RE: hope for type 2's

[Guest guest]

Interesting how they talk about a potential treatment for type 2, when this is

clearly a type 1 treatment! Hmmm? Or did I miss something?

Dave

A wise man's heart guides his mouth, and his lips promote instruction. (Proverbs

16:23)

hope for type 2's

Home

This article originally posted April 7, 2009 and appeared in

Issue 463

New Diabetes Research Gives Hope for Type 2s

Clinical trials overseen by the University of Miami's Diabetes Research

Center show dramatic results in treatment of Type 2 diabetes. Stem cells

developed

into pancreatic cells and...

Human trials under way at the University of Miami and other hospitals in

Europe, Asia and Latin America using immature adult stem cells are showing

promise

for people with Type 2 diabetes.

In a UM clinical trial recently published in the online journal Cell

Transplantation, 25 patients achieved better insulin production, lower

blood-sugar

levels and reduced need for insulin injections.

In the trial, still in its pilot stage, doctors extracted immature adult

stem cells from the patients' own bone marrow, purified and concentrated

them,

and injected them into arteries near the pancreas. They then put the

patients into hyperbaric oxygen chambers like those used for divers with

decompression

sickness -- also called the ''bends'' -- and subjected them to 10 hours of

pure oxygen at 2.4 times the atmospheric pressure at ground level.

Researchers believe the high-pressure oxygen pulled extra stem cells from

the patients' bone marrow, adding to the stem cells injected near the

pancreas.

They say the immature stem cells developed into pancreatic cells,

regenerating the pancreas' ability to produce natural insulin.

''This could be very important,'' said Dr. Camillo Ricordi, director of the

Cell Transplant Center and the Diabetes Research Institute at UM. ``It could

be an improved treatment for diabetes, substantially ameliorating Type 2 and

preventing the complications of the disease.''

Ricordi cautioned that the optimistic findings come from small pilot studies

involving only dozens of patients, and three to four more years of research

are needed before practical treatments might start.

''We always have to avoid hype and be careful not to put too much hope in

pilot trials,'' Ricordi said. ``But the first results are really

promising.''

Two more successful trials over three or four years would be needed before

the FDA might approve the treatment. The studies, coordinated by UM's

Diabetes

Research Institute, will also take place at the Karolinska Institutet in

Stockholm, Stem Cell Argentina in Buenos Aires and other institutions.

[Guest guest]

I thought the same thing ... unless I'm missing something as well.

Jen

Re: hope for type 2's

Interesting how they talk about a potential treatment for type 2, when this

is clearly a type 1 treatment! Hmmm? Or did I miss something?

Dave

A wise man's heart guides his mouth, and his lips promote instruction.

(Proverbs 16:23)

hope for type 2's

Home

This article originally posted April 7, 2009 and appeared in

Issue 463

New Diabetes Research Gives Hope for Type 2s

Clinical trials overseen by the University of Miami's Diabetes Research

Center show dramatic results in treatment of Type 2 diabetes. Stem cells

developed

into pancreatic cells and...

Human trials under way at the University of Miami and other hospitals in

Europe, Asia and Latin America using immature adult stem cells are showing

promise

for people with Type 2 diabetes.

In a UM clinical trial recently published in the online journal Cell

Transplantation, 25 patients achieved better insulin production, lower

blood-sugar

levels and reduced need for insulin injections.

In the trial, still in its pilot stage, doctors extracted immature adult

stem cells from the patients' own bone marrow, purified and concentrated

them,

and injected them into arteries near the pancreas. They then put the

patients into hyperbaric oxygen chambers like those used for divers with

decompression

sickness -- also called the ''bends'' -- and subjected them to 10 hours of

pure oxygen at 2.4 times the atmospheric pressure at ground level.

Researchers believe the high-pressure oxygen pulled extra stem cells from

the patients' bone marrow, adding to the stem cells injected near the

pancreas.

They say the immature stem cells developed into pancreatic cells,

regenerating the pancreas' ability to produce natural insulin.

''This could be very important,'' said Dr. Camillo Ricordi, director of

the

Cell Transplant Center and the Diabetes Research Institute at UM. ``It

could

be an improved treatment for diabetes, substantially ameliorating Type 2

and

preventing the complications of the disease.''

Ricordi cautioned that the optimistic findings come from small pilot

studies

involving only dozens of patients, and three to four more years of

research

are needed before practical treatments might start.

''We always have to avoid hype and be careful not to put too much hope in

pilot trials,'' Ricordi said. ``But the first results are really

promising.''

Two more successful trials over three or four years would be needed before

the FDA might approve the treatment. The studies, coordinated by UM's

Diabetes

Research Institute, will also take place at the Karolinska Institutet in

Stockholm, Stem Cell Argentina in Buenos Aires and other institutions.

[Guest guest]

Dave,

Oh you think that's something that the study is supposed to be about type 2

and yet they're acting like this is about type 1, well then dig this. I

thought we were out of the stone age of medicine, but yesterday someone sent

me a " helpful " article about how to deal with diabetics (as if I hadn't

already learned this over the past 6 or 7 years), wherein the author stated

that if you found someone who was still conscious but was clearly " out of

it " the best thing to do was give lumps of sugar, sugary water or something

really sweet to " bring them around. " And the author went on to say, and I

wish he wouldn't have, " if the person is unconscious, don't try to give the

person anything. " What planet does this stuff come from? Sadly, people take

this stuff seriously. Arghhh!

