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Laurie Anderson, MSN, RNP, CDOE

Joined: 02/05/2010

Expert Profile:

Laurie Anderson is a certified family nurse practitioner and is the Director of Wellness for Fitness4Diabetics, LLC, a web based fitness and nutrition coaching program for individuals with all types of diabetes, pre-diabetes, and metabolic syndrome. Fit4D coaches are nurses, registered dietitians, and exercise specialists who utilize motivational interviewing, webinars, and telehealth methods to assist individuals to meet their goals. Laurie works with individuals with diabetes and related conditions in emergency medicine, an endocrinology specialty practice, and in a primary care setting with Native Americans; she has practical experience with exercise prescription in the cardiac and pulmonary rehab setting. Her area of special interest is motivational interviewing for health behavior change and she has presented on this topic for other health professionals.

She has been affiliated with WebMD for many years, previously hosting the heart disease and devices message board and more recently affiliated with the diabetes boards. "It is my pleasure to once again be associated with WebMD and it's evidence-based resources for patient education. I believe in the combination of expert advice and individual to individual support to empower health behavior change, and the WebMD community is powerful example of those resources in action."

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Reply: Can the hemoglobin A1C test be faulty?

Hi, blood glucose levels can be affected by poor sleep and it's...

Posted by Laurie Anderson, MSN, RNP, CDOE

21 Replies | Reply | Watch This DiscussionReport This| Share this:Can the hemoglobin A1C test be faulty? Hi, blood glucose levels can be affected by poor sleep and it's...

Reply: Hello

Hi, Glucose readings in a person without diabetes when tested 2...

Posted by Laurie Anderson, MSN, RNP, CDOE

2 Replies | Reply | Watch This DiscussionReport This| Share this:Hello Hi, Glucose readings in a person without diabetes when tested 2...

Reply: Feet neuropathy

Hi, there are other medication options and you are not on a very...

Posted by Laurie Anderson, MSN, RNP, CDOE

14 Replies | Reply | Watch This DiscussionReport This| Share this:Feet neuropathy Hi, there are other medication options and you are not on a very...

Reply: Long term Type 1 Diabetes

Hi, what time do you take your Lantus? Most people don't have a...

Posted by Laurie Anderson, MSN, RNP, CDOE

4 Replies | Reply | Watch This DiscussionReport This| Share this:Long term Type 1 Diabetes Hi, what time do you take your Lantus? Most people don't have a...

Reply: diabetic socks

The term "diabetic sock" is made up for marketing purposes and it...

Posted by Laurie Anderson, MSN, RNP, CDOE

17 Replies | Reply | Watch This DiscussionReport This| Share this:diabetic socks The term "diabetic sock" is made up for marketing purposes and it...

Reply: A1C

Hello, It is a misconception that people who are healthy and not...

Posted by Laurie Anderson, MSN, RNP, CDOE

11 Replies | Reply | Watch This DiscussionReport This| Share this:A1C Hello, It is a misconception that people who are healthy and not...

Reply: Diabetic Incident at Pool

Hi all, I'd also recommend that people test their blood glucose...

Posted by Laurie Anderson, MSN, RNP, CDOE

9 Replies | Reply | Watch This DiscussionReport This| Share this:Diabetic Incident at Pool Hi all, I'd also recommend that people test their blood glucose...

Reply: Can the hemoglobin A1C test be faulty?

Hi, A1C is based on a 3 month average and was not affected by our...

Posted by Laurie Anderson, MSN, RNP, CDOE

21 Replies | Reply | Watch This DiscussionReport This| Share this:Can the hemoglobin A1C test be faulty? Hi, A1C is based on a 3 month average and was not affected by our...

Reply: When sick with a cold or flu AND diabetic

Hi, In addition to the great comments already posted I want to...

Posted by Laurie Anderson, MSN, RNP, CDOE

Hi,

In addition to the great comments already posted I want to emphasize that when one is ill the effect on the blood glucose is often for it to be higher than usual. This means that even if you are nauseated and/or vomiting, you must check your blood glucose and take your medications. This is critical for people with type 1 diabetes and also very important for those with type 2, who may be able to "last" a little longer than their type 1 counterparts, but who'll eventually become very ill with high blood glucose as well if unable to keep themselves hydrated and take their glucose lowering medications. Please test often and call your health care provider if your glucose is consistently elevated. Attempt to take the equivalent of a teaspoonful of liquid every 5 minutes while awake to stay hydrated. If you are vomiting wait 2 hours after an episode then try the sip every 5 minutes routine to regain hydration. There are over the counter medications that will help nausea; ask your pharmacist for help and put your selection in your "sick day box" so you have it when you need it. Considerations for choosing these medications would be allergies and conflicts with your other medications.

A "sick day box" is a box that is in your house and ready to go for when you are ill. It contains medications that might help when you are ill, such as a sugar-free cough medication, anti-nausea medications, decongestants that are safe for you (such as a decongestant that is safe even if you have high blood pressure), and foods that you can eat to maintain hydration and nutrition without eating heavy meals. Some examples are Jell-O, juice boxes, broth, puddings, and ginger ale or other soda of choice. These ingredients should be a mixture of sugar-free and a few full sugar options so that you can eat what's needed to address your blood glucose at any given time. You should talk with your health care provider about things that he or she suggests for your individual box. For example for some of my patients their box includes short-acting insulin to use to control their blood glucose when ill. They have a written sliding scale to use to "cover" a high blood glucose when they are ill and have been taught how to inject before they ever need to do this. Being ill is a challenge for all of us, but this can be especially true for those living with diabetes. Planning ahead can help you to meet this challenge successfully! Laurie

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Posted byLaurie Anderson, MSN, RNP, CDOE

5 Replies | Reply | Watch This DiscussionReport This| Share this:When sick with a cold or flu AND diabetic Hi, In addition to the great comments already posted I want to...

Reply: Pre-Diabetic and confused

Spike, lots of things could be causing that blood gluose rise. Are...

Posted by Laurie Anderson, MSN, RNP, CDOE

21 Replies | Reply | Watch This DiscussionReport This| Share this:Pre-Diabetic and confused Spike, lots of things could be causing that blood gluose rise. Are...

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