Diet, exercise, and weight.

I’m a nurse. I see every day diabetic patients who are vastly overweight, who eat garbage, and tell me they “can’t “ diet or exercise.

I call bullshit.

I’m a bit overweight and am on the brink of diabetes. I have little cartilage left in all my joints, (genetics), so it hurts like hell to exercise, but I manage. I just don’t buy the junk I see our patients eating. Yes, I have actually seen diabetics eating candy, drinking sugared beverages, eating glucose tablets like they are candy. Every day! It’s not ignorance. Our treatment rooms walls are covered with diet and exercise posters that I change out regularly. I educate all day long, and send them all home with literature. Yet most come back with even more weight. “I can’t help it”. If you can’t, who can?

I’m not religious but my favorite quote is that god helps those who help themselves.

Chronic high blood sugar is poison to the body. It is like glass fragments to the blood vessels, damaging the eyes, nerves, cardiovascular system.

Don’t eat yourself to a slow, horrible death.

Rage, rage, against the dying of the light..

A person's general health and well-being may be significantly impacted by diabetes. Patients who have diabetes may have the following effects:

1. Blood sugar levels that are too high: Diabetes is characterised by blood sugar levels that are too high, which, if not effectively managed, can cause a number of issues.
2. Cardiovascular illness: Diabetes raises the chance of developing heart disease and stroke.
3. Nephropathy: Diabetes can harm kidneys, which can result in kidney failure.
4. Neuropathy: Diabetes can harm the nerves, causing pain, numbness, tingling, and weakness in the hands and feet. This condition is known as neuropathy.
5. Retinopathy: Diabetes can harm the blood vessels in the eyes, which can cause blindness or vision loss.
6. Foot issues: Poor circulation and nerve damage in the feet brought on by diabetes can result in injuries, infections, and amputations.
7. Mental health: Because managing the condition is so difficult, people with diabetes sometimes feel emotional anguish, depression, and anxiety.
8. Sexual dysfunction: Diabetes can cause sexual dysfunction because it damages nerves and reduces blood flow, which can impact both men’s and women's sexual health.
9. Skin problems: Diabetes can result in cuts and sores that take a long time to heal as well as dry, itchy skin.
10. Diabetes and sleep apnea: Sleep apnea is a condition that causes breathing disruptions while you're asleep.

Type 1 diabetes in itself can be managed in a way that is doesn’t cause negative effects physically and there is a much lower chance of reducing your life expectancy, but the mental effects are always there.

For those that are finding a way to reverse type 2 diabetes without needing more pills, drugs or insulin injections,... you can check this secret tips. I have got good results with it. I lost 14 pounds and have good control over my blood sugar within 3 weeks just by follwing that program. My protein in the urine went 1600 to normal levels. My doctors told me if my numbers remain this way I won't have anything to worry about, especially dialysis.

Everything has to be planned, you always need to make sure you have necessary food, hypo supplies, medical equipment and you should be nearly constantly monitoring your bloods. So I would say the main effect is has on someone is to some extent limiting the spontaneity they can have in their life. It’s draining and it’s isolating. For me, the mental weight of having diabetes is far more tiring than any physical effect, and most diabetics I’ve met speak of going through ‘diabetes blues’ and having stopped looking after their diabetes.

However, if diabetes isn’t managed, then you’re in for a whole host of complications from hyperglycaemia, to the extent it could cost you your sight, your limbs and even your life.

How does it affect a patient in the long run? Well, it all depends on how much they put into controlling it, the support they have from their friends and medical practitioners, and how much their body decides to change it’s mind on them as to what it requires.

As the UK's leading diabetes charity, it's our job to tackle the diabetes crisis. We're here to prevent Type 2 diabetes, campaign for and support everyone affected by diabetes, and fund research that will one day lead us to a cure. We are fighting for a world where diabetes can do no harm. Diabetes UK is a British-based patient, healthcare professional and research charity that has been described as "one of the foremost diabetes charities in the UK".

