Re: Regulating 's blood sugar

May 5, 2005

Harry and ,

Well, what you two are doing is of interest to a lot of people. Many,

many folks do have the same problems and concerns but are afraid to ask

less they be tagged as stupid.

Cy, the Ancient okie...

Regulating 's blood sugar

,

Your mail delivery system still marks me as being a spammer, and it

rejects

all the replies I send to your messages. This mnakes it very difficult

to

try to help you regulate your insulin dose from meal to meal and day to

day.

As a general rule, I am only able to send one reply to a single message

from

you. If I try to send two messages to the same message it is classified

as

spam by your mail delivery system and subsequent messages for that day

are

also undelivered or rejected as being spam. Instead of doing it

privately,

I suggest we do it publicly on this list serve, and this would make

interchange of messages go faster and more smoothly. It would also

provide

fellow list members to see what we are doing.

May 5, 2005

sy, that is funny how can i be tagged stupid if you cannt see me. you cannt

see me so you cannt catch me, smile. but can we learn a lot and help each

other. we sure can. thanks, karen

Regulating 's blood sugar

>

> ,

> Your mail delivery system still marks me as being a spammer, and it

> rejects

> all the replies I send to your messages. This mnakes it very difficult

> to

> try to help you regulate your insulin dose from meal to meal and day to

> day.

> As a general rule, I am only able to send one reply to a single message

> from

> you. If I try to send two messages to the same message it is classified

> as

> spam by your mail delivery system and subsequent messages for that day

> are

> also undelivered or rejected as being spam. Instead of doing it

> privately,

> I suggest we do it publicly on this list serve, and this would make

> interchange of messages go faster and more smoothly. It would also

> provide

> fellow list members to see what we are doing.

>

May 5, 2005

,

Continue posting your messages through this list serve when it comes to

helping youregulate your blood sugar level. Then any messages I can send to

you will get through without being blocked, as it is when I reply to your

personal email messages. I feel there is nothing to hide and conversely,

to reveal our efforts in stabilizing your glucose levels and teaching you

mastery of sugar level control can or may help a lot of us here. None of us

are perfect, and unfortunately I have to admit that I am not perfect either.

So we will have to consider this a work in progress. For months I posted on

this list serve almost daily and sometimes several times per day until I

mastered blood glucose level control. Some here may remember when I use to

do this with the subject line:

advice for Harry

People here saw my successes and failures for several months. So I think

using the same subject line:

regulating 's blood sugar

is a good one to continue.

By doing this we can engage several experts besides me in helping you;.

Folks here will be able to see exactly the struggle both of us are engaged

in trying to master blood glucose level control. I am from the old school

which teaches, see one, do one and teach one. A person is not a master

until they can teach another one how to do it.

So, let's continue. To do so all you have to do is do a control+r, which is

the reply command while reading this message and type in your message and

then do a send command after you have completed your message. This will

preserve the subject line without chaning it and if you have your email

program set to send subsequent messages along with your reply, this will

preserve the entire thread of communication, which will be an easy reference

for looking both backwards and forward inside the message thread. This way

it can cut down on any confusion and provide a check on our progress or lack

of it. Then it is easier to figure out what is going on.

Regulating 's blood sugar

>>

>> ,

>> Your mail delivery system still marks me as being a spammer, and it

>> rejects

>> all the replies I send to your messages. This mnakes it very difficult

>> to

>> try to help you regulate your insulin dose from meal to meal and day to

>> day.

>> As a general rule, I am only able to send one reply to a single message

>> from

>> you. If I try to send two messages to the same message it is classified

>> as

>> spam by your mail delivery system and subsequent messages for that day

>> are

>> also undelivered or rejected as being spam. Instead of doing it

>> privately,

>> I suggest we do it publicly on this list serve, and this would make

>> interchange of messages go faster and more smoothly. It would also

>> provide

>> fellow list members to see what we are doing.