Bill Powers

[Guest guest]

Maybe I'm still missing something, but what is wrong with that advice? if

you find someone who is unconscious and diabetic, the rule of thumb is to

assume they are low, give them something with fast-acting sugar if they can

still swallow, and nothing if they are unconscious. How is this flawed?

Jen

RE: hope for type 2's

Dave,

Oh you think that's something that the study is supposed to be about type 2

and yet they're acting like this is about type 1, well then dig this. I

thought we were out of the stone age of medicine, but yesterday someone sent

me a " helpful " article about how to deal with diabetics (as if I hadn't

already learned this over the past 6 or 7 years), wherein the author stated

that if you found someone who was still conscious but was clearly " out of

it " the best thing to do was give lumps of sugar, sugary water or something

really sweet to " bring them around. " And the author went on to say, and I

wish he wouldn't have, " if the person is unconscious, don't try to give the

person anything. " What planet does this stuff come from? Sadly, people take

this stuff seriously. Arghhh!

Bill Powers

[Guest guest]

Jen,

The problem I have with the advice is that when you give someone " lumps of

sugar " or " sugary water " , etc., yes you get them out of the low, but their

sugars will continue to climb for quite awhile after that, which is also

dangerous. I'd rather see someone give a controlled amount of glucose rather

than overdoing it. Too often, I hear similar advice that does not regard the

longer-term consequence of giving just any ol' sweet drink or something

really sweet, and I don't think that's the kind of advice we should be

fostering. It wouldn't be so bad if after you jump-started someone from a

low, if their sugar would only go up to normal levels and stayed there, but

I've talked to enough diabetics that went from one extreme to the other in

such circumstances, and that's not very healthy.

Bill

[Guest guest]

Greetings Bill,

What is your opinion on the glucose injection?

sugar

" I would rather walk in the dark with Jesus

than to walk in the light on my

own. "

Get a healthy start by stopping by the resource center at

www.skyviewchapel.org

Blessings

Sugar

RE: hope for type 2's

Jen,

The problem I have with the advice is that when you give someone " lumps of

sugar " or " sugary water " , etc., yes you get them out of the low, but their

sugars will continue to climb for quite awhile after that, which is also

dangerous. I'd rather see someone give a controlled amount of glucose rather

than overdoing it. Too often, I hear similar advice that does not regard the

longer-term consequence of giving just any ol' sweet drink or something

really sweet, and I don't think that's the kind of advice we should be

fostering. It wouldn't be so bad if after you jump-started someone from a

low, if their sugar would only go up to normal levels and stayed there, but

I've talked to enough diabetics that went from one extreme to the other in

such circumstances, and that's not very healthy.

Bill

[Guest guest]

Hi Bill,

This is true that treating a low with random amounts of sugar might cause a

high, but by the time someone's blood sugar is low enough that they are only

semi-conscious or unconscious, their life may be in danger. This is

particularly true if they are type 1 (type 1s often cannot effectively bring

up their own blood sugar), and they may also still have insulin in their

systems continuing to drive their blood sugar even lower. It is possible for

a type 1 to reach a blood sugar of 20, 10 or even 0, and frequently by the

time someone is semi-conscious or unconscious their sugar has dropped into

the 20s or 30s.

Although I haven't had a severe low in many years, I have been in this

situation, and I would rather someone give me sugar immediately, with

whatever is available close by, rather than spend time trying to find

something suitable or remember detailed instructions for measuring out the

proper amount. It is different when the person is able to treat a low

themselves, but when they are unable to ask for assistance, it has become an

emergency and must be treated quickly. When trying to get sugar into someone

who is non-responsive or uncooperative because of a severe low, it's also

difficult to get an exact amount of anything into them. When I had severe

lows as a teenager I used to frequently refuse to eat or try to spit out

things people put in my mouth.

In the short-term a low blood sugar is immediately dangerous. A high blood

sugar, unless it lasts for very prolonged periods of time, is really not

that dangerous by comparison. Most people having a low are likely type 1 and

have insulin on hand to correct any rebound high that results from

overtreating. In addition, even if the " right " amount of food is given,

someone who experiences a severe low may go high hours later regardless

because of their body's response of releasing counter-regulatory hormones

and stored-up glucose. Glucagon, which is a hormone that triggers the

release of glucose from the liver and is often not produced quickly or in

appropriate amounts by people with type 1, can be injected if someone is

unconscious. Glucagon injections often causes prolonged high blood sugars

several hours after an injection (similar to how a person's own body can

cause such a rebound), but this is considered preferable to the person dying

or experiencing brain damage due to time spent unconscious from

hypoglycemia. The reason you never give an unconscious person anything by

mouth is that there is a danger that they will aspirate (breath into their

lungs) whatever is put into their mouth since they cannot consciously

swallow, which would result in another life-threatening situation.

Once the person has recovered from the low and their life is no longer in

danger, then they can take steps to bring down whatever high has resulted

from the treatment they received. Anyway, sorry I've rambled on so much, but

I wanted to put an explanation about why I believe the advice about treating

severe lows is not " outdated " or bad advice.

Jen

[Guest guest]

I know that I was advised by my doctor to give the gym where I go a tube of the

sugar stuff, in case I was ever to pass out or something. I have not had to use

it but they keep it at the front desk with my name on it in case.

Kell

MSN: Kell@...

