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Doctor insights on: Portioned Controled Dinner Plates

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Type 1 diabetic actively exercising & healthy eating looking for right lantus (insulin glargine) dose.

Type 1 diabetic actively exercising & healthy eating  looking for right lantus (insulin glargine) dose.

Lantus (insulin glargine) dose: Hi. I applaud you for your healthy lifestyle and dedication to tight diabetes control. Finding the right Lantus (insulin glargine) dose can be trickier than people think, especially for an active type 1. I was on Lantus (insulin glargine) for about 6 years before going on CGM in 2006. CGM is THE perfect way to find the right Lantus (insulin glargine) dose, but not everyone uses CGM yet. Do you? My guess is no, or you'd have dialed in the right Lant dose ...Read more

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Exercising at least 1.5 hrs/day. Eating whole grains, fruits, vegetables w/few processed foods. Moderate portions. Why am i showing minimal weight loss.

Exercising at least 1.5 hrs/day. Eating whole grains, fruits, vegetables w/few processed foods. Moderate portions. Why am i showing minimal weight loss.

Too many calories: Minimal weight loss despite exercise and eating a healthy diet is most likely due to consuming beyond the calorie limit required for your body to burn fat. You have to eat about 3500 calories less than what you burn over 7 days to lose just 1 pound! Track your calories by weighing and measuring your food and using the label information. Calories from beverages add up quickly too. ...Read more

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❤ palpitations after eating a healthy vegan meal. Very obese, i drink veg/green smoothies for bkfst & lunch, no trouble until my full meal at dinner.

❤ palpitations after eating a healthy vegan meal. Very obese, i drink veg/green smoothies for bkfst & lunch, no trouble until my full meal at dinner.

Might be normal issu: Random palpitations can be a normal issue if they happen from time to time or if you are taking in stimulants like coffee, alcohol, tobacco or over-the-counter medications such as pseudoephedrine, which is found in cold preparations and some herbal medications, including ma huang. So it might be something in the smoothies, try removing one ingredient everyday and see if it comes back. ...Read more

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Keep gaining weight (fat ) despite running 3 to 5 miles daily weight workouts and clean eating. Tyroid test comes back normal. No diabetes 38 female?

Keep gaining weight (fat ) despite running 3 to 5 miles daily weight workouts and clean eating. Tyroid test comes back normal. No diabetes  38 female?

Gaining weight: Given that you run 3-5 miles a day it is difficult to understand why you are apparently gaining weight. Please start with a consult Psychologist. She/he will carefully work on the issues and plan things to help you stop gaining weight. Your primary doctor can refer you to the Psychologist. ...Read more

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Made a mistake taking 27 units of humalog instead of 5. Lantus (insulin glargine) dose is 27. Drank a 25gm carb coke and two dex4 fast acting glucose tabs, 4gmcarb ea?

Made a mistake taking  27 units of humalog instead of 5.  Lantus (insulin glargine) dose is 27.
Drank a 25gm carb coke and two dex4 fast acting glucose tabs, 4gmcarb ea?

Humalog (insulin lispro) lasts ~4 hrs: Lantus (insulin glargine) is basal Insulin that works slowly over ~24 hrs to control fasting (non-meal) glucose. Humalog is fast-acting mealtime Insulin that works most action 1-2 hrs after dosing, to control after-meal glucose. If someone injects more Humalog than desired, they should check glucoses every ~30 min until humalog's action is over in ~4-5 hrs. How many carbs needs to be taken varies by each person. ...Read more

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List of meal Breakfast Lunch Dinner and have the 5 food group ?

List of meal 
Breakfast
Lunch
Dinner and have the 5 food group 
?

Choosemyplate.gov: www.choosemyplate.gov is a very good and medically sound resource for choosing healthy meals. It contains much more information that I could provide here in limited space. ...Read more

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HbA1c 5.8. Fasting gluc 96. No family history of diabetes. I'm fit &exercise 1-2 hours each day, everyday. Eat healthy. Am I really pre-diabetic??

