What brand/type of diabetes testing strips can be bought in Dhaka,Bangladesh ?

Q. I would like to buy a nice new blood glucose meter from the US for my Aunt in Dhaka who has diabetes. Since the test strips have an expiration date, I need to pick a meter that can take test strips which can be bought from Dhaka when she runs out of test strips. If you can provide the name and location of the store that sells test strips, please provide.

A. In Bangladesh we have plenty of Johnson & Johnson's ONETOUCH ULTRA2 LifeScan Blood Glucose Meter available with their spare strips. We got the following reference form the doctor:

Sonargaon Healthcare Pvt Ltd.
H-99 1st floor, 11/A Satmasjid Road, Dhanmondi, Dhaka.
Tel.: 8118823 and 9141657
Email: <sakarim@bonline.org>

If you go to Shahbagh Medicine shops or any medicine shops attached with famous Hospitals like Popular, Square, LabAid, United, Apollo etc then you can find the test strips easily.

PS. The cost of LifeScan strips here is atrocious. Therefore, try to bring enough strip in their original plastic containers so that it can cover the replenishment time within expiration date.

Disclaimer: I have no connection with above mentioned company in any manner. I have written above information from the equipment and bottles we bought locally and for our own use only.

Hope above helps.

Original Question

How do you deal with Diabetes on a daily basis? is there a routine wihich you have to follow?

Q. I am a high school student doing a project on Diabetes. Part of the project consists of asking a few questions to people with Diabetes.

A. My eleven year old daughter has type 1 diabetes. She was diagnosed at the age of 8. She has been on the insulin pump for 2 1/2 years. Her daily routine starts with testing when she first awakens (about 6:30), followed by breakfast. She enters her blood glucose (BG) and the number of carbs she will eat into the pump and it calculates how much insulin she needs to cover these. At 10:00am she tests again to see if her number is good and either corrects (through the pump) or has a snack to elevate her BG if she is a little low.
She tests again at lunchtime (about 11:45) and repeats the process from breakfast. She tests a 4th time after school, (3:00ish) to see where her BG is. If she is participating in an after school sport she will need a snack to keep her BG up with the extra activity. At dinner time (roughly 6:00) she will repeat the testing and enter into the pump her BG and carbs. She tests for the 6th and last time (usually) at bedtime.
The pump holds insulin in a tube called a resevoir and delivers the insulin through a tube to a canula called an infusion set that is inserted under the skin of her abdomen area. The infusion set and resevoir need to be changed every 2-3 days and is done at home by me.
She sees her pediatric endocronoligist every 3 months for an HbA1c test, height/weight etc and to monitor how well she is managing her BG.
This is our typical daily routine. Which is subject to change at any time as her BG is affected by: an increase in physical activity, illness, stress, problem with the pump or set, etc etc

Original Question

How did diabetes start for you?

Q. type one or type two, I want to know how all of this starts. how were you feeling when you diagnosed? what led to you going to the doctor? and were you hyper or hypoglycemic?

A. I was 11 & diabetes wasn't something that either my mother or father had, so it wasn't a big concern when I started to feel sick. My mother treated it like a cold & kept me in bed, feeding me popsicles & chiken soup.
It wasn't until I started going to the restroom almost every 20 minutes & asking for water that my mother concerned about my symptoms. I remember after lying in bed for almost 4-5 days I asked her "Am I going to die?" & she took me to our doctor's office. (I know it sounds morose, but it wasn't as depressing as it sounds when I asked her) Immediately after coming to the doctor's office he said I had type 1 diabetes & called for an ambulance.
The last thing I remember was being hauled to the car before going to the doctor's office. I collapsed & went into a sugar-induced coma. I woke up 2 days later in the ICU & was told my blood sugar was 1461 when they admitted me. (That's not a typo or an exaggeration...it was one thousand four hundred and sixty-one)
Luckily after a 5 day stay at the hospital I was released & taught a TON about the pancreas, dieting & measuring my food intake.

Original Question

How young can you detect Type 1 Diabetes in an infant?

Q. Diabetes runs in my husbands side of the family, and he was diagnosed at 11 withtype 1 diabetes. We have a 6 month old baby girl and im just curious as to how early type 1 diabetes can be detected or how early it can occur. I Would appriciate any info on the type of tests that are run to diagnose this in an infant or young child.Thanks!

