Pre Diabetes Treatment

Pre Diabetes Treatment questions and answers

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Q: Is there a homeopathic treatment for pre-diabetes?
I am within 10 units of being diabetic on my last blood test. I am not sure what units were used because I do not have my blood test results in front of me.

A: Take it from evidence based medicine...The absolute #1, proven, established, and sure thing way to cure type II diabetes (what it sounds like you're up against) is weight loss and a good diet. I know thats not fun but its killing folks.

Q: What do I need to know if I have pre-diabetes and what is the treatment for pre-diabetes?


A: The treatment for most borderline diabetics is diet control, watch your carb and sugar intake. Some doctors recommend you charting your sugar levels. Which means you will need a glucometer (bought at any local pharmacy).

Q: Is Diabetes a pre-existing condition for medical insurance?
I was recently diagnosed with diabetes and would like to know if I were to change medical insurance if it would be considered a pre-existing condition for which I would be denied coverage for medical treatment related to diabetes. I appreciate any advise/feedback.

A: This is actually a legal question that may vary from state to state but you placed it in the correct category.... If when applying for health insurance you are not asked about any pre-existing conditions, you are under no legal obligation to provide any. As I said this is a legal question, the insurance commissioner (and this would include health insurance) in your particular state would be the agency that you would need to contact. As of today there are four states that don't require health insurance companies to provide medical supplies for diabetics, the extent of treatment for diabetics would be addressed in the laws of your state and the policies of the insurance company.

Q: Pre-existing condition / Diabetes for Group Health/Dental Insurance?
The last time I saw my doctor for my Type 2 diabetes in the U.S. was in August, 2003. I went overseas soon after that and didn’t come back until recently (I didn’t have coverage during this whole time). I just got a job which offers group health insurance, does my diabetes counts as pre-existing condition. (I’m choosing a BCBS PPO plan), and can they impose exclusion period? I live in Pennsylvania, and according to my research, Group health plans in PA can count as pre-existing conditions only those for which you actually received (or were recommended to receive) a diagnosis, treatment or medical advice within the 6 months immediately before you joined that plan. So it appears to be that I should have no problem if I go to see my doctor for my diabetes right after my policy become effective on Jan. 1st, 2008, right? I want to make sure. Similarly, I had dental surgery for gum problems in 2002, will my group dental plan look back 6 month only? Thanks for your answer

A: If you have diabetes you've had "treatment" for the past 6 months, even if it was just diet to control your blood sugar. So yes, the insurance company will consider that a pre-existing condition. Also, if you have any type of health condition, even if you haven't had any treatment, it is still considered a pre-existing condition. However, it also depends upon the BCBS group plan. Group plans can be tailored in any way (unless it's contrary to state law) so the only way to know is to contact the insurance company or your company HR department.

Q: I need help finding a health insurance company?
I am graduating, so my parents insurance dropped me and I need to find a new company. I wanted Blue Cross Blue Shield, but I have diabetes, and they said I would have to wait 365 days before they would cover treatment for my diabetes, or any other pre-existing condition. I need to find a good insurance company that won't delay treatment on my pre-existing condition. Does anyone have any suggestions?

A: Oh my!! I understand completely about pre-existing conditions!! I will research insurance companies for you. Please send me a reminder email. easyhomebiz@alltel.net. Thanks!!

