Re: advice for Harry

[Guest guest]

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.

[Guest guest]

just another confirmation email Harry to say bump the Lantus up by 1 or 2

units. If you get the same results tomorrow after bumping up the lantus buy

1 or 2 units, then bump it up 1 or 2 more units again. The lantus needs

increased and while you increase the lantus, I'd keep your humalog dose 4

units per 15 grams of carbs for now. Keep reporting to the list and we'll

get it down soon.

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.

>

>

>

>

[Guest guest]

I know the b stands for blood and the s stands for sugar, but what does the

g stand for?

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.

>

>

>

>

>

>

[Guest guest]

glucose... I think smiles.

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.

> >

> >

> >

> >

> >

> >

[Guest guest]

Harry, from another list I am on. These folks are talking to a type 2

wanting to go on lantus and humalog. I just wanted to pass this along to you

to encourage you. Up the lantus 2 units this evening. Not 1, but 2. Here is

what a few 15 year type 2 veterens say about using insulin as a type 2 both

of them type 2...

begin quote

> It matters what the meter says, not how much it takes.

>

> When you get that basal number established for several consecutive days,

> THEN you can 'think' about a bolus insulin for carbs.

As a CDE once told me, " no amount of insulin is worth any complication "

or, it doesn't matter how much insulin you end up needing, that's just

what your body needs. Don't get hung up on the number of insulin units,

pay attention to the meter and shoot what you need. (And my needs are

high, I shoot 10 units of Humalog for every 15 grams of carb.)

end quote

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.

> >

> >

> >

> >

> >

> >

[Guest guest]

BTW Harry if you have already taken your lantus, just go ahead and dose 2

more units, 9 total, regardless if you have already taken your lantus... if

that don't work we up it to 11 tomorrow evening...

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.

> >

> >

> >

> >

> >

> >

[Guest guest]

It stands for glucose.

Re: advice for Harry

I know the b stands for blood and the s stands for sugar, but what does the

g stand for?

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.

>

>

>

>

>

>

[Guest guest]

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.

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

Good going, Harry!

Re: advice for Harry

Pre-lunch gbs was 128.

For lunch I consumed 15 grams of carbs plus 7 units of Humalog.

Two hours after lunch my gbs was 90.

Three hours after lunch my gbs was 125.

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!

> > > > >

> > > > >

> > > > >

> > > > >

[Guest guest]

Yes, good job Harry. You are probably have the dawn effect, which so many

diabetics have-the blood sugar goes up in the early morning hours, so you

need more insulin between the hours of 3-7 AM. I take considerably more

insulin in my pump during the hours than I do the rest of the day.

Re: advice for Harry

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!

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > >

[Guest guest]

9/18/2003

Last night:

L 11

Fasting glucose level:

G 130

Pre-breakfast:

G159

C 18

H 12

2 hours post breakfast:

g 131

Pre-lunch:

G 106

C 18

H 7

Two hours post lunch:

G 116

Seven hours post lunch and pre-supper:

G 114

C 20

H 7

Two hour post supper is messed up because I ate two handsful of nuts:

G 164

L 12

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!

> > > > > > > > >

> > > > > > > > >

> > > > > > > > >

> > > > > > > > >

[Guest guest]

9/20/2003

Last night:

Lantus 12

Pre-breakfast:

G 154

C 6

H 10

Two hours post breakfast:

G 114

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

> > > >

> > > >

> > >

> > >

> > >

> > >

[Guest guest]

good job Harry getting that down. Increase the lantus to 14 this evening and

your bgs should be down more in the morning but don't forget to up your

ratio for lunch/dinner so you don't go low. You can't keep it the same.

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

> > > > >

> > > > >

> > > >

> > > >

> > > >

> > > >

[Guest guest]

I have been wondering why people used all three letters. I'm not

surprised Harry was confused.

Pam

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.

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

I agree. I think it is just a because issue no real reason...

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.

