Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 That is correct to a certain extent, but as I a on an insulin pump, I also have to take the amount of hourly basal rate into account. As these amounts vary during different times of the day, I take more or less extra humalog according to what the BS is and the amount of carbs I ate. Also, sometimes it is really easy to not correctly know how many carbs are in something;this is especially true when you eat out as you don't always know what kind of things have been added to the foods you have ordered.. Re: medicare issue 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 That is correct to a certain extent, but as I a on an insulin pump, I also have to take the amount of hourly basal rate into account. As these amounts vary during different times of the day, I take more or less extra humalog according to what the BS is and the amount of carbs I ate. Also, sometimes it is really easy to not correctly know how many carbs are in something;this is especially true when you eat out as you don't always know what kind of things have been added to the foods you have ordered.. Re: medicare issue 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 Thanks, Harry.Right now I'm using Humolog and Humulin N for my insulins. I tried Lantus, but for some reason it just didn't give me the control I needed. I guess it just wasn't for me, and that was before all of my problems. 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 Thanks, Harry.Right now I'm using Humolog and Humulin N for my insulins. I tried Lantus, but for some reason it just didn't give me the control I needed. I guess it just wasn't for me, and that was before all of my problems. 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 Thanks, Harry.Right now I'm using Humolog and Humulin N for my insulins. I tried Lantus, but for some reason it just didn't give me the control I needed. I guess it just wasn't for me, and that was before all of my problems. 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 Most of thetime that is true, but even though I have been using insulin for 61 years I most of the time believe my doc. He is the expert and knows what insulin does to my slowly deteriorating bod! Re: medicare issue 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 Most of thetime that is true, but even though I have been using insulin for 61 years I most of the time believe my doc. He is the expert and knows what insulin does to my slowly deteriorating bod! Re: medicare issue 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 Most of thetime that is true, but even though I have been using insulin for 61 years I most of the time believe my doc. He is the expert and knows what insulin does to my slowly deteriorating bod! Re: medicare issue 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 Lantus does not work for everyone; can not use it either. My doc says that if evr have to go off the ppump, he will put me on Lantus and try it out. Re: medicare issue Thanks, Harry.Right now I'm using Humolog and Humulin N for my insulins. I tried Lantus, but for some reason it just didn't give me the control I needed. I guess it just wasn't for me, and that was before all of my problems. 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 Yes. I have that problem sometimes here at my daughter's. Sometimes she fixes things differently then I do. Or she makes a different combination of things and the carbs react differently then, too, if that makes sense. 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 Yes. I have that problem sometimes here at my daughter's. Sometimes she fixes things differently then I do. Or she makes a different combination of things and the carbs react differently then, too, if that makes sense. 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 Yes. I have that problem sometimes here at my daughter's. Sometimes she fixes things differently then I do. Or she makes a different combination of things and the carbs react differently then, too, if that makes sense. 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 Thanks, . My diabetes educator got very angry with me because it didn't work and she said I was just being stubborn and didn't want to learn new things. That was not true at all. I just didn't want my average to be in the 200's most of the time with some very low lows late in the afternoon. 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 Eating out poses a real challenge to carb counters like me. Even eating a new food at home takes a while to learn how many real grams of carbs are in it and how it affects my body. That is why only frequent blood glucose monitoring, using that sugar meter, is the only way to know for sure. RE: medicare issue > That is correct to a certain extent, but as I a on an insulin pump, I also > have to take the amount of hourly basal rate into account. As these > amounts > vary during different times of the day, I take more or less extra humalog > according to what the BS is and the amount of carbs I ate. Also, > sometimes > it is really easy to not correctly know how many carbs are in > something;this > is especially true when you eat out as you don't always know what kind of > things have been added to the foods you have ordered.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Humulin N is a good insulin, and some people do better on it than they do Lantus. Only trial and error and, charting, will tell. 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'd be lost without being able to check sugars. It makes it so much easier to know what my sugar levels are doing. Prayers and God's Blessings, RE: medicare issue > > > > That is correct to a certain extent, but as I a on an insulin pump, I also > > have to take the amount of hourly basal rate into account. As these > > amounts > > vary during different times of the day, I take more or less extra humalog > > according to what the BS is and the amount of carbs I ate. Also, > > sometimes > > it is really easy to not correctly know how many carbs are in > > something;this > > is especially true when you eat out as you don't always know what kind of > > things have been added to the foods you have ordered.. > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 It sure has been working well for me. I only have to use it in the morning and at bed time, then I use the Humolog with each meal. 