Guest guest Posted September 1, 2003 Report Share Posted September 1, 2003 Hi Pat. yup, see my one post on it... a little won't hurt you though but key is little. 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2003 Report Share Posted September 1, 2003 I really like salads, but only if I put lots of dressing on them. There is a fat free Italian dressing from Kraft, and it doesn't taste like it has any sugar in it, wonder how bad it is! I don't really want to use vinegar and oil because I don't like all that oil. Plain vegies are boring, and although I have no problem with cooked vegies, most of them anyway, I usually cook them a little more than crisp tender. LaWanda At 09:59 PM 8/31/03 -0400, you wrote: >Hi Harry. > >One thing I'd like to encourage you to do is eat much more veggies. Have 1 >or 2 cups of slow acting carb veggies per meal, that is about 6 grams of >carbs per cup, and those won't effect your bgs to badly since they are slow >acting carbs. The reason you need to eat slow acting carb veggies like >lettuce, broccoli, cauliflower, spinach, green beans, etc. is those veggies >will give you the nutrients and minerals you are not getting from fruits. >Again, the veggies I listed a few posts back, have you a helping of them >each meal and eat a variety of them. I keep frozen veggies, frozen are the >best you can eat since all nutrients are in them, in the freezer and pop >open the bag and measure me out 1 to 2 cups and put it in the microwave for >about 3 mins and pull out and ready to eat. I toss some cheese on them and >down they go smiles. > >My fingers are not sore at all, are you alternating like I explained a while >back? Recall you use your fingers like this: > >left hand > >monday pointer >tuesday middle >wednesday ring >thursday pinky > >now you switch to right hand > >Friday middle finger >saturday ring finger >Sunday pinky > >And the pattern is like this on each finger... 3 pricks down the left side >of the finger spread out, 3 pricks down the right side of the finger spread >out, and 2 across the center but not on the tip a little below the tip. If >you follow this pricking day/pattern, your fingers will not be sore at all. >If they are, then you might be pricking your fingers to hard. They should >not bruise etc. and if they are, you are pricking to hard. Let me know if >you have been *strictly* following this pricking pattern. > > > 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2003 Report Share Posted September 1, 2003 Uh oh!, Four hours after that lunch I ate a handful of walnuts, which was only 2 carbs, then I just waited to see what happened and six or seven hours after lunch I was feeling bad, so I did another gbs reading which was 66. My glucose level was in the cellar and I was, too. So For dinner (supper down here) I ate an apple, two large pieces of baked chicken, a tomato, a large hunk of pepper cheese and one small graham cracker for a total of around 28 or 29 carbs consumed at one meal. Two hours later just before bedtime my gbs was 116. I took the 7 units of Lantus and went to sleep. This morning my gbs was 103. I think less than 30 carbs per day is too low for me or else I am on too much insulin. I will talk with my doctor about what he would recommend. 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2003 Report Share Posted September 1, 2003 Hi. Your best off eating the real thing instead of fat free. Reason? They replace the fat with something and that something is normally carbohydrates. You don't have to taste sugar, they replace it with carbs that break down to sugar and spike bgs. So, perhaps hop on over to www.calorieking.com and do a search for kraft fat free dressing and see what you get compared to the real/non-fat one concerning carbs. BTW since you'd be using the real thing that has fat in it, you may have to cut back some on the dressing but *only* if it effects your lipid panel/LDL colesterol. 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2003 Report Share Posted September 1, 2003 BTW one thing I forgot to mention is that Dr. Bernstein's type 1 patients run bgs of 90 prior to meals and 90 with their 2 hour post meal tests. His type 2 diabetics run bgs of 85 prior to meals and their 2 hour post test they are 85. They have a1c of 4.2 to 4.8 and this is as about as aggressive as you can get with regards to low carbing... Bernstein recommending 30 grams of carbs a day and all being from slow carbs from veggies... 