Foot Circulation Booster Machine Guide

Foot Circulation Booster Machine Guide



Bad circulation in feet can lead to a lot of different health problems. It can also be an indicator of existing health problems, such as diabetes.

When you increase foot circulation, you can help to alleviate some of those conditions, so let’s examine foot circulation booster machines.


A foot circulation booster machine is designed to help increase blood flow in your feet. If you regularly experience foot pain or discomfort, a circulation stimulator is worthy of your consideration. But, why do you have poor circulation in the first place?

Perhaps you live a sedentary lifestyle. If you sit at a desk all day, gravity starts to work against you. Walking allows blood to pump and circulate through the body. When you sit or lay for too long, it becomes harder for that blood to flow freely to the feet. That can create pooling of the blood around your ankles, which may cause discomfort.

Of course, there are other culprits related to poor circulation. A circulation booster machine will not only help to get your blood moving again but can assist with any underlying health conditions, such as recovery from toenail fungus.

A lack of substantial blood flow can be dangerous if ignored for too long. You won’t only feel discomfort, but those health conditions may become more serious.


Do You Need a Foot Circulation Booster Machine?


If you’re not sure if you have poor circulation, there are several symptoms to be aware of. Some of the most common symptoms include:


  • Any type of pain in the feet or legs after activity. If you feel as though the muscles in your feet and legs cramp easily, especially after using them, it could be a sign they aren’t getting enough blood flow.


  • Numbness in the feet or legs.


  • Feet are constantly cold.


  • Changes in skin color, or a shiny appearance to the legs or feet.


  • Slow hair growth and toenail growth on the legs or feet.


  • A weakened pulse rate in the legs.


Your doctor will be able to make a diagnosis, so you can begin treating your feet for poor circulation. Sometimes, symptoms will be obvious enough where your doctor can make a decision based on what they see. On other occasions, they may use a stethoscope to check the pulse in your legs.


How Do Foot Circulation Booster Machines Work?


Foot vibration machines work by allowing electrical impulses to stimulate the nerve endings of your feet. Some also use infrared technology. This helps to add soothing heat to the treatment, as well.

Not only does it stimulate blood flow in your feet, but affects all the muscles in your legs. It allows your leg muscles to contract and relax, again and again, stimulating activity, and increasing blood flow. That kind of circulation can work all the way up your legs, for relief.

In most cases, all you have to do is sit somewhere comfortable and set your feet on top of the machine to increase foot circulation. Putting your bare feet on the designated area, turning it on, and increasing intensity levels can help you to achieve the stimulation your feet need.

Each machine is different, but most suggest using them between 20-30 minutes each day safely. Consider them to be therapy sessions. You only have to sit and relax. During that time you can watch television, read a book, etc.

It provides the medical benefits of physiotherapy into the comfort of your home. With regular use, the idea is to eliminate the negative symptoms of bad circulation in feet and get rid of the pain.


Benefits of Foot Circulation Booster Machines


Some of the benefits of using a circulation booster include:


  • Reducing aches and pains with increased blood flow.


  • Minimize numbness and tingling in the legs and feet.


  • Reducing the frequency of onset symptoms.


These units are designed to combat against the negative symptoms that can come up when you have poor circulation. Whatever discomfort or tiredness your feet may be feeling because of improper blood flow, a circulation booster will attempt to counteract.


Comparing Foot Circulation Booster Machines


Revitive Circulation Booster



The Revitive Circulation Booster is one of the company’s most advanced products. Revitive is a trusted brand name in circulation-boosting products. So, their advancements can help to improve problems you may experience with a lack of blood flow.



  • 99 different intensity levels
  • 15 stimulation waveforms
  • Isorocker system for ankle joint movement



  • Remote control
  • Widepulse waveforms
  • Easy to use
  • Includes tens pads and replacements
  • Powerful



  • Tens pads wear out quickly and need replacing
  • Relatively Expensive



Important Details:


Wide Pulse Technology – The Wide Pulse Technology is a patent-pending feature specifically made for Revitive. It helps to increase circulation throughout the legs by up to 53%. Not only can that help your legs to feel more energized, but it can alleviate aches and pains.


Choice of 15 WaveformsThere are 15 additional waveforms to choose from. This helps your muscles from getting used to the same repetitive motion. If you only use one consistent motion in waves, the muscles in your legs will eventually become just as complacent.

Think of it in the same way you would if you exercised, in the same way, every day. Eventually, your body hits a plateau. When different patterns are brought into play, the muscles are contracted more effectively. This helps to ensure maximum circulation is achieved during each use.


Isorocker System – The powerful Isorocker system works double duty for your feet and ankles. The electrical pulses in the machine itself cause the calf muscles to slightly tense up. Then, they relax again. This allows for gentle rocking back and forth on the device. It can help to strengthen your ankles and provide an additional boost in blood flow. So, not only is it circulating the blood in your feet, it’s working other areas of the legs, too.

By providing the latest technology in foot circulation care, this unit offers an unprecedented amount of intensity levels. That means that anyone can use this machine. No matter the intensity level you need, you’ll find comfort. It can sometimes be difficult to find a unit with this much power.



So, if you struggle with deep aches and pains, or have an underlying medical condition that really bothers your feet, you can finally find an intensity level that works for you. If you find you need less power, you can use the machine as a relaxing massager.

With so many options, you’re bound to find a level that works for you. This is true thanks to the powerful waveforms that work through the unit. Plus, it’s easy to use – just set your feet on the tens pads, and use the remote control to set it to your standards.

Revitive is one of the top names in circulation boosters for a reason. This latest unit from the brand doesn’t disappoint.




Sunpentown Infrared Blood Circulation Massager


The  Supentown Advanced Foot Energizer is wonderful for customizing your circulation needs. Because it can be used on different parts of the body, it’ll work to strengthen your immune system, and even boost your metabolism. When used on the feet, it focuses on designated pressure points. By increasing blood flow against those pressure points, you’ll notice a difference throughout your legs.


Some reviews suggest this product alone helped them sleep, after just one use. If you struggle with something like restless leg syndrome, this machine can accelerate circulation and help to open up blood vessels.

It’s not often that you find a vibrating massager that is so versatile. With this circulation booster, not only can you help your feet, but other health conditions as well.




  • 12 vibrating intensities
  • 8 infrared treatments




  • A timer up to 15 minutes
  • Separate heat and vibration functions
  • Ability to use elsewhere on the body
  • Remote control




  • Plastic – may not be super durable
  • Noisy






Advanced Foot Energizer Electrical Foot Stimulator


For intense pain or health conditions that really affect circulation, the power of this electrical foot stimulator can be a huge help. The Advanced Foot Energizer is an FDA-approved medical device.



Not only can it stimulate circulation throughout your legs, but it can help to alleviate pain and aching. It works by simulating natural muscle performance – contracting and releasing. This allows blood to flow freely through your muscles. It can also help to energize your feet and legs.




  • 25 programmed massage modes
  • Up to 99 intensity levels




  • Additional TENS pads for use elsewhere on the body
  • Easy to read LED screen
  • Remote control and console control
  • Uses electrical stimulation, so it produces no sound
  • Easy to use




  • Timer automatically shuts off after 25 minutes



The Advanced Foot Energizer contains extra TENS pads, and enough cables to reach almost anywhere on the body. It also includes a small tube of Spectra gel. The gel helps for a more comfortable connection for the EMS and TENS pads.

You can either be in total control of your program or use a pre-programmed session. With 99 different intensity levels, even the deepest aches and pains are relieved. Plus, the system has 25 different program modes, designed to help boost circulation and get rid of the pain in your feet and legs.




Tips For Choosing a Foot Circulation Boosting Machine


When looking for the best machine for proper foot circulation, there are certain criteria to keep in mind. The rating system used here will focus on five criteria. The more you know about each machine as they fall under these categories, the easier it will be to make an informed decision.


Ease of Use – When looking for the best machine for proper foot circulation, there are certain criteria to keep in mind. The rating system used here will focus on five criteria. The more you know about each machine as they fall under these categories, the easier it will be to make an informed decision


Accessories – Accessories can be anything extra that might be included with the unit, or whatever is included when you first open the box. While some extra accessories are nice, they aren’t always necessary.

The most valuable accessories may be things like extra TENS pads. These are the pads that will go onto the machine itself. After several uses, they’ll likely need to be replaced. If a machine comes with several extra pads on hand, that can save you from having to re-order right away.

Other extra accessories aren’t always necessary. Keep in mind that these units are designed to be circulators for the feet, not necessarily foot massagers for relaxation. Don’t be fooled by the price that goes up just because of a few accessories that may not benefit you.


Value – Some people purchase an inexpensive machine as a starter unit. If they work well, you might  subsequently invest in a more expensive machine. Remember that value is based on what’s included in the product for the price. This includes things like the amount of power, extra features, design, and durability, etc.

If you’ve never used a foot circulation machine before, it’s up to you how much you’d like to invest. More expensive doesn’t always mean better. However, the circulation machine is typically used to replace things like physiotherapy. So, even the most expensive units are a solid investment, when you could be paying thousands of dollars for the doctor. Take into account the amount of power each unit will give you, and how customizable each can be.


Power – When you’re working with a foot vibration machine, power is key. Some people require quite a bit of power for the electrical impulses to have any effect. If the machine doesn’t have a sufficient amount of power, it may not provide the kind of results necessary to get rid of negative symptoms of poor circulation.

Additionally, you should be able to adjust the power according to your needs. Machines that have a wider range of intensity levels are typically better. They put you in control of how much power is needed for each session.


Design – When you’re working with a foot vibration machine, power is key. Some people require quite a bit of power for the electrical impulses to have any effect. If the machine doesn’t have a sufficient amount of power, it may not provide the kind of results necessary to get rid of negative symptoms of poor circulation.

Additionally, you should be able to adjust the power according to your needs. Machines that have a wider range of intensity levels are typically better. They put you in control of how much power is needed for each session.



Final Thoughts


If you have a medical issue that is causing poor circulation, or vice-versa, any one of these machines can help. What’s most important is that you choose a unit that suits your own needs. If you don’t have serious circulation problems, a less expensive model should do the trick.

However, if you’re trying to avoid endless hours of physiotherapy, and want to experience it in the comfort of your own home, an advanced unit can really add to your quality of life. The best foot circulation booster machines offer power and customization.

Look for settings you can control easily, and enough power to give you the boost of blood flow your body needs.







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Magnesium a Great Help for Diabetics


Magnesium – a Great Help for Diabetics




Based on information from the National Institutes of Health (NIH), magnesium is practically a wonder drug. Yet few people know about it, and few doctors recommend it. It helps maintain muscles and nerves, regulates blood sugar levels, promotes normal blood pressure, and prevents heart attacks.


A study published through the American Diabetes Association shows that oral magnesium supplementation with magnesium restores serum magnesium and improves insulin sensitivity in subjects with type 2 diabetes and decreased serum magnesium levels, thus contributing to metabolic control.

In addition,  a meat-analysis of 9 trials in 2014 shows that that those with higher magnesium intake are 10-47% less likely to develop type 2 diabetes. In the U.S., however, only about 50% of the population achieve the recommended dietary allowance of magnesium, which is 400-420 mg/day for men and 300-310 mg/day for women.


  • Source: Hruby, A. et al. “Higher Magnesium Intake Reduces Risk of Impaired Glucose and Insulin Metabolism and Progression From Prediabetes to Diabetes in Middle-Aged Americans” Diabetes Care. 2014: 37(2): 419-427.



