Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Hi Guys, This is nne from Northern CA. I went to the Doctor two weeks ago. My a1c level is 6.0 and I lost two pounds. So Doc is really happy with me. nne From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of K Sent: Thursday, April 08, 2010 10:15 AM To: blind-diabetics Subject: Re: question on A1c levels sugar i too will be saying a prayer for you. we have to stick together and assist each other when we are weak. this will give us strength to get the best blood sugars we can. have a fantastic day, karen question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 , Do you count carbohydrates at all? That is, do you dose your insulin based on the amount of carbohydrates you are eating? I noticed in another e-mail you said you were 22 after having a piece of bread ... I don't stick to any particular diet, but I do count carbohydrates in the foods I eat and I change the amount of insulin I take based on this. There is no set dose I take per meal. I might take 4 units for one meal but 8 for another and occasionally, when I eat out, I'll take more than 10. This is in addition to the extra insulin I take if my blood sugar is high. Of course, this isn't perfect every time. Yesterday I was 5.3 after breakfast, today with the exact same breakfast (I even weighed the food) I am 16.6. But that's just diabetes sometimes, making no sense. At least carbohydrate counting gives me a guideline to work with so that I am not just taking wild guesses about how much insulin to take for food. Jen > > > dave, i take four units of humalog for each meal plus i am on the sliding > scale. i give myself a little treat occasionally of one little square of > sugar free chocolate and this is very small. but to do this the occasionall > evening i have to give myself two units of humalog. if i do the extra > insulin my blood sugar reading will be o k for the next reading. karen > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 jen, i went to my doctor and he aproved me for the pump , then i had to go to nutritional counselling for training on the diet, i did that for a few months then back to the doctor for the pump. my doctor had changed his mind about the pump because he had seen diabetics die he said. and the pump manufacturer rep came and asked how much i could see , i told her nothing and she said she would not recommend me for using a pump. she thought i had some site. so i found no one was on my side. the nutritional counsellor told me she wished her seeing patients worked as hard as i did. i used to email her daily listing everything i ate, insulin i took, excercise i did the whole nine yards. she felt i was too slim, but slim is normal for me as i have been all my life. but she is heavy. i excercise daily but that is normal for me also. so i motor along doing it the needle way. i think they are in the dark ages and the only inspiration i get is here on this list. my doctor is happy if i have an a one c of seven. i aim for five but the best i have gotten is six point four. i keep trying. karen Re: question on A1c levels , have you ever considered a pump? I was never called " brittle " (personally I really dislike that term, because I think *all* type 1s are " brittle " ... we are trying to take the place of an organ, after all!), but lows to highs and back again pretty much sums up my control before. The pump helped so much because you are able to deliver a variable basal rate. People without diabetes don't have a completely flat level of insulin in their bodies -- which is what Lantus provides -- they produce insulin in the amounts their bodies need, which you can do with a pump. There are also much finer bolusing increments. I used to never correct a high blood sugar before bed unless it was say 12 or above, because I would go low. Now with the pump I can give a tiny bolus like 0.3 of a unit, and I usually correct anything above 8. Also, and this has made a *huge* difference, if you notice you are running high or low you can change the pump's basal rate and those changes kick in after only a few hours. With Lantus making changes in the dose takes three days to take effect, so by the time the changes take effect the problem you've responded to may be gone entirely! I was never able to get my A1c any lower than 7.1 on Lantus no matter how hard I tried. Now with the pump, my last A1c was 7.1 and I'm not happy with that, that's m own fault it's high from slacking off. The one before that was 6.6, and I'm aiming for 6.5 although I'm not sure I can get that low without using a CGMS because I have too many lows. The pump isn't perfect, of course, and doesn't guarantee perfect numbers. There are still days I ping pong everywhere, like yesterday when I was from 2.9 to 22.3. But now when that happens I can usually find a reason for it. Many days I can stay between 4 and 10 the entire day, which was impossible before. Before the pump seeing lows and high teens every day was routine. There are things that influence my blood sugar, like hormones, which cause me to alternately crash and skyrocket every two weeks, which I never realized had any effect on me because my control was never stable enough until I got the pump. Having said that great stuff about the pump, there are also some definite disadvantages, especially for a blind person. It's very high tech and you have to be comfortable with computers to use it, be willing to memorize the menu layouts so you can navigate them without vision, and also have to be willing to test more often and learn the ins and outs of pump therapy which is more complicated than multiple daily injections. Also, if anything happens to cut off insulin delivery you have to troubleshoot the problem, which can sometimes be really frustrating, especailly when you've got very high blood sugar at the same time (which you probably do if you have delivery problems)! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 jen, i went to my doctor and he aproved me for the pump , then i had to go to nutritional counselling for training on the diet, i did that for a few months then back to the doctor for the pump. my doctor had changed his mind about the pump because he had seen diabetics die he said. and the pump manufacturer rep came and asked how much i could see , i told her nothing and she said she would not recommend me for using a pump. she thought i had some site. so i found no one was on my side. the nutritional counsellor told me she wished her seeing patients worked as hard as i did. i used to email her daily listing everything i ate, insulin i took, excercise i did the whole nine yards. she felt i was too slim, but slim is normal for me as i have been all my life. but she is heavy. i excercise daily but that is normal for me also. so i motor along doing it the needle way. i think they are in the dark ages and the only inspiration i get is here on this list. my doctor is happy if i have an a one c of seven. i aim for five but the best i have gotten is six point four. i keep trying. karen Re: question on A1c levels , have you ever considered a pump? I was never called " brittle " (personally I really dislike that term, because I think *all* type 1s are " brittle " ... we are trying to take the place of an organ, after all!), but lows to highs and back again pretty much sums up my control before. The pump helped so much because you are able to deliver a variable basal rate. People without diabetes don't have a completely flat level of insulin in their bodies -- which is what Lantus provides -- they produce insulin in the amounts their bodies need, which you can do with a pump. There are also much finer bolusing increments. I used to never correct a high blood sugar before bed unless it was say 12 or above, because I would go low. Now with the pump I can give a tiny bolus like 0.3 of a unit, and I usually correct anything above 8. Also, and this has made a *huge* difference, if you notice you are running high or low you can change the pump's basal rate and those changes kick in after only a few hours. With Lantus making changes in the dose takes three days to take effect, so by the time the changes take effect the problem you've responded to may be gone entirely! I was never able to get my A1c any lower than 7.1 on Lantus no matter how hard I tried. Now with the pump, my last A1c was 7.1 and I'm not happy with that, that's m own fault it's high from slacking off. The one before that was 6.6, and I'm aiming for 6.5 although I'm not sure I can get that low without using a CGMS because I have too many lows. The pump isn't perfect, of course, and doesn't guarantee perfect numbers. There are still days I ping pong everywhere, like yesterday when I was from 2.9 to 22.3. But now when that happens I can usually find a reason for it. Many days I can stay between 4 and 10 the entire day, which was impossible before. Before the pump seeing lows and high teens every day was routine. There are things that influence my blood sugar, like hormones, which cause me to alternately crash and skyrocket every two weeks, which I never realized had any effect on me because my control was never stable enough until I got the pump. Having said that great stuff about the pump, there are also some definite disadvantages, especially for a blind person. It's very high tech and you have to be comfortable with computers to use it, be willing to memorize the menu layouts so you can navigate them without vision, and also have to be willing to test more often and learn the ins and outs of pump therapy which is more complicated than multiple daily injections. Also, if anything happens to cut off insulin delivery you have to troubleshoot the problem, which can sometimes be really frustrating, especailly when you've got very high blood sugar at the same time (which you probably do if you have delivery problems)! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 jen, i went to my doctor and he aproved me for the pump , then i had to go to nutritional counselling for training on the diet, i did that for a few months then back to the doctor for the pump. my doctor had changed his mind about the pump because he had seen diabetics die he said. and the pump manufacturer rep came and asked how much i could see , i told her nothing and she said she would not recommend me for using a pump. she thought i had some site. so i found no one was on my side. the nutritional counsellor told me she wished her seeing patients worked as hard as i did. i used to email her daily listing everything i ate, insulin i took, excercise i did the whole nine yards. she felt i was too slim, but slim is normal for me as i have been all my life. but she is heavy. i excercise daily but that is normal for me also. so i motor along doing it the needle way. i think they are in the dark ages and the only inspiration i get is here on this list. my doctor is happy if i have an a one c of seven. i aim for five but the best i have gotten is six point four. i keep trying. karen Re: question on A1c levels , have you ever considered a pump? I was never called " brittle " (personally I really dislike that term, because I think *all* type 1s are " brittle " ... we are trying to take the place of an organ, after all!), but lows to highs and back again pretty much sums up my control before. The pump helped so much because you are able to deliver a variable basal rate. People without diabetes don't have a completely flat level of insulin in their bodies -- which is what Lantus provides -- they produce insulin in the amounts their bodies need, which you can do with a pump. There are also much finer bolusing increments. I used to never correct a high blood sugar before bed unless it was say 12 or above, because I would go low. Now with the pump I can give a tiny bolus like 0.3 of a unit, and I usually correct anything above 8. Also, and this has made a *huge* difference, if you notice you are running high or low you can change the pump's basal rate and those changes kick in after only a few hours. With Lantus making changes in the dose takes three days to take effect, so by the time the changes take effect the problem you've responded to may be gone entirely! I was never able to get my A1c any lower than 7.1 on Lantus no matter how hard I tried. Now with the pump, my last A1c was 7.1 and I'm not happy with that, that's m own fault it's high from slacking off. The one before that was 6.6, and I'm aiming for 6.5 although I'm not sure I can get that low without using a CGMS because I have too many lows. The pump isn't perfect, of course, and doesn't guarantee perfect numbers. There are still days I ping pong everywhere, like yesterday when I was from 2.9 to 22.3. But now when that happens I can usually find a reason for it. Many days I can stay between 4 and 10 the entire day, which was impossible before. Before the pump seeing lows and high teens every day was routine. There are things that influence my blood sugar, like hormones, which cause me to alternately crash and skyrocket every two weeks, which I never realized had any effect on me because my control was never stable enough until I got the pump. Having said that great stuff about the pump, there are also some definite disadvantages, especially for a blind person. It's very high tech and you have to be comfortable with computers to use it, be willing to memorize the menu layouts so you can navigate them without vision, and also have to be willing to test more often and learn the ins and outs of pump therapy which is more complicated than multiple daily injections. Also, if anything happens to cut off insulin delivery you have to troubleshoot the problem, which can sometimes be really frustrating, especailly when you've got very high blood sugar at the same time (which you probably do if you have delivery problems)! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 I aagree with . I wwas like her -type 1 diabetic for 57 years when I go my first pump. And I am totally blind. It really helped me keep my A1C down. Almost every time I have it done, it is 6.3 or lower. My last one was 5.5. You at least can try the pump out. They will put saliene in it so it can try for awe and see how you like it. Re: question on A1c levels , have you ever considered a pump? I was never called " brittle " (personally I really dislike that term, because I think *all* type 1s are " brittle " ... we are trying to take the place of an organ, after all!), but lows to highs and back again pretty much sums up my control before. The pump helped so much because you are able to deliver a variable basal rate. People without diabetes don't have a completely flat level of insulin in their bodies -- which is what Lantus provides -- they produce insulin in the amounts their bodies need, which you can do with a pump. There are also much finer bolusing increments. I used to never correct a high blood sugar before bed unless it was say 12 or above, because I would go low. Now with the pump I can give a tiny bolus like 0.3 of a unit, and I usually correct anything above 8. Also, and this has made a *huge* difference, if you notice you are running high or low you can change the pump's basal rate and those changes kick in after only a few hours. With Lantus making changes in the dose takes three days to take effect, so by the time the changes take effect the problem you've responded to may be gone entirely! I was never able to get my A1c any lower than 7.1 on Lantus no matter how hard I tried. Now with the pump, my last A1c was 7.1 and I'm not happy with that, that's m own fault it's high from slacking off. The one before that was 6.6, and I'm aiming for 6.5 although I'm not sure I can get that low without using a CGMS because I have too many lows. The pump isn't perfect, of course, and doesn't guarantee perfect numbers. There are still days I ping pong everywhere, like yesterday when I was from 2.9 to 22.3. But now when that happens I can usually find a reason for it. Many days I can stay between 4 and 10 the entire day, which was impossible before. Before the pump seeing lows and high teens every day was routine. There are things that influence my blood sugar, like hormones, which cause me to alternately crash and skyrocket every two weeks, which I never realized had any effect on me because my control was never stable enough until I got the pump. Having said that great stuff about the pump, there are also some definite disadvantages, especially for a blind person. It's very high tech and you have to be comfortable with computers to use it, be willing to memorize the menu layouts so you can navigate them without vision, and also have to be willing to test more often and learn the ins and outs of pump therapy which is more complicated than multiple daily injections. Also, if anything happens to cut off insulin delivery you have to troubleshoot the problem, which can sometimes be really frustrating, especailly when you've got very high blood sugar at the same time (which you probably do if you have delivery problems)! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 I aagree with . I wwas like her -type 1 diabetic for 57 years when I go my first pump. And I am totally blind. It really helped me keep my A1C down. Almost every time I have it done, it is 6.3 or lower. My last one was 5.5. You at least can try the pump out. They will put saliene in it so it can try for awe and see how you like it. Re: question on A1c levels , have you ever considered a pump? I was never called " brittle " (personally I really dislike that term, because I think *all* type 1s are " brittle " ... we are trying to take the place of an organ, after all!), but lows to highs and back again pretty much sums up my control before. The pump helped so much because you are able to deliver a variable basal rate. People without diabetes don't have a completely flat level of insulin in their bodies -- which is what Lantus provides -- they produce insulin in the amounts their bodies need, which you can do with a pump. There are also much finer bolusing increments. I used to never correct a high blood sugar before bed unless it was say 12 or above, because I would go low. Now with the pump I can give a tiny bolus like 0.3 of a unit, and I usually correct anything above 8. Also, and this has made a *huge* difference, if you notice you are running high or low you can change the pump's basal rate and those changes kick in after only a few hours. With Lantus making changes in the dose takes three days to take effect, so by the time the changes take effect the problem you've responded to may be gone entirely! I was never able to get my A1c any lower than 7.1 on Lantus no matter how hard I tried. Now with the pump, my last A1c was 7.1 and I'm not happy with that, that's m own fault it's high from slacking off. The one before that was 6.6, and I'm aiming for 6.5 although I'm not sure I can get that low without using a CGMS because I have too many lows. The pump isn't perfect, of course, and doesn't guarantee perfect numbers. There are still days I ping pong everywhere, like yesterday when I was from 2.9 to 22.3. But now when that happens I can usually find a reason for it. Many days I can stay between 4 and 10 the entire day, which was impossible before. Before the pump seeing lows and high teens every day was routine. There are things that influence my blood sugar, like hormones, which cause me to alternately crash and skyrocket every two weeks, which I never realized had any effect on me because my control was never stable enough until I got the pump. Having said that great stuff about the pump, there are also some definite disadvantages, especially for a blind person. It's very high tech and you have to be comfortable with computers to use it, be willing to memorize the menu layouts so you can navigate them without vision, and also have to be willing to test more often and learn the ins and outs of pump therapy which is more complicated than multiple daily injections. Also, if anything happens to cut off insulin delivery you have to troubleshoot the problem, which can sometimes be really frustrating, especailly when you've got very high blood sugar at the same time (which you probably do if you have delivery problems)! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 I aagree with . I wwas like her -type 1 diabetic for 57 years when I go my first pump. And I am totally blind. It really helped me keep my A1C down. Almost every time I have it done, it is 6.3 or lower. My last one was 5.5. You at least can try the pump out. They will put saliene in it so it can try for awe and see how you like it. Re: question on A1c levels , have you ever considered a pump? I was never called " brittle " (personally I really dislike that term, because I think *all* type 1s are " brittle " ... we are trying to take the place of an organ, after all!), but lows to highs and back again pretty much sums up my control before. The pump helped so much because you are able to deliver a variable basal rate. People without diabetes don't have a completely flat level of insulin in their bodies -- which is what Lantus provides -- they produce insulin in the amounts their bodies need, which you can do with a pump. There are also much finer bolusing increments. I used to never correct a high blood sugar before bed unless it was say 12 or above, because I would go low. Now with the pump I can give a tiny bolus like 0.3 of a unit, and I usually correct anything above 8. Also, and this has made a *huge* difference, if you notice you are running high or low you can change the pump's basal rate and those changes kick in after only a few hours. With Lantus making changes in the dose takes three days to take effect, so by the time the changes take effect the problem you've responded to may be gone entirely! I was never able to get my A1c any lower than 7.1 on Lantus no matter how hard I tried. Now with the pump, my last A1c was 7.1 and I'm not happy with that, that's m own fault it's high from slacking off. The one before that was 6.6, and I'm aiming for 6.5 although I'm not sure I can get that low without using a CGMS because I have too many lows. The pump isn't perfect, of course, and doesn't guarantee perfect numbers. There are still days I ping pong everywhere, like yesterday when I was from 2.9 to 22.3. But now when that