Diabetes Education and Research Center
Back Chats
On Thu Oct 17 22:42:41 2002 () said:
Support First Strike our logical
nuclear solution.
On Thu Oct 17 19:53:22 2002 To Petes Mother_In_Law (It Doesn't Have To Be That
Way) said:
Diabetes in Detail: Glucose Monitoring You Can Count on 24/7
Patients with diabetes know that blood sugar levels change. They change as the
result of diet, medications, time of day, the body's natural rhythms and
countless smaller influences. Indeed, it sometimes seems that changes in blood
sugar sometimes follow a line too subtle and detailed for treatment regimens to
reach. It used to be that diabetes patients could only rely on standard
finger-stick tests for a picture of these changing levels. Now, however,
technical advances let doctors obtain a finer-toned picture of blood glucose, so
that treatment can become more precise. The MiniMed Continuous Glucose
Monitoring System (CGMS) performs this function. Offered at the office of Ruth
Ann Fitzpatrick, M.D., Crozer-Chester Medical Center endocrinologist, along with
educational assistance from the Crozer Center for Diabetes at Springfield
Hospital, the CGMS monitors patients' blood glucose levels continuously for 72
hours-using the equivalent of 300 finger-stick tests. It provides a dynamic
picture of blood chemistry and gives treatment a solid start. "Blood sugars are
affected by time of day, how we eat, how we exercise, and by individual
responses to medication," says Dr. Fitzpatrick, who is medical director of the
Center for Diabetes. "But patients don't respond alike to different changes. The
device works the way a heart monitor does for heart patients. If you monitor
something 24 hours a day for several days, it lets you find the definite
patterns and pay less attention to chance fluctuations. "We end up with readings
of about 300 blood sugars per day, so we can get a comprehensive view of the
patient's blood sugar pattern throughout a 24-hour period. This helps us adjust
insulin doses and advise patients about the adequacy or inadequacy of their
regimen. "Before this there wasn't any way that we could check blood sugars at
such a wide variety of times." Monitor's Method The glucose monitor is about the
size of a pager. Through a length of tubing it connects to a needle that
contains a sensor. In operation, this sensor goes just under the skin and stays
there for three days. The sensor measures tissue glucose every five minutes and
stores the data in the monitor's memory. During that time, the patient keeps a
diary listing foods ingested, periods of low blood sugar, insulin doses taken
and periods of exercise. The patient also performs at least four finger-stick
tests per day, to correlate the monitor's readings with traditional measurement.
At the end of three days, the monitor's information is downloaded into a
computer. A computer program can then display or print a graph showing glucose
levels charted across a continuous 72-hour period. "This is the first time we
have the ability to see the excursions that occur between finger-stick blood
sugar readings," says Karen Rockwell, R.N., C.D.E., program coordinator for the
Center for Diabetes. "For those using multiple daily injections, insulin pump
therapy, or oral medications, CGMS provides so much data that changes in a
patient's daily diabetes therapy can be made with a clearer vision of the
outcome. This can give the patient better diabetes control. "This control can
decrease the risk of long-term complications. Once the patient sees the results
of the changes in therapy (e.g., by a follow-up CGMS reading), it can help keep
them motivated to stay in good diabetes control." Once the patient has made
changes, Rockwell says, a follow-up monitoring will prove it to them with
charts3/4 which helps keep them motivated. Jane E. Henney, M.D., commissioner of
the Food and Drug Administration, called continuous glucose monitoring
"breakthrough technology that ultimately could revolutionize the care of
diabetes." An estimated 16 million people in the United States have diabetes.
While there is no known cure, studies have shown that patients who regularly
monitor their blood glucose levels and keep them under control experience fewer
complications. Continuous glucose monitoring is currently intended for one-time
or occasional use testing, rather than ongoing daily use. The information
collected is intended to supplement that obtained by standard finger-stick
testing. For more information, call the Crozer Center for Diabetes at
Springfield Hospital at (610) 328-8920.
