Type 1 Diabetes in College
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Going off to college with type 1 diabetes can be scary. Check out this video for tips on how to deal with type 1 diabetes in college.
Transcript: If you have type 1 diabetes and you're heading for college, you may be worried about how you'll survive...
If you have type 1 diabetes and you're heading for college, you may be worried about how you'll survive the next four years. Luckily, there ARE some steps you can take to make sure your diabetes doesn't interfere with your college experience. First, let other people know you have diabetes. It may not seem like the most appealing way to introduce yourself BUT your roommate, resident assistant and some friends NEED to know what to do in an emergency situation, for example, if your blood sugar is low and you need assistance. Provide them with a list of emergency directions and contacts in case something unexpected happens. It's also important to be aware of how your body feels. Studying for college can be stressful and it can be tough to know the difference between regular stress or fatigue and low blood sugar. Try to make time to regroup and assess how you feel before deciding to move from one activity to the next. College partying is ANOTHER concern when it comes to diabetes. Excessive drinking can cause LOW blood sugar -often HOURS after you stop drinking. So, check your blood sugar before your first drink and again before you go to bed. It's also a good idea to eat while drinking to prevent your blood sugar from dropping to a dangerously low level. Another useful tip is to utilize your campus' health services. Even if you're continuing treatment with your regular doctor at home, it's important to have a backup-like the campus physician-who knows you AND your situation. And one last thing: keep snacks handy for when you feel your blood sugar dropping. Carry them with you to class, study groups, and parties. You never know when you'll need them!More »
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Glucose testing is a vital part of diabetes management. But the frequency and method of testing depends upon your individual needs. Take this survey to learn how other diabetics handle the necessary routine.
Last Modified: 2012-01-25 | Tags »
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How is type 1 diabetes diagnosed? Watch this video to get facts on the tests and exams that diagnose type 1 diabetes.
Transcript: Every year, about 15,000 children and 15,000 adults in the U.S. are diagnosed with type 1 diabetes....
Every year, about 15,000 children and 15,000 adults in the U.S. are diagnosed with type 1 diabetes. Type 1 diabetes is an autoimmune disease that occurs when the body's disease-FIGHTING cells mistakenly attack insulin-producing beta cells in the pancreas. As they kill them off, blood sugar levels spike. That's because there's no insulin to move glucose OUT of the bloodstream and INTO cells, where it's used for fuel. This can trigger intense thirst, frequent urination, extreme hunger, weight loss, flushed skin, and fatigue. But in children the first noticeable symptom is often a coma. The rapid onset of type 1 can land a person in the hospital, where healthcare providers may use an AIC blood test to confirm a diagnosis of diabetes and then administer insulin to get extremely high glucose levels back under control. The A1C test shows a person's average blood sugar level over the previous 2-3 months. A result of 6.5 percent or higher indicates diabetes. Some doctors may use one of the following blood glucose tests in addition to, or instead of, the A1C test. An oral glucose tolerance test requires that a person drink a glucose solution after fasting for 8 hours. Blood sugar levels are tested 2 hours later-and 200 mg/DL or higher signals diabetes. A fasting blood sugar test also looks at the level of glucose in the blood, but a person has to fast for 8 hours beforehand. A level of 126 milligrams per deciliter or higher indicates diabetes. If all tests indicate DIABETES, then you may need a blood test to check for autoantibodies. Only type 1 diabetes produces these immune system markers. To learn how to live a long and healthy life with type 1 diabetes, check out other videos in this series.More »
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Diabetes and depression are linked in several ways. Find out if diabetes causes depression or if depression causes diabetes in this video.
Transcript: Diabetes is a serious disease, and years of blood glucose monitoring, taking medications, and dealing...
