Saturday, August 31, 2013

My Diabetic Gastro Issues Things are out of Wack

 
 
Really!  You must be joking!  No I am not!  The problems that come along with Diabetes also can and does make difficulties for you with your Gastrointestinal issues.  I know they have interfered with mine and I am not ashamed to say that.
 
I had no clue that my Diabetes could cause havoc with my intestines.  Things started to happen that I was not used to.  It began with irregularity with my stools.  I used to be someone who never skipped a beat being able to go to the bathroom and do the #2.  Then my stools became hard and it became difficult to go.  The thing I think bothered me the most was that I had no urge to go at all.  Even though this was happening it wasn't a everyday thing, I just didn't know when it would happen. 
 
Since moisture is one of the things we lose when we are Diabetic I was unaware of the fact that the intestinal tract also suffers from a lack of moisture.  I decided it was time to talk to the doctor about those issues.  I thought maybe there was something else going on with me.  After speaking to the doctor he assured me it was part of my Diabetes and it was called Gastroenteropathy. 
 
Diabetic  Gastroenteropathy manifesting in upper gastrointestinal symptoms, delayed gastric emptying, constipation, diarrhea and fecal incontinence occurs frequently in patients with diabetes mellitus and represents a significant health care burden.
Source:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2854169/

The term diabetic Gastroenteropathy encompasses all gastrointestinal complications of diabetes, which may manifest in dysphagia, heartburn, abdominal pain or discomfort, early satiety, nausea, vomiting, postprandial fullness and bloating; as well as in constipation, diarrhea, and fecal incontinence.
Source:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2854169/

The whole thing I am learning about this problem with Diabetes is that they need to do a lot more research and studies with Diabetics who currently show signs and symptoms of these Gastrointestinal issues.

I hope you will read on this information and find out more about why you may be having issues with your bowels and gastro system as a Diabetic. 

If we can keep on talking and keep a good communication open then we serve our whole Diabetic community.  It is important to share what you know and research what you don't know and as always if you wish to connect with me I am on google at diabetic.day2013@gmail.com also follow me on twitter at #DiabeticDay. 




Tuesday, August 27, 2013

Diabetic Day: Im Living With a Killer...it's Name Diabetes

Diabetic Day: Im Living With a Killer...it's Name Diabetes: So I am wondering how you really feel about your Diabetes?  When I was diagnosed with it I really didn't take it as serious as I shoul...

Im Living With a Killer...it's Name Diabetes

So I am wondering how you really feel about your Diabetes?  When I was diagnosed with it I really didn't take it as serious as I should have, maybe that was because what I knew about diabetes I sure didn't see it as a killer.  Boy was I wrong! 

The thing about Diabetes isn't the fact that most of us die from the disease it's the fact that most of us who die from having Diabetes die because of the complications associated with the Disease.  That is why learning and communication and management of the disease is so important.  Getting a good knowledge base of what the complications are and how to treat each one is a key factor to how long of a survival rate you will have as a diabetic.  Listening to your healthcare professional asking questions and doing the best we can to care for our disease.

Recently there was a video that was put out on you tube by the International Diabetes Federation.  It is a harsh reality because it expresses the idea that Diabetes is a Killer.  Well, in my opinion it is.  Diabetes affects whatever part of the body it chooses to.  Most of the time it interferes with heart health, circulation, brain and kidneys, liver and skin.  These are all major parts of major systems in our bodies.  Once again if not managed Diabetes can kill you from its complications.  I am sharing this video here on my blog in hopes that it can gain a better understanding and wont be criticized as much.  If we really take a look at our disease it has the potential to do very bad things to our bodies along with an end through dying from complications. 


The thing is we need to continue to share and talk and campaign and work as hard as we can as a community to get noticed about the problems across the globe with Diabetes.  It is one of the most serious diseases that is growing more and more rapidly.  We must educate on healthy foods and better nutrition, as well as better health care for many with Diabetes who are under the poverty levels or those who are aged without having proper medications and health care that they need.  I'm wondering if you will let me know your thoughts on this video and also there will be a new video they want to ban regarding Diabetes killing us at alarming rates. 

I hope you will find time to share this information, and to join us in the community of care givers, family and diabetics to help keep knowledge flowing and keep the conversation open. 

If you have any ideas for a blog or would like to be a guest writer for this blog or if you have questions or something you would like to share you can find us @ #DiabeticDay and diabetic.day2013@gmail.com.


Friday, August 23, 2013

Diabetes how does it play a role in my Dental Health

Let me just begin by saying I have always had my share of dental issues since childhood and I really don't look forward to the dental visits, however I know way more about why it's important to go to the dentist frequently or on a regular scheduled basis.

I have learned that Diabetes can affect any part of your bodies that includes the mouth, gums, teeth, tongue and tissue lining the mouth right down to the saliva glands.  In the content of this blog you will understand more about what happens to us as Diabetics and why it is so important for us to maintain good Dental Care, both self care and professional care.

To begin with let me say that our mouth as a whole already carries a significant amount of bacteria, now couple that with sugar and starches that interact with bacteria then you have yourself a monster.  It turns into a type of acid called plaque that builds up on the surface of your teeth and eats away at your exterior tooth known as the enamel.  It keeps doing this until the enamel becomes thin and a cavity is born.  The reason it is so important to keep your blood sugar under control is to limit the amount of starches and sugars in your mouth and on your teeth although we should always do our best to do that anyway for our health.

The next problem that comes along with Diabetes and your dental health is Gingivitis.  It is a small red area just under your gums that become irritated the longer you can not fight the bacteria which turns into plaque and then into tartar the more irritated and inflamed the Gingiva become they become sore and bleed easily.  The birth of Gingivitis has now occured.

There is one more serious problem that can happen if your Gingivitis becomes something that is hard to deal with or you are unable to get it under control.  The disease is called Periodontitis.  This is such a serious thing that if left untreated can cause damage to the soft tissue and bone that holds your teeth in place and there will be no supportive structure to hold your teeth in place. Eventually your teeth will become lose and can even fall out. This is because your gums have shrank and pulled away from your tooth structure.

