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 <title>Kim Doty&#039;s blog</title>
 <link>http://www.dlife.com/diabetes-blog/blog/kim-doty</link>
 <description></description>
 <language>en</language>
<item>
 <title>Exercise Alone Lowers HbA1C in type 2 Diabetic</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/exercise-alone-lowers-hba1c-type-2-diabetic.html-0</link>
 <description>&lt;p&gt;
&lt;img src=&quot;http://farm4.static.flickr.com/3517/4081524539_8d83931c84_m.jpg&quot; alt=&quot;ADM logo&quot; align=&quot;right&quot; height=&quot;147&quot; width=&quot;211&quot; /&gt;That&#039;s right, after &lt;i&gt;LOWERING &lt;/i&gt;my dosage of metformin (generic glucophage) six months ago; my HbA1C went &lt;b&gt;DOWN&lt;/b&gt; to 5.5 from 5.8.  Yes, I brought my average blood sugars &lt;b&gt;DOWN&lt;/b&gt; by &lt;i&gt;reducing&lt;/i&gt; my medication and &lt;i&gt;increasing&lt;/i&gt; my cardio and strength training.  It&#039;s only a decrease of about &lt;a href=&quot;http://www.dlife.com/dLife/do/ShowContent/blood_sugar_management/testing/average-glucose.html &quot; target=&quot;_blank&quot;&gt;8 mg/dl&lt;/a&gt; but that&#039;s an average over 24/7.  &lt;b&gt;AND&lt;/b&gt; I went from 2000 mg metformin to 1500 mg.   I know &amp;quot;they&amp;quot; say it can and should work that way, but I&#039;m the first to admit I didn&#039;t believe it.  (Or that was my excuse for not trying harder).
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/exercise-alone-lowers-hba1c-type-2-diabetic.html-0&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/exercise-alone-lowers-hba1c-type-2-diabetic.html-0#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/oral-meds">Oral Meds</category>
 <category domain="http://www.dlife.com/diabetes-blog/fitness">Fitness</category>
 <category domain="http://www.dlife.com/diabetes-blog/passage">passage</category>
 <pubDate>Thu, 12 Nov 2009 05:08:34 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">61 at http://www.dlife.com/diabetes-blog</guid>
</item>
<item>
 <title>Exercise Alone Lowers HbA1C in type 2 Diabetic</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/exercise-alone-lowers-hba1c-type-2-diabetic.html</link>
 <description>&lt;p&gt;
That&#039;s right, after &lt;em&gt;LOWERING &lt;/em&gt;my dosage of metformin (generic glucophage) six months ago; my HbA1C went &lt;strong&gt;DOWN&lt;/strong&gt; to 5.5 from 5.8.  Yes, I brought my average blood sugars &lt;strong&gt;DOWN&lt;/strong&gt; by &lt;em&gt;reducing&lt;/em&gt; my medication and &lt;em&gt;increasing&lt;/em&gt; my cardio and strength training.  It&#039;s only a decrease of about &lt;a target=&quot;_blank&quot; href=&quot;/dLife/do/ShowContent/blood_sugar_management/testing/average-glucose.html&quot;&gt;8 mg/dl&lt;/a&gt; but that&#039;s an average over 24/7.  &lt;strong&gt;AND&lt;/strong&gt; I went from 2000 mg metformin to 1500 mg.   I know &amp;quot;they&amp;quot; say it can and should work that way, but I&#039;m the first to admit I didn&#039;t believe it.  (Or that was my excuse for not trying harder).
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/exercise-alone-lowers-hba1c-type-2-diabetic.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/exercise-alone-lowers-hba1c-type-2-diabetic.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/oral-meds">Oral Meds</category>
 <category domain="http://www.dlife.com/diabetes-blog/fitness">Fitness</category>
 <category domain="http://www.dlife.com/diabetes-blog/exercise">exercise</category>
 <category domain="http://www.dlife.com/diabetes-blog/glucophage">glucophage</category>
 <category domain="http://www.dlife.com/diabetes-blog/hba1c">HbA1c</category>
 <category domain="http://www.dlife.com/diabetes-blog/metformin">Metformin</category>
 <pubDate>Wed, 21 Oct 2009 17:11:36 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">20 at http://www.dlife.com/diabetes-blog</guid>
</item>
<item>
 <title>Exercise: Top Prescription for Type 2?</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/exercise-top-prescription-type-2.html</link>
 <description>&lt;p&gt;
&amp;quot;Exercise is key to lifetime management of type 2 diabetes&amp;quot;.  How many times have we heard that or a variation of that statement?  dLife even has a &lt;a target=&quot;_blank&quot; href=&quot;/dLife/do/ShowContent/daily_living/exercise_and_sports/&quot;&gt;whole section&lt;/a&gt; devoted to the topic.