Q: what do you think about Possible link between insulin glargine and cancer ?I as a type 1 diabetes amvery worry?
Possible link between insulin glargine and cancer prompts urgent call for more research Press release issued 26 June 2009 But experts stress patients should not stop using insulin and consult their doctor if concerned. The European Association for the Study of Diabetes (EASD) today makes an urgent call for more research into a possible link between use of insulin glargine (an insulin analogue) and increased risk of cancer, following evidence from studies in Germany, Sweden and Scotland. However, until this further research becomes available, these experts are stressing that patients with diabetes taking Lantus should continue to do so, although some might wish to consider alternative types of insulin. The studies are reported in Diabetologia (the journal of EASD), edited by Professor Edwin Gale of the University of Bristol. Worldwide, there are over 200 million people with diabetes. About 10 per cent of these develop diabetes in early life, and most of them have what is known as type 1 diabetes. People with type 1 diabetes have an absolute reliance upon insulin treatment for their continued health and well-being. Type 2 diabetes, which affects the remaining 90 per cent, typically develops later in life and may be associated with excess weight. People with type 2 diabetes are able to make some of their own insulin, which means that they can usually be treated with diet and tablets in its early stages. At a later stage, however, many patients with type 2 diabetes lose the ability to produce their own insulin, and will then need insulin injections to maintain their health. Human insulin has been widely used for decades and its safety is beyond doubt; this new information relates to an artificial form of insulin, or insulin analogue, called insulin glargine (or Lantus insulin) which has been widely used since 2000. The concerns about a possible link between use of Lantus insulin and increased cancer risk were raised by a German study of around 127,000 insulin-treated patients in an insurance database. The research identified a statistically significant link between patients who had used Lantus insulin and those who had been diagnosed with cancer. Compared with people using similar doses of human insulin, out of every 100 people who used Lantus insulin over an average of about one-and-a-half years, one additional person was diagnosed with cancer. Of particular note in this study was the finding that the increased risk of cancer was dose-dependent. Thus for patients given a dose of 10U, Lantus insulin alone increased the risk of cancer by 9 per cent compared with human insulin; but for a dose of 50U, the increased risk was 31 per cent. The study did not consider insulin detemir (Levemir), an insulin analogue whose action is prolonged by a different principle from Lantus. Professor Edwin Gale, Editor of Diabetologia, and Professor Ulf Smith, President of EASD, realised the significance of these findings but wanted them replicated in other studies from other European countries before announcing them formally. Studies were thus carried out using databases from Sweden, Scotland, and the UK. The Swedish study found that compared with patients on insulins other than Lantus insulin, patients on lantus insulin alone had double the risk of breast cancer. The Scottish study found a non-significant increased risk for breast cancer specifically. The UK study found no link between insulin glargine and cancer. Professor Gale and Professor Smith emphasise the limitations to the studies. The main one is that, although the data were adjusted for a number of variables, the characteristics of the groups of patients taking lantus insulin alone (generally older, higher blood pressure, more overweight) were different to those on other forms of insulin. Thus any difference in cancer risk could be attributed to the pre-treatment characteristics of the groups, rather than the treatment itself. Also, the numbers of cases of breast cancer in the Swedish and Scottish studies were very small, meaning the findings could have occurred due to chance. They state categorically that Lantus and other insulins do not cause cancer, but these studies expose the possibility that Lantus insulin could cause existing cancer cells to grow and divide more rapidly - which might explain why more cancers came to be diagnosed over 1-3 years of observation. They say: “We believe people are entitled to know that use of Lantus insulin might be associated with greater risk, but this must also be balanced against the possibility that we might be causing unnecessary alarm by raising these concerns.” To establish whether these concerns are warranted or can be set aside, EASD have communicated their findings to EMEA, the European regulatory authorities, and are in contact with sanofi-aventis, the manufacturers of Lantus insulin. While a prospective clinical trial would be the most scientifically sound manner to proceed, Professors Gale and Smith say such a I THINK i receive good answers which convinced me not be worry. I really consider Lantus as a mirclous insulin which control my blood sugar in the best way. I also appreciate esteemrd companyAVENTIS for supplying such valuable and useful insulin.I APOLOGIZE IF I may cause any concern about this magnific and very good isulin.