This meta-analysis of 9 trials studying magnesium supplements in those with type 2 diabetes found that 360 mg/day resulted in lower fasting glucose levels, while another smaller and more recent trial studying obese, nondiabetic, insulin-resistant patients found that 365 mg/day for 6 months not only lowered fasting glucose values, but also lowered fasting insulin and insulin resistance, and improved insulin sensitivity.

In patients with other risk factors, such as mild hypertension, 3-month supplementation with magnesium was found to improve insulin sensitivity and pancreatic β-cell function. Low magnesium diets, meanwhile, have been shown to impair insulin sensitivity in just 3 weeks in otherwise healthy patients.


A study by Dr. Ka He of the University of North Carolina at Chapel Hill and colleagues found that people who consumed the most magnesium in foods and from vitamin supplements were about half as likely to develop diabetes over the next 20 years as people who took in the least magnesium. 

Dr. Ka He and colleagues also found that as magnesium intake rose, levels of several markers of inflammation decreased, as did resistance to the effects of the key blood-sugar-regulating hormone insulin. Higher blood levels of magnesium also were linked to a lower degree of insulin resistance.

“Increasing magnesium intake may be important for improving insulin sensitivity, reducing systemic inflammation, and decreasing diabetes risk,” He and colleagues write. “Further large-scale clinical trials are needed to establish causal inference and elucidate the mechanisms behind this potential benefit.”


  • Source: Magnesium Intake in Relation to Systemic Inflammation, Insulin Resistance, and the Incidence of Diabetes. Ka He, MD, ScD ( et al.



There is more understood today about the relationship between magnesium and diabetes than ever before – and it is leading healthcare professionals to state:  If you think there may be diabetes in your future, now’s the time to make sure you are getting the magnesium your body needs on a daily basis.





In the book The Magnesium Miracle by Dr. Carolyn Dean, an MD and naturopath. According to Dr. Dean, nearly 80% of Americans are deficient in magnesium, and it is often the primary factor in heart disease, high blood pressure, diabetes, and most muscular problems.

The NIH says, “Magnesium is needed for more than 300 biochemical reactions in the body… [It] is involved in energy metabolism and protein synthesis.” And according to our own Amy Campbell, “Results from three very large studies indicate that people who consume a diet rich in magnesium have a lower risk of getting Type 2 diabetes.”



People with diabetes are more likely than those without to be low in magnesium. According to an article on, “Elevated blood glucose levels increase the loss of magnesium in the urine, which in turn lowers blood levels of magnesium.” So getting enough magnesium is especially important in diabetes.

In spite of these benefits, medical authorities rarely recommend magnesium. That’s why I call it the forgotten mineral. For instance, people on diuretics (“water pills”) are usually given potassium supplements to replace the potassium lost through urination. But magnesium is lost the same way and rarely supplemented.

According to the piece on, “Healthy adults who eat a varied diet do not generally need to take a magnesium supplement.”

Dr. Dean strongly disagrees. She says that the Recommended Daily Allowance (RDA) is 350 to 400 milligrams per day, but for best health, we may need roughly double this amount. She says the Standard American Diet (SAD) provides very little magnesium. Soils depleted by factory farming may grow foods low in magnesium. Refined grains and processed foods have usually been stripped of most of their magnesium.



Dean isn’t the only one recommending this mineral. Drs. Andrea Rosanoff, PhD, and Mildred Seelig, MD, authors of The Magnesium Factor, state, “Mg has effects that parallel those of statins.”

In the Journal of the American College of Nutrition, they wrote, “Both statins and normal Mg levels prevent clotting, reduce inflammation and prevent [arterial] plaques. But statins raise liver enzymes, can cause [muscle damage] and have many other side effects, while Mg supplements tend to protect [muscles] and have temporary diarrhea or mild GI distress as the only side effect.”


The doctors point to studies showing that nations with low-magnesium/high-calcium diets — the US, Finland, and the Netherlands, in particular — have a lethal heart disease rate much higher than in nations with high-magnesium/low-calcium diets, such as Japan. Yet our medical system encourages statins and ignores magnesium.




Metabolic Syndrome


Because the risk factors for diabetes, are also the risk factors for heart disease,   clinicians and healthcare professionals refer to this group of risk factors as:  Metabolic Syndrome.   For a short time, it was known as Syndrome X, but it is simply this:     The factors when found together, increase the risk of Coronary Artery Disease, Stroke and Type 2 Diabetes.  Magnesium has a major role to play in each of these conditions, and all risk factors when present, suggest a deficiency in magnesium.



Metabolic, a word that refers to the biochemical processes that occur by the trillions every day in our cells – is also what magnesium does best:  325 metabolic, or enzymatic processes at the cellular level.    It is not surprising that magnesium, when consumed in recommended allowances every day – will minimize  the risk factors associated with Metabolic Syndromes like heart disease and diabetes. 

With widespread magnesium deficiency, it is entirely possible that magnesium is responsible for far more illness than originally thought, and its role in metabolic syndromes is better understood every year.



Metabolic syndrome risk factors include:


  • Known as ‘central obesity’ or ‘apple-shaped’ –  extra weight around the middle and upper parts of the body
  • Insulin resistance. The body uses insulin less effectively than normal. Insulin is needed to help control the amount of sugar in the body. As a result, blood sugar and fat levels rise.
  • High cholesterol
  • High blood pressure, or hypertension
  • Aging
  • Genetic history of any of the factors
  • Hormone changes
  • Lack of exercise 



People who have metabolic syndrome often have two other problems that can either cause the condition or make it worse:


  • Excess blood clotting
  • Increased levels of blood substances that are a sign of inflammation throughout the body



It is no coincidence that each of these factors represents a process in the body dependent upon magnesium.   Multi-tasking magnesium, is the mineral that addresses each of these factors:


  • —  Magnesium is responsible for the production, function and transport of insulin by the cells
  • —  Activates cell membrane to help balance glucose levels
  • —  Magnesium is a natural blood thinner
  • —  Magnesium helps prevent and treat insulin resistance for Type 1 and 2 diabetes
  • —  Magnesium in adequate levels in the body will reduce high cholesterol, or the “bad fat”
  • —  Metformin, the first-line drug of choice for people with Type 2 diabetes reduces high cholesterol, especially in obese patients, to help prevent cardiovascular complications. Interestingly, Metformin has shown to elevate  magnesium levels in the liver.
  • —  Individuals with poorly-controlled diabetes may benefit from magnesium supplements because of increased magnesium loss in urine associated with hyperglycemia (high blood sugar)
  • —  Individuals with chronically low blood levels of potassium and calcium may have an underlying problem with magnesium deficiency. Magnesium supplements may help correct the potassium and calcium deficiencies



Magnesium Levels in Patients with Diabetes


According to research, magnesium deficiencies have been seen both inside the cell and outside the cell in pre-diabetes, type 2 diabetes, stable diabetes and chronic diabetes (Type 1).    Prolonged magnesium deficiency is also directly related to increased incidences of heart disease typically associated with poorly managed diabetes.




Insulin Resistance


Insulin is a hormone.   It is produced by the pancreas in response to eating a meal to carry the blood sugar (glucose) produced from the meal to our cells for energy production.   Insulin resistance or insulin sensitivity refers to the challenge the pancreas is having in producing enough insulin to process the glucose in the blood.  

The more difficulty the cells have metabolizing glucose, the more insulin the pancreas wants to produce.   The metabolic process of people with diabetes is no different than the metabolisms of people without diabetes.   The only difference is in the volume of insulin produced, or the body’s ability to utilize the insulin that is produced.    When there is too much glucose in the blood, two problems result:  1) The pancreas will try to keep up by producing more and more insulin, and 2) excess glucose will be turned into saturated body fat. 

It can become a vicious cycle of producing more and more insulin that is less and less able to be utilized by tired cells who can no longer keep pace.  High sugar, high fat diets and a lack of exercise will make it even more difficult for the insulin to do it’s job.   And in an ironic twist, high sugar levels in the blood will make you feel lethargic, and even hungry, as the insulin is still scrambling to get the glucose to your cells to produce energy.  

Eventually, the body becomes somewhat immune to the insulin, and it is no longer able to metabolize the glucose at all.   But all the non-functioning insulin in the blood – known as hyperinsulinemia –  is linked to damaged blood cells, high blood pressure, heart disease, obesity and even osteoporosis.

Stress and illness can also cause increased insulin production.  



Magnesium and Diabetes


A characteristic of insulin resistance – where the body needs to produce higher volumes of insulin –  is that little to no magnesium is found in the centre of the blood cells.  This is referred to as intracellular magnesium.    We know there is a direct correlation between magnesium and insulin.   Magnesium is the one mineral that ‘twins’ with almost every other nutrient in one metabolic process or another, and the hormone insulin is no different.

Insulin has something to do with moving magnesium across the cell wall – inside and outside the cell.  Magnesium when found in adequate supply inside the cell, contributes to improve “insulin-mediated glucose uptake” which is a fancy way of saying magnesium helps insulin do its’ job. 

Conversely the absence of intracellular magnesium is responsible for impairing insulin action – meaning it’s not working – and a worsening of insulin resistance in both Type 2 diabetes and in hypertensive patients, that is people with high blood pressure.  

Study scientists also noted that reduced magnesium in the middle of the cell also resulted in “exaggerated calcium concentrations.”     The consequences of excess calcium are well-known in matters of the heart and calcification of organs and muscles – but this study would suggest that the imbalance of magnesium and calcium also has an impact on the management of diabetes.

The study is from the Institute of Internal Medicine and Geriatrics, University of Palermo, Italy entitled “The role of magnesium in insulin action, diabetes and cardio-metabolic syndrome X.”




Clinical Implications of Low Magnesium Levels


  • Insulin resistance is known to be directly related to magnesium deficiency
  • Diabetes-related diseases such as atherosclerosis (narrowed heart vessels that inhibit blood flow, usually as a result of high blood pressure and/or high cholesterol) and retinopathy (damage to the blood vessels of the eye) have an increased likelihood of progression when there is low levels of intracellular magnesium.



How  Magnesium Supplementation Helps


  • Loss of magnesium increases in periods of high levels of blood glucose
  • Corrects the deficit in intracellular magnesium levels
  • Decreases platelet reactivity
  • Improves insulin sensitivity
  • Has a role in the release and activity of insulin transport in the blood
  • May protect against diabetes and its complications
  • Plays a role in carbohydrate metabolism






Suggested:  I like Doctor’s Best High Absorption 100% Chelated Magnesium is made with TRAACS, a patented, form of bioavailable magnesium that is chelated to optimize bioavailability. 

It is “not buffered,” meaning that is it not mixed with less expensive and less absorbable magnesium oxide, and it is  vegan, non-GMO, and gluten free.

 This is the best-selling magnesium supplement on Amazon, with over 1,700 reviews.






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No Prick Glucose Meter News


Reports about companies developing a “no prick” blood glucose meter have been around for a while. Well, it appears an Israeli company called, CNOGA, has finally cracked the code. The device has been approved in Europe and CNOGA will begin shipping the device in Europe, South America and countries throughout Asia.


This is really exciting stuff! The device uses LED lights and a small sophisticated camera to measure the color of your blood. The on board computer runs the results through an algorithm that sifts through over 68 billion possible result combinations to formulate your blood glucose levels.



How Does It Work?


Here’s where Cnoga Medical’s unique breakthrough comes into play: using patented algorithms and a vast amount of data – there are over 68 billion color combinations – from the processors, our TensorTip devices compute and analyze the correlation between the signal and bio parameters.



All you have to do is stick your finger in the device and it simply beams light at your finger tips. A few moments later, the results are in. No test strips, no control solution, co coding, no lancet device, no pain! You can watch a video of the process below.


