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Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.
In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.
To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.
Interpretation of smbg chart:
In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
Seven points includes:
Fasting or before breakfast reading
2 hrs after breakfast
2 hrs after lunch
2 hrs after dinner or bedtime
At mid night 3.00 am
This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).
I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
More uncontrolled blood sugars require more frequent smbg glucometer monitoring.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.
I hope this article will help you to control your blood sugar levels more efficiently.
If you find that some of the post-meal or pre-meal readings are high or low, please consult your diabetologist with smbg chart to adjust your medication or insulin dosage.
If you like my article please share it with your friends and family.
Awareness is prevention!
Can a girl get pregnant if man with precum on his finger, may be dried precum, inserted into her vagina just a bit inside.?
I did two pregnancy test. But both were invalid. What are the reasons for an invalid result? And what are the chances of pregnancy if the results are invalid?
Symptoms of Menopause and its adverse effects and preventions
I am Dr Rita Bakshi. Chairman of National Infertility Centre, Gynecologist and obstetrician. Today I will talk about menopause.
The word itself means meno and pause means pause of menses. And that means stoppage of menstrual cycle of a woman. Now all of us women are in doubt with a certain quantity of eggs at beginning. At puberty we start our menses you know which is usually around 11-12 years. And this menses continues every month the cycle happens for three to five days every 28 to 35 days for everybody. It could be 28 days for some it could be 35 for the other. It could be 3 days for some and 5 days for other. So this is how the cycle happens every single month day in day out every month till we reach around age of 45 to 52 you know which is the usual age of menopause. That means the menses stop completely. Now the period before the menopause also called the perimenopause When your cycle start going a little long you know and there is a long period of gap with the cycles are about to stop. This is called the period of perimenopause.
Lot of changes one starts expecting at perimenopause. Now it is normal for women at this time to feel fatigued, to feel urinary symptoms. They do have you know pain during sex because of excessive dryness in vagina. You start losing your hair, losing your eyebrows and there are skin changes as the wrinkles and hot flushes. Hot flushes in something which many women have. Suddenly will get up at night. They are drenched in sweat. And even in winters their time to have the AC on. This what is hot flashes which happen? Some people have and some people don't have. You will have heard some of the people would just say that I just went into menopause I didn't even realize. There was not even a single change. While some women have very painful end to menses that means they have a huge heavy periods and they have all these symptoms and they have severe mood changes. One is so irritable one doesn't want to talk. And you are fighting you are frustrated. So all the things have to be taken in your stride. Because menopause is a very natural normal phenomena. And what do you do so, that your hormone estrogen is the one which is the problem. Because there are no eggs anymore so there is no estrogen that is why all these changes are happening.
One way is to have hormone replacement therapy. So if the symptoms are so strong that means hot flashing and this is really so disturbing then one can take hormones that is estrogen Progesterone replacement therapy or the HRT as it is called. Now if a person is on HRT one should keep getting investigated and see you know it doesn't cause cancer.
What are the things that should know in Menopause and after Menopause? In Menopause after Menopause male female nearly become equal. You know you are prone to heart disease Lipid profile changes So it is important when you are going into Menopause to get your lipid profile done to get your ECG done, to get your ultrasound done, to get your Pap smear done and get your mammo graphy done. All these tests should be done so that you know you are normal and there is nothing wrong in all that. Keep a good Lifestyle, must exercise. You know 40 minutes of exercise and especially weight bearing exercises are important. Be stress free, exercise, go out in the sun, enjoy your life, and if required take the help of hormones otherwise lot of tender loving care with lot of people around will just bite you through that period.
Dr. Rita Bakshi I am available either through lybrate or you can contact me at International Fertility Center H-6 Green Park, New Delhi-16. Thank you.