A: Here is a quote from the FDA: "Inconsistencies in findings within and across individual studies raise concerns as to whether an association between the use of (Lantus) and cancer truly exists." The conclusion of the original article on the New York Times, and the conclusion of the Food and Drug Administration, is that the risk of cancer from Lantus (Insulin Glargine) is statistically insignificant. In other words, the incidence of cancer from Lantus are equal to or less than the incidence of cancer from CHANCE. Most doctors also question the methods used in the studies, indicating that the "scientific method" used was not sufficient to rule out OTHER possible causes of cancer, such as age, obesity, or smoking. The fact is, of the patients that got cancer in these studies, most of them were ALSO old and overweight, and many did or do smoke. At this point, the great majority of doctors and scientists agree: The BENEFITS of Lantus (better control of the blood sugar) far outweigh the extremely small risk of cancer. In other words, YOU are far better off to continue using Lantus and face a VERY SMALL risk of cancer , than you are to stop using Lantus and risk a VERY GREAT chance of diabetic complications such as heart attack, stroke, blindness, kidney failure, amputations, or even death.

Q: Can stem cells obtained from my own blood helps to prevent diabetes ?
.. I am pre-diabetic, my recent analysis show glucose levels above 100 but still below 120, thoung I am under treatment with Metformine since 6 months. What do you think ? shoud I continue taking Metformine 750 or going into stem cells ? My father was diabetic. Please advise

A: As you are a type 2 diabetic you may find that stem cell treatment (if it was available and tested properly and a viable treatment) that it is better at treating type 1 as in this type of diabetes that produce little or no insulin due to damage to the pancreas. Most type 2 diabetics produce insulin but it is not used effectively so the result is higher blood glucose levels in this case using stem cells to try to 'repair' the pancreas would not help, So no I am sorry I think you need to keep on with the metformin

Q: Type 1 diabetes: Tired of being tired?
I'm a 31-year-old male and was diagnosed with Type 1 diabetes when I was 15 years old. Aside from trace amounts of protein in my urine several years ago, which subsequently went away through pre-emptive treatment of ACE inhibitors, I have had no complications associated with the disease. However, I am a 'brittle' diabetic, meaning that despite being in reasonably good control and testing myself several times a day, my blood sugar swings from lows to highs on a regular basis. For the past year or so, I've noticed a significant decrease in my energy levels. I could easily lay in bed all weekend and sleep. I've tried just about everything; I thought perhaps it may be 'adrenal fatigue' (I've been a caffeine junkie for years) and so weaned myself entirely off diet cokes and red bulls. I've switched to an Atkins diet. I walk at least two miles a day. I've tried amino acid supplements. But despite this my default state is one of exhaustion. I despise it, I want to be more productive! Help?

A: While there could be many causes for your fatigued feeling, some that are common to the type 1 diabetic are the swings from low to high in blood sugars, and kidney disease. If you have a history of renal disease, such as you pointed out with the protein in the urine and its treatment with ACE inhibitors, both the Atkins diet and the amino acid supplements are not a good idea and could, in fact exacerbate kidney disease. Has your doctor performed a 24-hour urine collection for protein and creatinine lately? Have you noticed any edema (swelling) in your ankles or legs? Even small amounts of swelling can be an indication. As I said, though, there cuold be a number of reasons for your fatigue, including if you are not drinking enough water. Dehydration can also be a contributor to fatigue, as could more serious problems, such as heart disease (e.g. congestive heart disease). You need to talk to your doctor, who can perform testing to help determine the cause. Good luck to you!

Q: Why doesn't Obama just allow everyone to buy into Medicare?
Why not? And to you idiot Republicans: I seriously cannot wait for the day all you Republicans develop cancer/diabetes/whatever and your oh-so-wonderful insurance company denies you treatment after determining it was a pre-existing condition. And when that happens, I'll just laugh.

A: Clinton tried a single payer system in 1993 and it cost the Democrats control of Congress for 16 years. Obama is trying not to make the same mistake.

