Guest guest Posted October 30, 2006 Report Posted October 30, 2006 , Early man (Biblical characters not included) didn't live long enough to find out what effect their diet may have had. (LOL) Also, early man did not, I think, have refined sugar and flour and he sure as the Dickens did not have partially hydrogenated fats. (LOL) It seems to me that the life expectancy at the turn of the 20th century was something like 42? Cy, the Ancient Okie... Re: Something to think about 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 > > > > > > Quote
Guest guest Posted October 30, 2006 Report Posted October 30, 2006 Hi Cy, Your facts are correct. When I make a reference to prehistoric man, it is to point out that our base for some of the things we eat come from that period in time. It was because of how our teeth changed that brought on other changes. Ruth Re: Something to think about 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 > > > > > > Quote
Guest guest Posted October 30, 2006 Report Posted October 30, 2006 Let us know how the demo for the pump goes. Doc's are even prescribing pumps for children as they seem to be able to control their sugars beter. Re: Something to think about Hi , It was who said people on pumps use 90 units a day. I've also never used that much insulin. Right now I take about 40-45 units a day but I'm not on a low carb diet. Most people on pumps that I've talked to find that they need less insulin on a pump than they did with shots because it is more closely matched to what the body needs. Of course most of the people I talk to are also in their 20s, and we all take around 40-50 units a day. Also the people I know on pumps almost never have lows, and when they do they say they are much easier to treat. Pumps apparently reduce the risk of lows over shots, not increase it. I'm hoping to get on a pump soon. Just depends on whether insurance will cover it, and the pump rep says my insurance is usually pretty good about that. Jen 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 Quote
Guest guest Posted October 30, 2006 Report Posted October 30, 2006 That is true Cy, but even ancient Roman history and Greek history mentions people who have " sweet sickness " and symptoms mentioned seem to indicate it was diabetes. So it has always been around-just not as prevalent as people did not always live long enough to develop it! Re: Something to think about 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 > > > > > > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 I think we were created with teeth as humans, and we ate things we grew, which required teeth. Just my opinion (and a few other people as well!). <smile> Dave Life is but a blink of the eye--eternity is coming... 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 > > > > > > > > > > > > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 If you think about it, because diabetics are, well, kept alive and we procreate, the likelihood of a growing population of diabetics is bound to increase. At least, in the old days, many diabetics died before they produced children, and thus the total population of diabetics was kept rather under control. Dave Life is but a blink of the eye--eternity is coming... 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 > > > > > > > > > > > > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 Dave, after finding out I was a diabetic I had myself fixed and adopted a son who mother was a diabetic, smile. so far he is find but he is a big boy and very much a potential diabetic but wont listen. 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 >> > >> > >> > >> > >> > >> > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 Hi , I really liked the Cozmo pump. The rep was very nice and spent a lot of time explaining to my mom who was there how things worked. In terms of accessibility the pump screen isn't accessible (although I was able to read it with a magnifier and even some parts without!), but it can be set to beep with each button press so that there's at least confirmation that you've pressed something. I also really like the buttons--there's no way you could press one of those by mistake. The audio bolus is also accessible. The rep said that theoretically I could set up the pump's settings using my computer (it comes with software to let you do this) and then only really have to worry about using the audio bolus feature to deliver insulin during the day. The Cozmo also has a glucose meter that attaches to the back, although it's not a CGMS system, just a FreeStyle meter build into the pump (it just makes less to carry with the pump and meter combined). Obviously, the meter isn't accessible. Also, although alarms and warnings can be set to have an audible sound, the message appearing on the screen isn't accessible. In regards to putting children on pump, even when I was younger there were a few kids I knew who used pumps. When I was in grade nine or so we went with another friend of mine who was diabetic to a parent support group meeting where they talked about pumps, and my parents considered putting me on one then but decided against it because I wasn't very enthusiastic. Nowadays they're putting children as young as toddlers and preschoolers on pumps. I did childcare about a year ago at our local hospital for a parent meeting, and over half the preschool kids I watched used pumps, and I bet those kids will have far less risk of any complications in the future than ones who don't go on pumps for years. Of course it still takes work as the rep yesterday pointed out, but the idea that pumps are lethal I find rediculous, because they are more flexible and precise than shots. Jen 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 Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 Procreation isn't doing it these days, diet is. Ruth Re: Something to think about If you think about it, because diabetics are, well, kept alive and we procreate, the likelihood of a growing population of diabetics is bound to increase. At least, in the old days, many diabetics died before they produced children, and thus the total population of diabetics was kept rather under control. Dave Life is but a blink of the eye--eternity is coming... 