Re: Normal range

[Guest guest]

I searched the internet for glucose levels in the normal range. I summarize

what I read here. The normal spike in a person who is not a diabetic rarely

goes above 10.0 moles or 180 USA. In the non-diabetic the normal range is

usually resumed two hours after a glucose spike in the blood. The normal

range is defined as being 70-120 USA or 3.9-6.7 mole points. The average

fasting blood glucose level for a non-diabetic is 82-83USA or

4.55-4.61moles. The average A1C range for a non-diabetic is 4.2-5.2. All

research results found so far indicate whether a person is a type1 or a

type2 diabetic the closer the diabetic is to the normal range, this means

the normal range for a non-diabetic, the less likely diabetic complications

are to occur.

Normal range

> Hi everyone,

>

> Can someone tell me what a normal blood sugar range is for someone without

> diabetes? For example, if someone without diabetes ate something full of

> sugar, what is the highest their sugars would go an hour, or two, or

> three,

> after the meal? (I'm in Canada so mmol/L values would be good!)

>

> Thanks!

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

I forgot to say that the spike, the highest peak, in most people's blood

glucose level occurs approximately one hour after ingestion of

carbohydrates.

Normal range

>

>

>> Hi everyone,

>>

>> Can someone tell me what a normal blood sugar range is for someone

>> without

>> diabetes? For example, if someone without diabetes ate something full of

>> sugar, what is the highest their sugars would go an hour, or two, or

>> three,

>> after the meal? (I'm in Canada so mmol/L values would be good!)

>>

>> Thanks!

>>

>> Jen

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

Hi Harry,

Thanks for the information. I was wanting to comapre what the information I

was given a few years ago when learning about carbohydrate counting to what

is normal for a non-diabetic, in my attempts to tighten my control a lot. I

was wondering how the guidelines given to me compared to normal, and from

what you've posted they seem very close. The guidelines I was given are that

if your insulin-to-carb ratio is correct you should be between 9.0 to 10.0

one hour after meals, between 7.0 to 9.0 two hours after meals, and between

4.0 and 7.0 three hours after meals as well as before meals.

I definitely still have a ways to go before I reach this range all the time,

but I've done very well today. My highest reading today was 9.1 an hour

after lunch, and before meals I've been between 6.3 to 6.7 all day, so if I

can keep this up I will be very happy. I'm hoping my next A1c will be below

8.0 and maybe even below 7.5 (last one was 8.3 and before that it was often

around 9.1), and then I can keep lowering it from there.

Jen

[Guest guest]

Hi Harry,

Thanks for the information. I was wanting to comapre what the information I

was given a few years ago when learning about carbohydrate counting to what

is normal for a non-diabetic, in my attempts to tighten my control a lot. I

was wondering how the guidelines given to me compared to normal, and from

what you've posted they seem very close. The guidelines I was given are that

if your insulin-to-carb ratio is correct you should be between 9.0 to 10.0

one hour after meals, between 7.0 to 9.0 two hours after meals, and between

4.0 and 7.0 three hours after meals as well as before meals.

I definitely still have a ways to go before I reach this range all the time,

but I've done very well today. My highest reading today was 9.1 an hour

after lunch, and before meals I've been between 6.3 to 6.7 all day, so if I

can keep this up I will be very happy. I'm hoping my next A1c will be below

8.0 and maybe even below 7.5 (last one was 8.3 and before that it was often

around 9.1), and then I can keep lowering it from there.

Jen

[Guest guest]

Hi Harry,

Thanks for the information. I was wanting to comapre what the information I

was given a few years ago when learning about carbohydrate counting to what

is normal for a non-diabetic, in my attempts to tighten my control a lot. I

was wondering how the guidelines given to me compared to normal, and from

what you've posted they seem very close. The guidelines I was given are that

if your insulin-to-carb ratio is correct you should be between 9.0 to 10.0

one hour after meals, between 7.0 to 9.0 two hours after meals, and between

4.0 and 7.0 three hours after meals as well as before meals.

I definitely still have a ways to go before I reach this range all the time,

but I've done very well today. My highest reading today was 9.1 an hour

after lunch, and before meals I've been between 6.3 to 6.7 all day, so if I

can keep this up I will be very happy. I'm hoping my next A1c will be below

8.0 and maybe even below 7.5 (last one was 8.3 and before that it was often

around 9.1), and then I can keep lowering it from there.

Jen

[Guest guest]

Congratulations on getting that bs reading down. With carb counting and

proper dosing of insulin your bs will fall to close to a normal range within

around three months. If you have a two hour post prandial target of between

5.0 and 5.5 moles, and you also maintain it, your bs will run at 5.5 or

lower, and diabetic complications are rare in diabetics with an A1C reading

of 5.5 and lower. Keeping your mole reading below 7.0 two hours after

eating will usually do the trick. It takes many finger sticks to gain

mastery, thus a lot of pain, but blood glucose mastery is worth it. Just be

sure your bs is high enough at bedtime to handle the drop in the bs caused

by a dose of Lantus. Keep up the carb counting and proper dosingt of

insulin. Keep up the good work! You will be able to avoid diabetic

complications and you will also feel better.

Re: Normal range

> Hi Harry,

>

> Thanks for the information. I was wanting to comapre what the information

> I

> was given a few years ago when learning about carbohydrate counting to

> what

> is normal for a non-diabetic, in my attempts to tighten my control a lot.

> I

> was wondering how the guidelines given to me compared to normal, and from

> what you've posted they seem very close. The guidelines I was given are

> that

> if your insulin-to-carb ratio is correct you should be between 9.0 to 10.0

> one hour after meals, between 7.0 to 9.0 two hours after meals, and

> between

> 4.0 and 7.0 three hours after meals as well as before meals.

>

> I definitely still have a ways to go before I reach this range all the

> time,

> but I've done very well today. My highest reading today was 9.1 an hour

> after lunch, and before meals I've been between 6.3 to 6.7 all day, so if

> I

> can keep this up I will be very happy. I'm hoping my next A1c will be

> below

> 8.0 and maybe even below 7.5 (last one was 8.3 and before that it was

> often

> around 9.1), and then I can keep lowering it from there.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

Congratulations on getting that bs reading down. With carb counting and

proper dosing of insulin your bs will fall to close to a normal range within

around three months. If you have a two hour post prandial target of between

5.0 and 5.5 moles, and you also maintain it, your bs will run at 5.5 or

lower, and diabetic complications are rare in diabetics with an A1C reading

of 5.5 and lower. Keeping your mole reading below 7.0 two hours after

eating will usually do the trick. It takes many finger sticks to gain

mastery, thus a lot of pain, but blood glucose mastery is worth it. Just be

sure your bs is high enough at bedtime to handle the drop in the bs caused

by a dose of Lantus. Keep up the carb counting and proper dosingt of

insulin. Keep up the good work! You will be able to avoid diabetic

complications and you will also feel better.