happens I can usually find a reason for it. Many days I can stay between 4 and 10 the entire day, which was impossible before. Before the pump seeing lows and high teens every day was routine. There are things that influence my blood sugar, like hormones, which cause me to alternately crash and skyrocket every two weeks, which I never realized had any effect on me because my control was never stable enough until I got the pump. Having said that great stuff about the pump, there are also some definite disadvantages, especially for a blind person. It's very high tech and you have to be comfortable with computers to use it, be willing to memorize the menu layouts so you can navigate them without vision, and also have to be willing to test more often and learn the ins and outs of pump therapy which is more complicated than multiple daily injections. Also, if anything happens to cut off insulin delivery you have to troubleshoot the problem, which can sometimes be really frustrating, especailly when you've got very high blood sugar at the same time (which you probably do if you have delivery problems)! Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 mary ann, way to go. you are another success story. you are that much closer to five. my hat is off to you. have a great day, karen question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 mary ann, way to go. you are another success story. you are that much closer to five. my hat is off to you. have a great day, karen question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 mary ann, way to go. you are another success story. you are that much closer to five. my hat is off to you. have a great day, karen question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 jen when i got that high reading . before supper i was right on. then supper was at a restaurant and one of the things they do is buns made right there. they are big and warm, smile. guess work is all i could use. normally i would count carbs but this was a bid guess. karen Re: question on A1c levels , Do you count carbohydrates at all? That is, do you dose your insulin based on the amount of carbohydrates you are eating? I noticed in another e-mail you said you were 22 after having a piece of bread ... I don't stick to any particular diet, but I do count carbohydrates in the foods I eat and I change the amount of insulin I take based on this. There is no set dose I take per meal. I might take 4 units for one meal but 8 for another and occasionally, when I eat out, I'll take more than 10. This is in addition to the extra insulin I take if my blood sugar is high. Of course, this isn't perfect every time. Yesterday I was 5.3 after breakfast, today with the exact same breakfast (I even weighed the food) I am 16.6. But that's just diabetes sometimes, making no sense. At least carbohydrate counting gives me a guideline to work with so that I am not just taking wild guesses about how much insulin to take for food. Jen > > > dave, i take four units of humalog for each meal plus i am on the sliding > scale. i give myself a little treat occasionally of one little square of > sugar free chocolate and this is very small. but to do this the occasionall > evening i have to give myself two units of humalog. if i do the extra > insulin my blood sugar reading will be o k for the next reading. karen > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 jen when i got that high reading . before supper i was right on. then supper was at a restaurant and one of the things they do is buns made right there. they are big and warm, smile. guess work is all i could use. normally i would count carbs but this was a bid guess. karen Re: question on A1c levels , Do you count carbohydrates at all? That is, do you dose your insulin based on the amount of carbohydrates you are eating? I noticed in another e-mail you said you were 22 after having a piece of bread ... I don't stick to any particular diet, but I do count carbohydrates in the foods I eat and I change the amount of insulin I take based on this. There is no set dose I take per meal. I might take 4 units for one meal but 8 for another and occasionally, when I eat out, I'll take more than 10. This is in addition to the extra insulin I take if my blood sugar is high. Of course, this isn't perfect every time. Yesterday I was 5.3 after breakfast, today with the exact same breakfast (I even weighed the food) I am 16.6. But that's just diabetes sometimes, making no sense. At least carbohydrate counting gives me a guideline to work with so that I am not just taking wild guesses about how much insulin to take for food. Jen > > > dave, i take four units of humalog for each meal plus i am on the sliding > scale. i give myself a little treat occasionally of one little square of > sugar free chocolate and this is very small. but to do this the occasionall > evening i have to give myself two units of humalog. if i do the extra > insulin my blood sugar reading will be o k for the next reading. karen > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 jen when i got that high reading . before supper i was right on. then supper was at a restaurant and one of the things they do is buns made right there. they are big and warm, smile. guess work is all i could use. normally i would count carbs but this was a bid guess. karen Re: question on A1c levels , Do you count carbohydrates at all? That is, do you dose your insulin based on the amount of carbohydrates you are eating? I noticed in another e-mail you said you were 22 after having a piece of bread ... I don't stick to any particular