RE: advice for Harry

August 31, 2003

Thanks for this advice.

A couple of hours after I reported that 90 gbs late at night I began to feel

a little shakey like it use to do when I had those hypoglycemic reactions in

the past with oral medications and diet. So I figured I needed something

with carbohydrates in it to tide me over through the night while I slept. I

ate an apple. This morning my fasting gbs was 86, the lowest I have had

since I started counting carbs. BTW I will follow the two eggs for

breakfast with one slice of Canadian bacon and a diet drink, and I will

check the gbs two hours later to see what it is. I have just taken my

morning medication which contains 2 carbs.

advice for Harry

> > > > > > > >

> > > > > > > > > Fasting gbs this morning was 92.

> > > > > > > > > So I tried that experiment and for breakfast had only

> > scrambled

> > > > eggs

> > > > > > and

> > > > > > > > > some Canadian bacon and two hours later my gbs was 120.

> > > > > > > > > Then I celebrated by going to lunch with my cousin at a

> > chinese

> > > > > > > restaurant

> > > > > > > > > and I just had a bowl of hot and sour soup and two egg

rolls

> > > > dipped

> > > > > in

> > > > > > > > duck

> > > > > > > > > sauce and mustard. Two hours later my gbs is 272 and I am

> so

> > > > sleepy

> > > > > > and

> > > > > > > > > drowsy I can hardly write this message.

> > > > > > > > >

> > > > > > > >

August 31, 2003

that a boy Harry! BTW for reference, 1 medium sized apple has 15 grams of

quick acting carbs in it. Good thing you ate that my friend. Don't play

around with bed time, it's best to be a little high in the mornings if need

be than to pass out in the middle of the night and leave us all smiles. If

you were high in the morning, you could just eat 2 eggs and that is it and

then walk a little to bring it down. Let me know your 2 hour post test from

breakfast. My breakfast consisted of 2 cups of mixed veggies, cauliflower

and broccoli, with a dab of butter on them YMMV which totaled 12 grams of

eatable carbs. It doesn't say that on the package but it has that effect on

bgs according to Bernstein and I've found that to be true. And I had 2 eggs

with some hot sauce over them.

advice for Harry

> > > > > > > > >

> > > > > > > > > > Fasting gbs this morning was 92.

> > > > > > > > > > So I tried that experiment and for breakfast had only

> > > scrambled

> > > > > eggs

> > > > > > > and

> > > > > > > > > > some Canadian bacon and two hours later my gbs was 120.

> > > > > > > > > > Then I celebrated by going to lunch with my cousin at a

> > > chinese

> > > > > > > > restaurant

> > > > > > > > > > and I just had a bowl of hot and sour soup and two egg

> rolls

> > > > > dipped

> > > > > > in

> > > > > > > > > duck

> > > > > > > > > > sauce and mustard. Two hours later my gbs is 272 and I

am

> > so

> > > > > sleepy

> > > > > > > and

> > > > > > > > > > drowsy I can hardly write this message.

> > > > > > > > > >

> > > > > > > > >

August 31, 2003

Breakfast experiment:

After the fasting gbs of 86 I took my medication which contained 2 carbs.

Then I had breakfast which was two scrambled eggs and one slice of Canadian

bacon, which should be another 2 carbs along with a cup of coffee with half

and half total of 1 carbper serving.

So I figure for breakfast and morning meds I consumed a total of 5 carbs.

Two hours later my gbs was 98.

As far as I can figure it 5 carbs caused a rise in gbs of 12 points in a two

hour period.

advice for Harry

> > > > > > > > >

> > > > > > > > > > Fasting gbs this morning was 92.

> > > > > > > > > > So I tried that experiment and for breakfast had only

> > > scrambled

> > > > > eggs

> > > > > > > and

> > > > > > > > > > some Canadian bacon and two hours later my gbs was 120.

> > > > > > > > > > Then I celebrated by going to lunch with my cousin at a

> > > chinese

> > > > > > > > restaurant

> > > > > > > > > > and I just had a bowl of hot and sour soup and two egg

> rolls

> > > > > dipped

> > > > > > in

> > > > > > > > > duck

> > > > > > > > > > sauce and mustard. Two hours later my gbs is 272 and I

am

> > so

> > > > > sleepy

> > > > > > > and

> > > > > > > > > > drowsy I can hardly write this message.

