Re: Something to think about

[Guest guest]

How old was your brother? I read a recent article about running low blood

sugars, and it said it found no loss in function or deterioration of ability

once normal sugar levels were resumed. I am not sure I am quoting the study

exactly. In fact I am pretty sure I am not. I even think I sent a copy of

this study to this list serve. I cannot find my copy, so if I did, would

someone please repost it again.

Something to think about

> For those of you who are trying to run normalized blood sugars there is

> something important to think about. My brother who was diabetic for 48

> years tried to keep normalized blood sugars and kept passing out and

> having

> to go to the hospital. During these times while he was passed out he had

> brain damage occur. So while it is important to have good blood sugars,

> remember Be Careful!

>

> Ruth

>

>

>

[Guest guest]

Hi Ruth,

Sorry to seem like I am intentionally picking on you, I am not and appreciate

your feedback and concerns. It gives me an opportunity to explain more to answer

peoples questions.

Secondly it is fine to disagree with me, anyone for that matter, I am here to

simply share information and give it out as food for thought. People can do with

it what they want.

I'd like to point out that passing out and low blood sugars is *not* normalized

at all. A normalized blood sugar is 80 to 90 for all of the time or at least

98%. Secondly, on bernsteins diet you only eat 6 grams of slow carbs for

breakfast, 12 for lunch, and 12 for dinner. Because they are slow acting carbs,

and not quick acting, you only have to dose, for example, 2 units of humalog or

novalog per meal as a type 1 and if type 2 on insulin perhaps 4 units. Dosing 2

units of insulin could rarely, if ever, make you go low or pass out.

Bernstein has a motto that some are familiar with on list... small numbers,

small mistakes, large numbers, large mistakes. That motto means that if you

only eat 12 grams of slow acting carbs, dose 2 units of humalog, that is small

numbers so your low sugar would be small if any. I.E maybe 70. On the flip side,

if you follow the ADA diet of quick acting carbsand eat around 60 at a meal,

dose 8 to 15 units to cover it, those are large numbers and your lows can be

more of a larger mistake.

Regards,

Something to think about

For those of you who are trying to run normalized blood sugars there is

something important to think about. My brother who was diabetic for 48

years tried to keep normalized blood sugars and kept passing out and having

to go to the hospital. During these times while he was passed out he had

brain damage occur. So while it is important to have good blood sugars,

remember Be Careful!

Ruth

[Guest guest]

Hi ,

I'm a bit confused by how the low carb diet and not going low works. I, for

example, take 1 unit of Humalog for approximately 12-15 grams of carbohydrates.

If I were to only eat 6 grams of carbohydrates at a meal, I would somehow have

to give only half a unit of Humalog. If I ate 12 grams that would be about 1

unit.

How to you balance basal insulin like Lantus when you are on so little Humalog?

For me that would be about 2-3 units of Humalog per day! The balance of insulin

is supposed to be about 50% as long acting and 50% as rapid acting to cover

meals. How much Lantus do you take? I am assuming that a type 1 cannot take only

6 units of insulin and not get into trouble. Also, if you eat slow-acting carbs

with lots of protein and fat this usually slows carbs down even more, so how do

you avoid going low immediately after a meal when Humalog peaks, if the food

might take longer to reach your bloodstream?

Also how does exercise work? Right now I have to eat fast acting carbs before or

during exercise, and reduce my rapid and long acting insulin, or else I go low.

If you are taking so little insulin and eating so little carbs, how do you

exercise (such as swimming) without going low?

Jen

[Guest guest]

Hi Harry,

My brother had been doing this between the ages of 48 and 50. It wasn't

the blood sugars causing the brain problems, it was the low blood sugars

causing him to pass out and then while he was unconscious causing problems

with memory and other problems.

Ruth

Re: Something to think about

How old was your brother? I read a recent article about running low blood

sugars, and it said it found no loss in function or deterioration of ability

once normal sugar levels were resumed. I am not sure I am quoting the study

exactly. In fact I am pretty sure I am not. I even think I sent a copy of

this study to this list serve. I cannot find my copy, so if I did, would

someone please repost it again.

Something to think about

> For those of you who are trying to run normalized blood sugars there

> is something important to think about. My brother who was diabetic

> for 48 years tried to keep normalized blood sugars and kept passing

> out and having to go to the hospital. During these times while he was

> passed out he had brain damage occur. So while it is important to

> have good blood sugars, remember Be Careful!

>

> Ruth

>

>

>

[Guest guest]

Hi ,

I know you are not picking on me. Don't worry I can take it. The thing

with my brother who also was a type 1 diabetic for 48 years was that when he

was that low, it was much easier for him to crash and pass out. And he was

watching his diet, using slow acting carbs, etc. So you need to be careful!

Ruth

Re: Something to think about

Hi Ruth,

Sorry to seem like I am intentionally picking on you, I am not and

appreciate your feedback and concerns. It gives me an opportunity to explain

more to answer peoples questions.

Secondly it is fine to disagree with me, anyone for that matter, I am here

to simply share information and give it out as food for thought. People can

do with it what they want.

I'd like to point out that passing out and low blood sugars is *not*

normalized at all. A normalized blood sugar is 80 to 90 for all of the time

or at least 98%. Secondly, on bernsteins diet you only eat 6 grams of slow

carbs for breakfast, 12 for lunch, and 12 for dinner. Because they are slow

acting carbs, and not quick acting, you only have to dose, for example, 2

units of humalog or novalog per meal as a type 1 and if type 2 on insulin

perhaps 4 units. Dosing 2 units of insulin could rarely, if ever, make you

go low or pass out.

Bernstein has a motto that some are familiar with on list... small numbers,

small mistakes, large numbers, large mistakes. That motto means that if you

only eat 12 grams of slow acting carbs, dose 2 units of humalog, that is

small numbers so your low sugar would be small if any. I.E maybe 70. On the

flip side, if you follow the ADA diet of quick acting carbsand eat around 60

at a meal, dose 8 to 15 units to cover it, those are large numbers and your

lows can be more of a larger mistake.

Regards,

Something to think about

For those of you who are trying to run normalized blood sugars there is

something important to think about. My brother who was diabetic for 48

years tried to keep normalized blood sugars and kept passing out and

having

to go to the hospital. During these times while he was passed out he had

brain damage occur. So while it is important to have good blood sugars,

remember Be Careful!

Ruth

[Guest guest]

Hi Jen,

very good questions. I'll do my best to answer. My answers will be after your

questions.

*begin quote *

If I were to only eat 6 grams of carbohydrates at a meal, I would somehow have

to give only half a unit of Humalog.

* end quote *

you only eat 6 grams of slow acting at breakfast due to the dawn effect. You get

a few more slow acting carbs from the meat you eat too. Lunch and dinner are 12

grams of slow acting.

If memory serves me you are on a pump? None of Bernstein's patients are on

pumps, he explains that it is lethal to be on one.

* quote *

If I ate 12 grams that would be about

1 unit.

* end quote*

perfect. If you only needed one unit all the better. Bernstein states that a

diabetic should view insulin in the way that the less you take, the better off

you are. Insulin has quite a few negative side effects to it according to dr B.

Large bolis of insulin causes increased blood pressure, strain on the body, and

even weight gain in some.

* begin quote *

How to you balance basal insulin like Lantus when you are on so little Humalog?

For me that would be about 2-3 units of Humalog per day! The balance of

insulin is supposed to be about 50% as long acting and 50% as rapid acting to

cover meals. How much Lantus do you take?

* end quote *

Doctor Bernstein starts type 1 folks on 7 units at the evening and I think 4 in

the morning. He split doses lantus. I personally am on 9 units at the evening

and 2 in the morning but I do not take lantus, I dose ultrelente.

