Think Like a Pancreas
Page 27
Cheerios 74
Corn Flakes 83
Cream of Wheat 70
Crispix cereal 87
Golden Grahams 71
Grape Nuts 67
oatmeal 49
pancakes 67
PopTarts 70
puffed wheat 67
Raisin Bran 73
Rice Krispies 82
Shredded Wheat 69
Special K 66
Total 76
waffles 76
Combination Foods
chicken nuggets 46
fish fingers 38
macaroni and cheese 64
pizza (cheese) 60
sausages 8
stuffing 74
taco shells 68
Dairy
chocolate milk 34
custard 43
ice cream, vanilla 62
ice cream, chocolate 68
milk, skim 32
milk, whole 27
pudding 43
yogurt, low-fat 33
Fruits and Juices
apple 38
apple juice 41
apricots 57
banana 55
cantaloupe 65
cherries 22
cranberry juice 68
fruit cocktail 55
grapefruit 25
grapefruit juice 48
grapes 46
kiwi 53
mango 56
orange 44
orange juice 52
peach 42
pear 37
plum 39
raisins 64
watermelon 72
Legumes
baked beans 48
black beans 30
black-eyed peas 42
butter beans 30
chick peas 33
lentils, red 25
lima beans 32
pinto beans 45
red kidney beans 19
Pasta
capellini 45
fettucini 32
linguini 55
macaroni 45
spaghetti, white 41
spaghetti, wheat 37
tortellini 50
Rice/Grain
brown rice 55
couscous 65
instant rice 87
long grain rice 56
risotto 69
Snack Foods
corn chips 74
granola bars 61
NutriGrain bars 66
peanuts 15
popcorn 55
potato chips 54
pretzels 81
rice cakes 77
Soups
black bean 64
green pea 66
lentil 44
minestrone 39
split pea 60
tomato 38
Sports Bars/Drinks
Gatorade 78
Power Bar 58
Sugars and Spreads
glucose tablets 102
high fructose corn syrup
(regular soda) 62
honey 58
strawberry jam 51
syrup 66
table sugar (sucrose) 64
Vegetables
French fries 75
potato, baked 85
potato, instant 83
potato, mashed 91
potato, boiled 88
carrots, boiled 49
carrots, raw 47
corn 46
sweet potato 44
tomato juice 38
APPENDIX
D
Carbohydrate Replacement for Exercise
© copyright 2004, Gary Scheiner MS, CDE/Integrated Diabetes Services LLC, 610-642-6055.
Index
A1c, 20, 59, 60, 61, 62, 76, 121, 220, 233
elevated, 18
glucose and, 61 (table)
home, sources for, 273
kits, 82
AADE. See American Association of Diabetes Educators
Abbott, 73, 267, 270, 272, 273
Absorption, poor, 243–244, 245
Acarbose, 46, 47
Acesulfame K, 54
Acidity, adding, 237–238
Activity, 173
adjusting for, 172, 178, 182
boluses and, 182
duration/intensity of, 174
See also Exercise
ADA. See American Diabetes Association; American Dietetic Association
Adaptive devices, sources of, 275
Adjustments, 86, 90, 121–122, 144–145
quality of, 142–144
quantity of, 141
Adrenaline, 56, 159, 173, 222
blood sugar and, 85
liver and, 221
Affordable Care Act, 257
AgaMatrix, 271, 272
Aging
adjusting for, 199–200
blood sugar and, 199–200, 217
insulin resistance and, 32
Albers, Susan, 265
Albuterol, 196
Alcohol
adjusting for, 203, 231
blood sugar and, 138, 203–204, 217
sugar, 92
Alerts, 232
Alkon, Cheryl, 264
Allen-Harris, Kalilah, 26
Allergies, 67
Allison Medical, 268
Alpha-glucosidase, 46, 236