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I started picking up the exercise habit last summer, when I was laid off by my employer.  But I tried to get the habit for many years prior to that event.  If I only had exercised for all the months that I paid for gym memberships, I might not be writing first hand about type 2 diabetes! 
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/exercise-top-prescription-type-2.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/exercise-top-prescription-type-2.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/fitness">Fitness</category>
 <category domain="http://www.dlife.com/diabetes-blog/real-life">Real Life</category>
 <category domain="http://www.dlife.com/diabetes-blog/10k">10K</category>
 <category domain="http://www.dlife.com/diabetes-blog/competition">competition</category>
 <category domain="http://www.dlife.com/diabetes-blog/exercise">exercise</category>
 <pubDate>Tue, 09 Jun 2009 04:31:29 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">1591 at http://www.dlife.com/diabetes-blog</guid>
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<item>
 <title>Tummy Trim Report 2</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/tummy-trim-report-2.html</link>
 <description>&lt;p&gt;
I missed reporting last week.  I&#039;m &lt;em&gt;happy &lt;/em&gt;to say that my weight has stayed the same and my fasting sugars are edging below 110.  I&#039;m &lt;em&gt;sad&lt;/em&gt; to say I am continuing to struggle with good food choices, and losing the battle too often.
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One of the things I was happiest about with the &lt;a href=&quot;http://www.dlife.com/dLife/do/ShowContent/food_and_nutrition/weight_management/tummy-trim-challenge.page02 &quot; target=&quot;_blank&quot;&gt;week 2 challenge information&lt;/a&gt; was the article on healthy food substitutions.  I almost didn&#039;t click on &lt;a href=&quot;http://www.dlife.com/dLife/do/ShowContent/food_and_nutrition/menu_planning/healthy_swaps.html &quot; target=&quot;_blank&quot;&gt;the link.&lt;/a&gt; How many times have we read articles about this that say inane things like &amp;quot;Swap water for one of your colas every day to lose 15 lbs in one year!&amp;quot;.  As if anyone watching their weight, or with diabetes, is still drinking sugared soda and doesn&#039;t know it&#039;s a poor choice!
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/tummy-trim-report-2.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/tummy-trim-report-2.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/oral-meds">Oral Meds</category>
 <category domain="http://www.dlife.com/diabetes-blog/food">Food</category>
 <category domain="http://www.dlife.com/diabetes-blog/fitness">Fitness</category>
 <category domain="http://www.dlife.com/diabetes-blog/real-life">Real Life</category>
 <category domain="http://www.dlife.com/diabetes-blog/abdominal-fat">abdominal fat</category>
 <category domain="http://www.dlife.com/diabetes-blog/diet-and-exercise">Diet and exercise</category>
 <category domain="http://www.dlife.com/diabetes-blog/weight-loss">weight loss</category>
 <pubDate>Wed, 03 Jun 2009 17:46:19 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">1579 at http://www.dlife.com/diabetes-blog</guid>
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<item>
 <title>Tummy Trim Week 1 Report</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/tummy-trim.html</link>
 <description>&lt;p&gt;&lt;img alt=&quot;image unavailable&quot; title=&quot;&quot; src=&quot;http://www.schludecker.com/images/dblog/scale1.jpg&quot;&gt;&lt;br id=&quot;noid&quot; /&gt;&lt;/div&gt;
&lt;p&gt; A day late, and not a dollar, but a pound short; I&#039;m here reporting in on my first week on the dLife Tummy Trim Challenge.  I didn&#039;t lose anything in week 1.  On the positive side, I didn&#039;t gain either.&lt;/p&gt;
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I logged some of my food.  To be exact, 2 whole days and several partial days.  As my fellow blogger, Michelle Kowalski, also &lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-1/food-my-demon.html&quot;&gt;admitted this week&lt;/a&gt;; I am accepting the fact that I have a dysfunctional relationship with food. In other words, I eat for reasons other than fueling my body.  Because of this, logging my food both works well to help me reach my goals, and is incredibly hard to do. 
