Continuous Glucose Monitoring that does NOT require finger-sticks? YES.

Following information from: https://www.medtronicdiabetes.com/treatments/continuous-glucose-monitoring

CGM that still requires finger-sticks

Continuous blood glucose monitoring (CGM) was originally designed for those with type 1 diabetes who used an insulin pump for insulin infusions during the day/night. An insulin pump releases fast- acting insulin 24 hours/day at different rates based on blood glucose. The pump has a continuous basal rate to cover blood sugar changes between meals and during sleep AND a bolus dose to cover carbohydrate intake consumed at meals/snacks.

Without CGM, a person with an insulin pump would require many finger-sticks throughout the day. With a CGM, the insulin pump would show results from the CGM and changes in dosing can be made.

This method required finger-sticks to confirm that the blood glucose read internally (from tissue fluids) by the CGM was accurate.
Even with CGM, finger-sticks remained a part of life for those with an insulin pump and CGM.

How Does CGM Work?

A tiny electrode called a glucose sensor is inserted under the skin to measure glucose levels in tissue fluid. It is connected to a transmitter that sends the information via wireless radio frequency to a monitoring and display device. The device can detect and notify you if your glucose is reaching a high or low limit. The latest Medtronic CGM systems can actually alert you before you reach your glucose limits.

Does older CGM technology replace Finger-sticks?

NO. It is recommended that you calibrate CGM systems with finger-sticks 3–4 times per day for optimal glucose sensor accuracy. CGM does require at least 1 finger-stick blood glucose reading every 12 hours to calibrate the CGM sensor1.

CGM Components

CGM systems usually consist of a glucose sensor, a transmitter, and a small external monitor to view your glucose levels. MiniMed insulin pumps have built-in CGM so the information can be conveniently seen on your pump screen.

The CGM monitor or insulin pump is small and easy-to-wear….but it is worn outside of the body. It can be attached to your belt, hidden in your pocket, or placed under your clothing. This component will show your current glucose levels and your historical glucose trends. It also notifies gathers your glucose data, and sends it wirelessly to the glucose monitor unit. The Medtronic transmitter is waterproof and can be worn while swimming, bathing, or showering without worries.

Components of continuous glucose monitoring

The glucose sensor is inserted under the skin to check glucose levels in tissue fluid. The glucose sensor has a small adhesive (sticky) patch to hold it in place for a few days and then it must be replaced with a new sensor. The glucose sensor is inserted with a needle, which is removed after the glucose sensor is in place. The most common place to wear a glucose sensor is in the abdomen.
The glucose sensor is easily inserted under the skin using an insertion device. A sensor is placed into the insertion device, and with a push of a button the glucose sensor is inserted quickly and easily.

Discover the Benefits of CGM

A blood glucose meter only provides a brief “snapshot” of your glucose level at a single moment in time. A CGM device, though, gives you a greater view of your glucose trends. CGM provides you with:

-The direction your glucose levels are going
-Early notification of oncoming lows and highs
-Alerts for lows or highs while you are sleeping or anytime
-Insights into how food, physical activity, medication, and illness impact your diabetes
-CGM can provide valuable information at crucial points during the day, including before and during exercise, prior to driving, before test/exam-taking, and in the middle of the night.
It is still required to check blood glucose levels with a fingerstick before therapy adjustment.

WHAT’S THE LATEST IN CGM? NO NEED FOR FINGER-STICKS!
Information from: http://www.mobihealthnews.com/content/abbotts-freestyle-libre-system-becomes-first-cgm-be-fda-cleared-use-without-fingersticks

ABBOTT FREESTYLE LIBRE CONTINUOUS GLUCOSE MONITOR….NO FINGER-STICKS!

How about a CGM that does NOT require finger-sticks? In the US, a patient will insert the CGM under the skin and for the next 10 days, blood glucose will be “checked” every 15 minutes without the need to prick a finger.

Abbott Diabetes Care’s Freestyle Libre Flash Glucose Monitoring System has been approved by the FDA. As well as finally bringing the system, which is already available in 39 other countries, home to the US where Abbott is based, the approval also represents a first for continuous glucose monitoring, as it doesn’t require the user to use a fingerstick, even for calibration.