Alzheimer’s disease, 24–25
American Association of Clinical Endocrinologists, 234
American Association of Diabetes Educators (AADE), 78, 254
American Association of Kidney Patients, 254
American Board of Medical Specialties, 79
American Chronic Pain Association, 254
American Diabetes Association (ADA), 77–78, 234, 254, 264
American Dietetic Association (ADA), 79, 254
American Foundation for the Blind, 254
American Heart Association, 254
Amputations, 24, 26
Amputee Coalition of America, 254
Amylin, 30, 39, 49, 50, 232, 233
Amylin Pharmaceuticals, 267
Angel Bear Pump Stuff, 270
Animas Corp., 269, 272
Antibiotics, 196, 202
Antidepressants, 202
Anxiety, 81
adjusting for, 186
blood sugar and, 185–186, 217
Apidra, 63, 110, 228, 236
Appetite, 15
reducing, 14, 16, 45, 47
Arthritis, 196
Artificial sweeteners, 54
Asante Solutions, 269
Aspart, 11, 40, 63, 110, 178
Aspartame, 54
Associations, helpful, 254–256
Asthma, 196
Atherosclerosis, 21
Attorney General’s Office, 97, 259
Autoimmune diseases, 30, 32
Autolet, 5
photo of, 5
Aventis Pharmaceuticals, 258
Bacteria
harmful, 18
sugar and, 17, 18
Balancing Pregnancy with Pre-Existing Diabetes* (Alkon), 264
Barbara Davis Center for Childhood Diabetes, 254
Basal insulin, 64, 76, 81, 83, 103–110, 123, 125, 146, 151, 156, 162, 174, 188, 193, 195, 196, 197–198, 199, 202, 205, 206, 211, 212, 213, 246
action profile of, 117, 118 (fig.)
adjusting, 89, 120, 142 (table)
blood sugar and, 130, 132–133
bolus insulin and, 112, 119, 154, 236
delivering, 68, 69, 110, 134, 139
dosing, 131–132, 210, 241
drop in, 130, 132, 203, 207, 210, 242
fine-tuning, 127, 131–133, 210, 253
increase in, 134, 197
injecting, 108, 128–131, 149, 244
levels of, 147, 216, 231
long-acting, 41 (table), 44, 106, 137, 201
need for, 112
perfect, 183
producing, 187
program for, 106, 113, 113 (fig.), 128
rapid-acting, 109
requirements for, 104, 105, 128, 129 (table)<
br />
true, 228
typical, 105 (fig.)
using, 117–118, 136
Basal programs, 148
peaks/valleys in, 143, 143 (fig.), 144 (fig.), 149
Basal rates, 137, 142, 144, 146, 147, 202
basics of, 148–149
flat, 145
morning, 145
nighttime, 139, 145
retesting, 141
temporary, 124, 139, 148, 210
Basal tests, 124
blood sugar and, 139
conditions for, 138
data from, 140
examples of, 144–145
idiosyncrasies about, 147–148
results from, 141
scheduling, 140 (table)
Bayer, 271, 272, 273, 275
Becton Dickinson, 268, 271, 273, 275
Berry, Halle, 26
Beta blockers, 196
Beta cells, 30–31, 32, 34, 39, 214
attack on, 31, 36
insulin and, 31, 37, 188
Beta-Hydroxybutyrate, 248
Beverages
high-caffeine, 187
low-sugar, 202
Blindness, 20–21
Bloating, 23, 236
Blogs, helpful, 262–263
Blood cells, 60, 61, 192
Blood flow, 19, 22, 24
Blood glucose, 21, 77, 82, 83, 89, 234
checking, 1, 29, 30, 75, 101, 253
elevated, 14, 50, 85
fat and, 95
levels, 75–76, 121, 147, 187
low, 114, 224 (fig.)
menstruation and, 205 (fig.)