Four light emitting diodes (LEDs) within the finger compartment shine discrete wavelengths from visual light to infrared light and sensing in a continuous spectrum, ranging from 600 nm to 1150 nm, through the fingertip.



As the light wave passes through the fingertip, some of it is absorbed and the light signal is changed. Next, a camera sensor, similar to that found in professional digital cameras, detects the changed light signal in real time. The signal is passed on to a processor, which digitally splits the signal into three hyper planes: red, green and blue.


If this seems like science fiction, you’re not alone. When the company first looked for partners to develop the product they met with Texas Instruments (TI). The chief scientist at TI called CNOGA liars! Well, TI eventually came on board the project to supply some needed components and no one is calling them liars now!



About the Company


Cnoga Medical Ltd., an international privately held company, is a leading developer and manufacturer of innovative, non-invasive, pain-free medical devices for personal use, as well as professional remote medical care.


Headquartered in Israel, and subsidiaries in Shanghai, China and Sao-Paulo, Brazil, the company was founded in 2004 by Dr. Yosef Segman, a technology innovator and entrepreneur, who has led product development from the early stages through a strategic partnership with Texas Instruments Inc., to commercialization in Europe, Asia and South America. The company’s Medical Advisor is Prof. Eli Zuckermann, who is with the Faculty of Medicine at the Technion, the Israel Institute of Technology.


Cnoga Medical is pursuing a future in which people conduct simple, needle-free blood tests in the comfort of their own homes or other locations. Cnoga’s systems have undergone extensive clinical trials, are registered to ISO13485:2003 and are being commercialized in Europe, Asia and South America. The devices have been CE certified as a 2a Medical Device since May 2014 and the company has received FDA approval for marketing the blood pressure and pulse (PPM) devices.


All-in-all, the total development took 9 years and $8 million dollars. Initial pricing in Europe is approximately 1,500 euros. At today’s exchange rate, this is about $1,995. Pricey! However, if you spend $75 a month on testing supplies, then this device will be paid for in approximately 2 years.


Like all medical devices, I would think pricing will come down over time. Nonetheless, right out of the gate the pricing is far less than other medical devices, such as an insulin pump, and there does not appear to be any ongoing supplies to purchase.


So, what about the availability in the United States? Encouragingly, the technology has already been approved by the FDA; however, it has only been approved for other medical uses, not blood glucose testing.


Stay tuned! Meanwhile, check out this great video about how the process works!





Recommended: Reverse Diabetes Today – The Diabetes-Reversing Breakthrough


Through my research for this article, I ordered Reverse Diabetes Today , and found it to be currently the most scientific, clinically-proven program for reversing diabetes. 

This program covers all aspects of diabetes treatment, giving you a complete protocol that delivers proven results, and I know you will find it to be a valuable tool for escaping the downward spiral of diabetes-related complications.









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Diabetes Myths – What Should You Believe?



Diabetes is a serious disease that can be life-threatening if it is not properly managed.


Being able to know what is true and what is a myth is important when it comes to diabetes because proper treatment begins with proper knowledge.



In this article I will cover common myths and information for family caregivers, people with diabetes and people at risk for diabetes .


See also Type 2 Diabetes – A Complete Guide



Its Not That Serious


One of the most common myths associated with diabetes is that diabetes is not that serious. With the proper management and care diabetes can be controlled and complications can be prevented, but it is important to know how to properly manage the disease.


Even though many people think that diabetes is not that serious, more people die each year from diabetes than from breast cancer and AIDS combined. It is also said that 2 out of 3 people with diabetes die from heart disease or a stroke so it is very important for those with diabetes to monitor their health and food choices.



You Have to Eat Diabetic Food



Another common myth is that people with diabetes have to eat diabetic food. Even though some people believe that diabetic foods are best for diabetics, there is no evidence to suggest that diabetic foods provide any benefits beyond that of regular food.


People with diabetes can enjoy the same foods as the rest of their family but they should try to promote a healthy diet for all family members. As mentioned in the last section, 2 out of 3 people with diabetes die from heart disease or stroke so it is important to maintain healthy eating habits to prevent these complications.


Diabetics should monitor their sodium and fat intake and limit the amount of carbohydrates that they eat but this is important for all people who want to maintain a healthy lifestyle so those with diabetes do not need to prepare their food any differently than they would for the rest of their family.



Diabetes is Caused by Being Fat and Eating Sugar



Many people believe that being overweight or eating too much sugar causes diabetes. While these things can increase the risk of getting diabetes, it cannot be said that either one actually causes diabetes.


Most people that are overweight will never develop diabetes because diabetes is usually caused by a combination of weight, age, ethnicity and family history and not just weight alone.



Statistics also show that many people with diabetes are at a healthy weight or only slightly overweight which again goes to show that weight is not the only factor to consider when it comes to diabetes.


Sugary products are also commonly thought of as causing diabetes, but as with weight they are only one factor to consider. Eating or drinking products high in sugar can raise blood sugar and cause weight gain so it is important to limit your intake of these products. That does not mean that anyone who is worried about getting diabetes has to give up all sugar, but it is important to consume sugar in moderation in order to be healthy.



Diabetics Can’t Eat Sweets



Another common myth about diabetes is that people with diabetes cannot eat sweets. As mentioned in the last section many people believe that sugar causes diabetes and that people with diabetes cannot eat sweets. People with diabetes should limit their consumption of sweets but they do not have to give up all sweets because of their diagnosis. Giving up all foods that are high in sugar or fat will lead to cravings which can cause people to indulge and overeat.


To avoid cravings, people with diabetes should maintain a healthy diet that includes occasional sweets so that they will not feel deprived and over indulge. The key to eating sweets is to keep everything in moderation. It may not be a good idea to eat a large sugary dessert everyday but that does not mean that people with diabetes can only enjoy a dessert on their birthday or at holidays either.


People with diabetes can also look for low sugar dessert options if they plan to eat sweets on a regular basis. Many products are available that are low sugar or have no added sugar that taste just as good as the regular unhealthy version.


Family caregivers can help their loved ones by encouraging healthy eating and by eating the same foods as their loved one with diabetes so that they will not feel like they are missing out on good food.


See also Type 2 Diabetes – A Complete Guide


It is important for people with diabetes or people at risk for diabetes to keep these myths in mind so that they will be able to understand the disease better. The most important thing to keep in mind is that everything can be enjoyed in moderation and that maintaining a healthy lifestyle is the best way to manage diabetes and keep complications at a minimum.




Recommended: Reverse Diabetes Today – The Diabetes-Reversing Breakthrough


Through my research for this article, I ordered Reverse Diabetes Today , and found it to be currently the most scientific, clinically-proven program for reversing diabetes. 

This program covers all aspects of diabetes treatment, giving you a complete protocol that delivers proven results, and I know you will find it to be a valuable tool for escaping the downward spiral of diabetes-related complications.









You may also be interested in:

Type 2 Diabetes – A Complete Guide

Diabetes Complications You May Not Know About

Diabetes and Depression

Natural Help for Sadness and Depression

Guide to Blood Glucose Meters

Best Glucose Meters Reviewed

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The Fat Loss Diet I Recommend

Best Nutrition Drinks for Diabetics

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The Most Effective Stop Smoking Aids

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About Me

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Diabetes and Depression



Breaking the Diabetes-Depression Cycle


If you’ve been diagnosed with diabetes, there’s a surprising fact that you should be aware of: You may have an increased risk of depression, too.


The reason behind the link isn’t entirely clear, says Barry J. Jacobs, PsyD, a clinical psychologist with the Crozer-Keystone Health System in Springfield, Pennsylvania and the author of The Emotional Survival Guide for Caregivers


“Psychologically, living with diabetes — coping with its daily management and complications — can cause sadness and perhaps major depression,” Dr. Jacobs said.


A September 2015 review in the International Journal of Endocrinology suggested that chronic stress might lead to insulin resistance and eventually type 2 diabetes.  


There are other possible explanations, too: Managing diabetes and its complications can cause sadness and perhaps major depression, says Dr. Jacobs.


“It’s a cyclic disease,” adds Susan Ardilio, RD, a certified diabetes educator with Good Samaritan Medical Center in West Islip, New York.


For example, you may feel bad because you can’t eat what your friends without diabetes are eating. That can lead to social isolation, which makes you feel worse. And when that happens, you might overeat or indulge in unhealthy foods — behaviors that, Ardilio explains, can worsen your diabetes and lead to depression.


It’s not clear if diabetes causes depression or if depression can lead to diabetes, Jacobs says. But if you’re not taking good care of your health, one condition can impact the other.


If you’re depressed, you might not have the motivation to maintain control of your blood sugar levels or exercise regularly. And, in fact, depression may be linked to cardiovascular disease in people with diabetes, according to a study published in the April 2015 issue of Medical Hypotheses.



How to Keep Diabetes and Depression Under Control


If you suspect that you’re depressed, the first step is to tell your doctor, who can help you work toward a diagnosis. While symptoms like trouble sleeping or concentrating might stem from depression, they can also be side effects of a medication or indicate a problem with your blood sugar levels. If depression is diagnosed, your doctor may recommend talk therapy and antidepressant medication if needed, Jacobs says.


In the meantime, these three steps can help you manage diabetes and your emotional health:


Exercise regularly. It’s hard to stay active if you can’t motivate yourself to move. But once you get going, you’ll see benefits in your mood and blood sugar levels. In fact, researchers found that after exercising regularly for a year, people with type 2 diabetes saw reductions in inflammation and symptoms of depression, according to a study published in August 2015 in the International Journal of Endocrinology.


Join a diabetes support group. They’re protected environments where you can share information, understanding, and validation — which goes a long way toward preventing depression, Jacobs says. Plus, people who attend regular support group meetings take better care of their diabetes than those who don’t, according to a study in the December 2014 issue of The Journal of Nursing Research. Find a group online through the American Diabetes Association.


Maximize your meals. Not only will a healthy diet help you control your blood sugar levels, but it will also help you feel better about yourself emotionally, Ardilio says. This, in turn, can ward off negative feelings and lead to better overall health, she adds. Work with a registered dietitian or certified diabetes educator in your area on food selection and meal planning. Many insurance plans cover visits to these specialists.


Recommended: Reverse Diabetes Today – The Diabetes-Reversing Breakthrough


Through my research for this article, I ordered Reverse Diabetes Today , and found it to be currently the most scientific, clinically-proven program for reversing diabetes. 

This program covers all aspects of diabetes treatment, giving you a complete protocol that delivers proven results, and I know you will find it to be a valuable tool for escaping the downward spiral of diabetes-related complications.









Recommended: If you feel that your depression is severe and persistent, I recommend Depression Help Fast 2nd Edition.  One of my family members used this system, and it helped immensely with relief and perspective.






You may also be interested in:

Natural Help for Sadness and Depression

Guide to Blood Glucose Meters

Best Glucose Meters Reviewed

Diabetes Complications

Type 2 Diabetes Introduction

The Fat Loss Diet I Recommend

Magnesium A Great Help for Diabetics

Best Nutrition Drinks for Diabetics

Caring for Diabetic Feet

Cure Toenail Fungus Naturally in 4 Weeks

The Most Effective Stop Smoking Aids

Heartburn and Acid Reflux Help

Find the Best Bathroom Scale for YOU

Living With Angina From Coronary Heart Disease

Compression Therapy for Seniors

Shoes and Slippers for Swollen Feet

Caregivers Need Sleep!

About Me

Create Your Own Blog

Caring For Diabetic Feet

Caring For Diabetic Feet








Diabetes mellitus (DM) represents several diseases in which high blood glucose levels over time can damage the nerves, kidneys, eyes, and blood vessels. Diabetes can also decrease the body’s ability to fight infection.