Re: Normal range

> Hi Harry,

>

> Thanks for the information. I was wanting to comapre what the information

> I

> was given a few years ago when learning about carbohydrate counting to

> what

> is normal for a non-diabetic, in my attempts to tighten my control a lot.

> I

> was wondering how the guidelines given to me compared to normal, and from

> what you've posted they seem very close. The guidelines I was given are

> that

> if your insulin-to-carb ratio is correct you should be between 9.0 to 10.0

> one hour after meals, between 7.0 to 9.0 two hours after meals, and

> between

> 4.0 and 7.0 three hours after meals as well as before meals.

>

> I definitely still have a ways to go before I reach this range all the

> time,

> but I've done very well today. My highest reading today was 9.1 an hour

> after lunch, and before meals I've been between 6.3 to 6.7 all day, so if

> I

> can keep this up I will be very happy. I'm hoping my next A1c will be

> below

> 8.0 and maybe even below 7.5 (last one was 8.3 and before that it was

> often

> around 9.1), and then I can keep lowering it from there.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

Congratulations on getting that bs reading down. With carb counting and

proper dosing of insulin your bs will fall to close to a normal range within

around three months. If you have a two hour post prandial target of between

5.0 and 5.5 moles, and you also maintain it, your bs will run at 5.5 or

lower, and diabetic complications are rare in diabetics with an A1C reading

of 5.5 and lower. Keeping your mole reading below 7.0 two hours after

eating will usually do the trick. It takes many finger sticks to gain

mastery, thus a lot of pain, but blood glucose mastery is worth it. Just be

sure your bs is high enough at bedtime to handle the drop in the bs caused

by a dose of Lantus. Keep up the carb counting and proper dosingt of

insulin. Keep up the good work! You will be able to avoid diabetic

complications and you will also feel better.

Re: Normal range

> Hi Harry,

>

> Thanks for the information. I was wanting to comapre what the information

> I

> was given a few years ago when learning about carbohydrate counting to

> what

> is normal for a non-diabetic, in my attempts to tighten my control a lot.

> I

> was wondering how the guidelines given to me compared to normal, and from

> what you've posted they seem very close. The guidelines I was given are

> that

> if your insulin-to-carb ratio is correct you should be between 9.0 to 10.0

> one hour after meals, between 7.0 to 9.0 two hours after meals, and

> between

> 4.0 and 7.0 three hours after meals as well as before meals.

>

> I definitely still have a ways to go before I reach this range all the

> time,

> but I've done very well today. My highest reading today was 9.1 an hour

> after lunch, and before meals I've been between 6.3 to 6.7 all day, so if

> I

> can keep this up I will be very happy. I'm hoping my next A1c will be

> below

> 8.0 and maybe even below 7.5 (last one was 8.3 and before that it was

> often

> around 9.1), and then I can keep lowering it from there.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

Hi Harry,

" If you have a two hour post prandial target of between 5.0 and 5.5 moles,

and you also maintain it, your bs will run at 5.5 or lower, and diabetic

complications are rare in diabetics with an A1C reading

of 5.5 and lower. "

Wouldn't this low a target two hours after meals cause lots of insulin

reactions? If my blood sugar is, say, 8 two hours after a meal, at the next

meal it will usually be between 5 and 6. If it were 5, it would be between 2

and 3 by the next meal, which is way too low. Is this drop not supposed to

happen? I thought that was the reasoning behind the 7 to 9 target two hours

after meals ... Humalog continues to work for three or four hours after it's

injected, even though it peaks at about two hours, so I assumed the drop was

normal. If a drop like this isn't supposed to happen two hours after a meal,

would the culprit be Humalog or Lantus, or a combination of both?

I may also be wrong here, but in the DCCT (Diabetes Control and

Complications Trial) that was published in 1992, they found that below an

HbA1c level of about 6.5% there was no significant reduction in the risks

for diabetes complications. Granted Humalog and Lantus didn't exist in 1992,

so there are better tools today than there were then. When I was first

diagnosed in 1991 I took Regular and NPH for the first five or six years,

and the Humalog and Lantus combination has given me a lot more control and a

lot more flexibility than I had back then. (Ironically, back then my A1c's

ran consistently around 6.5% compared to the past few years when it's ran

consistently around 9%!)

At this point my goal is to get an A1c below 6.5% and then if I can improve

it more I will go from there. I only know one person (type 1) who had an A1c

of 5% and she said she had way too many insulin reactions, so now hers is

around 5.5% I believe. I suppose anything closer to normal can't be a bad

thing if it doesn't have negative effects (such as hypos).

Anyway thanks for the encouragement. I've been working at it for about two

months now so anticipate things to get much better still over the next few

months. I'm finding this list very informative so far.

Jen

[Guest guest]

Hi Harry,

" If you have a two hour post prandial target of between 5.0 and 5.5 moles,

and you also maintain it, your bs will run at 5.5 or lower, and diabetic

complications are rare in diabetics with an A1C reading

of 5.5 and lower. "

Wouldn't this low a target two hours after meals cause lots of insulin

reactions? If my blood sugar is, say, 8 two hours after a meal, at the next

meal it will usually be between 5 and 6. If it were 5, it would be between 2

and 3 by the next meal, which is way too low. Is this drop not supposed to

happen? I thought that was the reasoning behind the 7 to 9 target two hours

after meals ... Humalog continues to work for three or four hours after it's

injected, even though it peaks at about two hours, so I assumed the drop was

normal. If a drop like this isn't supposed to happen two hours after a meal,

would the culprit be Humalog or Lantus, or a combination of both?

I may also be wrong here, but in the DCCT (Diabetes Control and

Complications Trial) that was published in 1992, they found that below an

HbA1c level of about 6.5% there was no significant reduction in the risks

for diabetes complications. Granted Humalog and Lantus didn't exist in 1992,

so there are better tools today than there were then. When I was first

diagnosed in 1991 I took Regular and NPH for the first five or six years,

and the Humalog and Lantus combination has given me a lot more control and a

lot more flexibility than I had back then. (Ironically, back then my A1c's

ran consistently around 6.5% compared to the past few years when it's ran

consistently around 9%!)

