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On Wed Mar 27 22:47:11 2002 Mary () said:
HAPPY BIRTHDAY SAM!
On Wed Mar 27 21:30:23 2002 () said:
THE US MUST STOP THE UNDERGROUND JEW MONEY PIPELINE FROM THE USA AND CANADA TO SUPPORT THE ZIONIST AGRESSION OF THE PALESTINE HOMELAND AND THEIR RIGHTFULLY ELECTED HAMAS GOVERMENT !
On Wed Mar 27 21:08:51 2002 sam (raneysam@yahoo.com) said:
Ya...I am not a child, but have the same disease. I was NEVER a type 2! I have been on the pump for 2 years now. Lantus is new. There was never an insulin that didn't peak..before Lantus. It IS for children over 6 years of age. The times ..they are a-changing. Maybe you are comfortable with your pump regimen, 11:51:42...but..I have the right to say I don't like to sleep with mine on. If I get up with a sugar of 80..and then put the pump on during the day...well, that gives me freedom I didn't have, for that 2 years. Why can't I write about that? It works for me. I toss & turn a lot, and get tangled up..once the cat ate my tubing. Sugar was 580 in a.m. Have a little humor..it's my Birthday, and a full moon, and tonight I am thinking of Peace, rather than war...
On Wed Mar 27 18:16:57 2002 No More Attacks on Israel!! (PLO/Palestinians are to blame!!! ) said:
No more rotten anti-Jewish attacks upon Israel!! The Palestinians are to blame!! What about Jewish People in Arab lands,that can't freely observe/celebrate Passover tonight-In Iran,Syria,Iraq,Yemen,Saudi Arabia??!! Any comparison of Israel with Hitler-is unjust and lie. Arab Propaganda is still supreme!! This board is full of people who are Nazis.
On Wed Mar 27 16:55:10 2002 () said:
HE WAS A WRITER FIRST!!!!!!!!
On Wed Mar 27 16:44:34 2002 () said:
I agree. The stole it from Palestine and massacred,butchered the Palestinian people
On Wed Mar 27 16:38:04 2002 () said:
ISRAEL MUST RESTORE THE RIGHTFULL PALESTINE HOMELAND !
On Wed Mar 27 15:31:02 2002 () said:
SHERWYN!!!!DUH!!!!!!!!!!!!!!!!!
On Wed Mar 27 15:29:09 2002 () said:
The writer of Gilligan's Island and Brady bunch among other shows is not a doctor you idiot!!!!!!!! The article below is by SwerwYN Schwartz. DUH!!!!!!!!!!!!
On Wed Mar 27 15:25:33 2002 () said:
PRAY FOR PEACE IN THE MIDDLE EAST. ALSO PRAY THAT ISRAEL WILL CEASE THEIR IMPERIALIST EXPANSIONISTIC PRACTICES TO ALLOW PEACE TO GO FORWARD.
On Wed Mar 27 15:13:01 2002 () said:
No!!!!!!!!!!!!!He got tired of writing and became a doctor
On Wed Mar 27 14:46:45 2002 To 08:03:10 2002 (Do You Think Its The Same Man or Just Same Name???????) said:
Yes Gilligans Island was written by Sherwood Schwartz, Austin Kalish, and Elroy Schwartz. Do you think its the same guy and he got tired of being a doctor or just something he did in his spare time??????. Maybe a connection buried deep.
On Wed Mar 27 14:26:19 2002 () said:
Yep, that's why they are 1/2 game up in the Western Division!!!
On Wed Mar 27 14:16:36 2002 ?? (??) said:
Another blast in Israel today.13 dead,many wounded.Why must the Palestinians keep doing this?/
On Wed Mar 27 14:07:57 2002 () said:
FAITHIE.....THE SPRUS SUCK!!!!!!!!!!
On Wed Mar 27 14:06:23 2002 () said:
Dead man walking
On Wed Mar 27 13:37:08 2002 () said:
12:17:49 = SHUT THE HELL UP!!!!!!!!!!!!