Disclaimer:

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The health of a person with diabetes is influenced by various factors, and managing these factors effectively is essential for overall well-being and diabetes management. Here are some key factors that can significantly affect the health of a diabetes patient:

1. Blood Sugar Control: Maintaining target blood sugar (glucose) levels is crucial for diabetes management. Consistently high blood sugar levels can lead to long-term complications, while frequent episodes of low blood sugar (hypoglycemia) can be dangerous. Diabetes medications, insulin therapy, dietary choices, and regular monitoring are essential for achieving and maintaining good blood sugar control.
2. Diet and Nutrition: The type and quantity of food you consume play a significant role in managing diabetes. A balanced diet that includes a variety of nutrient-rich foods, portion control, and attention to carbohydrate intake can help stabilize blood sugar levels. Consulting with a registered dietitian or diabetes educator can be beneficial in developing a personalized meal plan.
3. Physical Activity: Regular physical activity can help improve insulin sensitivity and glucose utilization. It also contributes to weight management, cardiovascular health, and overall well-being. A healthcare provider can help design an exercise plan that is safe and appropriate for your individual needs and fitness level.
4. Medications and Insulin Therapy: Many individuals with diabetes require medications or insulin therapy to control blood sugar levels. It's essential to take prescribed medications as directed and manage insulin doses carefully to prevent blood sugar fluctuations.
5. Monitoring: Regular monitoring of blood sugar levels is essential for tracking how your body responds to food, medication, and lifestyle changes. Self-monitoring using blood glucose meters and continuous glucose monitoring (CGM) systems can provide valuable data for making adjustments to your diabetes management plan.
6. Stress Management: Stress can affect blood sugar levels, so it's important to manage stress through relaxation techniques, mindfulness, exercise, or other strategies. Chronic stress can make diabetes management more challenging.
7. Sleep: Adequate sleep is essential for overall health and can impact blood sugar control. Poor sleep patterns or sleep disorders may affect insulin sensitivity and hormone regulation.
8. Healthcare Team: Building a healthcare team that includes a primary care physician, endocrinologist or diabetes specialist, registered dietitian, and diabetes educator is crucial. Regular check-ups, screenings, and consultations with your healthcare team can help address diabetes-related concerns and complications proactively.
9. Smoking and Alcohol: Smoking and excessive alcohol consumption can worsen diabetes complications and overall health. Quitting smoking and moderating alcohol intake can be beneficial.
10. Compliance and Education: Staying informed about diabetes management, attending diabetes education classes or support groups, and adhering to your healthcare provider's recommendations are essential for long-term health.
11. Diabetes Complications: Managing and preventing diabetes-related complications, such as neuropathy, retinopathy, nephropathy, and cardiovascular disease, is critical. Regular screenings and interventions can help prevent or delay the progression of these complications.

Remember that diabetes management is highly individualized, and what works best for one person may not be suitable for another. It's essential to work closely with your healthcare team to create a personalized diabetes management plan that addresses your unique needs and circumstances.

How can healthcare providers maximize reimbursement through Remote Patient Monitoring (RPM) CPT codes?

Healthcare providers can maximize reimbursement for Remote Patient Monitoring (RPM) services by ensuring proper billing, compliance with coding guidelines, and optimizing patient engagement.

Here’s how:

1. Use the Correct CPT Codes

RPM services are billed using the following key CPT codes:

• 99453 – Initial setup and patient education on RPM equipment
• 99454 – Monthly device supply with daily recording and transmission
• 99457 – First 20 minutes of remote patient monitoring management per month
• 99458 – Additional 20-minute increments of RPM management
• 99091 – Collection and interpretation of physiologic data by a physician or QHP

Ensure all services meet the required time thresholds before submitting claims.

2. Document Medical Necessity

Payers require documentation proving that RPM is medically necessary for the patient’s condition. Ensure proper clinical notes justify the need for RPM and the impact on patient care.

3. Ensure Patient Eligibility & Enrollment

Verify insurance coverage and patient eligibility before initiating RPM services. Medicare and many commercial payers cover RPM, but requirements may vary.