>>

May 5, 2005

harry, o k you have got it, smile. i will send my next message when i do the

pre supper reading tonight. thanks for your patience, karen

Regulating 's blood sugar

>>>

>>> ,

>>> Your mail delivery system still marks me as being a spammer, and it

>>> rejects

>>> all the replies I send to your messages. This mnakes it very difficult

>>> to

>>> try to help you regulate your insulin dose from meal to meal and day to

>>> day.

>>> As a general rule, I am only able to send one reply to a single message

>>> from

>>> you. If I try to send two messages to the same message it is classified

>>> as

>>> spam by your mail delivery system and subsequent messages for that day

>>> are

>>> also undelivered or rejected as being spam. Instead of doing it

>>> privately,

>>> I suggest we do it publicly on this list serve, and this would make

>>> interchange of messages go faster and more smoothly. It would also

>>> provide

>>> fellow list members to see what we are doing.

>>>

May 5, 2005

,

So far I have established only two facts about your blood sugar, and both of

these facts are very tenuous, since each was derived only one set of data,

and the circumstances have changed. You are now on Lantus 8 units at night,

whereas before you were on Humalin N 11 units at night. While you were on

Humalin N a gram of carbohydrate or 1 carb raised your blood sugar level by

0.475 points. On another set of data a single unit of Humalog insulin

lowered your blood sugar level by 1.9 mole points.

These two facts, as I say, are highly tenuous, and it is unwise to make any

recommendations on a single set of data. This is why it requires several

sets of data under varying conditions before a final recommendation can be

made. It is also important to remember that any recommendation ultimately

has to be your own, and experimenting and charting is the key to figuring

out what is best for you under varying conditions. Sticking to a fixed

ratio for several days is essential in this process, especially in the

beginning. By a fixed ratio I mean a set number of units of Humalog for a

set number of grams of carbs consumed. This is why it is important to know

how to count. So stick as close as possible to 15 grams of carbs per meal

until we figure out how much Humalog insulin it takes to handle it properly.

Once we get this figured out and it is stable for three or four days, then

we can do further experimentation. Charting is absolutely the first key in

the process of blood sugar level mastery.

Regulating 's blood sugar

>>>>

>>>> ,

>>>> Your mail delivery system still marks me as being a spammer, and it

>>>> rejects

>>>> all the replies I send to your messages. This mnakes it very difficult

>>>> to

>>>> try to help you regulate your insulin dose from meal to meal and day to

>>>> day.

>>>> As a general rule, I am only able to send one reply to a single message

>>>> from

>>>> you. If I try to send two messages to the same message it is

>>>> classified

>>>> as

>>>> spam by your mail delivery system and subsequent messages for that day

>>>> are

>>>> also undelivered or rejected as being spam. Instead of doing it

>>>> privately,

>>>> I suggest we do it publicly on this list serve, and this would make

>>>> interchange of messages go faster and more smoothly. It would also

>>>> provide

>>>> fellow list members to see what we are doing.

>>>>

May 5, 2005

harry,

pre supper b s today

three point one

took two watermelon glucogon tablets

back on track

just have to decide what to do for supper and how much insulin to take

thanks, karen

Regulating 's blood sugar

>>>>>

>>>>> ,

>>>>> Your mail delivery system still marks me as being a spammer, and it

>>>>> rejects

>>>>> all the replies I send to your messages. This mnakes it very

>>>>> difficult

>>>>> to

>>>>> try to help you regulate your insulin dose from meal to meal and day

>>>>> to

>>>>> day.

>>>>> As a general rule, I am only able to send one reply to a single

>>>>> message

>>>>> from

>>>>> you. If I try to send two messages to the same message it is

>>>>> classified

>>>>> as

>>>>> spam by your mail delivery system and subsequent messages for that day

>>>>> are

>>>>> also undelivered or rejected as being spam. Instead of doing it

>>>>> privately,

>>>>> I suggest we do it publicly on this list serve, and this would make

>>>>> interchange of messages go faster and more smoothly. It would also

>>>>> provide

>>>>> fellow list members to see what we are doing.

