
- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
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Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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Living with diabetes blog
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Dec. 18, 2008
Welcome to the diabetes blog
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Diabetes is the 7th leading cause of death in the United States, and according to the American Diabetes Association there are 23.6 million children and adults in the United States, or 7.8 percent of the population, who have diabetes.
Unfortunately, 1 out of every 4 people who has diabetes is unaware. Uncontrolled diabetes can lead to serious complications, such as blindness, kidney damage, heart disease, and lower-limb amputations. Persons with diabetes can decrease their risk of complications by controlling their blood glucose, blood pressure, and cholesterol.
With your help, we hope we can increase awareness and find ways that you can help each other manage your disease.
If you're already managing diabetes, you know it can be time consuming.
The daily routines of diabetes self-management involve foot care, exercise, carbohydrate counting, self-monitoring of blood glucose, oral medications, insulin, or even a combination of oral medications and insulin.
Here are some questions for you:
- How much time do you spend managing your diabetes every day?
- Have you ever been tempted or even tried taking a vacation from your diabetes self-management?
- If so, what happened if anything, and what did you learn from the experience?
We look forward to you sharing your responses with us. Welcome to the blog.
- Nancy and Peggy
565 comments posted
October 29, 2010 11:47 a.m.
I recently started taking Metformin and I am having increased urination day and night. Will this stop soon? I have been on this medication for 1 month.
- JAN
October 28, 2010 10:20 a.m.
My mother developed Diabetes a few years ago after having been diagnosed with Celiac. Her ranges are out of control even though taking meds., insulin and eating a low carb diet recommended by a dietician. She has now been diagnosed with Neuropothy and is a lot of pain. She is under a Dr.'s care for the Neuropothy with medication but it doesn't seem to be helping. First question, who does she need to consult to really work on getting her readings low and to stay low, and what else can she do to rid her of the severe Neuropothy pain? Its very disheartening for her and well as family members.
- Jody
October 14, 2010 10:05 a.m.
Barbara, your friend needs help. Have her see a health care provider soon.
- Nancy and Peggy
October 14, 2010 10:02 a.m.
Chris, true hypoglycemia wthout taking medications that can cause low blood glucoses is rare. Your symptoms may be related to something else. Check this out with your primary provider.
- Nancy and Peggy
October 5, 2010 11:04 a.m.
I was diagnosed with Prediabetes hypoglycemia last year. For the past 4 days my levels are falling under 100 which is not good for me. I expreience the symptoms of hypoglycemia. 3 to 4 times a day it has been dipping into the 70 and 80s even with my planned meals and snacks. I'm not eating anything out of the ordinary. What could be going on?
- Chris
October 5, 2010 10:28 a.m.
I have a friend in her 40's who found out last year she is Diabetic. She had lost over 100 pounds( needed to) then found she was Diabetic. We (at work) think she is now Anorexic. Is this common after weight loss or after beginning treatment for Diabetes (to become Anorexic)? She weighs about 85lbs now and says it is due to her Diabetes. Says she is nauseous and Dr. gives her stool softners for this. Could this be true? We think she takes it due to Anorexia.
- Barbara
September 28, 2010 10:58 a.m.
I was diagnosed with Diabetes in 1991. I have always had a hard time with keeping my blood glucose in range. When I was younger I ate all the time and my blood sugars were always high. Now that I don't eat as much or hardly at all my blood sugars are still very high. I have tried a strict diet then I have a low sugar problem. It seems like my sugars do what they want. This makes it very hard for me to want to take care of myself, it seems the more I do to keep them in range(70-120) I bottom out and end up eatting too much and then my sugars are sky high.
- Sonya
September 27, 2010 1:38 p.m.
Allan, sometimes neuropathy can affect the muscles and muscle strength. Talk with your primary provider about this issue.
- Nancy and Peggy
September 27, 2010 1:35 p.m.
Robin, Generally, diabetes can not be reverse except in certain conditions; gestational diabetes or steroid induced diabetes. With weight loss and exercise many times diabetes can be controlled by diet and no diabetes medication for a number of years. Some people with diabetes are bothered quite a bit by the GI symptoms of Metformin others are not. Try to take Metformin with the meal and not on an empty stomach.
- Nancy and Peggy
September 24, 2010 10:45 a.m.
I was just recently diagnosed with Type 2 (10 days ago); I'm monitoring my blood glucose with a fasting average of 150. I've also started taking Metformin. I'll be attending a diabetes class (6 hours) through my health insurance taught by a dietican in which I hope to get more information about healthy eating, carbs, weight control etc. I currently am within the average range for weight. I have a history of diabetes in my family. I have two questions: Can diabetes be reversed? And, Metformin seem to make my stomach "queasy"; is that typical?
- Robin
September 23, 2010 9:14 a.m.
My neuropathy started in my feet,numbness,only ,no pain. Now my knees feel weak and I am very unstable walking. Do you think the unstable condition is a result of the neuropathy?
- Allan
September 18, 2010 2:23 a.m.
