Diabetes Education and Research Center
Back Chats
On Wed Jun 30 10:36:01 2004 M () said:
I finally got in to see a dr. My A1C
was 8 which the dr. said was an average of about 210. So he thought there might
be something wrong with my blood machine. He said they just didn't reflect the
real high readings I've been getting. But the machine I have is a brand new one
touch ultra. So I put a new battery in it to see if that makes a deferrence. My
kidneys are doing good. That is my biggest fear is losing my kdneys. Now my goal
in to get that A1C down to a 7 and hopefully a 6.I need to also work harder on
taking R before meals unstead of after and chase the highs. So I have a lot of
work ahead of me. Hope you all have great 4th.
On Sun Jun 27 04:01:32 2004 Mandy () said:
I have not been on here for a
while, I have to say as I have read through the scripts, it seems to me that its
pick on Sam month, he is only trying to help other diabetics, Its only a
suggestion. We all know this is a board to tell others about what could help
your diabetes, but at the end of the day we should all go to our dr's and ask
their advice if we have any problems with our diabetes. Anyway how is everyone??
:)
On Sat Jun 26 12:04:03 2004 Just Me From long Ago ((The Fat Syndrome No One
speaks of)) said:
Hello Everyone.... I haven't been here in a long time but
do read....I have since gone on the pump, which is great unless you are single,
older and looking for a date (O:) The pump is suphurb, once you learn it's
little secrets. In learing about the pump and the doses, I learned something
very interesting about insulin absorption and fat. Whether you are Type 1 or II,
on shots, pills or diet, your whole absorbtion on carbs depends on how much fat
you ate with that carb meal. If you eat a lot of fat, your body does not absorb
the carbs for hours because the absorption is stopped due to the fat blocking
the way it enters the blood stream. A few hous after eating, your BS may be
normal and then, it soars. The carbs are finally entering you system and you no
longer have that insulin sitting there. It has been known for several years now.
Pump users can make an adjustment to have a slow drip going for many hours to
counteract this peak. The Lantus and Long acting insulins are not as efficient
as the pump. If you eat a high fat meal, and 2 hours later start seeing the
sugars go up you will need to monitor closely to cover that peak with short term
insulin injectons which is a pain compared to the pump and pusing the little
button. I finally quit eating high fat foods, such as mexican, cheeses,
chocolate, ice creams and such as I saw that a lot of damage could occurr
because I carelessly don't cover that peak. This is just something to know. If
you think you are eating a good carb diet, but there is peaking several hours
later and it keeps creeping up, besure you know the fat content. That will be
the culpret. So fat is just as important as carbs. High fat has been said to be
30 grms, (for pump folk) but I peak with just 20, so it is an individual thing.
Metabolism. Good luck everyone. The sight seems to be getting better, after
years of turmoil. 33 years D, No complications
On Fri Jun 25 13:03:05 2004 . (.) said:
I should clarify that NONE of us,
not just Sam, are qualified to make determinations regarding insulin doses!
On Fri Jun 25 09:23:41 2004 Sam () said:
Sorry, (.)...that advice was
intended for a short term fix, not a regimen. Until she gets to a Dr. Kidney
& eye damage can occur at those levels, and may remain. But you are right, I
admit. Have a good weekend, everyone.
On Fri Jun 25 09:08:06 2004 . (.) said:
Sam: While well-intended, you should
not be advising ANYONE regarding insulin adjustments! Your ratio, or mine, does
not mean they are right for someone else! You were right to encourage "M" to see
a doctor ASAP. There are multiple systemic and patholigic reasons for elevated
blood sugar and you are NOT qualified to determine what they are based on a
diagnosis of diabetes alone!
On Thu Jun 24 23:27:43 2004 () said:
Hi I took someones advice on here and
bought that zims cream for dry cracked feet. it cost me 13.85. I will get back
to you and tell you if it worked. I just tried it for the first time tonight.