At this point my goal is to get an A1c below 6.5% and then if I can improve

it more I will go from there. I only know one person (type 1) who had an A1c

of 5% and she said she had way too many insulin reactions, so now hers is

around 5.5% I believe. I suppose anything closer to normal can't be a bad

thing if it doesn't have negative effects (such as hypos).

Anyway thanks for the encouragement. I've been working at it for about two

months now so anticipate things to get much better still over the next few

months. I'm finding this list very informative so far.

Jen

[Guest guest]

Hi Harry,

" If you have a two hour post prandial target of between 5.0 and 5.5 moles,

and you also maintain it, your bs will run at 5.5 or lower, and diabetic

complications are rare in diabetics with an A1C reading

of 5.5 and lower. "

Wouldn't this low a target two hours after meals cause lots of insulin

reactions? If my blood sugar is, say, 8 two hours after a meal, at the next

meal it will usually be between 5 and 6. If it were 5, it would be between 2

and 3 by the next meal, which is way too low. Is this drop not supposed to

happen? I thought that was the reasoning behind the 7 to 9 target two hours

after meals ... Humalog continues to work for three or four hours after it's

injected, even though it peaks at about two hours, so I assumed the drop was

normal. If a drop like this isn't supposed to happen two hours after a meal,

would the culprit be Humalog or Lantus, or a combination of both?

I may also be wrong here, but in the DCCT (Diabetes Control and

Complications Trial) that was published in 1992, they found that below an

HbA1c level of about 6.5% there was no significant reduction in the risks

for diabetes complications. Granted Humalog and Lantus didn't exist in 1992,

so there are better tools today than there were then. When I was first

diagnosed in 1991 I took Regular and NPH for the first five or six years,

and the Humalog and Lantus combination has given me a lot more control and a

lot more flexibility than I had back then. (Ironically, back then my A1c's

ran consistently around 6.5% compared to the past few years when it's ran

consistently around 9%!)

At this point my goal is to get an A1c below 6.5% and then if I can improve

it more I will go from there. I only know one person (type 1) who had an A1c

of 5% and she said she had way too many insulin reactions, so now hers is

around 5.5% I believe. I suppose anything closer to normal can't be a bad

thing if it doesn't have negative effects (such as hypos).

Anyway thanks for the encouragement. I've been working at it for about two

months now so anticipate things to get much better still over the next few

months. I'm finding this list very informative so far.

Jen

[Guest guest]

Jen

I tend to have the same problem as well. Sometimes my 2 hour reading jumps

up to 9 so I decide not to have a midmorning snack and then before lunch it

has dropped under 4. However when it is anywhere between 4 to 8 I have a

midmorning snack to keep me going to lunch. The same principal can happen

in the afternoon. Then on some other occasions my levels do what they want

to do and don't give me the results I expected. Like jumping up instead of

going down or falling lower even though I've had a snack.

from down under

Re: Normal range

> Hi Harry,

>

> " If you have a two hour post prandial target of between 5.0 and 5.5 moles,

> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

> complications are rare in diabetics with an A1C reading

> of 5.5 and lower. "

>

> Wouldn't this low a target two hours after meals cause lots of insulin

> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

next

> meal it will usually be between 5 and 6. If it were 5, it would be between

2

> and 3 by the next meal, which is way too low. Is this drop not supposed to

> happen? I thought that was the reasoning behind the 7 to 9 target two

hours

> after meals ... Humalog continues to work for three or four hours after

it's

> injected, even though it peaks at about two hours, so I assumed the drop

was

> normal. If a drop like this isn't supposed to happen two hours after a

meal,

> would the culprit be Humalog or Lantus, or a combination of both?

>

> I may also be wrong here, but in the DCCT (Diabetes Control and

> Complications Trial) that was published in 1992, they found that below an

> HbA1c level of about 6.5% there was no significant reduction in the risks

> for diabetes complications. Granted Humalog and Lantus didn't exist in

1992,

> so there are better tools today than there were then. When I was first

> diagnosed in 1991 I took Regular and NPH for the first five or six years,

> and the Humalog and Lantus combination has given me a lot more control and

a

> lot more flexibility than I had back then. (Ironically, back then my A1c's

> ran consistently around 6.5% compared to the past few years when it's ran

> consistently around 9%!)

>

> At this point my goal is to get an A1c below 6.5% and then if I can

improve

> it more I will go from there. I only know one person (type 1) who had an

A1c

> of 5% and she said she had way too many insulin reactions, so now hers is

> around 5.5% I believe. I suppose anything closer to normal can't be a bad

> thing if it doesn't have negative effects (such as hypos).

>

> Anyway thanks for the encouragement. I've been working at it for about two

> months now so anticipate things to get much better still over the next few

> months. I'm finding this list very informative so far.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

Jen

I tend to have the same problem as well. Sometimes my 2 hour reading jumps

up to 9 so I decide not to have a midmorning snack and then before lunch it

has dropped under 4. However when it is anywhere between 4 to 8 I have a

midmorning snack to keep me going to lunch. The same principal can happen

in the afternoon. Then on some other occasions my levels do what they want

to do and don't give me the results I expected. Like jumping up instead of

going down or falling lower even though I've had a snack.

from down under

Re: Normal range

> Hi Harry,

>

> " If you have a two hour post prandial target of between 5.0 and 5.5 moles,

> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

> complications are rare in diabetics with an A1C reading

> of 5.5 and lower. "

>

> Wouldn't this low a target two hours after meals cause lots of insulin

> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

next

> meal it will usually be between 5 and 6. If it were 5, it would be between

2

> and 3 by the next meal, which is way too low. Is this drop not supposed to

> happen? I thought that was the reasoning behind the 7 to 9 target two

hours

> after meals ... Humalog continues to work for three or four hours after

it's

> injected, even though it peaks at about two hours, so I assumed the drop

was

> normal. If a drop like this isn't supposed to happen two hours after a

meal,

> would the culprit be Humalog or Lantus, or a combination of both?

>

> I may also be wrong here, but in the DCCT (Diabetes Control and

> Complications Trial) that was published in 1992, they found that below an

> HbA1c level of about 6.5% there was no significant reduction in the risks

> for diabetes complications. Granted Humalog and Lantus didn't exist in

1992,

> so there are better tools today than there were then. When I was first

> diagnosed in 1991 I took Regular and NPH for the first five or six years,

> and the Humalog and Lantus combination has given me a lot more control and

a

> lot more flexibility than I had back then. (Ironically, back then my A1c's

> ran consistently around 6.5% compared to the past few years when it's ran

> consistently around 9%!)