Diabetes is a serious disease, and years of blood glucose monitoring, taking medications, and dealing with health complications can strain your mental health. In fact, people with diabetes are TWICE as likely as the average person to have depression. Doctors aren't sure if there are physiological reasons behind the diabetes and depression connection; but they do know that STRESS can make it hard to regulate blood sugar levels and that blood sugar highs and lows can cause mood swings and fatigue. On the flip side, depression can also increase your RISK of developing diabetes. Depressed people tend to eat poorly and become sedentary, leading to weight gain, high blood pressure and cholesterol, which in turn can cause diabetes. But you can BREAK the vicious cycle by taking care of diabetes and depression. Attend workshops where you'll acquire tools to make the dibetes management process SMOOTHER and less BURDENSOME. Diabetes support groups give you a SPACE to talk about your struggles. Other people's stories will remind you that you're NOT alone in the journey. You might also consider seeing a therapist-he or she can teach you relaxation and coping methods so you can handle intense emotions. If necessary, your internist or a psychiatrist can prescribe antidepressants that REDUCE feelings of apathy, fatigue, nervousness and loss of pleasure. To learn more about diabetes and depression treatment, take a look at other videos in this series.More »
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A diabetes diagnosis is the first step towards effective treatment. Check out this video to learn what will happen in your doctor's appointment.
Transcript: When you or your child has diabetes, it's important to receive good medical care-but that first doctor's...
When you or your child has diabetes, it's important to receive good medical care-but that first doctor's visit can be a little overwhelming! What should you expect? No matter your age or the type of diabetes you have been diagnosed with, your physician will have a clear goal for the first visit: To bring your blood glucose down to a normal level. Plan to work closely with your doctor to bring your sugar down to between 90 and 130 milligrams per deciliter before meals. A. To prepare for your appointment, you'll want to bring some basic items, B. including all the medications you take regularly. C. If you have already begun testing glucose levels, D. take your test notes and your glucose monitor. It will help to have a notepad and pen for jotting down questions during your visit. Don't hesitate to ask you are doctor if you're confused or concerned about any aspect of your diabetes! A. Whether you have Type 1 or Type 2 diabetes, your doctor will begin by taking a detailed medical history. B. Be ready to answer questions about past illnesses, family health, and your eating and exercise habits. C. If your child has diabetes, D. you might want to consider going over this at an earlier visit without him there. Next, your doctor will perform a routine physical examination. Feel reassured that this will be much like a standard check-up. Following the examination, you will need to give your blood and urine samples. These will assess your levels of cholesterol, fat, blood glucose and urine protein. A painless electrocardiogram, or EKG, may be administered to check the heart. At the end of your visit, your doctor will create a diabetes care plan to effectively manage the disease. This individualized plan should take into account your daily schedule, eating and exercise habits, and cultural background.. A. Your plan should detail the medications you will need to lower your blood glucose and the B. tools you will use to measure your sugar levels, like a glucose meter. The plan will also lay out lifestyle changes you may need to make, 1. like adopting healthier eating habits, 2. taking up exercise, or cutting out cigarettes Your doctor may want to refer you to other individuals who will aid you with specialized aspects of treating diabetes. These people will become part of your treatment team. Your team might include: A dietician to help you devise an effective eating plan, a registered nurse to teach you about daily living with diabetes, and, perhaps, a psychologist to help you cope with the emotional aspects of living with a lifelong disease. Expect to schedule subsequent visits every three to six months, although you may need more frequent appointments in the beginning. By working closely with your doctor, you will be able to control your sugar and return to health!More »
Last Modified: 2013-07-08 | Tags »
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Food plays an absolutely critical role in managing diabetes and there are plenty of options to choose from. Learn more about diabetic diets through the video.
Transcript: Diet plays a key role in managing all types of diabetes. Let's look at the ways in which food choices...