6 for breakfast, 12 for lunch, 12 for dinner, etc. Moderate carbers say to have bgs of 120 or less 2 hours past eating a meal and are ok with 80 to 120 prior to meals. Heck, that is better than running bgs of 140 to 300, right? I personally am not satisfied with 30 grams of carbs so eat between 40 to 45 a day about 15 per meal YMMV. I was eating 30 grams per meal, 90 grams total per day, and my bgs were fine but from eating so many quick acting carbs, I was physically dragging and lower energy. So, I began to replace the quick acting carbs with veggie slow acting carbs and noticed a tremendous difference in my energy levels. I then bumped my total daily carb grams down from 90 to 45 but may eventually get back up to 60 and fill in some of those additional carb grams with low levels of quick acting carbs. The ADA recommends 150 grams of carbs per day, minimum saying it is fine to have much more than that, and I, and many other aggressive bgs watchers, laugh at that seeing it as a ridiculous amount and leading to very poor bgs control YMMV. Main thing is, once again, to understand how to keep your bgs in range then finding your limit of carbs to eat per meal that makes you feel happy and based on your pre and post bgs tests. Right now Harry, we've determined that you can't eat many quick acting carbs at all on simply lantus. I'd say to talk it over with your doc about using Humalog insulin to cover quick acting carbs so you can eat more quick acting carbs. However, I caution you to not get real extreme with carbs and to try to enjoy yourself while maintaining very tight bgs control since high bgs is the killer of diabetes, not fat/meat. Those type 2 diabetics who are backing off carbs and getting good control, if you aren't happy and want more carb grams, talk it over with your doc about using humalog to cover carbs. Your doc will say 1 of 2 things... " you don't need insulin " or " sure, lets discuss this possibility " If it is the later, good, if it is the first saying you don't need it, in my opinion, find another doc that will work with you on this. Ask your doc flat out are you willing to help me and work with me on this possibility. If he/she says no, then tell them you will find a doc who will work with you on this possibility. The doc who says you don't need humalog to cover carbs as a type 2 diabetic is old school and not aggressive thinking forcing you to rely on oral meds and heavily working your pancreas and beta cells and over time, will kill your remaining beta cells. By using humalog insulin, you will ease the pancreas from doing all the very hard pumping to cover quick acting carbs and lesson that burden and let the humalog insulin take care of some of that load. I know many many type 2 diabetics that are using humalog insulin to cover carbs to keep their pancreas from burning out so to speak. However, many docs will say your nuts but you have to find one that will be aggressive and say... lets do it partner! The stereotype that insulin is only for type 1 diabetics is slowly losing it's hold and many docs are starting to see the advantage of putting type 2 diabetics on humalog to cover carbs and preserve pancreas functionality. all this folks is just food for thought. 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2003 Report Share Posted September 2, 2003 good job Harry. talk it over with your doc. Main thing is, you now know how to carb count and how carbs effect your bgs so you can talk things over with your doc and get into more aggressive treatment. I think your good to go. I think you got the drill down... good job! 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 4, 2003 Report Share Posted September 4, 2003 arrowroots are a small baby cookie made my mccormicks. they have been on the market for years. they are a plain small cookie, three of these make one bread exchange. karen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 2003 Report Share Posted September 5, 2003 an arrowroot is a small baby cookie. three ofthese make one bread exchange. karen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2003 Report Share Posted September 8, 2003 yup, the 10 mg of glyburide is essential to keep your bgs under control. I know your experimenting but I really think you got it down a week ago and should stick with that regimen IMO. The benefit to using humalog is that it could give you much more strict control and more flexibility with eating carbs. The main benefit would be easing the work load on your remaining pancreas function. For example, if you take 10 mg of glyburide, that is all you got to work with for breakfast and your pancreas has to do the rest, with lantus helping, and am assuming your lunch is covered by your oral meds some as well. If you used humalog insulin for each meal, you could have a lot of flexibility. For example, for breakfast, 6 to 10 grams of carbs is about all you can eat on 10 mg of glyburide. With humalog, 1 unit covers 15 grams of carbs. So for breakfast, you'd have to eat 15 grams of carbs. However, the insulin to carb ratio is a YMMV for each person. You start with the book/standard of 1 unit per 15 grams of carbs. To explain, you eat 15 grams of carbs for breakfast and dose 1 unit of humalog, then test 2 hours later and if high, then next morning for breakfast it would be 1 unit per 14 grams of carbs. You test 2 hours later and are high, then the next morning for breakfast would be 1 unit per 13 grams of carbs. You test 2 hours later and are 120 or less. Then you know, for breakfast, it is 1 unit of humalog per 13 grams of carbs in your body. For lunch it may be 1 unit per 8 grams of carbs and for dinner it could be 1 unit per 15 grams of carbs. The insulin to carb ratios for each meal is a 100% YMMV issue. Some folks luck out and have 1 unit per 15 grams for every meal and are fine with that and run great 2 hour post tests but most have different insulin to carb ratios per