Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Wow, Harry One unit of insulin lower my sugar 50 points! You are really insulin resistant! If I too that much humalog, it would probably kill me! But you have to be carful, Harry. My doc says and I have found it turue, that you should not take humalog closer than 3 hours apart as it lasts that long iin your system. You could put yourself into reaction. Re: medicare issue My blood glucose levels fluctuate throughout the day. For instance my two hour post prandial reading after supper yesterday was 197, which is definitely not good. This is a result of not counting carb grams consumed correctly and dosing insulin accordingly. So what should one do in this situation? The answer is simple if you know your U factor. Instead of letting my blood stream starve my organs for oxygen for the next several hours, why not lower rapidly this high unacceptable number to a normal level and do it soon with a shot of Humalog. I know my U factor is 7.5, which means that for every unit of Humalog I dose, I know it lowers my bs reading by 7.5 points on average. So I do not have to mess around and let my body organs sufficate. I can aim for a bs of 100 and subtract this number from 197, my present actual bs reading. Of course the answer is 97, which is the difference between my goal and the actual present bs reading. So the question becomes how many units of Humalog do I dose right now? To get the answer you divide the difference of 97 by 7.5 my U factor. The answer is 12.93 units of Humalog to get me down to a bs reading of 100. So I round off the answer to 13 units of Humalog to dose right now. A further bs reading two hours later usually gets me within 5 points of my goal of 100. Every diabetic has a different U factor, and it is up to the individual diabetic to know what it is, if they really intend to master blood glucose level control. medicare issue >> >>> >> >>> >> >>>> When I called my diabetic supply provider I was informed that > Medicare >> >>>> is >> >>>> requiring them to have a log from their clients. This will make it >> >>>> difficult for blind persons, because many blind diabetic do not keep > a >> >>>> printed log. Many diabetic doctors like mine do not have the >> >>>> technology >> >>> to >> >>>> download from diabetic meters. Blind diabetic can not use the > computer >> >>>> program that is available for download from the advantage meters, >> >>>> because >> >>> it >> >>>> is not accessible by blind persons who use screen reading programs. >> >>>> This >> >>> is >> >>>> a issue that we may have to find a solution for and bring it to the >> >>>> attention of Medicare. >> >>>> Jerry >> >>>> >> >>>> >> >>>> >> >>>> >> >>>> >> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 But Harry, No diabetic can say their diabetes is going to b the same every single day. Even if you eat exactly the same on the exact same schedule with the exact same exercise, you can have variances in your sugar levels, thus charting is very important to do every day. Re: medicare issue Make no mistake about what I would recommend. The first step in blood glucose level control is charting. I just contend that once a person has mastered blood glucose level control, charting is unnecessary unlessblood glucose levels have gotten out of wack. A master of blood glucose level control knows this without a doubt. Any doctor who sees an A1C of 5.5 or less knows that the diabetic has probably mastered blood glucose level control. A master of blood glucose level control knows without a doubt that their sugar monitor is their best friend, which requires frequent communication between the diabetic and the sugar monitor. medicare issue >>>> >>>> >>>>> When I called my diabetic supply provider I was informed that Medicare >>>>> is >>>>> requiring them to have a log from their clients. This will make it >>>>> difficult for blind persons, because many blind diabetic do not keep a >>>>> printed log. Many diabetic doctors like mine do not have the >>>>> technology >>>> to >>>>> download from diabetic meters. Blind diabetic can not use the >>>>> computer >>>>> program that is available for download from the advantage meters, >>>>> because >>>> it >>>>> is not accessible by blind persons who use screen reading programs. >>>>> This >>>> is >>>>> a issue that we may have to find a solution for and bring it to the >>>>> attention of Medicare. >>>>> Jerry >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 But Harry, No diabetic can say their diabetes is going to b the same every single day. Even if you eat exactly the same on the exact same schedule with the exact same exercise, you can have variances in your sugar levels, thus charting is very important to do every day. Re: medicare issue Make no mistake about what I would recommend. The first step in blood glucose level control is charting. I just contend that once a person has mastered blood glucose level control, charting is unnecessary unlessblood glucose levels have gotten out of wack. A master of blood glucose level control knows this without a doubt. Any doctor who sees an A1C of 5.5 or less knows that the diabetic has probably mastered blood glucose level control. A master of blood glucose level control knows without a doubt that their sugar monitor is their best friend, which requires frequent communication between the diabetic and the sugar monitor. medicare issue >>>> >>>> >>>>> When I called my diabetic supply provider I was informed that Medicare >>>>> is >>>>> requiring them