>

> At this point my goal is to get an A1c below 6.5% and then if I can

improve

> it more I will go from there. I only know one person (type 1) who had an

A1c

> of 5% and she said she had way too many insulin reactions, so now hers is

> around 5.5% I believe. I suppose anything closer to normal can't be a bad

> thing if it doesn't have negative effects (such as hypos).

>

> Anyway thanks for the encouragement. I've been working at it for about two

> months now so anticipate things to get much better still over the next few

> months. I'm finding this list very informative so far.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

Jen

I tend to have the same problem as well. Sometimes my 2 hour reading jumps

up to 9 so I decide not to have a midmorning snack and then before lunch it

has dropped under 4. However when it is anywhere between 4 to 8 I have a

midmorning snack to keep me going to lunch. The same principal can happen

in the afternoon. Then on some other occasions my levels do what they want

to do and don't give me the results I expected. Like jumping up instead of

going down or falling lower even though I've had a snack.

from down under

Re: Normal range

> Hi Harry,

>

> " If you have a two hour post prandial target of between 5.0 and 5.5 moles,

> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

> complications are rare in diabetics with an A1C reading

> of 5.5 and lower. "

>

> Wouldn't this low a target two hours after meals cause lots of insulin

> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

next

> meal it will usually be between 5 and 6. If it were 5, it would be between

2

> and 3 by the next meal, which is way too low. Is this drop not supposed to

> happen? I thought that was the reasoning behind the 7 to 9 target two

hours

> after meals ... Humalog continues to work for three or four hours after

it's

> injected, even though it peaks at about two hours, so I assumed the drop

was

> normal. If a drop like this isn't supposed to happen two hours after a

meal,

> would the culprit be Humalog or Lantus, or a combination of both?

>

> I may also be wrong here, but in the DCCT (Diabetes Control and

> Complications Trial) that was published in 1992, they found that below an

> HbA1c level of about 6.5% there was no significant reduction in the risks

> for diabetes complications. Granted Humalog and Lantus didn't exist in

1992,

> so there are better tools today than there were then. When I was first

> diagnosed in 1991 I took Regular and NPH for the first five or six years,

> and the Humalog and Lantus combination has given me a lot more control and

a

> lot more flexibility than I had back then. (Ironically, back then my A1c's

> ran consistently around 6.5% compared to the past few years when it's ran

> consistently around 9%!)

>

> At this point my goal is to get an A1c below 6.5% and then if I can

improve

> it more I will go from there. I only know one person (type 1) who had an

A1c

> of 5% and she said she had way too many insulin reactions, so now hers is

> around 5.5% I believe. I suppose anything closer to normal can't be a bad

> thing if it doesn't have negative effects (such as hypos).

>

> Anyway thanks for the encouragement. I've been working at it for about two

> months now so anticipate things to get much better still over the next few

> months. I'm finding this list very informative so far.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

You might wish to add a third person to your list of tight blood glucose

controllers. His name is K. Bernstein, M. D., he is a type 1

diabetic who runs on average an A1C of 4.5. Now it is more difficult for a

type 1 diabetic to do tight blood glucose control than it is for a type 2 to

do it. Still it can be done with close attention to insulin dosage, diet

and activity levels watched very closely. I am aware of the study of the

risk management figures saying running an A1C of lower than 6.5 is not worth

it. I just wonder who they are working for. Several research studies show

time after time that running A1C's close to the normal range is the best

predictor of avoidance of diabetic complications no matter whether you are a

type 1 or a type 2 diabetic. In fact running near normal A1C's in some

cases can stop the progression of an existing diabetic complication and

reverse the complication in some cases. Of course if one goes blind as a

result of diabetic complications, this person will be blind forever. No

reversal is possible with this complication.

Now when it comes to insulins, it is true that the drop in your bs glucose

levels after three hours is primarily due to the effect of the long-acting

insulin Lantus, since Humalog is most likely no longer active in your

system. If it is, Humalog as little to practically no effect on further

lowering of the bs after three hours and definitely after 3.5 to 4 hours

Humalog has no effect. So any further drops in the bs is mostly due to

Lantus. If you continually drop into the danger zone as frequently

does, then the Lantus dosage needs to be reduced to see what happens

afterwards. When the Lantus dosage is reduced and you no longer fall into

the danger zone, but you remain in the normal range, then you are dosing the

right amount of Lantus. The trick is to be consistent with carb counting

and Humalog dosing after this determination is made in accordance with one's

activity level. No one ever said that this balancing act would be easy. I

believe it if best for the diabetic to learn how to walk the tight rope.

Re: Normal range

> Hi Harry,

>

> " If you have a two hour post prandial target of between 5.0 and 5.5 moles,

> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

> complications are rare in diabetics with an A1C reading

> of 5.5 and lower. "

>

> Wouldn't this low a target two hours after meals cause lots of insulin

> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

> next

> meal it will usually be between 5 and 6. If it were 5, it would be between

> 2

> and 3 by the next meal, which is way too low. Is this drop not supposed to

> happen? I thought that was the reasoning behind the 7 to 9 target two

> hours

> after meals ... Humalog continues to work for three or four hours after

> it's

> injected, even though it peaks at about two hours, so I assumed the drop

> was

> normal. If a drop like this isn't supposed to happen two hours after a

> meal,

> would the culprit be Humalog or Lantus, or a combination of both?

>

> I may also be wrong here, but in the DCCT (Diabetes Control and

> Complications Trial) that was published in 1992, they found that below an

> HbA1c level of about 6.5% there was no significant reduction in the risks

> for diabetes complications. Granted Humalog and Lantus didn't exist in

> 1992,

> so there are better tools today than there were then. When I was first

> diagnosed in 1991 I took Regular and NPH for the first five or six years,

> and the Humalog and Lantus combination has given me a lot more control and

> a

> lot more flexibility than I had back then. (Ironically, back then my A1c's

> ran consistently around 6.5% compared to the past few years when it's ran

> consistently around 9%!)

>

> At this point my goal is to get an A1c below 6.5% and then if I can

> improve

> it more I will go from there. I only know one person (type 1) who had an

> A1c

> of 5% and she said she had way too many insulin reactions, so now hers is

> around 5.5% I believe. I suppose anything closer to normal can't be a bad

> thing if it doesn't have negative effects (such as hypos).