When diabetes is not well controlled, damage to the organs and impairment of the immune system is likely.

Foot problems commonly develop in people with diabetes and can quickly become serious.


  • With damage to the nervous system, a person with diabetes may not be able to feel his or her feet properly. Normal sweat secretion and oil production that lubricates the skin of the foot is impaired. These factors together can lead to abnormal pressure on the skin, bones, and joints of the foot during walking and can lead to breakdown of the skin of the foot. Sores may develop.
  • People with diabetes must be fully aware of how to prevent foot problems before they occur, to recognize problems early, and to seek the right treatment when problems do occur. Although treatment for diabetic foot problems has improved, prevention – including good control of blood sugar level – remains the best way to prevent diabetic complications.
  • Damage to blood vessels and impairment of the immune system from diabetes make it difficult to heal these wounds. Bacterial infection of the skin, connective tissues, muscles, and bones can then occur. These infections can develop into gangrene. Because of the poor blood flow, antibiotics cannot get to the site of the infection easily. Often, the only treatment for this is amputation of the foot or leg. If the infection spreads to the bloodstream, this process can be life-threatening.
  • People with diabetes should learn how to examine their own feet and how to recognize the early signs and symptoms of diabetic foot problems.
  • They should also learn what is reasonable to manage routine at home foot care, how to recognize when to call the doctor, and how to recognize when a problem has become serious enough to seek emergency treatment.




Risks to the Diabetic Foot


Several risk factors increase a person with diabetes chances of developing foot problems and diabetic infections in the legs and feet.




Poorly fitting shoes are a common cause of diabetic foot problems.

If the patient has red spots, sore spots, blisters, corns, calluses, or consistent pain associated with wearing shoes, new properly fitting footwear must be obtained as soon as possible.

If the patient has common foot abnormalities such as flat feet, bunions, or hammertoes, prescription shoes or shoe inserts may be necessary.


Nerve damage

People with long-standing or poorly controlled diabetes are at risk for having damage to the nerves in their feet. The medical term for this is peripheral neuropathy.

Because of the nerve damage, the patient may be unable to feel their feet normally. Also, they may be unable to sense the position of their feet and toes while walking and balancing. With normal nerves, a person can usually sense if their shoes are rubbing on the feet or if one part of the foot is becoming strained while walking.

A person with diabetes may not properly sense minor injuries (such as cuts, scrapes, blisters), signs of abnormal wear and tear (that turn into calluses and corns), and foot strain. Normally, people can feel if there is a stone in their shoe, then remove it immediately. A person who has diabetes may not be able to perceive a stone. Its constant rubbing can easily create a sore.


Poor circulation

Especially when poorly controlled, diabetes can lead to accelerated hardening of the arteries or atherosclerosis. When blood flow to injured tissues is poor, healing does not occur properly.


Trauma to the foot

Any trauma to the foot can increase the risk for a more serious problem to develop.



Athlete’s foot, a fungal infection of the skin or toenails, can lead to more serious bacterial infections and should be treated promptly.

Ingrown toenails should be handled right away by a foot specialist. Toenail fungus should also be treated.



Smoking any form of tobacco causes damage to the small blood vessels in the feet and legs. This damage can disrupt the healing process and is a major risk factor for infections and amputations. The importance of smoking cessation cannot be overemphasized.





Diabetic Foot Symptoms


  • Persistent pain can be a symptom of sprain, strain, bruise, overuse, improperly fitting shoes, or underlying infection.
  • Redness can be a sign of infection, especially when surrounding a wound, or of abnormal rubbing of shoes or socks.
  • Swelling of the feet or legs can be a sign of underlying inflammation or infection, improperly fitting shoes, or poor venous circulation. Other signs of poor circulation include the following:
    • Pain in the legs or buttocks that increases with walking but improves with rest (claudication)
    • Hair no longer growing on the lower legs and feet
    • Hard shiny skin on the legs


See Also: Shoes and Slippers for Swollen Feet and Stasis Dermatitis Leg and Foot Condition


  • Localized warmth can be a sign of infection or inflammation, perhaps from wounds that won’t heal or that heal slowly.
  • Any break in the skin is serious and can result from abnormal wear and tear, injury, or infection. Calluses and corns may be a sign of chronic trauma to the foot. Toenail fungus, athlete’s foot, and ingrown toenails may lead to more serious bacterial infections.
  • Drainage of pus from a wound is usually a sign of infection. Persistent bloody drainage is also a sign of a potentially serious foot problem.
  • A limp or difficulty walking can be sign of joint problems, serious infection, or improperly fitting shoes.
  • Fever or chills in association with a wound on the foot can be a sign of a limb-threatening or life-threatening infection.
  • Red streaking away from a wound or redness spreading out from a wound is a sign of a progressively worsening infection.
  • New or lasting numbness in the feet or legs can be a sign of nerve damage from diabetes, which increases a persons risk for leg and foot problems.




When to Seek Medical Care


Write down the patient’s symptoms and be prepared to talk about them on the phone with a doctor.

Following is a list of common reasons to call a doctor if a person with diabetes has a diabetic foot or leg problem. For most of these problems, a doctor visit within about 72 hours is appropriate:

  • Any significant trauma to the feet or legs, no matter how minor, needs medical attention. Even minor injuries can result in serious infections.
  • Persistent mild-to-moderate pain in the feet or legs is a signal that something is wrong. Constant pain is never normal.
  • Any new blister, wound, or ulcer less than 1 inch across can become a more serious problem. The patient will need to develop a plan with a doctor on how to treat these wounds.
  • Any new areas of warmth, redness, or swelling on the feet or legs are frequently early signs of infection or inflammation.
  • Addressing them early may prevent more serious problems.
  • Pain, redness, or swelling around a toenail could mean the patient has an ingrown toenail – a leading cause of diabetic foot infections and amputations. Prompt and early treatment is essential.
  • New or constant numbness in the feet or legs can be a sign of diabetic nerve damage (neuropathy) or of impaired circulation in the legs. Both conditions put the patient at risk for serious problems such as infections and amputations.
  • Difficulty walking can result from diabetic arthritis (Charcot’s joints), often a sign of abnormal strain or pressure on the foot or of poorly fitting shoes, as well as the inability to perceive pain. Early intervention is key to preventing more serious problems including falls as well as lower extremity skin breakdown and infections.
  • Constant itching in the feet can be a sign of fungal infection or dry skin, both of which can lead to infection.
  • Calluses or corns developing on the feet should be professionally removed. Home removal is not recommended.
  • Fever, defined as a temperature over 98.6°F (37°C), in association with any other symptoms or even fever alone should prompt a call to a doctor’s office. The degree of fever does not always correlate with the seriousness of infection. The patient could have no fever or a very low fever and still have a serious infection. People with diabetes need to be especially cautious of fever.

If time and the patient’s condition permits, write down the patient’s symptoms, a list of medications, allergies to medicines, and the doctor’s name and phone number prior to coming to the hospital’s emergency department. This information will greatly assist the emergency physician in the evaluation and treatment of the patient’s problem.



Following are some common reasons to seek immediate medical attention for diabetic foot and leg problems.


  • Severe pain in the feet or legs is often a sign of acute loss of circulation to the leg, serious infection, or may be due to severe nerve damage (neuropathy).
  • Any cut to the feet or legs that bleeds significantly and goes all the way through the skin needs proper cleaning and repair to aid healing.
  • Any significant puncture wounds to the feet (for example, stepping on a nail or being bitten by a dog or cat) carry a high risk of becoming infected.
  • Wounds or ulcers that are more than about 1 inch across on the feet or legs are frequently associated with limb-threatening infections.
  • Redness or red streaks spreading away from a wound or ulcer on the feet or legs are a sign of infection spreading through the tissues.
  • Fever higher than 101.5°F (38.6°C) in association with redness, swelling, warmth, or any wound or ulcer on the legs may be a sign of a limb-threatening or life-threatening infection. If you are a person with diabetes and you simply have a fever more than 101.5°F (38.6°C), and no other symptoms, seek immediate care to determine the source of the fever and to initiate a plan of care. Because the degree of fever does not always correlate with the seriousness of the illness, people with diabetes should take even low-grade fevers [less than101.5°F (38.6°C)] very seriously and seek medical attention. The patient’s doctor may or may not prescribe antibiotics, since fevers are often due to viral infections, which typically do not require antibiotics.
  • Alteration in mental status (confusion) may be a sign of life-threatening infection that could lead to loss of a leg or foot, when associated with a leg wound or foot ulcer. Confusion may also be a sign of either very high or very low blood sugars, which are more common when infection is present.




Exams and Tests


Medical evaluation should include a thorough history and physical examination and may also include laboratory tests, x-ray studies of circulation in the legs, and consultation with specialists.


  • History and physical examination: First, the doctor will ask the patient questions about their symptoms and will examine them. This examination should include the patient’s vital signs (temperature, pulse, blood pressure, and respiratory rate), examination of the sensation in the feet and legs, an examination of the circulation in the feet and legs, a thorough examination of any problem areas. For a lower extremity wound or ulcer, this may involve probing the wound with a blunt probe to determine its depth. Minor surgical debridement of the wound (cleaning or cutting away of tissue) may be necessary to determine the seriousness of the wound.
  • Laboratory tests: The doctor may decide to order a complete blood cell count, or CBC, which will assist in determining the presence and severity of infection. A very high or very low white blood cell count suggests serious infection. The doctor may also check the patient’s blood sugar either by fingerstick or by a laboratory test. Depending on the severity of the problem, the doctor may also order kidney function tests, blood chemistry studies (electrolytes), liver enzyme tests, and heart enzyme tests to assess whether other body systems are working properly in the face of serious infection.
  • X-rays: The doctor may order x-rays studies of the feet or legs to assess for signs of damage to the bones or arthritis, damage from infection, foreign bodies in the soft tissues. Gas in the soft tissues, indicates gangrene – a very serious, potentially life-threatening or limb-threatening infection.
  • Ultrasound: The doctor may order Doppler ultrasound to see the blood flow through the arteries and veins in the lower extremities. The test is not painful and involves the technician moving a non-invasive probe over the blood vessels of the lower extremities.
  • Consultation: The doctor may ask a vascular surgeon, orthopedic surgeon, or both to examine the patient. These specialists are skilled in dealing with diabetic lower extremity infections, bone problems, or circulatory problems.
  • Angiogram: If the vascular surgeon determines that the patient has poor circulation in the lower extremities, an angiogram may be performed in preparation for surgery to improve circulation. With an angiogram, a catheter is inserted through the artery in the groin and dye is injected while x-rays are taken. This allows the surgeon to see where the blockages are and plan an operation to bypass the blockages. This procedure is usually performed with local anesthesia and a light sedative given through a tube inserted in the patient’s vein (an intravenous or IV line).  