to have a log from their clients. This will make it >>>>> difficult for blind persons, because many blind diabetic do not keep a >>>>> printed log. Many diabetic doctors like mine do not have the >>>>> technology >>>> to >>>>> download from diabetic meters. Blind diabetic can not use the >>>>> computer >>>>> program that is available for download from the advantage meters, >>>>> because >>>> it >>>>> is not accessible by blind persons who use screen reading programs. >>>>> This >>>> is >>>>> a issue that we may have to find a solution for and bring it to the >>>>> attention of Medicare. >>>>> Jerry >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 But Harry, No diabetic can say their diabetes is going to b the same every single day. Even if you eat exactly the same on the exact same schedule with the exact same exercise, you can have variances in your sugar levels, thus charting is very important to do every day. Re: medicare issue Make no mistake about what I would recommend. The first step in blood glucose level control is charting. I just contend that once a person has mastered blood glucose level control, charting is unnecessary unlessblood glucose levels have gotten out of wack. A master of blood glucose level control knows this without a doubt. Any doctor who sees an A1C of 5.5 or less knows that the diabetic has probably mastered blood glucose level control. A master of blood glucose level control knows without a doubt that their sugar monitor is their best friend, which requires frequent communication between the diabetic and the sugar monitor. medicare issue >>>> >>>> >>>>> When I called my diabetic supply provider I was informed that Medicare >>>>> is >>>>> requiring them to have a log from their clients. This will make it >>>>> difficult for blind persons, because many blind diabetic do not keep a >>>>> printed log. Many diabetic doctors like mine do not have the >>>>> technology >>>> to >>>>> download from diabetic meters. Blind diabetic can not use the >>>>> computer >>>>> program that is available for download from the advantage meters, >>>>> because >>>> it >>>>> is not accessible by blind persons who use screen reading programs. >>>>> This >>>> is >>>>> a issue that we may have to find a solution for and bring it to the >>>>> attention of Medicare. >>>>> Jerry >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Oh, come on Harry, Most of us on this listespecially the type ones of long term, do not have a low A1C. Even if they are low, you can get sick at any time and unless you chart your sugars, you won't know over the long term what that does. When I had that infection from the spider bite, I would get my sugar down and without eating it would up to 200. Unless I had all my levels charted, the doc would not have seen how much I needed to increase the dosages. Re: medicare issue What trend do you suspect the doctor will infer if your A1C is 5.5 or less? medicare issue >>> >>> >>>> When I called my diabetic supply provider I was informed that Medicare >>>> is >>>> requiring them to have a log from their clients. This will make it >>>> difficult for blind persons, because many blind diabetic do not keep a >>>> printed log. Many diabetic doctors like mine do not have the >>>> technology >>> to >>>> download from diabetic meters. Blind diabetic can not use the computer >>>> program that is available for download from the advantage meters, >>>> because >>> it >>>> is not accessible by blind persons who use screen reading programs. >>>> This >>> is >>>> a issue that we may have to find a solution for and bring it to the >>>> attention of Medicare. >>>> Jerry >>>> >>>> >>>> >>>> >>>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Oh, come on Harry, Most of us on this listespecially the type ones of long term, do not have a low A1C. Even if they are low, you can get sick at any time and unless you chart your sugars, you won't know over the long term what that does. When I had that infection from the spider bite, I would get my sugar down and without eating it would up to 200. Unless I had all my levels charted, the doc would not have seen how much I needed to increase the dosages. Re: medicare issue What trend do you suspect the doctor will infer if your A1C is 5.5 or less? medicare issue >>> >>> >>>> When I called my diabetic supply provider I was informed that Medicare >>>> is >>>> requiring them to have a log from their clients. This will make it >>>> difficult for blind persons, because many blind diabetic do not keep a >>>> printed log. Many diabetic doctors like mine do not have the >>>> technology >>> to >>>> download from diabetic meters. Blind diabetic can not use the computer >>>> program that is available for download from the advantage meters, >>>> because >>> it >>>> is not accessible by blind persons who use screen reading programs. >>>> This >>> is >>>> a issue that we may have to find a solution for and bring it to the >>>> attention of Medicare. >>>> Jerry >>>> >>>> >>>> >>>> >>>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Oh, come on Harry, Most of us on this listespecially the type ones of long term, do not have a low A1C. Even if they are low, you can get sick at any time and unless you chart your sugars, you won't know over the long term what that does. When I had that infection from the spider bite, I would get my sugar down and without eating it would up to 200. Unless I had all my levels charted, the doc would not have seen how much I needed to increase the dosages. Re: medicare issue What