Note: he split doses lantus since according to doctor bernstein the lantus

research was fudged to market it as a 24 hour insulin. It is not. I.E the

research, for example, injected 60 units of lantus in a person so it was forced

to work for 24 hours. However,the person was constantly eating glucose and sugar

to not pass out! It gave them the results that they wanted to market it but it

is not a 24 hour insulin according to doctor bernstein. Many type 1 patients,

and type 2 on it, try to use it as a 24 hour and run low in the middle of the

night since it is such large doses to get the 24 hour effect. I.E you may dose

40 units at night where as doctor bernstein may have you dose 9 at night and 4

in the morning. Big difference between 9 units at night and 40!

* begin quote *

I am assuming that a type 1 cannot

take only 6 units of insulin and not get into trouble.

* end quote *

I run 80 to 90 all the time and never get into trouble. Small numbers, small

mistakes, large numbers, large mistakes. When you do not eat quick acting carbs,

you essentially cannot get into trouble with spikes or lows since your insulin

requirements are cut more than half.

* begin quote *

Also, if you eat slow-acting carbs with lots of protein and fat this usually

slows carbs down even

more, so how do you avoid going low immediately after a meal when Humalog peaks,

if the food might take longer to reach your bloodstream?

* end quote *

Good question Jen. I'll do my best to answer. Bernstein mentions research on his

audio cds between two sets of people. It was not his research but was

interesting and will answer your question. One set of people in the research was

on a low carb diet and ate high fat and meat and the other set ate high carb,

high fat, and low meat. The people who ate low carb/high fat never gained weight

and their lipids were perfectly normal. The other parties who ate high fat/high

carb had extremely elevated lipids/ldl etc. The research showed that when you

eat low carb/high fat, your body metabolizes the fat and uses it since it needs

it. Where as the people on high carb/high fat diets stored the fat since their

body did not need it. This in turn caused their lipids to skyrocket.

So what am I saying? I never have the Chinese effect since the fat that I eat,

eggs, cheese, real butter, etc. my body needs it and metabolizes it when I eat

it so it handles it fine. I even still continue to lose weight eating all the

fat. I am studying my lipids and in 2 months will see the result of the fat.

Most of Bernstein's patients all run ldl of 100 or less with no ldl lowering

medications.

The slow acting carbs I eat are not held back by the fat since my body

metabolizes the fat when I eat it since it needs it.

My two hour posts are always 80 to 90 though btw.

Bernstein had a patient that according to his wife was to thin on his diet. The

wife wanted her husband to gain weight. Bernstein said he did not want to put

quick acting carbos in his diet since that would cause his sugars to no longer

be normalized. So what did he do? He made the guy drink a double shot of virgin

olive oil twice a day spiked with a pinch of rum. This man did this for 3 months

straight. Do you know how much fat is in olive oil? Well, after doing this for 3

months the man did not gain one single ounce of weight. Bernstein was baffled by

it so he called researchers to find out why this would happen. He could not get

an answer and then eventually came across the research with the two groups of

people I mentioned earlier. The man was not gaining weight since his body needed

the fat and metabolized the fat.

* begin quote *

Also how does exercise work? Right now I have to eat fast acting carbs before or

during exercise, and reduce my rapid and long acting insulin, or else I

go low. If you are taking so little insulin and eating so little carbs, how do

you exercise (such as swimming) without going low?

* end quote *

Think of it this way. If you were dosing 2 to 4 units of humalog for a meal, and

a total of 10 units of lantus split 5 evening 5 morning, how could you go low?

It isn't enough to lower you even swimming and so on. Most diabetics go low

since they have *so much* basal and humalog in their bodies to deal with the

quick acting carbs that many lows in exercise is caused to the lingering effect

where humalog lingers past 4 hours and the basal is just way to much. Most type

1 on pumps have to eat a lot due to lows. They take to much basal and always

have to eat for the sake of survival. I.E eat or pass out. I guarantee that if

you dosed only 20 units of insulin a day, as oppose to 60 to 80, you would not

run low if ever/very rare.

This would be a *huge* benefit to you Jen and you would see instant results.

That is, your lows that you experience around exercise would vanish.

btw you are still eating carbohydrates, they are just slow acting on your

sugars. They still do give you energy for exercise and so on.

If you have any other questions, please let me know. I am just here to pass on

the information. I'd like to invite you to order doctor bernsteins audio cds for

type 1 diabetics... a wealth of helpful information. I posted the link a while

back so not sure if you seen it or not.

Regards,

Re: Something to think about

Hi ,

I'm a bit confused by how the low carb diet and not going low works. I, for

example, take 1 unit of Humalog for approximately 12-15 grams of carbohydrates.

If I were to only eat 6 grams of carbohydrates at a meal, I would somehow have

to give only half a unit of Humalog. If I ate 12 grams that would be about 1

unit.

How to you balance basal insulin like Lantus when you are on so little

Humalog? For me that would be about 2-3 units of Humalog per day! The balance of

insulin is supposed to be about 50% as long acting and 50% as rapid acting to

cover meals. How much Lantus do you take? I am assuming that a type 1 cannot

take only 6 units of insulin and not get into trouble. Also, if you eat

slow-acting carbs with lots of protein and fat this usually slows carbs down

even more, so how do you avoid going low immediately after a meal when Humalog

peaks, if the food might take longer to reach your bloodstream?

Also how does exercise work? Right now I have to eat fast acting carbs before

or during exercise, and reduce my rapid and long acting insulin, or else I go

low. If you are taking so little insulin and eating so little carbs, how do you

exercise (such as swimming) without going low?

Jen

[Guest guest]

Hi ,

Thanks for answering my questions. You posed some of your own in your e-mail

so I've answered them below.

*quote*

you only eat 6 grams of slow acting at breakfast due to the dawn effect. You

get a few more slow acting carbs from the meat you eat too. Lunch and dinner

are 12 grams of slow acting.

If memory serves me you are on a pump? None of Bernstein's patients are on

pumps, he explains that it is lethal to be on one.

*end quote*

You are right, I forgot about the dawn effect. I take 1 unit of Humalog to

cover 8-10 grams of carbohydrates in the morning, rather than the 12-15 it

covers the rest of the day.

*quote*

If memory serves me you are on a pump? None of Bernstein's patients are on

pumps, he explains that it is lethal to be on one.

*end quote*

No, I'm not on a pump but am trying to get on one (depends only on whether

insurance will cover it). Right now I'm taking Humalog and Lantus. I'm

surprised he says pumps are letal! Why does he say that? Everyone I've

talked to on a pump has better control than they ever did on shots.

*quote*

perfect. If you only needed one unit all the better. Bernstein states that a

diabetic should view insulin in the way that the less you take, the better

off you are. Insulin has quite a few negative side effects to it according

to dr B. Large bolis of insulin causes increased blood pressure, strain on

the body, and even weight gain in some.

*end quote*

It makes sense to me that more insulin would be worse. What is a " good "

amount of insulin?

*quote*

Doctor Bernstein starts type 1 folks on 7 units at the evening and I think 4

in the morning. He split doses lantus. I personally am on 9 units at the

evening and 2 in the morning but I do not take lantus, I dose ultrelente.

*end quote*

I just recently split my Lantus dose and my evening blood sugars are so much

better. I went for a year and a half without splitting it and was almost

always high at bedtime unless I gave an additional shot of Humalog in the

evening after dinner, and even that often didn't keep me down. I have had to

lower my carb ratio at dinner and also lower my Lantus dose slightly and am

still having lows, so I will probably be reducing it more.

*quote*

Note: he split doses lantus since according to doctor bernstein the lantus

research was fudged to market it as a 24 hour insulin. It is not. I.E the

research, for example, injected 60 units of lantus in a person so it was

forced to work for 24 hours. However,the person was constantly eating

glucose and sugar to not pass out! It gave them the results that they wanted

to market it but it is not a 24 hour insulin according to doctor bernstein.