Self Care at Home


A person with diabetes should do the following:


  • Foot examination: Examine your feet daily and also after any trauma, no matter how minor, to your feet. Report any abnormalities to your physician. Use a water-based moisturizer every day (but not between your toes) to prevent dry skin and cracking. Wear cotton or wool socks. Avoid elastic socks and hosiery because they may impair circulation.
  • Eliminate obstacles: Move or remove any items you are likely to trip over or bump your feet on. Keep clutter on the floor picked up. Light the pathways used at night – indoors and outdoors.
  • Toenail trimming: Always cut your nails with a safety clipper, never a scissors. Cut them straight across and leave plenty of room out from the nailbed or quick. If you have difficulty with your vision or using your hands, let your doctor do it for you or train a family member how to do it safely.
  • Footwear: Wear sturdy, comfortable shoes whenever feasible to protect your feet. To be sure your shoes fit properly, see a podiatrist (foot doctor) for fitting recommendations or shop at shoe stores specializing in fitting people with diabetes. Your endocrinologist (diabetes specialist) can provide you with a referral to a podiatrist or orthopedist who may also be an excellent resource for finding local shoe stores. If you have flat feet, bunions, or hammertoes, you may need prescription shoes or shoe inserts.
  • Exercise: Regular exercise will improve bone and joint health in your feet and legs, improve circulation to your legs, and will also help to stabilize your blood sugar levels. Consult your physician prior to beginning any exercise program.
  • Smoking: If you smoke any form of tobacco, quitting can be one of the best things you can do to prevent problems with your feet. Smoking accelerates damage to blood vessels, especially small blood vessels leading to poor circulation, which is a major risk factor for foot infections and ultimately amputations.
  • Diabetes control: Following a reasonable diet, taking your medications, checking your blood sugar regularly, exercising regularly, and maintaining good communication with your physician are essential in keeping your diabetes under control. Consistent long-term blood sugar control to near normal levels can greatly lower the risk of damage to your nerves, kidneys, eyes, and blood vessels.


See Also: Your Guide to Type 2 Diabetes and Dealing With Complications of Type 2 Diabetes




Medical Treatment


  • Antibiotics: If the doctor determines that a wound or ulcer on the patient’s feet or legs is infected, or if the wound has high a risk of becoming infected, such as a cat bite,antibiotics will be prescribed to treat the infection or the potential infection. It is very important that the patient take the entire course of antibiotics as prescribed. Generally, the patient should see some improvement in the wound in two to three days and may see improvement the first day. For limb-threatening or life-threatening infections, the patient will be admitted to the hospital and given IV antibiotics. Less serious infections may be treated with pills as an outpatient. The doctor may give a single dose of antibiotics as a shot or IV dose prior to starting pills in the clinic or emergency department.
  • Referral to wound care center: Many of the larger community hospitals now have wound care centers specializing in the treatment of diabetic lower extremity wounds and ulcers along with other difficult-to-treat wounds. In these multidisciplinary centers, professionals of many specialties including doctors, nurses, and therapists work with the patient and their doctor in developing a treatment plan for the wound or leg ulcer. Treatment plans may include surgical debridement of the wound, improvement of circulation through surgery or therapy, special dressings, and antibiotics. The plan may include a combination of treatments.
  • Referral to podiatrist or orthopedic surgeon: If the patient has bone-related problems, toenail problems, corns and calluses, hammertoes, bunions, flat feet, heel spurs, arthritis, or have difficulty with finding shoes that fit, a physician may refer you to one of these specialists. They create shoe inserts, prescribe shoes, remove calluses and have expertise in surgical solutions for bone problems. They can also be an excellent resource for how to care for the patient’s feet routinely.
  • Home health care: The patient’s doctor may prescribe a home health nurse or aide to help with wound care and dressings, monitor blood sugar, and help the patient take antibiotics and other medications properly during the healing period.






  • Read any instructions from the doctor while the patient are still in the emergency department or doctor’s office. Ask questions about any instructions you don’t understand. Follow all of your doctor’s or nurse’s instructions. Let a doctor know if the patient’s condition is not improving within a reasonable time.
  • Be sure to finish the entire course of antibiotics if prescribed by the doctor. Not finishing the entire course can lead to bacteria becoming resistant to antibiotics.
  • Less pain, swelling, redness, warmth, or drainage are generally all signs of improvement in an infected wound. Shrinkage of the wound or ulcer is a good sign. Absence of fever is also generally a good sign. Generally, some improvement should occur within the first two to three days. Let a doctor know if the patient is not improving as expected.
  • Be especially vigilant about the patient’s diabetes care while they are healing a foot or leg infection. Good glycemic control is good not only for healing an ulcer the patient already has, but also for preventing future ulcers. Check blood sugar regularly and let a doctor know the pattern of low and high levels.





Prevention of diabetic foot problems involves a combination of factors, including:

  • Regular leg and foot self-examinations
  • Regular exercise, if able
  • Avoiding injury by keeping footpaths clear
  • Having a doctor examine the patient’s feet at least once a year using a monofilament, a device made of nylon string that tests sensation




Important Points to Consider


  • Age: The older the patient, the more likely they are to have serious problems with the feet and legs. In addition to diabetes, circulatory problems and nerve damage are more common in the elderly person with diabetes. The elderly may also be more prone to sustaining minor trauma to the feet from difficulties with walking and stumbling over obstacles they cannot see.
  • Duration of diabetes: The longer the patient has had diabetes, the more likely they have developed one or more major risk factors for diabetic lower extremity problems.
  • Seriousness of infection: Infections that involve gangrene almost universally go on to amputation and also carry a high risk of death. Ulcers larger than about 1 inch across have a much higher risk of progressing on to limb amputation, even with proper treatment. Infections involving deep tissues and bone carry a much higher risk of amputation.
  • Quality of circulation: If blood flow is poor in the patient’s legs as a result of damage to the blood vessels from smoking or diabetes or both, it is much more difficult to heal wounds. The likelihood of more serious infection and amputation is greater.
  • Compliance with the treatment plan: How well the patient follows and participates in the treatment plan developed with doctors and nurses is crucial to the best recovery possible. Ask questions if any aspects of the care or treatment plan are unclear. Let the doctor know if something in the plan doesn’t seem to be working.
  • Wound care centers: A wound care center is an excellent resource if available. It brings together many specialists and approaches to aid in the treatment of the diabetic foot problem. These centers will often be able to offer the most up-to-date therapies and even may have experimental protocols available for people who have not responded to traditional therapy.
  • Individual physician and nurse skills: Ask about your doctor or nurse’s expertise in dealing with diabetic lower extremity problems. Knowledge about and experience with these problems may lead to earlier diagnosis and more appropriate therapy.




Be Proactive


Proactive diabetes management can go a long way toward reducing the risk of long term complications.


Thanks for visiting and reading … I hope this article provided some helpful ideas.  I welcome your comments below.








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Best Blood Glucose Meters Guide

How to Choose the Right Blood Glucose Meter





Think of picking out a blood glucose meter the same way you would choose a car…


You might consider cost first and then compare features to narrow down your options until you find the one that works best for you. You may even be able to sit with a diabetes educator and look over a number of meters to get a feel for them, says Molly McElwee-Malloy, RN, CDE, CPT, patient care manager in diabetes education at the University of Virginia Health System and a spokeswoman for the American Association of Diabetes Educators.

“The main thing people think about is cost,” she says. “But I think you should [also] think about something that is really going to do the most work for you.”

If you’re stumped by all of the features to consider, focus on five main factors: ease of use, size and shape, reimbursement, accuracy, and download ability.


See Best Glucose Meters Reviewed





Meters are typically affordable (most are in the range of $10 to $50) and are often discounted or free with coupons. “

The real cost with testing your blood glucose comes with the strips,” says McElwee-Malloy. Test strips retail for anywhere between less than 50 cents and $2 a strip, depending on the technology, and that can get expensive if you check your blood glucose multiple times a day.

The cost of diabetes has never been higher, says endocrinologist Timothy Bailey, MD, FACE, CPI, director of AMCR Institute in Escondido, California, and a clinical associate professor at the University of California–San Diego School of Medicine.

A good way to save? Call your insurance company to find out which meters and strips are preferred (typically listed on the company’s formulary). The cost of “preferred” meters and test strips will be covered at the most benefit to you. You can still get a meter that is not preferred by your insurance, but it and the strips will cost more out of pocket.

Another money-saving tactic to consider: If you use a meter that interacts with an insulin pump—select brands allow for wireless transfer of glucose data from the meter to your pump—you may be able to get that meter covered by your insurance. “That is important to point out to the insurance company as medically necessary, because it works as a unit,” says McElwee-Malloy. A letter from your prescribing health care provider should suffice. Some insurance companies may not cover these meters (even if you have the coordinating pump) or they may be available only with a higher copay.

Lastly, if your insurance works with a mail-order provider, such as Edgepark or Liberty, your copay for test strips will be much less when you order a 90-day supply under your durable medical equipment policy than when you use your retail pharmacy benefits one month at a time, says McElwee-Malloy. Durable medical equipment includes any long-lasting device used in the home for disease or injury management and is covered separately from your pharmacy benefits.


Data Storage



Many meters store your blood glucose readings, and downloading that data can reveal trends that indicate that you need to adjust your diabetes therapy.

Software provided with some meters allows you to produce different reports, such as blood glucose trends by time of day.

Often your health care provider will want to go over this data with you to spot patterns.

Meters can be downloaded using a USB port that plugs into a computer or using Bluetooth technology to wirelessly download the data to your computer. Some meters are even mobile app–friendly and allow you to view the data on your smartphone.

The amount of storage you’ll need depends on how often you check your blood glucose and how often you and your health care provider plan to download and review meter data. For instance, if you check four times daily and your provider wants to see 30 days of results, you’ll need a meter that holds at least 120 glucose values.


Markers and Flags



The ability to mark or flag a reading can help you spot blood glucose trends and enable your care provider to make more informed decisions about how to adjust your treatment plan.

You can flag when a blood glucose test has been done after exercise or a meal. Menstruation is another important event to track, as blood glucose can vary before and/or during that time for some women.






Accuracy in meters is a complicated topic and should be part of a conversation between you and your doctor, says Bailey.

Name brand meters produced by companies that invest in quality and product development are generally considered the most accurate, but experts say some store-brand meters with less-expensive test strips seem to give trustworthy results, too.

The Food and Drug Administration (FDA) sets accuracy guidelines for meters in the United States based on the latest recommendations from the International Organization for Standardization, which creates global product standards.

The current standards require 95 percent of all meter test results to be within 20 percent of the actual blood glucose level for results greater than 75 mg/dl and within 15 mg/dl for values below 75 mg/dl. So a blood glucose that in reality is 100 mg/dl could show on a meter as being between 80 and 120 mg/dl—and still be considered accurate.

In early 2014, the FDA suggested more stringent standards. (That guidance is still under revision.) The new standards may require that 95 percent of measured blood glucose values be within 15 percent of the actual blood glucose level and that 99 percent of meter values be within 20 percent of the actual blood glucose level.

As for results in the hypoglycemic range, under the current guidelines, if your actual blood glucose level is 60 mg/dl, your meter could read between 45 and 75 mg/dl and still meet the standards. The new guidance says the reading would need to be somewhere between 51 and 69 mg/dl to meet accuracy standards.

The FDA guidance also recommends that meter boxes and test strip vials include easy-to-understand accuracy data—both on the outside of the package and on in the insert inside.

The FDA doesn’t regularly monitor blood glucose meters or strips once they hit the market. This means some companies may not maintain the same level of quality and accuracy as when the products were initially approved. Quality control often lies with health care providers and consumers, who contact the FDA to report device failure or harmful events. “If there is a recall in test strips, it’s because the patients have picked up on it,” McElwee-Malloy says. “Someone has been injured for that process to take place.”

Meanwhile, some experts are hoping to improve access to accuracy information for the public, especially for meters and strips already in stores. The only third-party accuracy testing of meters is an annual evaluation that appears in Consumer Reports, but that information is available only to subscribers.

The nonprofit Diabetes Technology Society plans to launch a surveillance program that will test the accuracy of meters currently for sale, but it’s uncertain when testing will begin and which meters will be tested. The hope is that meters that fail the surveillance program will be taken off the market.

