What Is a Diabetes Medical Management Plan

What Is a Diabetes Medical Management Plan (DMMP)?

Parents/guardians are responsible for getting their child's completed and signed Diabetes Medical Management Plan (or doctor's orders) from their child's diabetes care provider. They should then give the DMMP to their child's school to implement and carry out.
No two people manage their diabetes in the exact same way. Some students get their insulin using a syringe and vial, others use insulin pens, and still others have insulin pumps. Some students are in their "honeymoon" period when they temporarily need less insulin. Others begin to notice changes in the stability of their blood glucose levels as puberty sets in. Some can easily detect lows, while others don't feel lows coming on. Some students manage their diabetes independently. But younger or newly diagnosed students may need help with all aspects of their diabetes care. For this reason, doctor's orders for school care need to be specific for student.
- See more at: http://www.diabetes.org/living-with-diabetes/parents-and-kids/diabetes-care-at-school/written-care-plans/diabetes-medical-management.html#sthash.2Q55vPlJ.dpuf

Eating with High Blood Pressure

New science is changing the way people 50 and older judge their blood pressure, and a slew of new studies on foods and hypertension suggest it may be easier than you thought to reduce high blood pressure.
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For adults under 65, it's that upper number in your blood pressure reading that may be the best indicator of future heart problems or even premature death. A normal reading is around 120/80. If that first number is 140 or higher, you have reason for concern.

For those 65 and older, however, it's a trickier situation. Readings may vary more and doctors need to be careful in prescribing blood pressure medication for older patients.

One safe, effective way to decrease blood pressure for all age groups is to eat foods that work naturally to dilate blood vessels so the heart doesn't have to work so hard.

Eat more of these six fabulous foods for an easy, delicious way to help lower your blood pressure numbers.

Source : aarp.org/health/medical-research/info-04-2011/6-foods-fight-high-blood-pressure.html

Canned Soups

They’re simple and easy to prepare, especially when you’re in a time crunch or not feeling well. However, canned soups are filled with sodium. Canned and packaged broths and stocks can be bad, too. Some soups can have 890 milligrams of sodium or more in just one serving. If you consume the entire can, you’ll be taking in 2,225 milligrams of sodium. Low-sodium and reduced-sodium options are available. A better option is to make your own from a low-sodium recipe to keep the salt in check.

Canned or Bottled Tomato Products

As a rule, tomato products are problematic for people with hypertension. Canned tomato sauces, pasta sauces, and tomato juices are all high-sodium culprits. A half-cup serving of classic marinara sauce can have more than 450 milligrams. A cup of tomato juice comes in at 650 milligrams. You can often find low-sodium or reduced-sodium versions of all of these. For people looking to keep their blood pressure down, these alternative options are a smart choice.

Sugar

You likely already know that excessive sugar intake has been linked to increased cases of weight gain and obesity. But did you know that high sugar intake is also linked to high blood pressure? Sugar, especially sugar-sweetened drinks, has contributed to an increase in obesity in people of all ages. High blood pressure is more common in individuals who are overweight or obese. Currently, the USDA does not have a recommended daily limit for sugars, but the American Heart Association recommends that women limit added sugar intake to 6 teaspoons per day, and that men keep themselves restricted to 9 teaspoons per day.

Source : healthline.com/health/high-blood-pressure-hypertension/foods-to-avoid#Sugar8

Naturally Cure For Your high blood Pressure

Hypertension (HTN) or high blood pressure (BP) is a chronic medical condition in which the BP in the arteries is elevated. It is classified as either primary (essential) or secondary. About 90 to 95% of cases are termed primary HTN, which refers to high BP for which no medical cause can be found.[1] The remaining 5 to 10% of cases, called secondary HTN, are caused by other conditions that affect the kidneys, arteries, heart, or endocrine system.[2]

Persistent HTN is one of the risk factors for strokes, heart attacks, heart failure, and arterial aneurysm, and is a leading cause of chronic kidney failure.[3] Moderate elevation of arterial BP leads to shortened life expectancy. Both dietary and lifestyle changes as well as medicines can improve BP control and decrease the risk of associated health complications.

