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Re: Testing and Strips

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PatsyK wrote:

> So yesterday, I decided to try testing one cup of bran cereal with about four

ounces of milk for breakfast with no sugar.

> My reading on fasting was 125..two hours later it was 247! I ate salami for

lunch thinking that just protein would bring it down. Well, it did to 82..so I

dranked a 8 oz glass of v8 juice 10 carbs for 8 oz, and made some scrambed eggs

and ate a small piece of candy. It brought my bs back up to 106..I really had a

bad day yesterday but I learned from it. When my sugar dropped to 82 I felt very

sleepy and layed down ..I didn't know it was that low. I thought that I wasn't

feeling right so I checked it.

> Like I mentioned above, V8 juice has only 10 carbs per 8 oz and I can tolerate

this..maybe some of you can too if you like it.

> Patsy

Patsy,

I am wondering why, at a bg level of 82 you felt compelled to eat something?

Eighty-two is a long-way from the 65 that would indicate a true hypoglycemic

episode.

I wonder if you are experiencing hypo symptoms at an above-hypo level because

your bg's have been quite high for some period of time and that is what your

body considers " normal " . This does happen to quite a few diabetics. If you are

still experiencing this, it may be that your body has not adjusted yet to your

new lower bg levels. This adjustment should come with more time spent at the

lower levels such that you won't feel bad at number like 82.

I realize that I don't know the whole story from what you said and you may be

taking meds (insulin or orals) that would cause you to want to stay well above

the " hypo " level as a safety margin.

I just pose these ideas to give you something to think about that may relate to

your experience.

, T2, 4/98, controlling with low-carb diet only, 3 years

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Patsy, the only reason you felt bad at a blood sugar level of 82 is because

your body is used to excessively high levels and feels out of whak when it

is in mormal range. 82 is not a low reading but is well within the range

considered " normal " and experienced by non-diabetics. In spite of what your

doctor says, non-diabetics do not regularly have levels near 125. In fact,

fasting levels over about 115 are considered " impaired, " not normal. I

believe most of us have decided to keep our levels as close to mormal as

possible. One guideline is near 100 most of the time. Of course, we will

have higher readings after eating and generally shortly after getting up in

the morning (dawn phenomenom).

Cereal and milk both have quite a few carbs, even without sugar, and many or

most of us find they cause high spikes. I just avoid them completly.

Tom the Actuary

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Thanks Barb- I think you are right. When my second hbA1c came back she

called me herself and I could hear the excitement/disbelief in her voice.

This is when I told her I wanted to quit the Glucophage and she said go for

it! I feel so much better without that stuff. It just did not agree with me.

I had blood drawn yesterday to see what my newest A1c is. I can't wait to

find out.

***, you have done such a great job!! I think docs just don't get to

see this kind of motivation very often - at least that's what mine says.

Barb

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I did take my diabetic notebook in to show my dr

> when

> > and why I was testing and she was actually impressed with my charting

etc.

> > She was also blown away when I lowered my hbA1c from 11.7 to 6.7 in less

> > then 8 weeks.

>

> , you have done such a great job!! I think docs just don't get to

> see this kind of motivation very often - at least that's what mine says.

>

> Barb

Barb: You are so right. My last Hb1ac was 6.9, certainly not impressive by

the results being touted here, but he was relatively pleased - saying that I

was in the top 10% of his diabetic patients in control. I suspect one

reason that people find doctors seeming to be abrupt or seemingly unhelpful

is that most doctors have become discouraged with the attempts of the bulk

of their diabetic patients to actively do something to control their

disease. Mine says that many of his patients feel that if they take meds or

insulin they can eat whatever they want, whenever they want in whatever

quantities they want.