On Thu Oct 17 17:38:32 2002 () said:
Squats loves Jane Fonda
On Thu Oct 17 15:17:09 2002 () said:
God told me to hate you
On Thu Oct 17 15:16:48 2002 () said:
Religion kills
On Thu Oct 17 15:09:55 2002 () said:
FAITH = HOMESKOOLED
On Thu Oct 17 15:09:08 2002 () said:
Things quiet down and then you have to
start your mouth. Real nice skank!!!!!!
On Thu Oct 17 15:07:51 2002 () said:
relegion?????????
On Thu Oct 17 14:53:48 2002 Faith () said:
Why is it you can post anything
you want on here, state your opinion, but nobody else can??? OK, you don't eat
meat, we get the message. You have the right to be wrong like anyone else does,
so give it a break already! We get the point!
Why do you keep bringing up relegion. You seem to be the only one doing
that!
On Thu Oct 17 14:18:39 2002 () said:
Faith supports anything that goes
aginst the AP's or for Squats no matter how stupid she sounds..is the Christian
Way .
On Thu Oct 17 11:30:29 2002 () said:
COULDNT LEAVE THE PETA COMMENT ALONE
COULD YOU FAITH??????????
On Thu Oct 17 10:47:19 2002 () said:
Religion kills people.
On Thu Oct 17 10:13:24 2002 Faith () said:
Grannypj, I remember you! So good
to see you back.
Why was the pump ruled out for your son-in-law. IF it was because of long
acting insulin, that shouldn't be a problem. With the pump one uses short acting
insulin.
BTW, I liked your version of PETA!
On Thu Oct 17 07:34:06 2002 Jim () said:
Interesting article on new
treatments for diabetics, to do away with injections. Jim
http://www.msnbc.com/news/822093.asp
On Thu Oct 17 00:43:49 2002 Squats () said:
Granny, ask the doc about
Novalog; its range is similar to that of Humalog. Maybe it will work better.
This site doesn't change, because only a handful of us bother with real
questions. The rest? Well, no credibility. Glad you are back!!! I think I
remember your son-in-law. His name is Pete, isn't it?
On Wed Oct 16 20:12:32 2002 Grannypj (Grannypj@hotmail.com) said:
Marc and
Squats - glad you are still here! You two may remember that my son-in-law is our
resident diabetic. So for those of you who didn't know that,it isn't me lashing
out. I end up keeping the lid on things. Anger Management training is a great
idea. We will work on that. He absolutely will not consider counseling outside
the family. That is not a problem in this household though. The risk factor is
they now have two small boys in the crossfire of Daddy's "bad moods" and that
keeps everyone on the alert. By the way, he never attributes his behavior to his
diabetes, and he never complains about it. We figured out the cause/effect by
charting behavior correlations. There really is NO PATTERN in his blood-levels,
never has been. Records have been kept meticulously, daily for the last 15 years
and he has seen specialists including Mayo in Rochester, MN. Okay, I am going to
take the comment that those 'normal' ranges are just caught in the transition
between highs and lows. That makes sense. The pump was ruled out in his case. He
built a resistance to his long acting and had to change it. That did help some.
Can't take Humalog at all! Nearly did him in with that four years ago. Oh well.
There is an odd sense ofcomfort in the consistency of this site! All the usual
bantering and nonsense and insults. PETA just is and so are the counterparts
"People Eating Tasty Animals". Neitehr is going away anytime soon. So both sides
are wasting time by the way. Maybe you should switch to discussing Homeland
Security Issues.
On Wed Oct 16 19:46:54 2002 () said:
PETA Wacko ?...Whats wacko about being
aginst animal suffering ? Are you a racist ? Please explain better Squats !!
On Wed Oct 16 19:40:01 2002 () said:
Read Tonights new report from CNN on
the 10 most unhealthy states and the obesity in those states. Worst is Miss,
followed by many of the southern states along with the increasing population
with diabetes. Comments from the NIH state that much of this is caused by the
heart disease and other problems related to a meateating, fried diet. The best
solution "go vegan"....read the story !, and remember you can find much info at
Vegan.com as well as Peta.com
On Wed Oct 16 18:13:45 2002 Squats () said:
Faith, I wonder the same thing!
