RE: medicare issue

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

>>> >>>>

October 21, 2005