meal. Even on humalog though, you would use it to have tighter control but not to abuse it. For example, I've found that to maintain a 2 hour post meal test of 120 or less, I can eat no more than 20 grams of carbs per meal so my total carb grams per day is 60. The reason for this is that more carbs than that per meal will yield immeasurable/unpredictable results. I started at 100 grams a day, couldn't get a 2 hour post test 120 or less and sugars were unpredictable. Then bumped it to 90 grams per day and that was better but still was yielding unpredictable 2 hour post test results. I then went to 60 a day and bam! Can get a 2 hour post test of 120 or less and all pre-meals 80 to 90. This is a YMMV issue but am certain that most diabetics really aggressively maintaining 2 hour post tests 120 or less don't eat more than 60 carbs a day but that's IMO. 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. > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2003 Report Share Posted September 8, 2003 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2003 Report Share Posted September 8, 2003 drink lots of water as well since it will help you keep your blood thin so your cells can consume the oral meds and lantus better. 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2003 Report Share Posted September 8, 2003 I'm not certain about the insulin resistance, that is something you'd have to take up with an endo or your doc. I know some diabetics who have insulin resistance and by low carbing and using insulin like lantus/humalog they do ok but not certain if they are on medication for the insulin resistance. 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2003 Report Share Posted September 10, 2003 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? > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2003 Report Share Posted September 10, 2003 BTW Bernstein gives a painless insulin shot tip in his book. I've been shooting for 25 years and never knew about this trick. It seriously Harry, all kidding aside, is not painful at all using this technique. You hold the insulin shot like a dart you are going to throw at a dart board. You hold it like that about 4 inches from your target such as your gut. You snap it at your gut but never let it go at all. In other words, hold it gently between your fingers not the death grip but having an actual light grip so you don't drop it. flick it at your target by flicking your wrist... not holding it up to the sealing and whipping it at your target LOL. Just simply flick your wrist and lightly hold the shot and I swear you'll ask your wife " did it go in? " And she'll say, yes it is in all the way. Then just plunge the insulin in and pull it out and your done. 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? > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2003 Report Share Posted September 10, 2003 I am conducting a personal experiment. This morning my gbs was 78, which is great. Yesterday I only took both my oral medications as prescribed along with 7 units of Lantus at bedtime and awoke this morning with this good gbs. So I am experimenting for at least one day and possibly two days without taking oral medications for diabetes type 2. Today I have consumed only 6 carbs for breakfast and before lunch and my gbs had risen to 158, and for lunch I consumed 2 carbs. Now we will see if it continues to rise just before dinner/supper. 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? > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 chicken! cluck cluck chicken! LOL LOL I'm 100% kidding Harry but take the humalog boy before you grow chicken wings and fly away! smiles 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? > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 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? >> > >> > >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 The experiment continues: No oral medications were taken for diabetes yesterday. Yes, my gbs continued to rise to a high of 178 before bedtime, and I had a snack of around6 carbs, making a total carb consumption yesterday of no more than 50 grams. I took the prescribed dose of Lantus 7 units at 9:30P last night and this morning my fasting gbs was 148. So, I continued the experiment by consuming 4 carbs, a glucose tablet, and one hour later my gbs was 171 and two hours later it was 166. Today I am taking no oral medications for diabetes and counting carbs. I am trying to establish a basil level of Lantus dosage at night. Presently, I am on Lantus 7 units at bedtime. What would you recommend? A higher dosage of Lantus? If so, how much? What is your rationale for this suggestion? 