normal, 187
performance and, 16
scatter plot of, 87
targeting, 229
Blood glucose meters, 6, 11, 71–73, 74, 77, 120, 257
photo of, 6, 72
reading, 82, 205
Blood pressure, reducing, 22
Blood sugar, 3, 7, 16, 84, 120, 152, 157, 172, 181
absorbing, 44
balancing, 39–40, 42–58, 96, 173
carbohydrates and, 51, 52, 58, 91, 151, 179, 188, 212 (table), 217
checking, 56, 71, 82, 98, 99, 112, 132, 139, 145–146, 162, 163, 165, 167, 169, 183–184, 231, 242, 245
controlling, 10, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 34, 45, 47, 48, 50, 59, 68, 81, 91, 160, 179, 197, 242, 253
drop in, 24, 35, 36, 38, 42, 45, 58, 111, 133, 147, 148, 162, 163, 164, 166, 171, 173, 176, 177, 194, 198–202, 203–216, 217, 221, 224, 229, 231, 232, 242
elevated, 22, 47, 49, 158, 166, 216
factors affecting, 39, 39 (table), 159
increase in, 38, 46, 48, 51, 52, 54, 57, 58, 85, 108, 110, 122, 132, 133, 138, 141, 142, 145, 148, 153, 158, 159, 179, 179 (fig.), 185–198, 203–216, 217, 221, 223, 225, 238
insulin and, 40, 42–44, 58, 100, 111, 128–129, 153, 160–166, 175
levels of, 26, 31, 75, 81, 83, 84, 95, 96, 99, 104, 110, 132, 156, 161, 173, 174, 184, 188, 202, 206, 209, 219, 223, 245
little stuff with, 57–58, 57 (table)
maintaining, 166, 174, 227
monitoring, 81, 83, 159, 166, 197
normal, 16, 17, 23, 133, 212
optimizing, 112, 176
postmeal, 110, 158, 179, 232, 249
premeal, 100, 163, 179, 181, 181 (table), 222
target, 161, 162, 182, 229–230
testing, 4, 124, 165, 176, 182
variations in, 17, 141, 208, 251
BOB. See Bolus On-Board
Bolus calculators, 69, 120, 121, 124, 160, 168, 183
Bolus insulin, 103, 110–111, 120, 123, 125, 130, 135, 138, 151, 162, 166–172, 180, 187, 196, 197, 213, 216
absence of, 149
basal insulin and, 112, 119, 154, 236
cutting back on, 242
delivering, 68
mealtime, 224
options, 111 (fig.) program for, 112, 113, 113 (fig.), 128
working time of, 88
Bolus On-Board (BOB), 167
Bolus timing, 172, 178–182, 229
adjusting, 156, 173, 181 (table)
glycemic index and, 181, 181 (fig.)
Boluses, 70, 103, 120, 122, 135, 137–138, 142, 144, 147, 151–152, 165, 166, 169, 193, 195, 197, 201, 202, 203
backing up, 236
blood sugar and, 167, 170, 170 (fig.), 182
carbohydrates and, 182, 184
correction, 161, 164, 171, 172, 198, 213
delivery of, 69
exercise and, 174 (table), 182
fine-tuning, 156, 173
food and, 152, 180
hypoglycemia and, 157
IOB and, 168 (table), 182
mealtime, 121, 160, 171, 173, 174, 178, 204, 222, 223, 230, 231
missed, 244
reducing, 176, 177, 199, 201
splitting, 180–181
Brain, 24–25, 56, 103, 222
glucose and, 14, 16–17
Brain cells, 38, 200, 220
Brain work
adjusting to, 200
blood sugar and, 200, 217
Brand-Miller, Jennie, 266
Breast feeding, blood sugar and, 216
Brick, photo of, 6
Bureau of Primary Health Care, 257
Burns, Doug, 26
Byetta, 49, 202, 229, 237, 242
pens for, 48 (photo)
Byram Healthcare, 275
C-peptide test, 112, 128
Caffeine, 193, 207
adjusting for, 187
blood sugar and, 138, 186, 187, 217
Can-Am Care, 268, 273
Carb counting, 11, 54, 90–95, 99, 101, 103, 123, 184
advanced, 253
Carb Counting Quiz, 94
Carbohydrates, 48, 64, 115, 203, 237
absorption of, 228
blood sugar and, 51, 52, 58, 91, 151, 179, 188, 212 (table), 217
complex, 53, 53 (table), 54, 92
consuming, 72, 83, 96, 110, 121, 129–130, 172, 232
converting exchanges into grams of, 91 (table)
fast-acting, 213
glucose and, 116–117
increase in, 189, 223
insulin and, 152–160
lack of, 241–242
overestimating, 229
reducing, 242
simple, 53, 53 (table), 92
sparing effect of, 188
total, 92, 230
types of, 211
Cardiac bypass, 196
Cardiologists, diabetes and, 80
Cardiovascular/aerobic capacity, 16, 233
Caring for the Diabetic Soul* (ADA), 264
Cataracts, 20
Celiac Society, 255
Celiac Sprue
Association/USA, 255
Centers for Medicare and Medicaid Services, 257
Certified diabetes educator (CDE), 78, 148, 252–253, 257
CGMs. See Continuous glucose monitors
Charles Ray III Diabetes Foundation, 258
Chemotherapy, blood sugar and, 201
Children’s Health Insurance Program (CHIP), 257
Chlorpropamide, 45
Cholesterol, 21, 22, 46, 79
Clarke, Bobby, 26
Claudication, 22
Climate, blood sugar and, 200–201
Colberg, Sheri E., 264, 265
Collagen, 25
Common colds, 17, 196
Complete Book of Food Counts, 8th Ed. (Netzer), 264
Complete Guide to Carb Counting (Warshaw and Kulkarni), 264
Congestive heart failure, 46
Consciousness, 227
loss of, 59, 219, 232
Continuous glucose monitors (CGMs), 11–12, 69, 70, 74–77, 87, 120, 157, 165, 232
data from, 86, 88, 140, 147 (fig.)