>

> Anyway thanks for the encouragement. I've been working at it for about two

> months now so anticipate things to get much better still over the next few

> months. I'm finding this list very informative so far.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

You might wish to add a third person to your list of tight blood glucose

controllers. His name is K. Bernstein, M. D., he is a type 1

diabetic who runs on average an A1C of 4.5. Now it is more difficult for a

type 1 diabetic to do tight blood glucose control than it is for a type 2 to

do it. Still it can be done with close attention to insulin dosage, diet

and activity levels watched very closely. I am aware of the study of the

risk management figures saying running an A1C of lower than 6.5 is not worth

it. I just wonder who they are working for. Several research studies show

time after time that running A1C's close to the normal range is the best

predictor of avoidance of diabetic complications no matter whether you are a

type 1 or a type 2 diabetic. In fact running near normal A1C's in some

cases can stop the progression of an existing diabetic complication and

reverse the complication in some cases. Of course if one goes blind as a

result of diabetic complications, this person will be blind forever. No

reversal is possible with this complication.

Now when it comes to insulins, it is true that the drop in your bs glucose

levels after three hours is primarily due to the effect of the long-acting

insulin Lantus, since Humalog is most likely no longer active in your

system. If it is, Humalog as little to practically no effect on further

lowering of the bs after three hours and definitely after 3.5 to 4 hours

Humalog has no effect. So any further drops in the bs is mostly due to

Lantus. If you continually drop into the danger zone as frequently

does, then the Lantus dosage needs to be reduced to see what happens

afterwards. When the Lantus dosage is reduced and you no longer fall into

the danger zone, but you remain in the normal range, then you are dosing the

right amount of Lantus. The trick is to be consistent with carb counting

and Humalog dosing after this determination is made in accordance with one's

activity level. No one ever said that this balancing act would be easy. I

believe it if best for the diabetic to learn how to walk the tight rope.

Re: Normal range

> Hi Harry,

>

> " If you have a two hour post prandial target of between 5.0 and 5.5 moles,

> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

> complications are rare in diabetics with an A1C reading

> of 5.5 and lower. "

>

> Wouldn't this low a target two hours after meals cause lots of insulin

> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

> next

> meal it will usually be between 5 and 6. If it were 5, it would be between

> 2

> and 3 by the next meal, which is way too low. Is this drop not supposed to

> happen? I thought that was the reasoning behind the 7 to 9 target two

> hours

> after meals ... Humalog continues to work for three or four hours after

> it's

> injected, even though it peaks at about two hours, so I assumed the drop

> was

> normal. If a drop like this isn't supposed to happen two hours after a

> meal,

> would the culprit be Humalog or Lantus, or a combination of both?

>

> I may also be wrong here, but in the DCCT (Diabetes Control and

> Complications Trial) that was published in 1992, they found that below an

> HbA1c level of about 6.5% there was no significant reduction in the risks

> for diabetes complications. Granted Humalog and Lantus didn't exist in

> 1992,

> so there are better tools today than there were then. When I was first

> diagnosed in 1991 I took Regular and NPH for the first five or six years,

> and the Humalog and Lantus combination has given me a lot more control and

> a

> lot more flexibility than I had back then. (Ironically, back then my A1c's

> ran consistently around 6.5% compared to the past few years when it's ran

> consistently around 9%!)

>

> At this point my goal is to get an A1c below 6.5% and then if I can

> improve

> it more I will go from there. I only know one person (type 1) who had an

> A1c

> of 5% and she said she had way too many insulin reactions, so now hers is

> around 5.5% I believe. I suppose anything closer to normal can't be a bad

> thing if it doesn't have negative effects (such as hypos).

>

> Anyway thanks for the encouragement. I've been working at it for about two

> months now so anticipate things to get much better still over the next few

> months. I'm finding this list very informative so far.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

You might wish to add a third person to your list of tight blood glucose

controllers. His name is K. Bernstein, M. D., he is a type 1

diabetic who runs on average an A1C of 4.5. Now it is more difficult for a

type 1 diabetic to do tight blood glucose control than it is for a type 2 to

do it. Still it can be done with close attention to insulin dosage, diet

and activity levels watched very closely. I am aware of the study of the

risk management figures saying running an A1C of lower than 6.5 is not worth

it. I just wonder who they are working for. Several research studies show

time after time that running A1C's close to the normal range is the best

predictor of avoidance of diabetic complications no matter whether you are a

type 1 or a type 2 diabetic. In fact running near normal A1C's in some

cases can stop the progression of an existing diabetic complication and

reverse the complication in some cases. Of course if one goes blind as a

result of diabetic complications, this person will be blind forever. No

reversal is possible with this complication.

Now when it comes to insulins, it is true that the drop in your bs glucose

levels after three hours is primarily due to the effect of the long-acting

insulin Lantus, since Humalog is most likely no longer active in your

system. If it is, Humalog as little to practically no effect on further

lowering of the bs after three hours and definitely after 3.5 to 4 hours

Humalog has no effect. So any further drops in the bs is mostly due to

Lantus. If you continually drop into the danger zone as frequently

does, then the Lantus dosage needs to be reduced to see what happens

afterwards. When the Lantus dosage is reduced and you no longer fall into

the danger zone, but you remain in the normal range, then you are dosing the

right amount of Lantus. The trick is to be consistent with carb counting

and Humalog dosing after this determination is made in accordance with one's

activity level. No one ever said that this balancing act would be easy. I

believe it if best for the diabetic to learn how to walk the tight rope.

Re: Normal range

> Hi Harry,

>

> " If you have a two hour post prandial target of between 5.0 and 5.5 moles,

> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

> complications are rare in diabetics with an A1C reading

> of 5.5 and lower. "

>

> Wouldn't this low a target two hours after meals cause lots of insulin

> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

> next

> meal it will usually be between 5 and 6. If it were 5, it would be between

> 2

> and 3 by the next meal, which is way too low. Is this drop not supposed to

> happen? I thought that was the reasoning behind the 7 to 9 target two

> hours

> after meals ... Humalog continues to work for three or four hours after

> it's

> injected, even though it peaks at about two hours, so I assumed the drop

> was

> normal. If a drop like this isn't supposed to happen two hours after a

> meal,

> would the culprit be Humalog or Lantus, or a combination of both?

>

> I may also be wrong here, but in the DCCT (Diabetes Control and

> Complications Trial) that was published in 1992, they found that below an

> HbA1c level of about 6.5% there was no significant reduction in the risks

> for diabetes complications. Granted Humalog and Lantus didn't exist in

> 1992,

> so there are better tools today than there were then. When I was first

> diagnosed in 1991 I took Regular and NPH for the first five or six years,

> and the Humalog and Lantus combination has given me a lot more control and

> a

> lot more flexibility than I had back then. (Ironically, back then my A1c's

> ran consistently around 6.5% compared to the past few years when it's ran

> consistently around 9%!)

