Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 10/26/2003 Last night: Two hours post supper: G 65 I figure Humalog dose was too high for c 15. Ate some nuts about 14 carbs worth. Lantus increased to 22 units. Today: G 156 Instead of eating nuts last night, I think I should have eaten a glucose tablet. C 15 H 16 Two hours post breakfast: G 132 Re: advice for Harry > Hi Harry. > > You have your lantus at 19 last check. To adjust lantus, it goes like this: > > * take lantus at same time each evening, don't vary on the time you take it > > * fasting bgs must be 80 to 100 > > * eat 5 to 10 grams of *non-quick* acting carbs, like a can of green beans 8 > grams. > > * test 1 hour later see if is under a 20 point increase > > * test 2 hours later see if is under a 20 point increase > > * test three hours later see if you are coming back down to 80/100 range > > * by next meal should be 80 to 100 > > * do this for lunch and dinner as well... 1 can of green beans 8 slow acting > carbs and watch if the lantus keeps it down. > > * after doing this test for breakfast, lunch, and dinner, study the pattern > and see if it is working. If it is not, then increase the lantus > accordingly. However, you may just have to wing it since I don't think for a > second day of testing you will want to eat 3 cans of green beans only again? > If you do, that is fine, however, by studying this the first time, you will > get a rough/pretty good idea of how much to increase it. Once the lantus is > able to keep down your bgs 80 to 100 range pre meals, then you got your > lantus good and then adjust the humalog. However, your doing this way to > early IMO you still have slight infection in your body so your not going to > get accurate results and you'll have to readjust ratios again once the > infection is fully gone. I'm certain you won't listen LOL but hey, that's > our Harry for ya smiles. It will take probably about 2 months past it being > gone for you to accurately adjust this stuff so I'd say don't put to much > into it right now but that is your call. > > cheers > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 ok but just remember, you have to be 80 to 100 fasting in the morning before doing this so it is accurate. If you are higher than 100, the test will not be accurate. It would be best if you were close to 80. If you are a little under that I'm sure that would be ok as well. Basically, you have to start at a low sugar range, normal range, so you cna really see how much 8 slow acting carbs increases your bgs. Re: advice for Harry > > > > > > > 10/25/2003 > > > > > > Last night: > > > > > > Two hours post supper: > > > > > > G 128 > > > > > > Ate nuts to purposefully raise glucose blood level for test in the > > morning. > > > > > > Lantus increased to 20 units > > > > > > Today: > > > > > > Fasting glucose blood level: > > > > > > G 154 > > > > > > Took 8 units of Humalog > > > > > > Ate no breakfast, no carbs consumed. > > > > > > Two hours later: > > > > > > G 120 > > > > > > Eight units of Humalog lowered my blood glucose level 34 points in two > > > hours. > > > > > > Three hours later: > > > > > > Still no carbs consumed > > > > > > G 107 > > > > > > Eight units of Humalog lowered my blood glucose level 47 points in three > > > hours. > > > > > > Four hours later: > > > > > > Still no carbs consumed > > > > > > G 106 > > > > > > Eight units of Humalog lowered my blood glucose level 48 points in four > > > hours, and all Humalog should be completely disapated. > > > > > > *Took a 4gram quick-acting carb glucose tablet* > > > > > > 30 minutes later: > > > > > > g 117 > > > > > > 60 minutes later: > > > > > > g 124 > > > > > > After looking at the findings above can you make some remarks regarding > > > Lantus basil dose and/or Humalog meal dose? > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 10, 2003 Report Share Posted November 10, 2003 11/10/2003 Last night: Back from cruise G 100 Lantus 24 Breakfast today: G 122 C 15 H 12 Two hours post breakfast: G 99 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 10, 2003 Report Share Posted November 10, 2003 Welcome