4. Meet Billing Requirements

• At least 16 days of data must be collected per month to bill 99454.
• Time-based codes (99457, 99458) require real-time interaction with patients, not just automated data review.

5. Optimize Workflow for Efficiency

Implement automated tracking systems to monitor patient data collection, flag incomplete sessions, and streamline documentation. EHR integration can also enhance billing accuracy.

6. Focus on Patient Engagement

Educate patients on device usage and encourage adherence to maximize data collection, ensuring billing compliance.

7. Stay Updated on Payer Policies

RPM reimbursement rules may change, so regularly review Medicare and private payer policies to stay compliant and maximize revenue.

The growing essence of RPM is Clinically relevant in context of improving patients health outcomes & decreasing cost burden in Chronic diseases management which is ever challenging citing higher fluctuations in several biomarkers & parameters.Perhaps this new model of addressing Chronic diseases management had different limitations from broader perspective of Public health in larger population,Since RPM is accessible in Multi-speciality hospitals or at Diabetes,HT or Obesity clinic where chronic diseases patient group are Offered regular checkups of all these indices or periodically on follow up visits at their respective clinics.Another group of patients,that can avail RPM are those who are advised by their diseases specialists to follow SMBG, Monitors of heartbeats,BP values & SPO2 levels on wearables & Portable devices.Thus with these newer treatment modalities, Chronic diseases specialists are able to obtain swift control in Progressive diseases like Diabetes, Hypertension,Asthma & Cardiac diseases.Further it has equally supported patients to decrease emergency & frequent follow- up visits in chronic diseases management, which collectively reduce Total Cost burden of many patients.

Managing diabetes effectively requires real-time glucose monitoring, and that’s where BluCon NightRider plays a crucial role. It is a smart, reusable transmitter that converts intermittent glucose readings from popular sensors like Freestyle Libre into continuous, real-time glucose data on your smartphone or smartwatch.

Why Every Diabetic Person Should Consider Purchasing BluCon NightRider?

🔹 24/7 Real-Time Glucose Monitoring – Get continuous blood sugar updates without relying on manual scans.
🔹 No More Finger Pricks – Say goodbye to painful fingerstick tests and monitor your glucose effortlessly.
🔹 Instant Alerts for Highs & Lows – Stay ahead of dangerous glucose spikes and dips with timely alerts.
🔹 Direct-to-Watch Connectivity – View your glucose levels directly on a smartwatch—perfect for kids, seniors, and busy professionals.
🔹 Remote Monitoring for Loved Ones – Family members and caregivers can track glucose levels in real-time to provide timely assistance.
🔹 Works with Popular Diabetes Apps – Syncs with Ambrosia’s LinkBluCon app for advanced insights, trend analysis, and food impact tracking.

Why BluCon NightRider is a Must-Have for Diabetes Management?

✅ Better Control Over Diabetes – With real-time glucose trends, you can make informed decisions on food, exercise, and medication.
✅ Great for Kids & Seniors – No need to scan repeatedly; just check your phone or smartwatch for updates.
✅ Affordable & Reusable – Unlike costly CGMs, BluCon NightRider is a budget-friendly, reusable device that enhances your existing glucose sensor.
✅ Peace of Mind for Families – Parents of diabetic children and caregivers of elderly patients can monitor glucose levels remotely.

💡 Take control of your diabetes like never before! BluCon NightRider makes glucose tracking effortless, accurate, and stress-free. Invest in your health today! 🚀

If you were recently diagnosed as diabetic , your doctor or his assistant should’ve given you a package. In that package were his instructions as to meds, diet and next follow up. Also, there should’ve been information on diabetic associations, classes and dieticians. Follow up is essential as is monitoring your blood sugars and diet. In time you’ll find you can have chocolate cake and ice-cream just not as much as you use to have.

Note: Have you tried every solution to manage your blood sugar and reverse type 2 diabetes? Check out my Quora account for the most effective, natural method that works while you sleep.