diet, but I do count carbohydrates in the foods I eat and I change the amount of insulin I take based on this. There is no set dose I take per meal. I might take 4 units for one meal but 8 for another and occasionally, when I eat out, I'll take more than 10. This is in addition to the extra insulin I take if my blood sugar is high. Of course, this isn't perfect every time. Yesterday I was 5.3 after breakfast, today with the exact same breakfast (I even weighed the food) I am 16.6. But that's just diabetes sometimes, making no sense. At least carbohydrate counting gives me a guideline to work with so that I am not just taking wild guesses about how much insulin to take for food. Jen > > > dave, i take four units of humalog for each meal plus i am on the sliding > scale. i give myself a little treat occasionally of one little square of > sugar free chocolate and this is very small. but to do this the occasionall > evening i have to give myself two units of humalog. if i do the extra > insulin my blood sugar reading will be o k for the next reading. karen > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Gee sugar, You are doing well with that A1C. Possibly the .2 differanc eis those bits of potatoes and grain, but I would not worry over .2 th of a point. question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Gee sugar, You are doing well with that A1C. Possibly the .2 differanc eis those bits of potatoes and grain, but I would not worry over .2 th of a point. question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Thanks Frances I know, it's just that I try so hard, and I know I need to relax, as Dave says, LOL still, being careful doesn't hurt, and wanting to be at a level where one feels comfortable, regardless what number is not a bad thing especially for me, since I was once a type I, and very brittle taking shots 10 times a day, due to being given the wrong type of insulin for my first 6 years of being a diabetic, causeing all of my complications now;I just don't want to go backwards, if you can understand what I'm saying still, thank you so much, I will just relax, and enjoy my foods, and cut back some. there is always a next test,right? smile sugar ~To get something you never had, you have to do something you never did. -Sugar question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Thanks Frances I know, it's just that I try so hard, and I know I need to relax, as Dave says, LOL still, being careful doesn't hurt, and wanting to be at a level where one feels comfortable, regardless what number is not a bad thing especially for me, since I was once a type I, and very brittle taking shots 10 times a day, due to being given the wrong type of insulin for my first 6 years of being a diabetic, causeing all of my complications now;I just don't want to go backwards, if you can understand what I'm saying still, thank you so much, I will just relax, and enjoy my foods, and cut back some. there is always a next test,right? smile sugar ~To get something you never had, you have to do something you never did. -Sugar question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Thanks Frances I know, it's just that I try so hard, and I know I need to relax, as Dave says, LOL still, being careful doesn't hurt, and wanting to be at a level where one feels comfortable, regardless what number is not a bad thing especially for me, since I was once a type I, and very brittle taking shots 10 times a day, due to being given the wrong type of insulin for my first 6 years of being a diabetic, causeing all of my complications now;I just don't want to go backwards, if you can understand what I'm saying still, thank you so much, I will just relax, and enjoy my foods, and cut back some. there is always a next test,right? smile sugar ~To get something you never had, you have to do something you never did. -Sugar question on A1c levels Hi, ok, I am border line II, and on Metformin, only 500 mg once a day, and doing great. I've lost 55lbs of weight in one year, and still looseing, what seems to be roughly 10lbs every 3 months... and as for my A1C;what use to be a 10.8 now a 5.9... my question is that two months I was a 5.7, and very happy, and even though I am still " in range " at 5.9, I am not happy now, if anyone is like me, I tend to be really hard with myself, and can ve strick at times. but I am just looking for suggestions; what can i do besides watch the sugar intake,(which I really don't eat much at all) to help me lower the A1C level? I've noticed that the past few months, I've had a bit more potatos, and grain, whole wheat bread, does that make much difference? I am just wanting to know more knowledge. Thanks sugar ~To get something you never had, you have to do something you never did. -Sugar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Jen is right, and counting carbs is certainly a viable method, but I've found over time, that sticking with a standard menu (perhaps too boring for most people), I don't have to count anything. One dinner we have is chicken and broccoli with a starch (usually brown rice, or noodles, or sometimes whipped potatoes, or even baked potatoes), requiring 10 units. Simple. Now, I can eat a little more of the rice, perhaps than the whipped potatoes, but these are things that you learn. One other thing that is crucial for consistently good readings is to make sure your bg reading prior to eating is consistently in a good range. I like to be 90-110. I eat the same portion size, and my readings are consistent. Count the carbs for starters, find a baseline, but then just stick with