Post something positive, you get attacked. Post a problem, you get attacked. I
notice that the PETA wacko never gets attacked for his idiocy by another AP.
On Wed Oct 16 17:18:31 2002 Faith () said:
13:25:31 - What's this you are
doing if it isn't lashing out!
"Share your thoughts about diabetes. What works for you? What drives you
crazy." That is what some of us here are trying to, but, no matter what we put
here, you attack! Why??
On Wed Oct 16 13:25:31 2002 () said:
WE NEED TO STOP WHINEING ABOUT HAVING
DIABETES AND ACCEPT IT. HAVING DIABETES IS NO EXCUSE TO LASH OUT AT INNOCENT
BYSTANDERS.....EVER!!!!!!!!!
On Wed Oct 16 13:23:53 2002 Squats () said:
I forgot! Anonymous post means I
can, and will, ignore, especially when no facts are included.
On Wed Oct 16 13:23:10 2002 Sam (raneysam@excite.com) said:
GrannyPJ...I am
brittle, and went on the insulin pump. It really helps me. Write if you like. I
am a f...can relate to mood swings.
On Wed Oct 16 13:22:15 2002 Squats () said:
Clueless? Why? Easier to
namecall I guess!
On Wed Oct 16 12:58:15 2002 () said:
DIET OF DEATH AUTHOR
On Wed Oct 16 12:57:57 2002 () said:
CB AKA SQUATS....... YOU HAVE NO IDEA
WHEN IT COMES TO NUTRITION......YOURE CLUELESS
On Wed Oct 16 12:02:01 2002 Squats () said:
Marc: Those of us on a sliding
scale or pump can even out those swings somewhat with proer testing. Marc, good
post. You implied regular bg testing can indicate how glucose runs. Thanks.
On Wed Oct 16 11:12:26 2002 () said:
WE NEED TO STOP WHINEING ABOUT HAVING
DIABETES AND ACCEPT IT. HAVING DIABETES IS NO EXCUSE TO LASH OUT AT INNOCENT
BYSTANDERS.....EVER!!!!!!!!!
On Wed Oct 16 11:07:02 2002 Faith () said:
Grannypj & Marc, it took me a
long time too, to understand the mood swings. Being a woman, a lot of people
thought that was the reason. My husband for one! Now that he is a Type II, and
has gone through the classes, he has a different perspective.
My biggest time of anger comes out when I'm low. First I will argue with
myself that I'm not low. (Figure that one out!) This happens at night mostly.
Second, I will get impatient with those around me for not understanding what is
going on, like they could read minds or something, and then to top it off, if
the low is really low, (30-50 usually), I wind up with a migrane!
Years ago a new diabetic wasn't told that these things could and probably
would happen to them. Diabetes affects or can affect your whole body and mind.
Marc, the fact you got help for this is comendable. Not all of us "D's" can
or will face up to this!
Diabetes will affect everyone of us in a different way. It is very hard to
accept the fact that this is something we will have to contend with for the rest
of our lives. Some do, BUT, others don't. If those around you, friends,
co-workers, and most importantly, family, understand this, it helps us to cope
better.
On Wed Oct 16 10:31:18 2002 () said:
I'VE BEEN A DIABETIC FOR BETTER THAN 40
YEARS AND HIGHS AND LOWS ARE NO EXCUSE TO LASH OUT AT PEOPLE. STOP USING IT AS A
CRUTCH OR EXCUSE TO BE A MEAN PERSON....