“From an emotional perspective, it’s especially important to us because Abbott’s an American company, this is a product that was designed in California, and diabetes is personal to many of us,” Abbott Research Fellow and Director of Biosensor Technology Christopher Thomas told MobiHealthNews. “Every part of the design we come to with an incredible amount of passion … so to be able to make that available in America is one of the most satisfying things that we could work for ever.”

Abbot’s Freestyle Libre fully disposable system consists of a tiny insertable sensor and a patch about the size of a quarter worn on the arm for up to 10 days (though it’s cleared for 14 in other countries). The patch records glucose data every 15 minutes. Using a special reader, the wearer can scan the patch with NFC technology, checking their glucose painlessly as often as they want. In addition to the current reading, a scan gives eight hours of historical data and trend information.

“You get where you are, where you’ve been, and where you’re going, all in that painless, one second scan,” Thomas said. “You can scan it as many times as you want per day. What we’ve done at Abbott, is we want to help this revolutionary technology to blend seamlessly into your life.”

The device is factory calibrated, which means it allows the user to eschew pricking their finger entirely. The Dexcom G5 was cleared last year for use without fingersticks, but still required them for calibration. Freestyle Libre also becomes the second CGM, after the G5, to be approved for non-adjunctive insulin dosing claims.

“The FDA is always interested in new technologies that can help make the care of people living with chronic conditions, such as diabetes, easier and more manageable,” Donald St. Pierre, acting director of the Office of In Vitro Diagnostics and Radiological Health and deputy director of new product evaluation in the FDA’s Center for Devices and Radiological Health, said in a statement. “This system allows people with diabetes to avoid the additional step of fingerstick calibration, which can sometimes be painful, but still provides necessary information for treating their diabetes—with a wave of the mobile reader.”

Abbot saw a professional version of Freestyle Libre cleared one year ago. That device was nearly identical, but only a healthcare provider could scan it and view the glucose data. The newest clearance allows users to view data themselves, something that research shows they’re keen to do often — an average of 16 times per day.

Looking to Europe, where the device has been available for some time, we can make some predictions about next steps for Freestyle Libre in the US. For one thing, the sensor will likely be expanded from 10 to 14 days of wear.

Also in Europe, Abbott has incorporated smartphone apps into the operation of the system. Users with Android phones that have RFID or NFC technology can leave the reader at home and scan the sensor directly with their phones. There are also monitoring apps for both care providers and parents to see someone else’s data remotely.

“We’ve got a long pipeline of innovations that are coming,” Thomas said. “Stay tuned for different changes to that, smartphone editions, it’s all part of the exciting pipeline that we’re working on right now.”

http://www.dianekress.com
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http://www.thediabetesmiracle.com
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Last Discount of 2017. Your annual Miracle-Ville Membership is priceless…..now you can take 20% off!!!

Your ANNUAL membership to Miracle-Ville.com will give you all the ACCURATE answers to your program questions regarding The Metabolism Miracle PLUS the support of the author (Diane Kress) and Miracle-Ville members as you take the MM lifetime lifestyle journey.

With the Metabolism Miracle you can expect fat loss, inch loss, decrease in clothing size, most inch loss around the “middle” as well as marked improvements in blood glucose, blood pressure, blood lipids (LDL, HDL, triglycerides), serum insulin levels, and increased Vitamin D.

You can also expect improvements in skin, hair, tone, shape, energy, wellness, concentration and focus.

Miracle-Ville is the subscription support website for followers of The Metabolism Miracle. The program’s author visits the site regularly! State of the science and accuracy is promised. Don’t “guess” if you have a Metabolism Miracle; ask the author!

The ANNUAL membership will have a 20% reduction until September 30, 2017. You will receive an 18 dollar refund when you join Miracle-Ville ANNUAL.

Start now and feel and look great by the holidays! Live The Metabolism Miracle for a lifetime for your best appearance, health, energy, and wellness!

Join for 89.99 per year, and you will receive a refund of 18.00 from Diane Kress!

Diane Kress

The Metabolism Miracle Second Edition: https://www.amazon.com/Metabolism-Miracle-Revised-Control-Permanently/dp/0738218901/ref=sr_1_1?ie=UTF8&qid=1506446320&sr=8-1&keywords=metabolism+miracle+by+diane+kress

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This Healthy Pumpkin Spice Latte is neutral on The Metabolism Miracle!