Periodontitis tends to be more severe among people who have diabetes because diabetes lowers the ability to resist infection and slows healing. An infection such as Periodontitis may also cause your blood sugar level to rise, which makes your diabetes more difficult to control. Preventing and treating Periodontitis can help improve blood sugar control.
Source:  http://www.mayoclinic.com/health/diabetes/DA00013

There are ways to help prevent these things from occuring.
  1. Manage your blood sugar
  2. Brush your teeth at least 2 times a day
  3. floss on a regular basis
  4. visit your dentist on a regular basis ( there are low income clinics if needed in your communities)
  5. Don't Smoke
  6. Exercise and keep yourself  heart healthy.
Other notable readings:
How can Diabetes affect your dental health

Diabetes and Oral Heath Fact Sheet

Diabetes and oral health by the American Dental Association

I hope this has helped you understand the affects that Diabetes has on our Dental Health.  Also remember that having poor Dental Health can have an affect on your Diabetes as well, our bodies become under stress  if we have any type of infection or health issues.

Remember to always take good care of yourself and help others by sharing the information you have learned.  We are a large community and we owe it to ourselves and each other to share information and keep that conversation going.  Together we can support each other to live a healthier life style and live longer.
If you are interested in writing a blog as a guest or if you have an idea on what we should blog about please connect with me on Titter at Gwen Johnson @DiabeticDay or at diabetic.day2013@gmail.com. I look forward to hearing from you and google+ me.  Join the conversation. 



Thursday, August 22, 2013

Hormones and Menopause affects on Diabetes


I went to the doctor today.  She is a lovely woman who is very concerned with the affects that my menopause is having on my Diabetes.  I did not really coordinate the two going hand in hand on some of the things that have been plaguing me lately.  Now I have a little more understanding of what is going on with my Diabetes that I did not understand before.

Changes in blood sugar level. The hormones estrogen and progesterone affect how your cells respond to insulin. After menopause, changes in your hormone levels can trigger fluctuations in your blood sugar level. You may notice that your blood sugar level is more variable or less predictable than before. If your blood sugar gets out of control, you have a higher risk of diabetes complications.
Source:  http://www.mayoclinic.com/health/diabetes/DA00038

Weight gain in the menopausal  woman can create a need to increase our Insulin or our Diabetic Medications.  Our bodies fluctuation in hormones and the imbalances create a need for adjustments in our medications sometimes.

Often when we are post menopausal a drop in the estrogen that our body produces creates a better environment to bread bacteria such as candida or yeast, which creates yeast infections and options for Uti's or Urinary Tract Infections which if left untreated can cause kidney infections, this becomes very dangerous but along with that it also creates instabilities in in our blood glucose levels.  It is important to watch our sugars and also maintain good hygiene and keep well hydrated.

I am to frequently aware of , the lack of sleep do to night sweats, hot flashes which you just can not sleep through very well.  It makes our blood sugar hard to maintain and keep in control.  Our body is under stress not only from the lack of the hormone but because our body is in need of good rest and hydration.  I keep a large water bottle right next to my bed and I drink at least 36 ounces during the night.  Sleep is difficult but you can find great over the counter supplements and exercise that will help you manage some of this along with some social activities and relaxation programs will help you get better rest.  Remember the less stress the better we manage our Diabetes.

Seek help for menopausal symptoms. If you're struggling with hot flashes, vaginal dryness, decreased sexual response or other menopausal symptoms, remember that treatment is available. For example, your doctor may recommend a vaginal lubricant to restore vaginal moisture or vaginal estrogen therapy to correct thinning and inflammation of the vaginal walls (vaginal atrophy). If weight gain is a problem, a registered dietitian can help you revise your meal plans. For some women, hormone therapy is an option.
Source:  http://www.mayoclinic.com/health/diabetes/DA00038/NSECTIONGROUP=2

Its not easy for women with regular menopause, but it is even harder for us women with Diabetes.  Make sure to discuss this with your health care professional.  Let him/her know the changes and take time to journal the changes so that your doctor will have record of what you are going through.  Life changes can be difficult but managed when you keep up with your disease.

We are a community affected with something that is hard to live with but together we are a community getting healthier and living longer and better lives.  The more information we share and learn about, the better communication and understanding of Diabetes the better off we will be.  So share information and communicate with one another.

If you are interested or have an interesting topic or would like to be a guest blogger on Diabetic Day feel free to connect with me Gwen Johnson @DiabeticDay or diabetic.day2013@gmail.com.





Tuesday, August 20, 2013

Diabetic Day: How can you tell when your diabetic skin is breaki...

Diabetic Day: How can you tell when your diabetic skin is breaki...: Diabetes is only one of the causes that will lead to skin breakdown in a person.  Other causes can be anything from smoking, anemia, and ...

How can you tell when your diabetic skin is breaking down and what should you do


Diabetes is only one of the causes that will lead to skin breakdown in a person.  Other causes can be anything from smoking, anemia, and a variety of vascular diseases.  Other things such as drug use and alcoholism can also do great damage to the cellular level of the skin. 

I am Diabetic so for me this is a major concern.  Skin is a real concern for us as Diabetics because we have poor circulation and our vascular systems are always compromised with this disease. What we as Diabetics need to be concerned about is what is causing it and how to recognize it then also how to treat it or what to do to prevent it.

The most common areas for skin breakdown (pressure points) in adults are the sacrum/coccyx (tailbone), heels, elbows, lateral maleollus (outside of the ankle), greater trocater (hip bone) or the bottom of the femur (outside and inside of the knee) and the ischial tuberosities (the bones we sit on).  Pressure points for children are different and based on age and development (7).  For infants and children less than three years of age, the head makes up a greater portion of the total body weight and surface areas.  When they are placed on their backs, the occipital region (back of the head) becomes the primary pressure point.  When placed on their side, the ears are also very susceptible.  For older children, the sacrum (lower spine) and calcaneous (the heel of the foot) are most at risk (9).
Source:  http://myelitis.org/newsletters/j5/journal-5-04.htm#.UhO31H_pxVI

For those with Obesity problems you should also check under the folds or flaps of skin that may overlap and create no air flow and bacterial breakdown. 

Other things that can have a big play on breakdown of skin is if clothing or blankets, pillows are folded under you creating a pressure point.  Make sure that you smooth any clothing, blankets or pillows you may be using to keep and insure a better amount of blood and oxygen flow to all parts of your body. Bedding or sheets should be as wrinkle free as possible as well.  Make sure not to wear shoes that will rub on toes or feet.  Some jewelry also can cause issues of circulation. 