Q: 35wks Preggers, PCOS sufferer w/Gestational Diabetes & not allowed passed EDD.?
I am 35wks preggers and got pregnant with self injection for fertility treatment as I have PCOS. I have GD and it is diet controlled. I have been told by ob that he wont allow me 1 day passed my edd June1....How many of you went into labor early anyhow with similar kind of scenario or even if you just went in on your own I would love to hear your stories of when you went into labor and how it was for you. This is my first baby also so any of you deliver early with Bub #1 for what ever reason??? I hear pre eclampsia is a common one but any with normal GD readings or PCOS sufferes???? ANYONE. Does your mucus become thicker towards the end or at like 35wks or am I to assume I am slowly loosing my plug??? there is no blood tinge with it, just clear and stringy.

A: I have PCOS and had GD with my first pregnancy. I had to take insulin for the month before my delivery and my Dr. scheduled inducement at 37wks. I ended up with a C-section because i have an unsually small pelvis and the baby would have been in danger if it came out the old fashioned way. I am so happy that I had the section, no regrets at all. My son was a healthy 6lbs. 10oz and 19.5" long. they did the tests for jaundice and tested his sugars several times and all was fine. I am prego with my second at 12 wks and had 2 ultra sounds already. I was taking metformin before I got pregnant and they want to test me for diabetes already. I wasn't taking any fertility drugs to get pregnant for both of my pregnancies. I changed my diet and exercised, and drank gallons of brewed green tea. I say this is my fertility elixir having tried for years to get pregnant with PCOS. I was at the point of trying the fertility drugs and possibly adoption. Then I thought I'd relax and not try any more and focused on changing my health. and now I am on #2. As long as you are 36 weeks you can deliver a healthy full term baby. I can only have c- sections so I am hoping to have my baby scheduled early too. I am due Nov 5 and I would like to have the baby around the 18thof Oct.. Labor sucks! I am so glad that I don't have to endure that again. Drugs are the best and the epidural was amazing! If you have to have a C, don't worry, i recovered quickly and the best part is the my Privates are in the same condition as the have always been and will always be. i have heard horror stories from my friends who had vaginal births and no matter what , It never goes back to the way it was. You may be a candidate for a C because babies to moms with GD can get very fat and cant fit through the pelvis or they tear the labia. You should probably ask about another ultrasound to find out if it is a biggie. Your Dr. will then discuss the possibility of a C. I wish you luck and I hope this helped you in some way.

Q: Do you, ladies have PCOS?
I do, and i believe that all women who has , should start writing long letters to docs, explain how messed up can be and find not a treatment but A REAL CURE, for this curse of nature. my personal experience. I got my period 14 years old, it was painful, like a stomach ache. After my first period the second one came 5-6 months after. PAIN PAIN PAIN, VOMITING , LOW PRESSURE, FAINTING,COLD SWEATS, all these for 12 years, ( iim 26 now) and i didn't knew , my family didn't get me to the doctor, (messed up family, another big story), and when I went to a doc, she told me that i have them and its ok. I was 22 when i went and until now i didn't knew how serious can be. Did you know that: More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40. Women with PCOS have a four to seven times higher risk of heart attack than women of the same age without PCOS. Women with PCOS are at greater risk of having high blood pressure. Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol Chance of getting endometrial cancer the symptoms are: infrequent menstrual periods, no menstrual periods, and/or irregular bleeding infertility (not able to get pregnant) because of not ovulating increased hair growth on the face, chest, stomach, back, thumbs, or toes—a condition called hirsutism (HER-suh-tiz-um) ovarian cysts acne, oily skin, or dandruff weight gain or obesity, usually carrying extra weight around the waist insulin resistance or type 2 diabetes high cholesterol high blood pressure male-pattern baldness or thinning hair patches of thickened and dark brown or black skin on the neck, arms, breasts, or thighs skin tags, or tiny excess flaps of skin in the armpits or neck area pelvic pain anxiety or depression due to appearance and/or infertility sleep apnea—excessive snoring and times when breathing stops while asleep (Not all women with PCOS share the same symptoms) Thats is so messed up. I got : Acne, depression, very irregular periods, increased hair growth on the face, chest, stomach, It ruined my life until now, because no doctor told me anything of those and i might have insulin resistance, because of my family background. now i went to a hospital and im waiting for my next period so i can do some tests. here in greece, docs saying " oh birth control pills are bad , don't take them, blah, blah blah, " fuck them , the minute i start birth control pills , is my happiest moments i.ve ever lived, no acne, no pains, everything is so perfect, now i stopped because i have to do the blood exams, and guess what..... ACNE ACNE ACNE, HAIR, SMALL BOOBS! I took yasmin, and here in greece birth control pills cost like 10 euro, why in america cost like 60 dollars? because of the advertisment? here they don't do to much advertisment. thanks, all ladies you can share if you want to. All my life i thought that i was crazy, crazy bitch from hell, i was feeling bad and now i know.