>

> At this point my goal is to get an A1c below 6.5% and then if I can

> improve

> it more I will go from there. I only know one person (type 1) who had an

> A1c

> of 5% and she said she had way too many insulin reactions, so now hers is

> around 5.5% I believe. I suppose anything closer to normal can't be a bad

> thing if it doesn't have negative effects (such as hypos).

>

> Anyway thanks for the encouragement. I've been working at it for about two

> months now so anticipate things to get much better still over the next few

> months. I'm finding this list very informative so far.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

Humalog starts working 5 minutes after it is injected and its peak is one

hour later and between 2-4 hours the Humalog is used up and no longer

effective. Novolog has an even earlier peak of around 40-45 minutes, and it

is out of the system even sooner than Humalog. With today's technology and

medications it is true that those dreaded hypos can be controlled with

proper dosage of insulins and carb counting. It takes experimentation with

trials and errors before one can get the proper balance. If one is not

willing to follow a prescribed experimental schedule, then one will most

likely never know what the insulins do in one's system according to diet and

activity level. If you know your U factor, the bs point drop caused by a

single unit of short-acting insulin, then one can dose Humalog or Novolog

accordingly without fear of those hypos.

Re: Normal range

>

>

>> Hi Harry,

>>

>> " If you have a two hour post prandial target of between 5.0 and 5.5

>> moles,

>> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

>> complications are rare in diabetics with an A1C reading

>> of 5.5 and lower. "

>>

>> Wouldn't this low a target two hours after meals cause lots of insulin

>> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

>> next

>> meal it will usually be between 5 and 6. If it were 5, it would be

>> between 2

>> and 3 by the next meal, which is way too low. Is this drop not supposed

>> to

>> happen? I thought that was the reasoning behind the 7 to 9 target two

>> hours

>> after meals ... Humalog continues to work for three or four hours after

>> it's

>> injected, even though it peaks at about two hours, so I assumed the drop

>> was

>> normal. If a drop like this isn't supposed to happen two hours after a

>> meal,

>> would the culprit be Humalog or Lantus, or a combination of both?

>>

>> I may also be wrong here, but in the DCCT (Diabetes Control and

>> Complications Trial) that was published in 1992, they found that below an

>> HbA1c level of about 6.5% there was no significant reduction in the risks

>> for diabetes complications. Granted Humalog and Lantus didn't exist in

>> 1992,

>> so there are better tools today than there were then. When I was first

>> diagnosed in 1991 I took Regular and NPH for the first five or six years,

>> and the Humalog and Lantus combination has given me a lot more control

>> and a

>> lot more flexibility than I had back then. (Ironically, back then my

>> A1c's

>> ran consistently around 6.5% compared to the past few years when it's ran

>> consistently around 9%!)

>>

>> At this point my goal is to get an A1c below 6.5% and then if I can

>> improve

>> it more I will go from there. I only know one person (type 1) who had an

>> A1c

>> of 5% and she said she had way too many insulin reactions, so now hers is

>> around 5.5% I believe. I suppose anything closer to normal can't be a bad

>> thing if it doesn't have negative effects (such as hypos).

>>

>> Anyway thanks for the encouragement. I've been working at it for about

>> two

>> months now so anticipate things to get much better still over the next

>> few

>> months. I'm finding this list very informative so far.

>>

>> Jen

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

Humalog starts working 5 minutes after it is injected and its peak is one

hour later and between 2-4 hours the Humalog is used up and no longer

effective. Novolog has an even earlier peak of around 40-45 minutes, and it

is out of the system even sooner than Humalog. With today's technology and

medications it is true that those dreaded hypos can be controlled with

proper dosage of insulins and carb counting. It takes experimentation with

trials and errors before one can get the proper balance. If one is not

willing to follow a prescribed experimental schedule, then one will most

likely never know what the insulins do in one's system according to diet and

activity level. If you know your U factor, the bs point drop caused by a

single unit of short-acting insulin, then one can dose Humalog or Novolog

accordingly without fear of those hypos.

Re: Normal range

>

>

>> Hi Harry,

>>

>> " If you have a two hour post prandial target of between 5.0 and 5.5

>> moles,

>> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

>> complications are rare in diabetics with an A1C reading

>> of 5.5 and lower. "

>>

>> Wouldn't this low a target two hours after meals cause lots of insulin

>> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

>> next

>> meal it will usually be between 5 and 6. If it were 5, it would be

>> between 2

>> and 3 by the next meal, which is way too low. Is this drop not supposed

>> to

>> happen? I thought that was the reasoning behind the 7 to 9 target two

>> hours

>> after meals ... Humalog continues to work for three or four hours after

>> it's

>> injected, even though it peaks at about two hours, so I assumed the drop

>> was

>> normal. If a drop like this isn't supposed to happen two hours after a

>> meal,

>> would the culprit be Humalog or Lantus, or a combination of both?

>>

>> I may also be wrong here, but in the DCCT (Diabetes Control and

>> Complications Trial) that was published in 1992, they found that below an

>> HbA1c level of about 6.5% there was no significant reduction in the risks

>> for diabetes complications. Granted Humalog and Lantus didn't exist in

>> 1992,

>> so there are better tools today than there were then. When I was first

>> diagnosed in 1991 I took Regular and NPH for the first five or six years,

>> and the Humalog and Lantus combination has given me a lot more control

>> and a

>> lot more flexibility than I had back then. (Ironically, back then my

>> A1c's

>> ran consistently around 6.5% compared to the past few years when it's ran

>> consistently around 9%!)

>>

>> At this point my goal is to get an A1c below 6.5% and then if I can

>> improve

>> it more I will go from there. I only know one person (type 1) who had an

>> A1c

>> of 5% and she said she had way too many insulin reactions, so now hers is

>> around 5.5% I believe. I suppose anything closer to normal can't be a bad

>> thing if it doesn't have negative effects (such as hypos).

>>

>> Anyway thanks for the encouragement. I've been working at it for about

>> two

>> months now so anticipate things to get much better still over the next

>> few

>> months. I'm finding this list very informative so far.

>>

>> Jen

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

You might find this changes, as you have changed your nightly dose to

7 units instead of 8.

