
- 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
June 15, 2010 8:14 p.m.
In addition I work out every day for two hours. I feel I am doing all the right things.
- tina
June 15, 2010 8:12 p.m.
I have been type 2 for going on three years now. I have not changed anything about the way I eat, still on my diet. no red meat or pork or processed food. I had my aic down to 5. after my last blood work I am 6.4 and my hdl is 35. What causes this?? I have an appointment with endocrologist (spelling) next Monday but I was just wondering what am I in for now?
- Tina
June 12, 2010 5:08 p.m.
I am a 36 year old and I was diagnosed with diabetes some time ago. I recently suffered from a diabetic comma which left me diabled. I am slowly regaining my independence and beginning to remember how life works. I am on insulin since it is easier than taking pills for me cause I have such a narrow throat passage and when i was on pills they used to get caught in my throat and choke me. I take insulin on a sliding scale now. My glucose is never hogh enough to take no more than about 3 units of insukin. Even though I can not walk without a walker or wheelchair handy, i am taking control of my life. I would like to let evryone know that this illness does not have to control you.
- Tammy
June 11, 2010 9:10 a.m.
Sylvia: Some medications can raise blood sugar which seems to be the case with your mother. She needs to report this to her primary care provider for evaluation.
- Nancy and Peggy
June 9, 2010 7:48 a.m.
My Mom is 86 with T2D (insulin 70/30, metformin 500mg bid, glipizide 10mg bid). We just changed her anxiety med from lorazepam to clonazepam (Klonipin). Her normal FPG is about 120 (100-150 range). After 3 days on the clonazepam, her levels are in the upper 200s. We bought a new glucometer last night. Does anyone have info on increased levels with clonazapam?
- Sylvia
June 8, 2010 12:54 a.m.
After 5 years of managing my type 2 diabetes by diet & excersise, my Diabetic Clinic have discharged me, saying that they are getting too many patients, and they feel I am coping on my own.... Meantime, I have painful neuropathy in my feet, mostly at night. Can you suggest anything to alleviate the pain?
- Pamela
June 1, 2010 9:34 a.m.
My husband is a Type 2 diabetic for 2 1/2 years now. For the first 6 months, he did wonderful, felt great, ate properly, walked every day and lost 40 lbs. For the past 2 years, life has been a roller coaster. Mood swings, irritability, depressed, no interest in anything. Sometimes he doesn't take his medicine for a few days and that makes it worst. Refuses to control and change his eating lifestyle. Still eats fast foods like crazy. I find candy bar wrappers in the car constantly. Then he tests his blood sugar and he's an 88 and he tested mine and I'm 120 and I'm not diabetic!! Now he boasts that his diabetes is under control because his blood sugar reading is good. What can anyone suggest to help me through this? I'm at the end of my rope
- Claudia
May 30, 2010 9:55 p.m.
as for bg of 900, i'd been researching the common symptoms i had - google can only do so much, i made the discovery while at a clinic for cataracts. my readings were off their monitor, 400. trying medications to get under control + diet but readings are still high, 200 something.
- keith
May 30, 2010 9:49 p.m.
im still in the beginning stages of figuring out what im supposed to do/eat and that kinda thing. diet plan from dr was a bit cryptic but theres tons of info 'out there'
- keith
May 26, 2010 10:38 a.m.
Carol, yes a person can have a blood glucose of 900. The highest blood glucose I've personally seen is 1700 mg/dl. The individual was severely dehydrated, semi-conscious and luckily survived. Nancy
- Nancy and Peggy
May 19, 2010 9:04 p.m.
Can a person have a blood sugar of 900
- Carol
May 12, 2010 1:37 p.m.
Vicky: Has your close friend seen an endocrinologist that specializes in diabetes? We also recommend that he work closely with a Certified Diabetes Educator/dietician.
- Nancy and Peggy
May 12, 2010 1:35 p.m.
Linda, we are so sorry about your situation. We think that you are on the right track by going to a counselor.