A: I have it. Ugh. :'( I started my periods aged 12. It lasted for two weeks and then if didn't come again until 5 months later! I thought there was something wrong with me. Now I'm 16. That was four years ago and I still barely get my period. When I do, its very long and painful... I have facial hair which I struggle to hide (and boys crack jokes at me at school) and my back, stomach and chest has a lot of hair on it too. I have really bad acne on my face and back. I am also slightly fat and I can't shift the weight! I want a solution. The tummy pains are the worst. I get them most when I'm stressed and that's not good when I'm sitting exams... I speak to my doctor for help but he just sends me for a blood test to check my hormone levels. :( Ugh. I want help. :(:(:(

Q: Dr. Appointments at 35 weeks and NST?
I have been going for Non Stress Fetal Monitoring for the past 5 weeks. I am 35 weeks and 4 days, when I went to my weekly OB appointment yesterday she told me that I no longer needed to come in to see her weekly. That I was just to go for the Non Stress Fetal Monitoring in the labor and delivery each week. She checked my cervix and it is still closed. She told me 2 weeks ago, that I should have an ultrasound done at 36 weeks, but changed her mind yesterday. I am considered high risk due to pre-existing diabetes, which I have been controlling very well. I have been having severe swellling in my feet, but my BP is very good. Is this normal for an OB to tell a patient to just go for the NST's and not see her? I am concerned. I should mention the fact that her brother who is her office manager was our family Dr. manager too, and they had a falling out recently and is no longer fam. dr. manager. Since then I feel as though my treatment has been significantly altered. I should also mention that I am 34 years old, had a miscarriage 2 years prior to this pregnancy at 9 weeks. I have a soon to be 6 year old son. The nurse in L&D looked at me funny when I told her what the Dr. said, and she said let me call her to find out. Nurse said maybe it was a miscommunication on someone's part, but she came back 5 minutes later and said no you were right. I got the impression from the nurse this was not normal. Oh and I am scheduled for a planned C-Section on May 11th.....

A: At 36 weeks, you should be going weekly, regardless of the diabetes. Sounds a little odd to me. I would call and schedule an appointment. Tell her how you feel about your treatment. And be prepared to look for another doctor. Good luck!