Type 1 diabetes in itself can be managed in a way that is doesn’t cause negative effects physically and there is a much lower chance of reducing your life expectancy, but the mental effects are always there.

Everything has to be planned, you always need to make sure you have necessary food, hypo supplies, medical equipment and you should be nearly constantly monitoring your bloods. So I would say the main effect is has on someone is to some extent limiting the spontaneity they can have in their life. It’s draining and it’s isolating. For me, the mental weight of having diabetes is far more tiring than any physical effect, and most diabetics I’ve met speak of going through ‘diabetes blues’ and having stopped looking after their diabetes.

However, if diabetes isn’t managed, then you’re in for a whole host of complications from hyperglycaemia, to the extent it could cost you your sight, your limbs and even your life.

How does it affect a patient in the long run? Well, it all depends on how much they put into controlling it, the support they have from their friends and medical practitioners, and how much their body decides to change it’s mind on them as to what it requires.

Yes, pawpaw, also known as papaya, can be a good choice for diabetic patients when consumed in moderation as part of a balanced diet. Here are some reasons why pawpaw can be considered diabetes-friendly:

1. Low Glycemic Index: Pawpaw has a low glycemic index (GI), which means it has a relatively small impact on blood sugar levels when eaten. Foods with a low GI can help prevent rapid spikes in blood sugar.
2. High in Fiber: Pawpaw is a good source of dietary fiber, which can help regulate blood sugar levels by slowing down the absorption of sugar from the digestive system. Fiber also promotes a feeling of fullness and supports weight management.
3. Rich in Vitamins and Minerals: Pawpaw is packed with essential vitamins and minerals, including vitamin C, vitamin A (in the form of beta-carotene), vitamin E, and folate. These nutrients are beneficial for overall health and well-being.
4. Antioxidant Properties: Pawpaw contains antioxidants that can help protect cells from damage and reduce inflammation, which is beneficial for managing diabetes-related complications.

While pawpaw can be a part of a diabetes-friendly diet, it's important to consume it in moderation and consider portion sizes, as it still contains natural sugars. Here are some tips for including pawpaw in your diet as a diabetic:

• Limit portion sizes to manage carbohydrate intake.
• Consume pawpaw as part of a balanced meal or snack that includes other nutrient-rich foods like lean proteins, non-starchy vegetables, and whole grains.
• Monitor your blood sugar levels to understand how pawpaw affects your individual response.

As with any dietary changes for diabetes, it's a good practice to consult with a healthcare provider or registered dietitian for personalized guidance on how to incorporate specific foods into your diabetes management plan.

Diabetes is a life long disorder and in order to live a healthy life thereby maintain the blood sugar levels and avoiding the complication associated with it, it is important to follow the three main components sited above.

Sighting below are few steps to control or manage the sugar levels:

DIET

1. Reducing the amounts of carbohydrates in the diet helps reduce the amount of blood sugar spikes. Carbohydrates are available in foods in two forms, simple and complex form. Simple carbohydrates are found in foods, such as white bread, pasta, and candy which are easily absorbed in the blood stream which causes blood sugar levels to rise rapidly. Complex carbohydrates for example whole grain, oats and barley are made up of three or more sugars that are linked together. Because of the chemical structure of these kind of carbohydrates it takes the body longer to break them down. As a result, sugar is released into the body more gradually, meaning that blood sugar levels do not rapidly rise after eating them.

2. Choose low glycemic index foods. The glycemic index measures and ranks various foods by how much they cause blood sugar levels to rise. Low glycemic index foods are those that score below 55 on the glycemic index. Examples of low glycemic foods include sweet potatoes, quinoa, legumes, low-fat milk, green leafy vegetables, non-starchy vegetables, nuts and seeds, fish, etc.

3. Increase dietary fiber intake. Fiber plays a significant role in blood sugar management by slowing down the rate that carbohydrates break down, and the rate that the body absorbs the resulting sugars. The two types of fiber are soluble and insoluble fiber. Of the two types, soluble fiber is the most helpful in controlling blood sugar. Soluble fibers are found in vegetables, legumes, whole grains and fruits.

