Re: Starlix Prescription/Ressy numbers

[Guest guest]

Here is prime example of why I need some help. I woke with a fasting of 138

at 7 am even after going to bed with a 96.

At 8 am I had 8 grams of Carbs in the way of low carb toast with butter and

unsweetened tea My sugar was 133

8:30 I was 195

9:00 I was 223

9:30 I am 189

I will test again every half hour until it comes to normal.

I did not take the Starlix yet but I think I need some serious help in the am.

Any comments welcome

ressy

[Guest guest]

In a message dated 03/26/2001 1:03:29 PM Central Standard Time,

maryato@... writes:

<< (I

believe you said you were on Glucophage), or add insulin >>

Thanks ....I did try Glucophage. 1/4 of one tablet and went into

acidosis with the bradycardia and some respiratory difficulty....me with

normal liver and kidneys...go figure!!

I have the rest of the numbers from breakfast

At 9:30 I was 189

10:00 I was 150

10:30 I was 125

11:45 I was 95 and hungry

I am strongly leaning toward insulin....will have a royal tantrum at my next

visit on April 2nd to get it.

Tomorrow my dh is home and I may try the starlix...again 1/4 of a pill and

see what the reactions

ressy

who has a really weird body....less weird now that it is 50 pounds lighter

[Guest guest]

Ressy, you're a type 2, right? I'm a type 1. But starting out with about

the same numbers upon awakening. I take a very little bit of H -- about 3

units -- when I get up and that takes care of my " dawn rise " (which is most

of what you're seeing) plus even the small amount of carbs I eat at breakfast

(about the same as you). Of course, if you're insulin resistant you might

need more. Point is, insulin does the job very nicely. Vicki

In a message dated 01-03-26 10:30:35 EST, you write:

<<

Here is prime example of why I need some help. I woke with a fasting of 138

at 7 am even after going to bed with a 96.

At 8 am I had 8 grams of Carbs in the way of low carb toast with butter and

unsweetened tea My sugar was 133

8:30 I was 195

9:00 I was 223

9:30 I am 189

I will test again every half hour until it comes to normal.

I did not take the Starlix yet but I think I need some serious help in the

am.

Any comments welcome

ressy >>

[Guest guest]

In a message dated 03/26/2001 3:32:03 PM Eastern Standard Time,

whimsy2@... writes:

> 8:30 I was 195

> 9:00 I was 223

> 9:30 I am 189

> I will test again every half hour until it comes to normal.

> I did not take the Starlix yet but I think I need some serious help in the

> am.

>

You'll need some meds to combat that dawn effect, you might do well to ask

your dr about starting Ultralente insulin , 2x a day, 12 hrs apart, it will

take care of your fbg.

It took me a while, but I'm finally around 95 every morning now, my only high

bg is from the steroids I'm taking for a short while. Its difficult to time

that precisely, some days I do ok, sometimes not.

I stopped insulin for a while, but found I must still use it.

carol

dm2, H, U, avandia, LC, walking

[Guest guest]

In a message dated 3/26/01 2:10:14 PM Eastern Standard Time,

resmith315@... writes:

<< 10:00 I was 150 >>

Ressy started out with a fasting due to the dawn effect of 138, ate 8 grams

of carb ie toast, and got a 2 hr pp of 150

I dont see what the problem is, my diabetic educator woudl say these were

excellant numbers, she wanted me to keep my 2 hr pp's under 40 points above

what i'd been at.

The only concern i would have, is that i'd like the fasting to be a bit

lower, ie closer to 100.

And to do that i'd do it with glucophage, but as was said Actos, and Avandia

will also do the trick, i realize that Ressy said she cannot do the

glucophage. so i'd be trying the others.

but in all these are not bad readings. According to my diabetic educator.

[Guest guest]

In a message dated 03/26/2001 4:44:15 PM Eastern Standard Time,

GayRghts@... writes:

> Ressy started out with a fasting due to the dawn effect of 138, ate 8 grams

> of carb ie toast, and got a 2 hr pp of 150

>

didn't she go up to 223? If she goes beyond the 2hr pp still risng, her peak

is delayed, but still counts.