>>>>>

May 6, 2005

harry

the pre supper b s was three point one

two tablets

carbs fifteen, cottage cheese, roast beef, spinach

humalog three

karen

Regulating 's blood sugar

>>>>>

>>>>> ,

>>>>> Your mail delivery system still marks me as being a spammer, and it

>>>>> rejects

>>>>> all the replies I send to your messages. This mnakes it very

>>>>> difficult

>>>>> to

>>>>> try to help you regulate your insulin dose from meal to meal and day

>>>>> to

>>>>> day.

>>>>> As a general rule, I am only able to send one reply to a single

>>>>> message

>>>>> from

>>>>> you. If I try to send two messages to the same message it is

>>>>> classified

>>>>> as

>>>>> spam by your mail delivery system and subsequent messages for that day

>>>>> are

>>>>> also undelivered or rejected as being spam. Instead of doing it

>>>>> privately,

>>>>> I suggest we do it publicly on this list serve, and this would make

>>>>> interchange of messages go faster and more smoothly. It would also

>>>>> provide

>>>>> fellow list members to see what we are doing.

>>>>>

May 6, 2005

Let us see how close those past facts can predict your bs after you took

those two glucose tablets. 0.475*8 (two 4 gram glucose tablets = 8 grams of

carbs) which means it will raise your bs by 3.8 moles or 3.8+3.1= 6.9. The

only way to tell if this correct plus or minus 10% is to take a bs reading

before you consume any further carbohydrates, and it would be best to take

this bs reading two hours after you took the two glucose tablets. Now that

you are on Lantus instead of Humalin N may be a factor to be considered with

this prediction. Let us know what the bs really was after taking the two

glucose tablets.

Regulating 's blood sugar

>>>>>>

>>>>>> ,

>>>>>> Your mail delivery system still marks me as being a spammer, and it

>>>>>> rejects

>>>>>> all the replies I send to your messages. This mnakes it very

>>>>>> difficult

>>>>>> to

>>>>>> try to help you regulate your insulin dose from meal to meal and day

>>>>>> to

>>>>>> day.

>>>>>> As a general rule, I am only able to send one reply to a single

>>>>>> message

>>>>>> from

>>>>>> you. If I try to send two messages to the same message it is

>>>>>> classified

>>>>>> as

>>>>>> spam by your mail delivery system and subsequent messages for that

>>>>>> day

>>>>>> are

>>>>>> also undelivered or rejected as being spam. Instead of doing it

>>>>>> privately,

>>>>>> I suggest we do it publicly on this list serve, and this would make

>>>>>> interchange of messages go faster and more smoothly. It would also

>>>>>> provide

>>>>>> fellow list members to see what we are doing.

>>>>>>

May 6, 2005

Since you had spinach which is 4 carbs and cottage cheese without fruit is

another 4 grams of carbs, then we need to add another 8 grams of carbs to

the 8 grams of glucose tablets for a total of 16 grams. Putting it another

way we can just add another 3.8 moles to the last figure I had below which

was 6.9 moles for a total mole count of 10.8. Now we can take this figure

and subtract the number of mol points that 1 unit of Humalog will reduce it

by 1.9 per unit of Humalog (another factor which was derived in another set

of earlier calculations which would be 1.9*3= 5.7. A two hour post prandial

bs reading should dbe plus or minus 10% of the final figure of 5.1. This

would be pretty good Humalog dosing if all figures are correct, but at this

point early in the game, it is still a crap shoot.

Regulating 's blood sugar

>>>>>>>

>>>>>>> ,

>>>>>>> Your mail delivery system still marks me as being a spammer, and it

>>>>>>> rejects

>>>>>>> all the replies I send to your messages. This mnakes it very

>>>>>>> difficult

>>>>>>> to

>>>>>>> try to help you regulate your insulin dose from meal to meal and day

>>>>>>> to

>>>>>>> day.

