RE: medicare issue

[Guest guest]

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

>> >>>>

>> >>>>

>> >>>>

>> >>>>

>> >>>>

>> >>>>

[Guest guest]

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

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

[Guest guest]

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

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

[Guest guest]

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

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

[Guest guest]

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

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>

[Guest guest]

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

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>

[Guest guest]

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

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>

[Guest guest]

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

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

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

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

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

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

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

>

>

>

>

>

>

>

[Guest guest]

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

>

>

>

>

>

>

>

[Guest guest]

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

>

>

>

>

>

>

>

[Guest guest]

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

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

[Guest guest]

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

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

[Guest guest]

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

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

>>> >>>>

[Guest guest]

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

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

[Guest guest]

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

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

[Guest guest]

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

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

[Guest guest]

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

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

[Guest guest]

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

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

[Guest guest]

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

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

> >>> >>>>

[Guest guest]

,

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

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

[Guest guest]

,

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

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

[Guest guest]

,

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

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>

>> >>> >>>>