something that you have a formula for. Dave Visit: http://www.bardtalk.com and find answers to commonly asked questions concerning BARD. Join the online discussion list, and discover many other resources to help make your digital talking book experience more enjoyable! Re: question on A1c levels , Do you count carbohydrates at all? That is, do you dose your insulin based on the amount of carbohydrates you are eating? I noticed in another e-mail you said you were 22 after having a piece of bread ... I don't stick to any particular diet, but I do count carbohydrates in the foods I eat and I change the amount of insulin I take based on this. There is no set dose I take per meal. I might take 4 units for one meal but 8 for another and occasionally, when I eat out, I'll take more than 10. This is in addition to the extra insulin I take if my blood sugar is high. Of course, this isn't perfect every time. Yesterday I was 5.3 after breakfast, today with the exact same breakfast (I even weighed the food) I am 16.6. But that's just diabetes sometimes, making no sense. At least carbohydrate counting gives me a guideline to work with so that I am not just taking wild guesses about how much insulin to take for food. Jen > > > dave, i take four units of humalog for each meal plus i am on the sliding > scale. i give myself a little treat occasionally of one little square of > sugar free chocolate and this is very small. but to do this the occasionall > evening i have to give myself two units of humalog. if i do the extra > insulin my blood sugar reading will be o k for the next reading. karen > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Jen is right, and counting carbs is certainly a viable method, but I've found over time, that sticking with a standard menu (perhaps too boring for most people), I don't have to count anything. One dinner we have is chicken and broccoli with a starch (usually brown rice, or noodles, or sometimes whipped potatoes, or even baked potatoes), requiring 10 units. Simple. Now, I can eat a little more of the rice, perhaps than the whipped potatoes, but these are things that you learn. One other thing that is crucial for consistently good readings is to make sure your bg reading prior to eating is consistently in a good range. I like to be 90-110. I eat the same portion size, and my readings are consistent. Count the carbs for starters, find a baseline, but then just stick with something that you have a formula for. Dave Visit: http://www.bardtalk.com and find answers to commonly asked questions concerning BARD. Join the online discussion list, and discover many other resources to help make your digital talking book experience more enjoyable! Re: question on A1c levels , Do you count carbohydrates at all? That is, do you dose your insulin based on the amount of carbohydrates you are eating? I noticed in another e-mail you said you were 22 after having a piece of bread ... I don't stick to any particular diet, but I do count carbohydrates in the foods I eat and I change the amount of insulin I take based on this. There is no set dose I take per meal. I might take 4 units for one meal but 8 for another and occasionally, when I eat out, I'll take more than 10. This is in addition to the extra insulin I take if my blood sugar is high. Of course, this isn't perfect every time. Yesterday I was 5.3 after breakfast, today with the exact same breakfast (I even weighed the food) I am 16.6. But that's just diabetes sometimes, making no sense. At least carbohydrate counting gives me a guideline to work with so that I am not just taking wild guesses about how much insulin to take for food. Jen > > > dave, i take four units of humalog for each meal plus i am on the sliding > scale. i give myself a little treat occasionally of one little square of > sugar free chocolate and this is very small. but to do this the occasionall > evening i have to give myself two units of humalog. if i do the extra > insulin my blood sugar reading will be o k for the next reading. karen > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Jen is right, and counting carbs is certainly a viable method, but I've found over time, that sticking with a standard menu (perhaps too boring for most people), I don't have to count anything. One dinner we have is chicken and broccoli with a starch (usually brown rice, or noodles, or sometimes whipped potatoes, or even baked potatoes), requiring 10 units. Simple. Now, I can eat a little more of the rice, perhaps than the whipped potatoes, but these are things that you learn. One other thing that is crucial for consistently good readings is to make sure your bg reading prior to eating is consistently in a good range. I like to be 90-110. I eat the same portion size, and my readings are consistent. Count the carbs for starters, find a baseline, but then just stick with something that you have a formula for. Dave Visit: http://www.bardtalk.com and find answers to commonly asked questions concerning BARD. Join the online discussion list, and discover many other resources to help make your digital talking book experience more enjoyable! Re: question on A1c levels , Do you count carbohydrates at all? That is, do you dose your insulin based on the amount of carbohydrates you are eating? I noticed in another e-mail you said you were 22 after having a piece of bread ... I don't stick to any particular diet, but I do count carbohydrates in the foods I eat and I change the amount of insulin I take based on this. There is no set dose I take per meal. I might take 4 units for one meal but 8 for another