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Diabetes


Question

My blood sugar level after fasting is 109 pp and after 2 hrs after having a meal is 146. Please advice if I should take medication?

mkar606 (Male, 63)

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In an inpatient setting, we use a sliding scale for insulin.

<60 Drink juice, eat crackers, Call MD.
60-150 Do nothing
150-200 2 unit Humalog, Novolog insulin
201-250 4 units
251-300 6 units
301-350 8 units
351-400 10 units
401-450 Call the doctor.

There are several other factors to consider, prior to starting this regimen, such as dose of long acting insulin, eating pattern, and weight.


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Your fasting blood sugar and 2 hours post-prandial test results suggest that you have a prediabetes or borderline diabetes. Pre-diabetes is a condition where blood sugar levels are higher than normal, but not yet high enough to become diabetes. Pre-diabetes is a factor in the development of type 2 diabetes. However, it can be reversed and not everyone with pre-diabetes goes on to develop type 2 diabetes.

According to American Association of Clinical Endocrinologists, the management of prediabetes involves intensive lifestyle management, weight reduction through exercise, setting treatment goals of blood pressure and lipid level control matching those for diabetes.

Disclaimer: Replies and Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on the opinions or information posted on this page. ALWAYS check with your personal physician or health care provider before taking any action regarding your health! MDinfo and our sponsors, partners, and affiliates have no obligation to monitor any replies or comments posted on this site, or the content and/or accuracy of such exchanges. MDinfo does not endorse the views of any user of this site.

5min Life Videopedia







Hypertension

BACKGROUND

Hypertension, which occurs when the blood pressure in your arteries is too high, can lead to blood vessel diseases such as strokes, heart attacks, and leg pain caused during walking. As hypertension does not cause any symptoms until the damage is already done, it is important to occasionally have your blood pressure checked.

Although it is sometimes necessary to use medications to keep your blood pressure under control, this can often also be done naturally. In my experience, the best approach is to use medications to initially bring your blood pressure under control. Once it is normalized, natural therapies can often keep your blood pressure at a healthy level and allow your physician to wean you off the medications.

Unlike cholesterol medicines, which may be more harmful than helpful for most people, blood pressure medications actually do save a lot of lives. If you have elevated blood pressure, add (or continue) the medications to lower the pressure, and then use the natural treatments. After three months, you'll often find that your doctor can taper you off your blood pressure medications and still maintain a healthy pressure.

TREATMENT

Diet and Exercise

Don't be overweight

Diet to reach a healthy weight. Also be sure to begin an exercise program as this helps lower high blood pressure. Best to do a walking program outdoors, as the vitamin D from sunshine can actually help lower high blood pressure.

Limit alcohol and caffeine

Try leaving these off for two weeks and then recheck your blood pressure.

Recommended Supplements

Correcting nutritional deficiencies can also be very helpful in lowering high blood pressure. Take the following:

Multi-nutrient powder

To get optimal levels of vitamins A, C, D, and magnesium, take a good multi-nutrient powder (see Energy Revitalization System).

Calcium

Calcium 500-1,000 mg (take it at bed time and consider taking part of the dose at dinner).

Potassium

The amount of potassium found in one banana and 1 cup of tomato or V8 juice a day can also normalize blood pressure.

Coenzyme Q10

Coenzyme Q10 200 milligrams a day can also be very effective. I have seen it lower blood pressure as much as 30 to 40 points in some severe cases. Coenzyme Q10 deficiency is especially common in people taking cholesterol lowering medications. Be sure to use the Enzymatic Therapy or Integrative Therapeutics chewable brands, as quality control is a problem for many brands of Coenzyme Q10.

Dark chocolate

Although it only lowers blood pressure by 3-4 mm, it tastes good and is high in healthy antioxidants!

Other Therapies & Advice

Check for metabolic syndrome

If you are male, overweight, have high blood pressure and elevated cholesterol, and perhaps even have insulin resistance or diabetes, you probably have metabolic syndrome. This is often caused by a low testosterone level (even if it is in the low normal range, for example a total testosterone level of 450), and simply taking natural testosterone (by prescription) can reverse all of the above problems while leaving you feeling much better!

Check for sleep apnea

Consider this if you're overweight and snore.

Check for allergies

Food allergies can also trigger high blood pressure. If your pulse or temperature regularly go up after you eat, consider allergy desensitization using NAET. To see if food allergies are causing your high blood pressure, consider a Multiple Food Elimination Diet to see if your pressure goes down. (See online references below.)

White coat hypertension

Make sure you don’t only have "white coat hypertension." Some people's blood pressure shoots up whenever they see a doctor. For many people, this is the only time their blood pressure goes up, so they end up being treated for high blood pressure when they don't have it. Many grocery store and drugstore pharmacies have a blood pressure machine for the public which you can use (you actually sit in it). Check three readings each visit (one right after the other) to make sure that they are consistent. After you get used to the blood pressure machines, you may find that your blood pressures are lower.

Blow off some steam

Don't forget the mind/body component. Some of us are like pressure cookers, and when we close down our "steam release valve" the pressure builds up inside of us. We may look calm on the outside but actually have high blood pressure on the inside. Give yourself permission to have a good hissy fit once in awhile to blow off steam. It can help your elevated blood pressure to come down.

Related Information

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Treating Low Testosterone Naturally

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