EXERCISE

1. Exercise regularly for minimum 45 minutes at least, as exercise helps to lower blood sugar levels by encouraging the body's muscles to use sugar for energy.

2. Maintain a healthy weight. If a person is overweight then losing weight helps control blood sugar levels. Eating a diet full of fruits and vegetables and getting enough exercise can help a person lose weight or maintain their current healthy body weight.

3. Stress has a significant impact on blood sugar levels. The body gives off stress hormones when under stress, which leads to raise in the blood sugar levels. Managing stress through meditation and exercise can help to lower blood sugar levels.

MEDICINES

A person should always follow their doctor's advice for lowering high blood sugar through medications.

Thus, it is advised to manage sugar levels with three main components i.e. diet, exercise and medication. Managing high blood sugar is a key to avoid serious complications from diabetes.

Also known as Garcinia Indica, kokum may protect liver function, which may be at risk of getting impaired in diabetics. It is also rich in antioxidants and has a low GI value. 10/10How to consume kokum for weight loss Kokum is a popular South-Indian food, which is available in juice and powder form as well. To consume the whole Kokum, soak it in water overnight and extract the juice. You can store it in the fridge for a few days.

For those who are finding a way to reverse type 2 diabetes without needing more pills, medications or insulin shots,... you should check this guide. I've got great results with it. Within a month of following that program, I managed to reduce my doses of drugs between 50 and 80%. My blood sugar levels used to be high 200's and 300's. Now they are in the low 100's and below 100. As a bonus I have lost 15lbs

Blucon Nightrider is important for diabetes patients because it provides continuous glucose monitoring (CGM) in real-time, helping them manage their blood sugar levels more effectively. It works seamlessly with Freestyle Libre sensors, sending glucose readings to smartphones or smartwatches, allowing for better tracking and timely interventions. This technology enhances convenience, reduces the need for frequent finger pricks, and helps patients make informed decisions about their diet, exercise, and medication. By offering 24/7 glucose monitoring, Blucon Nightrider empowers individuals to take control of their diabetes and improve their overall health and well-being.

मधुमेह के लिए व्यक्तिगत उपचार योजना के निम्नलिखित लाभ हैं:

1. व्यक्तिगत आवश्यकताओं को पूरा करना: मधुमेह के लिए व्यक्तिगत उपचार योजना व्यक्तिगत आवश्यकताओं को पूरा करती है, जैसे कि आयु, लिंग, और मधुमेह के प्रकार।

2. प्रभावी उपचार: मधुमेह के लिए व्यक्तिगत उपचार योजना प्रभावी उपचार प्रदान करती है, जिससे मधुमेह को नियंत्रित किया जा सकता है।

3. जीवनशैली में बदलाव: मधुमेह के लिए व्यक्तिगत उपचार योजना जीवनशैली में बदलाव को प्रोत्साहित करती है, जैसे कि स्वस्थ आहार और नियमित व्यायाम।

4. दवाओं का चयन: मधुमेह के लिए व्यक्तिगत उपचार योजना दवाओं का चयन प्रदान करती है, जिससे मधुमेह को नियंत्रित किया जा सकता है।

यह महत्वपूर्ण है कि यदि आप मधुमेह का इलाज करना चाहते हैं, तो आप अपने डॉक्टर से परामर्श करें और उचित उपचार प्राप्त करें।

Best way to treat it is by keeping track of EVERYTHING and the best way to do this is with 3D Visual App

Is pawpaw good for diabetic patients?

For those that are finding a way to reverse type 2 diabetes without needing more pills, medications or insulin shots,... you should check this secrets tutorial. I have got good results with it. By following that program within 3 weeks my blood sugar has come down to normal range, I have lost excess weight, I have all kinds of energy and I really don't take insulin !

The possible health benefits of consuming papaya include a reduced risk of heart disease, diabetes, cancer, aiding in digestion, improving blood glucose control in people with diabetes, lowering blood pressure, and improving wound healing.

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