I have a hard time identifying with the complaints about doctors on this and

other lists. Maybe its because mine is so open. He graduaated from med

school about 5 yrs ago, knows how to listen, is knowledgeable about diabetes

and its treatment and encourages me to bring in research info on the disease

and its treatment that I find on the net. He encourages me to try whatever

helps in terms of controlling bs and reducing weight. When I mentioned that

I thought i might have sleep apnea, he personally set up an appointment with

a pulmonologist down the hall saying that apnea very definitely contributes

to the sleepy, tired feeling that many diabetics (his words) have and that

makes it difficult to find the energy to do the exercise we should. I have

nothing but praise for the way the medical community has helped me come to

grips with the Big D.

Grabner

>

>

>

> Website for Diabetes International:

> http://www.msteri.com/diabetes-info/diabetes_int

>

> Post message: diabetes_int

> Subscribe: diabetes_int-subscribe

> Unsubscribe: diabetes_int-unsubscribe

> List owner: diabetes_int-owner /

> http://groups.yahoo.com/group/diabetes_int or try:

> http://www.yahoo.com > Join A Group > diabetes_int > Join This Group

>

>

>

>

>

>

>

>

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> > I think doctors in general get a bad rap on this list. I believe that

> > most doctors give their recommendations based on what they hope to be able

> > to expect people to do

>

>

No, this isn't true, they give only what they know. They are mostly as a

rule, cluelesss when it come to diabetes management.

I work with dr's and my own dr I've had to educate on certain drugs, and

management both on my diabetes and crohns disease, osteoporosis, and muscle

and joint disease and pain control. Plus every drug I get I talk in length

with my pharmacist because the dr has no idea about it.

Try calling your dr and asking about a drug you're on, ask about

interactions, they say call the pharmacist, the dr should know this, they're

supposed to know by law or they're not supossed to prescribe it.

I was in extreme bone pain, I had to ask for a xray, and a referrel to a

rheumatologist.

If I did not know more than my dr's I would have gotten very poor care, thats

a fact and many people on many lists are reporting this, it isn't a rap, its

a fact.

I've changed dr's so many times, it doesn't matter, they as a rule are mostly

outdated, and are not getting educated.

carol

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,

I think doctors in general get a bad rap on this list. I believe that

most doctors give their recommendations based on what they hope to be able

to expect people to do. I don't think they expect their patients to take

everything they say as being carved in stone. Sometimes I think we may take

things too literally and then call the doc a quack for having said it. My

nutrionist recommended a 1500-1800 calorie diet for me (due to my size). Of

course if I ate that much, not only would I not lose weight but I would

gain. I know this about my body. She doesn't. What she gave me was a

guideline. I am not going to call her a quack because she was off base. My

doc told me that my after meal BG's shouldn't go over 140. Of course both

he and she are thrilled that they rarely even get close to that. What they

gave me at 140 was a guideline based on what they have historically been

able to expect from their current patients. I consider it to be too high.

But I still don't consider him a quack for telling me that. I think we need

to give some of them a break. Of course you do have those who have

legitimately earned the title of " quack " .

Kim

>I have a hard time identifying with the complaints about doctors on this

>and

>other lists. Maybe its because mine is so open. Grabner

_________________________________________________________________

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Good point, Kim.

Thanks,

Barb

> I think doctors in general get a bad rap on this list. I believe that

> most doctors give their recommendations based on what they hope to be able

> to expect people to do

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In a message dated 06/29/2001 4:53:58 AM Eastern Daylight Time,

kimderry@... writes:

>

> If you have had to educate your doctor that much. Maybe it is time to

> switch doctors again and hell....maybe you ought to go into the profession

> and become a doc yourself. If you know more than they do then you are

> ahead

> of the game. I'd go for it.

>

No, the fact is dr's take advantage of people who are not medically

knowledgeable, and I resent you saying just to go be a dr, very rude!!!

Everyone else I've told this to were at the very least sympathetic to my

problem,and I alredy said I changed dr's many times.

I can't go outside my insurance plan, but thats doesn't concern you.

Makes you think doesn't it? that the real issue here.

No need to be rude

carol

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