Many type 1 patients, and type 2 on it, try to use it as a 24 hour and run

low in the middle of the night since it is such large doses to get the 24

hour effect. I.E you may dose 40 units at night where as doctor bernstein

may have you dose 9 at night and 4 in the morning. Big difference between 9

units at night and 40!

*end quote*

I agree that it is not a 24-hour insulin. Every type 1 I know who uses it

has ended up splitting the dose due to high blood sugars at night. It

frustrates me that it's marketed as a 24-hour insulin. The company who makes

Levemir, another new basal insulin, do not claim that it lasts for 24-hours

(they say it lasts 18-24 hours), and also are not marketing it as a peakless

insulin but rather as one with a " gentle " peak.

*end quote*

*quote*

I run 80 to 90 all the time and never get into trouble. Small numbers, small

mistakes, large numbers, large mistakes. When you do not eat quick acting

carbs, you essentially cannot get into trouble with spikes or lows since

your insulin requirements are cut more than half.

*end quote*

I think you misunderstood here. What I meant by I wasn't sure a type 1 could

take only 6 units of insulin a day (this is assuming that the Lantus/Humalog

split is 50/50, if I were to only take ~3 units of Humalog a day) is that I

don't know whether there is a minimum amount of insulin the body needs in

order to keep things going (i.e., suppress glucagon production and ketones,

etc.)? Anything under 20-30 units a day sounds really small. Is there a

minimum amount of insulin you need? On this diet do you take much more basal

insulin than bolus instead of the 50/50 split?

*quote*

Think of it this way. If you were dosing 2 to 4 units of humalog for a meal,

and a total of 10 units of lantus split 5 evening 5 morning, how could you

go low? It isn't enough to lower you even swimming and so on. Most diabetics

go low since they have *so much* basal and humalog in their bodies to deal

with the quick acting carbs that many lows in exercise is caused to the

lingering effect where humalog lingers past 4 hours and the basal is just

way to much. Most type 1 on pumps have to eat a lot due to lows. They take

to much basal and always have to eat for the sake of survival. I.E eat or

pass out. I guarantee that if you dosed only 20 units of insulin a day, as

oppose to 60 to 80, you would not run low if ever/very rare.

This would be a *huge* benefit to you Jen and you would see instant results.

That is, your lows that you experience around exercise would vanish.

*end quote*

Thank you for finally explaining the exercise! That makes more sense now. I

take an average of 40 units total of Humalog and Lantus, 35 even 30 if I am

active. This is currently on a high carb diet which even I admit isn't

always the healthiest (hey, I'm a student, what else can I say). So I am

still a bit confused how you can exercise and not go low, and still not go

high when you don't exercise. For non-diabetics the amount of insulin in

thier body changes and decreases for exercise, which is why we have to

" feed " the insulin when we want to exercise if we don't reduce the dose

first.

*quote*

btw you are still eating carbohydrates, they are just slow acting on your

sugars. They still do give you energy for exercise and so on.

*end quote*

Can you eat a " high carb " diet with only slow acting carbs and get the same

effect? Could you eat a higher number of carbs a day or just the 30g total?

*quote*

If you have any other questions, please let me know. I am just here to pass

on the information. I'd like to invite you to order doctor bernsteins audio

cds for type 1 diabetics... a wealth of helpful information. I posted the

link a while back so not sure if you seen it or not.

*end quote*

I have seen the link, but unfortunately am in university at the moment so

can't afford the $100-some-odd dollars it is (probably more in Canadian,

too). I'm still not fully convinced that a pump won't solve my problems (the

biggest of which is always waking up high no matter what I do, and a second

one though less problematic is going low during exercise which I can

compensate for by reducing insulin and/or having a snack), but I am willing

to listen. Can you give an example of your daily readings and insulin and

diet? How stable is normalized?

How does hormones, stress, illness, and other factors come into this? Does

he believe that there is a random factor involved with blood sugar control?

This " randomness factor " is one of the major reasons why I'm skeptical. Even

if you controlled for food and this caused you to never go high or low even

from exercise, what happens when hormones or a cold or a really

stressful/emotional sitaution hits?

Out of curiosity, I also heard on a diabetes forum where we were discussing

natural disasters and type 1, that somewhere Dr. Bernstein talks about how a

type 1 could survive without insulin if they were ever caught in a situation

where they were stuck for days without it. This is purely out of curiosity:

I live in an earthquake zone and, even though I bring my insulin and

supplies everywhere, I wonder sometimes what I'd do if we ever had " the big

one " that's expected some day. Does he address this on his CDs?

Thanks for all the answers you've provided so far. I may look into seeing if

any libraries around here have his CD sets. I am still not fully convinced

but it wouldn't do any harm to listen.

Jen

[Guest guest]

Hi Jen,

* quote *

surprised he says pumps are letal! Why does he say that? Everyone I've

talked to on a pump has better control than they ever did on shots.

* end quote *

better control typically means around 90 or more units of humalog a day and

eating tons of quick acting carbos and also many swings. Again, my a1c was 5.0

to 5.2 for the past 3 years but my kidneys still declined from 1.7 creatinine to

2.0 due to the swings. He says pumps are lethal since most type ones on them

*constantly* have to eat for survival... they tend to run low often. On his

routine to normalize sugars, you are at the range of 4.5 to 5.0 98% of the time.

* quote *

It makes sense to me that more insulin would be worse. What is a " good "

amount of insulin?

* end quote *

the less you can take, the better. Think of it this way... the less insulin you

take, the less oppertunity you have to get low!

* quote *

split is 50/50, if I were to only take ~3 units of Humalog a day) is that I

don't know whether there is a minimum amount of insulin the body needs in

order to keep things going (i.e., suppress glucagon production and ketones,

etc.)? Anything under 20-30 units a day sounds really small. Is there a

minimum amount of insulin you need? On this diet do you take much more basal

insulin than bolus instead of the 50/50 split?

* end quote *

Refer to my post to Dave. I explain that at my sample meals I dose 4 units of

humalog which in theory I should only dose 1. However, this accounts for the

glucagon effect.

My basal has decreased substantially. Refer to my post to dave.

* quote *

still a bit confused how you can exercise and not go low, and still not go

high when you don't exercise. For non-diabetics the amount of insulin in

thier body changes and decreases for exercise, which is why we have to

" feed " the insulin when we want to exercise if we don't reduce the dose

first.

* end quote *

Simply put, you do not have an excessive amount of insulin in your body that

lingers from dose to dose causing you to low out when exercising. If you dose 20

units at breakfast the peek goes way into the 6 hour even though it is not

noticeable. Dose another 20 units at lunch and the peek lingers some too. Now go

jump in the pool and you will get low from that large amount of insulin

lingering in your body. If you dose 4 units for breakfast, 4 for lunch, and

repeat the same experiment you will see that you will not go low exercising. In

the event after exercising you are high, then you simply dose *one* single unit

of humalog before exercising and it will keep it down. Because you have *no*

quick acting carbos in your body to fight you, your insulin requirements are way

less and you are *so much* more accurate at the dosing. Small numbers, small

mistakes, large numbers, lots of lows!

* quote *

Can you eat a " high carb " diet with only slow acting carbs and get the same

effect? Could you eat a higher number of carbs a day or just the 30g total?