> > > > > > > > > >

> > > > > > > > >

August 31, 2003

Good going, Harry. I wonder however, Harry, how much your doctor suggests

you eat with meat. You have had 2 by-pass surgeries and I wonder if the doc

is recommending low colosteroldiet. This would mean you need to eat

basically only chickne and turkey and certain fish-and not include cheese.

Re: advice for Harry

Harry.

Eat you 1 piece of meat, like a hunk of cheese, and 3 saltine crackers which

is a total of 7.6 carbs including the cheese. Each gram of carb will raise

your bgs 5 points, in theory for a 150 pound non-obese human, so if you ate

7.5 grams of carbs, your bgs in the morning should be around 127 but will

probably be lower than that. I'd hate to see you get low during the night,

it wouldn't even be worth it. Be careful. If you are not around 85 in the

morning, then leave off the v8 juice and only have 1 piece of the canadian

bacon. 2 eggs/1 piece of bacon some diet jello or a pop.

advice for Harry

> > > > > > >

> > > > > > > > Fasting gbs this morning was 92.

> > > > > > > > So I tried that experiment and for breakfast had only

> scrambled

> > > eggs

> > > > > and

> > > > > > > > some Canadian bacon and two hours later my gbs was 120.

> > > > > > > > Then I celebrated by going to lunch with my cousin at a

> chinese

> > > > > > restaurant

> > > > > > > > and I just had a bowl of hot and sour soup and two egg rolls

> > > dipped

> > > > in

> > > > > > > duck

> > > > > > > > sauce and mustard. Two hours later my gbs is 272 and I am

so

> > > sleepy

> > > > > and

> > > > > > > > drowsy I can hardly write this message.

> > > > > > > >

> > > > > > >

September 3, 2003

please tell me. i use to eat three arrowroots for my snack mid a m and p m.

is that a no no now? thanks, karen

September 9, 2003

Harry, From all I have read, including info on the weekly keeping the sugars

down is what is important. If insulin can do it better than meds and

insulin, I would suggest straight insulin dosages with fast acting and the

lantis you are now taking. Hopefully, your doc will talk with you about

this. I am talking to my doc about lower my basal rate on my pump as I am

having frequent low blood sugars, especially since decreasing my carb

intake. I'm willing to to do BS every 3 hours to decrease the nsulin dosage

I need now.

Re: advice for Harry

It makes sense so far. I remind you that I am taking two oral medications,

since I also have insulin resistance, and for this condition I am taking

Actos 45mg in the morning. Do you think I would have to remain on Actos if

I were able to dose with Humalog?

I would imagine that if I were just on two meds like Lantus insulin and

Humalog, that it might be easier to regulate my carb intake with my

medication regimen.

What I am doing now is just waiting until my gbs falls near the 120 level or

below before consuming any carbs. For instance for breakfast I consumed

around 6 carbs and the gbs shot up to 183, and of course it is important to

remember that I forgot to take the glyburide with my breakfast. However the

pre-lunch gbs was still156, which was four hours after breakfast, and after

I took both my oral meds two hours earlier.

So I am skipping lunch and waiting until my gbs is near or below the 120

mark before consuming any carbs.

Monkey wrench in the works?Fw: advice

> for

> > > > Harry

> > > > > >

> > > > > > > Fasting blood sugar or gbs this morning was 103.

> > > > > > > For breakfast I consumed two scrambled eggs or equivalent egg

> > > beaters,

> > > > > two

> > > > > > > pieces of Canadian bacon and a glass of tomato juice (6 grams

of

> > > > carbs)

> > > > > > and

> > > > > > > a hunk of pepper cheese for a grand total of about 9 or 10

grams

> > of

> > > > > carbs.

> > > > > > > Two hours later my gbs was 149.

> > > > > > > So I went for a 35 minute walk on the treadmill, and after

that,

> > > which

> > > > > was

> > > > > > 3

> > > > > > > hours after lunch I had a gbs of 116.

> > > > > > > So what is the monkey wrench?, you ask.

> > > > > > > Before I started this carb counting I got the new glucose

> monitor

> > > and

> > > > > the

> > > > > > > booklet that came with it said that Vitamin C can cause higher

> > > > readings.