HbA1c 5.8.  Fasting gluc 96.  No family history of diabetes.  I'm fit &exercise 1-2 hours each day, everyday.  Eat healthy. Am I really pre-diabetic??

No: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your laboratory results do not indicate pre-diabetes. As you probably know, exercise is the best thing you can do for yourself. ...Read more

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34 yr old female. 5'5 155 lbs. since giving birth 3 kids. Eat 2 eggs in morning. Salad for lunch. Small dinner. Can't seem to drop weight. Help please?

34 yr old female. 5'5 155 lbs. since giving birth 3 kids. Eat 2 eggs in morning. Salad for lunch. Small dinner. Can't seem to drop weight. Help please?

Weight: With three young kids you don't have enough time to properly look after yourself. Let it be for about three months then put your food intake and exercise in your efforts. If possible keep me posted. ...Read more

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Follow healthy diet (1200 cals), exercise 6 hrs a week (weights and cardio) but struggle 2 lose weight (hormones & insulin fine).Could it be femodene?

Follow healthy diet (1200 cals), exercise 6 hrs a week (weights and cardio) but struggle 2 lose weight (hormones & insulin fine).Could it be femodene?

Possible, but: It may be that even 1200 calories is too much for you, depending upon your height. The shorter you are, the fewer calories you require. It takes 3500 calories burned off that you don't eat in order to lose one pound. You could also be calculating your calories incorrectly. Check w/a registered dietitian. ...Read more

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Pred x 6mo. 40lb gain. Ate liquid diet half that time paleo diet (my norm) the rest. Not well enough to exercise. Off pred. Can't lose. Diuretic?

Pred x 6mo.  40lb gain. Ate liquid diet half that time paleo diet (my norm) the rest. Not well enough to exercise.  Off pred. Can't lose. Diuretic?

Probably not: The weight gain may be just fluid but this should resolve when the prednisione stopped, you have gained fat weight. You will need a strict diet to lose this weight. ...Read more

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Does eating small meals 6x/day affect insulin resistance?

Does eating small meals 6x/day affect insulin resistance?

Insulin resistance: Eating six small meals per day keep you full and help you loosing weight and inturn help you reducing Insulin resistance. ...Read more

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Can blood sugar for type i diabetic (age43), onset 3 years ago, be controlled with minimum lantus (insulin glargine) and strict diet of protein, vegetable and fruit?

Can blood sugar for type i diabetic (age43), onset 3 years ago, be controlled with minimum lantus (insulin glargine) and strict diet of protein, vegetable and fruit?

No: If you are truly a type 1 diabetic, then the main treatment for you is insulin. Avoiding Insulin in a type 1 is just going to make you sicker. Lifestyle changes can decrease the amount of Insulin needed to keep your blood sugar normal but you do need to consume adequate amount of calories. ...Read more

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Healthy protein shake ok as breakfast and dinner replacement?

Healthy protein shake ok as breakfast and dinner replacement?

Sure : Just make sure you have a well balanced diet and are consuming a reasonable amount of calories. You may to increase fiber intake at other meals. ...Read more

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After eating 75 grams of carbs (french bread) on relatively empty stomach, 1 hour gluc level was 190. 2 hour gluc level was 127. Normal? Pre-Diab?

After eating 75 grams of carbs (french bread) on relatively empty stomach, 1 hour gluc level was 190.  2 hour gluc level was 127.  Normal?  Pre-Diab?

Probably normal: Hi. That is not a valid test. The OGTT uses 75 g liquid glucose; French bread is not an equivalent. And the OGTT uses serum glucose, not finger stick capillary glucose. You would also heed the fasting glucose, a standard part of an OGTT. Having said all that, your values could easily be normal. If you're worried, see your doc and do the REAL OGTT. Eat healthily and exercise regularly. Good luck. ...Read more

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