* end quote *

I think what you are asking is can you eat more than the suggest 6 at breakfast,

12 at lunch, and 12 at dinner of the slow acting carbs. Bernstein says in theory

you coudl could eat more but it has been his experience that it makes

normalizing the sugars more difficult so he keeps his patients at those levels

and does not change them. Keeping your carbos and meat constant at each meal is

important to normalize your sugars . I.E you woudl would not eat 6, 30, 12 one

day then 10, 5, 45 the next day of slow acting carbs. this would make

normalizing your sugars impossible. Having those slow acting carbos and meat

portions that same at each meal is crucial to normalizing your sugars.

* quote *

How does hormones, stress, illness, and other factors come into this? Does

he believe that there is a random factor involved with blood sugar control?

This " randomness factor " is one of the major reasons why I'm skeptical. Even

if you controlled for food and this caused you to never go high or low even

from exercise, what happens when hormones or a cold or a really

stressful/emotional sitaution hits?

* end quote *

yeah, he accounts for this a lot. On his audio cds he talks about the flu,

vomiting, menstrual cycle, colds, and so on. On his cds he suggested a

supplement to take for the initial onset of a cold and swears it will knock it

out in 1 to 2 days. I got the product and have been taking it for 1 day and the

initial symptoms of the cold I had, hard to swallow, scratch throat, sugars

starting to elevate, are all gone and my sugars are back in range.

* quote *

Out of curiosity, I also heard on a diabetes forum where we were discussing

natural disasters and type 1, that somewhere Dr. Bernstein talks about how a

type 1 could survive without insulin if they were ever caught in a situation

where they were stuck for days without it. This is purely out of curiosity:

I live in an earthquake zone and, even though I bring my insulin and

supplies everywhere, I wonder sometimes what I'd do if we ever had " the big

one " that's expected some day. Does he address this on his CDs?

* end quote *

I have never heard Bernstein explain that at all in his book nor in his audio

cds.

If you have any more questions, please let me know.

also, please read my post to dave it answers some of your questions too.

Regards,

Re: Something to think about

Hi ,

Thanks for answering my questions. You posed some of your own in your e-mail

so I've answered them below.

*quote*

you only eat 6 grams of slow acting at breakfast due to the dawn effect. You

get a few more slow acting carbs from the meat you eat too. Lunch and dinner

are 12 grams of slow acting.

If memory serves me you are on a pump? None of Bernstein's patients are on

pumps, he explains that it is lethal to be on one.

*end quote*

You are right, I forgot about the dawn effect. I take 1 unit of Humalog to

cover 8-10 grams of carbohydrates in the morning, rather than the 12-15 it

covers the rest of the day.

*quote*

If memory serves me you are on a pump? None of Bernstein's patients are on

pumps, he explains that it is lethal to be on one.

*end quote*

No, I'm not on a pump but am trying to get on one (depends only on whether

insurance will cover it). Right now I'm taking Humalog and Lantus. I'm

surprised he says pumps are letal! Why does he say that? Everyone I've

talked to on a pump has better control than they ever did on shots.

*quote*

perfect. If you only needed one unit all the better. Bernstein states that a

diabetic should view insulin in the way that the less you take, the better

off you are. Insulin has quite a few negative side effects to it according

to dr B. Large bolis of insulin causes increased blood pressure, strain on

the body, and even weight gain in some.

*end quote*

It makes sense to me that more insulin would be worse. What is a " good "

amount of insulin?

*quote*

Doctor Bernstein starts type 1 folks on 7 units at the evening and I think 4

in the morning. He split doses lantus. I personally am on 9 units at the

evening and 2 in the morning but I do not take lantus, I dose ultrelente.

*end quote*

I just recently split my Lantus dose and my evening blood sugars are so much

better. I went for a year and a half without splitting it and was almost

always high at bedtime unless I gave an additional shot of Humalog in the

evening after dinner, and even that often didn't keep me down. I have had to

lower my carb ratio at dinner and also lower my Lantus dose slightly and am

still having lows, so I will probably be reducing it more.

*quote*

Note: he split doses lantus since according to doctor bernstein the lantus

research was fudged to market it as a 24 hour insulin. It is not. I.E the

research, for example, injected 60 units of lantus in a person so it was

forced to work for 24 hours. However,the person was constantly eating

glucose and sugar to not pass out! It gave them the results that they wanted

to market it but it is not a 24 hour insulin according to doctor bernstein.

Many type 1 patients, and type 2 on it, try to use it as a 24 hour and run

low in the middle of the night since it is such large doses to get the 24

hour effect. I.E you may dose 40 units at night where as doctor bernstein

may have you dose 9 at night and 4 in the morning. Big difference between 9

units at night and 40!

*end quote*

I agree that it is not a 24-hour insulin. Every type 1 I know who uses it

has ended up splitting the dose due to high blood sugars at night. It

frustrates me that it's marketed as a 24-hour insulin. The company who makes

Levemir, another new basal insulin, do not claim that it lasts for 24-hours

(they say it lasts 18-24 hours), and also are not marketing it as a peakless

insulin but rather as one with a " gentle " peak.

*end quote*

*quote*

I run 80 to 90 all the time and never get into trouble. Small numbers, small

mistakes, large numbers, large mistakes. When you do not eat quick acting

carbs, you essentially cannot get into trouble with spikes or lows since

your insulin requirements are cut more than half.

*end quote*

I think you misunderstood here. What I meant by I wasn't sure a type 1 could

take only 6 units of insulin a day (this is assuming that the Lantus/Humalog

split is 50/50, if I were to only take ~3 units of Humalog a day) is that I

don't know whether there is a minimum amount of insulin the body needs in

order to keep things going (i.e., suppress glucagon production and ketones,

etc.)? Anything under 20-30 units a day sounds really small. Is there a

minimum amount of insulin you need? On this diet do you take much more basal

insulin than bolus instead of the 50/50 split?

*quote*

Think of it this way. If you were dosing 2 to 4 units of humalog for a meal,

and a total of 10 units of lantus split 5 evening 5 morning, how could you

go low? It isn't enough to lower you even swimming and so on. Most diabetics

go low since they have *so much* basal and humalog in their bodies to deal

with the quick acting carbs that many lows in exercise is caused to the

lingering effect where humalog lingers past 4 hours and the basal is just

way to much. Most type 1 on pumps have to eat a lot due to lows. They take

to much basal and always have to eat for the sake of survival. I.E eat or

pass out. I guarantee that if you dosed only 20 units of insulin a day, as

oppose to 60 to 80, you would not run low if ever/very rare.

This would be a *huge* benefit to you Jen and you would see instant results.

That is, your lows that you experience around exercise would vanish.

*end quote*

Thank you for finally explaining the exercise! That makes more sense now. I

take an average of 40 units total of Humalog and Lantus, 35 even 30 if I am

active. This is currently on a high carb diet which even I admit isn't

always the healthiest (hey, I'm a student, what else can I say). So I am

still a bit confused how you can exercise and not go low, and still not go

high when you don't exercise. For non-diabetics the amount of insulin in

thier body changes and decreases for exercise, which is why we have to

" feed " the insulin when we want to exercise if we don't reduce the dose

first.

*quote*

btw you are still eating carbohydrates, they are just slow acting on your

sugars. They still do give you energy for exercise and so on.

*end quote*

Can you eat a " high carb " diet with only slow acting carbs and get the same

effect? Could you eat a higher number of carbs a day or just the 30g total?

*quote*

If you have any other questions, please let me know. I am just here to pass

on the information. I'd like to invite you to order doctor bernsteins audio

cds for type 1 diabetics... a wealth of helpful information. I posted the

link a while back so not sure if you seen it or not.

*end quote*

I have seen the link, but unfortunately am in university at the moment so

can't afford the $100-some-odd dollars it is (probably more in Canadian,

too). I'm still not fully convinced that a pump won't solve my problems (the

biggest of which is always waking up high no matter what I do, and a second

one though less problematic is going low during exercise which I can

compensate for by reducing insulin and/or having a snack), but I am willing

to listen. Can you give an example of your daily readings and insulin and

diet? How stable is normalized?