A. You or your doctor can press a glucose stick into a very wet diaper.
Any sugar would show up.
Babies are checked at birth.
You should let your doctor know your concerns in advance and he can do regular tests .
Good luck.

Original Question

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How did diabetes start for you?

Q. type one or type two, I want to know how all of this starts. how were you feeling when you diagnosed? what led to you going to the doctor? and were you hyper or hypoglycemic?

A. I was 11 & diabetes wasn't something that either my mother or father had, so it wasn't a big concern when I started to feel sick. My mother treated it like a cold & kept me in bed, feeding me popsicles & chiken soup.
It wasn't until I started going to the restroom almost every 20 minutes & asking for water that my mother concerned about my symptoms. I remember after lying in bed for almost 4-5 days I asked her "Am I going to die?" & she took me to our doctor's office. (I know it sounds morose, but it wasn't as depressing as it sounds when I asked her) Immediately after coming to the doctor's office he said I had type 1 diabetes & called for an ambulance.
The last thing I remember was being hauled to the car before going to the doctor's office. I collapsed & went into a sugar-induced coma. I woke up 2 days later in the ICU & was told my blood sugar was 1461 when they admitted me. (That's not a typo or an exaggeration...it was one thousand four hundred and sixty-one)
Luckily after a 5 day stay at the hospital I was released & taught a TON about the pancreas, dieting & measuring my food intake.

Original Question

How young can you detect Type 1 Diabetes in an infant?

Q. Diabetes runs in my husbands side of the family, and he was diagnosed at 11 withtype 1 diabetes. We have a 6 month old baby girl and im just curious as to how early type 1 diabetes can be detected or how early it can occur. I Would appriciate any info on the type of tests that are run to diagnose this in an infant or young child.Thanks!

A. You or your doctor can press a glucose stick into a very wet diaper.
Any sugar would show up.
Babies are checked at birth.
You should let your doctor know your concerns in advance and he can do regular tests .
Good luck.

Original Question

How do I get healthy with diabetes?

Q. I recently started a blog about getting healthy with diabetes. The address is http://gettinghealthywithdiabetes.blogsp� Any help with this would be greatly appreciated.
Thank you all.

A. I actually typed up a (fairly long) post not too long ago. Have a read, if you'd like.

http://unafragger.blogspot.com/2009/11/diabetes-research.html

Particularly the "controlling diabetes" section.

Short answer: Eat Right (lower carb intake), keep blood sugars within "normal" ranges (80-120 preferably) using diet, exercise, medications, and/or insulin as required.

Original Question

How do I get Diabetes back on track?

Q. Ive been a diabetic for 11 years now. Im now 22 years old. About a year ago, I stopped taking my insulin and eating anything i wanted. Dont ask me why, i was just an idiot. Since then, Ive lost a lot of weight, about 25 pounds ( i was already skinny so its a big difference) and my blood sugar has gone WAYYY up. Ive recently started takin my insulin again and gained about 5 pounds. Does the weight loss have anything to do with insulin rejection?... Also i was wondering what is a really good diet to follow, that wont leave me starving after a meal. Thanks for reading guys.

A. The fact that type 1 diabetes is due to the failure of one of the cell types of a single organ with a relatively simple function (i.e. the failure of the islets of Langerhans) has led to the study of several possible schemes to cure this form diabetes mostly by replacing the pancreas or just the beta cells. In contrast, type 2 diabetes is more complex, with fewer prospects of a curative measure, but further understanding of the underlying mechanism of insulin resistance may make a cure possible in the future. Correcting insulin resistance would provide a cure for type 2 diabetes in many cases.

Only those type 1 diabetics who have received a kidney-pancreas transplant (when they have developed diabetic nephropathy) and become insulin-independent may now be considered "cured" from their diabetes. Still, they generally remain on long-term immunosuppressive drug and there is a possibility the autoimmune phenomenon will develop in the transplanted organ.