>>>>>>> As a general rule, I am only able to send one reply to a single

>>>>>>> message

>>>>>>> from

>>>>>>> you. If I try to send two messages to the same message it is

>>>>>>> classified

>>>>>>> as

>>>>>>> spam by your mail delivery system and subsequent messages for that

>>>>>>> day

>>>>>>> are

>>>>>>> also undelivered or rejected as being spam. Instead of doing it

>>>>>>> privately,

>>>>>>> I suggest we do it publicly on this list serve, and this would make

>>>>>>> interchange of messages go faster and more smoothly. It would also

>>>>>>> provide

>>>>>>> fellow list members to see what we are doing.

>>>>>>>

May 6, 2005

Harry, I took that blood sugar at four thirty, and I eat at five o'clock. so

I did not have enough time to test again. sorry

, to test again at nine p m

Regulating 's blood sugar

>>>>>>>

>>>>>>> ,

>>>>>>> Your mail delivery system still marks me as being a spammer, and it

>>>>>>> rejects

>>>>>>> all the replies I send to your messages. This mnakes it very

>>>>>>> difficult

>>>>>>> to

>>>>>>> try to help you regulate your insulin dose from meal to meal and day

>>>>>>> to

>>>>>>> day.

>>>>>>> As a general rule, I am only able to send one reply to a single

>>>>>>> message

>>>>>>> from

>>>>>>> you. If I try to send two messages to the same message it is

>>>>>>> classified

>>>>>>> as

>>>>>>> spam by your mail delivery system and subsequent messages for that

>>>>>>> day

>>>>>>> are

>>>>>>> also undelivered or rejected as being spam. Instead of doing it

>>>>>>> privately,

>>>>>>> I suggest we do it publicly on this list serve, and this would make

>>>>>>> interchange of messages go faster and more smoothly. It would also

>>>>>>> provide

>>>>>>> fellow list members to see what we are doing.

>>>>>>>

May 6, 2005

harry, i just did my nine p m reading

b s four point six

lantus eight

my husband would not help me lessen this amount. he feels i am trying to

fine tune this too much. well, yes, of course i am. he sometimes takes a

while to accept thing. karen

Regulating 's blood sugar

>>>>>>>>

>>>>>>>> ,

>>>>>>>> Your mail delivery system still marks me as being a spammer, and it

>>>>>>>> rejects

>>>>>>>> all the replies I send to your messages. This mnakes it very

>>>>>>>> difficult

>>>>>>>> to

>>>>>>>> try to help you regulate your insulin dose from meal to meal and

>>>>>>>> day

>>>>>>>> to

>>>>>>>> day.

>>>>>>>> As a general rule, I am only able to send one reply to a single

>>>>>>>> message

>>>>>>>> from

>>>>>>>> you. If I try to send two messages to the same message it is

>>>>>>>> classified

>>>>>>>> as

>>>>>>>> spam by your mail delivery system and subsequent messages for that

>>>>>>>> day

>>>>>>>> are

>>>>>>>> also undelivered or rejected as being spam. Instead of doing it

>>>>>>>> privately,

>>>>>>>> I suggest we do it publicly on this list serve, and this would

>>>>>>>> make

>>>>>>>> interchange of messages go faster and more smoothly. It would also

>>>>>>>> provide

>>>>>>>> fellow list members to see what we are doing.

>>>>>>>>

May 6, 2005

Harry,

this evenings b s at nine o'clock was

four point six

lantus eight

two stalks celery with cheese

Regulating 's blood sugar

>>>>>>>>

>>>>>>>> ,

>>>>>>>> Your mail delivery system still marks me as being a spammer, and it

>>>>>>>> rejects

>>>>>>>> all the replies I send to your messages. This mnakes it very

>>>>>>>> difficult

>>>>>>>> to

>>>>>>>> try to help you regulate your insulin dose from meal to meal and

>>>>>>>> day

>>>>>>>> to

>>>>>>>> day.