How to Prevent high Blood Pressure with diet

Your diet - what you eat and drink - has a real effect on your heart and blood pressure. The more healthy your eating habits are, the lower your blood pressure will be.

If you have high blood pressure, it is even more important to make healthy changes to your diet. If you take medicines for your blood pressure, then a healthy blood pressure diet can reduce the number you may need. For a few people, following blood pressure friendly eating habits may help them to avoid medicines altogether.

To diagnose type 1 or Type 2 diabetes

Type 1 Diabetes

In the early 1980s a breakthrough showed that early onset diabetes, now called Type 1 was actually an autoimmune disease in which the body destroyed its own beta cells. Antibodies produced by the immune system signaled a clear cause that distinguished it from adult onset diabetes.

Type 1 or insulin-dependent diabetes mellitus (IDDM) appears primarily in childhood or adolescence with excessive thirst and urination, loss of weight, and extremely high glucose levels. Other than the recent weight loss, a relatively normal weight is typical when Type 1 diabetes starts. Type 1 occurs in 7 to 22% of all people who have diabetes (See Type 1.5 below). Treatment for this type revolves around replacing the missing insulin delivery with an insulin pump or injections t match diet and exercise.

Many interventions are being attempted to stop the progressive loss of beta cells that is seen in Type 1 diabetes. Antibodies can often be detected a couple of years before glucose levels rise sufficiently for a diagnosis, and some children with antibodies do not develop Type 1 diabetes. When antibodies are present, there is a 68% probability of developing Type 1 diabetes, and the presence of multiple autoantibodies has the highest predictive value for Type 1 diabetes.1

Type 2 Diabetes

In contrast to Type 1 where the immune system destroys beta cells, Type 2 diabetes develops from a gradual decline in the beta cells’ ability to over-produce insulin. Type 2 is a progressive disease in which insulin production has been increased for several years as the body attempts to keep up with the insulin resistance associated with abdominal obesity or an apple shape. Insulin production gradually degrades as the beta cells become exhausted.
Type 2 is often part of a metabolic syndrome that includes various signs of insulin resistance: high blood pressure, high total cholesterol (over 200), high triglycerides (also over 200), low levels of HDL or protective cholesterol (under 40 mg/dl), gout, and abdominal obesity.

Treatment for Type 2 diabetes revolves around varied combinations of diet, exercise, medications, and/or insulin injections. Type 2 diabetes can be prevented if a person remains diligent about staying physically active and maintaining normal weight. In the Diabetes Prevention Program conducted by the NIH, the diagnosis of diabetes was reduced by 58% in the group that did these two things.4 Two classes of diabetes medications, GLP-1 agonists and glitizones, have been shown to slow the loss of beta cells in Type 2 diabetes. When started early, these medications appear to preserve insulin production, delay loss of glucose control, and delay the need for insulin for at least several years.
At least 90% of people with diabetes have Type 2 and 30 to 40% of them currently use insulin. About 30% of Americans have insulin resistance and about 30% of these will eventually develop Type 2 diabetes at some time in their lives.

Of all the people with diabetes, roughly 10% will have classic Type 1, 75% will have Type 2 (insulin resistant), and another 15% will have Type 1.5.

Source : www.diabetesnet.com/about-diabetes/types-diabetes/what-type

To diagnose type 1 diabetes, your doctor will ask for a:

    Glycated hemoglobin (A1C) test. This blood test indicates your average blood sugar level for the past two to three months. It works by measuring the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells. The higher your blood sugar levels, the more hemoglobin you'll have with sugar attached. An A1C level of 6.5 percent or higher on two separate tests indicates you have diabetes.

