Guest guest Posted May 19, 2004 Report Share Posted May 19, 2004 it is very possible that you were 15 because you are on 70/30 insulin. That insulin is the first thing that will have to go for you to get tight control. For example, lantus is what you use for long acting insulin, it doesn't have a peek, and you take 1 dose of it in the evening. Typically around 8 PM. In that 70/30 you are dealing with 2 peek actions... the long acting has a nasty peek in it that will crack you low and the quick acting as well. By getting rid of the 70/30, using lantus for your long acting, you are removing 2 peeks (the 70/30) down to 1 peek... the humalog insulin that you use to cover carbs. Humalog peeks in 2 to 3 hours and is out of your body in 4 hours. This way, you have a concret reason as to why you are ever low... the humalog and never the lantus for the most part. Looking at your breakfast, you probably ate 28 grams in the yogurt, 30 grams in the granola bar, and if you only drank 1/2 cup of juice it was 20 grams. So, total carb grams in that breakfast, wich was God aweful amount, was close to 90 grams. If you were on humalog, you would dose it to cover the 90 grams and 2 hours past eating, get a test, and if 120 or less you are good. If you were low, you would eat 1 or 2 glucose tablets to stop the low, and 4 hours past taking humalog it is out of your body so you dont' have to wrestle with any lows from it. Baring in mind, you first have to figure out how many units of humalog, quick acting insulin, to take per 15 grams. We use H for short hand for Humalog. So, I take 1.5 units of H per 15 grams for breakfast. To cover 90 grams of carbs, which I never go over 30 grams per meal,it would have been 9 units of H to cover 90 grams for breakfast. Formula is simple. Think of it as a phrase... total diabetes management. Look at the first letter of each word... t,d,m. Total carbs, divided by 15, multiplied by units of H per 15 grams. total, diabetes (divide), management (multiply). I.E t, d, m. all start with t,d,m. So total grams of 90, divided by 15 is 6, then multiply that by 1.5 which is units of H I take per 15 grams and you get 9 units of H to cover 90 grams of carbs at breakfast for me. I can explain this over the phone when I call you some evening. Ask your doctor 1 question when you see him... do you train diabetics on how to carbohydrate count and dose humalog insulin to cover carbs? If he/she says no, find a doctor that will since that is modern treatment for diabetics and if they are not using it, they have not increased their knowledge base past early 1980's treatment. To give you an ideamore, my family doc, not even an endo, is 33 and trains me how to adjust my insulin. No longer do I see the doc for her to adjust my insulin, I am trained on how to do it since that is modern treatment... tides have changed... docs simply monitor progress and train their patients how to adjust their own insulin to obtain a1c levels of 5.0 to 5.5 and also teach you how to carb count adn dose humalog to cover carbs. If your doc doesn't know how to do this, or is unwilling to do so, find a new doc. Have your doc get you on lantus for long acting and humalog for quick acting and I'll help you adjust them and get your pre meal sugar 80 and your 2 hour post meal sugar 120 or less. Ask anyone on this list running a1c levels of 5 now... Harry, from Canada, Wayne, and others... I know my stuff and can help you do it. Not only that, I've done it for myself smile. Sorry to toot my horn but I do that just to let you know that I know my stuff since when you start telling folks they can adjust their own insulin, they become frightened by that because they have never been trained how to do that and any doc graduated in the past 5 years from medical school knows that this is the norm now. Regards, strange question Hi All, I had a weird experience today and was wondering if anyone else has ever had this happen to them. We were eating lunch egg salad sandwiches, potatoe chips, and lemon aide. After lunch I started feeling light headed, shaky, and head rushed. I checked my sugar and it said it was 15 which don't seem right to me but then again the way my sugars read. My question is could my machine be acting up or do I trust the reading? I even rechecked to make sure and we got the same reading. I've got an appointment for Monday to see my Dr. and hopefully we can get this stuff figured out. I didn't eat anything extra since I had 2 slices of bread with my sandwich. At breakfast I was 72 and had a yogurt granola bar and juice. Lynda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2004 Report Share Posted May 19, 2004 Trust both your symptoms and your monitor. I believe both of them are right. I hope you popped three or four glucose tablets? Let us know if you did. After taking the glucose tablets, what was your glucose monitor reading around 45 minutes later? You had the classic symptoms of low blood sugar, and your machine confirmed it, which is good. Maybe you dosed too many units of insulin for the amount of carbs consumed or maybe you consumed a lot of fat along with the carbs consumed. You might let us know if one of these thoughts may be right. BTW I would recommend you stay away from drinking fruit juices altogether, since they tend to spike the glucose levels. strange question > Hi All, > > I had a weird experience today and was wondering if anyone else has ever > had this happen to them. We were eating lunch egg salad sandwiches, > potatoe chips, and lemon aide. After lunch I started feeling light headed, > shaky, and head rushed. I checked my sugar and it said it was 15 which > don't seem right to me but then again the way my sugars read. My question > is could my machine be acting up or do I trust the reading? I even > rechecked to make sure and we got the same reading. I've got an > appointment for Monday to see my Dr. and hopefully we can get this stuff > figured out. I didn't eat anything extra since I had 2 slices of bread > with my sandwich. > > At breakfast I was 72 and had a yogurt granola bar and juice. > > Lynda > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2004 Report Share Posted May 19, 2004 You're right about the 70-30 mix. I always cringe when a client tells me they are taking that. Also, if her blood sugar was truley that low, she would have been unconscious. I think her machine screwed up-maybe not enough blood. Re: strange question it is very possible that you were 15 because you are on 70/30 insulin. That insulin is the first thing that will have to go for you to get tight control. For example, lantus is what you use for long acting insulin, it doesn't have a peek, and you take 1 dose of it in the evening. Typically around 8 PM. In that 70/30 you are dealing with 2 peek actions... the long acting has a nasty peek in it that will crack you low and the quick acting as well. By getting rid of the 70/30, using lantus for your long acting, you are removing 2 peeks (the 70/30) down to 1 peek... the humalog insulin that you use to cover carbs. Humalog peeks in 2 to 3 hours and is out of your body in 4 hours. This way, you have a concret reason as to why you are ever low... the humalog and never the lantus for the most part. Looking at your breakfast, you probably ate 28 grams in the yogurt, 30 grams in the granola bar, and if you only drank 1/2 cup of juice it was 20 grams. So, total carb grams in that breakfast, wich was God aweful amount, was close to 90 grams. If you were on humalog, you would dose it to cover the 90 grams and 2 hours past eating, get a test, and if 120 or less you are good. If you were low, you would eat 1 or 2 glucose tablets to stop the low, and 4 hours past taking humalog it is out of your body so you dont' have to wrestle with any lows from it. Baring in mind, you first have to figure out how many units of humalog, quick acting insulin, to take per 15 grams. We use H for short hand for Humalog. So, I take 1.5 units of H per 15 grams for breakfast. To cover 90 grams of carbs, which I never go over 30 grams per meal,it would have been 9 units of H to cover 90 grams for breakfast. Formula is simple. Think of it as a phrase... total diabetes management. Look at the first letter of each word... t,d,m. Total carbs, divided by 15, multiplied by units of H per 15 grams. total, diabetes (divide), management (multiply). I.E t, d, m. all start with t,d,m. So total grams of 90, divided by 15 is 6, then multiply that by 1.5 which is units of H I take per 15 grams and you get 9 units of H to cover 90 grams of carbs at breakfast for me. I can explain this over the phone when I call you some evening. Ask your doctor 1 question when you see him... do you train diabetics on how to carbohydrate count and dose humalog insulin to cover carbs? If he/she says no, find a doctor that will since that is modern treatment for diabetics and if they are not using it, they have not increased their knowledge base past early 1980's treatment. To give you an ideamore, my family doc, not even an endo, is 33 and trains me how to adjust my insulin. No longer do I see the doc for her to adjust my insulin, I am trained on how to do it since that is modern treatment... tides have changed... docs simply monitor progress and train their patients how to adjust their own insulin to obtain a1c levels of 5.0 to 5.5 and also teach you how to carb count adn dose humalog to cover carbs. If your doc doesn't know how to do this, or is unwilling to do so, find a new doc. Have your doc get you on lantus for long acting and humalog for quick acting and I'll help you adjust them and get your pre meal sugar 80 and your 2 hour post meal sugar 120 or less. Ask anyone on this list running a1c levels of 5 now... Harry, from Canada, Wayne, and others... I know my stuff and can help you do it. Not only that, I've done it for myself smile. Sorry to toot my horn but I do that just to let you know that I know my stuff since when you start telling folks they can adjust their own insulin, they become frightened by that because they have never been trained how to do that and any doc graduated in the past 5 years from medical school knows that this is the norm now. Regards, strange question Hi All, I had a weird experience today and was wondering if anyone else has ever had this happen to them. We were eating lunch egg salad sandwiches, potatoe chips, and lemon aide. After lunch I started feeling light headed, shaky, and head rushed. I checked my sugar and it said it was 15 which don't seem right to me but then again the way my sugars read. My question is could my machine be acting up or do I trust the reading? I even rechecked to make sure and we got the same reading. I've got an appointment for Monday to see my Dr. and hopefully we can get this stuff figured out. I didn't eat anything extra since I had 2 slices of bread with my sandwich. At breakfast I was 72 and had a yogurt granola bar and juice. Lynda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2004 Report Share Posted May 20, 2004 then the 15 reading on your meter could have been correct. Regards, strange question > > >Hi All, > >I had a weird experience today and was wondering if anyone else has ever >had this happen to them. We were eating lunch egg salad sandwiches, >potatoe chips, and lemon aide. After lunch I started feeling light headed, >shaky, and head rushed. I checked my sugar and it said it was 15 which >don't seem right to me but then again the way my sugars read. My question >is could my machine be acting up or do I trust the reading? I even >rechecked to make sure and we got the same reading. I've got an >appointment for Monday to see my Dr. and hopefully we can get this stuff >figured out. I didn't eat anything extra since I had 2 slices of bread >with my sandwich. > >At breakfast I was 72 and had a yogurt granola bar and juice. > >Lynda > > > > > > > Quote Link to comment Share on other sites More sharing options...
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