Transplants of exogenous beta cells have been performed experimentally in both mice and humans, but this measure is not yet practical in regular clinical practice. Thus far, like any such transplant, it has provoked an immune reaction and long-term immunosuppressive drugs will be needed to protect the transplanted tissue. An alternative technique has been proposed to place transplanted beta cells in a semi-permeable container, isolating and protecting them from the immune system. Stem cell research has also been suggested as a potential avenue for a cure since it may permit regrowth of Islet cells which are genetically part of the treated individual, thus perhaps eliminating the need for immuno-suppressants. However, it has also been hypothesised that the same mechanism which led to islet destruction originally may simply destroy even stem-cell regenerated islets. A 2007 trial of 15 newly diagnosed patients with type 1 diabetes treated with stem cells raised from their own bone marrow after immune suppression showed that the majority did not require any insulin treatment for prolonged periods of time.

Microscopic or nanotechnological approaches are under investigation as well, in one proposed case with implanted stores of insulin metered out by a rapid response valve sensitive to blood glucose levels. At least two approaches have been demonstrated in vitro. These are, in some sense, closed-loop insulin pumps.[citation needed]

A new discovery might have important implications for treatment of diabetes. Researchers at the Toronto Hospital for Sick Children injected capsaicin into NOD mice (Non-obese diabetic mice, a strain that is genetically predisposed to develop the equivalent of type 1 diabetes) to kill the pancreatic sensory nerves. This treatment reduced the development of diabetes in these mice by 80%, suggesting a link between neuropeptides and the development of diabetes. When the researchers injected the pancreas of the diabetic mice with sensory neuropeptide (sP), they were 'cured' of the diabetes for as long as 4 months. Also, insulin resistance (characteristic of type 2 diabetes) was reduced. These research results are in the process of being reproduced, and their applicability in humans will have to be established in future. Any treatment that might result from this research is probably years away.

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What are my chances of type 1 or 2 diabetes?

Q. Im only a teenager, and my dad has type 2 diabetes, my cousin on my dad's sude has type 1, and my grandfather, plus his 6 relatives all have type 1 and 2 on my dad's side. What are my chances of getting diabetes? What is the ratio? Can I prevent diabetes? And will I have to go to the hospital if I am diagnosed with type 1 or 2 diabetes?

A. Here are some of the symptoms:

1. Loosing weight suddenly.
2. Frequent urination.
3. Always very thirsty.
4. Dire need to eat, always hungry.
5. Blurred vision.
6. Itching of the skin.
7. Numbness in extremities (arms & lags).
8. Slow healing of wounds.
9. Vaginal yeast infection.
10. Fatigue.
11. Irritability and changes in ones mood.

These are only indicative and not conclusive. Sometimes diabetes can be without symptoms also. You will be said to have diabetes if you sugar level remains high normally. It is confirmed by testing your blood and urine sugar levels after an overnight fast and again after food/sugar syrup. If there is no sugar in your urine it is called diabetes insipidus.

Original Question

What experiment can i conduct about type 2 diabetes?

Q. So, we have to create an experiment about type 2 diabetes for our semester Biology project at college... does anyone have any ideas?? so far the only hypothesis we could come up with is "There is a protein structue present in ethnic subgroups that makes them more susceptible to type II diabetes".. BUT our teacher doesnt really like that and we arent sure how to test it.. So if anyone could help out and maybe think of some expermnt we could do?? thank you!!

A. The reason ethnic groups have a higher incidence of type 2 diabetes is that they have lower vitamin d levels. The percentage of people with the disease is:

Caucasian 6.6%
Asian 7.5%
Hispanic 10.4%
African American 11.8%

People with darker skin are more apt to be vitamin d deficient.
"(Reuters Health) - During a 17-year follow-up of roughly 4,000 men and women, researchers found that individuals with higher blood levels of vitamin D had a 40 percent lower risk of developing type 2 diabetes than those with lower levels of this vitamin."

"'In one study, researchers at the Johns Hopkins University School of Medicine in Baltimore reviewed the medical charts of 124 type 2 diabetes patients who sought specialty care at an endocrine outpatient facility between 2003 and 2008.

More than 90 percent of the patients, who ranged in age from 36 to 89, had either vitamin D deficiency or insufficiency, the authors found, despite the fact that they all had had routine primary care visits before their specialty visit.