Skype: KlarssonNY

" I have never been able to find out precisely what feminism is: I only know that

people call me a feminist whenever I express sentiments that differentiate me

from a doormat or a prostitute. " -- West

RE: hope for type 2's

Jen,

The problem I have with the advice is that when you give someone " lumps of

sugar " or " sugary water " , etc., yes you get them out of the low, but their

sugars will continue to climb for quite awhile after that, which is also

dangerous. I'd rather see someone give a controlled amount of glucose rather

than overdoing it. Too often, I hear similar advice that does not regard the

longer-term consequence of giving just any ol' sweet drink or something

really sweet, and I don't think that's the kind of advice we should be

fostering. It wouldn't be so bad if after you jump-started someone from a

low, if their sugar would only go up to normal levels and stayed there, but

I've talked to enough diabetics that went from one extreme to the other in

such circumstances, and that's not very healthy.

Bill

[Guest guest]

Sugar,

I don't know much about the glucose injection so can't make an educated

comment on it.

Bill

[Guest guest]

Your explanation is excellent. I, too, have baeen in life

threatening situations like that-refusing juice or glucose when having lows

as low as 21 or in the 30's. I never remember doing that later, but has

happened enough times in al the years of diabetes that I know it is true.

The last time was aocuple of years ago on 4th of July. I had O-D -ed myself

on insulin because I over estimated how many carbs I had eaten. I woke up

with 6 paramedics on hand. They admininsted the glucogon. Later I had a

glucose reading of over 300-about 300 points highter than it was when the

paramedics wre there (it was 17). I was happy to see that over 300 reading

and corrected it with my pump.ed

RE: hope for type 2's

Hi Bill,

This is true that treating a low with random amounts of sugar might cause a

high, but by the time someone's blood sugar is low enough that they are only

semi-conscious or unconscious, their life may be in danger. This is

particularly true if they are type 1 (type 1s often cannot effectively bring

up their own blood sugar), and they may also still have insulin in their

systems continuing to drive their blood sugar even lower. It is possible for

a type 1 to reach a blood sugar of 20, 10 or even 0, and frequently by the

time someone is semi-conscious or unconscious their sugar has dropped into

the 20s or 30s.

Although I haven't had a severe low in many years, I have been in this

situation, and I would rather someone give me sugar immediately, with

whatever is available close by, rather than spend time trying to find

something suitable or remember detailed instructions for measuring out the

proper amount. It is different when the person is able to treat a low

themselves, but when they are unable to ask for assistance, it has become an

emergency and must be treated quickly. When trying to get sugar into someone

who is non-responsive or uncooperative because of a severe low, it's also

difficult to get an exact amount of anything into them. When I had severe

lows as a teenager I used to frequently refuse to eat or try to spit out

things people put in my mouth.

In the short-term a low blood sugar is immediately dangerous. A high blood

sugar, unless it lasts for very prolonged periods of time, is really not

that dangerous by comparison. Most people having a low are likely type 1 and

have insulin on hand to correct any rebound high that results from

overtreating. In addition, even if the " right " amount of food is given,

someone who experiences a severe low may go high hours later regardless

because of their body's response of releasing counter-regulatory hormones

and stored-up glucose. Glucagon, which is a hormone that triggers the

release of glucose from the liver and is often not produced quickly or in

appropriate amounts by people with type 1, can be injected if someone is

unconscious. Glucagon injections often causes prolonged high blood sugars

several hours after an injection (similar to how a person's own body can

cause such a rebound), but this is considered preferable to the person dying

or experiencing brain damage due to time spent unconscious from

hypoglycemia. The reason you never give an unconscious person anything by

mouth is that there is a danger that they will aspirate (breath into their

lungs) whatever is put into their mouth since they cannot consciously

swallow, which would result in another life-threatening situation.

Once the person has recovered from the low and their life is no longer in

danger, then they can take steps to bring down whatever high has resulted

from the treatment they received. Anyway, sorry I've rambled on so much, but

I wanted to put an explanation about why I believe the advice about treating

severe lows is not " outdated " or bad advice.

Jen

__________ NOD32 3994 (20090407) Information __________

This message was checked by NOD32 antivirus system.

http://www.eset.com

[Guest guest]

,

Very well said, and I can see your points about getting a person out of

dangerous lows so they can hopefully tend to their own recovery from the

ensuing highs. My own reservation relevant to recovering a hypoglycemic is

that to a largely uneducated public that sees things in a " one size fits

all " bent, I would really rather see some kind of uniform regulated way to

get a person's sugar up, for example, a first aid kit that would contain

fast-acting but regulated-amount glucose that would get the patient just out

of harm's way but not to overshoot, if that's possible. And it would be nice

if it were possible to have some uniformity in dealing with hypoglycemics so

that we don't promote the roller-coaster effect that so many diabetics

continue to battle daily. Perhaps I'm wishing for too much, but I see so

many people struggling with this daily and just wish there was something

more that could be done to alleviate these problems.

I would agree that getting a person out of the lows treats a far more

serious problem than the ensuing high from being over-sugared. Ideally, I

wouldn't wish an extreme low or high on anybody. For me as a type 2, I hate

the effects of a high spike after blowing my diet and then realize there's

nothing I can do to counter the high besides just letting it subside, at

least nothing I know of. Yeah I suppose I could dose with insulin, but my

doc is not inclined to have me do that, and for me it happens so seldom.