HEALTHY PUMPKIN SPICE LATTE

INGREDIENTS

1/4 tsp pumpkin pie spice
1/4 tsp cinnamon
2 tablespoons canned pumpkin puree (not pumpkin pie filling!)
1/2 cup organic half and half or unsweetened vanilla almond milk
1/2 tsp vanilla extract
1-2 packets of Splenda, Stevia, Swerve
6-8 ounces strong brewed coffee
Whipped cream
1/8 tsp nutmeg

INSTRUCTIONS
1. Whisk together the pumpkin puree, pumpkin pie spice, cinnamon,vanilla, sugar substitute, and half and half or unsweetened almond milk in a large mug. Heat in the microwave for 30-45 seconds or until very warm. Stir after heating to blend the pumpkin puree with the creamer/almond milk
2. Pour the coffee into the mug of heated pumpkin and stir to combine.
3. Top with a nice spritz of whipped cream sprinkled with nutmeg.

It’s Pumpkin Spice Time!

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You’ve been eating since birth; You’ve been pooping, too. How does beautiful food turn into THAT?

What Happens When We Eat? Take a trip down the GI tract

The act of eating is necessary for survival. From the day of our birth, we have to eat food to survive. Most people know eating begins at one end (the mouth) and ends at the other end (the anus) but have little conception of what goes on in between. Here’s a brief explanation of the changes that happen to the food that ultimately supply our body with the nutrients we need to survive and thrive.

What happens when we eat?

You open your mouth and insert food.

The tongue has over 10, 000 taste buds that enable us to sense food’s four basic tastes: sweet, sour, salty, and bitter.

The teeth are capable of grinding food into easily swallowed and digestible pieces.

As we chew, saliva gets mixed into the food. Saliva contains enzymes that begin digesting carbohydrates into sugar right in the mouth.

After the teeth grind and the saliva moistens, the food can slide down the esophagus and into the stomach. There is a valve between the esophagus and stomach called the gastroesophageal junction; a one-way valve that lets food move from the esophagus to the stomach but not from the stomach back into the esophagus. If the GE valve develops a hiatal hernia, strong stomach acid can regurgitate back into the esophagus and cause burning, scarring, inflammation.

The stomach’s muscular walls churn chewed food and mix it with hydrochloric acid plus pepsin (an enzyme that digests protein). After food is churned and mixed, it becomes creamy in texture and is referred to as chyme. Chyme passes through a small sphincter (valve) into the first part of the small intestine; the duodenum.

When chyme enters the duodenum, its acidic nature ( from the stomach’s addition of hydrochloric acid) requires neutralizing. To help neutralize the chyme, the pancreas sends bicarbonate (an alkaline) so the acid won’t irritate the intestine’s walls.

It is in the duodenum that most of digestion takes place.

The pancreas’ digestive enzymes are sent to degrade carbohydrate, protein (into amino acids), and fat. The gall bladder sends bile to help breakdown fat.

Food next moves to the small intestine’s jejunum where digested nutrients are absorbed into the blood stream. The three macronutrients (carbohydrate, protein, and fat) part ways and enter the blood stream.

WHAT HAPPENS TO GLUCOSE?

Except for fiber, 100% of net carbohydrate changes into blood glucose.

As glucose enters the bloodstream, the pancreas releases insulin that helps glucose enter muscle tissue for immediate energy.

Additional blood glucose that is left in the bloodstream in excess what is needed to immediately energize refills glycogen stores in the muscles and liver.
Whatever glucose is left after energy needs are met and the liver and muscles are capped off is converted to fat and stored in fat cells!

What happens to Fat? WHAT HAPPENS TO FAT?

Only about 10% of fat becomes blood glucose

After digestion/absorption, fat enters the blood stream and travels to the liver.

The liver burns some of the fat, converts some to other substances (like cholesterol) and sends the rest to fat cells, where it will be stored until needed for fuel.

WHAT HAPPENS TO PROTEIN?

About 58% of protein will eventually become blood glucose.