Q: Questions about how long the body adjusts to insulin injections?
My husband was diagnosed with "pre" diabetes in 2005. Between then and now, we considered his BG low when it got to 87, and high when it reached 137. We followed a healthy diet and he was able to stop the Amaryl soon after it was prescribed. Recently, my husband was hospitalized for suspected Vasculitis and treatment was IV steroids. His BG levels were over 500 while in the hospital, so he was diagnosed as Type II diabetic and given insulin injections. He is off the steroids, but his BG levels are still not stable. I took him to his primary physician last week and he could not provide any answers. He said it would take some time before my husband would start to feel better. At present, my husband's daily routine is this: 6 am -- awaken and test fasting BG. Usually reads between 78 & 119 7 am -- eat protein only breakfast 8 am -- lie down because he feels rotten after eating 9 am -- administer 30 units Levemir, then lie down, still feeling rotten 10 am -- test BG, administer appropriate units of NovoLog, eat snack, then lie down again, still feeling rotten 12 noon -- test BG, administer appropriate units of NovoLog, eat lunch 1 pm -- lie down because still feeling rotten 3 pm -- test BG, administer appropriate units of NovoLog, eat snack -- able to stay up a little while since not feeling as rotten, but not much better 6 pm -- test BG, administer appropriate units of NovoLog, eat supper, able to get outside for a little physical activity, but still feeling rotten 9 pm -- test BG, administer appropriate units of NovoLog along with 30 units Levemir, eat snack 10 pm -- go to bed, exhausted in spite of resting and napping all day This has been going on since he was released from the hospital a little over a week ago. And there is no way this is normal. Has anyone else had this type of trouble adjusting to insulin injections? His BG levels still register in the high 200's, then dip to the 80's and 90's. Is that what is making him feel so bad? He says he feels bad everytime he eats, even if the meal does not contain any carbs. I should also add that my husband has been disabled since 2001 and takes lots of medications. At present, he is not taking anything that raises BG levels -- but he is allergic to all anti inflammatories, so when he has a flare he takes prednisone. Before being hospitalized, he had not taken prednisone for about a year. This is so frustrating!

A: Corticosteroids such as prednisone and Advair have a very nasty way of raising glucose levels and keeping them there indefinitely, even when not taking them any longer! I had my glucose levels pretty well in hand and then had to start with the Advair to keep breathing! I have been on a rollercoaster for over a year now. He needs to be doing some form of exercise even when he is "resting" as it will help him to lower the glucose levels. I know it is hard. Try yoga? http://www.yoga.about.com has the movements all written out so that anyone can make use of them. Pick the ones he can do from a chair or laying down. Any movement helps! I think iti s not the adjustment to the insulins, but the corticosteroids interacting with something else that is making him feel so rotten. The insulins did make me feel rotten for a while til the glucose levels came down and my body got used to lower BGL!

