Advice for Harry

[Guest guest]

That's trute, . I am so used to my pump being able to give half

units. The ananas pump gives even finer dosases than that. By the way, I

talked with a Bill King from Amanas. He called asking if I had received my

info from them. I did and watched the film with my partially sighted

husband. He said the Amanas is the pretty much the same as the H-tron,

which I use. This bill King said he used the H--tron for 5 years and has

used the new Amas for 4 years. He likes it better than the H-tron as you

can set it to differing basal rates depending on what you are doing. You can

also set it for smaller amounts such as 1.45 units.

Re: advice for Harry

One thing I recommend Pat, which is not the real standard, is to adjust the

carb grams down rather than the insulin units up. The main reason for this

is some blind diabetics can't measure half units and only whole units. Half

unit measurement is possible with some insulin pens and certainly with

insulin pumps. However, it is good to know just as information. This way,

you are preserving the whole unit measurement and adjusting down the carb

grams. I.E like you stated, which is true, Harry may be insulin resistant

and require more insulin. So, you showed that most would up the insulin

ratio such as 1.5 units or 2 units per 15 grams of carbs, which is good, but

the other way of doing it is 1 unit per 12 grams of carbs, 1 unit per 11

grams of carbs, etc. bumping down the total carb grams rather than uping

the insulin units. I'm not saying this way is correct, just pointing out

that there are 2 ways to calculate the insulin to carb ratios and whatever

works best is a YMMV.

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?

>

>

>

>

[Guest guest]

I was gunna get a pump Pat til I found out I had to pay $1000 out of pocket.

I may do it down the road but for now, it's free boxes of insulin shots,

covered by my insurance, right in the legs and butt LOL

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?

> >

> >

> >

> >

[Guest guest]

Yeah, the pumps are very expensive and my insurance does not cover the

insulin cartridges-they do not cover " infusion " type medications. But it is

workth it to me.

Re: advice for Harry

I was gunna get a pump Pat til I found out I had to pay $1000 out of pocket.

I may do it down the road but for now, it's free boxes of insulin shots,

covered by my insurance, right in the legs and butt LOL

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?

> >

> >

> >

> >

[Guest guest]

they really provide great control, no debating that point, I just can't

afford one right now smile.

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?

> > >

> > >

> > >

> > >

[Guest guest]

I can understand that. The new insurance I now have would pay for only half

of a pump now as their maximum for durable is $3000.

Re: advice for Harry

they really provide great control, no debating that point, I just can't

afford one right now smile.

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?

> > >

> > >

> > >

> > >

[Guest guest]

But what would you do with half a pump? Smile! LaWanda At 07:56 AM

9/12/03 -0700, you wrote:

>I can understand that. The new insurance I now have would pay for only half

>of a pump now as their maximum for durable is $3000.

>

> Re: advice for Harry

>

>

>they really provide great control, no debating that point, I just can't

>afford one right now smile.

>

>

>

> 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?

> > > >

> > > >

> > > >

> > > >

[Guest guest]

good job Harry! I think your going to see better results today with uping

the lantus to 12. Can't wait to see your report for today the 19!

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]

9/19/2003

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]

Harry.

Up your lantus by 2 units to 14 at evening to get your morning down lower

and to help the morning effect. Notice you were 138 and then up to 154 in

about 1.5 hours after waking up. That is the sugar coming out the liver and

more lantus will help curve that. At lunch, you have...

G 140

C 11

H 12

what is your insulin to carb ratio for lunch? What is your ratio for the 40

point high bgs (140)? Recall, I said you had to *cut it back* because you

increased your lantus and that you may have to *cut back* dinner humalog

ratio as well.

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]

Sounds like good advice. Tomorrow night I will up my Lantus.