Testing Time


The time it takes to test is not a deal breaker: Most meters show a result in less than five seconds. “I volunteer at a free clinic, and even the meter that we use, which is bulky and older, can do it in five seconds,” says McElwee-Malloy.



Meter Size



Meters come in all different shapes and sizes, so it comes down to personal preference. McElwee-Malloy, who has type 1 diabetes, prefers a smaller unit so it doesn’t bulk up her purse. But people with visual impairment may need a larger meter so they can see the buttons and screen more clearly.


See Best Glucose Meters Reviewed


Blood Sample Size



All meters on the market require very small amounts of blood for testing—some as tiny as the head of a pin.

Because such small samples are required, many meters allow for alternate site testing from less-painful spots, such as the palm of the hand or the forearm. But it may be more difficult to get an adequate blood sample from somewhere other than the fingertip.

Keep in mind: It takes about 20 minutes for alternate site measurements to reflect changes in blood glucose, so make treatment decisions based on alternate site readings only when blood glucose levels are steady.





People with visual impairment may prefer a backlight (which illuminates the meter’s screen for easier viewing in low light) or a meter with color in order to help them read.

McElwee-Malloy suggests looking for a meter that is marketed as being high contrast or has the ability to change the contrast, which can help people with decreased vision better distinguish letters and numbers from background colors.



The Abbott FreeStyle Optium Neo Glucometer features:

  • accurate blood glucose and blood ketone testing
  • trend indicators show when the models of glucose in the blood need attention
  • logging insulin helps keep track of the doses of insulin
  • clear, sharp screen is icon driven and easy to read even in bright sunlight
  • no chip or coding required
  • fast 5 second test time
  • small blood sample required 0.6 ml
  • individually foil-wrapped strips protect from air and moisture, and are convenient to store and carry
  • meets ISO 15197: 2013 standard system accuracy
  • download up to 1000 events and print reports or email


High-Tech Features


As technology advances, so do meters, which can make testing and sharing data easier and more convenient.

  • Bluetooth: Some meters have Bluetooth capabilities, which means you can wirelessly transmit data to your smartphone, tablet, or computer.
  • USB Port: Many meters allow you to download data to your computer with a USB cable: Plug one side into your meter and the other into your computer. Some meters plug directly into a computer’s USB port.
  • Bolus Calculator: Roche’s Accu-Chek Aviva Expert, which is available only by prescription, uses a bolus calculator that suggests a dose of mealtime insulin based on your blood glucose reading and your meals.
  • Cellular Capability: These meters use a cellular connection to automatically send data to the cloud, a remote server you can access online. For instance, if a school nurse tests your child’s blood glucose before lunch, you can immediately view test results on a computer or smartphone. McElwee-Malloy says more cellular-capable meters will release in the coming year. It will be an important step for technology in the health care field. “I think this will be a standard of care, so that we can look at the results on the cloud and help patients from afar,” she says. “I think telemedicine is going to go far with something like this.”



Be Proactive


Proactive diabetes management can go a long way toward reducing the risk of long term complications.



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Best Glucose Meters Reviewed




If you have Type 1 or Type 2 diabetes, monitoring your blood glucose levels at home is critically important.

That means you need a glucometer that’s portable, accurate, easy to use, and won’t break the bank with the cost of its test strips.











Current Best Glucometers





Best All-Round Glucometer


Simpler is better — not only for kids and the elderly, experts say, but for anyone with diabetes who uses a glucometer.


Fewer steps mean fewer mistakes, so the best meters are those that make the basic process of testing your blood sure as foolproof as possible: Insert test strip, prick finger, apply blood, read result.


The tiny FreeStyle Lite (Est. $18) glucometer — itself no bigger than a pack of gum — goes one step further by requiring only 0.3 microliters of blood for each sample.


Users love the small sample size, which they say makes the testing process much less painful and intimidating.


They also appreciate that the meter beeps once you’ve added enough blood and that if you don’t get enough blood onto the test strip with your first try, you have up to 60 seconds to add more blood; this cuts down on the number of wasted test strips, one of the biggest costs for any glucometer user.


Even more important than its comfort and user-friendly features, the FreeStyle Lite receives top scores for accuracy and repeatability in clinical trials and from a leading consumer research organization.


There’s no need for manual coding when you open a new set of test strips, which helps cut down on possible errors.


Other features that make the FreeStyle Lite so popular with users include a simple three-button operation, a backlit screen an and illuminated test strip port for discreet testing in the dark, with storage for up to 400 readings with calculated averages.


The FreeStyle Lite also has a data port that lets you download your readings into a Windows or OS X computer using FreeStyle’s Auto-Assist desktop program.


The program compiles several types of reports including meter settings, meal event averages, daily statistics and a snapshot report.


Finally, as tiny as it may be, users have only good things to say about the FreeStyle Lite’s durability; some reviewers have been using the same meter for years with no problem.


What initially look like complaints about the meter often turn out to be unhappiness with just the lancing device. Users don’t like that it requires you to change the lancing needles manually.


The FreeStyle Lite’s Test Strips (about $30 per box of 50) are on the pricey side but Abbott, which manufacturers the FreeStyle Lite, offers a co-pay program that limits your payments to as little as $15 per box of 50 strips if you qualify.




Runner Up


If the FreeStyle Lite’s test strips or the meter itself are too tiny for you, consider the Accu-Chek Aviva Plus, (Est. $16) my runner up in this category.


The Accu-Chek Aviva Plus’s test strips are a little larger than most others, and both strips and meter are so easy to hold and manipulate that the Accu-Chek Aviva Plus was the first glucometer to earn an “Ease of Use” award from the Arthritis Foundation. If you happen to touch the testing surface on the strip, it won’t skew the results and thus waste the test strip.



 The Accu-Chek Aviva Plus also has a solid reputation for accuracy, with a slew of clinical trials and an “Excellent” accuracy score from a leading consumer research group to back it up, although its repeatability score is a notch below that of the FreeStyle Lite.


The Accu-Chek Aviva Plus requires a reasonable 0.6 microliter blood sample — about twice that of the FreeStyle Lite — and returns results in about the same amount of time (5 seconds).


Other notable features include a 500-reading memory function with calculated averages, before- and after-meal markers, and four customizable alerts. Earlier versions of the Accu-Chek Aviva required you to enter a code every time you opened a new vial of test strips, but the latest version does not require coding.


The Aviva Plus comes with an infrared data transfer port for transferring your data to a computer, but most people will have to purchase the appropriate infrared cable (which is strictly optional). If you do spring for the infrared port, you can manage, track, analyze and share your downloaded readings with Accu-Chek’s Diabetes Management System  (PC only).


Note that the testing strips for the Accu-Chek Aviva Plus are more expensive than those for the FreeStyle Lite, starting at about $46 for a package of 50. However, Roche Diagnostics — the company behind Accu-Chek — also offers a savings program to make their test strips more accessible to consumers.




Best Cheap Blood Glucose Meter

The inexpensive Bayer Contour Next EZ excelled in a clinical trial and packs features that are very rare in this price range, including programmable reminders and the ability to add notes or meal tags to readings.
Users especially love that you can apply blood to the Contour Next test strips from almost any angle, and if you don’t provide the full 0.6 microliter sample on the first try, you have up to 60 seconds to add more blood to the strip.



The Value Pack Starter Kit (photo above – $34) includes:


  • Contour Next EZ Meter
  • Contour Next Test Strips, 100 test strips
  • 100 Slight Touch 30g Lancets
  • Lancing Device with 5 adjustable depths
  • Alcohol Pads
  • Bayer Clinilog logbook
  • Contour Next Control Solution
  • Carrying Case
  • Manual


The Contour EZ glucose meter is one of newest blood monitoring devices offered by Bayer Corporation.


Key advantages


  • Auto Coding: This meter is auto coding. Most meters are today, but nonetheless, it is worth noting.


  • Personable Hi/Low Settings: You can set upper and lower limits that you want the meter to let you know if you exceed them. Of course, you can keep track of this yourself, but it is nice to just program it into the meter.


  • 5 Second Testing Results: Very quick results.


  • Test Strips: The test strips are new and perform up to 7 repeat checks for every test. The thought is that they provide greater accuracy than other strips. I have written extensively on glucose meter accuracy on this site, however, I have also included a link to the FDA’s 510(k) report on the meter’s accuracy.


  • High Altitude: The meter remains accurate up to 20,674 feet. Many meters tap out at approximately 10,000 feet. However, still realize that the meter has to be at least 41 degrees Fahrenheit o work properly. So, don’t think you can just whip it out at the top of a mountain during a ski trip and expect it to work perfectly!




  • No AST: This meter cannot do any alternative site testing. This is a real draw back for people who do a lot of testing. Fingertips get sore fast.


  • Display: The display is the standard utilitarian black and white. Nowadays, people are really getting used to easy to read color displays. This “new” meter does not follow this trend.



Test Strips


The biggest change for this meter is the new test strips. They are called the Contour Next Test Strips. The claim to fame is that the strip evaluates a blood sample 7 times to deliver more accurate results.

Other Considerations


The Contour Next EZ can be used with Bayer’s GlucoFacts Deluxe. You can download your data to your computer and track your results with various graphs, etc. Glucofacts is a good software program and is one of the few that are MAC compatible.



Best Talking Blood Glucose Meter


The Prodigy Voice continues its dominion over other talking glucose meters for very good reason: It’s the only model we’ve seen that can talk you through every single aspect of its use, from setup to calibration, testing and accessing the memory function.



If you only need the meter to speak English, then this meter is arguably your best choice of all currently available talking meters.

 It is the only talking meter to receive two Access Plus awards (National Federation of the Blind and American Foundation of the Blind).
The meter speaks all functions and has a repeat button that repeats the last statement, if needed.
The three high-contrast, touch-friendly buttons are located on the front of the device (no fishing around in the battery compartment), and a playback button allows you to repeat the last message or reading spoken by the Prodigy Voice meter. 




  • No Coding
  • Designed for Blind and Low Vision
  • Audible Set-Up
  • Accurate Results in 7 Seconds
  • Alternate Site Testing
  • NEW! USB Port for easy downloading
For Prodigy’s data software, you have to download a 600mb file for Microsoft compatible computers. This reviewer only has Apple computers, so I was not able to download the file.

The Prodigy Voice retails for about $45 and has excellent reviews.




Important Notes About Glucometers and These Reviews



  • Accuracy matters most in a glucometer.
  • If you’ve been diagnosed with diabetes, checking your blood sugar levels is key to managing the disease and maintaining your health.
  • Even if you don’t have diabetes, your doctor may ask you to check your blood sugar periodically if you have a history of the disease or have borderline high numbers.
  • There are other reasons for checking your blood sugar, too; for example, glucometers are popular with those who are following special diets — sugar detoxes, low-carb and ketogenic diets in particular.


Accuracy and consistency (also called repeatability) are the top features to look for in a glucometer. These should take priority over the fancy bells and whistles you can find on some modern blood glucose meters.


For diabetics, getting the readings right — or at least within a reasonable range — can be a matter of life and death, or at least the ability to consistently feel good.


I look beyond FDA and ISO compliance.


Just because a home blood glucose meter meets the current federal standards doesn’t mean it’s the best; as of February 2016, those standards allow the devices to be wrong by as much as 20 percent.


To make my choices, I looked at what independent testing organization and clinical trials have revealed about these glucose monitors’ accuracy and dependability, plus user feedback about how well they perform in the real world.


(The Food and Drug Administration has, for several years, been pushing for stronger international standards for glucose meters. FDA officials say they may switch to higher federal standards on their own if necessary, but it hasn’t happened yet. Some clinical trials, however, have begun evaluating glucometers against ISO standard 15197:2013, which requires greater, more consistent accuracy than the 2003 standard previously used for clinical trials. We will continually update the FDA’s progress in subsequent reports.)