trend do you suspect the doctor will infer if your A1C is 5.5 or less? medicare issue >>> >>> >>>> When I called my diabetic supply provider I was informed that Medicare >>>> is >>>> requiring them to have a log from their clients. This will make it >>>> difficult for blind persons, because many blind diabetic do not keep a >>>> printed log. Many diabetic doctors like mine do not have the >>>> technology >>> to >>>> download from diabetic meters. Blind diabetic can not use the computer >>>> program that is available for download from the advantage meters, >>>> because >>> it >>>> is not accessible by blind persons who use screen reading programs. >>>> This >>> is >>>> a issue that we may have to find a solution for and bring it to the >>>> attention of Medicare. >>>> Jerry >>>> >>>> >>>> >>>> >>>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Really, Harry, you're holier than thou attitude in this is extremely irritating! Despite what you say there are so many variables that can effect BGL that what at first may seem to be an aberration may turn out, upon review, to be a trend. Surely it's useful to have that information available rather than having to trawl the depths of memory for when a certain blip first occurred and under what circumstances. Perhaps this is more important for someone whose routine varies a lot, but I think that it is definitely an individual thing. So while I support your right not to log results, please stop making those who believe it to be beneficial feel that they are somehow not up to scratch. They are simply being responsible and managing their diabetes differently to yourself. Cheryl. medicare issue >>>>> >>>>> >>>>>> When I called my diabetic supply provider I was informed that >>>>>> Medicare >>>>>> is >>>>>> requiring them to have a log from their clients. This will make it >>>>>> difficult for blind persons, because many blind diabetic do not keep >>>>>> a >>>>>> printed log. Many diabetic doctors like mine do not have the >>>>>> technology >>>>> to >>>>>> download from diabetic meters. Blind diabetic can not use the >>>>>> computer >>>>>> program that is available for download from the advantage meters, >>>>>> because >>>>> it >>>>>> is not accessible by blind persons who use screen reading programs. >>>>>> This >>>>> is >>>>>> a issue that we may have to find a solution for and bring it to the >>>>>> attention of Medicare. >>>>>> Jerry >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Really, Harry, you're holier than thou attitude in this is extremely irritating! Despite what you say there are so many variables that can effect BGL that what at first may seem to be an aberration may turn out, upon review, to be a trend. Surely it's useful to have that information available rather than having to trawl the depths of memory for when a certain blip first occurred and under what circumstances. Perhaps this is more important for someone whose routine varies a lot, but I think that it is definitely an individual thing. So while I support your right not to log results, please stop making those who believe it to be beneficial feel that they are somehow not up to scratch. They are simply being responsible and managing their diabetes differently to yourself. Cheryl. medicare issue >>>>> >>>>> >>>>>> When I called my diabetic supply provider I was informed that >>>>>> Medicare >>>>>> is >>>>>> requiring them to have a log from their clients. This will make it >>>>>> difficult for blind persons, because many blind diabetic do not keep >>>>>> a >>>>>> printed log. Many diabetic doctors like mine do not have the >>>>>> technology >>>>> to >>>>>> download from diabetic meters. Blind diabetic can not use the >>>>>> computer >>>>>> program that is available for download from the advantage meters, >>>>>> because >>>>> it >>>>>> is not accessible by blind persons who use screen reading programs. >>>>>> This >>>>> is >>>>>> a issue that we may have to find a solution for and bring it to the >>>>>> attention of Medicare. >>>>>> Jerry >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Really, Harry, you're holier than thou attitude in this is extremely irritating! Despite what you say there are so many variables that can effect BGL that what at first may seem to be an aberration may turn out, upon review, to be a trend. Surely it's useful to have that information available rather than having to trawl the depths of memory for when a certain blip first occurred and under what circumstances. Perhaps this is more important for someone whose routine varies a lot, but I think that it is definitely an individual thing. So while I support your right not to log results, please stop making those who believe it to be beneficial feel that they are somehow not up to scratch. They are simply being responsible and managing their diabetes differently to yourself. Cheryl. medicare issue >>>>> >>>>> >>>>>> When I called my diabetic supply provider I was informed that >>>>>> Medicare >>>>>> is >>>>>> requiring them to have a log from their clients. This will make it >>>>>> difficult for blind persons, because many blind diabetic do not keep >>>>>> a >>>>>> printed log. Many diabetic doctors like mine do not have the >>>>>> technology >>>>> to >>>>>> download from diabetic meters. Blind diabetic can not use the >>>>>> computer >>>>>> program that is available for download from the advantage meters, >>>>>> because >>>>> it >>>>>> is not accessible by blind persons who use screen reading programs. >>>>>> This >>>>> is >>>>>> a issue that