Guest guest Posted January 13, 2001 Report Share Posted January 13, 2001 Hei Mein mann sprecht Deutsch. My husband's first language was German. His mother left Germany before the war and imigrated to Israel. She was from Mo'chen-Gladbach. When he used to call her from L.A. to Israel, they would shout in German. I like your hospital story. It is very typical of the nursing homes where I work as a psychologist. One elderly gentleman was taken to the ER with very low sugar. I asked the nurses why. Apparently they gave him his NPH insulin and then decided to give him a shower and etc. before he got breakfast. Here in U.S. it is customary to hospitalize newly diagnosed children with diabetes for at least a week. I refused hospitalization for . The doctor agreed to send him home with me and keep in touch by phone and pager. It was the first time in twenty years of practice that she did not hospitalize a newly diagnosed kid. We were troublemakers from the beginning. This doctor dumped us and would not do Gabe's routine care locally because she heard we had been to see Dr. Bernstein. All the best. Auf Wiedersehen. n Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2001 Report Share Posted January 14, 2001 Vicki, Maybe your insurance co will spring for a continuous monitoring system. Your records would certainly support the need! Carol T In a message dated Sun, 14 Jan 2001 12:46:35 PM Eastern Standard Time, whimsy2@... writes: << That's why I test 8-10 times a day! :-) and if my insurance company ever gives me problems about the number of strips I need, I can just show them my records. Vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2001 Report Share Posted January 14, 2001 , I meant that anybody with hypo unawareness should have access to some future piece of equipment that will provide a readout (I would think it would have to be periodic) to help spot lows before a dangerous level is reached. I was hoping that when such a piece of durable medical equipment is ready for the consumer, Vicki's insurance company would provide one for her. My husband's scariest episode was when his GI system was not absorbing food on a normal basis. His numbers had a pattern similar to gastroparesis; he was later dxed with celiac sprue. He would chomp glucose tablets but his bgs would just keep falling. He would never know when food would absorb normally. Carol T In a message dated 1/14/01 10:37:45 AM Pacific Standard Time, lists@... writes: > How would that help, Carol? They don't let you read the real-time BG, > do they? The systems sold here (about US$3000) are just black boxes > without BG display and have to be fitted by a physician. And you have > to go back to his office every 3 days so that he can transfer the > data to his computer and print it out. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2001 Report Share Posted January 14, 2001 > Maybe your insurance co will spring for > a continuous monitoring system. How would that help, Carol? They don't let you read the real-time BG, do they? The systems sold here (about US$3000) are just black boxes without BG display and have to be fitted by a physician. And you have to go back to his office every 3 days so that he can transfer the data to his computer and print it out. People here on the German diabetes lists who have had them on loan say that the reliability and accuracy are miserable - and you still have to stick yourself a few times a day to know where you stand at the time and to calibrate them and you still have to keep a separate log to record events, insulin, etc.! I would really like to hear about a continuous direct reading monitor! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2001 Report Share Posted January 14, 2001 In a message dated 01/14/2001 4:46:06 PM Central Standard Time, cprcarol@... writes: << dxed with celiac sprue. >> Carol, that peaked my interest....could you expound on that a bit ressy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2001 Report Share Posted January 14, 2001 > You're making a great argument for the > development of a continuous monitor that gives > a read-out on the spot, that is relatively easy > to use and reasonably priced! I read that one has been developed but it has to have a sensor planted in a vein and there is a vastly increased risk of that causing a thrombosis. Ah, well! back to the drawing board! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2001 Report Share Posted January 14, 2001 << So how does a pump work? If it isn't monitoring BG, how does it know what > to inject? Am I assuming that pumps are a lot more evolved than they truly > are? >> Just like an IV pump machine in the hospital, its set to infuse a certain amount of fluid per minute, the same with a glucose pump, everything is programmed, it does not measure bg, although that will probably be down the road, that would be the answer to perfect bg control. carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2001 Report Share Posted January 14, 2001 Curiosity leads me to wonder why this isn't a fairly simple device to come up with... in order for an insulin pump to work, it has to have constant available readings of BG. It seems like putting them out to a display would be the simple part. cprcarol@... wrote: > > , > I meant that anybody with hypo unawareness should have access to some future > piece of equipment that will provide a readout (I would think it would have > to be periodic) to help spot lows before a dangerous level is reached. I was > hoping that when such a piece of durable medical equipment is ready for the > consumer, Vicki's insurance company would provide one for her. > > My husband's scariest episode was when his GI system was not absorbing food > on a normal basis. His numbers had a pattern similar to gastroparesis; he > was later dxed with celiac sprue. He would chomp glucose tablets but his bgs > would just keep falling. He would never know when food would absorb