If the A1C test isn't available, or if you have certain conditions that can make the A1C test inaccurate — such as if you're pregnant or have an uncommon form of hemoglobin (known as a hemoglobin variant) — your doctor may use the following tests to diagnose diabetes:

    Random blood sugar test. A blood sample will be taken at a random time. Blood sugar values are expressed in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). Regardless of when you last ate, a random blood sugar level of 200 mg/dL (11.1 mmol/L) or higher suggests diabetes, especially when coupled with any of the signs and symptoms of diabetes, such as frequent urination and extreme thirst.
    Fasting blood sugar test. A blood sample will be taken after an overnight fast. A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it's 126 mg/dL (7 mmol/L) or higher on two separate tests, you have diabetes.

Source : www.mayoclinic.org/diseases-conditions/type-1-diabetes/basics/tests-diagnosis/con-20019573

Raw Food Meal Ideas

A raw food diet is a mainly vegan way of eating that uses raw or gently heated foods. Because no cooking takes place, a raw food meal plan may look very different than a traditional diet. Try using these four meal plans as a way to jump start your raw food eating. If you need help downloading the printable meal plans.

2 Days Food Plan For Raw Diet

raw food diet meal plans
Print these raw food diet meal plans!
Breakfast

Start with a fruit smoothie or green smoothie, containing these ingredients:

    Four or five cups fresh fruit and green vegetables
    Ice
    Two to three cups water
    Optional: add one raw egg

Snack

    Raw nuts
    Fresh fruit such as oranges, apples or pears

Lunch

Eat a large salad based on these foods:

    Green leafy veggies
    Three celery stalks
    Two large tomatoes
    Any color bell pepper
    Avocados
    Sunflower seeds

You can drizzle on salad dressing made of cold-pressed olive oil and/or freshly squeezed orange juice.
Snack

    Four cups berries or pineapple or three peaches

Dinner

Have a spinach salad with the following:

    Baby spinach leaves
    Romaine lettuce
    Cucumbers
    Tomatoes
    Green onions
    Orange segments

Pair with freshly-made vegetable juice containing mostly green veggies.
Dessert or Evening Snack

    10 raw pecans or walnuts
    Banana

Source : vegetarian.lovetoknow.com/Raw_Food_Diet_Meal_Plans

Breakfast – 1 cup Granola and 8 ozs (1 cup) Almond Milk
Morning Snack – 16 oz Green Smoothie
Lunch– ½ cup each of Herbed Couscous, Broccoli Salad and Beet Salad with Crackers and ¼ cup Cashew Cheese
Afternoon Snack – ½ cup Crispy Living Nuts and Seeds
Dinner – 2 slices (¼ tray) Pizza with 2 cups Leaf Salad
Dessert or Evening Snack – 1 Rawkalicious Cookie or Protein Shake*

Notes: If you need to pre-make and pack your meals, make the green smoothie early and pour it into a bottle or container leaving very little air space to keep most nutrients in.

For dinner the pizza can be spread with cheese, sauce and topped with favorite toppings and eaten straight away, or if you have time, after assembling pop it into the dehydrator for an hour and up to 2 hours. It is great either way, but especially good heated up for a bit in the dehydrator first.
Tip: Left over pizza that had been previously dehydrated and then refrigerated is fabulous! It makes a great breakfast too ;)

Make Chia Pudding tonight to have ready for tomorrow. It’s very quick and easy to make

Source : .robinskey.com/7-days-of-eating-raw-foods-plan-detailed-menu-plan/

Basics About diabetes

Diabetes mellitus (DM) is a chronic diseases characterized by insufficient production of insulin in the pancreas or when the body cannot effectively use the insulin it produces. This leads to an increased concentration of glucose in the bloodstream (hyperglycemia). It is characterized by disturbances in carbohydrate, protein, and fat metabolism.