How does hormones, stress, illness, and other factors come into this? Does

he believe that there is a random factor involved with blood sugar control?

This " randomness factor " is one of the major reasons why I'm skeptical. Even

if you controlled for food and this caused you to never go high or low even

from exercise, what happens when hormones or a cold or a really

stressful/emotional sitaution hits?

Out of curiosity, I also heard on a diabetes forum where we were discussing

natural disasters and type 1, that somewhere Dr. Bernstein talks about how a

type 1 could survive without insulin if they were ever caught in a situation

where they were stuck for days without it. This is purely out of curiosity:

I live in an earthquake zone and, even though I bring my insulin and

supplies everywhere, I wonder sometimes what I'd do if we ever had " the big

one " that's expected some day. Does he address this on his CDs?

Thanks for all the answers you've provided so far. I may look into seeing if

any libraries around here have his CD sets. I am still not fully convinced

but it wouldn't do any harm to listen.

Jen

[Guest guest]

It really does make sense. I do have to wonder why Dr. B is the only one

who has come to this conclusion. There are others no doubt, but I'm not in

touch enough, and they just haven't made the headlines like Dr. B. I know

some folks may not agree with what I'm about to say, but according to the

Bible and the way mankind was originally created, if you think about it,

there weren't any so called fast acting carbohydrates. Only vegetables and

fruits. Well, that's a question to ask, what about fruits? I guess some

are okay, and others are not. Back to the original humans, as I stated,

according to the original plan, that is, before death (i.e. before Adam and

Eve ate meat), they were able to exist, by design, on only the nutrition

provided by things they could grow. They probably didn't bake things, no

breads, as they probably didn't need to have fire. But, there's a good bit

of speculation there, so I won't pursue that any further. Anyway, almost

all of us have simply grown accustom to having too much food at our

disposal, and we're all over fed. I like the concept of eating less and

taking less insulin. Although, that reminds me of the dark ages of when

diabetes was first identified. Back then the only treatment was literally

starvation, and that's how many people died. I'm going to take a look at

the South Beach diet book my wife has somewhere and see what kinds of meals

they suggest for what I think is called the first phase. Whatever it's

called, it's the diet plan that virtually eliminates carbohydrates and

allows for a lot of meat consumption. I don't know if I want to drop to

only 30 carbohydrates per day, because living is one thing, and enjoying it

is another. I don't know if I want to give up all the " bad " carbs frankly,

and I might just keep on eating my home made oatmeal cookie (made with whole

oats of course) each day thank you very much! <smile>

Dave

Life is but a blink of the eye--eternity is coming...

Re: Something to think about

>

>

> Hi ,

>

> I'm a bit confused by how the low carb diet and not going low works. I,

> for example, take 1 unit of Humalog for approximately 12-15 grams of

> carbohydrates. If I were to only eat 6 grams of carbohydrates at a meal, I

> would somehow have to give only half a unit of Humalog. If I ate 12 grams

> that would be about 1 unit.

>

> How to you balance basal insulin like Lantus when you are on so little

> Humalog? For me that would be about 2-3 units of Humalog per day! The

> balance of insulin is supposed to be about 50% as long acting and 50% as

> rapid acting to cover meals. How much Lantus do you take? I am assuming

> that a type 1 cannot take only 6 units of insulin and not get into

> trouble. Also, if you eat slow-acting carbs with lots of protein and fat

> this usually slows carbs down even more, so how do you avoid going low

> immediately after a meal when Humalog peaks, if the food might take longer

> to reach your bloodstream?

>

> Also how does exercise work? Right now I have to eat fast acting carbs

> before or during exercise, and reduce my rapid and long acting insulin, or

> else I go low. If you are taking so little insulin and eating so little

> carbs, how do you exercise (such as swimming) without going low?

>

> Jen

>

>

[Guest guest]

ruth, years ago i was warned by doctors, you can burn brain cells with the

lows.

Something to think about

>

>

>> For those of you who are trying to run normalized blood sugars there

>> is something important to think about. My brother who was diabetic

>> for 48 years tried to keep normalized blood sugars and kept passing

>> out and having to go to the hospital. During these times while he was

>> passed out he had brain damage occur. So while it is important to

>> have good blood sugars, remember Be Careful!

>>

>> Ruth

>>

>>

>>

[Guest guest]

Hi Dave,

yeah, to be honest, if there was another way to normalize sugars I would gladly

invite it. I just have not found a way to let you run 80 all the time or 4.5

canadian.

however, one thing I find interesting is that I am much fuller eatig more

protein adn vegtebles than I ever have bee eating quick acting carbs. For

example, I can eat my breakfast at 7 am and not even be hungry until around 1 pm

in the afternoon or 2 pm.

Previously when eating quick acting carbs for breakfast by 11 am I was starving.

carbs just do not stick with you as much as protein.

Regards,

Re: Something to think about

>

>

> Hi ,

>

> I'm a bit confused by how the low carb diet and not going low works. I,

> for example, take 1 unit of Humalog for approximately 12-15 grams of

> carbohydrates. If I were to only eat 6 grams of carbohydrates at a meal, I

> would somehow have to give only half a unit of Humalog. If I ate 12 grams

> that would be about 1 unit.

>

> How to you balance basal insulin like Lantus when you are on so little

> Humalog? For me that would be about 2-3 units of Humalog per day! The

> balance of insulin is supposed to be about 50% as long acting and 50% as

> rapid acting to cover meals. How much Lantus do you take? I am assuming

> that a type 1 cannot take only 6 units of insulin and not get into

> trouble. Also, if you eat slow-acting carbs with lots of protein and fat

> this usually slows carbs down even more, so how do you avoid going low

> immediately after a meal when Humalog peaks, if the food might take longer

> to reach your bloodstream?

>

> Also how does exercise work? Right now I have to eat fast acting carbs

> before or during exercise, and reduce my rapid and long acting insulin, or

> else I go low. If you are taking so little insulin and eating so little

> carbs, how do you exercise (such as swimming) without going low?

>

> Jen

>

>

[Guest guest]

Hi again Jen,

One thing to understand with pumpers is that they are not normalized. That is

important to understand... they run good sugars but good sugars are not

normalized sugars. Often times pumpers go out of range a lot due to bolosing

tons of humalog for quick acting carb meals. Secondly, on average, their a1c is

around 5.8 and that is far from normalized.

On Bernsteins approach to normalizing sugars, you run 4.5 to 5.0 98% of the time

and do not experience swings, if ever. Your a1c will be between 4.5 to 4.8 and

you do not swing.

Let me encourage you to try this for a brief period... try it for 30 days. If it

doesn't work out then so be it but at least all you lost is 30 days and you are

in college and still young so 30 days is nothing for you! *grin*.

However, if it does prove to work and normalize you, which I know it will, then

you have gained tremendously.

You have nothing to lose... your body is your own experiment!

Regards,

Re: Something to think about

Hi ,

Thanks for answering my questions. You posed some of your own in your e-mail

so I've answered them below.

*quote*

you only eat 6 grams of slow acting at breakfast due to the dawn effect. You

get a few more slow acting carbs from the meat you eat too. Lunch and dinner

are 12 grams of slow acting.

If memory serves me you are on a pump? None of Bernstein's patients are on

pumps, he explains that it is lethal to be on one.

*end quote*

You are right, I forgot about the dawn effect. I take 1 unit of Humalog to

cover 8-10 grams of carbohydrates in the morning, rather than the 12-15 it

covers the rest of the day.

*quote*

If memory serves me you are on a pump? None of Bernstein's patients are on

pumps, he explains that it is lethal to be on one.