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

9/20/2003

Last night:

Lantus 12

Pre-breakfast:

G 154

C 6

H 10

Two hours post breakfast:

G 114

Pre-lunch:

G 120

C 11

H 3

Three hours post lunch:

G 164

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

> > > > >

> > > > >

> > > >

> > > >

> > > >

> > > >

[Guest guest]

9/24/2003

Last night:

Lantus 15

At 7A Fasting g 103

Breakfast:

G 105

C 15

H 7

Two hours post breakfast:

G 100

Lunch:

G 105

C 15

H 7

Two hours post lunch:

G 88

Three hours post lunch:

G 92

Supper:

G 99

C15

H 7

Two hours post supper:

G 88

L 15

Re: advice for Harry

>

>

> > 9/24/2003

> >

> > Last night:

> >

> > Lantus 15

> >

> > At 7A Fasting g 103

> >

> > Breakfast:

> >

> > G 105

> >

> > C 15

> >

> > H 7

> >

> > Two hours post breakfast:

> >

> > G 100

> >

> > Lunch:

> >

> > G 105

> >

> > C 15

> >

> > H 7

> >

> > Two hours post lunch:

> >

> > G 88

> >

> > Three hours post lunch:

> >

> > G 92

> >

> >

>

>

>

>

[Guest guest]

Harry, You need to take the " dawn affect " into account. It is usual for

most diabetics to have a rise in BG between about 3AM and 7Am.Your body

starts putting out more glucose for the energy you need when you awaken.

Re: advice for Harry

9/25/2003

Last night:

Lantus 15

G 88

I consumed 5 carbs thinking it would raise my glucose level up about 30

points while I slept, and it would come down by the time I woke up.

Evidently, I was wrong again. It did raise my glucose level around 30

points, but it didn't come down. So I guess if your glucose level is in the

theraputic range, the best thing to do is just take your bedtime insulin and

forget about it.

Fasting glucose level:

G 129

Breakfast:

G 129

C 15

H 9

[Guest guest]

9/25/2003

Last night:

Lantus 15

G 88

I consumed 5 carbs thinking it would raise my glucose level up about 30

points while I slept, and it would come down by the time I woke up.

Evidently, I was wrong again. It did raise my glucose level around 30

points, but it didn't come down. So I guess if your glucose level is in the

theraputic range, the best thing to do is just take your bedtime insulin and

forget about it.

Fasting glucose level:

G 129

Breakfast:

G 129

C 15

H 9

Two hours post breakfast:

G 153

Lunch:

G149

C 15

H 13

Two hours post lunch:

G 92

Supper:

G 95

C 15

H 7

Two hours post supper:

G 81

L 15

Re: advice for Harry

>

>

> > 9/24/2003

> >

> > Last night:

> >

> > Lantus 15

> >

> > At 7A Fasting g 103

> >

> > Breakfast:

> >

> > G 105

> >

> > C 15

> >

> > H 7

> >

> > Two hours post breakfast:

> >

> > G 100

> >

> > Lunch:

> >

> > G 105

> >

> > C 15

> >

> > H 7

> >

> > Two hours post lunch:

> >

> > G 88

> >

> > Three hours post lunch:

> >

> > G 92

> >

> >

>

>

>

>

[Guest guest]

Harry it might take you 3 units of humalog to lower your bgs 60 points. I

seen your breakfast of 129 and you took 2 extra and was 149 or so 2 hours

later. I'm thinking it may be 3 or 4 units of H to lower your bgs 60 points

so play with that some when you are high again. Keep the results coming to

the list! Man! I think you are doing wonderful Harry!

regards,

Re: advice for Harry

> >

> >

> > > 9/24/2003

> > >

> > > Last night:

> > >

> > > Lantus 15

> > >

> > > At 7A Fasting g 103

> > >

> > > Breakfast:

> > >

> > > G 105

> > >

> > > C 15

> > >

> > > H 7

> > >

> > > Two hours post breakfast:

> > >

> > > G 100

> > >

> > > Lunch:

> > >

> > > G 105

> > >

> > > C 15

> > >

> > > H 7

> > >

> > > Two hours post lunch:

