Diabetes Alert Day 2012: You Can Take Control
Wednesday, February 29, 2012

Diabetes Chat on March 27th at 1pm EST.
Millions of people in the United States have either been diagnosed or are at risk for developing diabetes. Unmanaged or undiagnosed diabetes is one of the leading causes of many serious conditions, including kidney failure and blindness.

Join us on March 27th for a free online question and answer session; learn the signs of diabetes, tips for prevention, and ways to help diabetics better manage their condition and live healthier lives.


Online Q&A Session with Sue Santry, RN
Tuesday, March 27, 2012 • 1 pm - 2 pm

  Diabetes Alert Day 2012: You Can Take Control (03/27/2012) 
12:55
Kennedy Health System: 
Please standby - We will begin taking questions in 5 minutes!
Tuesday March 27, 2012 12:55 Kennedy Health System
12:59
Kennedy Health System: 
Welcome everyone! We're now online and ready to take your questions!
Tuesday March 27, 2012 12:59 Kennedy Health System
1:01
[Comment From LorettaLoretta: ] 
I was diagnosed with pre-diabetes 4 years ago. I'm about 30lbs overweight. Lately my mouth has gotten very dry and it seems that when I go to the bathroom I pee forever. Is this a sign of true diabetes?
Tuesday March 27, 2012 1:01 Loretta
1:02
Susan Santry, RN: 
Hi Loretta, you appear to have some of the symptoms of diabetes. I would strongly recommend that you go and see your primary care physician.
Tuesday March 27, 2012 1:02 Susan Santry, RN
1:02
[Comment From JayJay: ] 
Alot of times after a starchy meal like pizza I will get really sleepy, like I won't be able to keep my eyes open. I weigh about 270 at 5'11. Is this a sign of diabetes?
Tuesday March 27, 2012 1:02 Jay
1:03
Susan Santry, RN: 
Actually, it is common to experience sleepiness after a starchy meal. It is the effect of insulin production to handle the food that you have just eaten.
Tuesday March 27, 2012 1:03 Susan Santry, RN
1:03
[Comment From NJMomNJMom: ] 
Is low carbing a safe way to lose weight for someone diagnosed with prediabetes?
Tuesday March 27, 2012 1:03 NJMom
1:04
Susan Santry, RN: 
Low carb is highly recommended, no carb is not good.
Tuesday March 27, 2012 1:04 Susan Santry, RN
1:04
[Comment From JeanneJeanne: ] 
I'm thinking of getting bariatric surgery. I currently weigh 438lbs and have tried everything to lose weight. During my consult i was told that the dramatic weight loss from surgery would help with my type 2 diabetes and I could be insulin free in 1 to 2 years if I follow the plan. Is this really possible?
Tuesday March 27, 2012 1:04 Jeanne
1:04
Susan Santry, RN: 
From what I understand, yes, that is possible.
Tuesday March 27, 2012 1:04 Susan Santry, RN
1:04
[Comment From GuestGuest: ] 
Would you recommend the Omnipod pump?
Tuesday March 27, 2012 1:04 Guest
1:06
Susan Santry, RN: 
As I understand it, the Omnigod pump, which is tubeless is gaining popularity because of ease of use. I would recommend it.
Tuesday March 27, 2012 1:06 Susan Santry, RN
1:06
[Comment From ToniToni: ] 
Not sure what's happening to me. I started a exercise program 2 weeks ago, 4 days of cardio and light weight training for 1 hour each day. Between my diet and the exercise I'm losing weight but my BG is still around 100 for fasting. My doc wants to continue to control my type 2 with diet and exercise but I'm not seeing the results in my BG. What's happening?
Tuesday March 27, 2012 1:06 Toni
1:07
Susan Santry, RN: 
Congratulations on the excise program. Your blood sugar is great and considered normal.
Tuesday March 27, 2012 1:07 Susan Santry, RN
1:08
[Comment From amberlynnamberlynn: ] 
Hi, I'm a 37 year old type 1 diabetic. I'm really strict with my diet and management routine. I'm just starting to try for my first child. Any advice on do's and don'ts for conception and pregnancy?
Tuesday March 27, 2012 1:08 amberlynn
1:10
Susan Santry, RN: 
I would recommend continuing to keep a strict regime to control your blood sugars as close to normal as possible. It is very important to discuss your fears with your gynecologist.
Tuesday March 27, 2012 1:10 Susan Santry, RN
1:10
[Comment From YellowladyYellowlady: ] 