> > > > > > > Well, after abstaining for the past two weeks from my usual

> > Vitamin

> > > C

> > > > > > intake

> > > > > > > of 8 grams per day, this morning I resumed my Vitamin C and I

> took

> > 3

> > > > > grams

> > > > > > > of C.

> > > > > > > I plan to continue taking Vitamin C in large doses of 8 grams

> per

> > > day

> > > > in

> > > > > > > divided doses. Have others experienced this phenomena?

> > > > > > > Does Dr. Bernstein have any thing to say about diabetes and

> > Vitamin

> > > C?

> > > > > > > I did not eat any lunch, since I did not feel hungry. In fact

I

> > > have

> > > > > > > noticed that I do not crave food at all today.

> > > > > >

> > > > >

September 9, 2003

I hope this Bernstein fellow knows of what he speaks and it applies to

diabetics specifically. It looks as though I am definitely going to have to

talk to my doctor about humalog injections, since I had to wait 9 hours

without any solid food at all and definitely no carbs after breakfast before

my gbs got down to 122. Then for dinner I consumed by my calculation only

20 grams of carbs along with my evening dose of 10 mg of glyburide and three

hours later my gbs was 160, and I think that is definitely high for a gbs

reading three hours after a meal, when the post two hour gbs should have

been nearer 122.

For today I calculate that my total carbohydrate intake was around 30 grams

plus or minus 2 grams.

> > > What is puzzling is this morning my gbs was 92 and I consumed only 6

> grams

> > > of carbs for breakfast and exactly two hours later my gbs was 183. Of

> > > course I forgot to take my 10 mg of glyburide along with breakfast, so

> > this

> > > may explain the rise of 91 points with only 6 grams of carbs for

> > breakfast.

> > > So I took my glyburide, and I will measure the gbs before lunch to see

> if

> > it

> > > falls within the narrow 80-120 range.

> > > How would one dose on humalog for 6 carbs at bfreakfast that shoots

the

> > gbs

> > > up 91 points two hours later?

> > > Oh well, I will just keep on sticking my finger 8 and 9 times per day

> for

> > > those gbs readings until I get a grip on these medication dosages.

BTW

> I

> > am

> > > on 7 units of Lantus, not 9 units.

> > > Monkey wrench in the works?Fw:

advice

> > for

> > > > > Harry

> > > > > > >

> > > > > > > > Fasting blood sugar or gbs this morning was 103.

> > > > > > > > For breakfast I consumed two scrambled eggs or equivalent

egg

> > > > beaters,

> > > > > > two

> > > > > > > > pieces of Canadian bacon and a glass of tomato juice (6

grams

> of

> > > > > carbs)

> > > > > > > and

> > > > > > > > a hunk of pepper cheese for a grand total of about 9 or 10

> grams

> > > of

> > > > > > carbs.

> > > > > > > > Two hours later my gbs was 149.

> > > > > > > > So I went for a 35 minute walk on the treadmill, and after

> that,

> > > > which

> > > > > > was

> > > > > > > 3

> > > > > > > > hours after lunch I had a gbs of 116.

> > > > > > > > So what is the monkey wrench?, you ask.

> > > > > > > > Before I started this carb counting I got the new glucose

> > monitor

> > > > and

> > > > > > the

> > > > > > > > booklet that came with it said that Vitamin C can cause

higher

> > > > > readings.

> > > > > > > > Well, after abstaining for the past two weeks from my usual

> > > Vitamin

> > > > C

> > > > > > > intake

> > > > > > > > of 8 grams per day, this morning I resumed my Vitamin C and

I

> > took

> > > 3

> > > > > > grams

> > > > > > > > of C.

> > > > > > > > I plan to continue taking Vitamin C in large doses of 8

grams

> > per

> > > > day

> > > > > in

> > > > > > > > divided doses. Have others experienced this phenomena?

> > > > > > > > Does Dr. Bernstein have any thing to say about diabetes and

> > > Vitamin

> > > > C?

> > > > > > > > I did not eat any lunch, since I did not feel hungry. In

fact

> I

> > > > have

> > > > > > > > noticed that I do not crave food at all today.