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 show my readings and insulin doses to my endocrinologist so that he can make suggestions and give me feedback; two heads are better than one sometimes. I also change my insulin dose myself whenever I feel the need, and I do not need to justify to a doctor why I do this. What is the point of going to a doctor if you don't show them your charts so that they can spot a trend that you may have missed, or so that they can give you a suggestion you may not have thought of, or tell you of a new insulin that may help you, for example? My doctor is primarily a consultant, and how can a consultant consult if they don't know what they're consulting about? He does not " tell " me what to do, nor do I rely on him to solve all my problems when my blood sugar starts to jump around more than it should, but it's good to get some ideas from him that I may (or may not) decide to follow. I think charting is a valuable tool and that, even though you might be able to get by without it, it gives you a powerful resource for problem-solving in the future. Jen Re: medicare issue 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 You got that right! I use my doctor only as a consultant and the only one who is legally authorized to prescribe medications. He makes recommendations to me from time to time, and I consider them. Recently, he recommended a pump for me, but I choose not to get one. He makes other recommendations some of which I acep and some of which I reject. I prefer to be in charge of my own body as poorly put together as it is. Re: medicare issue > > > 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. > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Easy is too mild a word: it makes blood glucose control possible! Mike RE: medicare issue >> >> >> > That is correct to a certain extent, but as I a on an insulin pump, I > also >> > have to take the amount of hourly basal rate into account. As these >> > amounts >> > vary during different times of the day, I take more or less extra > humalog >> > according to what the BS is and the amount of carbs I ate. Also, >> > sometimes >> > it is really easy to not correctly know how many carbs are in >> > something;this >> > is especially true when you eat out as you don't always know what kind > of >> > things have been added to the foods you have ordered.. >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 Hi, I use Microsoft Word to keep my log. I take each reading off the Acucheck and put it in the Microsoft word document. then I email it to my Doctor's Registered nurse who is a diabetic educator. then we talk about it and both decide what I should do together. She listens to me and I likewise listen to her. There are many ways to do this and it just depends on which way works for each person. My way takes a little longer but it works for me. sharon Re: medicare issue >I use my BrailleNote to keep a log and, as Mike said, clean up the > formatting a bit when I transfer it to the computer. If you know how to > use > tables in Word it's even easier to make it nicely formatted for your > doctor > or whoever else needs to see it. > > Jen > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2005 Report Share Posted October 23, 2005 Exactly, Jen Re: medicare issue I show my readings and insulin doses to my endocrinologist so that he can make suggestions and give me feedback; two heads are better than one sometimes. I also change my insulin dose myself whenever I feel the need, and I do not need to justify to a doctor why I do this. What is the point of going to a doctor if you don't show them your charts so that they can spot a trend that you may have missed, or so that they can give you a suggestion you may not have thought of, or tell you of a new insulin that may help you, for example? My doctor is primarily a consultant, and how can a consultant consult if they don't know what they're consulting about? He does not " tell " me what to do, nor do I rely on him to solve all my problems when my blood sugar starts to jump around more than it should, but it's good to get some ideas from him that I may (or may not) decide to follow. I think charting is a valuable tool and that, even though you might be able to get by without it, it gives you a powerful resource for problem-solving in the future. Jen Re: medicare issue 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2005 Report Share Posted October 23, 2005 Exactly, Jen Re: medicare issue I show my readings and insulin doses to my endocrinologist so that he can make suggestions and give me feedback; two heads are better than one sometimes. I also change my insulin dose myself whenever I feel the need, and I do not need to justify to a doctor why I do this. What is the point of going to a doctor if you don't show them your charts so that they can spot a trend that you may have missed, or so that they can give you a suggestion you may not have thought of, or tell you of a new insulin that may help you, for example? My doctor is primarily a consultant, and how can a consultant consult if they don't know what they're consulting about? He does not " tell " me what to do, nor do I rely on him to solve all my problems when my blood sugar starts to jump around more than it should, but it's good to get some ideas from him that I may (or may not) decide to follow. I think charting is a valuable tool and that, even though you might be able to get by without it, it gives you a powerful resource for problem-solving in the future. Jen Re: medicare issue 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. Quote Link to comment Share on other sites More sharing options...
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