Re: Normal range

Jen

I tend to have the same problem as well. Sometimes my 2 hour reading jumps

up to 9 so I decide not to have a midmorning snack and then before lunch it

has dropped under 4. However when it is anywhere between 4 to 8 I have a

midmorning snack to keep me going to lunch. The same principal can happen

in the afternoon. Then on some other occasions my levels do what they want

to do and don't give me the results I expected. Like jumping up instead of

going down or falling lower even though I've had a snack.

from down under

Re: Normal range

> Hi Harry,

>

> " If you have a two hour post prandial target of between 5.0 and 5.5 moles,

> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

> complications are rare in diabetics with an A1C reading

> of 5.5 and lower. "

>

> Wouldn't this low a target two hours after meals cause lots of insulin

> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

next

> meal it will usually be between 5 and 6. If it were 5, it would be between

2

> and 3 by the next meal, which is way too low. Is this drop not supposed to

> happen? I thought that was the reasoning behind the 7 to 9 target two

hours

> after meals ... Humalog continues to work for three or four hours after

it's

> injected, even though it peaks at about two hours, so I assumed the drop

was

> normal. If a drop like this isn't supposed to happen two hours after a

meal,

> would the culprit be Humalog or Lantus, or a combination of both?

>

> I may also be wrong here, but in the DCCT (Diabetes Control and

> Complications Trial) that was published in 1992, they found that below an

> HbA1c level of about 6.5% there was no significant reduction in the risks

> for diabetes complications. Granted Humalog and Lantus didn't exist in

1992,

> so there are better tools today than there were then. When I was first

> diagnosed in 1991 I took Regular and NPH for the first five or six years,

> and the Humalog and Lantus combination has given me a lot more control and

a

> lot more flexibility than I had back then. (Ironically, back then my A1c's

> ran consistently around 6.5% compared to the past few years when it's ran

> consistently around 9%!)

>

> At this point my goal is to get an A1c below 6.5% and then if I can

improve

> it more I will go from there. I only know one person (type 1) who had an

A1c

> of 5% and she said she had way too many insulin reactions, so now hers is

> around 5.5% I believe. I suppose anything closer to normal can't be a bad

> thing if it doesn't have negative effects (such as hypos).

>

> Anyway thanks for the encouragement. I've been working at it for about two

> months now so anticipate things to get much better still over the next few

> months. I'm finding this list very informative so far.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

You might find this changes, as you have changed your nightly dose to

7 units instead of 8.

Re: Normal range

Jen

I tend to have the same problem as well. Sometimes my 2 hour reading jumps

up to 9 so I decide not to have a midmorning snack and then before lunch it

has dropped under 4. However when it is anywhere between 4 to 8 I have a

midmorning snack to keep me going to lunch. The same principal can happen

in the afternoon. Then on some other occasions my levels do what they want

to do and don't give me the results I expected. Like jumping up instead of

going down or falling lower even though I've had a snack.

from down under

Re: Normal range

> Hi Harry,

>

> " If you have a two hour post prandial target of between 5.0 and 5.5 moles,

> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

> complications are rare in diabetics with an A1C reading

> of 5.5 and lower. "

>

> Wouldn't this low a target two hours after meals cause lots of insulin

> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

next

> meal it will usually be between 5 and 6. If it were 5, it would be between

2

> and 3 by the next meal, which is way too low. Is this drop not supposed to

> happen? I thought that was the reasoning behind the 7 to 9 target two

hours

> after meals ... Humalog continues to work for three or four hours after

it's

> injected, even though it peaks at about two hours, so I assumed the drop

was

> normal. If a drop like this isn't supposed to happen two hours after a

meal,

> would the culprit be Humalog or Lantus, or a combination of both?

>

> I may also be wrong here, but in the DCCT (Diabetes Control and

> Complications Trial) that was published in 1992, they found that below an

> HbA1c level of about 6.5% there was no significant reduction in the risks

> for diabetes complications. Granted Humalog and Lantus didn't exist in

1992,

> so there are better tools today than there were then. When I was first

> diagnosed in 1991 I took Regular and NPH for the first five or six years,

> and the Humalog and Lantus combination has given me a lot more control and

a

> lot more flexibility than I had back then. (Ironically, back then my A1c's

> ran consistently around 6.5% compared to the past few years when it's ran

> consistently around 9%!)

>

> At this point my goal is to get an A1c below 6.5% and then if I can

improve

> it more I will go from there. I only know one person (type 1) who had an

A1c

> of 5% and she said she had way too many insulin reactions, so now hers is

> around 5.5% I believe. I suppose anything closer to normal can't be a bad

> thing if it doesn't have negative effects (such as hypos).

>

> Anyway thanks for the encouragement. I've been working at it for about two

> months now so anticipate things to get much better still over the next few

> months. I'm finding this list very informative so far.

>

> Jen

>

>

>

>

>

>

>

[Guest guest]

Amen!

Mike Freeman

> Congratulations on getting that bs reading down. With carb counting and

> proper dosing of insulin your bs will fall to close to a normal range within

> around three months. If you have a two hour post prandial target of between

> 5.0 and 5.5 moles, and you also maintain it, your bs will run at 5.5 or

> lower, and diabetic complications are rare in diabetics with an A1C reading

> of 5.5 and lower. Keeping your mole reading below 7.0 two hours after

> eating will usually do the trick. It takes many finger sticks to gain

> mastery, thus a lot of pain, but blood glucose mastery is worth it. Just be

> sure your bs is high enough at bedtime to handle the drop in the bs caused

> by a dose of Lantus. Keep up the carb counting and proper dosingt of

> insulin. Keep up the good work! You will be able to avoid diabetic

> complications and you will also feel better.

> Re: Normal range

>

>

>> Hi Harry,

>>

>> Thanks for the information. I was wanting to comapre what the information

>> I

>> was given a few years ago when learning about carbohydrate counting to

>> what

>> is normal for a non-diabetic, in my attempts to tighten my control a lot.

>> I

>> was wondering how the guidelines given to me compared to normal, and from

>> what you've posted they seem very close. The guidelines I was given are

>> that

>> if your insulin-to-carb ratio is correct you should be between 9.0 to 10.0

>> one hour after meals, between 7.0 to 9.0 two hours after meals, and

>> between

>> 4.0 and 7.0 three hours after meals as well as before meals.

>>

>> I definitely still have a ways to go before I reach this range all the

>> time,

>> but I've done very well today. My highest reading today was 9.1 an hour

>> after lunch, and before meals I've been between 6.3 to 6.7 all day, so if

>> I

>> can keep this up I will be very happy. I'm hoping my next A1c will be

>> below

>> 8.0 and maybe even below 7.5 (last one was 8.3 and before that it was

>> often

>> around 9.1), and then I can keep lowering it from there.

>>

>> Jen

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

Amen!