*end quote*

No, I'm not on a pump but am trying to get on one (depends only on whether

insurance will cover it). Right now I'm taking Humalog and Lantus. I'm

surprised he says pumps are letal! Why does he say that? Everyone I've

talked to on a pump has better control than they ever did on shots.

*quote*

perfect. If you only needed one unit all the better. Bernstein states that a

diabetic should view insulin in the way that the less you take, the better

off you are. Insulin has quite a few negative side effects to it according

to dr B. Large bolis of insulin causes increased blood pressure, strain on

the body, and even weight gain in some.

*end quote*

It makes sense to me that more insulin would be worse. What is a " good "

amount of insulin?

*quote*

Doctor Bernstein starts type 1 folks on 7 units at the evening and I think 4

in the morning. He split doses lantus. I personally am on 9 units at the

evening and 2 in the morning but I do not take lantus, I dose ultrelente.

*end quote*

I just recently split my Lantus dose and my evening blood sugars are so much

better. I went for a year and a half without splitting it and was almost

always high at bedtime unless I gave an additional shot of Humalog in the

evening after dinner, and even that often didn't keep me down. I have had to

lower my carb ratio at dinner and also lower my Lantus dose slightly and am

still having lows, so I will probably be reducing it more.

*quote*

Note: he split doses lantus since according to doctor bernstein the lantus

research was fudged to market it as a 24 hour insulin. It is not. I.E the

research, for example, injected 60 units of lantus in a person so it was

forced to work for 24 hours. However,the person was constantly eating

glucose and sugar to not pass out! It gave them the results that they wanted

to market it but it is not a 24 hour insulin according to doctor bernstein.

Many type 1 patients, and type 2 on it, try to use it as a 24 hour and run

low in the middle of the night since it is such large doses to get the 24

hour effect. I.E you may dose 40 units at night where as doctor bernstein

may have you dose 9 at night and 4 in the morning. Big difference between 9

units at night and 40!

*end quote*

I agree that it is not a 24-hour insulin. Every type 1 I know who uses it

has ended up splitting the dose due to high blood sugars at night. It

frustrates me that it's marketed as a 24-hour insulin. The company who makes

Levemir, another new basal insulin, do not claim that it lasts for 24-hours

(they say it lasts 18-24 hours), and also are not marketing it as a peakless

insulin but rather as one with a " gentle " peak.

*end quote*

*quote*

I run 80 to 90 all the time and never get into trouble. Small numbers, small

mistakes, large numbers, large mistakes. When you do not eat quick acting

carbs, you essentially cannot get into trouble with spikes or lows since

your insulin requirements are cut more than half.

*end quote*

I think you misunderstood here. What I meant by I wasn't sure a type 1 could

take only 6 units of insulin a day (this is assuming that the Lantus/Humalog

split is 50/50, if I were to only take ~3 units of Humalog a day) is that I

don't know whether there is a minimum amount of insulin the body needs in

order to keep things going (i.e., suppress glucagon production and ketones,

etc.)? Anything under 20-30 units a day sounds really small. Is there a

minimum amount of insulin you need? On this diet do you take much more basal

insulin than bolus instead of the 50/50 split?

*quote*

Think of it this way. If you were dosing 2 to 4 units of humalog for a meal,

and a total of 10 units of lantus split 5 evening 5 morning, how could you

go low? It isn't enough to lower you even swimming and so on. Most diabetics

go low since they have *so much* basal and humalog in their bodies to deal

with the quick acting carbs that many lows in exercise is caused to the

lingering effect where humalog lingers past 4 hours and the basal is just

way to much. Most type 1 on pumps have to eat a lot due to lows. They take

to much basal and always have to eat for the sake of survival. I.E eat or

pass out. I guarantee that if you dosed only 20 units of insulin a day, as

oppose to 60 to 80, you would not run low if ever/very rare.

This would be a *huge* benefit to you Jen and you would see instant results.

That is, your lows that you experience around exercise would vanish.

*end quote*

Thank you for finally explaining the exercise! That makes more sense now. I

take an average of 40 units total of Humalog and Lantus, 35 even 30 if I am

active. This is currently on a high carb diet which even I admit isn't

always the healthiest (hey, I'm a student, what else can I say). So I am

still a bit confused how you can exercise and not go low, and still not go

high when you don't exercise. For non-diabetics the amount of insulin in

thier body changes and decreases for exercise, which is why we have to

" feed " the insulin when we want to exercise if we don't reduce the dose

first.

*quote*

btw you are still eating carbohydrates, they are just slow acting on your

sugars. They still do give you energy for exercise and so on.

*end quote*

Can you eat a " high carb " diet with only slow acting carbs and get the same

effect? Could you eat a higher number of carbs a day or just the 30g total?

*quote*

If you have any other questions, please let me know. I am just here to pass

on the information. I'd like to invite you to order doctor bernsteins audio

cds for type 1 diabetics... a wealth of helpful information. I posted the

link a while back so not sure if you seen it or not.

*end quote*

I have seen the link, but unfortunately am in university at the moment so

can't afford the $100-some-odd dollars it is (probably more in Canadian,

too). I'm still not fully convinced that a pump won't solve my problems (the

biggest of which is always waking up high no matter what I do, and a second

one though less problematic is going low during exercise which I can

compensate for by reducing insulin and/or having a snack), but I am willing

to listen. Can you give an example of your daily readings and insulin and

diet? How stable is normalized?

How does hormones, stress, illness, and other factors come into this? Does

he believe that there is a random factor involved with blood sugar control?

This " randomness factor " is one of the major reasons why I'm skeptical. Even

if you controlled for food and this caused you to never go high or low even

from exercise, what happens when hormones or a cold or a really

stressful/emotional sitaution hits?

Out of curiosity, I also heard on a diabetes forum where we were discussing

natural disasters and type 1, that somewhere Dr. Bernstein talks about how a

type 1 could survive without insulin if they were ever caught in a situation

where they were stuck for days without it. This is purely out of curiosity:

I live in an earthquake zone and, even though I bring my insulin and

supplies everywhere, I wonder sometimes what I'd do if we ever had " the big

one " that's expected some day. Does he address this on his CDs?

Thanks for all the answers you've provided so far. I may look into seeing if

any libraries around here have his CD sets. I am still not fully convinced

but it wouldn't do any harm to listen.

Jen

[Guest guest]

I sent it Harry, but did not save it. The brain damage is more likely to

occur because of high blood sugars.

Re: Something to think about

How old was your brother? I read a recent article about running low blood

sugars, and it said it found no loss in function or deterioration of ability

once normal sugar levels were resumed. I am not sure I am quoting the study

exactly. In fact I am pretty sure I am not. I even think I sent a copy of

this study to this list serve. I cannot find my copy, so if I did, would

someone please repost it again.

Something to think about

> For those of you who are trying to run normalized blood sugars there is

> something important to think about. My brother who was diabetic for 48

> years tried to keep normalized blood sugars and kept passing out and

> having

> to go to the hospital. During these times while he was passed out he had

> brain damage occur. So while it is important to have good blood sugars,

> remember Be Careful!

>

> Ruth

>

>

>

[Guest guest]

Hi ,

How about a few examples of meals? Thanks.

Dave

Life is but a blink of the eye--eternity is coming...

Re: Something to think about

> >

> >

> > Hi ,

> >

> > I'm a bit confused by how the low carb diet and not going low works. I,

> > for example, take 1 unit of Humalog for approximately 12-15 grams of

> > carbohydrates. If I were to only eat 6 grams of carbohydrates at a

> meal, I

> > would somehow have to give only half a unit of Humalog. If I ate 12

> grams

> > that would be about 1 unit.