I bet theres more carbs in that lc bread she had, it would be good to use the

hidden carb formula just to see how much it really has.

JMHO

carol

[Guest guest]

In a message dated 3/26/01 5:00:15 PM Eastern Standard Time,

astrocarly@... writes:

<< didn't she go up to 223? If she goes beyond the 2hr pp still risng, her

peak

is delayed, but still counts. >>

Carol... she went up higher but by the 2 hr pp it was back down to 150.....

so no delayed peak, and no major concern. according to the " authorities " ie

ADA, diabetic educators, nurse practioners who specialize in diabetes

management etc.

[Guest guest]

In a message dated 03/26/2001 4:00:23 PM Central Standard Time,

astrocarly@... writes:

<<

didn't she go up to 223? If she goes beyond the 2hr pp still risng, >>

No the 223 was at one hour...at two I was at 150

ressy

[Guest guest]

In a message dated 03/26/2001 4:45:48 PM Central Standard Time,

maryato@... writes:

<< It's regarded

as too cumbersome for people who don't meet the standards of the

medical establishment for diabetes severity. >>

You are right ....but I have one thing going for me. I am a RN with a

Bachelors in Nursing. I do not advertise that fact much as I have learned

more on this list and with Dr. Bernsteins book than I was every taught at

school or in practice. So you see some skills...ie giving shots,,,drawing

up meds...watching for hypos would already be in place.

I wonder if I take him a picture of my mom......hmmmm.....

ressy

[Guest guest]

Ressy,

You wrote,

> Here is prime example of why I need some help. I woke with a

fasting of 138

> at 7 am even after going to bed with a 96.

> At 8 am I had 8 grams of Carbs in the way of low carb toast with

butter and

> unsweetened tea My sugar was 133

> 8:30 I was 195

> 9:00 I was 223

> 9:30 I am 189

> I will test again every half hour until it comes to normal.

> I did not take the Starlix yet but I think I need some serious help

in the am.

According to everything I read about Starlix it doesn't help with

fasting bg's. The ways to get that down include all of the standard

meds...you could add Actos or Avandia or increase Glucophage (I

believe you said you were on Glucophage), or add insulin or a

sulfonylurea (I listed those alternatives in order of what would be

my preference, IMHO only). Sounds like you're pretty low on carbs so

I don't know if you could improve your diet. Weight loss and

exercise are also helpful, of course, but I'm sure you know that.

T

[Guest guest]

Ressy wrote:

<< woke with a fasting of 138 at 7 am even after going to bed with a 96. At

8 am I had 8 grams of Carbs ... My sugar was 133 ... 8:30 I was 195 ... 9:00

I was 223 ... 9:30 I am 189 >>

Some people say caffeine can spike them. Another possibility is mislabeling

of the low-carb toast. Bread/toast is a major spiker for many of us. Other

flours are lower, but wheat flours are 70-80 percent carbs.

Susie

[Guest guest]

In a message dated 03/26/2001 6:28:54 PM Central Standard Time,

RainbowFarm@... writes:

<< Ressy, you might consider eating some protein with your

low carb bread. >>

I know....I should but am not a big breakfast eater....I am considering some

sugar free jello...just to get something in my stomach..but will stick with

the plan for tomorrow

ressy

[Guest guest]

In a message dated 3/26/01 9:22:59 PM Eastern Standard Time,

kimderry@... writes:

<< I'm with you. I don't see what the problem is. Aren't you supposed to

wait 2 hours after eating to test? Isn't that the number you go by? >>

Yes Kim..... but they are all in a tizz over the peak she had that went up to

233 or something inbetween the intake, and the 2 hr pp.

However even the note sent for me to print out and bring to my dr, states the

2 hr pp NOT the 30 min pp, or the 60 min pp or even the 90 min pp but the 2

hr one, 120 min one.... is the one that is valid.....

