Re: advice for Harry

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

>

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?

> > >

> >

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

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

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

>

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

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

November 11, 2003

Hi and welcome home Harry. Could you tell us a bit about the cruise?

Rita

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

>

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

> >

November 11, 2003

Good to see you back on the list Wayne! Sure glad your friend came in

time!

Rita

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.

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

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

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!