Diet plays a key role in managing all types of diabetes. Let's look at the ways in which food choices can help keep you healthy. When you have diabetes, a smart diet starts with understanding how different foods can affect your blood sugar levels. Fortunately, there's a convenient tool to measure this-the glycemic index. The glycemic index, or GI, is a tool that distinguishes how different carbohydrates affect blood sugar. The system compares various foods to pure glucose, which has a rating of 100. Foods with a glycemic index rating below 55, such as an apple, are digested slowly, keeping blood sugar stable. A. Foods with a GI rating greater than 55, like a donut, are digested and absorbed quickly, B. creating intense fluctuations in the body's sugar and insulin levels. Because diabetics must regulate their blood sugar carefully, it is best to avoid foods that will cause sugar spikes. Some examples of foods with particularly high GIs include: A. white bread, which has a GI of 71, B. watermelon, which weighs in at 72 and C. pretzels, which have a GI of 81. A. If you have diabetes, you'll rarely go wrong with fresh vegetables, because they have extremely low glycemic indexes. B. For example, broccoli and spinach both have a GI of 15. Once you begin to use the glycemic index, there are some guidelines to follow that can keep you on the path to good health. Start adding high-fiber foods to your diet. Fiber will keep you full longer and reduce blood sugar surges. A. Enjoy low GI fruit, like apples and cherries. B. Lean meats, like chicken and turkey, C. and unrefined grains are great options for diabetics, too. While every diabetic is different, a good rule of thumb is to try to consume 50 percent of your nutrients from carbohydrates, 20 percent from protein and a maximum of 30 percent from fats. While all of us should watch our intake of saturated fats, processed foods, and simple sugars, it's even more important for diabetics to do so. A. That's because these foods can cause uncontrollable blood sugar surges in diabetics, B. resulting in a coma or even death. Above all else, a great healthy-eating guideline I share with my clients, is to read the ingredient listings on your food. If you don't recognize or can't pronounce some of the ingredients, don't eat it! A diagnosis of diabetes can be life-altering, however following a healthy diet that takes the glycemic index and general good sense into account can help diabetics stay well and feel great! Because every diabetic is different, remember that you should always talk to your doctor before starting a new diet.More »
Last Modified: 2013-07-08 | Tags »
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You can exercise with diabetes, you just need to watch your blood sugar level closely. Learn how to exercise with diabetes safely in this video!
Transcript: Physical activity helps regulate blood sugar AND blood pressure, IMPROVES your body's ability to use...
Physical activity helps regulate blood sugar AND blood pressure, IMPROVES your body's ability to use insulin, REDUCES bad cholesterol levels, and helps you LOSE weight. But before you get moving, ask your doctor what sort of exercise is safe for YOU. If you're not in shape, start out SLOWLY. Try taking a walk or a swim in a pool, and then INCREASE the intensity as your doctor recommends. And if you have vision problems or other diabetes-related complications make sure that increased blood pressure during exercise won't cause further damage. People with diabetic neuropathy need to work with a physical therapist to determine what is safe AND possible. And everyone with diabetes, even if you're in TIP-TOP shape, has to be careful not to trigger hypoglycemia, or low blood sugar, while exercising. You can develop it if you take your normal dose of medication or insulin AND burn up available blood sugar through physical activity. You may also have a low if you SKIP a meal and then exercise. Your doctor can help you figure out how to adjust your medication and diet to avoid problems. Remember, take a glucose reading BEFORE exercise. If your blood sugar reading is 300 or higher OR 100 or lower, don't start exercising. Also take a reading right after you're done, and LATER ON. Exercise can lower blood sugar for up to 12 hours. Also check your glucose DURING exercise if you're active for longer than 45 minutes. Once you're ready for exercise, take along snacks in case you become hypoglycemic and drink PLENTY of water. Check out the other videos on diabetes to learn more.More »
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The symptoms of diabetes are often silent. Basic signs like fatigue can be an indicator. Learn more about signs of type 2 diabetes.
Transcript: An estimated one third of people living with diabetes have no idea that they have it! Avoid being one...