- Nancy and Peggy
May 10, 2010 Noon
help please a close friend of mine was diagnosed over a year ago and was told it was uncontrolable he has done everything he has been told like eatting little and often but his sugar levels go up and down dramaticly his mood swings are becoming more erattic and agressive,then crying and wanting to die to stop the moods me and his wife are trying so hard because we know its not him but the diabetes can anyone give me some advice.
- vicky
May 10, 2010 9:24 a.m.
How do you get through to a husband of 25yrs with type 2 diabetes that you feel is depressed. Has been on 5 medications and now insulin. I feel he is depressed,empty nest,post traumatic stress syndrome,midnight shift police officer. He states he just wants to be alone and feels blah and not alive for the last 5 years.(he has been diabetic for 5yrs) and walked out. He says it not my fault, I think its a huge mid-life crisis but how do you get through it without the divorce he wants. I am in therapy and they say he may have to hit rock bottom. I am trying to maintain calm and being both mom and dad to our son that just went off to college.
- Linda
May 3, 2010 3:47 p.m.
Raymon, Children under 6 years of age may have a higher target range due to the inability to recognize, report, and treat symptoms of low glucose (hypoglycemia). Example; 90-200 mg/dl or 4.9-11.1 mmol/L.
- Nancy and Peggy
April 30, 2010 9:17 p.m.
Hi my grand child is 4 years old was tested about a month ago with type 1 diabetes. The Doctor said two shoots a day on a program. I am some what concern with the blood level they rant in the hi two most of the time, The doctor said this is okay. I think this number should be lower what do you think please send me an email raymond.sr@msn.com
- Raymon
April 26, 2010 4:10 p.m.
Susie, I think you will need to look at some professional medical books or journals for this information. Check out the ADA (American Diabetes Association) bookstore on the ADA website. "The Medical Management of Type 2 Diabetes" (5th edition) by the ADA has several pages on the topic.
- Nancy and Peggy
April 26, 2010 3:49 p.m.
Aunt Kathy, the reason a type one diabetic develops ketoacidosis is because there is not enough insulin around to cover the glucose. This could be related to an inproper insulin program, missing or skipping insulin injections, over eating or not covering meals with insulin, stress, illness, and other variables.
- Nancy and Peggy
April 25, 2010 4:35 p.m.
Researching a paper on Type 2 Diabetes, I've not found info on slender women who have this disease. Diabetes / obesity cases seem to be at 80% - but there is little information about the other 20%. I am 62, have had prediabetes / Type 2 for 4 years, my BMI is at 20.1, have never been obese, alcoholic, smoked, and I am moderately active. Hereditary diabetes is both maternal & paternal. Can you direct me to more information/research?
- Susie
April 21, 2010 9:22 a.m.
Our 20 year old nephew has been hospitalized three times in six months for ketoacidosis. This time his phosphorous is low. Any idea as to cause? Is it an indication that he isn't eating right? Clues?
- Aunt Kathy
April 17, 2010 1:58 p.m.
Hi. I am 70 years old and have had type 2 D for about four years. I ws under control for several years and manged my sugar pretty carefully. THEN... I got lazy. Started when my meter quit working and I just decided to wait to get a new one. Then on my quarterly check lst December my A1C had climber to 7.4 and my glucose readings were over 200. I have been working for three months and still have not gotten my levels where they need to be. Moral of the story. Don't get lazy!!!
- Chuck
April 15, 2010 8:25 a.m.
Two weeks ago I was diagnoised with Type 2, I have changed my eating habits, excersise daily and am loosing wt.. But why is my BS level higher in the morning. Example, tested my blood just B4 dinner, around 6 PM it was 138, ate just a hamburger patty and later had a handful of mixed nuts as a snack, went to bed around 10.. woke up, tested BS around 6 am it was 205??????
- Kim
April 12, 2010 10:18 p.m.
Hatti: Are you on Metformin (glucophage)? One of the side effects of Metformin is a metallic taste, usually temporary. Consult your primary provider if it continues to be bothersome.
- Nancy and Peggy
April 12, 2010 12:29 p.m.
Can Diatetes cause a metalic taste in your mouth?
- Hatti

565 comments posted