Thanks for the tip....Carol
On Thu Jun 24 19:53:56 2004 () said:
Patty: Please don>t use the GOD word
on here
On Thu Jun 24 19:53:24 2004 sam () said:
M: NPH insulin is an 18 hour
insulin...taking more would only affect the next day's readings. It's regular
insulin you need, and much testing. A blood sugar of 400 is spilling sugar into
your urine..and you need to see a Dr. ASAP. You are out of control. Try to eat a
low-carb diet if you must wait, and test, test! Take regular insulin 30 min.
before your meal, no snacks! Generally, a 10-15 carb ratio to 1 unit of insulin
helps. Just a suggestion...lately, many adults are turning into type 1
diabetics. I do not pretend to understand why. I am a 1. Good luck!!
On Thu Jun 24 19:46:35 2004 Another () said:
eat mo possum
On Thu Jun 24 18:26:59 2004 My Guess Would Be (and its only a guess) said:
You have to start eating properly. That is the first step in regulating your
body. When a person eats a regular balanced amount of food at set times during
the day your body anticipates the food and prepares itself to utilize it. When a
person eats sporadically or not at all the persons body utilizes the food
differently. It prepares to store it and use it slowly because it doesn't know
when or if more will be coming. Make yourself a meal plan for the next couple of
weeks and stick to it. It also wouldn't hurt to see if you are spilling ketones
in your urine.
On Thu Jun 24 13:34:29 2004 M () said:
I have a problem, my bs are really
high. I keep taken more insulin but that doesn't seem to make a difference. So
far today I've taken 60 units of NPH and about 16 units of Regular insulin. I
haven't eaten anything and my bs is 212. This has been going on for a while now.
I'm not eating that much but I don't seem to lose any weight. At night I wake up
to night sweats that have gotten really bad. I check my bs and sometimes they
are 385 to 400. I've never had them run that high before. Any clues to as what
might be going on? I have a dr appointment the 6th. I'm getting a little
worryied.
On Wed Jun 23 12:42:51 2004 Sam () said:
Wine or alcohol should be used in
moderation for a diabetic..preferably with food. It does lower the blood sugar
unless you drink too much, and get a hangover. Then look out. My sugar was 103
this a.m. and the Lantus insulin seems to be working well, for a basal insulin.
FYI...I am a "brittle" diabetic, and the insulin pump saved my life. I used it
for many years, and may still again. If you are on an insulin pump and it works
for you, don't change. So..I am on the 10th day of Lantus, and no rash yet. I do
have an allergy to NPH insulin, suspended in a zinc solution. I am very allergic
to zinc. There are more ways to manage type 1 diabetes now, and for children
that's great. Thank you Cheryllou for your comments.
On Tue Jun 22 14:05:30 2004 esther osuna (eosuna@aol.com) said:
when I have
several glass of wine, in the morning my sugar count is low, is this good or
bad?
On Mon Jun 21 23:37:40 2004 cheryllou () said:
I would have to agree w/ Sam
on if you have something to say you feel so strongly about, why not say who you
are. I admire Sam for trying new things. It shows he is on top of new ideas. and
really knows his own body. I think that is the key, learning meds and foods work
in your own body. Sams information has been helpful. Just knowing we are all
struggling to get it right helps me continue to try to get it "right" Sometimes
just hearing what others are trying helps. We have no right to judge anyone
posting here. Sam appears to be trying to help others, why attack him
personally? If you felt the need to disagree, that would be one thing. Taking
out your frustration on someone else is another.
On Mon Jun 21 20:07:10 2004 Sam () said:
I don't want to cause anyone harm
here! The pump works great for most people. To (.) identify yourself if you want
to rag at me...and I'll answer you as best as I can. To lurk and accuse, speaks
a lot for you. Apparently you are an old-timer here. My new regimen works for
me. As I tried & learned it, I wrote here. I have no new difficulties. And
it HAS been a lot of work, and I have been willing to work through it, as I have
better control now. All diabetics go through work to learn what works for them.
We have choices now that we didn't have.
On Mon Jun 21 13:59:04 2004 M () said:
Don't listen to that garbage. I get
sick and tired of hearing dr's saying that your not giving it long enough, try
it for a while longer. You know your body better than anyone else and know if
something is not woking for you. Why suffer doing something that you know is not
working for you. What works for one person doesn't always work for another. I
think that everyone can make up there own minds about the pump, if it's right
for them or not. Just because one person says that they are not using it any
more, isn't going to make a difference if I want to try it or not. I have a hard
time counting carbs. And then I wind up takeing to much insulin or not
enough.