An estimated one third of people living with diabetes have no idea that they have it! Avoid being one of them by knowing what to watch out for. The symptoms of diabetes are often subtle-like mild fatigue or minute weight loss-so the first line of defense against remaining undiagnosed is knowledge. Being aware of your family's medical history and your risk level is imperative to the early detection of diabetes. Had blues legend and diabetic B.B. King known his family's history, he might have been better able to manage the disease that kept him tired and weak for years. When King was finally diagnosed with Type 2 diabetes in his early 60s, the musician realized that the deaths of his mother, father, sister and niece were all due to untreated diabetes. Knowledge of your family's history of diabetes, heart disease and high blood pressure may help you avoid a late diagnosis and illness like B.B. King's. A. If these complications are in your background, or if B. you are overweight, understand your risk for developing diabetes is greater. It's also important to be aware of the symptoms that are detectable in the early stages of diabetes. The signs of Type 1 diabetes usually develop over just a few days, due to hyperglycemia, a rapid rise in glucose. Type 1 diabetics often complain of excessive thirst or hunger, sometimes accompanied by a dry mouth. Despite an increase in appetite, Type 1 diabetics often lose significant amounts of weight very quickly. Other symptoms include the need to urinate frequently, blurry vision or increased fatigue. Unlike people with Type 1 diabetes, those who develop Type 2 diabetes do so gradually, with minor-and sometimes no-symptoms that crop up over long periods of time. Often, they are not even diagnosed until after the complications of the disease occur. People who develop Type 2 diabetes may experience numbness or tingling in their hands and feet, sores that take a long time to heal or blurry vision. Women may contact frequent yeast infections, while some males complain of unforeseen impotency. Prior to the onset of Type 2 diabetes, many people develop a symptom-free condition called pre-diabetes. This occurs when glucose levels are elevated, but not yet high enough to be considered full-blown Type 2 diabetes. Because pre-diabetes has no discernible symptoms, it's important to get tested for the disease if you have a family history of diabetes or if you're overweight. People of non-Caucasian descent are also more likely to develop pre-diabetes. The symptoms of diabetes are subtle and sometimes don't seem serious, but the long-term ramifications are severe. Luckily, early detection and treatment can prevent organ damage.If you experience any of the symptoms outlined in this video or if you are a high-risk candidate for developing diabetes, see your doctor for a blood glucose test.More »
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Diabetes is a complicated, lifelong condition. Understanding diabetes symptoms, treatments and prevention will help clear up some misconceptions.
Transcript: An estimated 20 million Americans live with diabetes-that's 6 percent of the population! But what exactly...
An estimated 20 million Americans live with diabetes-that's 6 percent of the population! But what exactly is diabetes. Diabetes is a relatively common metabolic disorder that affects the way the body uses food for energy and growth. The food we consume is converted into glucose, or simple sugar, which enters the bloodstream as a source of fuel. Insulin, a hormone produced by the pancreas, helps regulate the level of glucose in the blood and how glucose is used. People with diabetes, however, experience insulin failure, resulting in elevated levels of blood sugar. This causes both the short term symptoms of diabetes-like excessive thirst-and, often, damages the body's organs in the long term. The way in which insulin fails determines how a diabetic is classified. There are three types of diabetes: Type 1, Type 2 and Gestational diabetes. Type 2 diabetes is by far the most common, making up 90 to 95 percent of new cases of diabetes. Thomas Edison may be best known for inventing the light bulb, but the Wizard of Menlo Park was also a member of the large Type 2 diabetic population. Due to insulin resistance-a condition related to excess body fat-Type 2 diabetes usually develops in obese people. This condition occurs when a normal amount of insulin no longer suffices, causing blood sugar to rise.The pancreas responds by making extra insulin to lower the sugar. Diabetes results when the pancreas can't keep up. Other times, Type 2 diabetics just stop producing enough insulin with a similar result. 