Make sure that you keep skin dry and clean it will help you to insure the best possible way to keep your skin from breaking down.  At the same time you don't want your skin to not have moisture but make sure it is the right type of moisture.  Lotion your skin properly after showers or bathing because you do not want to get cracks in your skin. 

Maintain a healthy diet and get proper nutrition.  Help your body to stay vascular healthy by eating certain foods such as:   
  • Omega 3 fatty acids(salmon, mackerel, flaxseed)
  • Vitamin C(citrus fruits, strawberries, broccoli)
  • Vitamin A(Vegetables that are dark green or dark orange in color)
  • Zinc(seafood, meat and eggs)
  • Protein(meat, eggs, cheese, and soy products)
Make sure that you switch positions from sitting to standing to walking and if you are laying on your side in bed switch positions about every 2 to 4 hours.  This will help you from keeping pressure off of any one point for too long.


Keep muscle spasms under control 
Some muscle spasms can be beneficial as they help you change position, if you can’t move yourself.  Too much muscle spasticity can cause rubbing and friction, especially when you are in bed at night.  Talk with your care provider about how to best manage spasticity.  Exercise and range of motion are two good ways to reduce spasticity.  Make sure orthotics (braces) are fitting properly, that they are worn correctly, and that the straps are fastened properly to prevent friction or pressure.  Be sure that your bladder and bowel programs are working well as increased spasticity can be caused by a urinary tract infection or constipation.  Spasticity can also increase when you have a burn or skin breakdown.  
Source:   http://myelitis.org/newsletters/j5/journal-5-04.htm#.UhO31H_pxVI

What does minor skin breakdown look like? 
Skin breakdown starts out as a red or purple spot on fair skin or a shiny, purple, blue or darker spot on dark skin, which does not fade or go away within 20 minutes. When you press on the spot with your finger, it does not become lighter (blanch).  It may feel warmer or cooler than the skin around it.  The spot may feel hard or squishy under your fingers and may look swollen.  If you have sensation, it may be itchy or painful.  At first, it may not look like much, especially if the skin is not broken or open, but it can get a lot worse.  If your skin becomes blistered, scabbed or has a small open area on the surface, this is more serious, as it indicates that the tissue underneath has begun to die.  At this stage, the progression of skin break down is reversible: the skin will return to normal as soon as the cause of the irritation is found and eliminated and the skin is properly cared for.  If these steps are not taken, the damage can rapidly progress to a dangerous level where infection can attack the underlying tissue and bone, posing a serious risk to your health.
 Source:  http://myelitis.org/newsletters/j5/journal-5-04.htm#.UhO31H_pxVI


What does serious skin breakdown look like?
Serious skin breakdown occurs when the cause of the problem is not eliminated and tissue has been deprived of oxygen and nutrients for so long that the tissue has died and there is now a large hole or crater.  Damage extends at least into the subcutaneous tissue.  In the most serious wounds, tissue death includes muscle and extends as deep as the bone.  Drainage is almost always present.  If you have fever, see green or yellow drainage, and have a warm temperature around the wound, you may have developed an infection.  Wounds such as this, with or without infection, must be evaluated by a health care professional.  This care may be obtained through your spinal cord injury provider or you may be referred to a wound center to be evaluated and treated by a professional that specializes in the treatment of serious wounds.  When an infection forms in a wound, the surrounding tissue and bone can become infected.  If this continues, infection can enter the blood stream causing sepsis; and if untreated, can be fatal. 
Source:  http://myelitis.org/newsletters/j5/journal-5-04.htm#.UhO31H_pxVI

Consult your physician with either of these two Serious Skin breakdowns and Minor Skin Breakdowns.  Your doctor will be able to give you the proper advice on what you should do for your Skin Breakdown. 

I encourage you to read more from this article on Skin Health:  Prevention and Treatment of Skin Breakdown Janet Dean, MS, RN, CRRN, CRNP  Link:  http://myelitis.org/newsletters/j5/journal-5-04.htm#.UhO31H_pxVI

Remember we are a team a community and your information that you share is important like my information that I share can help keep us healthier and live better and stronger lives.  If you have something to share, a blog idea, or would like to share information via the blog then connect with me at diabetic.day2013@gmail.com.  Together we can support each other.

Monday, August 19, 2013

What are the best Diabetic Foods to keep your Blood Sugars from Spiking?



I think this has been one of my hardest things to overcome.  It isn't easy trying to figure them out even after keeping a food Journal.  What I realized is that some foods in combination with others spiked it really high while others didn't and mixtures were sometimes better than single ingredients. 

I was reading a post by a Woman named Joy Bauer @ JOYBAUER.com about 9 foods that we as Diabetics should eat and well the article basically lays it out for you.  It offers you less spikes in sugars with these 9 foods.

Joy Says that Beans are one of those foods.  Beans (including black, white, navy, Lima, pinto, garbanzo, soy, and kidney) are a winning combination of high-quality carbohydrates, lean protein, and soluble fiber that helps stabilize your body's blood-sugar levels and keeps hunger in check. 

Next she said that Oatmeal was a great food for Diabetics.  I can understand that because when I was researching earlier about grains and having Celiac Disease with Diabetes I learned that it was gluten free except when contaminated by wheat or barley.  Oatmeal: It's packed with soluble fiber, which slows the absorption of glucose from food in the stomach — keeping blood-sugar levels under control.

  Fish: Pair fish with the high-quality carbs found in vegetables, lentils, or beans for another balanced meal combination that will keep your blood sugar from rising.

Nonfat Yogurt
Fat-free yogurt naturally contains both high-quality carbohydrates and protein, making it an excellent food for slowing or preventing an unhealthy rise in blood sugar.

Almonds
Unsalted almonds provide a healthy, low-carb mix of monounsaturated fats plus magnesium, which is believed to be instrumental in carbohydrate metabolism.

Non-starchy Vegetables
Chock-full of vitamins, minerals, and fiber, non-starchy vegetables (such as broccoli, spinach, mushrooms, and peppers) are an ideal source of high-quality carbohydrates.

Wild salmon or sardines are not only rich in omega 3s but also contain a healthy-fat-and-protein combination that slows the body's absorption of carbohydrates, keeping blood sugars on an even keel.

Egg Whites
Rich in high-quality lean protein and low in carbs, egg whites are another healthy choice for controlling or preventing type 2 diabetes.