> > > > > > >

> > > > > >

September 12, 2003

Harry is right. I remember that the needles back in the 40's and 50's were

so big you look donw them! I used to sharpen them and boil them and keep

them in a jar of alcohol with my glass 80 unit syringe! Things have

improved a lot!

Re: advice for Harry

Hello Harry,

Be glad, the needles could be like the old ones they used back in the late

50'S. you had to sharpen them yourself, boil them befor useing them, And I

would sware they were square. As a we small boy they let me practice on an

orange, sure it's the same thing, big smile thing have gotten better.

At 12:13 PM 9/10/03 -0400, you wrote:

>You just need to keep in mind that I am chicken.

>The thought of stabbing myself with a needle several times per day is

>definitely not apealing.

><grin>

> Re: advice for Harry

>>

>> > Today the doctor gave me a prescription for Humalog, and he recommended

>I

>> > stop taking both my oral medications glyburide and Actos.

>> > He just wants me to be on Lantus and Humalog for carb dosing.

>> > In a type 2 diabetic is it advisable for one to stop taking the Actos

>> which

>> > deals with insulin resistance?

>> > Is all this insulin going to make things worse or better?

>> >

>>

September 16, 2003

sounds like the Lantis needs to go up one unit.

Re: advice for Harry

Fasting gbs this morning after a 7 unit dose of Lantus last night was gbs

153. Then I had breakfast and consumed 15 carbs along with 8 units of

Humalog. Two hours later my gbs was 141.

Something needs to change, but what?

Re: advice for Harry

> > > >

> > > > > That is good to know:

> > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> consumed.

> > > > > Hey!, that's scarey!

> > > > > So, one must not only know their gbs before meal, but also

calculate

> > the

> > > > > number of carbs consumed in order to estimate the proper dosage.

> One

> > > > > doesn't want to go too low!

> > >

September 16, 2003

I'm thinking maybe 2 since he is insulin resistant? Your thoughts?

Re: advice for Harry

> > > > >

> > > > > > That is good to know:

> > > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> > consumed.

> > > > > > Hey!, that's scarey!

> > > > > > So, one must not only know their gbs before meal, but also

> calculate

> > > the

> > > > > > number of carbs consumed in order to estimate the proper dosage.

> > One

> > > > > > doesn't want to go too low!

> > > >

September 16, 2003

You might be right, but I'm kind of cautious.

Re: advice for Harry

I'm thinking maybe 2 since he is insulin resistant? Your thoughts?

Re: advice for Harry

> > > > >

> > > > > > That is good to know:

> > > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> > consumed.

> > > > > > Hey!, that's scarey!

> > > > > > So, one must not only know their gbs before meal, but also

> calculate

> > > the

> > > > > > number of carbs consumed in order to estimate the proper dosage.

> > One

> > > > > > doesn't want to go too low!

> > > >

September 16, 2003

sounds good Harry! G it is!

Re: advice for Harry

I thought so. Since the g stands for glucose, it is redundant to say s for

sugar, and it always takes b or blood to get a glucose monitor to give a

reading.

So in the future my log file will just have the letter g to signify glucose

level.

Re: advice for Harry

> >

> > > Hi Harry.

> > >

> > > You stated...

> > >

> > > Two hours after lunch my gbs was 90.

> > >

> > > * awesome! BTW it is not gbs it is B G S for blood sugar.

> > >

> > > Three hours after lunch my gbs was 125.

> > >

> > > * your bgs is increasing and am thinking it is because the lantus may

> need

> > > bumped up 1 or 2 units. Recall, lantus is in charge of keeping bgs

down

> in

> > > between meals and while you sleep from 10 PM til 6 7 AM etc.

> > >

September 16, 2003

9/15/2003 7:51 PM:

This is a file for charting bgs (g), carbohydrate or c and insulin

consumption.

Pre-supper

Walked 1.4 miles

g was 138

C 16

H 8

2+ hours Post supper:

g 153

L 8u

I am cautious, too. So I just increased the Lantus by 1 unit. It probably

needed to be increased by at least 2 units, but follow the old axium:

always err on the side of caution.

Re: advice for Harry

> > > > >

> > > > > > That is good to know:

> > > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> > consumed.

> > > > > > Hey!, that's scarey!

> > > > > > So, one must not only know their gbs before meal, but also

> calculate

> > > the

> > > > > > number of carbs consumed in order to estimate the proper dosage.