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? > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 I believe it is important to establish a basil dose of Lantus before I can start dosing with fast acting Humalog for the amount of carbs I consume at meals and snacks. Does this make sense to you? I feel a basil level of Lantus can better be established by not taking these oral medications eveery day for how long, I have no idea. I figure at least dtwo days is a start. Maybe it would take three or four days. What is your best guestimate? Re: advice for Harry > The experiment continues: > No oral medications were taken for diabetes yesterday. Yes, my gbs > continued to rise to a high of 178 before bedtime, and I had a snack of > around6 carbs, making a total carb consumption yesterday of no more than 50 > grams. I took the prescribed dose of Lantus 7 units at 9:30P last night and > this morning my fasting gbs was 148. So, I continued the experiment by > consuming 4 carbs, a glucose tablet, and one hour later my gbs was 171 and > two hours later it was 166. > Today I am taking no oral medications for diabetes and counting carbs. I am > trying to establish a basil level of Lantus dosage at night. Presently, I > am on Lantus 7 units at bedtime. What would you recommend? A higher dosage > of Lantus? If so, how much? What is your rationale? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 Based on your initial bgs readings being fine prior to your experimenting, I'd say your lantus is pretty much close. It may need adjusted slightly but I'd say it is pretty close to what it needs to be. Recall, your bgs were running pretty good prior to experimenting. How you can tell if your lantus will need increased is after the humalog wears off and if you begin to raise in bgs rather than stay level, your lantus may need increased. So, you use humalog to help you determine this by watching your bgs prior to meals since that is where the lantus plays in. I.E you eat breakfast 8 am and dose humalog... 2 hours later you get checked and are 135, which is good, but then at 12 noon your bgs is up to 200 then you know that lantus isn't working. Same thing for lunch... your pre lunch is 90, you eat lunch at noon/dose humalog... 2 hour test your 125. All is good now. Prior to dinner your 232 then you know the lantus is not keeping your bgs between meals down so you may need to increase it. You would never conclude this in 1 day of testing... you would have to repeat the pre-meal highs for at least 5 days since you will also be calculating your insulin to carb ratios for meals as well. I.E just because your high prior to a meal doesn't mean it is the lantus needing in creased, it could be that your insulin to carb ratio for the previous meal needs bumped down such as 1 unit per 12 grams of carbs etc. how you know if yoru insulin to carb ratio is good is your two hour post test. Most on humalog say a 2 hour post test of 130 or less is good since you'll find a three our test drop you to about 100 or so. If you run a 90 bgs 2 hours past eating on humalog, you'll drop to 60 or less 3 hours later. This is a YMMV issue but it is something to be aware of. So, if your 2 hour post meal tests are 120 to 130, consider it good and your done with it since your 3 hour test will show you coming back down under 100 or close to 100. I guess what I am saying is to just jump in and go for it man. You juggle your lantus/humalog by using both together and balancing out your bgs... you don't keep humalog out of the equation trying to balance lantus, that just doesn't make sense IMO. Re: advice for Harry > > > > The experiment continues: > > No oral medications were taken for diabetes yesterday. Yes, my gbs > > continued to rise to a high of 178 before bedtime, and I had a snack of > > around6 carbs, making a total carb consumption yesterday of no more than > 50 > > grams. I took the prescribed dose of Lantus 7 units at 9:30P last night > and > > this morning my fasting gbs was 148. So, I continued the experiment by > > consuming 4 carbs, a glucose tablet, and one hour later my gbs was 171 and > > two hours later it was 166. > > Today I am taking no oral medications for diabetes and counting carbs. I > am > > trying to establish a basil level of Lantus dosage at night. Presently, I > > am on Lantus 7 units at bedtime. What would you recommend? A higher > dosage > > of Lantus? If so, how much? What is your rationale? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 your going about this incorrectly. First, lantus is a basal insulin and is not designed to deal with eating in general. Your trying to get lantus to cover small carb meals and it won't do it. That is what the humalog is for. I.E if you ate 20 carbs for breakfast and shot 1 unit of humalog, 1 unit per 15 grams to start with, and 2 hours later were 130 then prior to lunch were 90, you are seeing the humalog take care of the initial impact of the breakfast then the lantus keeping your bgs down between meals. Without taking humalog to deal with the carbs, your going to run high all the time. Even if you shot 30 units of lantus and ate 20 carbs per meal, you'd be high. Reason? Lantus is a basal insulin meaningn it works between meals to help *gently* keep bgs down. It has no aggressive attributes to it to handle foods. That is what humalog is used for. I say for dinner shoot the humalog to cover your carbs and do a 2 hour post test to see your results. Lets use an example here for a minute. If you are 160 for dinner, shoot 1 unit of humalog to cover the high bgs, recall 1 unit of humalog will drop you 60 points bringing you to 100, then count your carbs and dose humalog accordingly. For keeping things neat, I'd say eat an even 30 grams of carbs for each meal then shoot 2 units of humalog for covering it. I.E 1 unit of humalog per 15 grams of carbs. So, in this example, you'd take 3 units of humalog for your dinner: 1 unit to cover the high bgs of 160 then 2 units to cover the 30 grams of carbs you eat. Of course, in the next 5 days, you'll have to adjust your humalog insulin to carb ratios so you better get started and quit experimenting with lantus or you may wind up in the hospital with keytones from being high sugared so long IMO. 