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 really think that will help the dawn phenomena... is what they call it...

suppressing that liver dump ... sugar dump. I think your morning insulin to

carb ratio is ok but adjust up your lunch one and dinner. For example, if

your lunch is 1 unit per 10 grams, up it to 1 unit per 14 grams or

whatever... up it at least 3 or 4. and dinner maybe 2 or 3 on the

insulin/carb ratio.

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]

9/23/2003

Last night:

Lantus 15

Yesterday was a great learning experience, since I learned that a handful of

nuts is around 5 or 7 carbs instead of 1 carb. All day my glucose level ran

high and after supper last night I finally took a massive dose of Humalog

with supper of 15 units and this brought my post supper glucose level down

to a reading of 80. This is when I took the Lantus 15 units and a glucose

tablet at bedtime.

Pre-breakfast 8A:

G 100

C4

H 2

Two hours post breakfast:

G 145

Lunch:

G 148

C 15

H 12

Two hours post lunch:

G 131

At 5PM or 4.5 hours post lunch I got the shakes, which is a symptom of low

blood glucose. I figured it was 65 or lower, since I get the shakes around

a g of 65 and lower. So I took a glucose tablet of 4 grams, which raises my

glucose level 30 points. I estimated that my glucose level would be between

95 and 100 by the time I could check it out with a monitor and half hour

later. At 5:30PM my glucose level was 95.

Supper:

C 15

H 7

Two hours post supper:

G 98

L 15

Re: advice for Harry

>

>

> > 9/22/2003

> >

> > Last night:

> >

> > Lantus 15

> >

> > Confusing results this morning:

> >

> > 7:15 A M my glucose level was 163

> >

> > At 8:15 A M it was 179

> >

> > After taking Lantus 15 units last night I ate some nuts, but since

rising

> > this morning I have eaten nothing, since I was conducting an experiment.

> It

> > was surprising since my glucose level last night was 141. I ate about

> three

> > handsful of nuts and a beer, thinking the extra Lantus would take care

of

> > the carbs consumed by wake up time, but apparently I was wrong. I was

> going

> > to consume one glucose tablet of 4 grams of quick acting carbs and

measure

> > my results an hour later and again two hours later. I took the glucose

> > tablet at 8:15AM when the glucose level was 179

> >

> > This is the only carbohydrate consumed so far today.

> >

> > At 9:15AM my glucose level was 188

> >

> > At 10:30AM my glucose level was 193

> >

> > Conclusion:

> >

> > I have concluded that eating nuts and drinking a beer at night can

really

> > mess up glucose readings in the morning, and I am scratching the

> experiment

> > for now. I will do it at another time. Now I will check for pre-lunch

> > glucose level and dose Humalog to get my glucose level down to the

normal

> > range, I hope.

> >

> >

>

>

>

>

[Guest guest]

good work Harry! Your getting it down! I'm almost thinking that your

breakfast is 1 unit per gram of ccarb. So, 15 units per 15 grams of carbs

for breakfast. Not certain though, could b like 12 units of h per 15 grams

for breakfast.

regards,

Re: advice for Harry

> >

> >

> > > 9/22/2003

> > >

> > > Last night:

> > >

> > > Lantus 15

> > >

> > > Confusing results this morning:

> > >

> > > 7:15 A M my glucose level was 163

> > >

> > > At 8:15 A M it was 179

> > >

> > > After taking Lantus 15 units last night I ate some nuts, but since

> rising

> > > this morning I have eaten nothing, since I was conducting an

experiment.

> > It

> > > was surprising since my glucose level last night was 141. I ate about

> > three

> > > handsful of nuts and a beer, thinking the extra Lantus would take care

> of

> > > the carbs consumed by wake up time, but apparently I was wrong. I was

> > going

> > > to consume one glucose tablet of 4 grams of quick acting carbs and

> measure

> > > my results an hour later and again two hours later. I took the

glucose

> > > tablet at 8:15AM when the glucose level was 179

> > >

> > > This is the only carbohydrate consumed so far today.

