Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 excuses excuses excuses. There seems to be no end to them. Sorry if this offends you, but this is the way I think. Harry Re: My Blood Sugar Results I understand your variability with your resultsand your frustration, because I have experienced the same with basal dosing and bolus dosing, even though my basal dose is pretty much the same practically all the time, since I do not have to deal with a menstration cycle. You know your readings vary with different conditions, but when? This is why I prefer to deal with actually doing, not trying to do. There can be a world of difference between the two concepts. This is why recording actual results and under what conditions and times can give you better information, and from a study of these results, actual glr's under the conditions obtained can reveal actual useful knowledge. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 excuses excuses excuses. There seems to be no end to them. Sorry if this offends you, but this is the way I think. Harry Re: My Blood Sugar Results I understand your variability with your resultsand your frustration, because I have experienced the same with basal dosing and bolus dosing, even though my basal dose is pretty much the same practically all the time, since I do not have to deal with a menstration cycle. You know your readings vary with different conditions, but when? This is why I prefer to deal with actually doing, not trying to do. There can be a world of difference between the two concepts. This is why recording actual results and under what conditions and times can give you better information, and from a study of these results, actual glr's under the conditions obtained can reveal actual useful knowledge. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 Two hours after breakfast I was 7.5 or 135 which is perfect for me. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 Jen, good for you, I was 124 before breakfast, I had one activia yogurt and now just before my one slice of whole grain bread and tea spoon of creamy peanut butter, I was 136, and no, I am not happy with that, but after the fact, all we can do is keep trying good luck sugar People are like stained glass windows: They sparkle and shine when the sun is out, But when the darkness sets in, their true beauty is revealed only if there is a light shining from within. -Sugar RE: My Blood Sugar Results Two hours after breakfast I was 7.5 or 135 which is perfect for me. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 Jen, good for you, I was 124 before breakfast, I had one activia yogurt and now just before my one slice of whole grain bread and tea spoon of creamy peanut butter, I was 136, and no, I am not happy with that, but after the fact, all we can do is keep trying good luck sugar People are like stained glass windows: They sparkle and shine when the sun is out, But when the darkness sets in, their true beauty is revealed only if there is a light shining from within. -Sugar RE: My Blood Sugar Results Two hours after breakfast I was 7.5 or 135 which is perfect for me. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 Before lunch I am 8.2 or 148. My basal rate is probably off since I've been waking up high every morning, I will have to do some overnight testing to figure it out. Here is where things will get interesting! I am having a very carb-heavy lunch (eating out and did not realize till I got it that what I ordered had so many carbs!) and blousing for 100 grams of carbs, which will be a bolus of 10 units. However, I'm planning on going on the stationary bike for about an hour after lunch, probably within an hour or two of eating, so I'll reduce my bolus to 75% or 7.5 units, and also set a temporary basal rate of 80% starting now. The basal rate changes should start to kick in about an hour from now, so about then is probably when I'll exercise. I am usually pretty good at getting exercise right but I haven't done it for three weeks and also not after eating so many carbs, so we'll see how things go! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 I would rather be 6.5 after a meal but 7.5 is okay considering I am just trying to get things back under control. These past few weeks I've seen many, many readings in the teens and even a few in the 20s! So once I am back on track I will work on getting post-meal readings lower. Not that today has helped at all eating 100 grams of carbs for lunch!!!! Gotta stop eating the junky restaurant foods as well!!!! I was doing well packing my own lunch for the first two weeks but this past week got really lazy and just ate on campus. Jen Re: My Blood Sugar Results Jen, good for you, I was 124 before breakfast, I had one activia yogurt and now just before my one slice of whole grain bread and tea spoon of creamy peanut butter, I was 136, and no, I am not happy with that, but after the fact, all we can do is keep trying good luck sugar People are like stained glass windows: They sparkle and shine when the sun is out, But when the darkness sets in, their true beauty is revealed only if there is a light shining from within. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 It isn't an excuse, or at least wasn't meant to be if it sounded that way, just an explanation for why during the times I find it hardest to keep good blood sugars it's also the hardest to figure out the specific reasons why I can't keep them good. If I had a schedule that was the same day after day I think I'd be able to keep an A1c lower than the high 6 range where it's been stuck for the past few years. I'm able to go a few weeks with awesome control hardly ever going above 10 or 180 when I'm not doing school and work, but that is always balanced off by a few weeks of horrible control during the times I'm going non-stop with projects and classes and work, and it all equals out to that A1c. Jen Re: My Blood Sugar Results excuses excuses excuses. There seems to be no end to them. Sorry if this offends you, but this is the way I think. Harry RE: My Blood Sugar Results I think a big part of my problem is that in order to do experimentation you need at least a majority of factors to be the same. It's almost impossible for me to do that because my schedule is so varied. I could spend the next six weeks (vacation time) getting things all figured out, and then start work and school again in September where I'm running around to five different schools all day and studying all night and have everything go out of whack again. Then throw in menstrual cycles and stress and illness which are somewhat unpredictable and hard to even identify sometimes, and you've got even more of a mess! During the busy times are when my blood sugars are terrible but are also the times I can't keep any factors consistent and also don't usually have time to sit down and do detailed analysis of things!! I've thought of trying to do these things on the weekends when I can keep things consistent and, for example, control exactly when I eat and exercise, but then my readings on the weekends are completely different than they are on the weekdays when I'm running around all day, encountering different stresses, etc. I will post my blood sugars over these next few days and I suspect they will be pretty decent because I'm on break and have control over most factors, during these quiet periods I can often mange to stay between 4 and 9 (70-170), including after-meal readings, most days without difficulties. Very frustrating indeed! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 It isn't an excuse, or at least wasn't meant to be if it sounded that way, just an explanation for why during the times I find it hardest to keep good blood sugars it's also the hardest to figure out the specific reasons why I can't keep them good. If I had a schedule that was the same day after day I think I'd be able to keep an A1c lower than the high 6 range where it's been stuck for the past few years. I'm able to go a few weeks with awesome control hardly ever going above 10 or 180 when I'm not doing school and work, but that is always balanced off by a few weeks of horrible control during the times I'm going non-stop with projects and classes and work, and it all equals out to that A1c. Jen Re: My Blood Sugar Results excuses excuses excuses. There seems to be no end to them. Sorry if this offends you, but this is the way I think. Harry RE: My Blood Sugar Results I think a big part of my problem is that in order to do experimentation you need at least a majority of factors to be the same. It's almost impossible for me to do that because my schedule is so varied. I could spend the next six weeks (vacation time) getting things all figured out, and then start work and school again in September where I'm running around to five different schools all day and studying all night and have everything go out of whack again. Then throw in menstrual cycles and stress and illness which are somewhat unpredictable and hard to even identify sometimes, and you've got even more of a mess! During the busy times are when my blood sugars are terrible but are also the times I can't keep any factors consistent and also don't usually have time to sit down and do detailed analysis of things!! I've thought of trying to do these things on the weekends when I can keep things consistent and, for example, control exactly when I eat and exercise, but then my readings on the weekends are completely different than they are on the weekdays when I'm running around all day, encountering different stresses, etc. I will post my blood sugars over these next few days and I suspect they will be pretty decent because I'm on break and have control over most factors, during these quiet periods I can often mange to stay between 4 and 9 (70-170), including after-meal readings, most days without difficulties. Very frustrating indeed! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 An hour after eating lunch I am 9.8 or 176, which is great for exercising. I hope to exercise on the bike for an hour without going low. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 Yes, that is the reason for frequent testing under varying conditions. What I call " pushing the envelop " or " living on the edge " ,which helps one develop knew knowledge about oneself, usually gained via experimentation. RE: My Blood Sugar Results I think a big part of my problem is that in order to do experimentation you need at least a majority of factors to be the same. It's almost impossible for me to do that because my schedule is so varied. I could spend the next six weeks (vacation time) getting things all figured out, and then start work and school again in September where I'm running around to five different schools all day and studying all night and have everything go out of whack again. Then throw in menstrual cycles and stress and illness which are somewhat unpredictable and hard to even identify sometimes, and you've got even more of a mess! During the busy times are when my blood sugars are terrible but are also the times I can't keep any factors consistent and also don't usually have time to sit down and do detailed analysis of things!! I've thought of trying to do these things on the weekends when I can keep things consistent and, for example, control exactly when I eat and exercise, but then my readings on the weekends are completely different than they are on the weekdays when I'm running around all day, encountering different stresses, etc. I will post my blood sugars over these next few days and I suspect they will be pretty decent because I'm on break and have control over most factors, during these quiet periods I can often mange to stay between 4 and 9 (70-170), including after-meal readings, most days without difficulties. Very frustrating indeed! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 I encourage you to do so. RE: My Blood Sugar Results An hour after eating lunch I am 9.8 or 176, which is great for exercising. I hope to exercise on the bike for an hour without going low. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 Well, I did my hour on the bike and it worked well! I tested after half an hour at 6.3 or 113, and just now after finishing I was 6.7 or 121. The 6.7 or 121 technically counts as my two hour postprandial reading for lunch. I will bolus half a unit as correction because the fact that I went up for the second half probably means I cut my basal rate back too much or that I should have bloused a bit more to cover lunch. Jen RE: My Blood Sugar Results An hour after eating lunch I am 9.8 or 176, which is great for exercising. I hope to exercise on the bike for an hour without going low. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2009 Report Share Posted July 25, 2009 Good shooting. RE: My Blood Sugar Results An hour after eating lunch I am 9.8 or 176, which is great for exercising. I hope to exercise on the bike for an hour without going low. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 Jen, To ease your frustration I would suggest establishing your basal dose of Humalog on the pump and then figuring your bolus dose for carbs consumed. This will account for most of your daily variability except for your exercise routine. Once you gain the confidence you need, then the amount of carbs required to stay with in normal limits can also be estimated fairly accurately even when you exercise provided it is a set exercise for a set amount of time. RE: My Blood Sugar Results About an hour after finishing exercising at 6.7, 121 and my 0.5 unit bolus to avoid a high in case I reduced the basal rate too much. I definitely reduced it too much and I probably shouldn't have reduced it at all. Blood sugar is now 12.1 or 218 and I've eaten nothing, so I'm blousing a 2.75 unit correction. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 Jen, To ease your frustration I would suggest establishing your basal dose of Humalog on the pump and then figuring your bolus dose for carbs consumed. This will account for most of your daily variability except for your exercise routine. Once you gain the confidence you need, then the amount of carbs required to stay with in normal limits can also be estimated fairly accurately even when you exercise provided it is a set exercise for a set amount of time. RE: My Blood Sugar Results About an hour after finishing exercising at 6.7, 121 and my 0.5 unit bolus to avoid a high in case I reduced the basal rate too much. I definitely reduced it too much and I probably shouldn't have reduced it at all. Blood sugar is now 12.1 or 218 and I've eaten nothing, so I'm blousing a 2.75 unit correction. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 My basal rates were set correctly before I started classes. On a pump, when basal rates are set correctly you can theoretically go all day without eating if you wish and your blood sugars should not vary by more than 1.7 mmol/L or 30 mg/dl, though I don't know many people who go all day without eating. I suspect putting my basal rates up by the minimum amount, 0.05 units an hour, will probably fix my problem. I'm just waiting until I can do one or two overnight tests to see what's actually happening overnight before I change them. But you are right, overnight basals are set first (for the pump), then basals during the day by skipping meals, and then carb and correction ratios. My highs this afternoon are probably from lowering my basal rate by 20% for two hours to accommodate exercise. Obviously I didn't need to do this. However it remains to be seen if I didn't exercise and didn't reduce basal rates by 20%, would I still have gone high? That is why I am waiting for a day or two recording results before making any changes. Jen Re: My Blood Sugar Results Jen, To ease your frustration I would suggest establishing your basal dose of Humalog on the pump and then figuring your bolus dose for carbs consumed. This will account for most of your daily variability except for your exercise routine. Once you gain the confidence you need, then the amount of carbs required to stay with in normal limits can also be estimated fairly accurately even when you exercise provided it is a set exercise for a set amount of time. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 An insulin dependent diabetic should first of all establish a basal dose of insulin before tinkering with their glr results. I don't know how to use a pump, but I can tell you how to establish a basal level of insulin. RE: My Blood Sugar Results Tested an hour and a half after correcting 12.1, 218, and I'm still 11.1 or 200. I ate a 15g snack and bloused for that plus a correction. I think my basal rates are definitely too low. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 You are right, and thus far I haven't actually made any changes to any settings. A correction is an additional dose of insulin, separate from a meal bolus and the basal rate, which is used to bring down a high blood sugar, so it is giving an additional dose of insulin but is not changing any setting. If I didn't correct the blood sugar it would either stay the same all night or keep going higher, which I don't want. So far I haven't changed my carb ratio or basal rates. I suspect basal rates are my problem but I am recording for a day or two before making any change. Tonight I will wake up in the middle of the night to see what my blood sugars are doing overnight so I can adjust the overnight basal rate and wake up with a good fasting blood sugar. Once that's done, if there are still problems with highs during the day, I can find-tune and adjust individual basal rate segments on the pump, although I usually don't need to do that. Jen Re: My Blood Sugar Results An insulin dependent diabetic should first of all establish a basal dose of insulin before tinkering with their glr results. I don't know how to use a pump, but I can tell you how to establish a basal level of insulin. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 You are right, and thus far I haven't actually made any changes to any settings. A correction is an additional dose of insulin, separate from a meal bolus and the basal rate, which is used to bring down a high blood sugar, so it is giving an additional dose of insulin but is not changing any setting. If I didn't correct the blood sugar it would either stay the same all night or keep going higher, which I don't want. So far I haven't changed my carb ratio or basal rates. I suspect basal rates are my problem but I am recording for a day or two before making any change. Tonight I will wake up in the middle of the night to see what my blood sugars are doing overnight so I can adjust the overnight basal rate and wake up with a good fasting blood sugar. Once that's done, if there are still problems with highs during the day, I can find-tune and adjust individual basal rate segments on the pump, although I usually don't need to do that. Jen Re: My Blood Sugar Results An insulin dependent diabetic should first of all establish a basal dose of insulin before tinkering with their glr results. I don't know how to use a pump, but I can tell you how to establish a basal level of insulin. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 This is why I deal in practice, not theory. As you know as others may guess, before i even knew you had a pump I told you in theory only Humalog needed to be in the pump in order to figure out both a basal rate and a bolus dose to control your blood glucose level. When you got your pump I was not surprised to learn from you that only Humalog was used in the pump. With your tenacity I am sure you will figure out the answer to your situation. In the meantime I am taking a well deserved vacation after today until August 24. If not banned, I will lurk until then. Good luck and goodbye until then. Re: My Blood Sugar Results Jen, To ease your frustration I would suggest establishing your basal dose of Humalog on the pump and then figuring your bolus dose for carbs consumed. This will account for most of your daily variability except for your exercise routine. Once you gain the confidence you need, then the amount of carbs required to stay with in normal limits can also be estimated fairly accurately even when you exercise provided it is a set exercise for a set amount of time. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 Hi Jen, I agree with you, I don't think these are excuses: When I had to travel for work, doing trade shows and group training, I found it hard to keep good control, especially when you didn't know what time, if at all you were going to get a break and were stuck eating what ever was nearby. You often had to start the day a bit high, to prevent going low during a session, and if things went overtime, as was quite common, you wouldn't have time for lunch. I had the opportunity to go full time in this role, but didn't go for it partly due to diabetes. Diabetes wasn't the main reason, but was a consideration. Cheers, Brett. RE: My Blood Sugar Results I think a big part of my problem is that in order to do experimentation you need at least a majority of factors to be the same. It's almost impossible for me to do that because my schedule is so varied. I could spend the next six weeks (vacation time) getting things all figured out, and then start work and school again in September where I'm running around to five different schools all day and studying all night and have everything go out of whack again. Then throw in menstrual cycles and stress and illness which are somewhat unpredictable and hard to even identify sometimes, and you've got even more of a mess! During the busy times are when my blood sugars are terrible but are also the times I can't keep any factors consistent and also don't usually have time to sit down and do detailed analysis of things!! I've thought of trying to do these things on the weekends when I can keep things consistent and, for example, control exactly when I eat and exercise, but then my readings on the weekends are completely different than they are on the weekdays when I'm running around all day, encountering different stresses, etc. I will post my blood sugars over these next few days and I suspect they will be pretty decent because I'm on break and have control over most factors, during these quiet periods I can often mange to stay between 4 and 9 (70-170), including after-meal readings, most days without difficulties. Very frustrating indeed! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 Hi Jen, I agree with you, I don't think these are excuses: When I had to travel for work, doing trade shows and group training, I found it hard to keep good control, especially when you didn't know what time, if at all you were going to get a break and were stuck eating what ever was nearby. You often had to start the day a bit high, to prevent going low during a session, and if things went overtime, as was quite common, you wouldn't have time for lunch. I had the opportunity to go full time in this role, but didn't go for it partly due to diabetes. Diabetes wasn't the main reason, but was a consideration. Cheers, Brett. RE: My Blood Sugar Results I think a big part of my problem is that in order to do experimentation you need at least a majority of factors to be the same. It's almost impossible for me to do that because my schedule is so varied. I could spend the next six weeks (vacation time) getting things all figured out, and then start work and school again in September where I'm running around to five different schools all day and studying all night and have everything go out of whack again. Then throw in menstrual cycles and stress and illness which are somewhat unpredictable and hard to even identify sometimes, and you've got even more of a mess! During the busy times are when my blood sugars are terrible but are also the times I can't keep any factors consistent and also don't usually have time to sit down and do detailed analysis of things!! I've thought of trying to do these things on the weekends when I can keep things consistent and, for example, control exactly when I eat and exercise, but then my readings on the weekends are completely different than they are on the weekdays when I'm running around all day, encountering different stresses, etc. I will post my blood sugars over these next few days and I suspect they will be pretty decent because I'm on break and have control over most factors, during these quiet periods I can often mange to stay between 4 and 9 (70-170), including after-meal readings, most days without difficulties. Very frustrating indeed! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 Hey Cy, No, i've not studied Reiki... what is that? Regards, My Blood Sugar Results The 10,000 steps a day walking program that me and my wife are doing is bringing amazing results for me. Before starting this 5 and a half weeks ago, I weighed 276 pounds. My current weight is 245. That's about 31 pounds I have lost in almost 6 weeks. A normal blood pressure reading for me was something like 160 over 90. Now, any time I take my blood pressure it will be 120 something over 70 something. My sugar reading was hardly ever under 130. My sugar readings for the past week or so have been considerably lower. Here is how things went today. My morning blood pressure was 122 over 76. Pre Breakfast sugar was 76. For breakfast I had some garden fresh green beans, 3 garden ripe tomatoes and an 8 ounce glass of skim milk. Two hours later my sugar reading was 108. Pre supper sugar reading was 111. For supper I had a 12 ounce Rib-eye steak with Heinz 57 steak sauce on it, an order of lightly cooked french fries, a small garden salad with fat free Italian dressing, a glass of unsweetened tea and a cup of coffee with 2 creamers. Two hours later my sugar reading was 105. Then, me and Leisa (pronounced ) took a 3 mile walk. Boy, I feel wonderful. I am so thankful for the support that everyone gives on this list. It has encouraged me so much. In June when I last visited my doctor, I weighed 276, blood pressure was averaging 160 over 90, sugar was averaging about 130 and my A1C was 6.8. I will be going back to see her on August 31. Boy, I hope I can keep this up!!! Thanks again for all of your support. Pastor Donnie Please join us on Skype Monday thru Friday at 8:00 EST for our Morning Skype Prayer Time. Contact Me At: Donnie Parrett 1956 Asa Flat Road Annville, Kentucky 40402 Home Phone: Church Phone: 606-364-PRAY Skype Name: Donnie1261 Email: deparrettprtcnet (DOT) <mailto:deparrett%40prtcnet.org> org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2009 Report Share Posted July 26, 2009 Hey Cy, No, i've not studied Reiki... what is that? Regards, My Blood Sugar Results The 10,000 steps a day walking program that me and my wife are doing is bringing amazing results for me. Before starting this 5 and a half weeks ago, I weighed 276 pounds. My current weight is 245. That's about 31 pounds I have lost in almost 6 weeks. A normal blood pressure reading for me was something like 160 over 90. Now, any time I take my blood pressure it will be 120 something over 70 something. My sugar reading was hardly ever under 130. My sugar readings for the past week or so have been considerably lower. Here is how things went today. My morning blood pressure was 122 over 76. Pre Breakfast sugar was 76. For breakfast I had some garden fresh green beans, 3 garden ripe tomatoes and an 8 ounce glass of skim milk. Two hours later my sugar reading was 108. Pre supper sugar reading was 111. For supper I had a 12 ounce Rib-eye steak with Heinz 57 steak sauce on it, an order of lightly cooked french fries, a small garden salad with fat free Italian dressing, a glass of unsweetened tea and a cup of coffee with 2 creamers. Two hours later my sugar reading was 105. Then, me and Leisa (pronounced ) took a 3 mile walk. Boy, I feel wonderful. I am so thankful for the support that everyone gives on this list. It has encouraged me so much. In June when I last visited my doctor, I weighed 276, blood pressure was averaging 160 over 90, sugar was averaging about 130 and my A1C was 6.8. I will be going back to see her on August 31. Boy, I hope I can keep this up!!! Thanks again for all of your support. Pastor Donnie Please join us on Skype Monday thru Friday at 8:00 EST for our Morning Skype Prayer Time. Contact Me At: Donnie Parrett 1956 Asa Flat Road Annville, Kentucky 40402 Home Phone: Church Phone: 606-364-PRAY Skype Name: Donnie1261 Email: deparrettprtcnet (DOT) <mailto:deparrett%40prtcnet.org> org Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.