normally. > > Carol T > > In a message dated 1/14/01 10:37:45 AM Pacific Standard Time, > lists@... writes: > > > How would that help, Carol? They don't let you read the real-time BG, > > do they? The systems sold here (about US$3000) are just black boxes > > without BG display and have to be fitted by a physician. And you have > > to go back to his office every 3 days so that he can transfer the > > data to his computer and print it out. > > > > Public website for Diabetes International: > http://www.msteri.com/diabetes-info/diabetes_int > > Post message: diabetes_integroups > Subscribe: diabetes_int-subscribeegroups > Unsubscribe: diabetes_int-unsubscribeegroups > List owner: diabetes_int-owneregroups > > URL: /group/diabetes_int Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2001 Report Share Posted January 14, 2001 So how does a pump work? If it isn't monitoring BG, how does it know what to inject? Am I assuming that pumps are a lot more evolved than they truly are? Anne > Re: Re: BG levels after meals > > > > > anne@... wrote: > > > > Curiosity leads me to wonder why this isn't a fairly simple device to > > come up with... in order for an insulin pump to work, it has to have > > constant available readings of BG. It seems like putting them out to a > > display would be the simple part. > > Pumps do not read bg in any way. Be nice if they would, for then they > could be fully automatic. > > > > > > cprcarol@... wrote: > > > > > > , > > > I meant that anybody with hypo unawareness should have access > to some future > > > piece of equipment that will provide a readout (I would think > it would have > > > to be periodic) to help spot lows before a dangerous level > is reached. I was > > -- > Dave - 5:37:13 PM > T2 - 8/98 Glucophage, Precose > - > Davors Daily Aphorism: > I never deny, I never contradict. I sometimes forget. > -- > Visit my HomePage: > http://dorcutt.homepage.com > > Public website for Diabetes International: > http://www.msteri.com/diabetes-info/diabetes_int > > Post message: diabetes_integroups > Subscribe: diabetes_int-subscribeegroups > Unsubscribe: diabetes_int-unsubscribeegroups > List owner: diabetes_int-owneregroups > > URL: /group/diabetes_int > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2001 Report Share Posted January 15, 2001 Ressy, Celiac Sprue is also called " celiac disease " or " gluten intolerance " . In a nutshell, the gluten found in wheats, barley, and rye cause the villi in our in our GI tract to die. Symptoms can include diarreah, constipation, SEVERE bloating, malabsorbtion of nutrients, leaky gut, etc. The treatment sounds simple....a gluten-free diet. The hard part is that so many foods have been processed in or around gluten-containing products. One has to keep abreast of the GF status of any product one uses. The simplest way to eat is to buy everything fresh and unprocessed; eating in restaurants can be tricky. Flour used in a kitchen can contaminate rinsed vegies. This is an autoimmune disease (genetically based) and often is seen in conjuction with DM T1, MS, lupus, etc. More info:www.gluten.org For a diabetic on insulin, this can be devastating. The normal dose is taken, but you have no idea of how or if the digestion will happen. For a DMer on orals, the medicine doesn't seem to help with control because of absorbtion. Because the symptoms are similar to those of other conditions, my husband received various incorrect dxes over 13 - 15 years, including lactose intolerance, IBS, and the most interesting, " pseudo blockage syndrome " . The latter dx was made when he entered ER with bloating that resembled 9 months of pregnancy and severe upper GI pain. Carol T Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2001 Report Share Posted January 18, 2001 In a message dated 01/18/2001 11:18:55 AM Eastern Standard Time, ottercritter@... writes: << I no longer regard type 2 as a disease, but more like a food intolerance. A recent report said 85 percent of us are born with a " gene variant " that made it difficult for us to handle our modern diet that is heavy on highly-processed grains and other carbohydrates. So our reaction to our meals is, as Bob would say, " spread all along the continuum. " The closer people are to the " non-diabetic " end of the range, the less they spike - and the more quickly they recover. >> This is not true, as a type 2, food is not the only problem for spiked bg's. that would be like saying, about high blood pressure, if you eliminate salt you will recover. Food is only one way to help control bg somewhat. Its genetic, which means it can be caused by a number of reasons. Since there is more than 50 variations of dm2 (source: Dr Rolla, diabetes world list, also teacher of diabetes at Harvard in Boston)of dm2, this really does sound a little ridiculous. One does not " recover " from dm2. It can be controlled, like any other chronic disease. It probably seems like a food intolerance to you, as dm progresses, you can't avoid it, then just about anything in life will spike your bg. At a some point, one could eat practically no carbs, and you will still need insulin. Of course you're entitled to your opinion regarding your own dm, but facts are facts. carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2001 Report Share Posted January 18, 2001 In a message dated 01/18/2001 3:58:35 PM Eastern Standard Time, ottercritter@... writes: << (Often your requirements are different overnight than during the day, when you are active.) Then for meals you can estimate your carbohydrates (and protein, if need be) and inject your Humalog (and perhaps some R for the protein) >> Nope. Humalog only is now used in pumps, you do have a bolus option, if you need extra for a high carb intake for instance you can shoot extra if needed. Long lasting isn't needed as pump infuses 24 hours. carol Quote Link to comment Share on other sites More sharing options...
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