On Wed Mar 27 12:17:49 2002 () said:
11:51:42 and 11:53:44 = Marc C ... whatta guy, always ready with a kind word of support!
On Wed Mar 27 12:02:08 2002 Faith Or Faithie () said:
23:19, thanks for the info. That is what I was trying to say, you just said it much better. I use to go the the clinic of Dr. Schwartz, I didn't see him, but his partner Dr. Fischer. I know several people who see Dr. Schwartz. He is an expert in his field. (And it doesn't hurt that he is a season ticket holder for the Spurs! LOL)
On Wed Mar 27 11:53:44 2002 . (.) said:
Oh, and Sam - leave the parents of young children with diabetes alone! You have no basis to use your adult experience in comparison to a child - totally different ballgame with lots of variables that you as an adult would not experience!
On Wed Mar 27 11:51:42 2002 . (.) said:
Sam: you're using your pump during the day and Lantus at night?? Kind of defeats the purpose of the pump doesn't it? You're also relatively new to pump therapy - so generalizations like "sleeping with an insulin pump on is a drag" does a dis-service to those considering pump therapy. It may be a drag for you, but probably doesn't phase the majority of us who have been using our pumps for much longer. To me, my pump is an extension of my body - not an inconvenience that I feel the need to work around. Hey, if this regimene works for you - so be it. Not for me!
On Wed Mar 27 08:43:02 2002 Sam () said:
I am on the insulin pump, and experimenting (with my M.D.) with the new "Lantus" 24 hour, clear, non peaking insulin. For nights. It works! For me, that is. Parents, if your child is over 6 years old, give it a thought. Sleeping with an insulin pump on is a drag. Just an alternative.
On Wed Mar 27 08:33:59 2002 () said:
Dead man walking
On Wed Mar 27 08:03:10 2002 () said:
Sherwyn L. Schwartz wrote Gilligans Island
On Tue Mar 26 23:19:05 2002 Interesting Article (Putting Old Myths To Rest) said:
Swabbing with Alcohol by Ann S. Williams, MSN, RN, CDE We have had quite a discussion about the need to swab skin with alcohol before insulin injection. I do recall reading a research study in Diabetes Care, I think, about how swabbing the skin with alcohol vs. injecting through clean but unswabbed skin resulted in a few minor infections on the alcohol-swabbed people, and none on the clean-but-unswabbed people. Someone, either one of the study authors or the writer of a later letter to the editor, hypothesized that perhaps some non-native bacteria migrated from the hands to the injection site by floating through the alcohol. Remember, alcohol does not kill all bacteria instantly; to kill bacteria with alcohol you have to let something soak for about 1/2 hour. I also remember a later letter to the editor, a response to the article that briefly reported another research study on cleansing injection sites. The author had been working with people who rarely bathed, I think in a nonindustrialized country. He reported that not only did his team find no infection problems in the people who did bathe regularly (defined as at least once a week), whether they wiped with alcohol or not, but they also found that cleansing with alcohol did not prevent infections in people who did not bathe. In other words, bathing regularly was both necessary and sufficient to prevent infection. Anyhow, short of autoclaving your skin, you simply cannot sterilize it. Human skin just harbors too many tiny living things and has too many little crevices where they can hide. However, we have immunity to our own normal skin inhabitants. If we didn't, we would constantly be sick from them. Those of us who have functioning immune systems are able to handle the introduction of tiny amounts of bacteria from our skin all the time, or we as a race would not have survived living in caves, in forests, on farms, etc., where our ancestors surely had loads of cuts and scrapes often. And, in addition, insulin needles are not good carriers of bacteria; they are too small and slick to get much under your skin. I checked some of the diabetes reference materials that I have here at home to see what I could find. Unfortunately, I did not keep a copy of that Diabetes Care article, which appeared at least 4 or 5 years ago, maybe more. However, the ADA's Clinical