Those lows are indeed scary though. I remember one time I was laying down

watching TV and for no apparent reason I just felt awful and really felt out

of it. I remember having enough sense to go upstairs to check my sugar and

it was forty-one! Not good. In that case I knew that two glucose tablets

would bring me back up to 80-85, and indeed, I was right. But I shuder to

think what would have happened if I had gone lower and not been of mind to

check my sugar or how to treat it. It's amazing how fogged-in we can become

with low sugars! It's still scary just thinking about it.

I guess to sum up what I'm thinking here is that I guess dosing someone with

sugar or sugar water is probably not the worst thing for them under an

emergency situation, I just cringe at the thought that people would then

think this is always the way to treat a diabetic, period, rather than

realizing that emergencies might call for different care outside of

" normal. "

Oh well, I trudge ever onward during this Easter weekend trying not to think

about those darned Peeps that I love so much.a difficult thing for us

diabetics to deal with.

Have a Happy Easter in any event!

Bill Powers

[Guest guest]

Bill,

To add to 's explanation.getting it down again with insulin is not a

problem and having a high blood sugar for a short period of time is not

nearly as dangerous than not giving enough sugar and having the person have

a heart attack (whinch can happen when someone is a low) or getting

permanent brain damage forom a severe low-this especially true for type 1's.

Most type 2's do not go that low, unless they are on insulin and they O-D

themselves.

RE: hope for type 2's

Jen,

The problem I have with the advice is that when you give someone " lumps of

sugar " or " sugary water " , etc., yes you get them out of the low, but their

sugars will continue to climb for quite awhile after that, which is also

dangerous. I'd rather see someone give a controlled amount of glucose rather

than overdoing it. Too often, I hear similar advice that does not regard the

longer-term consequence of giving just any ol' sweet drink or something

really sweet, and I don't think that's the kind of advice we should be

fostering. It wouldn't be so bad if after you jump-started someone from a

low, if their sugar would only go up to normal levels and stayed there, but

I've talked to enough diabetics that went from one extreme to the other in

such circumstances, and that's not very healthy.

Bill

[Guest guest]

Bill,

To add to 's explanation.getting it down again with insulin is not a

problem and having a high blood sugar for a short period of time is not

nearly as dangerous than not giving enough sugar and having the person have

a heart attack (whinch can happen when someone is a low) or getting

permanent brain damage forom a severe low-this especially true for type 1's.

Most type 2's do not go that low, unless they are on insulin and they O-D

themselves.

RE: hope for type 2's

Jen,

The problem I have with the advice is that when you give someone " lumps of

sugar " or " sugary water " , etc., yes you get them out of the low, but their

sugars will continue to climb for quite awhile after that, which is also

dangerous. I'd rather see someone give a controlled amount of glucose rather

than overdoing it. Too often, I hear similar advice that does not regard the

longer-term consequence of giving just any ol' sweet drink or something

really sweet, and I don't think that's the kind of advice we should be

fostering. It wouldn't be so bad if after you jump-started someone from a

low, if their sugar would only go up to normal levels and stayed there, but

I've talked to enough diabetics that went from one extreme to the other in

such circumstances, and that's not very healthy.

Bill

[Guest guest]

Bill,

If you give an unconscious something to drink, they will aspirate it and the

fluid will go into their lungs. If you give them something hard-they won't

do anything with it, except perhaps aspirate that too.. You call 911 and if

have a glucogon kit, you give glucogon.

RE: hope for type 2's

Dave,

Oh you think that's something that the study is supposed to be about type 2

and yet they're acting like this is about type 1, well then dig this. I

thought we were out of the stone age of medicine, but yesterday someone sent

me a " helpful " article about how to deal with diabetics (as if I hadn't

already learned this over the past 6 or 7 years), wherein the author stated

that if you found someone who was still conscious but was clearly " out of

it " the best thing to do was give lumps of sugar, sugary water or something

really sweet to " bring them around. " And the author went on to say, and I

wish he wouldn't have, " if the person is unconscious, don't try to give the

person anything. " What planet does this stuff come from? Sadly, people take

this stuff seriously. Arghhh!

Bill Powers

[Guest guest]

Bill,

The problem with giving a person in a low is that every diabetic in alow

needs differing amounts of glucose. You said you took 2 glucose tabs to get

your sugar up from a 41. If my sugar was that low, I would twice as-or more

glucose tabs to get up sugar to say 80. So there is no such thing as a

prescribed amount of glucose. Every situation is different.

RE: hope for type 2's

,

Very well said, and I can see your points about getting a person out of

dangerous lows so they can hopefully tend to their own recovery from the

ensuing highs. My own reservation relevant to recovering a hypoglycemic is

that to a largely uneducated public that sees things in a " one size fits

all " bent, I would really rather see some kind of uniform regulated way to

get a person's sugar up, for example, a first aid kit that would contain

fast-acting but regulated-amount glucose that would get the patient just out

of harm's way but not to overshoot, if that's possible. And it would be nice

if it were possible to have some uniformity in dealing with hypoglycemics so

that we don't promote the roller-coaster effect that so many diabetics

continue to battle daily. Perhaps I'm wishing for too much, but I see so

many people struggling with this daily and just wish there was something

more that could be done to alleviate these problems.