> > One

> > > > > > doesn't want to go too low!

> > > >

September 16, 2003

nice format Harry. Yup, try the 1 unit and if no dice tomorrow, and if are

near the same readings, up that lantus again by 1 or 2 more your call.

Re: advice for Harry

> > > > > >

> > > > > > > That is good to know:

> > > > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> > > consumed.

> > > > > > > Hey!, that's scarey!

> > > > > > > So, one must not only know their gbs before meal, but also

> > calculate

> > > > the

> > > > > > > number of carbs consumed in order to estimate the proper

dosage.

> > > One

> > > > > > > doesn't want to go too low!

> > > > >

September 16, 2003

I agree. It's like cooking in a microwave. You can always minutes, but if

you do too many-burnt!

Re: advice for Harry

9/15/2003 7:51 PM:

This is a file for charting bgs (g), carbohydrate or c and insulin

consumption.

Pre-supper

Walked 1.4 miles

g was 138

C 16

H 8

2+ hours Post supper:

g 153

L 8u

I am cautious, too. So I just increased the Lantus by 1 unit. It probably

needed to be increased by at least 2 units, but follow the old axium:

always err on the side of caution.

Re: advice for Harry

> > > > >

> > > > > > That is good to know:

> > > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> > consumed.

> > > > > > Hey!, that's scarey!

> > > > > > So, one must not only know their gbs before meal, but also

> calculate

> > > the

> > > > > > number of carbs consumed in order to estimate the proper dosage.

> > One

> > > > > > doesn't want to go too low!

> > > >

September 16, 2003

smiles

Re: advice for Harry

> > > > > >

> > > > > > > That is good to know:

> > > > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> > > consumed.

> > > > > > > Hey!, that's scarey!

> > > > > > > So, one must not only know their gbs before meal, but also

> > calculate

> > > > the

> > > > > > > number of carbs consumed in order to estimate the proper

dosage.

> > > One

> > > > > > > doesn't want to go too low!

> > > > >

September 16, 2003

9/16/2003

Pre-breakfast:

G 147

C 16

H 9

2 hours post breakfast:

g158

Increasing the Humalog dose kept it close to the pre-breakfast g reading,

but still no cigar!

Re: advice for Harry

> > > > > > >

> > > > > > > > That is good to know:

> > > > > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> > > > consumed.

> > > > > > > > Hey!, that's scarey!

> > > > > > > > So, one must not only know their gbs before meal, but also

> > > calculate

> > > > > the

> > > > > > > > number of carbs consumed in order to estimate the proper

> dosage.

> > > > One

> > > > > > > > doesn't want to go too low!

> > > > > >

September 16, 2003

up that lantus by 2 this evening IMO. I know several type 2 diabetics that

take 35 units of lantus, and am not suggesting you'll need that or to do it,

but am pointing out that type 2 insulin resistant diabetics will need more

lantus than non-insulin resistant diabetics. Up it to 10 tonight IMO.

Re: advice for Harry

> > > > > > > >

> > > > > > > > > That is good to know:

> > > > > > > > > 1 unit of Humalog drops the gbs 60 points without any

carbs

> > > > > consumed.

> > > > > > > > > Hey!, that's scarey!

> > > > > > > > > So, one must not only know their gbs before meal, but also

> > > > calculate

> > > > > > the

> > > > > > > > > number of carbs consumed in order to estimate the proper

> > dosage.

> > > > > One

> > > > > > > > > doesn't want to go too low!

> > > > > > >

September 18, 2003

9/17/2003

Last night:

L 11

Pre-breakfast:

G 163

C11

H 10

2 hours post breakfast:

g 150

3 hours post breakfast:

g 153

For lunch:

c 20

h 10

Two hours post lunch:

G 106

Three hours post lunch:

G 108

Eight hours post lunch and pre-supper:

G 100

C 15

H 5

Two hours post supper:

G 124

L 11

Re: advice for Harry

> > > > > > >

> > > > > > > > That is good to know:

> > > > > > > > 1 unit of Humalog drops the gbs 60 points without any carbs

> > > > consumed.

> > > > > > > > Hey!, that's scarey!

> > > > > > > > So, one must not only know their gbs before meal, but also

> > > calculate

> > > > > the

> > > > > > > > number of carbs consumed in order to estimate the proper

> dosage.

