Adjusting your settings.

WearyOne wrote:

ozij wrote: <snip>

The Severity of OSAHS as defined by the American Academy of Sleep Medicine Task Force (1999) is
AHI < 5 Normal
5 =< AHI <15 Mild
15 =< AHI <30 Moderate
30 =< AHI Severe

30 is stiil valid.
O.

Ozij, I've always heard these number, but now that I know more about OSA, I wonder--do you know if these numbers include anything but "how many" you have, such as desats or length? I mean, you could 5 or less an hour where each one only lasted a couple of seconds, or each one could last 20 seconds. Do you know if they take anything else into consideration in determining what's normal--or does anything else need to be considered?

Pam

WearyOne wrote:

ozij wrote: <snip>

The Severity of OSAHS as defined by the American Academy of Sleep Medicine Task Force (1999) is
AHI < 5 Normal
5 =< AHI <15 Mild
15 =< AHI <30 Moderate
30 =< AHI Severe

30 is stiil valid.
O.

Ozij, I've always heard these number, but now that I know more about OSA, I wonder--do you know if these numbers include anything but "how many" you have, such as desats or length? I mean, you could 5 or less an hour where each one only lasted a couple of seconds, or each one could last 20 seconds. Do you know if they take anything else into consideration in determining what's normal--or does anything else need to be considered?

Pam

Yes they do.

You'll find somehwhat different numerical definitions here, http://www.guideline.gov/summary/summar ... 34&string=

but the following is the most important, in my opinion:

The severity of the OSAHS is determined by the most severe rating of three domains: sleepiness, respiratory disturbance (AHI), and gas exchange abnormalities (minimum and mean oxygen saturation).

O.

In 2005 the American Association of Clinical Endocrinologists published their 2005 Implementation Conference for ACE Outpatient Diabetes Mellitus.

"Self-monitoring of blood glucose (SMBG) is a critical resource for the management of diabetes. When performed with sufficient frequency, SMBG readings allow patients and their healthcare professionals to make informed decisions about lifestyle choices and adjustments in pharmacologic therapy. SMBG can also provide ongoing feedback to patients about their nutrition and physical activity. It is a very important educational tool. A key obstacle, however, to implementing effective interventions is a lack of supportive healthcare systems."


Source: http://www.aace.com/pub/pdf/guidelines/ ... tement.pdf

Does that last sentence remind you of anything?

rooster wrote:In 2005 the American Association of Clinical Endocrinologists published their 2005 Implementation Conference for ACE Outpatient Diabetes Mellitus.

"Self-monitoring of blood glucose (SMBG) is a critical resource for the management of diabetes. When performed with sufficient frequency, SMBG readings allow patients and their healthcare professionals to make informed decisions about lifestyle choices and adjustments in pharmacologic therapy. SMBG can also provide ongoing feedback to patients about their nutrition and physical activity. It is a very important educational tool. A key obstacle, however, to implementing effective interventions is a lack of supportive healthcare systems."

Does that last sentence remind you of anything?

Thanks, Rooster.

Do you happen to have the specific link to that? Might come in handy in the future since this subject (in various forms) comes up frequently.

Den

rooster wrote:In 2005 the American Association of Clinical Endocrinologists published their 2005 Implementation Conference for ACE Outpatient Diabetes Mellitus.

"Self-monitoring of blood glucose (SMBG) is a critical resource for the management of diabetes. When performed with sufficient frequency, SMBG readings allow patients and their healthcare professionals to make informed decisions about lifestyle choices and adjustments in pharmacologic therapy. SMBG can also provide ongoing feedback to patients about their nutrition and physical activity. It is a very important educational tool. A key obstacle, however, to implementing effective interventions is a lack of supportive healthcare systems."

Does that last sentence remind you of anything?

This may be hijacking the thread a little, and I apologize if it does (if I should start a new thread, please let me know.) Regarding self-testing for glucose monitoring, does anyone know if self-testing is performed and a change is noted, if the patient has free reign to change any insulin injection amounts or pills they may be taking? Or if they're "required" to discuss the changes with their physician before any changes are made?

If patients are "allowed" to do this themselves, has it "always" been that way, or did it evolve to more patient involvement in this area over time, and have diabetic patients always been "allowed" to give self-injections of insulin?

I would like to find a correlation between that and a patient on cpap using the data from the machine to change pressure if needed.

If the answer is yes regarding diabetic patients making changes in insulin based on their self-testing, what's the difference between that and changing xpap pressure based on data from the machine?

And can anyone sanely answer the question of why certain sections of the machine are so "secret"? Is there any other illness or medical problem where home equipment is used where there's this secret area of treatment? What about asthmatic treatments with inhalers or nebulizers?

May sound like stupid questions, but I'm not a diabetic and don't know anyone who is to ask (although I do in-home blood glucose tests on myself every so often because diabetes runs in my family).

Pam

Hi Pam.

There are a lot of medications/drugs for diabetes, depending on which type (1 or 2) a person is trying to live with. Some are oral and some are injected. Some are to lower glucose and others are to supplement insulin which the body is not making or making enough of.
I'm not up on them as I'm just trying to get/keep my glucose numbers lower with diet and exercise (and weight loss)......no medications.

There are probably others on the forum who have more knowledge about this, too.
Here are a few links which list many of them.

http://www.coreynahman.com/diabetesDrugsDatabase.html

http://www.healthcentral.com/diabetes/find-drug.html

http://www.diabetes.org/type-2-diabetes ... ations.jsp


Den

Wulfman wrote:

rooster wrote:In 2005 the American Association of Clinical Endocrinologists published their 2005 Implementation Conference for ACE Outpatient Diabetes Mellitus.

"Self-monitoring of blood glucose (SMBG) is a critical resource for the management of diabetes. When performed with sufficient frequency, SMBG readings allow patients and their healthcare professionals to make informed decisions about lifestyle choices and adjustments in pharmacologic therapy. SMBG can also provide ongoing feedback to patients about their nutrition and physical activity. It is a very important educational tool. A key obstacle, however, to implementing effective interventions is a lack of supportive healthcare systems."

Does that last sentence remind you of anything?

Thanks, Rooster.

Do you happen to have the specific link to that? Might come in handy in the future since this subject (in various forms) comes up frequently.

Den

Sorry Den,

I missed posting the source: http://www.aace.com/pub/pdf/guidelines/ ... tement.pdf

That quote is from page 4 but I bet you will enjoy reading the whole document.

Thanks for getting me starting on the ADA forum. At a routine physical my GP had found a fasting blood glucose of 108 and noted on the report, "Higher than we like to see, but probably nothing to worry about. Lose 10 lbs." Yeah, nothing for him to worry about!

A friend gave me a meter and supplies and with the help of ADA forum it is clear that I am prediabetic. They are helping me alter and experiment with my diet while monitoring results with readings. My plan is to get this under control with diet and exercise as you do.

Thanks again,

Rooster

BTW, ADA would not let me register with Rooster. Darn it.

Thank you. However, there's a period at the end of that link that's messing it up. Once I deleted it, it works......will read it a little later, when I have time.

Would you please PM me with your "user name" over there? I looked briefly but couldn't find you......

Good luck with yours. I'm making progress......hope it keeps dropping as I've made a lot of progress since September, but still have a little ways to go yet before I can feel like I'm "controlling" it. I would settle for a fasting number like yours. Actually, prior to 2004, the threshold fasting level used to be 109 (pre-diabetes < 126). Then, they dropped it to 99......guess they needed to drum up more business by finding more diabetics to treat.

Den