1. Type 2 diabetes usually arises in people who are at least twenty pounds overweight and over forty years old. 2. A family history of diabetes plays a large role, 3. as does ethnicity, with most cases occurring among Native American, Hispanic and African American descent. In contrast to the frequency of Type 2 diabetes, Type 1 diabetes makes up only 5 to 10 percent of new cases. Type 1 diabetes occurs when the body's immune system gets confused and starts to destroy the cells that produce insulin. In response, the pancreas stops making insulin altogether. People with Type 1 diabetes must take insulin daily, yet the injections don't hold them back from leading full lives. Just ask Type 1 diabetic Halle Barry, who has an Emmy, a Golden Globe and an Academy Award under her belt. Type 1 diabetes was once known as "juvenile diabetes," since it's usually diagnosed in people under twenty. Type 1 diabetics are frequently Caucasian. The third type of diabetes, gestational diabetes, occurs in 7 percent of pregnancies, probably because pregnancy hormones reduce receptiveness to insulin. Women are more likely to contract gestational diabetes if they have a family or personal history of diabetes, or if they are of non-Caucasian ethnicity. Although diabetes is currently incurable, there are a number of treatments that can allow diabetics to live healthy, normal lives. Remember, diabetes can't be self-diagnosed, so please see a doctor if you have a family history of the disease or concerns about your health.More »
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The consequences of diabetes may be fatal if the condition is left uncontrolled. Watch this video to learn more about the effects of diabetes.
Transcript: Diabetes is currently the fifth deadliest disease in the United States, claiming the lives of almost...
Diabetes is currently the fifth deadliest disease in the United States, claiming the lives of almost two-thirds of all diabetics. Because so many diabetics are not diagnosed until after a life threatening complication arises, the death rate from diabetes is staggering. In fact, diabetes has taken the lives of some of America's most beloved icons. In her glory days, Ella Fitzgerald was one of the most recognizable voices in America. The "First Lady of Song" had a recording career like none other, winning 13 Grammy Awards over an astounding 57 years. Sadly, the songstress was diagnosed very late in life with Type 2 diabetes and underwent quintuple coronary bypass surgery as a result. Ella's diabetes also caused her failing eyesight and the amputation of both her legs below the knees. Unfortunately, the complications that Ella suffered are not rare. Left untreated, or treated incorrectly, diabetes can lead to a combination of serious and life-threatening effects. A complete list of diabetic side-effects can be overwhelming. Sometimes, it helps to look at each individually to understand why diabetes causes the complications it does. Up to 73 percent of diabetics experience high blood pressure, which means that their hearts have to work extra hard to move blood through their bodies. As a result, blood can get blocked or stopped, resulting in a heart attack or stroke. Although diabetes does not cause high blood pressure, having the disease makes it more likely that you will also have this condition. Some complications of diabetes are not life threatening, but still serious. For example, because diabetes can affect blood flow to the genitals, men with the disease occasionally experience erectile dysfunction while diabetic women can battle low sex drives and vaginal dryness. A. Diabetes can affect the blood vessels in the eyes and is the current leading cause of blindness in people over twenty. B. Additionally, the excess blood sugar found in a diabetic's mouth doubles the odds that he will develop periodontal disease. Diabetics can also suffer from poor blood flow in their limbs, which may lead to nerve damage. In extreme cases, this can result in lower limb amputations, like Ella Fitzgerald's. A. Other minor complications of diabetes include wounds that take too long to heal, B. numbness or tingling in the appendages, C. and bladder infections. But, with early diagnosis and treatment, these consequences can be avoided.If you do think you may have diabetes, seek treatment from a health care professional immediately.More »
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The Glycemic Index can help you watch your diet and count carbs more accurately. Watch this to learn more about the Glycemic Index diet.
Transcript: If you have diabetes, you need to plan your meals so that you know just how many carbohydrates you're...