Practice Recommendations, 1996 conspicuously omits any mention of wiping the skin with insulin before injection. The injection instructions (p. S33) are certainly detailed enough that if the ADA consensus were that alcohol wiping were necessary, it would be mentioned. Furthermore, among the suggestions for decreasing pain of injections, it says, "Waiting until topical alcohol (if used) has evaporated completely before injecting," implying that the author(s) consider alcohol use optional. Similarly, the instructions for insulin injection in the book, Learning to Live Well With Diabetes (1991), published by the International Diabetes Center, conspicuously omit any mention of wiping the skin with alcohol; it does say, "The site you have selected should be clean." (p. 95) Then I have a little book called Management of Diabetes Mellitus by Sherwyn L. Schwartz, MD, published by NovoNordisk in 1990. (The author was at that time the Director of the Diabetes and Glandular Disease Clinic/Research Center -- San Antonio Diabetes Center of Excellence, and Director of Endocrine Training for Family Practice Residents for the University of Texas Health Science Center at San Antonio.) Dr. Schwartz says, (p. 94) "At this author's institution visibly clean skin without alcohol preparation is used for the injection site. There have been no reports of infections in over nine years. The use of alcohol is not recommended due to its drying effect on the skin." I hasten to add that cleansing skin is truly necessary for many other invasive procedures, such as when substances are introduced much deeper into the body or when a foreign object is left under the skin. However, the published research does not support the necessity of wiping the skin with alcohol before insulin injections.
On Tue Mar 26 17:40:35 2002 Casey (the_traut_84@yahoo.com) said:
what are some causes of diabetes
On Tue Mar 26 16:41:04 2002 mandy (mandy@tyan.freeserve.co.uk) said:
I get my needles and lancets free, do you have to pay for them in the u.s.?, I also get free medical treatment for my feet, eyes and also dental treatment, I thought if you are diabetic you would at least get your needles and lancets free.
On Tue Mar 26 16:16:08 2002 Barb Massella (barbara.massella@sru.edu) said:
My father has been diagnosed with diabetes. I'm looking for a list of foods - what to eat and what to avoid. If there is such a list, please forward to me. Thank you.
On Tue Mar 26 13:11:47 2002 () said:
Yep Faith, me too...
On Tue Mar 26 11:46:25 2002 Faith () said:
11:17, that's my thinking also. I always squeeze out a drop or two before testing. And the lancet I use for only two times or the most three. I'm not concerned about my results being screwed up by me using the lancet more than once. Most diabetes educators use to tell you to make sure you clean the area before an injection, I didn't do that, before pump, for a long time, and never had problems. I know a gentelman that has been a "D" for 44 years and he injects through his clothes. Things have changed quite a bit over the years. (I started our in the days of glass syringes!) I'm not recommending any of this to anyone. I know the risks of infections are higher among diabetics. I'm just stating what has worked for me.
On Tue Mar 26 11:17:17 2002 To Faith: () said:
About needles or lancets: I was told by my diabetes educator and doctor to use a needle or lancet only one time. The basic concern was to prevent possible infection, since the needle is sterile until you use it. However, to save $, I tend to reuse them throughout the day (changing them daily). When I test, I usually wipe off or rinse off (if I am at a sink when testing) the first drop or two of blood. Then I draw fresh blood for the test. Given that most meters I've had state their accuracy can be plus or minus 10 to 20%, I don't think a tiny bit of blood on the needle is going to significantly impact my test results.
On Tue Mar 26 11:05:07 2002 () said:
Faith can I have some ??
On Tue Mar 26 10:51:43 2002 Faith () said:
10:15 and 10:35, oh, never mind you aren't worth it!!!
On Tue Mar 26 10:35:44 2002 () said:
Now, if only she would take it.................
On Tue Mar 26 10:15:17 2002 () said:
Faith , Are you saying that the Glucophage made your husband smarter ?