Just about 6 percent of the patients were taking a vitamin D supplement at the time of their visit, the research team noted, and those who had lower vitamin D levels were also more likely to have higher average blood sugar levels.

"This finding supports an active role of vitamin D in the development of type 2 diabetes," study co-author Dr. Esther Krug, an assistant professor of medicine, said in a news release from the Endocrine Society."'

I hope this might help. Be sure to read the articles linked below. A video you might suggest everyone see is linked.

Original Question

How can I get my daughter (type 1 diabetes) to take here diabetes seriously?

Q. My daughter is 16, diagnosed when she was 11. Its like pulling teeth to get her to check her sugar. He last A1C was 13%. She is on the pump, which is a blessing, but she doesn't use it like she should. How hard is it to check her sugar and the key it in. Her doctor wanted to put her back on the shots but I do not see how that would help. She still doesn't want to check her sugar regularly. It scare me to death, what can happen when it gets out of control. She has already been hospitalized for Ketosis before. I have told her I know its hard to be different, and if I could change it I would, but since I can't she is going to have to be responsible. Any suggestions??

A. she's 16, with a disease that is inconvient, of course she doesn't want to take time out of her busy life to do the finger sticks etc etc....What about if YOU started doing the blood sugar tests? if she isn't going to take care of it herself than the parent should step in, if this means that she has to be home earlier to have it tested oh well, if this means that she cannot go somewhere b/c it will interefere with the testing then oh well. If there is something she wants to than she will maybe suck it up and be responsible for herself.

Are her friends aware of the diabetes? maybe they can enourage her a bit? what about visiting a hospital patient that has suffered some more of teh drastic effects of the disease?..amputation, blindness, kidney failure etc etc.

Probably some of it has to do with her age but the stigma as well. Kids can be cruel so she is maybe afraid what their reaction might be to see her do the finger stick....she can use that to teach them in the way kids teach each other. I DISAGREE with the people who are saying to make her sick in hopes she will get better, for one thats illegal and for 2 teens are invincable, there don't think anything bad coudl ever happen to them, I'm sure as a mom you would never make your child sick to teach them a lesson though.

Good luck, I hope she gets a little better at managing this disease.

Edited; sorry another thought just came to my mind, does she understand the disease clearly? or has she just said she does? she may not fully understand the disease at this point. If she is made 100% aware (which I'm sure you have done but does she get it?? lol) maybe that will give her the extra push in becomming pro-active

Original Question

what are the symptoms of going intyo a type 2 diabetic coma?

Q. I have type 2 diabetes last 2 days I have had tingling in my hands and feet and they are swollen this is also followed by an occasional headache and upset stomach.I have no way to test my sugar levels untill I recieve a meter next week,should I be worried?

A. 2 out of 3 diabetic patients suffer from heart attack. Diabetic neuropathy can cause numbness or tingling sensation. More over the swelling of feet is a symptom of heart disease / Kidney disease.
Consult a cardiologist.
ABCs for good Diabetes Care.
(1) Get your Glycosylated hemoglobin (HbA1c) test done at least four times a year. (Target: Below 7).
(2) Urea, creatinine, potassium-blood test to be done every year for kidney function.
(3) Albumin-creatinine ratio. Get your urine test done atleast once in a year for kidney function. (Target:Micro-albuminuria: Below 30).
(4) Aspirin Check with your doctor if you need to take aspirin daily.
(5) Blood pressure. Get your blood pressure checked every visit. (Target: For diabetic patients below 130/80 mm Hg. Others 140/90 mm Hg.)
(6) Abdominal circumference (Target: For male-90 cms. For female-80 cms)
(7) Fasting lipid profile (Cholesterol) Get your LDL (bad cholesterol) levels checked at least once a year. (Target: For diabetic patients-below 70 mg/dL. Others below 100 mg/dL). Triglycerides. (Target: Less than 150 mg/dL) Serum Cholesterol (Target: Less than 200 mg/dL) HDL (good cholesterol) (Target: More than 40 mg/dL)
(8) Diabetes Education. Know about diabetes & get updated regularly.
(9) Eye exam. Get your eyes examined regularly, get checked at least once a year.
(10) Teeth. Get your teeth examined by a Dentist and get tartar (plaque) removed once in a year.
(11) Foot care. Check your feet daily . Request your doctor to check them every visit. Get an extensive foot examination done once in a year.
(12) Mono-filament test & Bio-thesiometry for every year for assessing neuropathy.
(13)Glucose (Sugar) test. Control your blood glucose & do self-monitoring as & when required. (Target: Fasting blood sugar 60-100 mg/dL; Postprandial blood sugar 2 hours after food-Less than 140 mg/dL)
(14)Health life style. Exercise regularly & stay healthy.
(15)Identify special medical needs. Voice your health concerns to your doctor . Follow your doctor�s advice.