> > >

> > > G 88

> > >

> > > Three hours post lunch:

> > >

> > > G 92

> > >

> > >

> >

> >

> >

> >

[Guest guest]

9/26/2003

Last night:

Lantus 15

G 81

Consumed 3 carbs

Breakfast:

G 104

D 15

H 7

Re: advice for Harry

> Harry it might take you 3 units of humalog to lower your bgs 60 points. I

> seen your breakfast of 129 and you took 2 extra and was 149 or so 2 hours

> later. I'm thinking it may be 3 or 4 units of H to lower your bgs 60

points

> so play with that some when you are high again. Keep the results coming to

> the list! Man! I think you are doing wonderful Harry!

> regards,

>

> ----

[Guest guest]

Good job Harry!! fess up Harry those 3 carbs last evening were M & M's!! LOL

regards,

Re: advice for Harry

>

>

> > Harry it might take you 3 units of humalog to lower your bgs 60 points.

I

> > seen your breakfast of 129 and you took 2 extra and was 149 or so 2

hours

> > later. I'm thinking it may be 3 or 4 units of H to lower your bgs 60

> points

> > so play with that some when you are high again. Keep the results coming

to

> > the list! Man! I think you are doing wonderful Harry!

> > regards,

> >

> > ----

>

>

[Guest guest]

It was one Old Milwakee beer.

Re: advice for Harry

> >

> >

> > > Harry it might take you 3 units of humalog to lower your bgs 60

points.

> I

> > > seen your breakfast of 129 and you took 2 extra and was 149 or so 2

> hours

> > > later. I'm thinking it may be 3 or 4 units of H to lower your bgs 60

> > points

> > > so play with that some when you are high again. Keep the results

coming

> to

> > > the list! Man! I think you are doing wonderful Harry!

> > > regards,

> > >

> > > ----

> >

> >

>

>

>

>

[Guest guest]

cool! I'm glad you are able to have something you enjoy Harry. Remember I

was saying that when you get your bgs under control, you can use humalog to

help eat some foods you like *occasionally*. Once you show for 7 days that 7

units of H covers 15 grams per meal you can assume you can double it up for

30, 45 grams, etc. However, after 45 grams a meal, it has been my personal

experience, that my sugars will go crazy and become unmanageable. Often

times this is true even at eating 45 grams. I'd say IMO don't go above 45

grams of carbs when eating those " lets enjoy myself! " meals. If after 1 week

of showing 15 grams at 7 units of H work for you for the meals, I'd say it

would be safe to up your meals to 30 grams where you want to eat more. For

example, uping lunch and dinner carbs to 30 and your H dose to 14 for those

meals. I would never recommend to eat more than 15 grams for breakfast

though since you, in the early mornings, are pulling out of the liver dump.

I'm excited for you Harry! Your getting this totally under control in under

2 weeks I think it has been. Good job! Keep posting your results and like I

say, if it shows the same for the next 4 or 5 days, then I think you got it

my friend! I caution you to not experiment quite yet with increasing your

carb grams and humalog. Keep all meals at 15 grams for 5 more days then it

is time to play!

regards,

Re: advice for Harry

> > >

> > >

> > > > Harry it might take you 3 units of humalog to lower your bgs 60

> points.

> > I

> > > > seen your breakfast of 129 and you took 2 extra and was 149 or so 2

> > hours

> > > > later. I'm thinking it may be 3 or 4 units of H to lower your bgs 60

> > > points

> > > > so play with that some when you are high again. Keep the results

> coming

> > to

> > > > the list! Man! I think you are doing wonderful Harry!

> > > > regards,

> > > >

> > > > ----

> > >

> > >

> >

> >

> >

> >

[Guest guest]

9/26/2003

Last night:

Lantus 15

G 81

Consumed 3 carbs

Breakfast:

G 104

D 15

H 7

Two hours post breakfast:

G 120

Lunch:

G 120

C 15?

H 11

Two hours post lunch:

G 94