"My brother is a diabetic and had heart problems while on vacation in South Africa. He went to a physician specializing in Internal Medicine who, after he solved problems that he has lived with a long time, also told him that most of his problems are accelerated by the lifestyle he has lived, including that he was a smoker and about 10kgs overweight. He had a desk job and being in a very stressful work environment. I decided to take a health holiday to Cape Town. The genetic tests were done beforehand, and on arrival that was used to design my unique health plan. I was really thankful to learn that I could probably avoid becoming a diabetic by eating healthy, and exercising enough to keep my weight in check. I enjoyed sumptuous meals, took long walks and attended tai-chi breathing classes at dawn. The beautiful Winelands was probably part of what inspired me to make a new investment in my health." – Joke M, librarian, Netherlands Thanks for everything, I'm so glad that I spoke to you and found such a wonderful Diabetes and Heart surgery.
- Rahul
September 17, 2010 7:12 p.m.
I have a client who is a diabetic, and has neuropothy in both feet and his legs are brown from the knees down. As a massage therapist I was wondering how much would massaging affect his legs with damaged blood vessels? Any information would be appreciated. Thank you, Susan
- Susan
September 9, 2010 10:03 a.m.
Mark, it may be diabetes related or there is another condition related to cold hands. Check with your doctor about the symptoms you are experiencing.
- Nancy and Peggy
September 9, 2010 9:58 a.m.
Kari, diabetes generally is not a cause for lack of sleep or excessive night sweats, but hypoglycemia can be. Get up and test the bood glucose mid way between bedtime and on waking to make sure that low blood glucose is not an issue. If you are having a low blood glucose at that time your insulin will need to be adjusted down. Sometimes people will have nightmares when they are experiencing low blood glucoses during sleep.
- Nancy and Peggy
September 9, 2010 9:17 a.m.
Just dx with type 2. Question that comes to mind...I have had problems with my hands get painfully cold in the cooler weather. never had issuses untill aprox 2 years back. Any connection? Can it be this is when I started having blood sugar problems? Thank you.
- Mark
September 5, 2010 7:01 p.m.
does type 1 diabetes cause lack of sleep, and excessive night sweats?
- kari
August 24, 2010 12:17 p.m.
The Mayo Clinic has such a nice chart for the percentage of daily values for persons, non-diabetic. Is there a simple chart for Type II diabetics? If so, can this be emailed to me? Thank you!
- Toni
August 24, 2010 10:35 a.m.
are leg cramps a symptom of neuropathy? are the cramps caused by diabetes alone? I work on my feet 12 hours, for several days with no rest. also I have diabetes.
- luisa
August 16, 2010 6:07 p.m.
Forgot to mention,my blood sugar is always below 200 and better than half time its below 150.I am a 56 year old white male. Have been very active my whole life,Happly married for 35 years and 3 grown children all of which have finished college.This is to go along with what i mentioned earlier.Help Please !!
- Thomas this is to go along with what i said earlier
August 16, 2010 4:26 p.m.
My numbers have started staying between 200 and 400 just all of a sudden im seeing doctor thursday how long can a person keep going with numbers that high
- Richard
August 16, 2010 12:17 p.m.
HELP.. My diabetic neuropathy is unbearable.I saw my first doctor 0n 9-11 as the second jet flew into the world trade center.Was not convinced that i was a diabetic at frist.As far as my family either side no problems.Symptom as i look back were going on atleast 2 years prior to 9-11.May 21 2003 i had bypass. 2007 is when i was convinced i had diabeties.Several ulcers appeared on my feet which took some time to heal(4 months).Christmas i developed a ulcer just below my right big toe.Also at that time I developed neuropathy in my fingers now my whole hands.for 6 months i tried to heal my right big toe i did no good.Went back to my podiatristand together no good for six months.he convinced me to take small portion of a bone out of my right toe.This was to relieve presure of my joint and would heai three to four weeks later.I am happy to say 21 days days later my toe was healed.One problem the neuropathy is has worsen.Both my feet hands and legs feel as though they are in a vat of grease,frying.I now have ear ,nose ,and scalp problemsand at times blured vision. Help me Please!!!
- Thomas
August 11, 2010 10:43 a.m.
What can I do to lower my high glucose levels in the mornings? The levels are in the 80's and 90's at bedtime.
- Gaylie
August 11, 2010 9:19 a.m.
Lilania: yes. Call the main Mayo Clinic number and ask for the pediatric endocrinology department.
- Nancy and Peggy
August 11, 2010 7:27 a.m.
Hello ... my 13-year old daughter has just been diagnosed with diabetes type 1. She was in hospital for a few days but at home now and we're still trying to stabilise her sugar levels. As dr was assigned to her when she was admitted to hospital but i'm not very happy with the dr as i never got any feedback from him during the time she was in hospital and neither was any follow-up visit discussed with me. Is there a dr at Maoy clinic who specialise in diabetes among teenagers
- Lilania

565 comments posted