insulin action time and, 171, 171 (fig.)
low blood sugar and, 231
nighttime correction bolus and, 166 (fig.)
photo of, 75, 76
postmeal peaks and, 234, 234 (fig.)
sensors/pu
mp supplies, 1
sources of, 272
stress response from, 185 (fig.)
using, 77, 141, 147, 182, 194, 231–232, 234, 253
Control, 87
after-meal, 236, 237
solution, 82
Cooler Concepts, 274
Corneal disease, 20
Cortisol, 56, 104, 105, 128, 215
Cortisone, 33, 196
Cost Containment Research Institute, 257
Couch potato syndrome adjusting for, 193
blood sugar and, 193
Cough and cold remedies, 196
Countdown (Juvenile Diabetes Research Foundation), 259
Cutler, Jay, 26
Data analysis, 84–86, 88, 122, 140, 147 (fig.), 156
Davidson, Bill, 26
Dawn phenomenon, 119, 128, 133
DCCT. See Diabetes Control and Complications Trial
Dehydration, 16, 18, 192, 240, 241
Delayed-onset hypoglycemia (D’OH), 198, 199
Dentists, diabetes and, 80
Department of Health and Human Services, 257
Department of Human Services, 257
Department of Veterans Affairs (VA), 257–258
Depression, 25, 26
Detemir, 40, 44, 106, 112, 117, 118, 119, 131, 132, 133, 137, 228, 230
basal insulin and, 107 (fig.), 108, 108 (fig.)
using, 107–108, 197–198, 203
Dexcom, 272
Dexcom: DM3, 272
Dexcom CGM, modal day chart from, 158 (fig.)
Dextrose, 179, 202, 221, 225, 249
Diabetes
basics about, 4, 29
caring for, 12, 14–19, 256–257
complications of, 19, 26, 27, 61, 222
controlling, 4, 15, 48, 59, 60, 78, 81, 87, 88, 99, 249
diagnosis with, 3–4, 8, 12, 33
insulin-dependent, 26, 32, 104, 123, 249
knowledge of, 29
life with, 12, 98, 188
living with, 2–12, 251
secondary, 30, 36
types of, 29–30, 36–37, 37 (table), 58
See also Gestational diabetes; Latent Autoimmune Diabetes of Adulthood; Maturity Onset Diabetes of Youth; Neonatal diabetes, Type 1 diabetes; Type 2 diabetes
Diabetes Burnout: What to Do When You Can’ Take It Anymore (Polonsky), 265
Diabetes Camping Association (DCA), 255
Diabetes centers, 9, 10, 80
Diabetes Control and Complications Trial (DCCT), 20, 61
Diabetes Educator Locator, 254
Diabetes Exercise and Sports Association (DESA), 255
Diabetes Forecast (American Diabetes Association), 259
Diabetes Health, 259
Diabetes Living Today (radio), 260
Diabetes Mall, 275
Diabetes management, 1–2, 8, 12, 13, 14, 27, 29, 59, 124, 175–176, 220
attitude about, 96–100, 101
blood sugar and, 71
insulin and, 64, 86
keys to, 62–100, 63 (fig.)
self-, 12, 78, 96, 101
skills for, 80–96
sources of, 253–254
tools for, 63–80, 81, 101
Diabetes Monitor, 259
Diabetes Self-Management (Rapaport Publishing), 259
Diabetes Specialty Center, 275