I for one am not an advocate of insulin for type 2's unless they are close to

becoming type1's, but when you get a response like Ressy did, ie a peak, and

then the insulin to cause the drop, well i think that is a good thing.... she

only ended up 17 points higher after the 2 hr pp.

Again, i ask what's the big deal?

[Guest guest]

In a message dated 3/26/01 9:45:16 PM Eastern Standard Time, GayRghts@...

writes:

<< she only ended up 17 points higher after the 2 hr pp. >>

Correction..... she was at 138, she went to 150 that's only 12 points

higher!!!

And i'm willing to bet that during the day it dropped back down lower too....

[Guest guest]

In a message dated 3/26/01 10:15:45 PM Eastern Standard Time,

fencible@... writes:

<< Again, i ask what's the big deal?

Well, the big deal is that a reading of 233 is harmful. >>

A sustained reading of 233 is harmful, but a momentary reading of 233 is

NOT!!!!

[Guest guest]

My bloodsugar reads over 200 9 out of ten times so how is that harmful? I

don;t understand that. I went back to my doctor on thursday and he didn't

seem concerned. Just said my bloodsugars were high. Am I missing something?

Bobbie

[Guest guest]

>>Ressy started out with a fasting due to the dawn effect of 138, ate 8

grams

of carb ie toast, and got a 2 hr pp of 150

I dont see what the problem is, my diabetic educator woudl say these were

excellant numbers, she wanted me to keep my 2 hr pp's under 40 points above

what i'd been at.>>

****These numbers are too high for my liking, and a 40 point raise pp is too

high for me as well.. I'd agree with the suggestions of insulin, as you can

fine tune it much more than with medication. The UL would help with these.

If I mess up (rarely, thank goodness), and my fbg is above 120, I take one

unit of H (fast acting), and this deals with the ever increasing dawn

effect, but it wouldn't deal with the original fbg - just after the fact, if

that makes sense.. Ressy, you might consider eating some protein with your

low carb bread.

Barb

[Guest guest]

> I bet theres more carbs in that lc bread she had, it would be good to use

the

> hidden carb formula just to see how much it really has.

****Carol, would you be kind enough to post this? I didn't save it last

time.

TIA,

Barb

[Guest guest]

Could you stomach some peanut butter on your toast first thing in the

morning? (I can always eat peanut butter! :-) Vicki

In a message dated 01-03-26 19:42:44 EST, you write:

<<

<< Ressy, you might consider eating some protein with your

low carb bread. >>

I know....I should but am not a big breakfast eater....I am considering some

sugar free jello...just to get something in my stomach..but will stick with

the plan for tomorrow

>>

[Guest guest]

Regarding Ressy's numbers, wrote:

> ...no major concern. according to the " authorities " ie

> ADA, diabetic educators, nurse practioners who specialize in

diabetes

> management etc.

Yes, the " diabetes powers that be " do indeed have easier standards

than Dr. Bernstein, the expert on whom many folks on this list rely.

I've been reading avidly on this topic and haven't found clear

rationales on either side of the argument. Dr. Bernstein is totally

vague on the rationale for his strict standards. Many people are

very happy with his system, but within the mainstream I do believe

that Ressy's numbers wouldn't be regarded as far out of line.

Ressy, because of the above I have the feeling that your endo may be

very resistant to the idea of putting you on insulin. It's regarded

as too cumbersome for people who don't meet the standards of the

medical establishment for diabetes severity.

Good luck, but I have a feeling he's going to want to try you on

something like Actos or Avandia. I know how sensitive you are to

medications, but if that's what he wants you to do, one of those two

drugs might not be a bad choice and I hope you'll consider giving

them a shot (oops...bad metaphor...you take insulin SHOTS not Actos

or Avandia SHOTS, of course).

T

[Guest guest]

In a message dated 03/26/2001 10:29:48 PM Eastern Standard Time,

GayRghts@... writes:

> Well, the big deal is that a reading of 233 is harmful. >>

>

> A sustained reading of 233 is harmful, but a momentary reading of 233 is

> NOT!!!!