we may have to find a solution for and bring it to the >>>>>> attention of Medicare. >>>>>> Jerry >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Hi Jen, Thans for posting this much more constructive response than mine. You're so right! Cheryl Re: medicare issue >I keep a chart all the time. If you only start keeping a chart after you > notice a problem, then you don't have much information about what might > have > led up to (and possibly caused) the problem. Perhaps if you eat the same > thing every day and follow the same routine in terms of exercise and daily > activities and don't have any variation in your stress level, you'd have > less of a need for one. But if I suddenly find myself with a day of highs, > it's useful to be able to look back and say, Ah yes, I haven't exercised > for > the past few days and it's slowly been creeping up, perhaps I have to > adjust > my insulin accordingly. It's also useful to be able to look back and > remind > myself of what my insulin doses were while I WAS exercising, so that once > I > start up again I can easily decrease them again without having to go > through > the process of finding an entirely new insulin:carb ratio. > > It would be easy if it was just food and insulin and exercise which > affected > blood sugar. Charting lets me record not only those, but also if anything > unusual happened that day, or if I was feeling stressed or sick. It's > really > useful to be able to look back on that information. As well, it lets you > spot patterns you might not otherwise spot, such as highs every night > after > dinner, for example. > > Anyway, just my opinion! > > Jen > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Hi Jen, Thans for posting this much more constructive response than mine. You're so right! Cheryl Re: medicare issue >I keep a chart all the time. If you only start keeping a chart after you > notice a problem, then you don't have much information about what might > have > led up to (and possibly caused) the problem. Perhaps if you eat the same > thing every day and follow the same routine in terms of exercise and daily > activities and don't have any variation in your stress level, you'd have > less of a need for one. But if I suddenly find myself with a day of highs, > it's useful to be able to look back and say, Ah yes, I haven't exercised > for > the past few days and it's slowly been creeping up, perhaps I have to > adjust > my insulin accordingly. It's also useful to be able to look back and > remind > myself of what my insulin doses were while I WAS exercising, so that once > I > start up again I can easily decrease them again without having to go > through > the process of finding an entirely new insulin:carb ratio. > > It would be easy if it was just food and insulin and exercise which > affected > blood sugar. Charting lets me record not only those, but also if anything > unusual happened that day, or if I was feeling stressed or sick. It's > really > useful to be able to look back on that information. As well, it lets you > spot patterns you might not otherwise spot, such as highs every night > after > dinner, for example. > > Anyway, just my opinion! > > Jen > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Hi Jen, Thans for posting this much more constructive response than mine. You're so right! Cheryl Re: medicare issue >I keep a chart all the time. If you only start keeping a chart after you > notice a problem, then you don't have much information about what might > have > led up to (and possibly caused) the problem. Perhaps if you eat the same > thing every day and follow the same routine in terms of exercise and daily > activities and don't have any variation in your stress level, you'd have > less of a need for one. But if I suddenly find myself with a day of highs, > it's useful to be able to look back and say, Ah yes, I haven't exercised > for > the past few days and it's slowly been creeping up, perhaps I have to > adjust > my insulin accordingly. It's also useful to be able to look back and > remind > myself of what my insulin doses were while I WAS exercising, so that once > I > start up again I can easily decrease them again without having to go > through > the process of finding an entirely new insulin:carb ratio. > > It would be easy if it was just food and insulin and exercise which > affected > blood sugar. Charting lets me record not only those, but also if anything > unusual happened that day, or if I was feeling stressed or sick. It's > really > useful to be able to look back on that information. As well, it lets you > spot patterns you might not otherwise spot, such as highs every night > after > dinner, for example. > > Anyway, just my opinion! > > Jen > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Yes, I am very insulin resistant. I am very careful to not take insulin too close together except when I have dosed for the carbs I have eaten, and for some reason I did not count correctly the number of grams of carbs consumed. Even if only two or 2 and a half hours has passed and I am still sky high, I have found with me that if I aim for a bs of 100-120 and dose some more Humalog insulin, I do quite well without any severe reactions. The key to knowing what to do is know ing your U factor. In your case with a U factor of 50 points reduction for every unit of Humalog dosed, if you had a reading of 197, you need only dose two units. Then within two hours you would be in the good to go range, the normal range. I have also learned by