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 > > > > > > > > > > > > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 This is where it becomes important to distinguish between type 1 and type 2. The causes of each are different. Jen 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 > > > > > > > > > > > > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 Yes, Dave You are right. Many diabetics, particularly type 1's did not live long enough to procreate but now do. My cousin is a doctor and he said he was taught in school that some time in the future, all people will the genes to bring on diabetes! Not a good thought. Re: Something to think about If you think about it, because diabetics are, well, kept alive and we procreate, the likelihood of a growing population of diabetics is bound to increase. At least, in the old days, many diabetics died before they produced children, and thus the total population of diabetics was kept rather under control. Dave Life is but a blink of the eye--eternity is coming... 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 > > > > > > > > > > > > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 Thanks for the info Jen. I think I will contact Cosmo and ask them to demonstrate their pump to me I am rather tired of dealing with Roesch, who now makes the Disetronics pump, as I find their sales reps rather rude. I agree with about the use of the pump. It is much better than any other way of controlling diabetes and I have 62 years of experience! Re: Something to think about Hi , I really liked the Cozmo pump. The rep was very nice and spent a lot of time explaining to my mom who was there how things worked. In terms of accessibility the pump screen isn't accessible (although I was able to read it with a magnifier and even some parts without!), but it can be set to beep with each button press so that there's at least confirmation that you've pressed something. I also really like the buttons--there's no way you could press one of those by mistake. The audio bolus is also accessible. The rep said that theoretically I could set up the pump's settings using my computer (it comes with software to let you do this) and then only really have to worry about using the audio bolus feature to deliver insulin during the day. The Cozmo also has a glucose meter that attaches to the back, although it's not a CGMS system, just a FreeStyle meter build into the pump (it just makes less to carry with the pump and meter combined). Obviously, the meter isn't accessible. Also, although alarms and warnings can be set to have an audible sound, the message appearing on the screen isn't accessible. In regards to putting children on pump, even when I was younger there were a few kids I knew who used pumps. When I was in grade nine or so we went with another friend of mine who was diabetic to a parent support group meeting where they talked about pumps, and my parents considered putting me on one then but decided against it because I wasn't very enthusiastic. Nowadays they're putting children as young as toddlers and preschoolers on pumps. I did childcare about a year ago at our local hospital for a parent meeting, and over half the preschool kids I watched used pumps, and I bet those kids will have far less risk of any complications in the future than ones who don't go on pumps for years. Of course it still takes work as the rep yesterday pointed out, but the idea that pumps are lethal I find rediculous, because they are more flexible and precise than shots. Jen 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 Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 We have a son who is 10 going on 30, and he loves his carbs. <frown> He is quite used to my preaching about what could happen, and he does seem to take it in, but he also isn't anywhere near ready to enjoy a life of salads and vegetables! He is very active and very healthy. We do check his bg now and then, and of course we are ever watchful for any first signs. God willing, he won't inherit diabetes. Dave Life is but a blink of the eye--eternity is coming... 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 >>> > >>> > >>> > >>> > >>> > >>> > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 Well, yes, as far as type 2s, which make up about 95% of the diabetics today. Dave Life is but a blink of the eye--eternity is coming... 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 >> > >> > >> > >> > >> > >> > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 Hi Jen, I made this comment based on the previous e-mail I answered. You are correct. They do differ, but there is a less than 5 percent chance of passing onType 1 diabetes, where as type 2 is increasingly rapidly due to diet mostly. Type 2 passes a 25 percent chance of passing it on. Ruth Re: Something to think about This is where it becomes important to distinguish between type 1 and type 2. The causes of each are different. Jen 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 > > > > > > > > > > > > Quote
Guest guest Posted October 31, 2006 Report Posted October 31, 2006 Hi , You've got that right! This is surely a scary thought. Ruth Re: Something to think about If you think about it, because diabetics are, well, kept alive and we procreate, the likelihood of a growing population of diabetics is bound to increase. At least, in the old days, many diabetics died before they produced children, and thus the total population of diabetics was kept rather under control. Dave Life is but a blink of the eye--eternity is coming... 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 > > > > > > > > > > > > Quote
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