The Access Digest
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In This Issue
  • Hyperglycemia
  • Hypoglycemia
  • Healthy Living
  • Q & A
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    Newsletter Highlights
    Welcome to the August issue of the Access Digest newsletter. This month, we discuss the potential causes resulting in hyperglycemia and hypoglycemia. As with most complications associated with diabetes, managing your glucose level, blood pressure, cholesterol, diet, and exercise can greatly reduce the risks associated with diabetes. In this issue, we take a closer look at the causes of hyperglycemia, hypoglycemia, and how to prevent them.
    In This Issue
    Hyperglycemia is the medical term that describes a high content of glucose (sugar) in your blood.  This condition is present with most people who have diabetes.  Hyperglycemia is the major cause of the complications associated with diabetes.  It occurs when your body produces too little (not enough) insulin or when your body cannot use insulin properly.  If left untreated, hyperglycemia can result in serious health problems.  It is very important to understand what hyperglycemia is, the symptoms, and how to treat it.

    Hypoglycemia, sometimes called an insulin reaction, refers to having too little glucose in your blood.  Hypoglycemia occurs on occasion to almost everyone who has diabetes.  Although sometimes you cannot prevent it from happening, by understanding the symptoms you can treat it before it becomes worse.

    Hyperglycemia and Hypoglycemia can be very dangerous and it's essential to understand the symptoms and treatments so you can act quickly.  Both conditions can be diagnosed very quickly by testing your blood using your glucose meter and test strips.  Hyperglycemia can be treated by injecting insulin or taking medication to lower the blood glucose.  Hypoglycemia can be treated by drinking juice, eating candy, or taking medication to increase the glucose in your blood.

    Eating a healthy diet every meal is essential to maintaining proper glucose levels.  The question many people ask is, "it's all so complicated - where do I start?"  In the Healthy Living section below we bring it all together with the top 10 tips to improving your diet.  The key to successfully changing your lifestyle is to take it one step at a time.  Make small changes every few weeks and search for healthy foods that you will like.  Before you know it, you'll feel better, have more energy, and your blood glucose will be under much better control.

    We hope you enjoy this issue of the newsletter and thank you for choosing Access Diabetic Supply as your choice for diabetic supplies.

    Hyperglycemia

    What is Hyperglycemia?

    Hyperglycemia is the condition where your blood glucose is too high.  Everyone with diabetes should try to manage their blood glucose within a specific target zone, typically 70 - 100 mg/dL.  The purpose of your diabetes management plan is to maintain your blood glucose within the target zone, which will prevent long term complications.

    Hyperglycemia can occur when you:
    Source - Mayo Clinic
    • Eat too much
    • Exercise less than you planned to
    • Experience physical stress, such as a cold, infection or influenza
    • Experience emotional stress, such as conflict in your family or workplace

    Read more

    How to treat Hyperglycemia?

    When you experience the early signs of hyperglycemia, test your blood glucose several times and record your results.  WebMD recommends the following treatments:

    • Drink more water
    • Exercise more
    • Change your eating habits
    • Change your medications
    • Call your doctor if your blood glucose is consistently greater than 180 mg/dL 1-2 hours after a meal or if you have two consecutive readings greater than 300 mg/dL

    Read more

    Hypoglycemia

    Hypoglycemia exists when your blood glucose is too low.  The symptoms and severity can vary from person to person.  "Despite our advances in the treatment of diabetes, hypoglycemic episodes are often the limiting factor in achieving optimal blood sugar control. In large scale studies looking at tight control in both type 1 and type 2 diabetes, low blood sugars occurred more often in the patients who were managed most intensively. This is important for patients and physicians to recognize, especially as the goal for treating patients with diabetes become tighter blood sugar control."
    Source - Medicinenet

    Symptoms of Hypoglycemia:
    Source - American Diabetes Association
    • Shakiness
    • Dizziness
    • Sweating
    • Hunger
    • Headache
    • Pale skin color
    • Sudden moodiness or behavior changes, such as crying for no apparent reason
    • Clumsy or jerky movements
    • Seizure
    • Difficulty paying attention, or confusion
    • Tingling sensations around the mouth

    Read more

    How to treat Hypoglycemia?