experience that even if I have a high blood glucose level near bedtime, I can dose enough insulin to bring my bs down to around 120-130 and still dose my nightly Lantus without any ill effects. I need to be at this level 120-130 when dosing Lantus, which supposedly does not have a peak action, but in my case I notice it does around 2-3 hours after I have injected Lantus. A nightly dose of Lantus lowers my bs around 50 points give or take a few points. If my bedtime bs is under 100 and I dose Lantus, I will usually have a low blood sugar reaction. Only trial and error and charting can teach a person this. However once you know what it is, there is little need to keep charting time after time and time after time... and on and on forever, since the results is the same after one has learned what the experience is. As a general rule the type 2 diabetic is not as sensitive to injected insulin as a type 1 diabetic. No matter whether a person is a type1 diabetic or a type 2 diabetic, they need to know their U factor. It is easy to learn and each diabetic should know what it is! Also as a general rule a diabetic should not dose Humalog at night unless they have achieved and maintained blood glucose control. In other words the diabetic must be a master of control and know exactly within reason as to how much insulin will affect ones blood glucose level. Dosing Humalog near bedtime is not recommended for any novice diabetic. You have to know what you are doing and how it will affect your body before doing so. Only one who has achieved mastery will know. Achieving mastery takes trial and error, charting and experimentation while experiencing some discomfort. No trial and error, no pain and gain and no mastery. medicare issue >>> >>> >>> >>> >>> >>>> When I called my diabetic supply provider I was informed that >> Medicare >>> >>>> is >>> >>>> requiring them to have a log from their clients. This will make it >>> >>>> difficult for blind persons, because many blind diabetic do not >>> >>>> keep >> a >>> >>>> printed log. Many diabetic doctors like mine do not have the >>> >>>> technology >>> >>> to >>> >>>> download from diabetic meters. Blind diabetic can not use the >> computer >>> >>>> program that is available for download from the advantage meters, >>> >>>> because >>> >>> it >>> >>>> is not accessible by blind persons who use screen reading programs. >>> >>>> This >>> >>> is >>> >>>> a issue that we may have to find a solution for and bring it to the >>> >>>> attention of Medicare. >>> >>>> Jerry >>> >>>> >>> >>>> >>> >>>> >>> >>>> >>> >>>> >>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Yes, I am very insulin resistant. I am very careful to not take insulin too close together except when I have dosed for the carbs I have eaten, and for some reason I did not count correctly the number of grams of carbs consumed. Even if only two or 2 and a half hours has passed and I am still sky high, I have found with me that if I aim for a bs of 100-120 and dose some more Humalog insulin, I do quite well without any severe reactions. The key to knowing what to do is know ing your U factor. In your case with a U factor of 50 points reduction for every unit of Humalog dosed, if you had a reading of 197, you need only dose two units. Then within two hours you would be in the good to go range, the normal range. I have also learned by experience that even if I have a high blood glucose level near bedtime, I can dose enough insulin to bring my bs down to around 120-130 and still dose my nightly Lantus without any ill effects. I need to be at this level 120-130 when dosing Lantus, which supposedly does not have a peak action, but in my case I notice it does around 2-3 hours after I have injected Lantus. A nightly dose of Lantus lowers my bs around 50 points give or take a few points. If my bedtime bs is under 100 and I dose Lantus, I will usually have a low blood sugar reaction. Only trial and error and charting can teach a person this. However once you know what it is, there is little need to keep charting time after time and time after time... and on and on forever, since the results is the same after one has learned what the experience is. As a general rule the type 2 diabetic is not as sensitive to injected insulin as a type 1 diabetic. No matter whether a person is a type1 diabetic or a type 2 diabetic, they need to know their U factor. It is easy to learn and each diabetic should know what it is! Also as a general rule a diabetic should not dose Humalog at night unless they have achieved and maintained blood glucose control. In other words the diabetic must be a master of control and know exactly within reason as to how much insulin will affect ones blood glucose level. Dosing Humalog near bedtime is not recommended for any novice diabetic. You have to know what you are doing and how it will affect your body before doing so. Only one who has achieved mastery will know. Achieving mastery takes trial and error, charting and experimentation while experiencing some discomfort. No trial and error, no pain and gain and no mastery. medicare issue >>> >>> >>> >>> >>> >>>> When I called my diabetic supply provider I was informed that >> Medicare >>> >>>> is >>> >>>> requiring them to have a log from their clients. This will make it >>> >>>> difficult for blind persons, because many blind diabetic do not >>> >>>> keep >> a >>> >>>> printed log. Many diabetic doctors like mine do not have the >>> >>>> technology >>> >>> to >>> >>>> download from diabetic meters. Blind