Im 37 years old and have been insulin dependent since age 10. I have scar tissue on my stomach and legs from the injections. They are very ugly and I was wondering if there was any non-surgical option to minimizing the size or appearance of the scars.
Tuesday March 27, 2012 1:10 Yellowlady
1:11
Susan Santry, RN: 
It is very important for any insulin dependent diabetics to rotate injection sites. If you use the same spot over and over again, the tissue will become damaged.
Tuesday March 27, 2012 1:11 Susan Santry, RN
1:12
[Comment From GuestGuest: ] 
I plan to make a appointment soon, but I wonder could the symptoms I'm having, constant peeing, muscle cramps, fatigue be also due to menopause? I'm 52 and I want to know should I go to my OB/GYN or my primary to get tested for diabetes?
Tuesday March 27, 2012 1:12 Guest
1:14
Susan Santry, RN: 
Your symptoms do not appear to be those of menopause. It is always a good idea to start a medical conversation with your primary care physician. He/She knows you the best and can get blood tests to help with a diagnosis.
Tuesday March 27, 2012 1:14 Susan Santry, RN
1:14
[Comment From superdietsuperdiet: ] 
The dietician I saw recommended keeping the carbs in my diet at least at 130 grams a day. She said anything lower than that regular can cause damage to my body from ketones? Is this so, because the really low carb plan has finally gotten my weight under control.
Tuesday March 27, 2012 1:14 superdiet
1:16
Susan Santry, RN: 
If you go too low with your carbohydrate intake, it will cause ketones, which can be toxic. You intake of carbs depends on the height and weight. I am not sure if 130 carbs is correct because I do not have the information.
Tuesday March 27, 2012 1:16 Susan Santry, RN
1:16
[Comment From KatesmomKatesmom: ] 
My 8 year old daughter has just been diagnosed with type 1 diabetes. Can you share some diet tips or tricks to help us help her keep her levels under control while still being normal as possible?
Tuesday March 27, 2012 1:16 Katesmom
1:18
Susan Santry, RN: 
When dealing with a child, it is imperative to be followed by a pediatric endocrinologist. Children's metabolism shifts constantly because they are growing. Pediatric endocrinolgist are usually affiliated with pediatric dietitians. The bottom line is everything in moderation and exercise. Please consult a pediatric endocrinologist.
Tuesday March 27, 2012 1:18 Susan Santry, RN
1:18
[Comment From GuestGuest: ] 
At what point should someone who is pre-diabetic start with medication. Currently my levels for Oral Glucose Tolerance Test are fasting 97, 1/2 hour 220, 1 hour 218, 2 hours 219, and 3 hours 115
Tuesday March 27, 2012 1:18 Guest
1:20
Susan Santry, RN: 
What I do know is that people with prediabetes who make moderate changes in their diet and increase exercise to 1/2 hour 5x week have a 65% chance of not converting to diabetes. Your GTT (glucose tolerance test) does show some evidence of diabetes. Please consult your primary care physician for blood work to either confirm or not the diagnosis.
Tuesday March 27, 2012 1:20 Susan Santry, RN
1:21
[Comment From TerryTerry: ] 
Is it true that the best alcoholic drink that diabetics can consume is red wine?
Tuesday March 27, 2012 1:21 Terry
1:22
Susan Santry, RN: 
Alcohol is metabolized as fat. Wine does contain some carbohydrate but very little. In a balaced diet, you are allowed fat and carbohydrates. You have to fit it into your meal plan.
Tuesday March 27, 2012 1:22 Susan Santry, RN
1:22
[Comment From HarveyMHarveyM: ] 
My blood sugar levels were flagged as high at a free screening health fair event at my job. I have no symptoms. I'm healthy at a good weight and exercise at least twice a week. What are the first steps to determine if this screening was a false positive or if I should be concerned?
Tuesday March 27, 2012 1:22 HarveyM
1:24
Susan Santry, RN: 
Blood sugars fluctate in diabetics and is non diabeteics. There are many factors to consider. To be perfectly sure of your blood sugar, you have to ask you primary care physician to get a blood test to determine if you have diabetes.
Tuesday March 27, 2012 1:24 Susan Santry, RN
1:24
[Comment From julzjulz: ] 