> >

> > How to you balance basal insulin like Lantus when you are on so little

> > Humalog? For me that would be about 2-3 units of Humalog per day! The

> > balance of insulin is supposed to be about 50% as long acting and 50%

> as

> > rapid acting to cover meals. How much Lantus do you take? I am assuming

> > that a type 1 cannot take only 6 units of insulin and not get into

> > trouble. Also, if you eat slow-acting carbs with lots of protein and

> fat

> > this usually slows carbs down even more, so how do you avoid going low

> > immediately after a meal when Humalog peaks, if the food might take

> longer

> > to reach your bloodstream?

> >

> > Also how does exercise work? Right now I have to eat fast acting carbs

> > before or during exercise, and reduce my rapid and long acting insulin,

> or

> > else I go low. If you are taking so little insulin and eating so little

> > carbs, how do you exercise (such as swimming) without going low?

> >

> > Jen

> >

> >

[Guest guest]

, You would have to decrease the amount of Lantis and thus the

humalog too. I have an insulin pump so can give myself as little as 1/2

unit. Also, my basal insulin and boluss are not 50-50, but more like

80-20%.

Re: Something to think about

Hi ,

I'm a bit confused by how the low carb diet and not going low works. I, for

example, take 1 unit of Humalog for approximately 12-15 grams of

carbohydrates. If I were to only eat 6 grams of carbohydrates at a meal, I

would somehow have to give only half a unit of Humalog. If I ate 12 grams

that would be about 1 unit.

How to you balance basal insulin like Lantus when you are on so little

Humalog? For me that would be about 2-3 units of Humalog per day! The

balance of insulin is supposed to be about 50% as long acting and 50% as

rapid acting to cover meals. How much Lantus do you take? I am assuming that

a type 1 cannot take only 6 units of insulin and not get into trouble. Also,

if you eat slow-acting carbs with lots of protein and fat this usually slows

carbs down even more, so how do you avoid going low immediately after a meal

when Humalog peaks, if the food might take longer to reach your bloodstream?

Also how does exercise work? Right now I have to eat fast acting carbs

before or during exercise, and reduce my rapid and long acting insulin, or

else I go low. If you are taking so little insulin and eating so little

carbs, how do you exercise (such as swimming) without going low?

Jen

[Guest guest]

breakfast:

3 eggs, 2 cheese sticks, 1/2 cup spinich - 4 units of humalog.

4 sausage sticks, 2 eggs, 1 cup of salad - toss meats over salad with some

parmasaun cheese - 4 units of humalog to cover.

lunch:

1 can of tuna, 3 slices of cheese, 1 can of green beans - 4 units of humalog to

cover.

1 can of roast beef with gravey, 1 can of asparagus - 4 units of humalog to

cover.

4 ounce chicken breast, slice of cheese, and 2 to 4 cups of salad - toss meat on

salad with some Italian dressing - 4 units of humalog to cover.

dinner

4 ounces of roast and 2 cups of tossed salad - 4 units of humalog to cover.

5 ounce steak and 1/2 cup of pumpkin with cinnomon/splenda on it for flavoring -

4 units of humalog to cover.

Note: I dose 2 units of ultrelente at 8 am and 9 units at 8 pm for basal.

Note: doctor bernstein explains in his audio cds that when you eat anything and

your stomach expands it causes an enzyme to be released from your pancreas

that causes the liver to break it down to glucose and will increase your sugar.

This enzyme is excreted in type 1 and type 2 diabetics and must be accounted

for when dosing insulin. This is why I have to dose 4 units of humalog at each

meal for only 6, 12, and 12 slow carbos even though it may seem like such

a little bit of carbos. I also eat 4 ounces of meat at each meal.

Also, the more familiar you get with the routine you can eat more meat and so

on.

If you need more meal examples, just let me know.

Regards,

Re: Something to think about

> >

> >

> > Hi ,

> >

> > I'm a bit confused by how the low carb diet and not going low works. I,

> > for example, take 1 unit of Humalog for approximately 12-15 grams of

> > carbohydrates. If I were to only eat 6 grams of carbohydrates at a

> meal, I

> > would somehow have to give only half a unit of Humalog. If I ate 12

> grams

> > that would be about 1 unit.

> >

> > How to you balance basal insulin like Lantus when you are on so little

> > Humalog? For me that would be about 2-3 units of Humalog per day! The

> > balance of insulin is supposed to be about 50% as long acting and 50%

> as

> > rapid acting to cover meals. How much Lantus do you take? I am assuming

> > that a type 1 cannot take only 6 units of insulin and not get into

> > trouble. Also, if you eat slow-acting carbs with lots of protein and

> fat

> > this usually slows carbs down even more, so how do you avoid going low

> > immediately after a meal when Humalog peaks, if the food might take

> longer

> > to reach your bloodstream?

> >

> > Also how does exercise work? Right now I have to eat fast acting carbs

> > before or during exercise, and reduce my rapid and long acting insulin,

> or

> > else I go low. If you are taking so little insulin and eating so little

> > carbs, how do you exercise (such as swimming) without going low?

> >

> > Jen

> >

> >

[Guest guest]

Which is higher? Lantus or Humalog?

Re: Something to think about

>

> Hi ,

>

> I'm a bit confused by how the low carb diet and not going low works. I,

> for

> example, take 1 unit of Humalog for approximately 12-15 grams of

> carbohydrates. If I were to only eat 6 grams of carbohydrates at a meal, I

> would somehow have to give only half a unit of Humalog. If I ate 12 grams

> that would be about 1 unit.

>

> How to you balance basal insulin like Lantus when you are on so little

> Humalog? For me that would be about 2-3 units of Humalog per day! The

> balance of insulin is supposed to be about 50% as long acting and 50% as

> rapid acting to cover meals. How much Lantus do you take? I am assuming

> that

> a type 1 cannot take only 6 units of insulin and not get into trouble.

> Also,

> if you eat slow-acting carbs with lots of protein and fat this usually

> slows

> carbs down even more, so how do you avoid going low immediately after a

> meal

> when Humalog peaks, if the food might take longer to reach your

> bloodstream?

>

> Also how does exercise work? Right now I have to eat fast acting carbs

> before or during exercise, and reduce my rapid and long acting insulin, or

> else I go low. If you are taking so little insulin and eating so little

> carbs, how do you exercise (such as swimming) without going low?

>

> Jen

>

>

[Guest guest]

, I am a little confused. Well, that's an improvement

from my normally a lot confused...

In looking at your diet plan, I would think it to be very

heavy on cholesterol. And, isn't it protein and

cholesterol, or at least protein, that effects creatinine?

Also, what does the doctor say about the risks of

cholesterol when following such a plan. I don't mean his

whole explanation, but just a quickie.

Thanks for the education. It is interesting to ponder.

SS

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[Guest guest]

Your liver makes cholesterol. It is an essential body substance. Eating

fat and protein does not increase your cholesterol level. Eating

carbohydrates does increase your cholesterol. The medical doctors got it

all wrong when they swore that eating fats and proteins increase your

cholesterol levels. They were just plain wrong.

RE: Something to think about

> , I am a little confused. Well, that's an improvement

> from my normally a lot confused...

>

> In looking at your diet plan, I would think it to be very

> heavy on cholesterol. And, isn't it protein and

> cholesterol, or at least protein, that effects creatinine?

> Also, what does the doctor say about the risks of

> cholesterol when following such a plan. I don't mean his

> whole explanation, but just a quickie.

>

> Thanks for the education. It is interesting to ponder.

>

> SS

>

>

> --

> No virus found in this outgoing message.

> Checked by AVG Free Edition.