diabetic can not use the >> computer >>> >>>> program that is available for download from the advantage meters, >>> >>>> because >>> >>> it >>> >>>> is not accessible by blind persons who use screen reading programs. >>> >>>> This >>> >>> is >>> >>>> a issue that we may have to find a solution for and bring it to the >>> >>>> attention of Medicare. >>> >>>> Jerry >>> >>>> >>> >>>> >>> >>>> >>> >>>> >>> >>>> >>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Yes, I am very insulin resistant. I am very careful to not take insulin too close together except when I have dosed for the carbs I have eaten, and for some reason I did not count correctly the number of grams of carbs consumed. Even if only two or 2 and a half hours has passed and I am still sky high, I have found with me that if I aim for a bs of 100-120 and dose some more Humalog insulin, I do quite well without any severe reactions. The key to knowing what to do is know ing your U factor. In your case with a U factor of 50 points reduction for every unit of Humalog dosed, if you had a reading of 197, you need only dose two units. Then within two hours you would be in the good to go range, the normal range. I have also learned by experience that even if I have a high blood glucose level near bedtime, I can dose enough insulin to bring my bs down to around 120-130 and still dose my nightly Lantus without any ill effects. I need to be at this level 120-130 when dosing Lantus, which supposedly does not have a peak action, but in my case I notice it does around 2-3 hours after I have injected Lantus. A nightly dose of Lantus lowers my bs around 50 points give or take a few points. If my bedtime bs is under 100 and I dose Lantus, I will usually have a low blood sugar reaction. Only trial and error and charting can teach a person this. However once you know what it is, there is little need to keep charting time after time and time after time... and on and on forever, since the results is the same after one has learned what the experience is. As a general rule the type 2 diabetic is not as sensitive to injected insulin as a type 1 diabetic. No matter whether a person is a type1 diabetic or a type 2 diabetic, they need to know their U factor. It is easy to learn and each diabetic should know what it is! Also as a general rule a diabetic should not dose Humalog at night unless they have achieved and maintained blood glucose control. In other words the diabetic must be a master of control and know exactly within reason as to how much insulin will affect ones blood glucose level. Dosing Humalog near bedtime is not recommended for any novice diabetic. You have to know what you are doing and how it will affect your body before doing so. Only one who has achieved mastery will know. Achieving mastery takes trial and error, charting and experimentation while experiencing some discomfort. No trial and error, no pain and gain and no mastery. medicare issue >>> >>> >>> >>> >>> >>>> When I called my diabetic supply provider I was informed that >> Medicare >>> >>>> is >>> >>>> requiring them to have a log from their clients. This will make it >>> >>>> difficult for blind persons, because many blind diabetic do not >>> >>>> keep >> a >>> >>>> printed log. Many diabetic doctors like mine do not have the >>> >>>> technology >>> >>> to >>> >>>> download from diabetic meters. Blind diabetic can not use the >> computer >>> >>>> program that is available for download from the advantage meters, >>> >>>> because >>> >>> it >>> >>>> is not accessible by blind persons who use screen reading programs. >>> >>>> This >>> >>> is >>> >>>> a issue that we may have to find a solution for and bring it to the >>> >>>> attention of Medicare. >>> >>>> Jerry >>> >>>> >>> >>>> >>> >>>> >>> >>>> >>> >>>> >>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 If you are a master of blood glucose level control, you don't need the doctor to see how much insulin you need to use. The dosing of insulin needs to be in the control of the diabetic and not the doctor. It is more important for the diabetic himself to be the expert rather than the doctor. The diabetic needs to be the master of his body and not the doctor. medicare issue >>>> >>>> >>>>> When I called my diabetic supply provider I was informed that Medicare >>>>> is >>>>> requiring them to have a log from their clients. This will make it >>>>> difficult for blind persons, because many blind diabetic do not keep a >>>>> printed log. Many diabetic doctors like mine do not have the >>>>> technology >>>> to >>>>> download from diabetic meters. Blind diabetic can not use the >>>>> computer >>>>> program that is available for download from the advantage meters, >>>>> because >>>> it >>>>> is not accessible by blind persons who use screen reading programs. >>>>> This >>>> is >>>>> a issue that we may have to find a solution for and bring it to the >>>>> attention of Medicare. >>>>> Jerry >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 If you are a master of blood glucose level control, you don't need the doctor to see how much insulin you need to use. The dosing of insulin needs to be in the control of the diabetic and not the doctor. It is more important for the diabetic himself to be the expert rather than the doctor. The diabetic needs to be the master of his body and not the doctor. medicare issue >>>> >>>> >>>>> When I called my diabetic supply provider I was informed that Medicare >>>>> is >>>>> requiring them to have a log from their clients. This will make it >>>>> difficult for blind persons, because many blind diabetic do not keep a >>>>> printed log. Many diabetic doctors like mine do not have the >>>>> technology >>>> to >>>>> download from diabetic meters. Blind diabetic can not use the >>>>> computer >>>>> program that is available for download from the advantage meters, >>>>> because >>>> it >>>>> is not accessible by blind persons who use screen reading programs. >>>>> This >>>> is >>>>> a issue that we may have to find a solution for and bring it to the >>>>> attention of Medicare. >>>>> Jerry >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 If you are a master of blood glucose level control, you don't need the doctor to see how much insulin you need to use. The dosing of insulin needs to be in the control of the diabetic and not the doctor. It is more important for the diabetic himself to be the expert rather than the doctor. The diabetic needs to be the master of his body and not the doctor. medicare issue >>>> >>>> >>>>> When I called my diabetic supply provider I was informed that Medicare >>>>> is >>>>> requiring them to have a log from their clients. This will make it >>>>> difficult for blind persons, because many blind diabetic do not keep a >>>>> printed log. Many diabetic doctors like mine do not have the >>>>> technology >>>> to >>>>> download from diabetic meters. Blind diabetic can not use the >>>>> computer >>>>> program that is available for download from the advantage meters, >>>>> because >>>> it >>>>> is not accessible by blind persons who use screen reading programs. >>>>> This >>>> is >>>>> a issue that we may have to find a solution for and bring it to the >>>>> attention of Medicare. >>>>> Jerry >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 I have to chart my readings. No matter how hard I try, with the head of my pancreas gone, my reading fluctuate very drastically, and sometimes, no matter what I do, it won't go where I think it will. This week has been a good one. I have only had a couple of lows in the 50's, but most of my readings have been between 83 and 160 and I'm pleased with that. But now who knows how long this will last. Some days it just dives and I can't get the readings to go above 70. So charting is the only way for me to keep track of the trends and know what is happening. Prayers and God's Blessings, medicare issue > >>> >>> > >>> >>> > >>> >>>> When I called my diabetic supply provider I was informed that > >> Medicare > >>> >>>> is > >>> >>>> requiring them to have a log from their clients. This will make it > >>> >>>> difficult for blind persons, because many blind diabetic do not > >>> >>>> keep > >> a > >>> >>>> printed log. Many diabetic doctors like mine do not have the > >>> >>>> technology > >>> >>> to > >>> >>>> download from diabetic meters. Blind diabetic can not use the > >> computer > >>> >>>> program that is available for download from the advantage meters, > >>> >>>> because > >>> >>> it > >>> >>>> is not accessible by blind persons who use screen reading programs. > >>> >>>> This > >>> >>> is > >>> >>>> a issue that we may have to find a solution for and bring it to the > >>> >>>> attention of Medicare. > >>> >>>> Jerry > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 I have to chart my readings. No matter how hard I try, with the head of my pancreas gone, my reading fluctuate very drastically, and sometimes, no matter what I do, it won't go where I think it will. This week has been a good one. I have only had a couple of lows in the 50's, but most of my readings have been between 83 and 160 and I'm pleased with that. But now who knows how long this will last. Some days it just dives and I can't get the readings to go above 70. So charting is the only way for me to keep track of the trends and know what is happening. Prayers and God's Blessings, medicare issue > >>> >>> > >>> >>> > >>> >>>> When I called my diabetic supply provider I was informed that > >> Medicare > >>> >>>> is > >>> >>>> requiring them to have a log from their clients. This will make it > >>> >>>> difficult for blind persons, because many blind diabetic do not > >>> >>>> keep > >> a > >>> >>>> printed log. Many diabetic doctors like mine do not have the > >>> >>>> technology > >>> >>> to > >>> >>>> download from diabetic meters. Blind diabetic can not use the > >> computer > >>> >>>> program that is available for download from the advantage meters, > >>> >>>> because > >>> >>> it > >>> >>>> is not accessible by blind persons who use screen reading programs. > >>> >>>> This > >>> >>> is > >>> >>>> a issue that we may have to find a solution for and bring it to the > >>> >>>> attention of Medicare. > >>> >>>> Jerry > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 I have to chart my readings. No matter how hard I try, with the head of my pancreas gone, my reading fluctuate very drastically, and sometimes, no matter what I do, it won't go where I think it will. This week has been a good one. I have only had a couple of lows in the 50's, but most of my readings have been between 83 and 160 and I'm pleased with that. But now who knows how long this will last. Some days it just dives and I can't get the readings to go above 70. So charting is the only way for me to keep track of the trends and know what is happening. Prayers and God's Blessings, medicare issue > >>> >>> > >>> >>> > >>> >>>> When I called my diabetic supply provider I was informed that > >> Medicare > >>> >>>> is > >>> >>>> requiring them to have a log from their clients. This will