After digestion and absorption as amino acids; the “building blocks” rebuild or build up protein stores.

Excess amino acids are converted to fats and sugars and follow the paths described above.

The conversion to blood glucose is quickest for carbohydrates , longer for proteins, and longest for fats.

WHAT HAPPENS TO VITAMIN AND MINERALS

The small intestine is by far the most important site in our digestive tract for both vitamin and mineral absorption. Almost all vitamins and minerals are absorbed from different areas along the small intestine’s surface. The first part of the small intestine (duodenum) and the middle part (jejunum) absorb most vitamins and minerals. B12 is absorbed in the last part of the small intestine; the ileum. The last part of the digestive tract-the large intestine-is particularly important for the absorption of vitamin K, biotin, and the electrolyte minerals (sodium, chloride, and potassium).

With most of the digestion and absorption complete, what is the function of the large intestine?

One of the main jobs of the large intestine is to absorb water . Nutrients that cannot be digested and absorbed move along to the colon or large intestine.

FIBER is an example of a carbohydrate that does not digest. Fiber enters through the mouth and exits the “back end” without breaking down. It acts like a toothbrush, cleaning the walls of the intestine, exercising its musculature, and allowing for bulkier, easier- to- pass stools.

Some remaining nutrients : vitamin K, biotin, and the electrolyte minerals (sodium, chloride, and potassium) are absorbed in the beginning of the large intestine. After passing through the large intestine, what is left is waste. It is stored in the rectum until a bowel movement occurs.

HOW LONG DOES IT TAKE FROM FOOD TO MAKE THE TRIP?

The time it takes for food to pass through the gastrointestinal tract varies.

On average, it takes less than an hour for 50% of stomach contents to empty into the small intestine; total emptying of the stomach takes around 2 hours.

Then, 50% emptying of the small intestine takes 1 to 2 hours. Lastly, a trip through the large intestine (colon) takes anywhere between 12 to 50 hours. A meal with a high percentage of meat and fat will take longer to digest than one that is mostly carbohydrate.

The small intestine is about 22 feet long (about 3.5 times the length of your body) and the large intestine is 5 feet long. The descriptions small and large describe the diameter of the intestine, not its length.

In conclusion: A trip through the entire GI tract can last from about 18 to 55 hours after a meal. The higher the fat and protein content of a meal, the longer it takes to become waste.

Food starts out whole and ends up as a waste product with all the “good stuff” extracted. Carbohydrates, protein, fat, vitamins, and minerals are digested and absorbed from food via a series of mechanical and chemical processes. When digestion and absorption is complete, it’s a matter of time before waste matter leaves the body.

Diane Kress
Medical Nutrition Therapist
http://www.dianekress.com
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Warm Water with Lemon….a daily “tonic” that really starts and ends the day RIGHT.

3-Ingredient Morning Tonic! PS: You can also use it right before bed.

As Metabolism Miracle followers, we know to eat within 1 hour of waking up and 1 hour of bedtime.. On Step 1, the food choice can be a neutral food or a 5 gram Counter Carb (or both). On Step 2, it should be an 11-20 gram Carb Dam.

How about a quick and simple serving of warm lemon water with a tiny pinch of salt? After a night of sleep, it is very important to re -hydrate your body. 8+ ounces of warm water (not from the warm water tap but heated on the stove or in the microwave with a pinch of salt (need not be Himalayan pink salt) gives you some Vitamin C, re- hydrates, and the little pinch of salt helps immediate fluid repletion.

Water or decaf fluid helps to clear out uric acid, improve digestion, decrease constipation, keep the pH of the blood in a healthy range, and keeps your body hydrated for the best functioning of all organs.

It is important to begin the day hydrated. Your morning coffee does not really help hydrate as caffeine has a diuretic effect. Never count caffeinated beverages toward your fluid intake.

The warm water and lemon combo boosts immune function. One lemon serves up 139 percent of your daily value for vitamin C. Squeezing one lemon into your morning is like a Vitamin C supplement.

It’s also great for your skin. Proper hydration helps your skin glow and diminishes dryness and propensity to skin wrinkles.

Being hydrated actually freshens your breath! Foul smelling breath can be due to dehydration; especially if you are in a fat burning mode (Steps 1 and 2 of The Metabolism Miracle). Decrease bad breath with proper hydration.