>

no yelling please, a simple response would be sufficient even if you

disagree, any spike at any time, btw is harmful, it also means her pancreas

is having a tougher time handling food.

since the fbg is now going up, she need to find out why.

carol

[Guest guest]

Barb, where can I get that book? I am just not intelligent enough to cope

with this disease. There is som many things I don't understand. Bobbie

[Guest guest]

In a message dated 01-03-26 22:34:50 EST, you write:

<<

My bloodsugar reads over 200 9 out of ten times so how is that harmful? I

don;t understand that. I went back to my doctor on thursday and he didn't

seem concerned. Just said my bloodsugars were high. Am I missing something?

Bobbie

>>

Your doctor is very cavalier concerning your high BGs, Bobbie. If I were

you I'd find another doctor. Quickly! Continued BGs that high over a period

of time can cause serious problems --all the stuff you want to avoid, like

heart problems, renal failure, peripheral neuropathy and subsequent

amputations, blindness. I strongly suggest you 1) get another doctor ASAP;

2) read Dr. Bernstein's Diabetes Solutions by K. Bernstein, M.D. You

need some diabetes education badly since your doctor isn't providing any

guidance or help. Dr. Bernstein also has a website on line with excerpts

from his book and other related topics. URL is

www.diabetes-normalsugars.com/

Vicki

[Guest guest]

, here's a url for you to go to, print out a report, and take to your

diabetes educator: http://www.pslgroup.com/dg/1E9BB2.htm

The title is " Post-Meal Glucose Levels Better Predictors of Premature

Mortality than Fasting Glucose or HbA1c " . An excerpt:: " A new study

indicates that two-hour blood glucose (2h-BG) levels are better predictors

for all-cause mortality than either fasting plasma glucose (FBG) or

hemoglobin A1c (HbA1c). The data underscore the significance of meal time

glucose " spikes " which result from the body's inability to produce an early

insulin response after a meal. The acute toxicity of glucose spikes, as

measured by 2h-BG levels, is an INDEPENDENT risk factor for cardiovascular

disease and mortality and a better predictor than FBG.....These

data.....demonstrate that the two-hour blood glucose is a better predictor

of mortality than HbA1c. This is true not just for cardiovascular mortality,

but for death from ALL causes.... " (Caps mine)

Ressy, I think you should pitch a fit with you doctor to allow you to start

on insulin.

Keli

Re: Re: Starlix Prescription/Ressy numbers

> In a message dated 3/26/01 2:10:14 PM Eastern Standard Time,

> resmith315@... writes:

>

> << 10:00 I was 150 >>

> Ressy started out with a fasting due to the dawn effect of 138, ate 8

grams

> of carb ie toast, and got a 2 hr pp of 150

> I dont see what the problem is, my diabetic educator woudl say these were

> excellant numbers, she wanted me to keep my 2 hr pp's under 40 points

above

> what i'd been at.

> The only concern i would have, is that i'd like the fasting to be a bit

> lower, ie closer to 100.

> And to do that i'd do it with glucophage, but as was said Actos, and

Avandia

> will also do the trick, i realize that Ressy said she cannot do the

> glucophage. so i'd be trying the others.

> but in all these are not bad readings. According to my diabetic educator.

>

>

>

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>

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>

>

>

>

>

>

[Guest guest]

,

I'm with you. I don't see what the problem is. Aren't you supposed to

wait 2 hours after eating to test? Isn't that the number you go by?

Kim Derry

><< 10:00 I was 150 >>

>Ressy started out with a fasting due to the dawn effect of 138, ate 8 grams

>of carb ie toast, and got a 2 hr pp of 150

>I dont see what the problem is, my diabetic educator woudl say these were

>excellant numbers, she wanted me to keep my 2 hr pp's under 40 points above

>what i'd been at.

>The only concern i would have, is that i'd like the fasting to be a bit

>lower, ie closer to 100.

>And to do that i'd do it with glucophage, but as was said Actos, and

>Avandia

>will also do the trick, i realize that Ressy said she cannot do the

>glucophage. so i'd be trying the others.

>but in all these are not bad readings. According to my diabetic educator.

>

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