>>>>>>>> As a general rule, I am only able to send one reply to a single

>>>>>>>> message

>>>>>>>> from

>>>>>>>> you. If I try to send two messages to the same message it is

>>>>>>>> classified

>>>>>>>> as

>>>>>>>> spam by your mail delivery system and subsequent messages for that

>>>>>>>> day

>>>>>>>> are

>>>>>>>> also undelivered or rejected as being spam. Instead of doing it

>>>>>>>> privately,

>>>>>>>> I suggest we do it publicly on this list serve, and this would

>>>>>>>> make

>>>>>>>> interchange of messages go faster and more smoothly. It would also

>>>>>>>> provide

>>>>>>>> fellow list members to see what we are doing.

>>>>>>>>

May 6, 2005

Maybe some of my calculations are not too far off. When you think about it,

I predicted a reading of 5.1 plus or minus 10%. It just so happens that a

bs of 4.6 is a 10% bariability reading. You may also recall that I

recommended in a previous private post that you reduce your Lantus from 8

units to 7 units. If your bs in the morning is below 3.9, I definitely

recommend you reduce your Lantus.

Re: Regulating 's blood sugar

>

>> Since you had spinach which is 4 carbs and cottage cheese without fruit

>> is

>> another 4 grams of carbs, then we need to add another 8 grams of carbs to

>> the 8 grams of glucose tablets for a total of 16 grams. Putting it

>> another way we can just add another 3.8 moles to the last figure I had

>> below which was 6.9 moles for a total mole count of 10.8. Now we can

>> take

>> this figure and subtract the number of mol points that 1 unit of Humalog

>> will reduce it by 1.9 per unit of Humalog (another factor which was

>> derived in another set of earlier calculations which would be 1.9*3= 5.7.

>> A two hour post prandial bs reading should dbe plus or minus 10% of the

>> final figure of 5.1. This would be pretty good Humalog dosing if all

>> figures are correct, but at this point early in the game, it is still a

>> crap shoot.

May 6, 2005

Fine tuning your insulin dosage and carb intake is what mastering glucose

level control is all about. Once you know how to do it, you should be able

to get within a half mole point of what you actually want your two hour post

prandial reading to be. At least this is how I am thinking of it. This

would mean that you know what you are doing and you can reach your goal

practically all of the time or at least most of the time. A half point is

plus or minus .5 or five tenths of a point, which would be an A plus rating

as far as I am concerned. Besides that is why you have glucose tablets.

Remember one 4 gram glucose tablet raises your blood sugar approximately 1.9

mole points. If I make a mistake, it is usually in counting the number of

grams of carbs I consume, especially if I eat out at a restaurant.

Re: Regulating 's blood sugar

> harry, i just did my nine p m reading

> b s four point six

> lantus eight

> my husband would not help me lessen this amount. he feels i am trying to

> fine tune this too much. well, yes, of course i am. he sometimes takes a

> while to accept thing. karen

>

May 6, 2005

harry

pre breakfast b s eleven point nine

carbs twenty one

two slice low carb bread and sugar free peanut butter and jam

humalog five

have a computer session this morning so can only do eleven thirty b s

thanks,

karen

Re: Regulating 's blood sugar

>

>> harry, i just did my nine p m reading

>> b s four point six

>> lantus eight

>> my husband would not help me lessen this amount. he feels i am trying to

>> fine tune this too much. well, yes, of course i am. he sometimes takes a

>> while to accept thing. karen

>>

>

May 6, 2005

It looks like you need to increase your Lantus since your fasting bs is

11.9. So instead of decreasing your Lantus by 1 unit, it would be better

for you to increase it by 1 unit to 9 units of Lantus at bedtime. Instead

of being bullheaded like me, it would be best for you to stick to a fixed

number of grams of carbs like 15 grams of carbs at each meal until you are

regulated. I am tellihng you was right about me. Had I minded him

in the beginning I could have been a master in less than three months

instead of the six months it took me, and I only mastered Humalog dosing in

the end by finally minding 's instructions. So the first thing to do

besides charting is to count those carbs, and in the beginning the magic

number is 15 grams of carbs.