Mike Freeman

> Congratulations on getting that bs reading down. With carb counting and

> proper dosing of insulin your bs will fall to close to a normal range within

> around three months. If you have a two hour post prandial target of between

> 5.0 and 5.5 moles, and you also maintain it, your bs will run at 5.5 or

> lower, and diabetic complications are rare in diabetics with an A1C reading

> of 5.5 and lower. Keeping your mole reading below 7.0 two hours after

> eating will usually do the trick. It takes many finger sticks to gain

> mastery, thus a lot of pain, but blood glucose mastery is worth it. Just be

> sure your bs is high enough at bedtime to handle the drop in the bs caused

> by a dose of Lantus. Keep up the carb counting and proper dosingt of

> insulin. Keep up the good work! You will be able to avoid diabetic

> complications and you will also feel better.

> Re: Normal range

>

>

>> Hi Harry,

>>

>> Thanks for the information. I was wanting to comapre what the information

>> I

>> was given a few years ago when learning about carbohydrate counting to

>> what

>> is normal for a non-diabetic, in my attempts to tighten my control a lot.

>> I

>> was wondering how the guidelines given to me compared to normal, and from

>> what you've posted they seem very close. The guidelines I was given are

>> that

>> if your insulin-to-carb ratio is correct you should be between 9.0 to 10.0

>> one hour after meals, between 7.0 to 9.0 two hours after meals, and

>> between

>> 4.0 and 7.0 three hours after meals as well as before meals.

>>

>> I definitely still have a ways to go before I reach this range all the

>> time,

>> but I've done very well today. My highest reading today was 9.1 an hour

>> after lunch, and before meals I've been between 6.3 to 6.7 all day, so if

>> I

>> can keep this up I will be very happy. I'm hoping my next A1c will be

>> below

>> 8.0 and maybe even below 7.5 (last one was 8.3 and before that it was

>> often

>> around 9.1), and then I can keep lowering it from there.

>>

>> Jen

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

patricia, i hope it improves because i have gone out on the limb for this

one. this morning i was eleven point seven and that is not good. time will

tell. karen

Re: Normal range

>

>

>> Hi Harry,

>>

>> " If you have a two hour post prandial target of between 5.0 and 5.5

>> moles,

>> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

>> complications are rare in diabetics with an A1C reading

>> of 5.5 and lower. "

>>

>> Wouldn't this low a target two hours after meals cause lots of insulin

>> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

> next

>> meal it will usually be between 5 and 6. If it were 5, it would be

>> between

> 2

>> and 3 by the next meal, which is way too low. Is this drop not supposed

>> to

>> happen? I thought that was the reasoning behind the 7 to 9 target two

> hours

>> after meals ... Humalog continues to work for three or four hours after

> it's

>> injected, even though it peaks at about two hours, so I assumed the drop

> was

>> normal. If a drop like this isn't supposed to happen two hours after a

> meal,

>> would the culprit be Humalog or Lantus, or a combination of both?

>>

>> I may also be wrong here, but in the DCCT (Diabetes Control and

>> Complications Trial) that was published in 1992, they found that below an

>> HbA1c level of about 6.5% there was no significant reduction in the risks

>> for diabetes complications. Granted Humalog and Lantus didn't exist in

> 1992,

>> so there are better tools today than there were then. When I was first

>> diagnosed in 1991 I took Regular and NPH for the first five or six years,

>> and the Humalog and Lantus combination has given me a lot more control

>> and

> a

>> lot more flexibility than I had back then. (Ironically, back then my

>> A1c's

>> ran consistently around 6.5% compared to the past few years when it's ran

>> consistently around 9%!)

>>

>> At this point my goal is to get an A1c below 6.5% and then if I can

> improve

>> it more I will go from there. I only know one person (type 1) who had an

> A1c

>> of 5% and she said she had way too many insulin reactions, so now hers is

>> around 5.5% I believe. I suppose anything closer to normal can't be a bad

>> thing if it doesn't have negative effects (such as hypos).

>>

>> Anyway thanks for the encouragement. I've been working at it for about

>> two

>> months now so anticipate things to get much better still over the next

>> few

>> months. I'm finding this list very informative so far.

>>

>> Jen

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

patricia, i hope it improves because i have gone out on the limb for this

one. this morning i was eleven point seven and that is not good. time will

tell. karen

Re: Normal range

>

>

>> Hi Harry,

>>

>> " If you have a two hour post prandial target of between 5.0 and 5.5

>> moles,

>> and you also maintain it, your bs will run at 5.5 or lower, and diabetic

>> complications are rare in diabetics with an A1C reading

>> of 5.5 and lower. "

>>

>> Wouldn't this low a target two hours after meals cause lots of insulin

>> reactions? If my blood sugar is, say, 8 two hours after a meal, at the

> next

>> meal it will usually be between 5 and 6. If it were 5, it would be

>> between

> 2

>> and 3 by the next meal, which is way too low. Is this drop not supposed

>> to

>> happen? I thought that was the reasoning behind the 7 to 9 target two

> hours

>> after meals ... Humalog continues to work for three or four hours after

> it's

>> injected, even though it peaks at about two hours, so I assumed the drop

> was

>> normal. If a drop like this isn't supposed to happen two hours after a

> meal,

>> would the culprit be Humalog or Lantus, or a combination of both?

>>

>> I may also be wrong here, but in the DCCT (Diabetes Control and

>> Complications Trial) that was published in 1992, they found that below an

>> HbA1c level of about 6.5% there was no significant reduction in the risks

>> for diabetes complications. Granted Humalog and Lantus didn't exist in

> 1992,

>> so there are better tools today than there were then. When I was first

>> diagnosed in 1991 I took Regular and NPH for the first five or six years,

>> and the Humalog and Lantus combination has given me a lot more control

>> and

> a

>> lot more flexibility than I had back then. (Ironically, back then my

>> A1c's

>> ran consistently around 6.5% compared to the past few years when it's ran

>> consistently around 9%!)

>>

>> At this point my goal is to get an A1c below 6.5% and then if I can

> improve

>> it more I will go from there. I only know one person (type 1) who had an

> A1c

>> of 5% and she said she had way too many insulin reactions, so now hers is

>> around 5.5% I believe. I suppose anything closer to normal can't be a bad

>> thing if it doesn't have negative effects (such as hypos).

>>

>> Anyway thanks for the encouragement. I've been working at it for about

>> two

>> months now so anticipate things to get much better still over the next

>> few

>> months. I'm finding this list very informative so far.

>>

>> Jen

>>

>>

>>

>>

>>

>>

>>