On Tue Mar 26 10:01:27 2002 Faith () said:
Thanks for the info on dawn and somogyi! I've experienced both and thought they were the same. This is good info., nice to see that here. My husband started on Glucophage yesterday. Now all of a sudden he's an expert on diabetes! LOL Told me I was testing my blood wrong. I don't change my needle every time I test my blood, and his doctor said I wasn't getting a true reading doing that. According to her, any blood that might be on the end of the needle will cause me to have an unreliable reading. I've done this for years, with no problem. Anybody have any thoughts on this???
On Tue Mar 26 05:13:38 2002 (SOURCE http://www.childrenwithdiabetes.com/dictionary/) said:
To verify fot yourself that Somogyi effect and dawn effect are NOT the same this is a good source
On Mon Mar 25 20:27:56 2002 THIS IS NOT TRUE (10:49:38 2002 Dawn Effect () said: Linda: What you are experiencing is the Somogyi effect (also known as the "dawn effect"). ) said:
This section is written by Charles Coughran . There are three main causes of high morning fasting bg. In decreasing order of probability they are insufficient insulin, dawn phenomenon, and Somogyi effect (aka rebound). Insufficient or waning insulin is simple. If the effective duration of intermediate or long acting insulin ends sometime during the night, the relative level of circulating insulin will be too low, and your blood sugars will rise. Dawn phenomenon refers to increased glucose production and insulin resistance brought on by the release of counterregulatory hormones in the early morning hours near waking. It happens in normal people as well as in diabetics; in nondiabetics it shows up as measurably increased insulin secretion around dawn. Dawn phenomenon is variable in strength both within the population and over time in individuals. It can show up as either high fasting glucose levels or an increased insulin requirement to cover breakfast compared to equivalent meals at other times of day. Somogyi effect refers to a rebound in bg after nocturnal hypoglycemia which occurs during sleep with the patient not experiencing any symptoms. The hypoglycemia triggers the release of counterregulatory hormones. Somgoyi effect appears to be less prevalent than previously thought. While it does occur, some episodes of hyperglycemia following hypoglycemia are actually waning insulin levels following an insulin peak with medium acting insulin. This can be difficult to sort out. The best way to sort it out is to test every couple of hours from bedtime to morning. If your bg rises all, or much of the night, it is a lack of circulating insulin. If it is stable all night, but rises sharply sometime before you wake in the morning, it is dawn phenomenon. If your bg declines to the point of a hypoglycemic reaction, it is *possibly* Somogyi effect. You may have to test on several nights to nail the problem. Once you have figured out the problem you and your doctor can discuss changes in your insulin regimen to correct it. The answer depends critically on your particular circumstances.
On Mon Mar 25 16:05:51 2002 Dawn Effect () said:
Something to keep in mind also: regular, consistent testing. It's a good idea to maintain a regular schedule so you can track what's happening with your blood sugar levels. Recording what you eat the night before (dinner and any snack) then checking your pre-breakfast blood sugar level the next morning will help you determine how many carbs you need to get you through the night. My doctor told me it's not a good idea to try to get too low during the night -- so being a little higher when I first wake up is supposed to be OK. Watching what you eat, when you eat and when you take any medications along with regular testing is a key to finding and maintaining good control of your blood sugar numbers.
On Mon Mar 25 15:58:37 2002 Herb (Bear) (hjs38@swbell.net) said:
I had said that I was going to lurk and not post unless it was definitely needed. Well I think that after reading the comments on the dawn effect that a contribution is needed. I can't believe how little some doctors actually know about our disease. The poster who wrote about the dawn effect was right on. If you consider what causes the body to tell the liver to release some glucose you will realize that the length of time from your evening meal to breakfast the next morning is the longest period of time during the day without eating. Now consider that the theory of oral meds is based on maintaining a level balance of meds in your system and eating to support those meds as opposed to insulin therapy where the med can be adjusted to compensate for variations in food consumption. What is happening is the glucose is dropping down low and the liver is signaled to release some glucose into the system creating the high. Most diabetic diets recommend a bed time snack, and this is one of the reasons. When I was in the hospital they brought me 4 squares of graham cracker and a small carton of skimmed milk every night at bed time. Now that I control my own diet I prefer an apple and a small piece of cheese or one of several other options. Remember there are no hard fast rules. Our bodies and our systems are all different. We each have to find what works for us as an individual. Herb (Bear)
On Mon Mar 25 13:39:39 2002 () said:
Okay thanks. Thats kinda what I have been told.
