifically defined as an autoimmune disease with the presence of antibodies against the pancreas, and Type 2 is EVERYTHING else. There is no way that Type 2 can be just ONE disease when there are so many things that can go wrong with the digestive system and the liver and the metabolism. And while many people may have multiple factors contributing to their Type 2, the balance between them is probably different from person to person. So Type 2 treatment needs to be individualized, and while it may take some trial and error to find out what works, a good doc should keep working with you toward that goal. Good luck!

    Posted by Natalie Sera |
  7. Natalie:

    Dead on target. Thank you.

    Posted by jim snell |

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