Hello. Mai suru se ab tk ki puri detail likh rhi hu. Phle k qtns me maine clearly nhi likha to mai isme mai apni saari problems likh rhi hu. M 6 to 7 week pregnant. and maine jb se conceive kia hai muje tbi se brown discharge ho rha hai. Kbi bht light to kbi bht dark. 2 aug ko maine ultrasound krwaya jisme baby bht chota sa aaya to de. Ne kaha k abi kuch khna mushki h.kuch time baad fir se ek baar ultrasound krenge fir dekhte hai. then maine 22 aug ko fir se ultrasound krwaya jisme aaya k baby growth to puri kr rha hai but abi heartbeat nhi aayi. To Dr. Boli k abi 50 50 chances hai. 10 days baad aap dubara krwao ultrasound. Yo muje yhi puchna hai k muje discharge hone se koi dkkt to nhi hogi meri pregnancy me. Or abi ye b nhi pta chla k bleeding ho kis wjh se rhi hai. Or hearbeat kb tk bnti hai. Kya in 10 days me heartbeat bn jygi? Maine isme saari prlblm likh di hai. Pls ek baar aap isey read krke again ans kr dijiye. Thanks.
Home Remedies to Reduce High Creatinine Levels
Creatinine is a chemical waste product of muscle metabolism that is eliminated through the kidneys. Persistently high levels of creatinine indicate that the kidneys may not be functioning properly. The normal range of creatinine in blood is:
0.6 to 1.2 mg/dL (or 53 to 106 mcmol/L) for males, and
0.5 to 1.1 mg/dL (or 44 to 97 mcmol/L) for females.
The values may vary slightly depending on different laboratories and their techniques. Men usually have higher levels than women because creatinine increases with muscle mass.
Factors that contribute to high creatinine levels include dehydration or inadequate water intake; medications like ACE inhibitors, NSAIDs like aspirin and ibuprofen, chemotherapy drugs and others; strenuous exercise; chronic diseases like kidney disease, diabetes, high blood pressure and thyroid disorders; kidney problems; and excessive blood loss.
Muscle building, taking the dietary supplement creatine and eating large amounts of meat can also elevate creatinine levels.
Some common symptoms of high creatinine are digestive problems like nausea, vomiting and poor appetite; fatigue; urinary changes like frequent night urination, decreased urine output and dark colored urine; edema; itchy skin; and shortness of breath.
As high creatinine levels may indicate kidney problems and kidney damage, it is best to see your doctor for proper diagnosis and treatment.
In addition, you can try some home remedies and dietary tips to help manage the problem. Drinking plenty of water, for instance, is highly recommended when dealing with this problem.
Also, there are some herbs that act as natural diuretics and thus help provide some relief. You can follow one or more of these herbal remedies daily for a few weeks or until your creatinine levels are reduced.
It is important to consult a healthcare professional before taking these herbs or their combinations because they may interfere with certain prescription drugs or may not be suitable for some cases. Some of these remedies may not be suitable for those with a history of kidney stones or other pre-existing conditions.
Here the top 10 home remedies to reduce high creatinine levels.
1. Chamomile Tea
A study published in the Journal of Agriculture Food Chemicals found decreased creatinine levels in study participants who drank chamomile tea. Plus, this herb will work as a mild sedative and induce relaxation.
Put two or three teaspoons of dried chamomile flowers in a cup of hot water.
Let it steep for three to five minutes.
Strain the tea and drink it.
Drink a few cups of chamomile tea daily.
2. Stinging Nettle
Stinging nettle can help remove metabolic wastes and promote renal excretion due to its diuretic properties. Plus, it purifies the blood and improves immunity.
Add two to three teaspoons of dried nettle leaves to a cup of hot water.
Let it steep for 10 minutes.
Strain and drink it.
Drink this nettle tea once or twice daily.
Note: This remedy can interfere with blood-thinning, high blood pressure, diuretic and diabetic medications. Consult your doctor before using this remedy.
3. Dandelion Root
Dandelion root tea also works as a natural diuretic to flush out toxins and lower creatinine levels. It also helps improve kidney function and relieve edema or swelling due to water retention.
Put one tablespoon of dried dandelion root powder in a cup of hot water.
Allow it to steep for about 10 minutes.
Strain and drink it.
Drink this tea two or three times daily for a few days or weeks.
Note: Dandelion may interact with diabetes and high blood pressure medications.
Due to its diuretic properties, cinnamon is considered good for those suffering from high creatinine levels and kidney problems. It helps increase kidney output and promotes renal filtration ability. It also helps regulate blood sugar levels, thus preventing further renal damage.