Avocado
Avocado is high in monounsaturated fats, which are generally considered among the healthiest of fats. Researchers have found that a diet high in monounsaturated fats and low in low–quality carbs may improve insulin sensitivity.
Source:  http://www.joybauer.com/photo-gallery/best-foods-for-type-2-diabetes.aspx

Joy has a variety of help topics to listen to read and watch on her website JOYBAUER.com.  Here is one of the links below that will help you get to her information.  I find her information is leading in its expertise. 
Source:  http://www.joybauer.com/type-2-diabetes.aspx

I am really offering her as a source because like you I am trying to find the best way to manage my Diabetes through help, information and conversation.  While reading what she had to say I decided to pass some of it along.  She is a walking book of information on help for us with many diseases that plague us as Diabetics, Heart Disease, Eye sight and so much more.  I hope you will check it out and let me know what you think.

If you have an idea or would like to chat you can connect with me at diabetic.day2013@gmail.com feel free to connect with me so we can continue to learn and grow healthier together.

Tuesday, August 13, 2013

Diabetic Day: Nasty little words or what did you say is in this ...

Diabetic Day: Nasty little words or what did you say is in this ...: Oh my goodness if it wasn't hard enough trying to eat right as a Diabetic now we have to really read food labels and know what they me...

Nasty little words or what did you say is in this product!

Oh my goodness if it wasn't hard enough trying to eat right as a Diabetic now we have to really read food labels and know what they mean.  How many times have you been to the grocery store and tried to figure out if something is sugar free, and just because it says its sugar free is it???

How many times have you tried to stay away from full of sugar full of gluten products.  Do you even know what words scream out sugar or gluten?  If not you are like most of us who are trying to get by off of the knowledge we were given in home economics in school or from shopping with our mom back in the 70's and 80's as children....even so we do have the bests tools to us and that is a mouth for questions and eyes for reading. 

So as I do all of the time I am reading on the internet and I decide to find out what those illusive words are that mean Sugar to us and Gluten to us Diabetics.  

The first thing I looked up is how to figure out if something had gluten's in it.  I came across an article by a woman who was a nutritional expert.   She began by saying that there are 6 key words we should look for when searching to see if a product that doesn't say its gluten free has in it.  Those 6 words are below.

  • Wheat
  • Rye
  • Barley
  • Oats
  • Malt & Brewers Yeast

If any of the contents of a package or you find any of these words within a label then you will know they are not gluten free products.

Oats however are not gluten products unless they have been contaminated by wheat, barley, or rye products. If a product does contain wheat but only 20 parts per million it may be labeled gluten free.  Even with food products regulated by the USDA, there are very few ingredients that should cause you any concern. Modified food starch, dextrin, and starch (in USDA-regulated foods “starch” may mean corn starch or wheat starch) may give you pause if their source is not named. You may want to find another product that does not contain these ingredients or contact the manufacturer to verify gluten-free status.
Source:  http://www.glutenfreedietitian.com/newsletter/dietcom-blog-how-to-tell-if-a-food-is-gluten-free/

So here is a list of the added sugars you may find on a package label.  Remember that this does not tell you how much of these have been added and the only way to figure that out is by scanning the label to read the amounts.
  • Agave nectar
  • Brown sugar
  • Cane crystals
  • Cane sugar
  • Corn sweetener
  • Corn syrup
  • Crystalline fructose
  • Dextrose
  • Evaporated cane juice
  • Fructose
  • Fruit juice concentrates
  • Glucose
  • High-fructose corn syrup
  • Honey
  • Invert sugar
  • Lactose
  • Maltose
  • Malt syrup
  • Molasses
  • Raw sugar
  • Sucrose
  • Sugar
  • Syrup
Source:  http://www.hsph.harvard.edu/nutritionsource/added-sugar-on-food-labels/
As you begin to understand labels better shopping for Sugar free and Gluten Free products will become easier.

Going even further there are websites that help us understand what we are reading on the labels of our food and food products.  If you have a bit of difficulty I hope this article will be of some assistance.  Consumers need to understand the labels and what they are eating.  The more information the better off you are but only if you understand the labels. 

Consumers using Nurtrition Facts when making food choices a healthier option. 
Source:  http://www.fda.gov/Food/ResourcesForYou/Consumers/ucm267499.htm

My blog today isn't tremendously long, but one thing that we gain from this one is how easy it is for us to learn for ourselves what is healthier for us to put into our bodies.  If you cant remember all of the names of things then take time make a list that you can carry with you at all times with a list to remind you what you can and cannot have on your diet.  Living healthier comes from knowledge and in most cases knowledge is free.  Take time to stay informed and information is key so share it. 

If you wish to contact me for any reason regarding a blog or question or just a chat then connect with me here at diabetic.day2013@gmail.com  We are a community so lets create our health together.



Sunday, August 11, 2013

Programs to help you with Diabetic Weightloss


There is no time like the present to look into those programs out there for Diabetic Weight loss.  I myself did it on my own sticking to a rigid diet.  I went to Kmart and bought myself some super green tea triple tea formula.  I weighed 198 lbs when I started that was 8 months ago, today I weigh 164.  I still eat what I normally eat as a diabetic and it did not interfere with anything I was doing, but I spoke to the doctor about it prior to taking it. I always take specific Diabetic Supplements that are a daily part of my regiment.

Nuturna Super Supplements has been something I am looking into.  I was interested in the product when I typed in diabetic weight loss supplements and it was the first thing I saw.  So I went to the page and began reading about it.  They have you ask three simple questions about your supplement.

1.  What are the product ingredients?
2.  What is the dosage of the ingredients?
3.  Is it a quality product and is it right for me?

Good questions to ask yourself if you are going to use supplements.  The Ingredients that they use are clinically studied and also scientifically recognized in supporting healthy blood sugar balance. The key to working your Diabetic life and the maintenance of healthy blood sugar is also exercise, healthy diet, Nutrition,  and Knowledge.   They guarantee the product or your money back. Below is the link to there page to read more information on the product.
Source:  http://ww.nuturna.com/Diabetes/?gclid=COrjiPqv9rgCFS3hQgod1TUALw

At Supplement-Geek.Com  there is an article on Glucosulin  weight loss supplement.  Here is the link to that article and remember as it says to always consult your physician or health care professional regarding the supplements interactions with other medications.
Source:  http://supplement-geek.com/glucosulin-weight-loss-supplement-review/

Medifast has a weight loss program for those of us with Diabetes.  They offer a plan along with health shakes and diet options.  There goal is to offer you different meals with the options of over 70 different choices.  They are looking to help you lose weight while still maintaining proper nutrition and balance your blood sugars.
Source:  http://www.medifastmedia.com/med/docs/diabetes_guide.pdf

Honestly there is more out there than we really think there is.  Including Hypnosis and Bariatric Surgeries.  If we choose to to use any of these options please take the time to do research, find out what the options are and the best plan of action for you.  Remember Diabetics are prone to dropping blood glucose, we don't heal very fast if we have injuries, and all these things can stress our bodies out.  So we need to really talk about it with our physicians.  We always want to take care of ourselves and each other.