Q: Help needed from someone who knows a lot about Traditional Chinese Medicine?
Here’s a little background info that you’d need to answer my question... before you comment, make sure you read all of this and don't skip over any details, because I don't feel like dealing with people who don't take the time to truly "listen"... I'M ONLY LOOKING FOR HELP AND ADVICE FROM PEOPLE WHO KNOW ABOUT TRADITIONAL CHINESE MEDICINE. ALL OTHER ANSWERS WILL BE IGNORED OR GIVEN A POOR RATING. For a while now I’ve been under extreme psychological stress and depression-- the significant stress, "ungroundedness", and instability of my life (which I have little control over) has triggered my depressive tendencies. There's lots more to tell here... I have a disposition to become depressed due to the environment that I was raised in and the genetic dispositions that I inherited and were nutured within me. I have lots of threatening financial stressors, debts, and home stressors. Furthermore, I come from a very ungrounded background where my parents were very very unstable, inconsistent with their nurturing and emotional states, unpredictable, angry and hormonal/unbalanced mother, emotionally repressed and unavailable father, emotional abuse, my self-esteem was ripped away from me. If it wasn’t for many years of counseling I would have a horrible self-esteem right now-- I am still in counseling. My mom had a heart attack at 45 and has diabetes, my dad is hypothyroid and pre-diabetes (my parent’s diabetes is mainly due to their extremely poor diet and lack of exercise). So for years with this upbringing my disposition when under stress has been: depression/irritability, high blood pressure (I’m only 22), feelings of loneliness/emptiness, trouble thinking straight, mild digestive issues (gas/loose stools), trouble getting to sleep, apathy, tension in my shoulders/jaws. Furthermore I even smoked weed for a while and ignorantly took too many yang tonics for over a year and a half like Chinese/korean ginseng, suma, maca, rhodiola, ginger, etc which drained my yin, I have a significantly diminished sense of reality and sense of self. The dreamlike feeling is a very defunct and unsettling feeling. All this has led me to learn more about my condition... I've read much literature on ayurvedic medicine, chiropractic medicine, general naturopathic medicine, homeopathic medicine, and last but not least TCM or traditional Chinese medicine; TCM and Chiropractic being most effective so far after having myriads of acupuncture treatments in the past and Chiropractic adjustments on my neck, shoulder, pelvis, back, and hips. So lately, I’ve gotten more educated on TCM. I've found that my body is very drained of yin (in a general sense). My life style and it's stressors (which I have little control over) drains my yin and results in a rising yang. To support my yin, I have been taking Rehmannia 6 formula. I’ve added to this formula fresh dried goji and schisandra berries with almonds, as well as small amounts of peppermint, lemon balm, and nettle (in capsule form)—this formula is to tonify my liver yin and kidney (jing/yin) as well and to soothe my digestive system. On top of this formula I am eating more yin foods, eating less heavy meats and dairy, and eating a few more sweeter (healthy) foods that will tonify my spleen-- I have had some issues with digestion, loose stools, and gas. Likewise to try to better deal with things, I'm getting psychotherapy and am doing light cardio exercise. The good news here as a result of these dietary/herbal changes is I have already seen: a significant improvement in my levels of irritability and patience; heart rate is 5-6 bpm’s slower; my sex drive is slowly getting back to what it was when I was in highschool (I’m 22 now fyi), my eyes focus better; my tinnitus has lessened (ringing in the ears is something I’ve had all my life); less gas, my physical energy is “cleaner”; my sleep has deepened; I feel more tired in the evenings and get to bed between 8 and 11pm as opposed to before when I wouldn't feel tired at night and couldn't really get to sleep until like 5 or 6am… so good improvements here from just taking these herbs and making other dietary changes. I have TCM to thank for these changes that have happened so far. Note: I’m NOT doing acupuncture, qi gong, yoga, or massage because I CANNOT afford these things unfortunately-- Right now, all I can afford is herbs (everything else except occasional Chiropractic adjustments is out of my budget). I'm doing what I can while trying to be as smart and educated as possible in my decisions. What am I getting at here? While there have been some significant improvements in the areas that I mentioned above, my problem is that I haven’t seen an improvement in my mental energy, joy, sense of reality, enthusiasm, zeal, etc (and I still don’t know enough about TCM theory to make the right changes). I don't feel like taking any uneducated risks without help from people who are educated on this stuff... My hypothesis is that I’d see an init My hypothesis is that I’d see an initial change about a week after taking this Rehmannia 6 enhanced formula (which did happen—I don’t think it’s a placebo effect either) BUT wouldn’t see any impact from it on my mood and emotional energy for at least a few months into taking it as it would take a while for my deeper sleep to restore my emotional energy (joy/zeal/enthusiasm) in addition to replenishing my stores of jing and my yin—at least for my specific case. Is my hypothesis correct that… my deeper sleep and taking the liver/kidney yin formula would slowly build my emotional energy, joy, sense of reality, enthusiasm, etc? OR do I need to consider adding additional herbs for this? btw, if you read this I greatly appreciate it…

A: you may need a natural source of vit d to regain you energy. From all that you have described, it is no wonder you are mentally tired and I would guess that you spend much of your time away from the sun (indoors)

Q: how can i find help for expensive, chronic dog treatments?
My 10 y/o Chihuahua needs insulin twice a day for diabetes and trilostane pills daily for Cushings. Not to mention frequent hospital visits for blood work and monitoring of her conditions; all of which are quickly draining my limited finance. She can't live without it and I can't live without her. Insurance is not an option because "pre-existing" condition, and they don't cover that much anyway. Does anyone know of any non-profit agencies that offer help in the form of reduced or subsidized funding, free syringes, etc.

A: My advice to you would be to start writing emails/letters. Write to anyone you can think of in the "Dog World", vet clinics, SPCA shelters, any rescue shelters, even your congressman may have some info that can help you. Also try Googling something along the lines of "discounted dog meds, free dog health care" anything like that. Many times you may be able to buy the medications direct from the distributor and have someone you know that's a vet tech or even nurse administer them.