I would agree that getting a person out of the lows treats a far more

serious problem than the ensuing high from being over-sugared. Ideally, I

wouldn't wish an extreme low or high on anybody. For me as a type 2, I hate

the effects of a high spike after blowing my diet and then realize there's

nothing I can do to counter the high besides just letting it subside, at

least nothing I know of. Yeah I suppose I could dose with insulin, but my

doc is not inclined to have me do that, and for me it happens so seldom.

Those lows are indeed scary though. I remember one time I was laying down

watching TV and for no apparent reason I just felt awful and really felt out

of it. I remember having enough sense to go upstairs to check my sugar and

it was forty-one! Not good. In that case I knew that two glucose tablets

would bring me back up to 80-85, and indeed, I was right. But I shuder to

think what would have happened if I had gone lower and not been of mind to

check my sugar or how to treat it. It's amazing how fogged-in we can become

with low sugars! It's still scary just thinking about it.

I guess to sum up what I'm thinking here is that I guess dosing someone with

sugar or sugar water is probably not the worst thing for them under an

emergency situation, I just cringe at the thought that people would then

think this is always the way to treat a diabetic, period, rather than

realizing that emergencies might call for different care outside of

" normal. "

Oh well, I trudge ever onward during this Easter weekend trying not to think

about those darned Peeps that I love so much.a difficult thing for us

diabetics to deal with.

Have a Happy Easter in any event!

Bill Powers

[Guest guest]

Bill,

The problem with giving a person in a low is that every diabetic in alow

needs differing amounts of glucose. You said you took 2 glucose tabs to get

your sugar up from a 41. If my sugar was that low, I would twice as-or more

glucose tabs to get up sugar to say 80. So there is no such thing as a

prescribed amount of glucose. Every situation is different.

RE: hope for type 2's

,

Very well said, and I can see your points about getting a person out of

dangerous lows so they can hopefully tend to their own recovery from the

ensuing highs. My own reservation relevant to recovering a hypoglycemic is

that to a largely uneducated public that sees things in a " one size fits

all " bent, I would really rather see some kind of uniform regulated way to

get a person's sugar up, for example, a first aid kit that would contain

fast-acting but regulated-amount glucose that would get the patient just out

of harm's way but not to overshoot, if that's possible. And it would be nice

if it were possible to have some uniformity in dealing with hypoglycemics so

that we don't promote the roller-coaster effect that so many diabetics

continue to battle daily. Perhaps I'm wishing for too much, but I see so

many people struggling with this daily and just wish there was something

more that could be done to alleviate these problems.

I would agree that getting a person out of the lows treats a far more

serious problem than the ensuing high from being over-sugared. Ideally, I

wouldn't wish an extreme low or high on anybody. For me as a type 2, I hate

the effects of a high spike after blowing my diet and then realize there's

nothing I can do to counter the high besides just letting it subside, at

least nothing I know of. Yeah I suppose I could dose with insulin, but my

doc is not inclined to have me do that, and for me it happens so seldom.

Those lows are indeed scary though. I remember one time I was laying down

watching TV and for no apparent reason I just felt awful and really felt out

of it. I remember having enough sense to go upstairs to check my sugar and

it was forty-one! Not good. In that case I knew that two glucose tablets

would bring me back up to 80-85, and indeed, I was right. But I shuder to

think what would have happened if I had gone lower and not been of mind to

check my sugar or how to treat it. It's amazing how fogged-in we can become

with low sugars! It's still scary just thinking about it.

I guess to sum up what I'm thinking here is that I guess dosing someone with

sugar or sugar water is probably not the worst thing for them under an

emergency situation, I just cringe at the thought that people would then

think this is always the way to treat a diabetic, period, rather than

realizing that emergencies might call for different care outside of

" normal. "

Oh well, I trudge ever onward during this Easter weekend trying not to think

about those darned Peeps that I love so much.a difficult thing for us

diabetics to deal with.

Have a Happy Easter in any event!

Bill Powers

[Guest guest]

well, when I take those tablets, two won't due, like it is said, every diabetic

is different,and have different needs.

sugar

" I would rather walk in the dark with Jesus

than to walk in the light on my

own. "

Get a healthy start by stopping by the resource center at

www.skyviewchapel.org

Blessings

Sugar

RE: hope for type 2's

,

Very well said, and I can see your points about getting a person out of

dangerous lows so they can hopefully tend to their own recovery from the

ensuing highs. My own reservation relevant to recovering a hypoglycemic is

that to a largely uneducated public that sees things in a " one size fits

all " bent, I would really rather see some kind of uniform regulated way to

get a person's sugar up, for example, a first aid kit that would contain

fast-acting but regulated-amount glucose that would get the patient just out

of harm's way but not to overshoot, if that's possible. And it would be nice

if it were possible to have some uniformity in dealing with hypoglycemics so

that we don't promote the roller-coaster effect that so many diabetics

continue to battle daily. Perhaps I'm wishing for too much, but I see so

many people struggling with this daily and just wish there was something

more that could be done to alleviate these problems.

I would agree that getting a person out of the lows treats a far more

serious problem than the ensuing high from being over-sugared. Ideally, I

wouldn't wish an extreme low or high on anybody. For me as a type 2, I hate

the effects of a high spike after blowing my diet and then realize there's

nothing I can do to counter the high besides just letting it subside, at

least nothing I know of. Yeah I suppose I could dose with insulin, but my

doc is not inclined to have me do that, and for me it happens so seldom.