If you have an idea about a blog or a suggestion for a topic or if you are interested in writing one.  Contact me at diabetic.day2013@gmail.com.  Together we can continue to progress and become healthier Diabetics.

Friday, August 9, 2013

Diabetic Day: Its no Joke Glutten Free is the Way to go for Diab...

Diabetic Day: Its no Joke Glutten Free is the Way to go for Diab...: When I was about 27 years old I became very sick and didn't understand why.  I was losing weight despite that I was pregnant with my d...

Its no Joke Glutten Free is the Way to go for Diabetics. Why?

When I was about 27 years old I became very sick and didn't understand why.  I was losing weight despite that I was pregnant with my daughter.  I couldn't keep food down and of course I was having some intestinal issues as well.  I ended up in the hospital prior to her birth and they began doing some checking when they discove red I had Celiac Disease.  Doctor says to me that I can no longer have things made with wheat, rye, barley.  My heart sunk.  I was trying to figure out what was next for me to eat.

I wasn't really sure about what it is that causes Celiac Disease and how it worked in my body.  I will give you an explanation on what it is exactly and show you how it works in your body.  I will also be writing about the links between Celiac Disease and Diabetes.   

Celiac disease is a digestive disease that damages the small intestine and interferes with absorption of nutrients from food.




When people with celiac disease eat foods or use products containing gluten, their immune system responds by damaging or destroying villi—the tiny, fingerlike protrusions lining the small intestine. Villi normally allow nutrients from food to be absorbed through the walls of the small intestine into the bloodstream. Without healthy villi, a person becomes malnourished, no matter how much food one eats.

Source:  http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/#what

Celiac disease is genetic, meaning it runs in families. Sometimes the disease is triggered—or becomes active for the first time—after surgery, pregnancy, childbirth, viral infection, or severe emotional stress. 

It is considered a Malabsorption problem.  Nutrients are not able to be absorbed by the intestines through the villi so our bodies can be healthy. 


Adults are less likely to have digestive symptoms and may instead have one or more of the following:
  • unexplained iron-deficiency anemia
  • fatigue
  • bone or joint pain
  • arthritis
  • bone loss or osteoporosis
  • depression or anxiety
  • tingling numbness in the hands and feet
  • seizures
  • missed menstrual periods
  • infertility or recurrent miscarriage
  • canker sores inside the mouth
  • an itchy skin rash called dermatitis herpetiformis

You may develope these other types of Disease or have one or more of these other Diseases:
  • type 1 diabetes
  • autoimmune thyroid disease
  • autoimmune liver disease
  • rheumatoid arthritis
  • Addison's disease, a condition in which the glands that produce critical hormones are damaged
  • Sjögren's syndrome, a condition in which the glands that produce tears and saliva are destroyed
These diseases often go hand in hand and are usually related to not having good or healthy nutrition from Celiac Disease and its Malabsorption problems.
 http://www.eatright.org  use this link for a complete guide to eat a healthy gluten free diet.

Now that we have a better understanding of what the cause and symptoms are how does it relate to you and me as Diabetics.  It seems it is more apt to be a disease that can often go hand in hand with type 1 Diabetes.  It is often diagnosed in children with Diabetes.  Here is what one article states about that.

Evidence of Celiac disease is present in a high percentage of children at the time of diagnosis of type 1 diabetes, and these individuals typically develop Celiac disease within 4 years of their diabetes diagnosis. In contrast, autoimmune thyroid disease typically follows the diagnosis of diabetes by an average of 10 years. Thus, screening for Celiac disease should be considered early in young individuals with diabetes, whereas screening for thyroid disease should be considered for decades after diabetes diagnosis.

Source:  http://clinical.diabetesjournals.org/content/26/2/85.full

There is no real answer at this time if it is a precursor to Type 2 Diabetes, but the studies are still continued in answers about Celiac Disease and the affects on the body.  I am wondering at this point if I was not a Diabetic possibly  type 1 When I was a young girl told that I was Borderline Diabetic at the age of  11.  I suggest that if you have been told this at a young age you should follow up with your physician as an Adult and let them know of all your juvenile health issues. 

There are things that if you are being diagnosed with them as adults can loop back to a possible diagnosis as a juvenile that may have been missed.  It really hasn't been until recently that they have got better tests to diagnose Celiac Disease and Diabetes has come along way from 20 or 30 years ago. 

Always consult with your health care professional if you notice things that become different to you.  Make notes and keep track of issues. 

I hope this article has helped you in understanding Celiac Disease.  There are many products out there now that are Gluten Free.  There are many recipe sites for those who will be cooking Gluten free.  Type Gluten Free Recipes into your browser and go from there the possibilities are endless.

Here is to you all and your quest to be healthier better informed Diabetics.  If you have any questions or idea's for a blog and if you just want to communicate with me connect at diabetic.day2013@gmail.com



Thursday, August 8, 2013

Diabetic Day: Sex and the Diabetic, No it's not a Movie it's Rea...

Diabetic Day: Sex and the Diabetic, No it's not a Movie it's Rea...: Lets face it having Diabetes takes away the hey babe ya wanna excitement.  It isn't that you don't want to, more like your urges m...

Sex and the Diabetic, No it's not a Movie it's Real Talk

Lets face it having Diabetes takes away the hey babe ya wanna excitement.  It isn't that you don't want to, more like your urges might not be there as they were before.  Sometimes you just become depressed and other times your medication or complications can play a part in why you don't want some. 

Each of these factors can play a part in what is physiologically happening inside of your body and to your emotions and mental state.  Take for instance Depression.  Often in Depression you feel as though your tired and sad and things just are not worth the effort if you can even find enough energy to make an effort.  You may be sleepy and want to sleep much of the time and things that used to be fun and exciting may no longer make you feel the same way. 