Incorporate cinnamon in your diet by adding it to warm beverages, smoothies, baked goods, cereals and other foods.
Note: Do not take this herb in excess or it may lead to liver and kidney damage. Though there is no established dosage still, the generally recommendation is one-half to one teaspoon of cinnamon a day.
5. Siberian Ginseng
Siberian ginseng containing eleutheroside compounds is mostly used as a health supplement for its energy-boosting properties. It is also an effective remedy to get rid of excess creatinine because it revitalizes the kidneys and promotes renal circulation. Plus, you’ll get its anti-fatigue and anti-stress benefits.
The general recommended dosage for this herb is 300 to 600 mg per day. For proper dosage and suitability for your condition, consult your doctor. It can also be taken with cinnamon.
Note: Do not confuse Siberian ginseng with other types of ginseng, especially Asian ginseng which has an anti-diuretic effect. Seek your doctor’s advice before taking Siberian ginseng because it may interfere with many prescription drugs.
Astragalus is a traditional Chinese herbal medicine that helps slow the progression of chronic kidney disease. It works as a mild diuretic and helps improve creatinine levels. It contains a diuretic compound called asparagine that helps eliminate fluid through the kidneys. This herb also strengthens metabolism and digestion.
Boil a handful of dried astragalus root slices in one quart of water for 30 minutes.
Strain and drink the tea.
Drink this daily between meals.
Note: Those who have autoimmune diseases should consult a doctor before taking this herb as it may stimulate the immune system.
7. Corn Silk
Corn silk acts as a natural diuretic and anti-inflammatory agent. It helps increase urine output, thus aiding in removing excess creatinine. It also reduces edema and lowers high blood pressure.
Put two teaspoons of dried corn silk in a cup.
Pour boiling water over it.
Cover and allow it to steep for 10 to 15 minutes.
Strain and drink this tea three times a day.
Note: Do not use this remedy if you are allergic to corn or have a history of liver or kidney disease. It may also decrease blood sugar and potassium levels.
Salvia officinalis, commonly known as sage, has been found to be beneficial in increasing the rate at which creatinine is removed in kidney failure patients because it helps filter out and eliminate creatinine from the body. It also increases circulation to the kidneys.
Add one teaspoon of dried sage or 10 fresh leaves to a cup of hot water.
Let it steep for five to 10 minutes.
Strain and drink this tea one to three times a day.
Note: Avoid this remedy if you have diabetes or a history of liver or kidney disease.
9. Chinese Rhubarb
Chinese rhubarb promotes intestinal detoxification and increases urine output. It lowers creatinine levels by increasing the excretion of metabolic waste products including creatinine. It also improves kidney function.
Chop a stalk of Chinese rhubarb.
Boil it in a cup of water.
Strain and drink it twice daily for up to a week.
Note: Do not take this herb if you have a history of kidney stones.
Barley water works as a natural diuretic and kidney cleanser. It also helps reduce blood urea nitrogen (BUN) levels and treat nephrocalcinosis. Being rich in fiber, barley helps reduce blood sugar levels and improves digestion as well. Plus, it has a high nutritive value due to its rich vitamin and mineral content.
Add one cup of barley in one liter or about four cups of water.
Boil the solution for at least 30 minutes.
Strain and drink it slowly.
Drink it daily.
As barley is a whole grain, you can also replace refined flour in your diet with barley flour.
Note: Check with your doctor before taking this remedy as it may not be suitable for those on a potassium restricted diet.
Increase your water and fluid intake.
Replace your regular tea, coffee or sodas with herbal tea.
Avoid eating high protein foods, dairy products and other dietary sources of creatine until your creatinine levels reduce to normal.
Steer clear of high arginine foods like seafood, chocolate, gelatin, beer, soybeans, peanuts, pumpkin seeds, sesame seeds and other nuts and seeds because they tend to increase the liver’s production of creatine.
Reduce minerals like sodium, potassium and phosphorus in your diet.
Include more carrots, cucumbers, garlic, onion and foods rich in omega-3 fatty acids in your diet.
Avoid strenuous activity as it promotes the breakdown of creatine into creatinine.