8 or more ounces of warm water, the juice of one lemon, a tiny pinch of salt is wonderful to start and finish the day. Give it a try and look for positive body changes within a week. It takes 2-3 weeks to develop a habit. Start developing this habit today!

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IT’S GO TIME!

IT’S GO TIME!

Want to look and feel great by the holiday season and beyond?

Looking to have more energy, lose belly fat and bloat, improve your focus and concentration?
Want to end carb cravings forever?

Get a copy of THE METABOLISM MIRACLE, SECOND EDITION by Diane Kress (on Amazon.com) and join the author, Diane Kress, on MM’s support site: WWW.MIRACLE-VILLE.COM.

You will own the only lifestyle program you will ever need and have ACCURATE answers to any and all MM questions.

IT’S GO TIME.

Start on October 1!

Join Miracle-Ville.com (one year membership) before October 1, 2017…you will get a 20% refund!!!!!

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4 Easy Bread Containing Recipes that become Carb Free when using The Great Low Carb Bread Company’s Bread!

BREAD. If you are living the Metabolism Miracle lifestyle (or following a low carb diet), you probably realize that many low carb bakers or bread product manufacturers produce questionable “low carb bread” with ingredients and Nutrition Facts that don’t add up.

Buyer Beware.

Some low carb bakers have met with class action lawsuits for lying about the contents/promotion/ Nutrition Facts regarding their baked products.

Consumers are paying top dollar for what they believe to be low in carbohydrate grams, but notice they are getting nowhere in terms of losing fat and keeping it off. How is the consumer to know if low carb baked goods are real or frauds? As a registered dietitian for over 35 years, I can tell you it’s close to impossible.

Thankfully, there is a bakery that is transparent about their Nutrition Facts and Ingredients. Top quality ingredients make their breads, muffins, rolls, desserts, soft pretzels, pizza crust and more “NEUTRAL” for The Metabolism Miracle.

The name of my FAVORITE low carb bakery is: The Great Low Carb Bread Company. You can find their many “real” products on their website: http://www.greatlowcarb.com.

When I tell you their products are Neutral….they really are no- countable- carb breads, rolls, buns, breadsticks, pizza crust, soft pretzels, and even bagels!

I was thinking of a few items that are typically “no go’s” on their low carb program. Check out the French Toast, Croutons, Soup Topper, and Breadcrumbs that are NEUTRAL when using the Great Low Carb Bread Company’s bread of your choice!

GLCBC = Great Low Carb Bread Company

1.No Carb French Toast: Dip your GLCBC bread in an egg mixture (For 1 serving I use 2 slices of GLCBC bread added to a beaten mixture of 2 medium eggs or scant 1/2 c Egg Beaters™, 3Tbls half and half, 1/8 tsp vanilla extract, and a very tiny pinch of salt. Dip both sides of the bread into the egg mixture. Brown on both sides in a frying pan coated with butter or oil. Zero countable carbs when you use GLCBC bread and “Walden Farms™” Carbohydrate- Free Maple Flavored Syrup!

2.No Countable-Carb Croutons. Spray or spritz cubed GLCBC bread with olive oil and sprinkle with your favorite herbs and spices. I use garlic powder, dill weed, Italian Seasoning and grated Parmesan Cheese. Broil on a parchment paper- lined baking sheet until golden brown, turn the cubes, spray with olive oil, and add more seasoning and cheese. Remove when golden brown and allow to cool. Zero countable carb flavored croutons!

3.Carb- free topper for onion soup (vegetable soup, too). Place your Neutral onion or vegetable soup in an oven safe soup or crock bowl. Sprinkle GLCBC croutons to the top of the soup, sprinkle with parmesan cheese, and cover with a slice or two provolone cheese. Broil or bake until cheese melts. You have zero carbs lots of veggies, and high protein in this combination of GLCBC bread AND cheese with veggies.

4.Make no countable carb breadcrumbs: Simply prepare GLBC croutons. When cooled, put toasted croutons into a food processor and make NO CARB BREADCRUMBS! You can use these “neutral” bread crumbs in your meatloaf, meatballs, as a breading for chicken and fish.

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