If you are taking medications for your Diabetes and it's complications often the medications have side affects so make sure to read them or ask your Pharmacist about the side affects.  Talk to your doctor and let him or her know what is going on with you.  Heart medications can interrupt things in the body, and Diabetic Neuropathy affects many part of your body including female and male parts.  Sensation that would create feelings to help are often just nil or non existant.  Blood flow is often slowed down because of damage done to the cardiovascular issues that Diabetics often deal with from complications of the disease making it harder to obtain erections for men and stimulation to the clitoral area for women.

It isn't something you really want to talk about very often as a Diabetic, but it is a very real thing that happens to many of us.  It is a sensitive subject but one you need to speak about to your spouse and to your health care professionals.  There are numerous things that you can do for yourself and things that you can do for each other.  Doctors also have some things they can discuss with you.  Don't be afraid to discuss your Sex Life with your spouse and your healthcare professional, great things can be accomplished to help the situation.

I am going to post some really good information regarding this and remember it isn't just because someone has no need for it or want but that there can be many things affecting the why's of  Diabetes interrupting yours or a spouses sex life.

Evidence of Neuropathy in your feet may mean that nerves in other parts of your body are affected as well, possibly affecting your sexual functioning.
Source:  http://www.diabetesselfmanagement.com/articles/sexual-health/when-diabetes-affects-your-sex-life/all/

There’s a lot you can do on your own, too, to improve your sex life, whether you are able to actually change your physical functioning or simply learn new ways to enjoy what you have. 
Source:  http://www.diabetesselfmanagement.com/articles/sexual-health/when-diabetes-affects-your-sex-life/all/

10 sex tips for Diabetics
http://healthyliving.msn.com/diseases/diabetes/10-sex-tips-for-diabetics

Sexual problems in women are also common although not always reported. It is estimated that one third of women may have problems with sexual desire, vaginal dryness, and the ability to reach orgasm.

 Sexual problems in men with diabetes are common with over half of men being impacted. Age and the progression of the disease both increase the risk of erectile dysfunction and low testosterone, the two most common sexual health issues.

Source:  http://healthpages.org/self-care/sex-diabetes/

There are things we as Diabetics can do to help ourselves get through a difficult period in our Disease, but remember the Disease doesn't just affect us it affects our mates as well.  Talking a direct communication with your mate will make it easier to find solutions and answers to these all to often common issues Diabetics have with Sex.  Keep open communication flowing it will help resolve any issues you may be having in your relationship.

There are so many great articles out there.  Just open up your web browser and ask the questions.  It will have several answers for you but most of them are very common facts and will answer your questions quite well.  Don't forget to speak to your healthcare professional, ask if they are comfortable in discussing the physical aspects of what your Disease may be creating for you, if not ask them if they have suggestions on who to speak to about it.  The only questions that are not good questions are those that don't get asked.

If you have comments or a blog Idea, if you have a subject you want to discuss or just a question please feel free to connect with me at diabetic.day2013@gmail.com.  Together we can make us knowledgeable about our Diabetes and we can share and help each other in our journey. 

Wednesday, August 7, 2013

Diabetic Day: Curcumin Diabetic Super Natural Hero, What's the S...

Diabetic Day: Curcumin Diabetic Super Natural Hero, What's the S...: So I was the lucky recipient of a link posted on my Facebook page that said Curcumin curbs Diabetes.  My sister is always looking for nat...

Curcumin Diabetic Super Natural Hero, What's the Story?


So I was the lucky recipient of a link posted on my Facebook page that said Curcumin curbs Diabetes.  My sister is always looking for natural solutions for me and my Diabetes.  So I thought I would type in my browser and see what it had to say about Curcumin.  The incredible thing is there are several articles on it, posted by the medical community as well as the Naturopathic community.

Curcumin is a natural anti-inflammatory as well as an antioxidant.  Curcumin, a phytochemical found in the spice turmeric, has been used in India for centuries, and it has no known side effects.  It has shown great help in several different types of Chronic Illnesses, one of them being Diabetes Mellitus and its complications.

With Diabetes Mellitus there are several things that occur but some of the greatest issues come from the Oxidative Stress and the Inflammatory Mechanisms.   Curcumin can be considered suitable for the prevention and Amelioration of Diabetes.  Curcumin is an anti-oxidant and nuclear factor kappa-B inhibitor derived from turmeric.  Curcumin is an anti-oxidant and nuclear factor kappa-B inhibitor derived from turmeric. A number of studies have shown that dietary curcumin reduces inflammation and delays or prevents obesity-induced insulin resistance and associated complications, including atherosclerosis and immune mediate liver disease.

Source:  http://www.ncbi.nlm.nih.gov/pubmed/23495213

Curcumin in its natural state is hard for absorbtion into the body's biological systems.  Currently they are working on ways to make it better absorbed into the body they are developing nano-particles and lipid/liposome formulations that increase absorption and bio-availability of curcumin.

Source:  http://www.ncbi.nlm.nih.gov/pubmed/23495213

Other articles to read about Curcumin are:

http://www.ncbi.nlm.nih.gov/pubmed/18403477
http://www.ncbi.nlm.nih.gov/pubmed/20420526
http://www.ncbi.nlm.nih.gov/pubmed/19462685

On these pages you will also be able to find side articles regarding Curcumin.
http://www.t-nation.com/free_online_article/most_recent/curcumin_the_next_big_superfood


The advances in natural substances in the care and treatment of Diabetes is on the rise, everyone out there is looking for a cure.  Being Diabetic I am so glad we have those out there looking for an answer because just controlling it is not good enough, it is just a bandage on a really serious wound. 

I hope you will share this information with several of your Diabetic Family, Friends, Communities.  I want us to keep an open mind and be well informed on what is out there for us.  We should really be thankful to those willing to share with us and as Diabetics and Caregivers of Diabetics be willing to keep the information flowing on to others suffering with this disease. 

If you have comments or would like to contact me for a story idea or any type of information you wish to share connect with me at diabetic.day2013@gmail.com.  Lets keep our community knowledgeable about Diabetes.  


Tuesday, August 6, 2013

Difficult Diabetic Days.

So many times I have had bad days.  I have woke up and felt very bad, in the middle of the day or playing with the grandson the bottom drops out on me and I end up with low blood sugars.  I can't think right, making choices or decisions at that point it's probably the hardest thing in the world because I can't get my brain to work.What the worst is, when it happens in the middle of the night and no one but me is awake.