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/tummy-trim.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/tummy-trim.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/food">Food</category>
 <category domain="http://www.dlife.com/diabetes-blog/emotions">Emotions</category>
 <category domain="http://www.dlife.com/diabetes-blog/fitness">Fitness</category>
 <category domain="http://www.dlife.com/diabetes-blog/abdominal-fat">abdominal fat</category>
 <category domain="http://www.dlife.com/diabetes-blog/diet-and-exercise">Diet and exercise</category>
 <category domain="http://www.dlife.com/diabetes-blog/fitness-0">Fitness</category>
 <category domain="http://www.dlife.com/diabetes-blog/weight-loss">weight loss</category>
 <pubDate>Thu, 21 May 2009 04:13:15 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">1552 at http://www.dlife.com/diabetes-blog</guid>
</item>
<item>
 <title>Tummy Trim Challenge</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/tummy-trim-challenge.html</link>
 <description>&lt;p&gt;&lt;img alt=&quot;image unavailable&quot; title=&quot;&quot; src=&quot;http://www.schludecker.com/images/dblog/weight-scale.jpg&quot;&gt;&lt;br id=&quot;noid&quot; /&gt;&lt;span class=&quot;photocredit&quot;&gt;University of Maryland Weight Management Center&lt;/span&gt;&lt;/div&gt;
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A month ago, dLife sent out an invitation to join their new Tummy Trim Challenge.  It&#039;s a six week program to trim an inch off your waist.  This is important because abdominal, or visceral, fat increases your risk of heart disease and other diabetes complications.  I thought it was perfect for me -- a great way to get re-motivated on my weight loss journey.
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/tummy-trim-challenge.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/tummy-trim-challenge.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/food">Food</category>
 <category domain="http://www.dlife.com/diabetes-blog/complications">Complications</category>
 <category domain="http://www.dlife.com/diabetes-blog/real-life">Real Life</category>
 <category domain="http://www.dlife.com/diabetes-blog/abdominal-fat">abdominal fat</category>
 <category domain="http://www.dlife.com/diabetes-blog/diet-and-exercise">Diet and exercise</category>
 <category domain="http://www.dlife.com/diabetes-blog/visceral-fat">visceral fat</category>
 <category domain="http://www.dlife.com/diabetes-blog/weight-loss">weight loss</category>
 <pubDate>Tue, 12 May 2009 18:14:14 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">1541 at http://www.dlife.com/diabetes-blog</guid>
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 <title>The A1C Result Makes Me Feel...</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/a1c-result-makes-me-feel.html</link>
 <description>&lt;p&gt;
&lt;strike&gt;discouraged&lt;/strike&gt;. No, that&#039;s not the right word.  Or maybe it&#039;s that it&#039;s not the only word.  Cocky is one, disappointed another. Defeated is too strong, but more internalized than disappointed.  Judged for sure, as it really does feel like my &amp;quot;grade&amp;quot;. 
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Following gestational diabetes, I was &amp;quot;diagnosed&amp;quot; with type 2 by an A1C result of 6.0 by an endocrinologist who shall remain nameless to protect the incompetent. It was later that I discovered that the A1C is &lt;a href=&quot;http://www.dlife.com/dLife/do/ShowContent/type2_information/diagnosis/diagnosis.html&quot;&gt;NOT a diagnostic tool&lt;/a&gt; and you shouldn&#039;t be diagnosed by it. 
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There was some debate once I changed endos as to whether I was &amp;quot;pre-diabetic&amp;quot; or actually had diabetes.  After several years on metformin, and another round of insulin-dependent gestational diabetes, with only a 0.2 improvement in my A1C, I think the debate is over.