Types

Diabetes mellitus occurs in four forms classified by etiology: type 1, type 2, gestational diabetes mellitus, and other specific types. Here’s a breakdown of the types:

    Type 1 diabetes is characterized by the lack of insulin production. It is formerly known as insulin-dependent or childhood-onset diabetes. Type 1 is further subdivided into immune-mediated diabetes and idiopathic diabetes. Children and adolescents with type 1 immune-mediated diabetes rapidly develop ketoacidosis, but most adults with this type experience only modest fasting hyperglycemia unless they develop and infection as another stressor. Patients with type 1 idiopathic diabetes are prone to ketoacidosis.
    Type 2 diabetes is caused by the body’s ineffective use of insulin. It is previously called non-insulin dependent or adult-onset diabetes. Most patients with type 2 diabetes are obese.
    Other specific types category includes people who have diabetes as a result of a genetic defect, endocrinopathies or exposure to certain drugs or chemicals.
    Gestational diabetes mellitus (GDM) occurs during pregnancy. Glucose tolerance levels usually return to normal after delivery.

Source : nurseslabs.com/6-diabetes-mellitus-nursing-care-plans/

Whether you have just been diagnosed or had diabetes for some time it is important that you get the right support for managing your diabetes. This will help to ensure that your diabetes, blood pressure and blood fats are all kept in check, as well as detecting any early signs of complications so that they can be caught and treated successfully.

Your diabetes team will monitor your diabetes control, and you should have a full diabetes check at least once a year.

This check is referred to as your annual diabetes review: its purpose is to check for early signs of complications and to enable you to lead a healthy life. The annual review consists of a few tests, often on different days, and with different healthcare professionals.

Source : diabetes.org.uk/Guide-to-diabetes/Monitoring/Interactions-with-healthcare-professionals/

Foods that heal High Blood Pressure

Ever wonder how to lower blood pressure naturally?  Sodium has always been the blood pressure bogeyman—shake most of it from your diet and you'll be safe. But research now shows that it's just as important to choose foods naturally low in sodium and high in at least two of the three power minerals: calcium, magnesium, and potassium. Add in these 13 well-balanced foods to your diet to cut your risk of stroke and heart attack nearly in half.

Source : prevention.com/food/13-power-foods-lower-blood-pressure-naturally

Tomato-&-Olive-Stuffed Portobello Caps

Ingredients

    2/3 cup chopped plum tomatoes
    1/2 cup shredded part-skim mozzarella cheese
    1/4 cup chopped Kalamata olives
    1 teaspoon minced garlic
    2 teaspoons extra-virgin olive oil, divided
    1/2 teaspoon finely chopped fresh rosemary, or 1/8 teaspoon dried
    1/8 teaspoon freshly ground pepper
    4 portobello mushroom caps, 5 inches wide
    2 tablespoons lemon juice
    2 teaspoons reduced-sodium soy sauce

Preparation

    Combine tomatoes, cheese, olives, garlic, 1 teaspoon oil, rosemary and pepper in a small bowl.
    Preheat grill to medium.
    Discard mushroom stems. Remove brown gills from the undersides of the caps using a spoon; discard gills. Mix the remaining 1 teaspoon oil, lemon juice and soy sauce in a small bowl. Brush the mixture over both sides of the caps.
    Oil a grill rack (see Tip). Place the caps on the rack, stem sides down, cover and grill until soft, about 5 minutes per side. Remove from the grill and fill with the tomato mixture. Return to the grill, cover, and cook until the cheese is melted, about 3 minutes more.

Tips & Notes

    To oil a grill rack: Oil a folded paper towel, hold it with tongs and rub it over the rack. (Do not use cooking spray on a hot grill.

Nutrition

Per serving: 122 calories; 8 g fat (2 g sat, 4 g mono); 9 mg cholesterol; 8 g carbohydrates; 0 g added sugars; 7 g protein; 2 g fiber; 338 mg sodium; 431 mg potassium.

Source : eatingwell.com/recipes/tomato_olive_stuffed_portobello_caps.html