I hate it when I run into walls, or am dizzy and it feels like I have been on a two day drunk. What happens if you think you have eaten enough carbs for lunch and realize that the exercise of cleaning house has used up the carbs and the proteins are fast to break down, then you get close enough for Diabetic Shock.

I had a mild heart attack in 2010 and didn't even know I was having one.  I went to the doctors and of course I was placed on high blood pressure medication and a cholesterol pill.  It was mild I only had to take the bare amounts of each.  That was 3 years ago and now I am being upped because I am having a difficult time keeping them in check or maintained.  So I am working on a higher dose of each, added a cardiologist to my doctors plans and a neurologist now as well.

I guess you never really can understand what others go thru until you experience it yourself.  I know it may sound like complaining but really its not.  I do have to make others realize what it feels like to the best of my ability, and that would be through my personal experiences.

Everyday and Night something is happening to me as a Diabetic.  In the morning I am usually so dizzy it is difficult to walk because I stumble into walls.  My sugar is usually at about 174- 202 waking no matter what I chose to do before bed.  In the middle of the night my sugar wakes me either with the shakes and the excessive pounding of a rapid heart rate or having to get up in the middle of the night from either urinating or leg and feet cramps nightly.  In the day my blurred vision is making it difficult to see things, and if I want to spend time doing things I have to always remember I can make my sugar drop by over doing it.  If I don't do it then it raises high.  I have medication all throughout the day, and I have to remember to eat on time, snack on time, and wear shoes all the time.  I have burned myself on the stove many times and I do not feel a thing, yet sometimes I end up with peeling skin from the burns.




 http://howmed.net/pathology/diagnostic-criteria-and-complications-of-diabetes-mellitus/

Can you believe that those things are only a drop in the bucket when it comes to Diabetic Difficulties or Medical Issues that I have living with Diabetes and so do so many others.  The thing I hate the most though is when I cant remember things and they could be small, or large.  I have learned to make notes for myself and do things right then and there.  I hate it when people say to me, "Oh that's okay don't worry about it, you will remember later then you can tell me."  Not true!  If I do it is days or weeks or Months.    I'm tired because it is always so up and down with me even though I do whatever I can to keep it regular, my Diabetes hates me.

Each Day is a challenge a struggle, but I am alive and willing to learn and review and share so others can know what we go through so we can come together as a community.  Remember if you are not Diabetic that it is a very difficult Disease and it is not always curable by losing weight sometimes its in the genes.  It affects your Brain, your Heart, your Eyes, your Kidneys, your Liver, your Pancreas, your Gallbladder, your Skin, your Thyroid and so much more.

I would love to know your stories.  I would love to share your living and your work with your disease or that of those you take care of.  If you would like to share or have something to offer, please connect with me @diabetic.day2013@gmail.com.  Together we can help make things better through communication and information. 

Diabetes Can be Spendy or Thats Ok Keep the Change in Your Own Pocket


As a Diabetic without Insurance it is difficult to find economical Diabetic Supplies sometimes.  In the town I live in we don't have to many options for finding Diabetic Supplies in the Stores.  I was able to go to the Walmart and they did have a variety of meters and test strips. I purchased a ReliOn confirm/micro for $9.00 and the test strips were $19.99 for 50.  Just a couple of weeks ago I bought another meter it was without all the bells and whistles though.  It also was a ReliOn  Prime and it was $16.00 meter but for 50 test strips it was $9.00.  Of course each state may vary with prices.

For others who wish to use the internet to purchase with Medical Insurance or Medicare there are several different sites that offer different discounts.  One of my favorite sites that I have found is the American Diabetes Wholesale on line.
Link:   http://www.americandiabeteswholesale.com/

Special:  http://www.americandiabeteswholesale.com/product/free-truebalance-meter-kit_1606_120.htm

70% OFF! Retail Price: $65.97 Your Price: $19.49


Special: http://www.americandiabeteswholesale.com/product/free-truetrack-smart-system-meter-kit_1591_120.htm
77% OFF! Retail Price: $92.97 Your Price: $21.49 

Special:   Clever Choice Mini Blood Glucose Meter - Grey w/ 100 strips
 56% OFF! Retail Price: $70.97 Your Price: $30.99
It also comes in other colors such as blue and red. You will need to go to the website and look through all the really great options for you.

 I just went to the doctor and then took a trip to my local pharmacy and found myself just pulling out $52.00 on medications.  Usually I would have paid no payment but because of the type of Medications I have had to get and the fact that my insurance company didn't get my insurance papers correct in time I was stuck paying a bill.  Now most people would say that $52.00 wasn't much however it is when you are living on a budget and trying to make ends meet.  So I want to share some information about shopping and finding your prescripstion's for reasonable prices.  

Wal*Mart Pharmacies offer a wide range of prescription's for $4.00 and some for just slightly higher prices if you are without insurance.  They have a list at their store that gives you all the information you want.  Go to Wal*Mart Pharmacy Savings Tools

Prescription Help Information Sites.
https://www.pparx.org/ 1-888-4ppa-now (1-888-477-2669) Toll Free. Find out if you are elegible.

http://www.needymeds.org/  For helpline calls, call 800-503-6897.

http://coverageforall.org/pdf/FHCERxAssistanceProgramsGuide.pdf

This is just some of the options that are out there for you.  You could really use a numerous amounts of assistance programs.  Be sure to check if you have medicare or medicaid with your insurance information hotlines and ask questions so you are well informed and have all the information you may need before going any further with discount programs and options.  Some of your insurances will allow discount cards etc.  Also if you are over 50 you can use AARP they often offer discount on products through them. 

If you have any questions regarding any of the information that has been provided for you feel free to write me and I will answer any questions you might have.  You may even just have a comment or would like to share your information on this blog if so connect with me @ diabetic.day2013@gmail.com. 





 

Saturday, August 3, 2013

EMERGENCY Recall Alert for Test Strips August 1st.



Nova Diabetes Care announced the recall Friday. An incorrect reading could potentially lead to dangerous medication errors for patients. 
Source:  http://www.novacares.com/news/nova-max-recall.php

 "It is important that patients using these test strips discontinue their use immediately," said Alberto Gutierrez, director of FDA's office of in vitro diagnostics. "A false reading could result in patient harm and delay critical care."

