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One of the most difficult battles
type 2
diabetes face
is properly regulating their blood
sugar, also called glucose. Each day, diabetics test themselves to
determine how high their blood sugar levels have risen or dropped.
Over many years, high glucose levels seriously damage blood vessels and
nerves that lead to, among other things, loss of sensation in the feet
and poor blood flow in the lower legs.
Some 21 million Americans have
diabetes, meaning their bodies can't
properly regulate blood sugar. Blood glucose levels can increase or
decrease to dangerous levels if left unchecked.It is imperative that
diabetics are conscientious about testing their
blood so they can fend off serious health problems, doctors say.
Ocean Medical Center in Brick, part of Meridian Health, offers a
personalized blood glucose monitoring system called MetrikLink,, which
patients in the Pharmacology Institute program attach to a computer at
home. A log of their daily numbers — in graph form, showing trends — is
transmitted to the hospital, alerting officials to potential problems.
Dorothy Krivancik, 77, enrolled in the program and finds it extremely
helpful in
maintaining control of her blood sugar levels. She has had
diabetes for
22 years.
"You normally take your blood sugar levels and you see if you are high
or low and know you probably ate something your should not have," said
Krivancik, of Lakewood. "With this program, you get the charts so you
can see your ups and downs. It condenses everything for you and you can
make corrections with your diet."
Two months after her initial consultation, Krivancik's numbers really
began to trend higher. Robert J. Schenk Jr., a clinical pharmacist at
Ocean Medical, noticed the sharp spike in Krivancik's daily numbers and
promptly called to ask her about it.
"He (Schenk) asked if there was something new I was eating in my diet,"
said Krivancik. "I knew immediately what the culprit was — grape juice.
I had read a story about grape juice helping
arthritis, but the eight
ounces I was drinking was simply too much."
"All my patients deal with the risk versus benefit of certain foods,"
Schenk said.
"She was not getting any benefit from this, so we stopped it. As soon as
that happened, her numbers dropped down to a much more manageable
level."
When Krivancik first enrolled in the program, she was taking 27
different medications. After working with Schenk, and using the
MetrikLink device for blood sugar control, she is now down to 18
medications.
"When she first came she was serious about controlling her
diabetes and
wanted to take advantage of the program," Schenk said. "She had two
major concerns: One was protecting her vision; the other was to trying
to stay off dialysis as long as she could. (Kidney disease and
deteriorating vision are side effects of
diabetes.) Now, she has a
clinical pharmacist to look at her medications and provide accurate,
timely information to her physicians so they can make adjustments."
Krivancik still faces the day-to-day challenges of controlling her
diabetes, but she
feels much better about the situation."If you want better control of
diabetes, this is the program for you," Krivancik said.
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