make it > >>> >>>> difficult for blind persons, because many blind diabetic do not > >>> >>>> keep > >> a > >>> >>>> printed log. Many diabetic doctors like mine do not have the > >>> >>>> technology > >>> >>> to > >>> >>>> download from diabetic meters. Blind diabetic can not use the > >> computer > >>> >>>> program that is available for download from the advantage meters, > >>> >>>> because > >>> >>> it > >>> >>>> is not accessible by blind persons who use screen reading programs. > >>> >>>> This > >>> >>> is > >>> >>>> a issue that we may have to find a solution for and bring it to the > >>> >>>> attention of Medicare. > >>> >>>> Jerry > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> > >>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 , You are doing what is required to become a master at blood glucose level control. With the complications you have, no one can say exactly how long it will take you to master this diabetes control. The key to mastery is charting, and let no one here forget that. With a continually changing situation one needs to continually chart what is or is not happening. In a stable situation and with mastery, I still contend that all that charting is unnecessary. My situation is relatively stable at present so I know what to do. If my situation becomes unstable I will chart. So, , keep up the good stuff. medicare issue >> >>> >>> >> >>> >>> >> >>> >>>> When I called my diabetic supply provider I was informed that >> >> Medicare >> >>> >>>> is >> >>> >>>> requiring them to have a log from their clients. This will make > it >> >>> >>>> difficult for blind persons, because many blind diabetic do not >> >>> >>>> keep >> >> a >> >>> >>>> printed log. Many diabetic doctors like mine do not have the >> >>> >>>> technology >> >>> >>> to >> >>> >>>> download from diabetic meters. Blind diabetic can not use the >> >> computer >> >>> >>>> program that is available for download from the advantage >> >>> >>>> meters, >> >>> >>>> because >> >>> >>> it >> >>> >>>> is not accessible by blind persons who use screen reading > programs. >> >>> >>>> This >> >>> >>> is >> >>> >>>> a issue that we may have to find a solution for and bring it to > the >> >>> >>>> attention of Medicare. >> >>> >>>> Jerry >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 , You are doing what is required to become a master at blood glucose level control. With the complications you have, no one can say exactly how long it will take you to master this diabetes control. The key to mastery is charting, and let no one here forget that. With a continually changing situation one needs to continually chart what is or is not happening. In a stable situation and with mastery, I still contend that all that charting is unnecessary. My situation is relatively stable at present so I know what to do. If my situation becomes unstable I will chart. So, , keep up the good stuff. medicare issue >> >>> >>> >> >>> >>> >> >>> >>>> When I called my diabetic supply provider I was informed that >> >> Medicare >> >>> >>>> is >> >>> >>>> requiring them to have a log from their clients. This will make > it >> >>> >>>> difficult for blind persons, because many blind diabetic do not >> >>> >>>> keep >> >> a >> >>> >>>> printed log. Many diabetic doctors like mine do not have the >> >>> >>>> technology >> >>> >>> to >> >>> >>>> download from diabetic meters. Blind diabetic can not use the >> >> computer >> >>> >>>> program that is available for download from the advantage >> >>> >>>> meters, >> >>> >>>> because >> >>> >>> it >> >>> >>>> is not accessible by blind persons who use screen reading > programs. >> >>> >>>> This >> >>> >>> is >> >>> >>>> a issue that we may have to find a solution for and bring it to > the >> >>> >>>> attention of Medicare. >> >>> >>>> Jerry >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 , You are doing what is required to become a master at blood glucose level control. With the complications you have, no one can say exactly how long it will take you to master this diabetes control. The key to mastery is charting, and let no one here forget that. With a continually changing situation one needs to continually chart what is or is not happening. In a stable situation and with mastery, I still contend that all that charting is unnecessary. My situation is relatively stable at present so I know what to do. If my situation becomes unstable I will chart. So, , keep up the good stuff. medicare issue >> >>> >>> >> >>> >>> >> >>> >>>> When I called my diabetic supply provider I was informed that >> >> Medicare >> >>> >>>> is >> >>> >>>> requiring them to have a log from their clients. This will make > it >> >>> >>>> difficult for blind persons, because many blind diabetic do not >> >>> >>>> keep >> >> a >> >>> >>>> printed log. Many diabetic doctors like mine do not have the >> >>> >>>> technology >> >>> >>> to >> >>> >>>> download from diabetic meters. Blind diabetic can not use the >> >> computer >> >>> >>>> program that is available for download from the advantage >> >>> >>>> meters, >> >>> >>>> because >> >>> >>> it >> >>> >>>> is not accessible by blind persons who use screen reading > programs. >> >>> >>>> This >> >>> >>> is >> >>> >>>> a issue that we may have to find a solution for and bring it to > the >> >>> >>>> attention of Medicare. >> >>> >>>> Jerry >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> >> >>> >>>> Quote Link to comment Share on other sites More sharing options...
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