> > > > One

> > > > > > > > doesn't want to go too low!

> > > > > >

September 18, 2003

Just some ideas here... it looks like you should up the lantus to 12 since

your morning bgs is high. Also, your 2 hour post breakfast test is high so

by uping the lantus 1 more unit, and perhaps adjusting the humalog up a

little or keeping it the same, it could get your morning under control.

However, for lunch and dinner, since your 2 / 3 hour tests were good, you

might have to drop your humalog ratio down some since you'll have some more

lantus in you to help some. I think once you get the lantus up 1 more unit

then you can adjust your humalog to accomidate the lantus and carbs to

finish this process. I'd say you have it about 85% down. Good job!

regards,

Re: advice for Harry

> > > > > > > >

> > > > > > > > > That is good to know:

> > > > > > > > > 1 unit of Humalog drops the gbs 60 points without any

carbs

> > > > > consumed.

> > > > > > > > > Hey!, that's scarey!

> > > > > > > > > So, one must not only know their gbs before meal, but also

> > > > calculate

> > > > > > the

> > > > > > > > > number of carbs consumed in order to estimate the proper

> > dosage.

> > > > > One

> > > > > > > > > doesn't want to go too low!

> > > > > > >

September 18, 2003

exactly what I was thinking... uping the lantus by 1 unit could help that...

in early morning, your liver begins to excrete natural sugar into your blood

to prepare your body to wake up. The natural sugar gives your body energy to

wake up etc. In non-diabetics, this is fine, in diabetics, this leads to

high bgs readings in the morning. To work at this, some increase the basal

insulin, lantus, until they are down in the morning then adjust humalog to

carb ratios for the rest of the meals through the day since you have more

lantus working in you through the day which in itself, is good. I've pretty

much perfected this and got my bgs down to 80/90 in the mornings and just

adjusted my humalog insulin to carb ratios for my lunch/dinner.

regards,

Re: advice for Harry

> > > > > > > > >

> > > > > > > > > > That is good to know:

> > > > > > > > > > 1 unit of Humalog drops the gbs 60 points without any

> carbs

> > > > > > consumed.

> > > > > > > > > > Hey!, that's scarey!

> > > > > > > > > > So, one must not only know their gbs before meal, but

also

> > > > > calculate

> > > > > > > the

> > > > > > > > > > number of carbs consumed in order to estimate the proper

> > > dosage.

> > > > > > One

> > > > > > > > > > doesn't want to go too low!

> > > > > > > >

September 21, 2003

Harry.

What are you using to adjust your insulin to carb ratio? Are you just

winging it and saying hmmm ok, lets take 3 and see what happens? I can't

seem to follow your mathmatical calculations at all. Can you show me your

math in calculating your insulin to carb ratios for example, for lunch where

you took 3 H?

Re: advice for Harry

> > > > >

> > > > > > 9/19/2003

> > > > > >

> > > > > > Last Night:

> > > > > >

> > > > > > Lantus 12

> > > > > >

> > > > > > Pre-breakfast:

> > > > > >

> > > > > > G 133 at 6:30A

> > > > > >

> > > > > > G 152 at 7:45A

> > > > > >

> > > > > > C18

> > > > > >

> > > > > > H 12

> > > > > >

> > > > > > Two hours post breakfast:

> > > > > >

> > > > > > G 149

> > > > > >

> > > > > > Pre-lunch:

> > > > > >

> > > > > > G 140

> > > > > >

> > > > > > C 11

> > > > > >

> > > > > > H 12

> > > > > >

> > > > > > Two hours post lunch:

> > > > > >

> > > > > > G 73

> > > > > >

> > > > > > Three hours post lunch, feeling shaky:

> > > > > >

> > > > > > G 63

> > > > > >

> > > > > > Took one glucose tablet

> > > > > >

> > > > > > Four hours after taking glucose tab:

> > > > > >

> > > > > > G 94

> > > > > >

> > > > > > C 13

> > > > > >

> > > > > > H 2

> > > > > >

> > > > > > Two hours past supper:

> > > > > >

> > > > > > G 139

> > > > > >

> > > > > > L 12

> > > > > >

> > > > >

September 21, 2003

The pre-lunch glucose level was 120 and I only consumed 11 carbs for lunch.