> Version: 7.1.408 / Virus Database: 268.13.13/500 - Release

> Date: 10/26/2006

>

>

>

>

>

>

[Guest guest]

Harry my friend,

You have it all wrong, not the doctors. My husband sees a liver specialist

and he said that when you eat too much fat that your liver works harder to

handle it and thus produces more cholesterol. Not only that, if what you

said is true, which it is not, then why did my cholesterol levels go down

when I was put on a low cholesterol diet after my stroke?

Ruth

Re: Something to think about

Your liver makes cholesterol. It is an essential body substance. Eating

fat and protein does not increase your cholesterol level. Eating

carbohydrates does increase your cholesterol. The medical doctors got it

all wrong when they swore that eating fats and proteins increase your

cholesterol levels. They were just plain wrong.

RE: Something to think about

> , I am a little confused. Well, that's an improvement from my

> normally a lot confused...

>

> In looking at your diet plan, I would think it to be very heavy on

> cholesterol. And, isn't it protein and cholesterol, or at least

> protein, that effects creatinine?

> Also, what does the doctor say about the risks of cholesterol when

> following such a plan. I don't mean his whole explanation, but just a

> quickie.

>

> Thanks for the education. It is interesting to ponder.

>

> SS

>

>

> --

> No virus found in this outgoing message.

> Checked by AVG Free Edition.

> Version: 7.1.408 / Virus Database: 268.13.13/500 - Release

> Date: 10/26/2006

>

>

>

>

>

>

[Guest guest]

I haven't a clue.

RE: Something to think about

>

>

>> , I am a little confused. Well, that's an improvement from my

>> normally a lot confused...

>>

>> In looking at your diet plan, I would think it to be very heavy on

>> cholesterol. And, isn't it protein and cholesterol, or at least

>> protein, that effects creatinine?

>> Also, what does the doctor say about the risks of cholesterol when

>> following such a plan. I don't mean his whole explanation, but just a

>> quickie.

>>

>> Thanks for the education. It is interesting to ponder.

>>

>> SS

>>

>>

>> --

>> No virus found in this outgoing message.

>> Checked by AVG Free Edition.

>> Version: 7.1.408 / Virus Database: 268.13.13/500 - Release

>> Date: 10/26/2006

>>

>>

>>

>>

>>

>>

[Guest guest]

hi justin, could you give more meal examples, many thanks, karen from canada

Re: Something to think about

> > >

> > >

> > > Hi ,

> > >

> > > I'm a bit confused by how the low carb diet and not going low works.

> I,

> > > for example, take 1 unit of Humalog for approximately 12-15 grams of

> > > carbohydrates. If I were to only eat 6 grams of carbohydrates at a

> > meal, I

> > > would somehow have to give only half a unit of Humalog. If I ate 12

> > grams

> > > that would be about 1 unit.

> > >

> > > How to you balance basal insulin like Lantus when you are on so

> little

> > > Humalog? For me that would be about 2-3 units of Humalog per day! The

> > > balance of insulin is supposed to be about 50% as long acting and 50%

> > as

> > > rapid acting to cover meals. How much Lantus do you take? I am

> assuming

> > > that a type 1 cannot take only 6 units of insulin and not get into

> > > trouble. Also, if you eat slow-acting carbs with lots of protein and

> > fat

> > > this usually slows carbs down even more, so how do you avoid going

> low

> > > immediately after a meal when Humalog peaks, if the food might take

> > longer

> > > to reach your bloodstream?

> > >

> > > Also how does exercise work? Right now I have to eat fast acting

> carbs

> > > before or during exercise, and reduce my rapid and long acting

> insulin,

> > or

> > > else I go low. If you are taking so little insulin and eating so

> little

> > > carbs, how do you exercise (such as swimming) without going low?

> > >

> > > Jen

> > >

> > >

[Guest guest]

Hi Harry,

It's obvious, I quit eating so much fatty food.

Ruth

Re: Something to think about

I haven't a clue.

RE: Something to think about

>

>

>> , I am a little confused. Well, that's an improvement from my

>> normally a lot confused...

>>

>> In looking at your diet plan, I would think it to be very heavy on

>> cholesterol. And, isn't it protein and cholesterol, or at least

>> protein, that effects creatinine?

>> Also, what does the doctor say about the risks of cholesterol when

>> following such a plan. I don't mean his whole explanation, but just a

>> quickie.

>>

>> Thanks for the education. It is interesting to ponder.

>>

>> SS

>>

>>

>> --

>> No virus found in this outgoing message.

>> Checked by AVG Free Edition.

>> Version: 7.1.408 / Virus Database: 268.13.13/500 - Release

>> Date: 10/26/2006

>>

>>

>>

>>

>>

>>

[Guest guest]

Harry,

A pump only uses rapid acting insulin like Humalog. The basal insulin (what we

use Lantus for) is done by the pump delivering a small amount of insulin, such

as half a unit or even in smaller incriments than that, every few minutes around

the clock. Then the user can program in larger doses of insulin to be delivered

at meals.

A pump rep is coming next week to show me the Cozmo. I think this is the one I

want, so hopefully insurance will cover it. , which pump do you use?

Jen

Re: Something to think about

>

> Hi ,

>

> I'm a bit confused by how the low carb diet and not going low works. I,

> for

> example, take 1 unit of Humalog for approximately 12-15 grams of

> carbohydrates. If I were to only eat 6 grams of carbohydrates at a meal, I

> would somehow have to give only half a unit of Humalog. If I ate 12 grams

> that would be about 1 unit.

>

> How to you balance basal insulin like Lantus when you are on so little

> Humalog? For me that would be about 2-3 units of Humalog per day! The

> balance of insulin is supposed to be about 50% as long acting and 50% as

> rapid acting to cover meals. How much Lantus do you take? I am assuming

> that

> a type 1 cannot take only 6 units of insulin and not get into trouble.

> Also,

> if you eat slow-acting carbs with lots of protein and fat this usually

> slows

> carbs down even more, so how do you avoid going low immediately after a

> meal

> when Humalog peaks, if the food might take longer to reach your

> bloodstream?

>

> Also how does exercise work? Right now I have to eat fast acting carbs

> before or during exercise, and reduce my rapid and long acting insulin, or

> else I go low. If you are taking so little insulin and eating so little

> carbs, how do you exercise (such as swimming) without going low?

>

> Jen

>

>

[Guest guest]

Hi Ruth,

A thought...

you should get a copy of the research that doctor Bernstein mentions in his

audio cds.

Diet 100% has to do with increased ldl and eating fat doesn't raze it.

Eating quick acting carbohydrates *along with fat* razes it. In the experiment

people who did not eat quick acting carbohydrates and just fat/meat/slow acting

carbos lipids were fine.

How could that be? Simple, their body metobolized the fat since it needed it so

it did not raze their ldl.

The people who had quick acting carb diets and eating the fat... they did not

need the carbs, nor the fat, so the body stored it and as a result the ldl

skyrocketed. I.E the fat was not metobolized.

Experiment on your own body and you'll see it is true. Don't eat quick acting

carbs, eat slow acting carbs and fat/meat. In 30 to 45 days go get your lipids

done and they will be normal. On the flip side... eat quick acting carbs, and

the fat, go get your lipids done and they will be elevated.

Regards,

RE: Something to think about

> , I am a little confused. Well, that's an improvement from my

> normally a lot confused...

>

> In looking at your diet plan, I would think it to be very heavy on

> cholesterol. And, isn't it protein and cholesterol, or at least

> protein, that effects creatinine?

> Also, what does the doctor say about the risks of cholesterol when

> following such a plan. I don't mean his whole explanation, but just a

> quickie.

>

> Thanks for the education. It is interesting to ponder.

>

> SS

>

>

> --

> No virus found in this outgoing message.

> Checked by AVG Free Edition.

> Version: 7.1.408 / Virus Database: 268.13.13/500 - Release

> Date: 10/26/2006

>

>

>

>

>

>