I've been on Lantus for a few weeks now and I started getting headaches. Is this a normal reaction that will pass, or should I ask my doctor for another med?
Tuesday March 27, 2012 1:24 julz
1:26
Susan Santry, RN: 
It is my understanding that Lantus side effects do not include headaches. What could be happening is that your blood sugar is lower and that could cause headaches. Please see your physician and let him/her know how Lantus is affecting you. Do not stop using until you speak with your physician.
Tuesday March 27, 2012 1:26 Susan Santry, RN
1:28
[Comment From KatigirlKatigirl: ] 
I'm having trouble managing my weight and my type 2 diabetes. I know I don't eat well but because of my job it's hard to not eat on the go. I have frequent spikes and this year instead of losing weight like I was instructed I gained a extra 12 lbs. I weigh 210lbs and I'm 5'6 I know I need to lose any thing I can do without becoming a gym rat to get things under control?
Tuesday March 27, 2012 1:28 Katigirl
1:30
Susan Santry, RN: 
Plan, Plan, Plan. You have to develop meal plan, go to the store 1xwk and shop for items on the plan and pack your food. It is very difficult to control your weight when you have a job that makes it difficult to eat regularly. You need to get moving, exercise wise. I try and tell people to take 10 more steps today than you did yesterday. Can you imagine where you will be in a year!
Tuesday March 27, 2012 1:30 Susan Santry, RN
1:31
[Comment From MellysMellys: ] 
Sometimes when I have a little sugar, like 2 Oreo cookies or a soda I will get heart palpitations. This sometimes lasts for hours. This happens about half the time if I have a small treat. Is this because of the spike in my blood sugar or is something else going on?
Tuesday March 27, 2012 1:31 Mellys
1:33
Susan Santry, RN: 
It is possible that an increase in your blood sugar can cause heart palpitations. It is also possible that there is caffeine in chocolate and soda (if you drink Coke or Pepsi). But when it comes to your heart, I would not guess about it. I would go to the doctors that let them figure out what is going on.
Tuesday March 27, 2012 1:33 Susan Santry, RN
1:34
[Comment From GuestGuest: ] 
Planning to travel out of the country for the first time for my daughter's wedding. We will be at a all inclusive resort in Mexico. I'm really worried about how to manage my food intake and insulin while away. I will be there for 6 days. any advice on how to make this more manageable for me.
Tuesday March 27, 2012 1:34 Guest
1:38
Susan Santry, RN: 
Congratuations on your daughter's wedding. This is not as challenging as you think. An all inclusive resort has many food choices because they appeal to a wide audience. Take a prescription for syringes and insulin with you, just in case. Pack all medicine in your carry on. Make sure your always have concentrated sweets with you (hard candy) to handle hypoglycemia and have a good time. You will be fine.
Tuesday March 27, 2012 1:38 Susan Santry, RN
1:38
[Comment From JessLJessL: ] 
I have pre-diabetes and my physician told me that I could "diet" my way out of it. I'm not excessively overweight, maybe 20 lbs.How can losing 20lbs cure me?
Tuesday March 27, 2012 1:38 JessL
1:40
Susan Santry, RN: 
Exercise, exercise, exercise. 20 lbs. weight loss can make an enormous difference in your metabolism. Exercise 1/2 hours a day - start with walking 3x week. Get it up to 5 x week and the chances of you becoming diabetic decreases. Exericse and small changes in diet will work.
Tuesday March 27, 2012 1:40 Susan Santry, RN
1:44
[Comment From TimTim: ] 
Hi, I'm 57 and have type 2 diabetes. I have been doing okay for the last 20 years or so. For the last few months I have a strange tingling on the bottom of my right foot. I'm scared it might be neuropathy. If so, can this be reversed? I admit over the years I have not been 100% with compliance.
Tuesday March 27, 2012 1:44 Tim
1:46
Susan Santry, RN: 
I am sure that you visit your physician as recommended. If you keep your blood sugar under control, symptoms of neuropathy have gone away. It is extremely important to wear shoes that fit your well. It is also important that a podiatrist cut your toenails. Did you get new shoes, do they fit.