Glucometer technology has come a long way in recent years and continues to improve, with smart phone compatibility, more storage options and even less blood necessary for a reading.


Regardless of technology, ease of use is an important consideration. Experts say this is not just for your convenience. The more complicated the process gets, the greater the chance that you’ll get errors. Even with the simplest of meters, though, you’ll still want to pay careful attention to the manufacturer’s directions to ensure the most accurate results.


If you’re sight-impaired — a common complication of diabetes — a talking glucose meter can literally talk you through the entire process. A good talking meter lets those with limited sight do everything — from setup to testing and recording your results — without assistance.


The cost of the meter doesn’t always represent the lon


Even if your insurance company covers the cost of diabetic supplies, be aware that it may only cover a limited selection of brands — so check your coverage before you buy.


If you don’t have insurance, you can often get a free meter and a sample batch of test strips from your doctor or even directly from the meter manufacturer.


Watch out for the cost of test strips, though — they are the greatest overall expense in your diabetic testing kit.


The test strips that accompany the monitors in this report range from $8 to $50 or more per box of 50. If you test your blood sugar four times a day, that supply will last you a little less than two weeks. With more expensive brands, the cost of test strips can easily clear $1,500 per year.


The good news is that some of the manufacturers with more expensive test strips offer co-pay programs to help bring the cost per 50 strip box of test strips. These include Abbott Diabetes Care and Roche Diagnostics, which manufacture two of the highest-performing meters in this report.


Some drugs and glucose meters can be a deadly combination. Certain drugs can cause errors with glucose meters that use a specific type of test-strip technology (known as GDH-PQQ), resulting in dangerous — potentially fatal — false readings. The FDA has issued an alert, and you should always consult with your care provider if you have any questions or concerns.


How I found the best glucometers

There are a good number of expert evaluations as well as clinical trials of home blood glucose monitors. These usually measure accuracy, ease of use and convenience. At retail sites like and, users of glucose meters — sometimes hundreds — weigh in with helpful real-world information about using these monitors.


Recommended: Reverse Diabetes Today – The Diabetes-Reversing Breakthrough


Through my research for this article, I ordered Reverse Diabetes Today , and found it to be currently the most scientific, clinically-proven program for reversing diabetes. 

This program covers all aspects of diabetes treatment, giving you a complete protocol that delivers proven results, and I know you will find it to be a valuable tool for escaping the downward spiral of diabetes-related complications.

Please share your experience with blood glucose meters; I’d love to hear what you’ve used and how well it worked for you.







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Healthiest Supplement Drinks for Seniors and Diabetics

Healthiest Supplement Drinks for Seniors and Diabetics



The Benefits of Liquid Supplement Drinks In Your Parent’s Diet


As our parents age, one of the worries we have to contend with is whether or not they are receiving adequate nutrition from their daily diets. Nutritional drinks may help fill nutrition gaps in your diet.


The simple fact is that, as we age, our nutritional needs change. However, most of our diets never make the transition necessary to accommodate our changing nutritional requirements.


See my full reviews below



Undernutrition in the Elderly


According to one study published in the American Journal of Clinical Nutrition, “Undernutrition is a risk factor for increased mortality in older adults,” making it a problem that can’t be ignored.


Undernutrition in the elderly is driven by these primary factors:


  • Physical difficulties chewing and swallowing many foods
  • Cognitive difficulties with remembering how to prepare nutritious meals or with remembering to eat at all
  • Fatigue and a lack of motivation or desire to prepare meals
  • Changing nutritional needs due to age-related physical changes in the body


Seniors require a nutrient-dense diet — one rich in protein, vitamins D, B12 and calcium.


For those unable to meet their nutrient needs, dietary supplements, in the form of fortified beverages are an option. These protein-rich drinks come in many flavors and varieties to suit specific health needs; however, real, whole foods should always be the first option.


How can liquid nutritional supplement drinks help?


Each of the factors that can lead to undernutrition is addressed by adding a liquid nutritional supplement to your parent’s daily diet.


These drinks require no preparation, are easily swallowed and tolerated by the elderly and satisfy the need for added nutrition without empty calories and with the appropriate amount of dietary fat, salt, sugar and cholesterol.


There is a wide variety of Drinks to help your elderly parent maintain optimal health; various formulas are designed for different nutritional needs including individuals who are diabetic, need to improve bone health, are battling cancer, or are either pre or post-surgery – issues which many of us will face as we deal with the declining health of our parents.


I recommend products formulated for diabetics as the healthiest option for non-diabetics as well, since they build on the use of complex carbohydrates to give better blood glucose control – a key factor in avoiding Type 2 diabetes.


Note that these recommendations are very nutritious, but some of them are not particularly high in calories. If your senior is  eating very little, choose a high calorie shake, provide a larger serving of the drink, or add some full-fat plain yogurt or whipping cream to these drinks to add calories without additional sugar.

Here are the Healthiest Meal Replacement Nutrition Shakes for Your Elderly Parent:


Glucerna SR, Vanilla, 8 ounces


  • 200 calories
  • 10 g protein
  • 27 g total carbs
  • 7 g fat (0.5 saturated)
  • 6 g sugar


Glucerna is gluten-free and a good choice if you’re lactose intolerant.


These protein shakes, which are designed for people with diabetes, come in four flavors: Rich Chocolate, Homemade Vanilla, Creamy Strawberry, and Classic Butter Pecan, with the chocolate and vanilla also available in snack-size portions . Overall, they are a good choice. Their carb content of 27 grams places the shakes in the range of a moderate-sized snack or small meal.



Boost Glucose Control, 8 oz.


  • 190 calories
  • 16 g protein
  • 15 g total carbs
  • 7 g fat (1 saturated)
  • 4 g sugar


Boost Glucose Control is a meal replacement drink made specifically for people on a type 2 diabetes management plan. Plus it’s lactose-free and gluten-free, making it a good choice for people with these dietary concerns.


“This nutrition profile is one of the better options available to individuals trying to find a diabetic-friendly shake,” says Laura Cipullo, RD, CDE of Laura Cipullo Whole Nutrition Services in New York City.



Almased, 8 tablespoon serving


  • 180 calories
  • 27 g protein
  • 15 g total carbs
  • 1 g fat (0.5 saturated)
  • 12 g sugar


Almased is a meal replacement drink mix made from soy protein, honey enzymes, and skim milk yogurt powder.


Because it’s a powder, if you mix it with any liquid other than water, you’ll need to factor in those nutrients. “This shake has a higher amount of sugars, but the total carbohydrate is reasonable,” Ramsetty says.


The soy and yogurt give it one of the highest protein contents among shakes for diabetes. “If you do not have kidney disease and are looking for soy replacements, this would be an option to try,” she adds.


It’s also likely to be more satisfying because of its high protein content. “This is likely to keep you full longer than other meal replacements while helping achieve better blood glucose control, Cipullo says — a plus for type 2 diabetes management.


The Almased drink mix is a good choice if you are looking to add extra calories; just mix the powder with milk instead of water.



EAS AdvantEDGE Carb Control Ready-to-Drink Chocolate Fudge, 11 oz.


EAS AdvantEdge Carb Control Ready-to-drink Shake, Chocolate Fudge, 11 oz., 18 Count
  • 110 calories
  • 17 g protein
  • 4 g total carbs
  • 3 g fat (0.5 saturated)
  • 0 g sugar


Besides Chocolate Fudge, Rich Dark Chocolate and French Vanilla, these protein shakes for people with diabetes also come in Strawberry Cream and Café Caramel.


Extend Nutrition Shake Mix, Vanilla, 1 packet
  • 110 calories
  • 15 g protein
  • 12 g total carbs
  • 1.5 g fat (0 saturated)
  • 1 g sugar


Extend Nutrition Shakes were developed by Francine Kaufman, MD, former president of the American Diabetes Association. These protein shakes for people with diabetes are formulated with a combination of fats, proteins, and carbohydrates that metabolize slowly and help control blood sugar for up to 9 hours — good for type 2 diabetes management.


Extend Nutrition Shakes come in strawberry, chocolate, and vanilla flavors; you add water to the powder packet. Again, if you are looking for more calories, mix the powder with milk instead.



Atkins Advantage Vanilla Shake, 11 oz

  • 60 calories
  • 15 g protein
  • 2 g total carbs
  • 9 g fat (3 g saturated)
  • 1 g sugar


Atkins Advantage shakes, from the creators of the Atkins Diet, are marketed as snack or light meal replacements. Flavors include Café Caramel, Dark Chocolate Royale, Milk Chocolate Delight, Mocha Latte, and Strawberry.



Pure Protein Frosty Chocolate, 11 oz.

  • Provides you with 35 grams of protein per can.
  • 4 grams of carbs.
  • An excellent source of Calcium.
  • Delicious Chocolate flavor
The Pure Protein Shake is the #1 best seller in the category of sports nutrition ready-to-drink protein, and an excellent choice for supplementing protein.  Reviewers also claim it is one of the tastiest high protein shakes available.

MET-Rx RTD 51 Frosty Chocolate




The MET-Rx High Protein Ready-to-Drink Shake has more of everything, particularly protein and calories.  If you are looking for a very high protein meal replacement, this shake is an excellent choice.

The MET-Rx has a whopping 51 grams of protein and 250 calories in a 15 oz serving. You’re also getting a substantial amount of vitamins, minerals, and 3 grams of fiber.

If your loved one is skipping meals, this shake is an excellent choice.


The bottom line on liquid nutrition for the elderly


The majority of scientific studies indicate that adding a low-volume nutritional supplement drink can significantly improve the health of elderly individuals.  These studies have researched the effects of using liquid nutritional supplements as a dietary aid for elderly individuals who reside in hospitals, nursing homes and those who continue to reside at home or in an assisted-living environment.


The conclusion of these studies is that, regardless of the setting, significant nutritional benefits can be realized by incorporating a daily liquid nutritional supplement drink into your loved one’s diet. And, they not only improve overall general health, they help increase energy, cognition and even mood.


This is good news because finding a high quality, tasty supplement drink is a simple matter.  If this is your first time offering shakes, pick up a few different brands to see which one is a favorite.  Remember to look for diabetic or low carb shakes to avoid unnecessary sugar.



  • Undernutrition is a risk factor for increased mortality and poor overall health for older adults.
  • Undernutrition in the elderly may be caused by difficulty chewing and swallowing, not remembering how to prepare nutritious meals or forgetting to eat, and/or age-related changes in the body.
  • Adding a low-volume liquid nutritional supplement drink to your parent’s diet can significantly improve health.




Thanks for visiting and reading …

I hope this article provided you some helpful ideas.  I welcome your comments below.  Let me know what you think about the shakes mentioned, or others you may have tried.  I’d love to hear which supplement drink you think is best.





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Adjustable Beds – Benefits and Review

The Medical Benefits of Adjustable Beds






There’s a reason adjustable beds are associated with hospitals. Simple changes to the way you sleep can have a profound effect on your health.


Adjustable beds allow you to get a more restful sleep and, when properly positioned, can alleviate many aches and pains and medical issues, including:


  • Lower back pain and sciatica: Adjusting the bed up or down redistributes the pressure across your body, which can help alleviate lower back pain and sciatica nerve pain. Additionally, you can actually stretch your back from bed, by positioning it upright and slowly lowering it down.


  • Heartburn & Acid Reflux: Elevating the head while sleeping helps the stomach retain acids that might otherwise travel up the esophagus and cause heartburn.