On Wed Oct 16 10:07:48 2002 Marc W () said:
Grannypj, Marc from out west
here. I live that life too, where I can be motoring along at 100 or so and bam,
all of a sudden I am a 400 or drop to a 40. Let me tell you from experience, you
become a whole different person with the body taking that kind of attack. I have
been working with doctors on how to control the"mental" aspect of this, the
ability to just deal with it versus getting bent out of shape over it. It really
is hard and what I have found is most diabetics aren't "brittle" and they just
don't get it. Some do, but most don't swing so drastically in the control so
fast. So here is what I did, hope this helps. I built it in to my routine,
expecting the swings. My mornings are bad, I usually spike at night and nothing
has helped, so I build in a few hours in the morning to deal with the sugars. I
know the first thing I do is test and adjust, and a couple hours later I need to
do it again. It used to be the most frustrating thing, but then it just became
routine. It's an exceptance that I can't change it so live with it thing. And my
wife and friends know I may snap at them and they understand with the help of a
lot of explaining to why my temper flares so quickly when I have just come down
from a 400 to a 100. The mind doesn't react as quick as the body and that is
just that. Not much we can do but just build it in and go on. It actually became
much easier for me to deal with once I excepted the fact that this is me and
theres nothing I can do to change it. Hope that helps and hope to see you around
more. Take care....... Marc from So Cal!
On Wed Oct 16 08:42:19 2002 () said:
I HOPE THAT WHEN THEY CATCH THAT DC
SNIPER THEY WILL GIVE HIM DEATH IN ELECTRIC CHAIR BUT ONLY AFTER ABOUT 10 YEARS
IN PRISON 'GETTING WHATS COMING TO HIM'. SICK SICK WORLD WE LIVE IN.........
On Wed Oct 16 03:08:29 2002 () said:
Squats = racist , admit it...you look
at women, everyone that does not fit your idea of a master race as poor useless
slobs.
On Wed Oct 16 00:12:09 2002 Squats () said:
Dr. Singer is a laughing stock
to many. Personally, I consider him a first class idiot. How many people would
die without animal testing? Wake up! There would be no insulin without animals.
Whoever is bringing this stuff up cannot be Diabetic!!! There are some people
who cannot use the DNA recombitant insulins; are they to die because PETA would
deny them beef or pork insulin? The ? posting this stuff is just trying to get
responses by raising irrelevant issues. PETA and Singer are irrelevant to
advancing technology. I will type it again, "IRRELEVANT"!
On Wed Oct 16 00:01:03 2002 Squats () said:
Granny, transition from steep
rises and falls in bg CAN affect moods, especially if you have tended to run
high. Your body may be saying that normal blood sugar is too lowm which it is
not. BTW, how do your sugars run through the day? Are they more stable now?
Still liftin'! Two years ago, I used a deifferent handle.
On Tue Oct 15 22:12:20 2002 () said:
Hi Granny, you might try anger
management counseling and prehaps some psyc meds.
On Tue Oct 15 21:12:11 2002 Grannypj (grannypj@hotmail.com) said:
I see
things haven't changed much in two years! Hey, anyone here from back then -
Anita from down south? Marc out west? The weight-lifter guy? Here's a question -
having dealt with brittle diabetes jumping around 39-460 despite "tight control"
testing up to 8 times a day, changing long-acting etc. - all of a sudden the
extreme lack of control over rages is coming whenever the levels are 80-120!
???? Used to be the rapid rise or rapid fall was a giveaway to the inability to
control moods. Anything new going on?
On Tue Oct 15 16:41:24 2002 () said:
MARK
On Tue Oct 15 13:48:25 2002 Speciesism (PETA.com) said:
The term is used to
draw a parallel between our attitudes to non-human animals and the attitudes of
racists to those they regard as belonging to a inferior race. Quote from Robert
Singer Head of Princeton University's Dept of Bioethics. Squats note: this is
for you and your meat eaters outlook on life.
On Tue Oct 15 12:33:33 2002 Squats () said:
Anybody here take CLA?
(Comjugated Linoleic Acid)
On Tue Oct 15 12:32:15 2002 Squats () said:
dsddd: What exactly is weird?
May I assume you refer to one or two word posts with nothing coherent? The
references to "transformation surgery" in response to a post about dropping meat
and its effects? I hope I assume correctly!
On Tue Oct 15 12:26:28 2002 Squats () said:
Aleisha: I wonder too. After
almost 50 years, it still would be great not to be concerned for eyes, kidneys,
nerve damage, heart problems, circulation, etc. D.V., maybe soon a cure will be
found.
On Tue Oct 15 10:16:10 2002 Faith () said:
Ace, if there was a vaccine, you
would see very long lines at doctors offices. Maybe one day we will see one, but
not yet!
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