Re: Regulating 's blood sugar

>>

>>> harry, i just did my nine p m reading

>>> b s four point six

>>> lantus eight

>>> my husband would not help me lessen this amount. he feels i am trying to

>>> fine tune this too much. well, yes, of course i am. he sometimes takes a

>>> while to accept thing. karen

>>>

>>

May 6, 2005

Harry

today's pre lunch b s was nine point seven

carbs seventeen

one slice bread with salmon and cut up celery

humalog six

Re: Regulating 's blood sugar

>

>> harry, i just did my nine p m reading

>> b s four point six

>> lantus eight

>> my husband would not help me lessen this amount. he feels i am trying to

>> fine tune this too much. well, yes, of course i am. he sometimes takes a

>> while to accept thing. karen

>>

>

May 6, 2005

harry, i will be going to my sons out of town tomorrow to celebrate mothers

day and his birthday. will likely leave after breakfast. thanks, karen

Re: Regulating 's blood sugar

>>>

>>>> harry, i just did my nine p m reading

>>>> b s four point six

>>>> lantus eight

>>>> my husband would not help me lessen this amount. he feels i am trying

>>>> to

>>>> fine tune this too much. well, yes, of course i am. he sometimes takes

>>>> a

>>>> while to accept thing. karen

>>>>

>>>

May 6, 2005

harry would i change the insulin based on one reading? karen

Re: Regulating 's blood sugar

>>>

>>>> harry, i just did my nine p m reading

>>>> b s four point six

>>>> lantus eight

>>>> my husband would not help me lessen this amount. he feels i am trying

>>>> to

>>>> fine tune this too much. well, yes, of course i am. he sometimes takes

>>>> a

>>>> while to accept thing. karen

>>>>

>>>

May 6, 2005

That would be fine. We can pick it up again next week, since I am leaving

town for a day or two. In June I will be gone for two or three weeks.

Re: Regulating 's blood sugar

>>>>

>>>>> harry, i just did my nine p m reading

>>>>> b s four point six

>>>>> lantus eight

>>>>> my husband would not help me lessen this amount. he feels i am trying

>>>>> to

>>>>> fine tune this too much. well, yes, of course i am. he sometimes takes

>>>>> a

>>>>> while to accept thing. karen

>>>>>

>>>>

May 6, 2005

Yes, a person can change their insulin based on one reading. We are talking

about two things here. You report a fasting bs of 11.9, which is way out of

control. This also assumes that you did not consume a lot of carbs after

you dosed with Lantus last night. If you did, we need to know this and what

it was. Now assuming you did not eat a lot of carbs and you still dosed

Lantus 8 units and came up with this 11.9 fasting blood sugar, then

something needs to change, and it needs to change fairly quickly. Any time

one goes above a glucose reading for an extended period of time exceeding

160 USA reading or 8.9 moles needs immediate adjustment. You are a full 3.0

points above the therapeutic level. The only reason for this reading is

either you ate grams of carbs, which are not counted or you had the rebound

effect, which is caused byan extreme low in the danger range. For this

reason I would recommend you be near a mole reading of 6.0-7.0 before

dosing Lantus at night, or another option is to take in enough carbs to get

your bs to that level before going to bed after dosing with Lantus. I do

not know what the story really is. Only you can say.

Re: Regulating 's blood sugar

>>>>

>>>>> harry, i just did my nine p m reading

>>>>> b s four point six

>>>>> lantus eight

>>>>> my husband would not help me lessen this amount. he feels i am trying

>>>>> to

>>>>> fine tune this too much. well, yes, of course i am. he sometimes takes

>>>>> a

>>>>> while to accept thing. karen

>>>>>

>>>>

May 6, 2005

Based on the data I already have on you, and I emphasize this is just

preliminary data which needs further experimentation to establish the two

most important predictor factors, I would predict the following two hour

post prandial bs reading based on the data you present here. 17 grams of

carbs times 0.475 (the number of mole points raised by a single gram of

carb) yields a figure of 8.1. Now add this number to your pre-meal bs

reading of 9.7 and you get 17.8. Now subtract the number of units of

Humalog dosed times the number of mole points factor of 1.9 and you will get

the number of mole points that the Humalog dose will reduce that previous

figure. In this case it would be 6 times 1.9 or 11.4 mole points. Now

subtract this figure from 17.8 and you get 6.4 plus or minus 10% for your

two hour post prandial bs reading in moles. This means your bs reading

should be in the range of 5.8-7.0.