So the glucose was in the normal range, so I dosed for the 11 carbs which

was Humalog 3 units. Dividing the 11 carbs by 3 gives a ratio of almost 1:4

for Humalog to carbohydrate intake. If this is too much let me know. What

do you think I am doing. It seems that the first 5 units of Humalog does

nothing to effect my glucose level. I just don't want to shoot my glucose

level too low, since when it gets below a reading of 68, I start feeling

shakey.

Maybe I need an explanation on how to dose with Humalog. I figure when my

level is too high like 150, that the first 5 units of Humalog does nothing

to lower the glucose level so I add 5+ a unit of Humalog for every 10 points

my glucose level is above 90, which in the case of a 150 glucose level this

means it would take 5+6 Units of Humalog to get it down to 90 or 11 units of

Humalog.

I am probably figuring wrong. Straighten me out, please.

Re: advice for Harry

> > > > > >

> > > > > > > 9/19/2003

> > > > > > >

> > > > > > > Last Night:

> > > > > > >

> > > > > > > Lantus 12

> > > > > > >

> > > > > > > Pre-breakfast:

> > > > > > >

> > > > > > > G 133 at 6:30A

> > > > > > >

> > > > > > > G 152 at 7:45A

> > > > > > >

> > > > > > > C18

> > > > > > >

> > > > > > > H 12

> > > > > > >

> > > > > > > Two hours post breakfast:

> > > > > > >

> > > > > > > G 149

> > > > > > >

> > > > > > > Pre-lunch:

> > > > > > >

> > > > > > > G 140

> > > > > > >

> > > > > > > C 11

> > > > > > >

> > > > > > > H 12

> > > > > > >

> > > > > > > Two hours post lunch:

> > > > > > >

> > > > > > > G 73

> > > > > > >

> > > > > > > Three hours post lunch, feeling shaky:

> > > > > > >

> > > > > > > G 63

> > > > > > >

> > > > > > > Took one glucose tablet

> > > > > > >

> > > > > > > Four hours after taking glucose tab:

> > > > > > >

> > > > > > > G 94

> > > > > > >

> > > > > > > C 13

> > > > > > >

> > > > > > > H 2

> > > > > > >

> > > > > > > Two hours past supper:

> > > > > > >

> > > > > > > G 139

> > > > > > >

> > > > > > > L 12

> > > > > > >

> > > > > >

September 21, 2003

On second thought I haven't been able to figure this out either. Yesterday

when my glucose level was 63 and I took a 4 gram glucose tablet, which was

supposed to raise my glucose level 5 points for each gram of glucose or a

total of 20 points, I was not able to test an hour later or even two hours

later, but when I did test three hours later my glucose level had risen 31

points to a reading of 94. So evidently taking a 4 gram of glucose raises

my glucose level much higher than 20 points, since it raised it 31 points.

Now this doesn't make sense to me either.

Straighten me out about this thing, please.

Re: advice for Harry

> > > > > > >

> > > > > > > > 9/19/2003

> > > > > > > >

> > > > > > > > Last Night:

> > > > > > > >

> > > > > > > > Lantus 12

> > > > > > > >

> > > > > > > > Pre-breakfast:

> > > > > > > >

> > > > > > > > G 133 at 6:30A

> > > > > > > >

> > > > > > > > G 152 at 7:45A

> > > > > > > >

> > > > > > > > C18

> > > > > > > >

> > > > > > > > H 12

> > > > > > > >

> > > > > > > > Two hours post breakfast:

> > > > > > > >

> > > > > > > > G 149

> > > > > > > >

> > > > > > > > Pre-lunch:

> > > > > > > >

> > > > > > > > G 140

> > > > > > > >

> > > > > > > > C 11

> > > > > > > >

> > > > > > > > H 12

> > > > > > > >

> > > > > > > > Two hours post lunch:

> > > > > > > >

> > > > > > > > G 73

> > > > > > > >

> > > > > > > > Three hours post lunch, feeling shaky:

> > > > > > > >

> > > > > > > > G 63

> > > > > > > >

> > > > > > > > Took one glucose tablet

> > > > > > > >

> > > > > > > > Four hours after taking glucose tab:

> > > > > > > >

> > > > > > > > G 94

> > > > > > > >

> > > > > > > > C 13

> > > > > > > >

> > > > > > > > H 2

> > > > > > > >

> > > > > > > > Two hours past supper:

> > > > > > > >

> > > > > > > > G 139

> > > > > > > >

> > > > > > > > L 12

> > > > > > > >

> > > > > > >

September 21, 2003

Hi Harry.