  • Diabetes: While an adjustable bed cannot cure diabetes, it can provide relief from some of the side effects of this disease. For example, diabetes can cause poor circulation, particularly in the legs. Elevating the legs during sleep can alleviate this condition.


  • Asthma: Sleeping in a slightly upright position takes stress off of the lungs, which can help those who suffer from asthma, COPD or sleep apnea.


  • Arthritis: Painful rheumatoid arthritis can be comforted by regular therapeutic massage. Many adjustable beds are equipped with massage functions that provide relief when you need it.



The Lifestyle Benefits of

Adjustable Beds



Health benefits aside, adjustable beds are now associated with luxury.

While they appear like a standard bed (and can be paired with frames and linens to suit your style), they offer so much more.


  • Reduce or eliminate snoring: Your sleeping partner will thank you. Raising the head of the bed seven degrees can eliminate snoring by supporting your spine and respiratory system.


  • Read, eat, and watch television: Stacking pillows behind your back is a short-term fix when you want to read or watch television in bed, as they constantly have to be fluffed and readjusted for comfort. An adjustable bed allows you to sit upright and offers more spinal support and comfort than pillows.


  • Massage: The benefits of regular massage are countless. It reduces stress, lowers blood pressure, and relieves tension headaches and eyestrain among many other advantages. With some adjustable beds, you can gain these benefits with a nightly massage that will also prepare you for a more restful night’s sleep. (Also see my TOP 10 Massage Chairs Reviews)


  • Zero Gravity: You’ll have to try this feature in-store to fully appreciate it, but most adjustable beds now have a “zero-gravity position” that makes it feel as though you’re sleeping on air.


  • Couples Comfort: You want to stay up late into the night, finishing off your latest mystery novel. Your sleeping partner has an early meeting and needs to get some shut-eye. Some adjustable beds let you both have your way with each side operating independently.




How to Buy an

Adjustable Lifestyle Power Base



An adjustable bed is an investment that can change your life. When you sleep better, you feel better and perform better.


There are just a few things to keep in mind as you prepare to upgrade to an Adjustable Lifestyle Power Base.



  • Choose Your Mattress First
    Adjustable bases pair with a variety of mattresses, including memory foam, latex, and even some traditional coil mattresses. Be sure to find the mattress that will best suit your body type and sleeping style prior to choosing an adjustable base.


  • Test the Bed
    It is important to test the adjustable base before making a purchase. Each model offers different capabilities. Talk with a salesperson to find the right one to suit your needs. You’ll also want to make sure the base does not emit any squeaking or other noises during movement.


  • Purchase from a Reputable Company
    The more bells and whistles a product has, the more that can break. Do your research and make sure the base you are considering is made from heavy steel and the rollers from an indestructible material such as metal or nylon.


  • Read the Warranty
    Make sure you understand the product warranty before purchasing an adjustable base. The warranty should be comprehensive and offer technical support for at least one year. Don’t assume the warranty covers everything. An adjustable bed has a lot of moving parts—they may not all be covered under the warranty. Ask your salesperson to spell it out.






A Review of the

Leggett & Platt Prodigy Adjustable Bed Base


Prodigy 2.0 Adjustable Split King Bed Set Sleep System Leggett & Platt, With Luxury 12-Inch GEL Memory Foam Mattress (manufactured by gelfoambed)


The Prodigy adjustable bed completely redefines and modernizes the bedroom for an interactive, customizable comfort solution optimizing smart sleep and bedroom activity from a bed that knows exactly what you want.


This is not your grandparent’s adjustable bed. But it is the hottest bed – adjustable or not – on the market.


The first bed to break through ordinary technology, Prodigy adjustable beds delivers features that consumers really want. Truly a 21st century adjustable bed, The Prodigy adjustable bed is iPhone compatible and has many features the modern user will enjoy. The Prodigy’s Whisper Quiet DC motor accommodates up to 600 lbs and features a Lifetime Limited Warranty.


The Prodigy adjustable bed from Leggett & Platt is an intricate combo of intelligence and beauty and the wealth of features are discussed here…


If you are still in the initial research phase, and would like to learn about the best adjustable beds, take a look at this comparison of the Prodigy vs several other Leggett & Platt adjustable bed models.  You can also see a wide variety of adjustable beds made by different manufacturers here at Amazon.



Immerse yourself in intensely gratifying pleasure as you lay on your Leggett and Platt Prodigy bed whose full-body massage will become your new guilty pleasure.


You’re not just going to be getting your muscles pampered and intensively soothed with massaging wave technology, but you will also be giving yourself a wholesome treat… Your head section and leg areas are the most vulnerable to exhaustion. It therefore comes as a welcome functionality from your adjustable Prodigy with a dual-action massage for full body relief that targets your upper head and body area, as well as the lower leg and foot areas.


Different adjustable positions of the Prodigy adjustable bed


Should you come across other Leggett & Platt adjustable beds do remember that only the S-Cape bed, Prodigy bed, and Premier series have the full-body massage feature which is conspicuously missing in the ShipShape adjustable bed whereas the Premier adjustable bed includes an additional pulsing massage action that’s not featured in any of the other 3 lines. That’s why the Premier series is regarded as one of the best adjustable beds in the market.


Mechanically, the 4 legs of the Prodigy adjustable base stand in dual-lock casters that make rolling and moving the bed seamless and easy so you don’t have to choke your lungs out.

One of the key features of the Prodigy bed is its superior motor function for adjusting positions of the bed. With this motion control, the Prodigy is capable of lifting up to 600 pounds on its form (a bigger lifting capacity than the ShipShape’s 450 pounds = 204 kilograms).

Further, the Prodigy adjustable bed lifts quietly thanks to its Whisper Quiet HD ™ motor for high performance.

Feel free to flex your adjustable bed through any number of multiple positions from flat-level up to 60 degrees for the upper head section and up to 45 degrees for the lower leg section.

By default, the Prodigy bed ships with in-built settings for bed positions and you could easily give these a try before further customizing your tailor-made positions. The standard “Flat” position is included in the factory settings and it doubles as a safety feature which could quickly be activated with the touch of the dedicated “Flat” button on the remote control.

Bed adjustments are not limited to the lying vertical orientation. You can also conveniently adjust the height level of the bed by either raising it a little more off the ground, or by lowering it closer to the ground.



BUYER’S TIP: How can you keep the adjustable bed motors fully functional and well-maintained?

Just make sure you do not exceed the lifting capacity by loading the bed with more than 600 pounds when adjusting the bed’s positions as you risk damaging the operating motor. In the case of the Leggett & Platt Premier series, you’ll have an extra 100 pounds of lifting capacity on your adjustable bed.



The Prodigy bed uses lifting motors to lift the bed base but these motors are not designed for continuous usage. The manufacturer’s recommended use described for reliable motor function and full life expectancy is that the lift motors do not be used for more than 4 minutes within a span of 40 minutes – given as a duty cycle of about 10 percent.

Should you prefer, you could also opt for the other available sizes in leg casters which offer additional lengths for your custom needs, with the option of 3 inch and 7 inch casters that come separately.

The Prodigy bed employs signature Wallhugger® technology which basically ensures that the balance between your bed’s adjusted position and the distance between the bed and wall are kept optimal. So whenever you adjust your bed, it automatically readjusts its placement in your night stand so that there’s no gap between your adjustable base and the wall.

With Leggett & Platt’s Whisper Quiet technology, you can noiselessly shift and adjust positions of your bed even in the middle of the night without causing a rattle.

This is especially important for families with little ones, where the baby shares the room where the adjustable bed is placed. It would be counterproductive to be able to adjust your bed for a better sleep, only to end up waking the baby for no sleep that night! This is the risk with the ShipShape bed and S-Cape adjustable beds which, although not noisy to adjust thanks to their quiet motors, do not feature Whisper Quiet technology. And it’s not just the baby in the room that stands to benefit from not being woken up when adjusting your adjustable Prodigy bed…this includes the partner sharing the bed right next to you – that’s just how sophisticated and noiseless this technology is! Comparable to this technology is the notable Silent Drive ™ technology which is featured in the Serta Motion range of adjustable beds.

Of course the remote control further makes this a deal worth considering…




The Remote Control




The Prodigy bed comes coupled with a wireless two-way remote control whose LCD screen panel and LED backlighting ensure that you can make any bed adjustments with least effort and no trouble even when it’s pitch dark.





You will probably most enjoy this remote control feature if you’re upgrading from a ShipShape bed to a Prodigy bed since going from using a wired remote controller to a wireless one, two-way, with an LCD display is convenience stepped up. The chugging wiring for the ShipShape remote control can be a nuisance and even risk tripping over as you maneuver about your resting space. You would simply use the Remote Locator feature of the Prodigy bed to quickly trace the remote controller when you’ve misplaced it.

Perhaps one of the most valuable functionalities of the Prodigy remote controller is its programmability and built-in patented wake-up integrated alarm clock.

The integrated clock doubles as a wake-up timer and alarm clock utility. How nice would it be, if you could replace your conveniently irritating alarm clock with a massage alarm which basically sets off the alarm by giving you a gentle massage (with some nice audio to boot) in the name of waking you up!

Programming your favorite positions on the Prodigy adjustable bed is a simple process you can do via the two-way remote. You’re allowed up to 4 programmable bed positions so you can set a favorite posture for working on your laptop in bed, watching television in bed, and your optimal sleeping positions – the freedom of comfort is all yours!

You should use the Prodigy bed remote with four AAA batteries and be sure to check if a battery replacement is necessary when you notice that the remote control is no longer illuminating.


How big is the Leggett & Platt Prodigy adjustable bed?


Leggett & Platt’s Prodigy base decently measures 82 inches long by 62 inches wide by 9 inches height (with the specific assembled length, weight and height measuring in at 80 inches by 60 inches by 7.63 inches).

This adjustable base can comfortably fit the big king size mattress, a smaller queen size mattress or the standard full size mattress.

You are not limited with the bed fitting capacity for any of the standard mattress sizes in the market for use with the Prodigy bed base which caters for the following ranges: Twin mattress, XL Twin mattress, Full mattress, XL Full mattress, Queen mattress, Split Queen mattress, Split King mattress and the Split California King mattress.



Some more features of the Prodigy adjustable base

This ‘smart’ adjustable bed is donned in stylish yet minimalistic grey patterned fabric that makes for universal upholstery… Which means that the clever use of neutral color, and blended pattern enables you to add the furnishing to your room without interfering with the rest of the décor as it matches well in any background.

Who would’ve thought that your bed can automatically intervene when you snore at night? Well, the Prodigy adjustable bed features a Snore Control feature that’s highlighted in the remote control.

With the simple touch of the Snore button, the bed automatically adjusts to the preset optimal button 3 position where the head section is raised 7 degrees and remains in that position for 30 minutes, before the base goes back to preset position 1 thereafter as a trick that should keep the snoring at bay.

The tiered product warranty of the Prodigy adjustable bed is worth noting as you have 3 warranty provisions available for a limited 1 year period, 3 year limited warranty and an extended 20 year limited warranty that comprehensively covers your Leggett & Platt acquisition.


Summing up, I recommend the Prodigy adjustable bed for an interactive, customizable comfort solution optimizing smart sleep and bedroom activity from a bed that knows exactly what you want. 

The Prodigy’s Whisper Quiet DC motor accommodates up to 600 lbs and features a Lifetime Limited Warranty.



The Prodigy adjustable bed is iPhone compatible and has many features the modern user will enjoy.


You may also find the following video on the Leggett & Platt Prodigy helpful: in this video , you’ll learn all about the Leggett and Platt Prodigy adjustable bed base with wireless remote and massage.






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