Those lows are indeed scary though. I remember one time I was laying down

watching TV and for no apparent reason I just felt awful and really felt out

of it. I remember having enough sense to go upstairs to check my sugar and

it was forty-one! Not good. In that case I knew that two glucose tablets

would bring me back up to 80-85, and indeed, I was right. But I shuder to

think what would have happened if I had gone lower and not been of mind to

check my sugar or how to treat it. It's amazing how fogged-in we can become

with low sugars! It's still scary just thinking about it.

I guess to sum up what I'm thinking here is that I guess dosing someone with

sugar or sugar water is probably not the worst thing for them under an

emergency situation, I just cringe at the thought that people would then

think this is always the way to treat a diabetic, period, rather than

realizing that emergencies might call for different care outside of

" normal. "

Oh well, I trudge ever onward during this Easter weekend trying not to think

about those darned Peeps that I love so much.a difficult thing for us

diabetics to deal with.

Have a Happy Easter in any event!

Bill Powers

[Guest guest]

well, when I take those tablets, two won't due, like it is said, every diabetic

is different,and have different needs.

sugar

" I would rather walk in the dark with Jesus

than to walk in the light on my

own. "

Get a healthy start by stopping by the resource center at

www.skyviewchapel.org

Blessings

Sugar

RE: hope for type 2's

,

Very well said, and I can see your points about getting a person out of

dangerous lows so they can hopefully tend to their own recovery from the

ensuing highs. My own reservation relevant to recovering a hypoglycemic is

that to a largely uneducated public that sees things in a " one size fits

all " bent, I would really rather see some kind of uniform regulated way to

get a person's sugar up, for example, a first aid kit that would contain

fast-acting but regulated-amount glucose that would get the patient just out

of harm's way but not to overshoot, if that's possible. And it would be nice

if it were possible to have some uniformity in dealing with hypoglycemics so

that we don't promote the roller-coaster effect that so many diabetics

continue to battle daily. Perhaps I'm wishing for too much, but I see so

many people struggling with this daily and just wish there was something

more that could be done to alleviate these problems.

I would agree that getting a person out of the lows treats a far more

serious problem than the ensuing high from being over-sugared. Ideally, I

wouldn't wish an extreme low or high on anybody. For me as a type 2, I hate

the effects of a high spike after blowing my diet and then realize there's

nothing I can do to counter the high besides just letting it subside, at

least nothing I know of. Yeah I suppose I could dose with insulin, but my

doc is not inclined to have me do that, and for me it happens so seldom.

Those lows are indeed scary though. I remember one time I was laying down

watching TV and for no apparent reason I just felt awful and really felt out

of it. I remember having enough sense to go upstairs to check my sugar and

it was forty-one! Not good. In that case I knew that two glucose tablets

would bring me back up to 80-85, and indeed, I was right. But I shuder to

think what would have happened if I had gone lower and not been of mind to

check my sugar or how to treat it. It's amazing how fogged-in we can become

with low sugars! It's still scary just thinking about it.

I guess to sum up what I'm thinking here is that I guess dosing someone with

sugar or sugar water is probably not the worst thing for them under an

emergency situation, I just cringe at the thought that people would then

think this is always the way to treat a diabetic, period, rather than

realizing that emergencies might call for different care outside of

" normal. "

Oh well, I trudge ever onward during this Easter weekend trying not to think

about those darned Peeps that I love so much.a difficult thing for us

diabetics to deal with.

Have a Happy Easter in any event!

Bill Powers

[Guest guest]

This is true, too, that different amounts of glucose affect people

differently, just as different insulin doses affect people differently. If I

was at 41 I would probably eat more than two glucose tablets -- particularly

because the chances of me being that low without having any insulin on board

and/or having done recent exercise is slim to none. I think I would also

want my blood sugar up around 100 after treatment, otherwise there's a

chance I could drop low again. I think treating a low is very different when

you take insulin and have a high level of insulin circulating in your

bloodstream even as your blood sugar is low, versus when you don't take

insulin and your body is able to decrease the amount of insulin in your

bloodstream quite rapidly in response to a dropping blood sugar.

Jen

RE: hope for type 2's

Bill,

The problem with giving a person in a low is that every diabetic in alow

needs differing amounts of glucose. You said you took 2 glucose tabs to get

your sugar up from a 41. If my sugar was that low, I would twice as-or more

glucose tabs to get up sugar to say 80. So there is no such thing as a

prescribed amount of glucose. Every situation is different.

[Guest guest]

This is true, too, that different amounts of glucose affect people

differently, just as different insulin doses affect people differently. If I

was at 41 I would probably eat more than two glucose tablets -- particularly

because the chances of me being that low without having any insulin on board

and/or having done recent exercise is slim to none. I think I would also

want my blood sugar up around 100 after treatment, otherwise there's a

chance I could drop low again. I think treating a low is very different when

you take insulin and have a high level of insulin circulating in your

bloodstream even as your blood sugar is low, versus when you don't take

insulin and your body is able to decrease the amount of insulin in your

bloodstream quite rapidly in response to a dropping blood sugar.

Jen

RE: hope for type 2's

Bill,

The problem with giving a person in a low is that every diabetic in alow

needs differing amounts of glucose. You said you took 2 glucose tabs to get

your sugar up from a 41. If my sugar was that low, I would twice as-or more

glucose tabs to get up sugar to say 80. So there is no such thing as a

prescribed amount of glucose. Every situation is different.