You can do a simple test to see when the humalog actually begins working.

For example, take the humalog at 7 AM adn check 10 minutes, then 20 minutes,

then 30 minutes, etc. When you see a 5 point drop in bgs, that is when

humalog is actually beginning to work in your body. You repeat this test at

least 3 times at various meals to determine this factor and take the average

and go with it. I.E you see at breakfast it was 25 minutes before humalog

began working, at lunch 30, and at dinner 15. I'd say 20 minutes would be

safe to assume when it begins working in your body for example. So, you'd

take the humalog 20 minutes prior to any meal and then in 20 minutes begin

to eat. For example, I have to take my humalog 20 minutes prior to eating.

The reason I do this is so that the peek of the humalog is actually 1.5

hours and can catch the spike from the carbs. In other words, I am

suggesting that perhaps the spike of the carbs is beating your humalog peek

to the punch. This is only one tip/technique. However, I think the real

problem is uping the lantus to 14 units and then modifying your insulin to

carb ratios for the humalog up some.

You should always keep your ratios as such> x units of humalog to drop your

bgs 60 points. x units of humalog per x grams of carbs to have a two hour

post test of 120 or less. Use this formula and you will pan out some. So, is

it 1 unit of humalog per 5 grams for breakfast? 1 unit of humalog per 4

grams for lunch? Is it 5 units of humalog will drop your bgs 50 to 60

points?

I think you have strayed from the suggested formulas of x units of H will

drop your bgs x points and x units of h per x grams of carbs. Get back to

that smiles.

Another tip... if you are 150, for example, calculate your humalog and then

take it to cover the high and your meal yu will eat. humalog peeks in 1.5 to

2 hours so wait 1 hour and get checked. Your bgs may be down to 120 in 1

hour and that is better than eating at 150 since the carbs will strengthen

the 150 but do less with the 120 bgs. Then you have about 1 hour to catch

the carb spike so eat quick smiles. However, bare in mind, this will throw

off all meals for the rest of the day since, for example, if you eat

breakfast 1 hour later, you have to wait 4 to 5 hours before eating again

wich will up your lunch and dinner by 1 hour etc.

These are just tips I use that often times work but you should know the

effects they have on your schedule etc.

Re: advice for Harry

> > > > > > >

> > > > > > > > 9/19/2003

> > > > > > > >

> > > > > > > > Last Night:

> > > > > > > >

> > > > > > > > Lantus 12

> > > > > > > >

> > > > > > > > Pre-breakfast:

> > > > > > > >

> > > > > > > > G 133 at 6:30A

> > > > > > > >

> > > > > > > > G 152 at 7:45A

> > > > > > > >

> > > > > > > > C18

> > > > > > > >

> > > > > > > > H 12

> > > > > > > >

> > > > > > > > Two hours post breakfast:

> > > > > > > >

> > > > > > > > G 149

> > > > > > > >

> > > > > > > > Pre-lunch:

> > > > > > > >

> > > > > > > > G 140

> > > > > > > >

> > > > > > > > C 11

> > > > > > > >

> > > > > > > > H 12

> > > > > > > >

> > > > > > > > Two hours post lunch:

> > > > > > > >

> > > > > > > > G 73

> > > > > > > >

> > > > > > > > Three hours post lunch, feeling shaky:

> > > > > > > >

> > > > > > > > G 63

> > > > > > > >

> > > > > > > > Took one glucose tablet

> > > > > > > >

> > > > > > > > Four hours after taking glucose tab:

> > > > > > > >

> > > > > > > > G 94

> > > > > > > >

> > > > > > > > C 13

> > > > > > > >

> > > > > > > > H 2

> > > > > > > >

> > > > > > > > Two hours past supper:

> > > > > > > >

> > > > > > > > G 139

> > > > > > > >

> > > > > > > > L 12

> > > > > > > >

> > > > > > >

Sign In

RE: advice for Harry

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