Guest guest Posted February 2, 2012 Report Share Posted February 2, 2012 You might think about going here and write a guest post. others here might want to visit this site as well. Will give you some insight on problems with VA http://www.blogs.va.gov/VAntage/ > > > > > > > > > > > >> > > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> >Using HTN medication also is causing > > diabetes and I had > > > > > > > > to start Metformin after about 10 years on HTN medication > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Did you see any studies on that or it's just > > your > > > > > > > > experience and intuition, Max? > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> I am very curious because I always suspected > > that the > > > > > > > > large dosage different HTN medications caused my > > diabetes. I like > > > > > > > > you started Metformin about 10 years being on HTN > > medications. No > > > > > > > > family history of diabetes, and I even didn't have > > marginally > > > > > > > > numbers. My experience with Metformin is different. Even > > if I take > > > > > > > > 2000 mg, my appetite is the same :-) > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Natalia > > > > > > > > > > > >> >> From: StudyCircle <studycircle@> > > > > > > > > > > > >> >> To: hyperaldosteronism <mailto:hyperaldosteronism%40 > > ><mailto:hyperaldosteronism%40> > > > > > > > > > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > > > > > > > > > >> >> Subject: RE: Re: > > Statins linked to > > > > > > > > diabetes > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Hi , > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> I am not sure about the details on this > > research but I > > > > > > > > suspect definition of diabetic these days is GLUCF>7.0 > > mmol/L = 126 > > > > > > > > mg/dL . Assuming that she starts statins now she perhaps > > get to 16 > > > > > > > > in some 5 years and 126 is not so bad because with some > > Metformin it > > > > > > > > can be overcome and another 5 years to level that she > > might need > > > > > > > > insulin...something like this...so it's good idea to see > > what level > > > > > > > > of diabetics disorder and in how many years one get to > > such level. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Using HTN medication also is causing > > diabetes and I had > > > > > > > > to start Metformin after about 10 years on HTN > > medication...of > > > > > > > > course my GLUCF was always marginally high but I was not > > taking > > > > > > > > Metformin...and I suspect Metformin reduced my appetite > > considerably > > > > > > > > because I am finding myself unable to finish a half > > plate of food > > > > > > > > that until last year I could easily finish ! not bad... > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> So basically I assume becoming diabetic is > > gradual and > > > > > > > > not as bad as HTN if it is taken care medically, i.e., > > not allowing > > > > > > > > glaucoma or cataract ...etc. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Max. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> |Thanks Max, a very timely message for my > > wife. Her Card > > > > > > > > just insisted she be > > > > > > > > > > > >> >> |on statins and I asked her if he did a > > family HX. He > > > > > > > > didn't but if he had he > > > > > > > > > > > >> >> |would have found her Dad died at 84, her > > Mom at 93 and > > > > > > > > her Grandmother at > > > > > > > > > > > >> >> |97. She is the youngest of 8 and 7 are > > still living, > > > > > > > > one brother died of colon > > > > > > > > > > > >> >> |cancer. Of course maybe he just wants to > > make sure she > > > > > > > > doesn't die from > > > > > > > > > > > >> >> |heart attack, it'll be listed as > > complications due to > > > > > > > > DM! I printed it and > > > > > > > > > > > >> >> |suggested she discuss it with him! > > > > > > > > > > > >> >> | > > > > > > > > > > > >> >> |.... > > > > > > > > > > > >> >> | > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2012 Report Share Posted February 2, 2012 I don't know but may be able to tell you more after the 28th when I have my Agent Orange Registery Exam. > > > > > > > > > > > >> > > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> >Using HTN medication also is causing > > diabetes and I had > > > > > > > > to start Metformin after about 10 years on HTN medication > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Did you see any studies on that or it's just > > your > > > > > > > > experience and intuition, Max? > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> I am very curious because I always suspected > > that the > > > > > > > > large dosage different HTN medications caused my > > diabetes. I like > > > > > > > > you started Metformin about 10 years being on HTN > > medications. No > > > > > > > > family history of diabetes, and I even didn't have > > marginally > > > > > > > > numbers. My experience with Metformin is different. Even > > if I take > > > > > > > > 2000 mg, my appetite is the same :-) > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Natalia > > > > > > > > > > > >> >> From: StudyCircle <studycircle@> > > > > > > > > > > > >> >> To: hyperaldosteronism <mailto:hyperaldosteronism%40 > > ><mailto:hyperaldosteronism%40> > > > > > > > > > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > > > > > > > > > >> >> Subject: RE: Re: > > Statins linked to > > > > > > > > diabetes > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Hi , > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> I am not sure about the details on this > > research but I > > > > > > > > suspect definition of diabetic these days is GLUCF>7.0 > > mmol/L = 126 > > > > > > > > mg/dL . Assuming that she starts statins now she perhaps > > get to 16 > > > > > > > > in some 5 years and 126 is not so bad because with some > > Metformin it > > > > > > > > can be overcome and another 5 years to level that she > > might need > > > > > > > > insulin...something like this...so it's good idea to see > > what level > > > > > > > > of diabetics disorder and in how many years one get to > > such level. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Using HTN medication also is causing > > diabetes and I had > > > > > > > > to start Metformin after about 10 years on HTN > > medication...of > > > > > > > > course my GLUCF was always marginally high but I was not > > taking > > > > > > > > Metformin...and I suspect Metformin reduced my appetite > > considerably > > > > > > > > because I am finding myself unable to finish a half > > plate of food > > > > > > > > that until last year I could easily finish ! not bad... > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> So basically I assume becoming diabetic is > > gradual and > > > > > > > > not as bad as HTN if it is taken care medically, i.e., > > not allowing > > > > > > > > glaucoma or cataract ...etc. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Max. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> |Thanks Max, a very timely message for my > > wife. Her Card > > > > > > > > just insisted she be > > > > > > > > > > > >> >> |on statins and I asked her if he did a > > family HX. He > > > > > > > > didn't but if he had he > > > > > > > > > > > >> >> |would have found her Dad died at 84, her > > Mom at 93 and > > > > > > > > her Grandmother at > > > > > > > > > > > >> >> |97. She is the youngest of 8 and 7 are > > still living, > > > > > > > > one brother died of colon > > > > > > > > > > > >> >> |cancer. Of course maybe he just wants to > > make sure she > > > > > > > > doesn't die from > > > > > > > > > > > >> >> |heart attack, it'll be listed as > > complications due to > > > > > > > > DM! I printed it and > > > > > > > > > > > >> >> |suggested she discuss it with him! > > > > > > > > > > > >> >> | > > > > > > > > > > > >> >> |.... > > > > > > > > > > > >> >> | > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 4, 2012 Report Share Posted February 4, 2012 Take notes on how they take BP. I attach our technique check list we use when we are observing those who have gone thru our training course. We have also used this to grade physicians, cardiologists, cardiology fellows, internal medicine residents, medical and nursing students (pre and post graduate), nurses, nurse practitioners, physician assistants, BP assistants in clinics that have done BP research studies for years, Red Cross Blood Donation Assistants, people taking BP on TV or an booths at the America Heart Association. Almost no one passes who has not been trained by Shared Care. To pass all steps (and this part of the documentation that proper technique has been mastered) all must be done in order and completed. On Feb 2, 2012, at 9:14 AM, wrote: I don't know but may be able to tell you more after the 28th when I have my Agent Orange Registery Exam. > > > > > > > > > > > >> > > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> >Using HTN medication also is causing > > diabetes and I had > > > > > > > > to start Metformin after about 10 years on HTN medication > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Did you see any studies on that or it's just > > your > > > > > > > > experience and intuition, Max? > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> I am very curious because I always suspected > > that the > > > > > > > > large dosage different HTN medications caused my > > diabetes. I like > > > > > > > > you started Metformin about 10 years being on HTN > > medications. No > > > > > > > > family history of diabetes, and I even didn't have > > marginally > > > > > > > > numbers. My experience with Metformin is different. Even > > if I take > > > > > > > > 2000 mg, my appetite is the same :-) > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Natalia > > > > > > > > > > > >> >> From: StudyCircle <studycircle@> > > > > > > > > > > > >> >> hyperaldosteronism <mailto:hyperaldosteronism%40 > > ><mailto:hyperaldosteronism%40> > > > > > > > > > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > > > > > > > > > >> >> Subject: RE: Re: > > Statins linked to > > > > > > > > diabetes > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Hi , > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> I am not sure about the details on this > > research but I > > > > > > > > suspect definition of diabetic these days is GLUCF>7.0 > > mmol/L = 126 > > > > > > > > mg/dL . Assuming that she starts statins now she perhaps > > get to 16 > > > > > > > > in some 5 years and 126 is not so bad because with some > > Metformin it > > > > > > > > can be overcome and another 5 years to level that she > > might need > > > > > > > > insulin...something like this...so it's good idea to see > > what level > > > > > > > > of diabetics disorder and in how many years one get to > > such level. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Using HTN medication also is causing > > diabetes and I had > > > > > > > > to start Metformin after about 10 years on HTN > > medication...of > > > > > > > > course my GLUCF was always marginally high but I was not > > taking > > > > > > > > Metformin...and I suspect Metformin reduced my appetite > > considerably > > > > > > > > because I am finding myself unable to finish a half > > plate of food > > > > > > > > that until last year I could easily finish ! not bad... > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> So basically I assume becoming diabetic is > > gradual and > > > > > > > > not as bad as HTN if it is taken care medically, i.e., > > not allowing > > > > > > > > glaucoma or cataract ...etc. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> Max. > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> |Thanks Max, a very timely message for my > > wife. Her Card > > > > > > > > just insisted she be > > > > > > > > > > > >> >> |on statins and I asked her if he did a > > family HX. He > > > > > > > > didn't but if he had he > > > > > > > > > > > >> >> |would have found her Dad died at 84, her > > Mom at 93 and > > > > > > > > her Grandmother at > > > > > > > > > > > >> >> |97. She is the youngest of 8 and 7 are > > still living, > > > > > > > > one brother died of colon > > > > > > > > > > > >> >> |cancer. Of course maybe he just wants to > > make sure she > > > > > > > > doesn't die from > > > > > > > > > > > >> >> |heart attack, it'll be listed as > > complications due to > > > > > > > > DM! I printed it and > > > > > > > > > > > >> >> |suggested she discuss it with him! > > > > > > > > > > > >> >> | > > > > > > > > > > > >> >> |.... > > > > > > > > > > > >> >> | > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> >> > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > 1 of 1 File(s) Techchecklist50612.doc Quote Link to comment Share on other sites More sharing options...
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