- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.read biographyclose window
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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Tips to keep blood sugar steady
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Do you pig out when you have a low blood sugar? Does it seem you can't stuff enough food into your mouth at once to make that desperate feeling go away?
I've been told by my patients that avoiding overeating when you are experiencing low blood sugar is about the hardest thing you can do. That's because your body is physically telling you to put everything you possibly can eat into your mouth.
Hunger is one of the symptoms of low blood sugar, unfortunately it takes a while for the food to absorb and the brain to get the signal everything will be OK. The only source of fuel the brain effectively uses is glucose, and it takes at least 15 minutes before the blood glucose will start to rise after treating a low glucose. You may not feel any relief for a while longer after the treatment.
Here are some ways to help you resist over-treating and avoid the blood glucose pendulum swinging from low to high.
- Use unit size low glucose treatment kits (15 grams of carbohydrate), juice boxes, and boxes of raisins.
- Keep glucose kits handy on a bedside table, in a purse, pockets, work desk drawer, golf bag, gym bag, glove compartment. You won't be tempted to run to the cupboard or refrigerator.
- Use glucose tablets for treatments (they don't taste all that great and may actually work a little fast because they are "already glucose" and your body doesn't have to convert them to glucose before they can be used for energy).
- When you have low blood glucose, test, treat, and then repeat the process in 15 minutes. Tell yourself that no matter how much you eat, it takes 15 minutes before your blood glucose will rise. This may or may not work.
- Follow the Rule of 15.
- If you do over-treat low blood glucose, don't beat yourself up mentally, remember you are only human.
Have a good week,