On Mon Mar 25 13:35:27 2002 Dawn Effect () said:
I asked my doctor what to do and all he suggested was lowering my carb intake at dinner. I also take some medications for diabetes (I am Type 2) in the evening rather than in the morning. By changing that, it's helped my morning numbers a little. But I still average a pre-breakfast reading between 125 - 150. I was told it's something you have to live with.
On Mon Mar 25 13:02:04 2002 () said:
Does anything need to be done about this dawn effect?
On Mon Mar 25 10:49:38 2002 Dawn Effect () said:
Linda: What you are experiencing is the Somogyi effect (also known as the "dawn effect"). It's a phenomenon (described by the biochemist Somogyi) in which the body triggers the release of stored glucose from the liver as dawn approaches. This can cause blood sugar levels to rise in the early morning hours. Many Type 2 diabetics report pre-breakfast blood sugar readings that are much higher than normal.
On Mon Mar 25 08:54:00 2002 Mary () said:
Linda, I take Glucovance and my blood sugar does about the same thing. I take one tablet 3 times a day. The last time I had an A1c done my average was 103.8. The doctor said that the Glucovance is working because my average is so good. She didn't change the dosage at all. I don't know if it is the same for you or not. You probably need to talk to the doctor. How long have you been on Glucovance and a diabetic. I have been diabetic since Oct or 2001. Mary
On Mon Mar 25 08:18:41 2002 Linda Fiore (lfiore@nycap.rr.com) said:
after taking my morning dose of glucovance, eating breakfast, a morning snack, lunch and an afternoon snack, I find I often have a blood sugar of 59 to 80 at about 5 pm. However, I then take my next dose of glucovance at 5-6 pm, have a light dinner and a small snack of maybe a piece of fruit no later than 8 pm, fast all night, and find I have a blood sugar of 140 to 170 in the a.m. How is that possible???? Any ideas?
On Mon Mar 25 08:14:54 2002 Linda Fiore (lfiore@nycap.rr.com) said:
After taking my Glucovance in the morning, around 6:30,having breakfast, a morning snack, lunch, and an afternoon snack, I often find I have a blood sugar at 5 pm of between 59 to 80.
On Sun Mar 24 20:39:51 2002 () said:
Things would be alot better if the US would stop supporting Israeli aggression in the Palestine Homeland.
On Sun Mar 24 19:00:30 2002 () said:
KIKE
On Sun Mar 24 18:51:34 2002 () said:
whats a semite ?
On Sun Mar 24 18:50:43 2002 () said:
To 18;35 you already said that
On Sun Mar 24 18:32:05 2002 X (none) said:
DON'T BLAME THE POSTERS ON HERE FOR THIS BOARDS DEMISE. THE FAULT IS WITH THE DIABETES AND RESEARCH CENTER AND THEIR SICKENING LACK OF INTEREST IN DIABETICS !!! NO REASONABLE ORGANIZATION WOULD ALLOW THIS TO HAPPEN!!! THEY WOULD PUT IN A MODERATOR TO REMOVE IDIOTS.
On Sun Mar 24 18:08:07 2002 () said:
The Academy Award for Ap'er who is an Anti-Semite=Tom Kinney.
On Sun Mar 24 18:00:15 2002 () said:
Tom Kinney.
On Sun Mar 24 16:26:53 2002 () said:
kike = Jew = money
On Sun Mar 24 15:37:51 2002 () said:
what does kike mean???? is it a bad word???? im just curious because i heard it said at my poker game last nite.
On Sun Mar 24 07:40:13 2002 () said:
Zipperhead

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