and occasionally, when I eat out, I'll take more than 10. This is in addition to the extra insulin I take if my blood sugar is high. Of course, this isn't perfect every time. Yesterday I was 5.3 after breakfast, today with the exact same breakfast (I even weighed the food) I am 16.6. But that's just diabetes sometimes, making no sense. At least carbohydrate counting gives me a guideline to work with so that I am not just taking wild guesses about how much insulin to take for food. Jen > > > dave, i take four units of humalog for each meal plus i am on the sliding > scale. i give myself a little treat occasionally of one little square of > sugar free chocolate and this is very small. but to do this the occasionall > evening i have to give myself two units of humalog. if i do the extra > insulin my blood sugar reading will be o k for the next reading. karen > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Okay. nne, that is terrific. But according to the researc out now it isn't good to go below that. I'll hve to look and wee if I have any of those articles. Now, question: let's say you have a 7.0 or 6.5 a1c. How does that translate into a blood sugar over time? Like 120or something like that and if so, can you read your blood sugar and pretty much judge what your a1C would be? Vicki > > mary ann, way to go. you are another success story. you are that much > closer to five. my hat is off to you. have a great day, karen > > question on A1c levels > > Hi, > ok, I am border line II, and on Metformin, only 500 mg once a day, and > doing > great. > I've lost 55lbs of weight in one year, and still looseing, what seems > to be > roughly 10lbs every 3 months... > and as for my A1C;what use to be a 10.8 now a 5.9... > my question is that two months I was a 5.7, and very happy, and even > though > I am still " in range " at 5.9, I am not happy > now, if anyone is like me, I tend to be really hard with myself, and > can ve > strick at times. > but I am just looking for suggestions; what can i do besides watch the > sugar > intake,(which I really don't eat much at all) > to help me lower the A1C level? > I've noticed that the past few months, I've had a bit more potatos, and > grain, whole wheat bread, does that make much difference? > I am just wanting to know more knowledge. > Thanks > sugar > ~To get something you never had, you have to do something you never did. > -Sugar > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Okay. nne, that is terrific. But according to the researc out now it isn't good to go below that. I'll hve to look and wee if I have any of those articles. Now, question: let's say you have a 7.0 or 6.5 a1c. How does that translate into a blood sugar over time? Like 120or something like that and if so, can you read your blood sugar and pretty much judge what your a1C would be? Vicki > > mary ann, way to go. you are another success story. you are that much > closer to five. my hat is off to you. have a great day, karen > > question on A1c levels > > Hi, > ok, I am border line II, and on Metformin, only 500 mg once a day, and > doing > great. > I've lost 55lbs of weight in one year, and still looseing, what seems > to be > roughly 10lbs every 3 months... > and as for my A1C;what use to be a 10.8 now a 5.9... > my question is that two months I was a 5.7, and very happy, and even > though > I am still " in range " at 5.9, I am not happy > now, if anyone is like me, I tend to be really hard with myself, and > can ve > strick at times. > but I am just looking for suggestions; what can i do besides watch the > sugar > intake,(which I really don't eat much at all) > to help me lower the A1C level? > I've noticed that the past few months, I've had a bit more potatos, and > grain, whole wheat bread, does that make much difference? > I am just wanting to know more knowledge. > Thanks > sugar > ~To get something you never had, you have to do something you never did. > -Sugar > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Okay. nne, that is terrific. But according to the researc out now it isn't good to go below that. I'll hve to look and wee if I have any of those articles. Now, question: let's say you have a 7.0 or 6.5 a1c. How does that translate into a blood sugar over time? Like 120or something like that and if so, can you read your blood sugar and pretty much judge what your a1C would be? Vicki > > mary ann, way to go. you are another success story. you are that much > closer to five. my hat is off to you. have a great day, karen > > question on A1c levels > > Hi, > ok, I am border line II, and on Metformin, only 500 mg once a day, and > doing > great. > I've lost 55lbs of weight in one year, and still looseing, what seems > to be > roughly 10lbs every 3 months... > and as for my A1C;what use to be a 10.8 now a 5.9... > my question is that two months I was a 5.7, and very happy, and even > though > I am still " in range " at 5.9, I am not happy > now, if anyone is like me, I tend to be really hard with myself, and > can ve > strick at times. > but I am just looking for suggestions; what can i do besides watch the > sugar > intake,(which I really don't eat much at all) > to help me lower the A1C level? > I've noticed that the past few months, I've had a bit more potatos, and > grain, whole wheat bread, does that make much difference? > I am just wanting to know more knowledge. > Thanks > sugar > ~To get something you never had, you have to do something you never did. > -Sugar > > Quote Link to comment Share on other sites More sharing options...
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