We haven't even caculated your exercise routine and its effect on your bs

rreadings as yet.

Re: Regulating 's blood sugar

>>

>>> harry, i just did my nine p m reading

>>> b s four point six

>>> lantus eight

>>> my husband would not help me lessen this amount. he feels i am trying to

>>> fine tune this too much. well, yes, of course i am. he sometimes takes a

>>> while to accept thing. karen

>>>

>>

May 6, 2005

,

Haven'you ever heard of Blind Man's Bluff?

I'll bet I can catch you cause I will have my trusty Guide Dog sniff you

out, he likes pretty women.

Cy, the Ancient Okie...

Re: Regulating 's blood sugar

sy, that is funny how can i be tagged stupid if you cannt see me. you

cannt

see me so you cannt catch me, smile. but can we learn a lot and help

each

other. we sure can. thanks, karen

Regulating 's blood sugar

>

> ,

> Your mail delivery system still marks me as being a spammer, and it

> rejects all the replies I send to your messages. This mnakes it very

> difficult to

> try to help you regulate your insulin dose from meal to meal and day

to

> day.

> As a general rule, I am only able to send one reply to a single

message

> from

> you. If I try to send two messages to the same message it is

classified

> as

> spam by your mail delivery system and subsequent messages for that day

> are

> also undelivered or rejected as being spam. Instead of doing it

> privately,

> I suggest we do it publicly on this list serve, and this would make

> interchange of messages go faster and more smoothly. It would also

> provide

> fellow list members to see what we are doing.

>

May 7, 2005

harry

pre supper tonight five point three

carbs fifteen

humalog four

still not feeling well

karen

Re: Regulating 's blood sugar

>>>

>>>> harry, i just did my nine p m reading

>>>> b s four point six

>>>> lantus eight

>>>> my husband would not help me lessen this amount. he feels i am trying

>>>> to

>>>> fine tune this too much. well, yes, of course i am. he sometimes takes

>>>> a

>>>> while to accept thing. karen

>>>>

>>>

May 7, 2005

Well, some adjustments need to be made. I may need to figure another factor

provided you did no exercising or treadmill walking from the previous

measure to the one listed below. Let me know. You report a bs of 5.3, and

I precicted a bs of 6.4, which means it was more than 10% off the mark for

what I now consider to be a C average in mastery or maybe a D+. You were

five tenth of a point below my predicted range, so I missed it. Before

dosing your Lantus tonight and going to bed, this is what I recommend, since

I don't know if your high fasting blood sugar level was the result of the

revound effect or extra carb intake last night. Any way can I assume you

will be taking 8 units of Lantus tonight?

If so, I would recommend you push up your bedtime bs to around 7.5 or nearly

so. Remember one glucose tablet raises your bs approximately1.9 moles, so

one glucose tablet can raise your 5.3 to a 7.2 and two glucose tablets can

raise your 5.3 to 9.1. Of course only a bs monitoring will tell the story.

When you take your fasting bs in the morning before breakfast, I hope it is

in the normal range. If it is, I think we can postulate that your high

fasting blood sugar level this morning was due to the rebound effect. This

assumes you had reported no extra carb intake last night. Good luck and

good dosing!

Re: Regulating 's blood sugar

>>>>

>>>>> harry, i just did my nine p m reading

>>>>> b s four point six

>>>>> lantus eight

>>>>> my husband would not help me lessen this amount. he feels i am trying

>>>>> to

>>>>> fine tune this too much. well, yes, of course i am. he sometimes takes

>>>>> a

>>>>> while to accept thing. karen

>>>>>

>>>>

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Re: Regulating 's blood sugar

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