On Mon Jun 21 13:24:17 2004 () said:
I have to admit sam has put me off
trying the pump!!
On Mon Jun 21 13:12:48 2004 . (.) said:
Sam: You're not willing to do the
work. You shuffle regimens like cards - no wonder your control is a mess! You
are doing a dis-service to the many patients who are COMPLIANT and SUCCESSFUL
with pump therapy. You may also discourage new patients who want to try pump
therapy. Yes, it's difficult at first - but, in my case and in my opinion, very
well worth the effort. Quit crying and whining - you are probably suffering
complications and difficulties at your own hand.
On Mon Jun 21 12:06:36 2004 Sam () said:
Cheryllou..I count carbohydrates,
nothing else. My ratio is 15 carbo's to 1 unit of Insulin. It depends where your
sugar is, what you eat, etc. Humalog is a fast acting insulin, so it's usually
taken 15 minutes before a meal. Watch your breads, etc. How high does your sugar
go? Sometimes a bit of Humalog 15 minutes before your meal will help. Always
keep juice, always test. We diabetics need to find ways we can work with our
individual bodies...Dr's are not always there. Good luck.
On Sat Jun 19 23:02:39 2004 cheryllou () said:
Patty and Sam; Thanks for
responding. I don't know what cells are gone and which are not. I really need to
look into getting a better dr. I read all the time and I think that helps me
more than my dr has. I know how you feel when you say it gets so tiring. Today,
I was off and did nothing around the house. Then I feel guilty. I am eating
better, but really need to fine tune it. You're right when you say alot of
people are alot worse off than we are. I just keep thinking I am not doing
something right, but when I find the right thing it will be better. I just don't
feel well so much of the time. When I eat, if I am not over 150, I am not
suppose to take any insulin. About 2-3 hours later my reading is high and I take
however many units the sliding scale states and then, since I take humalog, I
have to eat something again. This cycle is not working for me. I am so tired
most of the time. Too much insulin or not enough?
On Sat Jun 19 21:20:36 2004 patty (patticake52.hotmail.com) said:
It really
does'nt matter what I take I have to eat light and walk when I did'nt have a bad
back now i just do the best I can do . I usally overeat on my fruits and veggies
to keep from overeating on the wrong stuff ,but anyway your right seems to me
your up on knowing about diabetes .I've had it 25 years type 2 and I learn
something new all the time .Right now they have me on pills gloucovance 1 in the
morning and one at night,2 and my lowest readings are 2 and 3 oclock in the
afternoon. Got to go back to my endocnogist in 2 weeks maybe she can help me
adjust it some more I may need to take 1 before each meal or something we'll
see. Thanks for responding take care god bless patty
On Sat Jun 19 18:33:53 2004 sam (raneysam@yahoo.com) said:
I am doing great
on Lantus...and Novolog when I eat. Usually twice a day, not late either. Off
the insulin pump 5 days now..I do have to watch it & regulate when needed. I
use under 20 units of Lantus! I am sure everyone is different. I am 5'10, 155
lbs, a F, and so far so good. An Endo once told me...regulate your sugar,
however you can, and it doesn't matter how you do it, but keep the sugars low. I
walk a lot, do yoga, eat lightly. I am allergic to NPH. Hopefully, the rash
won't come with Lantus. CHERYLLOU: would it help if you used a low amount of
regular insulin with your meals? Some people's Beta cells wear out. My Mom's
did. I make 0 insulin.