    The fastest way to treat hypoglycemia is to ingest sugar in the form of glucose tablets, fruit juice, or candy.  You should always keep a small supply of sugar tablets available to you at all times.  About 15 minutes after taking in sugar, you should test and record your blood using your glucose meter and test strips.  American Diabetes Association recommends the following treatments:

    • 3 Glucose tables or
    • 1/2 cup of fruit juice or
    • 5-6 pieces of hard candy
    • Consult your Dr. or dietician for other good sources

    Read more

    Healthy Living: Monthly Recipe & Lifestyle Changes
    Many people recognize the importance of maintaining a proper diet but do not know where to start.  It may all seem very complicated, however the answers are easily available.  This is a lifestyle that will significantly improve your overall health.  Eating sensibly and exercising regularly will have a positive impact on your blood glucose levels.  Hyperglycemia and hypoglycemia are caused and treated directly by the foods you eat. 

    Changing your diet can be very difficult.  Try changing one thing at a time.  Search for foods that appeal to you and are also healthy.  It's important to have a rounded diet with sufficient carbohydrates, protein, and fat.  The most amazing thing that most people find is that they can find foods that taste great and are also very healthy.  The suggestions below should provide you with a good start

    Top 10 suggestions to improving your diet:
    • Eat foods closest to the source - foods that have not been processed.  These foods include: fruits, vegetables, and different types of meat.
    • When eating meat (beef, fish, chicken, etc.) the portions should not exceed the size of your palm.  
    • Eat a lot of leafy greens like romaine salad and broccoli
    • Eat small meals 5 or 6 times a day.  Do not eat large meals
    • Drink plenty of water instead of soda (diet or regular).
    • When eating foods high in sugar, eat protein (nuts) along with it.
    • Reduce the amount of foods high in cholesterol - such as red meat.  Eat cold water fish like Salmon (wild).
    • Reduce your intake of foods white in color like white bread, salt, white flour - they are highly processed.
    • In between meal snacks include raw almonds, smoothies, and power bars.  Raw almonds and walnuts are great for you.
    • Vary your diet - variety is the spice of life - try to rotate your foods every 4 days.
    This month, our feature recipe is a common entree prepared in a healthy manner - Chicken Parmesan  Source - American Diabetes Association . "This recipe, with its vibrant colors, is a cheerful, easy meal! If you like, make your own tomato sauce or add your own spices to a prepared sauce. If you need to watch the sodium in your meal plan, choose a low-sodium brand of prepared sauce, but add 1 Tbsp of oregano or Italian seasonings to spice it up. You can also replace the chicken in this dish with veal or turkey breast."

    Chicken Parmesan
    pasta primavera - diabetic recipe
    Chicken Parmesan  - Source: American Diabetes Association   Number of Servings - 8

    Ingredients
    • 1 ea - 26-oz jar seasoned tomato sauce
    • 20 oz - boneless, skinless chicken breasts
    • 1/2 cup - shredded mozzarella cheese, part skim
    • 1/2 cup - grated Parmesan cheese

    Directions
    • Preheat the oven to 350 degrees F
    • In a 9x13-inch baking pan or large casserole dish, spread half of the tomato sauce. Place the chicken on the sauce, then pour the rest of the sauce over the chicken. Sprinkle the mozzarella cheese on the chicken, then sprinkle on the Parmesan cheese.
    • Cover and bake until bubbly and cheese is lightly browned, 30 minutes.
    Nutritional Information - Chicken Parmesan
    Amount Per Serving (serving size 1/8 of recipe)
    Calories
    153
    Calories from Fat 41
    Total Fat 5g
    Saturated Fat 2g
    Cholesterol 51mg
    Sodium 762mg
    Total Carbohydrates 7g
    Dietary Fiber 1g
    Sugars 5g
    Protein 22g
    Questions & Answers - Ask the Experts

    Each month our staff will provide answers to questions and take your feedback. If you have urgent questions about your order or your meter, we encourage you to call our customer care department at 1-800-276-5712. We will do our best to provide answers to all your questions, and we encourage you to also consult your physician.

    Below are a few of the common questions our customer care department answered from our last newsletter. We hope you find them helpful.

    1) What might have caused my blood sugar to rise?
    2) Is there anything else that should be done to manage hypoglycemia?
    3) How Can Hyperglycemia Be Prevented?
    4) Can glucose lowering medications cause hypoglycemia?
    5) Will drinking alcohol cause hypoglycemia?
    Access Diabetic Supply
    We are one of the nation's leading providers of diabetic supplies for people with Medicare or Private Insurance. We provide a comprehensive range of products from all major manufacturers including; blood glucose monitors, test strips, lancets and lancing devices and much more.

    Please contact us with any comments or questions you may have.

    Phone: 1-800-276-5712
    Email: customerservice@diabeticsupply.com
    Web: http://www.diabeticsupply.com

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