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? > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 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! 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? > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 keep in mind these are standard numbers and YMMV. I.E 1 unit of humalog may only drop you 30 points instead of 60 but the text book starting point is 60 points since 80 to 90 percent of people that fits. Same with insulin to carb ratios... it is a YMMV issue as well. The text book starting point is 1 unit of humalog per 15 grams of carbs but each meal may be different, each meal may be 1:15, or 1:8, or each different such as breakfast 1:12, lunch 1:10, dinner 1:13 etc. This is why I suggest to get in on dosing the humalog so you can begin to get your insulin to carb ratios down for each meal. 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? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2003 Report Share Posted September 12, 2003 Harry, You need to cover your BS with humalog with the amount of Lantis you are taking on a daily basis. If your dosabe of Lantis changes, then the amount of humalog will probably change too. The first day you stip taking the medication will probably change what the basal dosage is. But you still cover yourself with the humalog. For instance, if your basal dosage is 9 units and you have stopped taking the meds and your fasting blood sugar is 160 in the morning, then you figure out how many grams of carbs of carb you are eating for breakfast and take the amount of humnalog that will lower your BS to 90 or so. If you eat 30 grams of carbs with your BS at 160, you would probably take 2 to 3 units of humalog to lower your BS. Starting with the lower number of units is safer at first to prevent hypoglycemia. If 2 units does not lower it to around 90, then the next day, under similar circumstances, you would try 3 units. Re: advice for Harry I believe it is important to establish a basil dose of Lantus before I can start dosing with fast acting Humalog for the amount of carbs I consume at meals and snacks. Does this make sense to you? I feel a basil level of Lantus can better be established by not taking these oral medications eveery day for how long, I have no idea. I figure at least dtwo days is a start. Maybe it would take three or four days. What is your best guestimate? Re: advice for Harry > The experiment continues: > No oral medications were taken for diabetes yesterday. Yes, my gbs > continued to rise to a high of 178 before bedtime, and I had a snack of > around6 carbs, making a total carb consumption yesterday of no more than 50 > grams. I took the prescribed dose of Lantus 7 units at 9:30P last night and > this morning my fasting gbs was 148. So, I continued the experiment by > consuming 4 carbs, a glucose tablet, and one hour later my gbs was 171 and > two hours later it was 166. > Today I am taking no oral medications for diabetes and counting carbs. I am > trying to establish a basil level of Lantus dosage at night. Presently, I > am on Lantus 7 units at bedtime. What would you recommend? A higher dosage > of Lantus? If so, how much? What is your rationale? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2003 Report Share Posted September 12, 2003 That is exactly how I used to give myself insulin and never had pain with the injection. When I was a working RN, I gave all injections that way and I used to have patients beg for me to give them whatever kind of injectin they needed because I never hurt them. Re: advice for Harry BTW Bernstein gives a painless insulin shot tip in his book. I've been shooting for 25 years and never knew about this trick. It seriously Harry, all kidding aside, is not painful at all using this technique. You hold the insulin shot like a dart you are going to throw at a dart board. You hold it like that about 4 inches from your target such as your gut. You snap it at your gut but never let it go at all. In other words, hold it gently between your fingers not the death grip but having an actual light grip so you don't drop it. flick it at your target by flicking your wrist... not holding it up to the sealing and whipping it at your target LOL. Just simply flick your wrist and lightly hold the shot and I swear you'll ask your wife " did it go in? " And she'll say, yes it is in all the way. Then just plunge the insulin in and pull it out and your done. 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? > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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