On Sat Jun 19 12:12:09 2004 patty (patticake52.@hotmail.com) said:
I took
lantus for about a year .Did'nt help much unless I watch my diet real close,
nothing seems to help keep mine regulated unless I realy watch what I eat, And
it seems like the later I eat the higher it it runs in the morning ,now when
Ilost some weight it help some but I can't seem to keep the weight off. I was
walking 5 miles a day until I got 4 slipped dics ever how you spell it,now I
hardly get any excerize ,its really discouring if you know what I mean,
sometimes I wonder whats the use but then I think of my preious grandkids and
you know theres worser things then death ,theres stokes heart problems I just
don't won't my kids to watch me suffer, so I try my best I fail at times but I
just get up and keep trying .Well I just needed someone to talk to so thanks for
listen .God bless you all! patty
On Sat Jun 19 00:22:33 2004 () said:
When I started taken insulin I started
out slow and have increased the amount over the years. I think I take alot but
there are others who take more and some take less. It all depends on the person
and there body. I had tests done to see if it would help me to take pills with
the insulin, but the tests came back and they said it wouldn't do me any good
because I don't make any insulin on my own. Where I live there are no endo's so
you have to find a good dr and trust them or keep looking and trying other
drs.
On Sat Jun 19 00:19:17 2004 cheryllou () said:
Anyone taking lantus at this
high quanity? (65 units daily) What is the normal prescribed? I would just like
to hear from others on lantus.
On Fri Jun 18 16:41:28 2004 cheryllou () said:
I'm not sure what that is,
but I did take glyburide and another pill( al....?) for years along with
glucophage. These pills are what the dr said quit controlling my numbers and
were the reason she put me on lantus and the humalog.
On Fri Jun 18 16:16:58 2004 Have (You Tried ) said:
Have you tried or has
your doctor suggested other insulin sensitizers or thiazolidinediones (TZDs)?
On Fri Jun 18 13:42:06 2004 cheryllou () said:
Thanks for the reply! I was
put on insulin last August after taking pills for almost 20 years. I started
getting readings of 250-350 for a period of 2-3 months and my dr said the pills
weren't working anymore and put me in the hospital to "educate" me. I started
out with 15 units and they kept upping it until I was getting morning readings
of 100-120. That seemed to happen @ 65 units. I take 100 mg of glucophage at
bedtime. I hardly ever have to take humalog, except sometimes w/ my last meal.(
I work odd shifts) Sometimes I wonder if I am taking too much, but when I asked
my dr., she says my Ac1 is still around 8 and to stay on as I am. I feel sick
alot. Some days I wonder how I can keep working. Other days I realize I have to
work to keep going. I eat better than I use to, not as good a I should, but have
lost no weight. The dr also says be thankful I am not gaining since going on
insulin. I suppose I am not the only person who feels I need to get a better dr
or program or something, but sometimes I just get so tired of it all. There are
no endocrinologists in this area. I have read alot and do understand the concept
better, but must admit I am confused by alot.
On Fri Jun 18 12:14:49 2004 That (Seems Like A Lot Of Insulin) said:
65
units of Lantus seems like a lot of insulin. I take 6 units. (Type 1) Are you a
Type 2 and if you are, are you taking any medications to help your body use
insulin?
On Thu Jun 17 23:24:40 2004 cheryllou () said:
I have been taking 65 units
of Lantus for 10 months. I check before meals and if needed, take Humalog. ( if
over 150 before I eat) I seem to do fine until my evening meal and then I hit
200-250. I too am wondering if 2 shots would make the lantus last 24 hours? Any
suggestions?
On Thu Jun 17 21:22:46 2004 () said:
Sam, How you doing? You went on the
lantus right? Hope everything is going good. It's hard to change things. But
just hang in there.
On Thu Jun 17 14:29:31 2004 gsoros (gmogaka@juno.com) said:
god site
On Wed Jun 16 11:49:46 2004 sam () said:
I have always done my adjusting,
run my own programbut learned from others, Endo's etc....so far I have increased
the Lantus insulin, use Novolog to eat, and am off the pump 2 days now, so far
so good. I think I need the same amount of insulin the pump basal rate gave me.
This is not for everyone, do not do this alone! You need an Endocrinologist to
change regimens like this. To work along with you. I learned this provedure at
the Mayo Clinic, but I was allergic (systemic rash)to the NPH insulin.
Hopefully, the Lantus insulin will not produce the rash. I believe it was caused
by the zinc-protomine suspending agent. Onward...
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