Original Question

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What brand/type of diabetes testing strips can be bought in Dhaka,Bangladesh ?

Q. I would like to buy a nice new blood glucose meter from the US for my Aunt in Dhaka who has diabetes. Since the test strips have an expiration date, I need to pick a meter that can take test strips which can be bought from Dhaka when she runs out of test strips. If you can provide the name and location of the store that sells test strips, please provide.

A. In Bangladesh we have plenty of Johnson & Johnson's ONETOUCH ULTRA2 LifeScan Blood Glucose Meter available with their spare strips. We got the following reference form the doctor:

Sonargaon Healthcare Pvt Ltd.
H-99 1st floor, 11/A Satmasjid Road, Dhanmondi, Dhaka.
Tel.: 8118823 and 9141657
Email: <sakarim@bonline.org>

If you go to Shahbagh Medicine shops or any medicine shops attached with famous Hospitals like Popular, Square, LabAid, United, Apollo etc then you can find the test strips easily.

PS. The cost of LifeScan strips here is atrocious. Therefore, try to bring enough strip in their original plastic containers so that it can cover the replenishment time within expiration date.

Disclaimer: I have no connection with above mentioned company in any manner. I have written above information from the equipment and bottles we bought locally and for our own use only.

Hope above helps.

Original Question

How did diabetes start for you?

Q. type one or type two, I want to know how all of this starts. how were you feeling when you diagnosed? what led to you going to the doctor? and were you hyper or hypoglycemic?

A. I was 11 & diabetes wasn't something that either my mother or father had, so it wasn't a big concern when I started to feel sick. My mother treated it like a cold & kept me in bed, feeding me popsicles & chiken soup.
It wasn't until I started going to the restroom almost every 20 minutes & asking for water that my mother concerned about my symptoms. I remember after lying in bed for almost 4-5 days I asked her "Am I going to die?" & she took me to our doctor's office. (I know it sounds morose, but it wasn't as depressing as it sounds when I asked her) Immediately after coming to the doctor's office he said I had type 1 diabetes & called for an ambulance.
The last thing I remember was being hauled to the car before going to the doctor's office. I collapsed & went into a sugar-induced coma. I woke up 2 days later in the ICU & was told my blood sugar was 1461 when they admitted me. (That's not a typo or an exaggeration...it was one thousand four hundred and sixty-one)
Luckily after a 5 day stay at the hospital I was released & taught a TON about the pancreas, dieting & measuring my food intake.

Original Question

How young can you detect Type 1 Diabetes in an infant?

Q. Diabetes runs in my husbands side of the family, and he was diagnosed at 11 withtype 1 diabetes. We have a 6 month old baby girl and im just curious as to how early type 1 diabetes can be detected or how early it can occur. I Would appriciate any info on the type of tests that are run to diagnose this in an infant or young child.Thanks!

A. You or your doctor can press a glucose stick into a very wet diaper.
Any sugar would show up.
Babies are checked at birth.
You should let your doctor know your concerns in advance and he can do regular tests .
Good luck.

Original Question

How do I get healthy with diabetes?

Q. I recently started a blog about getting healthy with diabetes. The address is http://gettinghealthywithdiabetes.blogsp� Any help with this would be greatly appreciated.
Thank you all.

A. I actually typed up a (fairly long) post not too long ago. Have a read, if you'd like.

http://unafragger.blogspot.com/2009/11/diabetes-research.html

Particularly the "controlling diabetes" section.

Short answer: Eat Right (lower carb intake), keep blood sugars within "normal" ranges (80-120 preferably) using diet, exercise, medications, and/or insulin as required.

Original Question

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