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Hope this helps! LaurieView Thread



You have received some great replies. I would like to add one point to their suggestions. The lower your HgA1c is, the more important it is to control blood glucose after meals. In my opinion a pattern of blood glucose testing will give you the most important information that you need; this pattern involves testing twice a day. On day one, test a fasting glucose and 1 hour after eating your morning meal. On day two, test just before lunch and 1 hour afterwards. On day three test before and after your evening meal. You glucose goals would be 70-100 (110) fasting and less than 160 (180) in the time 1 to 2 hours after eating a meal (numbers in parens represent a range for different people and goals should be individualized with your health care provider). Controlling the blood glucose to this degree will help to lower your A1C to a lower range. It will also help you to see how individual foods affect your blood glucose. As an example you can specifically test for the impact of 1/2 cup of brown rice versus 1/4 cup of the same, or any other food you think might be impacting your glucose. These lessons will assist you to make the best choices for your health. Kind regards, Laurie Anderson, MSN, RNP, CDOEView Thread



It may interest you to read more about Dean Ornish's plan here: http://www.webmd.com/diet/ornish-diet-what-it-is
There are some additional links at the end of this article that also talk about vegetarian diets. People choose to eat this way for a variety of reasons, not all of them ethical. Although I am not currently a complete vegetarian, I eat a lot of vegetarian meals because I enjoy them. I definitely felt differently when I was a vegetarian; I would describe it as feeling lighter. I have also seen people following Ornish's plan lose weight and improve cholesterol, blood pressure, and blood glucose. Weight loss (as little as 10% of your current weight) will always have a significant impact on blood pressure and glucose. It doesn't always have much impact on cholesterol, so if you choose this diet to control your lipids and aren't as successful as you'd like to be, don't beat yourself up. Many people just have the genetic makeup that causes them to be unable to manage all of the cholesterol products that their bodies make. My lipids are the same, vegetarian diet (6 years) or not; fortunately I am a lucky one with good genes.
Take care, LaurieView Thread

I agree with the question, what makes you think she's dehydrated? Is she drinking because she feels thirsty? If that's the case then it could be due to poorly controlled blood glucose. Does she test at home? If so, are her numbers higher than usual? She should have some goal numbers recommended by her health care provider and if she is outside those goals she should take her results to her provider and discuss them. Take care, LaurieView Thread

It's an option that some of us choose to use with patients who prefer to have tighter control. In a person with prediabetes I prefer to guide toward tighter control to delay the progression to type 2. If one tests an hour post prandial and adjusts dietary choices, exercise patterns, or medications to a goal of 140 or less then overall glycemic control is improved. This is especially important if a 2 hour PP goal of 180 or less doesn't achieve an A1C of less than 7% (and again, many people set a treatment goal of less than 7 and getting there is a matter of having a 2 hour PP that's really less than 160; 7%= average glucose of 154 mg/dl The person who is less than 7 with too many pp glucoses >160 is also having a lot of lows so the average ends up under 150). I use different goals for different individuals, depending on whether or not the individual is a risk for significant hypoglycemia and may not be able to treat it appropriately or would be at risk of fall injury, versus a very able-bodied person who wants tight control. I hooe this answer is helpful. LaurieView Thread
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