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/a1c-result-makes-me-feel.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/a1c-result-makes-me-feel.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/oral-meds">Oral Meds</category>
 <category domain="http://www.dlife.com/diabetes-blog/emotions">Emotions</category>
 <category domain="http://www.dlife.com/diabetes-blog/fitness">Fitness</category>
 <category domain="http://www.dlife.com/diabetes-blog/complications-0">complications</category>
 <category domain="http://www.dlife.com/diabetes-blog/diet-and-exercise">Diet and exercise</category>
 <category domain="http://www.dlife.com/diabetes-blog/hba1c">HbA1c</category>
 <category domain="http://www.dlife.com/diabetes-blog/metformin">Metformin</category>
 <pubDate>Thu, 30 Apr 2009 02:43:47 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">1522 at http://www.dlife.com/diabetes-blog</guid>
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 <title>Alert to Mis-information Day</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/diabetes-alert-day.html</link>
 <description>&lt;p&gt;&lt;img alt=&quot;image unavailable&quot; title=&quot;&quot; src=&quot;http://www.diabetes.org/ueimages/logo-alert-day-100x100.jpg&quot;&gt;&lt;br id=&quot;noid&quot; /&gt;&lt;span class=&quot;photocredit&quot;&gt;American Diabetes Association&lt;/span&gt;&lt;/div&gt;
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Today (March 24th) is American Diabetes Alert Day.  This is the 21st year for this event, according to the &lt;a href=&quot;http://www.diabetes.org/communityprograms-and-localevents/american-diabetes-alert.jsp?WTLPromo=HOME_alert&quot; target=&quot;_blank&quot;&gt;American Diabetes Association&lt;/a&gt; (ADA), though I don&#039;t recall prior years.   They did get a mention in &lt;a href=&quot;http://news.yahoo.com/s/ucda/20090323/lf_ucda/diabetesalertdayforewarnspublicofsilentkillersrisks&quot; target=&quot;_blank&quot;&gt;Dear Abby&lt;/a&gt;, which I&#039;m sure is the ultimate PR notice for this type of event.
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/diabetes-alert-day.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/diabetes-alert-day.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/in-the-news">In the News</category>
 <pubDate>Wed, 25 Mar 2009 00:41:31 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">1463 at http://www.dlife.com/diabetes-blog</guid>
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 <title>New Doctor Report</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/new-doctor-report.html</link>
 <description>&lt;p&gt;
I don&#039;t do well with change sometimes.  Ok, most of the time.   Well... honestly, almost all of the time change throws me for a bit of a loop.
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I am moving my healthcare from 4 doctors 50 miles away to 1 doc who is 15 minutes away.  I was going to get an endo here, but I don&#039;t really need a specialist endo, at least not at this stage.  I can&#039;t afford the fancy MD/PhD nutritionist who was fabulous. I&#039;m not having any more babies, so I don&#039;t &lt;i&gt;really&lt;/i&gt; need an ob/gyn (debatable).  My former primary care doc just left her practice and opened a retainer-based center (much too pricey even with my old paycheck and insurance).  It was the &amp;quot;perfect storm&amp;quot; for a big healthcare change.
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/new-doctor-report.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/new-doctor-report.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/choosing-doctor">choosing a doctor</category>
 <category domain="http://www.dlife.com/diabetes-blog/hba1c">HbA1c</category>
 <pubDate>Thu, 05 Mar 2009 14:31:46 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">1436 at http://www.dlife.com/diabetes-blog</guid>
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 <title>The True Cost of Fitness</title>
 <link>http://www.dlife.com/diabetes-blog/type-2/true-cost-fitness.html</link>
 <description>&lt;p&gt;
I have been working out about 4 times a week for SEVEN months now!  This is a lifetime record for me, working out consistently for so long.  I&#039;m really starting to see a difference, and as soon as I figure out my health-care strategy, I expect to see results via my A1C test.  I have reached one goal already - the ability to play tag with my son until he gives up, not until I collapse.
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I have found there are more downsides to getting fit than I expected.  Time, money, and physical effects are all turning out differently than I expected.   
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&lt;p&gt;&lt;a href=&quot;http://www.dlife.com/diabetes-blog/type-2/true-cost-fitness.html&quot;&gt;read more&lt;/a&gt;&lt;/p&gt;</description>
 <comments>http://www.dlife.com/diabetes-blog/type-2/true-cost-fitness.html#comments</comments>
 <category domain="http://www.dlife.com/diabetes-blog/type-2">Type 2</category>
 <category domain="http://www.dlife.com/diabetes-blog/fitness">Fitness</category>
 <category domain="http://www.dlife.com/diabetes-blog/real-life">Real Life</category>
 <category domain="http://www.dlife.com/diabetes-blog/diet-and-exercise">Diet and exercise</category>
 <category domain="http://www.dlife.com/diabetes-blog/motivation">motivation</category>
 <category domain="http://www.dlife.com/diabetes-blog/workout">workout</category>
 <pubDate>Tue, 24 Feb 2009 14:41:20 +0000</pubDate>
 <dc:creator>Kim Doty</dc:creator>
 <guid isPermaLink="false">1419 at http://www.dlife.com/diabetes-blog</guid>
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