This is a great conversation to have with your doctor. It is hard to be 100% compliant. Do the best you can.
Tuesday March 27, 2012 1:46 Susan Santry, RN
1:49
[Comment From HeatherHeather: ] 
Is it possible for a toddler to have diabetes? My 3 year old son has been having terrible stomach issues that sent him to the doctor several times. During the visits he has come up with ketone breath and sometimes high blood sugar. I only give him natural food that I make, so it's never full of processed carbs, mostly veggies. Is this really possible with such a young child?
Tuesday March 27, 2012 1:49 Heather
1:52
Susan Santry, RN: 
Yes, it is possible for a toddler to have diabetes. Ketone breath and high blood sugars are causing me concern. Sometimes, regardless of what you feed a child, if that child is not produciing insulin, that cannot metabolize the food. Please consult your pediatrician again and explain your concerns. If you do not get an answer that satisfies you, please seek another opinion.
Tuesday March 27, 2012 1:52 Susan Santry, RN
1:52
[Comment From GuestGuest: ] 
Because I'm diabetic my doctor has told me not to use compression socks. But everytime I fly my feet and ankles swell up unless I do use the compression socks. Is there really any harm for a diabetic to occasionally use compression socks for air travel for a few hours or is the warning just a generic warning for extreme cases?
Tuesday March 27, 2012 1:52 Guest
1:54
Susan Santry, RN: 
It is difficult to answer your questions because I do not know your medical history. Your doctor does. I would follow that advice of a trusted physician. go back and talk to your doctor and have that conversation.
Tuesday March 27, 2012 1:54 Susan Santry, RN
1:54
Kennedy Health System: 
Hi everyone! Please submit your final questions, we will be online for 5 more minutes.
Tuesday March 27, 2012 1:54 Kennedy Health System
1:57
[Comment From GuestGuest: ] 
Do you have any quick ideas for packing snacks for a type 1 diabetic child? He participates in many after school activities and I don't want him to be tempted by the other children's snacks.
Tuesday March 27, 2012 1:57 Guest
2:00
Susan Santry, RN: 
Yes, use snack bags (3 oz. plastic zip locks) but what equals 15 grams of carbohydrates (ex. 3/4 oz. of pretzels or 2-3 cookies or a small piece of fruit) and protein ( peanut butter cracker or 1 oz. of cheese). One bag = one snack.
Tuesday March 27, 2012 2:00 Susan Santry, RN
2:00
Kennedy Health System: 
Thank you for participating in Kennedy Q&A live!

To make an appointment or to learn more about our Diabetes Control center, visit:http://www.kennedyhealth.org/programs-and-services/diabetes-control-center.html

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Tuesday March 27, 2012 2:00 Kennedy Health System
2:44
 
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