 Patients can visit a company website to check if their glucose test strips are affected by the recall: www.novacares.com/news/nova-max-recall.php . They can also call a company hotline at 1-800-681-7390. Customers can return the strips and receive replacements at no charge.



Doctors and patients should pay attention for signs and symptoms of high or low blood sugar levels, including excessive thirst, nausea, weakness, headaches and trembling.

To Read the entire article please follow the source link.  It will give you much more information on the names of each type of strip.  It will tell you which countries are affected and currently there are several.  Please read more and pass the information on if possible.  

Source:  http://www.montgomeryadvertiser.com/viewart/20130801/NEWS/130801018/FDA-warns-massive-diabetic-test-strip-recall

It is really important as a Diabetic to make sure you check often of drug recalls and equipment recalls.  Faulty equipment can cause you to overdose on Insulin and other Diabetic Medications.  If you feel you are having symptoms of Either High Glucose or Low Glucose and are not sure it is best to consult your physician or 911.

Today the information is enough to share with you all as a blog post.  I want us to all keep aware of the problems for us out there as Diabetics as well as the wonderful things out there to help keep our Diabetes Managed.  The way we can do this is by offering information to each other and talking on a regular basis about our concerns, idea's and keep the knowledge coming.  We belong to a pretty large community of 26,000,000 and climbing.  Together we can create a better life for each other through information sharing.

If you have a question or comment please feel free to connect with me through diabetic.day2013@gmail.com.  I answer all notes to me. 






Friday, August 2, 2013

Diabetic Shopping Lists

Here on planet Earth, the confusion is great over just what to buy when you go to the grocery store, farmers market or international markets as a Diabetic.  It feels like you are a alien from outer space and there just is no food sources here on this planet to feed that hunger inside you.   Lucky for you we have what is called the internet, and lucky for you I don't mind learning as I go along myself seeking answers to mind boggling questions.

This question for me today is WHAT DO I EAT? Sorry, I didn't mean to shout so loud, but I get so very confused about this when I go shopping with my husband.

While I was looking around the internet at different types of answers for this question I thought to plug in Diabetic Grocery Lists.  I came up with some information on what to eat and a few really good lists to print and take with me to the Grocery store while I was looking.  I will list some of these and maybe you won't be so confused what to buy just maybe how to make out a menu and the recipes to make some great food.  Don't worry though we will answer those questions too.   Now lets get busy!

The First Shopping List was from sharecare.com here is the
Link http://www.sharecare.com/health/type-2-diabetes/article/diabetic-food
This is the link to the printable Diabetes Friendly Shopping List from sharecare.com http://s.origin.sharecare.com.s3.amazonaws.com/newsletter/OHG/Diabetes_Friendly_Shopping_List-v05.pdf

Second:  Right at Home Diabetic Shopping list
Link:  http://www.rightathome.net/assets/franchises/nova/Diabetic%20Grocery%20List.pdf

Third:  Your Diabetes Diet:  Exchange Lists (Mayo Clinic) Very Helpful Information
Source:  http://www.mayoclinic.com/health/diabetes-diet/DA00077
Printable Diabetic Grocery List you will need to download the PDF or DOC.
Link:  http://www.freeprintablegrocerylist.com/preview/Diabetic_Food_Grocery_List

Don't forget to check your App Stores for great Diabetic Help Apps.  You can Find them on Google Play Store, Itunes, and numerous others.  There are great Diabetic Recipe Apps and as I said before also great food and menu planning Apps.  Great Resources for a Diabetic on the Go. Don't forget to set alarms on your phone to help you remember when you need to eat your snacks and prepare your meals.  I do this on a regular basis.  It has been a great help to have this on my Android Phone.  

There are also some great Meal Planners out there for Diabetics and Recipes too.  I will try my best to keep fresh and new places, information and Idea's coming out there for you to help you as I am helping myself with the complexities of Diabetes.  It really isn't fun to try to do this alone.  As a community of Diabetics and Caregivers we can do this together.  We can be great support for each other on this journey that is Diabetes.

If you have questions or would like to share information or ideas or even write a blog for Diabetes Day then feel free to connect with me @ diabetic.day2013@gmail.com

Thursday, August 1, 2013

Diabetic Education on line Resources

Diabetics often have a hard time finding really good resources and ways to teach them how to manage Diabetes and just what Diabetes is all about.  In this blog I will offer you some really great Websites that have classes or courses on Diabetes that are free and easily accessed by the internet. 

Site Resources & Classes Offered:

Joslin Diabetes Center | Online Classes http://ndep.nih.gov/resources/webinars/
On line classes link
Assessing Your Diabetes Actions, Assessing Your Diabetes Beliefs, Assessing Your Diabetes Knowledge, An Overview of Diabetes, and Treating Type 2 Diabetes with Oral Medications

NDEP
http://ndep.nih.gov/resources/webinars/
The National Diabetes Education Program's Quarterly Webinar Series explores the latest advances and challenges in diabetes prevention and management

American Association of Diabetes Educators
https://www.diabeteseducator.org/ProfessionalResources/products/fundamentals.html
This is a 6 course module for professional caregivers but can also be taken by those that are not and still must care for a Diabetic.  

UCSF
Diabetes Education Online
There are numerous types of things to learn on this site one is a Diabetic Symposium Video you may find quite interesting. 

CDE Help Team | Diabetes Support
https://www.cdehelpteam.com/
This website offers support and information and education on several topics as well.  Better ways to control your blood sugar, if your treatment plan includes insulin, if you are new to Diabetes, a little something for caregivers or parents of a Diabetic, In control but looking for more information on Diabetes.  

Diabetes Helpline
http://www.diabeteswellness.net/WellnessNetwork/DiabetesHelpline.aspx
Offering a variety of information and help with your Diabetes questions.  Education through research is offered as well. 

I hope you find these resources good.  I have already found several things that I will be using for myself to educate myself even further in my Diabetic Journey.  I think that they offer a variety of options and it never hurts to have more than one handy at all times.  What one can not answer another can so don't be afraid to reach out ask questions, talk to other Diabetics and health care providers and educators. 

Once again I would like us all to be a source of support and information for each other.  We are a community within a larger community.  I think we will have better opportunities to be healthy if we work together and keep that communication among us as Diabetics and Caregivers of Diabetics. 

If you have a question, if you would like to share by writing a story for the blog or have information to share or if you just want to chat please contact me at diabetic.day2013@gmail.com