back, Harry! I see your Lantis dosage went up. Was this due to the trip? I am going on a short cruise in about a month and hope I can manage to keep the insulin dosage the same! Re: advice for Harry 11/10/2003 Last night: Back from cruise G 100 Lantus 24 Breakfast today: G 122 C 15 H 12 Two hours post breakfast: G 99 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2003 Report Share Posted November 11, 2003 No, I did not increase my Lantus dosage while on the cruise. Actually, I increased the dose about a week before I went on the cruise. I am thinking about getting tighter control in the target of 90 plus or minus 20 points on my glucose readings, but I haven't achieved this yet. I am thinking about increasing my Lantus to 25 or 26 units at night, but I am not in a hurry to do this. I just completed my second round of antibiotics for that leg infection, which appears to be mostly healed at this point except for a couple of tender spots still remaining. I will watch these healing sores closely to see if they continue to heal without getting a third prescription for antibiotics, which I hope will be unnecessary. I gained six pounds in a seven day cruise, which is almost a pound per day. I would suggest having more sex instead of food. <smile> Re: advice for Harry > > > 11/10/2003 > > Last night: > > Back from cruise > > G 100 > > Lantus 24 > > Breakfast today: > > G 122 > > C 15 > > H 12 > > Two hours post breakfast: > > G 99 > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2003 Report Share Posted November 11, 2003 Hi pat, this is wayne. my doctor tryed to change my insulin to lantis from 70-30 while I was in the hospital to have my lower left leg amputated and it did not work for me. forteen days out of fifteen days my fasting sugar was below sixty mostly in the forties so he put me back on the 70-30 semce then I have been having problems controling my sugars. till this saturday it hit a all time low for me of thirteen. I was fortunate my friend came in when he did. don't know what would have happened to me if he was a little later coming in. friends wayne Re: advice for Harry 11/10/2003 Last night: Back from cruise G 100 Lantus 24 Breakfast today: G 122 C 15 H 12 Two hours post breakfast: G 99 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2003 Report Share Posted November 11, 2003 11/11/2003 Last night: G 76 Lantus 24 units Ate a few nuts Fasting blood sugar today: G 113 *** 11/10/2003 Last night: Back from cruise G 100 Lantus 24 Breakfast today: G 122 C 15 H 12 Two hours post breakfast: G 99 Lunch: G 100 C 15 H 10 Two hours post lunch: G 95 Supper: G 123 C 15 H 13 Two and a half hours post supper: Walked 2.0 miles G 76 Lantus 24 units Ate a few nuts Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2003 Report Share Posted November 11, 2003 Hi and welcome home Harry. Could you tell us a bit about the cruise? Rita Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2003 Report Share Posted November 11, 2003 Hi . Welcome back! Good job on the sugars below. Hope your cruise was fun. Can you share with us what you were able to eat on the cruise that was low carb? I'm curious to know since I may take a cruise some day. BTW notice that your sugars are raising after your 2 hour post test. This should not be. Do you still have a slight infection on the legs? If so, that may be what is going on? If not, up your lantus to 25. If your 2 hour post meal test is 95, for example, then your pre meal sugar should be 95 or less, not raise up to 110 for example. However, I'm just nit picking, it overall really really looks good man! so leave it be if you want *smile*. Good job and welcome back! regards, Re: advice for Harry > 11/11/2003 > > Last night: > > G 76 > > Lantus 24 units > > Ate a few nuts > > Fasting blood sugar today: > > G 113 > > *** > > 11/10/2003 > > Last night: > > Back from cruise > > G 100 > > Lantus 24 > > Breakfast today: > > G 122 > > C 15 > > H 12 > > Two hours post breakfast: > > G 99 > > Lunch: > > G 100 > > C 15 > > H 10 > > Two hours post lunch: > > G 95 > > Supper: > > G 123 > > C 15 > > H 13 > > Two and a half hours post supper: > > Walked 2.0 miles > > G 76 > > Lantus 24 units > > Ate a few nuts > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2003 Report Share Posted November 11, 2003 ah I just got to this one... you do have some infection left in there. Be as aggressive as you possibly can man! A *slight* infection can cost you your leg. Call another doc and perhaps a different anti-biotic would help finish that off? regards, Re: advice for Harry > > > > > > 11/10/2003 > > > > Last night: > > > > Back from cruise > > > > G 100 > > > > Lantus 24 > > > > Breakfast today: > > > > G 122 > > > > C 15 > > > > H 12 > > > > Two hours post breakfast: > > > > G 99 > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2003 Report Share Posted November 11, 2003 Good to see you back on the list Wayne! Sure glad your friend came in time! Rita Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2003 Report Share Posted November 11, 2003 11/11/2003 Last night: G 76 Lantus 24 units Ate a few nuts Fasting blood sugar today: G 113 Breakfast: G 122 C 15 H 13 Lunch: G 91 C 15 H 10 Two and a half hours post lunch: G 63 Body shaking, took one glucose tablet Either I didn't count the carbs right or Humalog 10 units was too much for 15 grams of carbs. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2003 Report Share Posted November 12, 2003 WAYNE, SORRY TO HEAR ABOUT THE LOW BLOOD SUGAR PROBLEM. How are your kidneys? the reason I knew my kidneys had started going was because I had become so sensitive to my insulin. also, the 70-30 kind is not always good to use as you may not need the 30 percent of the fast acting kind. It is better to be on 2 shots as needed. usually docs will put you on a certain number of N and then on either H or R as the fast acting as needed. I am on H in my pump and usually need less than 15 units a day totally because of the decreased kidney function. If the doc put you on Lantis and you were running such lows, did he decrease the Lantis? If so how many units were you on? also, how are you getting along now that you are home? have they been able to fit you with a prostheses? sure am glad your friend came along! Are your lows always in the morning or exactly when are they? It really sounds like you need a lot less insulin. Is your doc a diabetic specialist? I have real anxiety attacks when I hear about the problems you and others like you are having with lows. At least with highs, you are not in danger of leaving this world! Let us know how you are doing and it is nice to see you back on the computer. Re: advice for Harry Hi pat, this is wayne. my doctor tryed to change my insulin to lantis from 70-30 while I was in the hospital to have my lower left leg amputated and it did not work for me. forteen days out of fifteen days my fasting sugar was below sixty mostly in the forties so he put me back on the 70-30 semce then I have been having problems controling my sugars. till this saturday it hit a all time low for me of thirteen. I was fortunate my friend came in when he did. don't know what would have happened to me if he was a little later coming in. friends wayne Re: advice for Harry 11/10/2003 Last night: Back from cruise G 100 Lantus 24 Breakfast today: G 122 C 15 H 12 Two hours post breakfast: G 99 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2003 Report Share Posted November 12, 2003 Hi patricia, my low sugars are normally in the morning. lasst week I had one while in my doctor's office. the next day I had one while the nurse was cha;nging my dressings both on my stuoomp and baack end where I got some bad bed sores from my vacation in the nationall p;ark hotel sorry that in the hos[pital for a total of 77 days from the middle of may till the twelfth of october. sence then my sugars are going from one end to the other, when I wqas usi;ng seventy thirty before the hospital I was using almosts twice as much insllin that I'm using now. it seems like a struggle to keep it under control. friends wayne Re: advice for Harry 11/10/2003 Last night: Back from cruise G 100 Lantus 24 Breakfast today: G 122 C 15 H 12 Two hours post breakfast: G 99 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2003 