[Guest guest]

I am type 2, but before I started any meds, I had a low of 28, I luckly was on

campus, and for some reson the nurse checked my bs, even though I told her I was

not Dibetic

Kell

MSN: Kell@...

Skype: KlarssonNY

" I have never been able to find out precisely what feminism is: I only know that

people call me a feminist whenever I express sentiments that differentiate me

from a doormat or a prostitute. " -- West

RE: hope for type 2's

Jen,

The problem I have with the advice is that when you give someone " lumps of

sugar " or " sugary water " , etc., yes you get them out of the low, but their

sugars will continue to climb for quite awhile after that, which is also

dangerous. I'd rather see someone give a controlled amount of glucose rather

than overdoing it. Too often, I hear similar advice that does not regard the

longer-term consequence of giving just any ol' sweet drink or something

really sweet, and I don't think that's the kind of advice we should be

fostering. It wouldn't be so bad if after you jump-started someone from a

low, if their sugar would only go up to normal levels and stayed there, but

I've talked to enough diabetics that went from one extreme to the other in

such circumstances, and that's not very healthy.

Bill

[Guest guest]

Hi Bill,

Jen said it so well, and spoke for all of us who are type 1. Even though type 1

and type 2 are both afflicted with the same disease, the 2 are quite different

in many ways. Relevant to this conversation, a type 2 does not have to be

overly concerned about passing out, much less dying from low blood sugar. They

are not dealing with injected insulin for the most part, nor are their bodies as

reactive to insulin. And dangerous low blood sugar readings happen when the

balance between insulin and available glucose is skewed toward the lack of

glucose in the body. A type 2, unless they are taking insulin, just will not

have to deal with this very often, if at all.

My lowest recorded reading was 14 when the paramedics found me unconscious.

Death would have been the eventual outcome had not some circumstances (a long,

but great story) happened!

Dave

A wise man's heart guides his mouth, and his lips promote instruction. (Proverbs

16:23)

RE: hope for type 2's

,

Very well said, and I can see your points about getting a person out of

dangerous lows so they can hopefully tend to their own recovery from the

ensuing highs. My own reservation relevant to recovering a hypoglycemic is

that to a largely uneducated public that sees things in a " one size fits

all " bent, I would really rather see some kind of uniform regulated way to

get a person's sugar up, for example, a first aid kit that would contain

fast-acting but regulated-amount glucose that would get the patient just out

of harm's way but not to overshoot, if that's possible. And it would be nice

if it were possible to have some uniformity in dealing with hypoglycemics so

that we don't promote the roller-coaster effect that so many diabetics

continue to battle daily. Perhaps I'm wishing for too much, but I see so

many people struggling with this daily and just wish there was something

more that could be done to alleviate these problems.

I would agree that getting a person out of the lows treats a far more

serious problem than the ensuing high from being over-sugared. Ideally, I

wouldn't wish an extreme low or high on anybody. For me as a type 2, I hate

the effects of a high spike after blowing my diet and then realize there's

nothing I can do to counter the high besides just letting it subside, at

least nothing I know of. Yeah I suppose I could dose with insulin, but my

doc is not inclined to have me do that, and for me it happens so seldom.

Those lows are indeed scary though. I remember one time I was laying down

watching TV and for no apparent reason I just felt awful and really felt out

of it. I remember having enough sense to go upstairs to check my sugar and

it was forty-one! Not good. In that case I knew that two glucose tablets

would bring me back up to 80-85, and indeed, I was right. But I shuder to

think what would have happened if I had gone lower and not been of mind to

check my sugar or how to treat it. It's amazing how fogged-in we can become

with low sugars! It's still scary just thinking about it.

I guess to sum up what I'm thinking here is that I guess dosing someone with

sugar or sugar water is probably not the worst thing for them under an

emergency situation, I just cringe at the thought that people would then

think this is always the way to treat a diabetic, period, rather than

realizing that emergencies might call for different care outside of

" normal. "

Oh well, I trudge ever onward during this Easter weekend trying not to think

about those darned Peeps that I love so much.a difficult thing for us

diabetics to deal with.

Have a Happy Easter in any event!

Bill Powers

[Guest guest]

Hi Bill,

Jen said it so well, and spoke for all of us who are type 1. Even though type 1

and type 2 are both afflicted with the same disease, the 2 are quite different

in many ways. Relevant to this conversation, a type 2 does not have to be

overly concerned about passing out, much less dying from low blood sugar. They

are not dealing with injected insulin for the most part, nor are their bodies as

reactive to insulin. And dangerous low blood sugar readings happen when the

balance between insulin and available glucose is skewed toward the lack of

glucose in the body. A type 2, unless they are taking insulin, just will not

have to deal with this very often, if at all.

My lowest recorded reading was 14 when the paramedics found me unconscious.

Death would have been the eventual outcome had not some circumstances (a long,

but great story) happened!

Dave

A wise man's heart guides his mouth, and his lips promote instruction. (Proverbs

16:23)

RE: hope for type 2's

,

Very well said, and I can see your points about getting a person out of

dangerous lows so they can hopefully tend to their own recovery from the

ensuing highs. My own reservation relevant to recovering a hypoglycemic is

that to a largely uneducated public that sees things in a " one size fits

all " bent, I would really rather see some kind of uniform regulated way to

get a person's sugar up, for example, a first aid kit that would contain

fast-acting but regulated-amount glucose that would get the patient just out

of harm's way but not to overshoot, if that's possible. And it would be nice

if it were possible to have some uniformity in dealing with hypoglycemics so

that we don't promote the roller-coaster effect that so many diabetics

continue to battle daily. Perhaps I'm wishing for too much, but I see so

many people struggling with this daily and just wish there was something

more that could be done to alleviate these problems.