If you have diabetes, you need to plan your meals so that you know just how many carbohydrates you're eating. That way you can make sure you don't OVERLOAD your bloodstream with glucose. In addition to counting carbohydrates, you can use the GLYCEMIC INDEX to determine how your meal will affect your blood sugar levels. The GI ranks foods based on how QUICKLY their carb content raises your blood glucose. For a STEADY blood sugar levels, it's best to eat mostly low and medium GI foods. Low GI foods are ranked 55 or less. They include stone-ground whole wheat bread, BARLEY, beans, PEANUTS, prunes, carrots, tomatoes, milk, LIGHT yogurt, and many fruits. Medium GI foods are ranked between 56 and 69. They include peas, BANANAS, brown rice, baked sweet potato, and -really--ICE cream. High GI foods are ranked 70 or more. They include plain bagels, short grain white rice, WATERMELON, pineapple, baked white potatoes, cornflakes, and much more. A food's GI increases with the amount of COOKING and PROCESSING it goes through before consumption-al dente pasta is low than SOFT pasta, fresh fruit is lower than fruit JUICE. And larger portions equal HIGHER GIs. Also foods with a low GI may still be HIGH in calories and fat and have FEW vitamins or minerals. That's why the glycemic index is not recommended as a PRIMARY meal planning tool. You should count carbohydrates and then use the GI for added information. And consult your doctor or nutritionist to figure out a meal plan TAILORED to your personal diet goals.More »
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If you have type 1 diabetes, you'll have to administer insulin on a regular basis. Learn more about this type 1 diabetes treatment here.
Transcript: If you've been diagnosed with Type 1 diabetes, you'll need to administer insulin daily. Insulin therapy...
If you've been diagnosed with Type 1 diabetes, you'll need to administer insulin daily. Insulin therapy is life-changing, but necessary for Type 1 diabetics. Type 1 diabetics don't produce the insulin necessary to move blood sugar through their bodies. Because of this, they must manually inject this vital hormone. After being diagnosed with Type 1 diabetes, it is natural to have questions about insulin therapy. As a child, mountaineer Will Cross felt that his diabetes diagnosis meant that he could never pursue his "high" aspirations. But after getting used to his daily injections, Will began climbing again, and in 2005, he became the first diabetic to scale Mount Everest. Let's begin by looking at why daily insulin is necessary for type 1 diabetics. People become type 1 diabetics when their immune systems start to destroy the beta cells that make insulin. Because of this, the pancreas can no longer produce this essential hormone. To combat this shortage, insulin needs to be administered in a manner that mimics the secretion of the pancreas. Since every diabetic has different lifestyle patterns, your doctor will choose from a variety of insulin types and injection methods to treat your diabetes. Insulin comes in a variety of forms, from long-lasting to briefly intense. That is why your doctor might suggest a combination of insulin. For example, a patient could take a dose of insulin, like NPH, in the morning and evening as well as injections of a intermediate-acting variety, like Humalog, before meals. Whatever forms of insulin are used, there are three FDA approved ways to administer it. A. The most common delivery method is the pre-filled insulin pen. B The pen-sized device holds an insulin cartridge, C. which is administered by a needle that penetrates just under the skin. D. Some pens are disposable while others require a replacement needle and cartridge after each injection. Although the pre-filled pen is a great method for many diabetics, some people dislike injections and may prefer an insulin pump. A. An insulin pump is a device about the size of a pager that is worn outside of the body. B. It has a tube that connects the insulin to a cannula inserted into the abdomen. C. The pump then dispenses a programmed amount of insulin into the body through the cannula. The third and newest form of insulin on the market is called Exubera. This delivery method is inhailed into the lungs through a device that looks like an asthmatic's pump. 1. Inhaled insulin comes in dry blister packs that are inserted into an inhalation device. 2. Since this method is fast acting, but short lasting, it may be best to use it in conjunction with an all-day insulin. No matter what delivery system is used, it is important to be vigilant in taking your insulin. If you're not comfortable with your current insulin plan, discuss alternatives with your doctor.More »
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