> > >

> > > At 9:15AM my glucose level was 188

> > >

> > > At 10:30AM my glucose level was 193

> > >

> > > Conclusion:

> > >

> > > I have concluded that eating nuts and drinking a beer at night can

> really

> > > mess up glucose readings in the morning, and I am scratching the

> > experiment

> > > for now. I will do it at another time. Now I will check for

pre-lunch

> > > glucose level and dose Humalog to get my glucose level down to the

> normal

> > > range, I hope.

> > >

> > >

> >

> >

> >

> >

[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

[Guest guest]

excellent Harry!!! excellent Harry!! That a boy!!

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

>

>

[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

[Guest guest]

wow Harry! If you get dinner readings correct you'll have it down!! Of

course, you'll have to repeat these same results for about 5 to 7 days to

make certain it is accurate. Good job!! Man, I am seriously impressed!

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]

Yahoo, Harry!`

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]

9/25/2003

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]

Hi Harry.

Yes, your bed time snack will be difficult to work with, I'm not going to

lie to you about that. If you don't eat a snack at all, and are 88 prior to

bed, you could go low in the middle of the night. You may just have to eat

the 5 carbs and deal with the 130 bgs in the morning so you don't risk going

lowin the middle of the night and not waking up. You ate 5 grams of carbs,

what were those 5 grams? Quick acting or slow acting carbs? Perhaps eating

slow acting carbs will work better with you such as 1/4 cup of planters

peanuts.

regards,

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]

and Harry 130 bgs in the morning isn't to bad at all considering some run

190 to 250 in the mornings so your doing a good job.

regards,

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]

Of the 5 carbs I consumed about half of them were fast acting and the other

half were slow acting. Of course I don't have problems until my glucose

level drops to 65 or lower, and considering a bedtime glucose level of 88,

maybe I just should leve it alone, since the dawn effect will soon start

raising my glucose level. Other wise how will I ever gain tight control

with a target of a glucose level average of 90?

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]

Hi Harry.

Here are a few thoughts:

* eat 5 grams of all slow acting carbs prior to bed since it may put you at

100 to 115 instead of 129 which could have been from the quick acting carbs.

* don't eat a snack and wake up at 3 am and do a sugar check to see if you

are low then at 5 am. Repeat this for 3 days to see if you go low. If you

don't go low, then skip the snack

* wake up at 4 am, 5am, and 6 am and each time do a sugar check to see when

your liver dumps the sugar. the reason you do this is to figure out when to

take a few units of humalog to help fight it. Some take a few units of H as

soon as they wake up, like 6 am, then 2 hours later at 8 am they are at

about 100 bgs and then dose their h for breakfast and are ok. Some have to

readjust their breakfast dose of h since 2 hours prior they dosed a few

units of h for the morning effect.

regards,

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]

I wanted to get the two hour post glucose level lower, but not as low as it

got. I also had wine with supper, which added additional carbs of about 4

grams for the after dinner drink.

Re: advice for Harry

>

>

> > 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 96

> >

> > Supper:

> >

> > G 94

> >

> > C 15

> >

> > H 8

> >

> > Two hours post supper:

> >

> > G 69

> >

> > L 15

> >

> > Half of a glucose tablet.

> >

> >

>

>

>

>

[Guest guest]

as long as it was dry wine, it won't effect your bgs for 1 glass. Like the 1

can of beer. If you drink 2 glasses, then that will effect it some. Your 2

hour post tests are perfect! You can't get them any lower since getting them

lower using humalog, as you found out, means getting a low blood sugar.

Re: advice for Harry

> >

> >

> > > 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 96

> > >

> > > Supper:

> > >

> > > G 94

> > >

> > > C 15

> > >

> > > H 8

> > >

> > > Two hours post supper:

> > >

> > > G 69

> > >

> > > L 15

> > >

> > > Half of a glucose tablet.

> > >

> > >

> >

> >

> >

> >