I would agree that getting a person out of the lows treats a far more

serious problem than the ensuing high from being over-sugared. Ideally, I

wouldn't wish an extreme low or high on anybody. For me as a type 2, I hate

the effects of a high spike after blowing my diet and then realize there's

nothing I can do to counter the high besides just letting it subside, at

least nothing I know of. Yeah I suppose I could dose with insulin, but my

doc is not inclined to have me do that, and for me it happens so seldom.

Those lows are indeed scary though. I remember one time I was laying down

watching TV and for no apparent reason I just felt awful and really felt out

of it. I remember having enough sense to go upstairs to check my sugar and

it was forty-one! Not good. In that case I knew that two glucose tablets

would bring me back up to 80-85, and indeed, I was right. But I shuder to

think what would have happened if I had gone lower and not been of mind to

check my sugar or how to treat it. It's amazing how fogged-in we can become

with low sugars! It's still scary just thinking about it.

I guess to sum up what I'm thinking here is that I guess dosing someone with

sugar or sugar water is probably not the worst thing for them under an

emergency situation, I just cringe at the thought that people would then

think this is always the way to treat a diabetic, period, rather than

realizing that emergencies might call for different care outside of

" normal. "

Oh well, I trudge ever onward during this Easter weekend trying not to think

about those darned Peeps that I love so much.a difficult thing for us

diabetics to deal with.

Have a Happy Easter in any event!

Bill Powers

[Guest guest]

Kelleigh,

You were probably in an in-between stage, where your body happened to revert

back to a non-diabetic mode. Perhaps it was an involuntary counter-reaction. A

reading of 28 for a non-diabetic, especially for someone who hasn't taken

injected insulin, I would think is extremely rare.

Dave

A wise man's heart guides his mouth, and his lips promote instruction. (Proverbs

16:23)

RE: hope for type 2's

Jen,

The problem I have with the advice is that when you give someone " lumps of

sugar " or " sugary water " , etc., yes you get them out of the low, but their

sugars will continue to climb for quite awhile after that, which is also

dangerous. I'd rather see someone give a controlled amount of glucose rather

than overdoing it. Too often, I hear similar advice that does not regard the

longer-term consequence of giving just any ol' sweet drink or something

really sweet, and I don't think that's the kind of advice we should be

fostering. It wouldn't be so bad if after you jump-started someone from a

low, if their sugar would only go up to normal levels and stayed there, but

I've talked to enough diabetics that went from one extreme to the other in

such circumstances, and that's not very healthy.

Bill

[Guest guest]

you mentioned you are on the pump. are you totally blind. thanks, karen

RE: hope for type 2's

Hi Bill,

This is true that treating a low with random amounts of sugar might cause a

high, but by the time someone's blood sugar is low enough that they are only

semi-conscious or unconscious, their life may be in danger. This is

particularly true if they are type 1 (type 1s often cannot effectively bring

up their own blood sugar), and they may also still have insulin in their

systems continuing to drive their blood sugar even lower. It is possible for

a type 1 to reach a blood sugar of 20, 10 or even 0, and frequently by the

time someone is semi-conscious or unconscious their sugar has dropped into

the 20s or 30s.

Although I haven't had a severe low in many years, I have been in this

situation, and I would rather someone give me sugar immediately, with

whatever is available close by, rather than spend time trying to find

something suitable or remember detailed instructions for measuring out the

proper amount. It is different when the person is able to treat a low

themselves, but when they are unable to ask for assistance, it has become an

emergency and must be treated quickly. When trying to get sugar into someone

who is non-responsive or uncooperative because of a severe low, it's also

difficult to get an exact amount of anything into them. When I had severe

lows as a teenager I used to frequently refuse to eat or try to spit out

things people put in my mouth.

In the short-term a low blood sugar is immediately dangerous. A high blood

sugar, unless it lasts for very prolonged periods of time, is really not

that dangerous by comparison. Most people having a low are likely type 1 and

have insulin on hand to correct any rebound high that results from

overtreating. In addition, even if the " right " amount of food is given,

someone who experiences a severe low may go high hours later regardless

because of their body's response of releasing counter-regulatory hormones

and stored-up glucose. Glucagon, which is a hormone that triggers the

release of glucose from the liver and is often not produced quickly or in

appropriate amounts by people with type 1, can be injected if someone is

unconscious. Glucagon injections often causes prolonged high blood sugars

several hours after an injection (similar to how a person's own body can

cause such a rebound), but this is considered preferable to the person dying

or experiencing brain damage due to time spent unconscious from

hypoglycemia. The reason you never give an unconscious person anything by

mouth is that there is a danger that they will aspirate (breath into their

lungs) whatever is put into their mouth since they cannot consciously

swallow, which would result in another life-threatening situation.

Once the person has recovered from the low and their life is no longer in

danger, then they can take steps to bring down whatever high has resulted

from the treatment they received. Anyway, sorry I've rambled on so much, but

I wanted to put an explanation about why I believe the advice about treating

severe lows is not " outdated " or bad advice.

Jen

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