Report Share Posted November 12, 2003 OOOH! My husband would really like your advice! also, Harry, you should have your doc look at the leg before you decide whether or not you need furhter antibiotic treatment. Much better to be safe than sorry. If you wait to see if the leg is going to heal, you could end up with a worse infection. glad you had a good time! Re: advice for Harry No, I did not increase my Lantus dosage while on the cruise. Actually, I increased the dose about a week before I went on the cruise. I am thinking about getting tighter control in the target of 90 plus or minus 20 points on my glucose readings, but I haven't achieved this yet. I am thinking about increasing my Lantus to 25 or 26 units at night, but I am not in a hurry to do this. I just completed my second round of antibiotics for that leg infection, which appears to be mostly healed at this point except for a couple of tender spots still remaining. I will watch these healing sores closely to see if they continue to heal without getting a third prescription for antibiotics, which I hope will be unnecessary. I gained six pounds in a seven day cruise, which is almost a pound per day. I would suggest having more sex instead of food. <smile> Re: advice for Harry > > > 11/10/2003 > > Last night: > > Back from cruise > > G 100 > > Lantus 24 > > Breakfast today: > > G 122 > > C 15 > > H 12 > > Two hours post breakfast: > > G 99 > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2003 Report Share Posted November 12, 2003 11/11/2003 Last night: G 76 Lantus 24 units Ate a few nuts Fasting blood sugar today: G 113 Breakfast: G 122 C 15 H 13 Lunch: G 91 C 15 H 10 Two and a half hours post lunch: G 63 Body shaking, took one glucose tablet Either I didn't count the carbs right or Humalog 10 units was too much for 15 grams of carbs. One and a half hours after glucose tablet: G 84 Munched on some nuts Supper: G 113 C 15 H 10 Two hours post supper: G 157 Baffled again! I consumed no carbs since supper yet my glucose level rose. Could this be a sign that the leg infection has not cleared up? Increased Lantus to 25 units. RE: advice for Harry > OOOH! My husband would really like your advice! > also, Harry, you should have your doc look at the leg before you decide > whether or not you need furhter antibiotic treatment. Much better to be > safe than sorry. If you wait to see if the leg is going to heal, you could > end up with a worse infection. > glad you had a good time! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2003 Report Share Posted November 19, 2003 not bad at all good work Harry... regards, Re: advice for Harry > 11/18/2003 > > Last night: > > One and a half hours post supper: > > G 141 > > Lantus 25 > > Breakfast today: > > G 121 > > C 15 > > H 10 > > Two hours post breakfast: > > G 119 > > Lunch: > > G 73 > > C 20 > > H 8 > > Walked 2 miles > > Two hours post lunch: > > G 84 > > Supper: > > G 102 > > C 18 > > H 9 > > Two hours post supper: > > G 92 > > Lantus 25 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 25, 2003 Report Share Posted November 25, 2003 ya Harry you are doing a *great* job... keep it up! Love to see your readings each day. Makes me smile and encourages me to keep on keeping on. regards, Re: advice for Harry > > > > > > > I am considering raising my Lantus dose at night from 25 units to 26 or > 27 > > > units, and I wonder what your opinion is. > > > > > > Consider the glucose level today in light of the fact that I consumed > > around > > > 9 Grams of carbs list in the form of nuts and then dosed with Lantus 25 > > > units before going to bed last night. I am also wondering if there is a > > > relationship between the amount of Lantus used each day and the total > > amount > > > of Humalog used each day. For instance presently I am on Lantus 25 > units > > > per day as compared with Humalog 10, 9, and 8 or a total Humalog of 27 > > units > > > per day. > > > > > > So how does this compare with others total Lantus and total Humalog per > > day? > > > > > > 11/24/2003 > > > > > > Breakfast today: > > > > > > g 107 > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2003 Report Share Posted November 27, 2003 11/26/2003 Last night: G 111 Lantus 25 Breakfast today: G 99 C 15 H 9 Two hours post breakfast: G 108 Lunch: G 76 C 18 H 8 Walked 2.0 miles Two and a half hours post lunch: G 60 Ate lots of nuts Supper: G 74 C 18 also ate extra nuts H 8 Two hours post supper: G 95 Lantus 25 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2003 Report Share Posted November 28, 2003 cool! I can't wait to hear it man! Listen, even if it is not 5.0 you should be happy. I know you are a perfectionist Harry LOL so whatever you score on this a1c, it will be good! and you should be proud of yourself for attaining it even if it is not a 5.0. regards, Re: advice for Harry > > > > > > > 11/26/2003 > > > > > > Last night: > > > > > > G 111 > > > > > > Lantus 25 > > > > > > Breakfast today: > > > > > > G 99 > > > > > > C 15 > > > > > > H 9 > > > > > > Two hours post breakfast: > > > > > > G 108 > > > > > > Lunch: > > > > > > G 76 > > > > > > C 18 > > > > > > H 8 > > > > > > Walked 2.0 miles > > > > > > Two and a half hours post lunch: > > > > > > G 60 > > > > > > Ate lots of nuts > > > > > > Supper: > > > > > > G 74 > > > > > > C 18 also ate extra nuts > > > > > > H 8 > > > > > > Two hours post supper: > > > > > > G 95 > > > > > > Lantus 25 > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2003 Report Share Posted November 30, 2003 for those reading this for the first time, g means blood sugar shown on the meter, H means humalog insulin and how many units harry took to cover the carbs and C stands for carb grams ate for the meal. Because Harry is regulated now, he doesn't have to always take a 2 hour post meal test. However, for about 3 months he did until he got his carb grams down. He can only eat about 15 to 20 grams of carbs per meal and stay regulated. Re: advice for Harry > 11/29/2003 > > Breakfast today: > > G 124 > > C 15 > > H 11 > > Lunch: > > G 67 > > C 19 > > H 8 > > Supper: > > G 93 > > C 18 > > H 9 > > Two hours post supper: > > G 101 > > Lantus 25 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2003 Report Share Posted December 2, 2003 12/1/2003 Last night: Three hours post supper: G 58 Took another glucose tablet Ate a few more nuts G 72 Lantus 25 Breakfast today: G 84 C 15 H 8 Two hours post breakfast: G not taken Lunch: G 68 C 18 H 7 Two hours post lunch: G 105 Supper: G 84 C 19 H 8 Two hours post supper: G 116 Lantus 25 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2003 Report Share Posted December 5, 2003 12/4/2003 Last night: G 98 Lantus 25 Breakfast today: G 100 C 19 H 9 Two hours post breakfast: G 114 Lunch: Ate at chinese restaurant and estimated 18 grams of carbs consumed H 10 Supper: G 64 C 22 H 10 Two hours post supper: G 94 Lantus 25 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2003 Report Share Posted December 5, 2003 not bad and I am assuming for chinese you did not eat starchy fatty foods like low maine, noodles, etc. and had some sort of veggie stir fry consisting mostly of veggies and maybe a little rice? regards, Re: advice for Harry > 12/4/2003 > > Last night: > > G 98 > > Lantus 25 > > Breakfast today: > > G 100 > > C 19 > > H 9 > > Two hours post breakfast: > > G 114 > > Lunch: > > Ate at chinese restaurant and estimated 18 grams of carbs consumed > > H 10 > > Supper: > > G 64 > > C 22 > > H 10 > > Two hours post supper: > > G 94 > > Lantus 25 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2003 Report Share Posted December 5, 2003 I had beef stir fry with all those vegetables. I skipped the egg roll, rice and hot and sour soup. Re: advice for Harry > > > > 12/4/2003 > > > > Last night: > > > > G 98 > > > > Lantus 25 > > > > Breakfast today: > > > > G 100 > > > > C 19 > > > > H 9 > > > > Two hours post breakfast: > > > > G 114 > > > > Lunch: > > > > Ate at chinese restaurant and estimated 18 grams of carbs consumed > > > > H 10 > > > > Supper: > > > > G 64 > > > > C 22 > > > > H 10 > > > > Two hours post supper: > > > > G 94 > > > > Lantus 25 > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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