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Insulin and doctors reluctance to give it

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> I've been tired, too. Is that an effect of too high BG? Seems like

I'm tired most of the time.

Yes, being tired is a sign of high BG. The higher mine is, the more

tired I am. I ate 6 of those little candy bars before Halloween and

I was on the couch and couldn't move the rest of the day.

>It was also suggested that eating something in the morning to stop

the dawn effect should only make the reading higher (as it

would be if you eat food) and I should actually go a couple of hours

longer until I ate and then take the reading. Yesterday it was 127

at 6:48 a.m. in the morning. I ate two eggs and when I checked two

hours later it was 139. Then it went down the rest of the day,

regartdless of meals. This morning I decided to do as suggested but

was remembering it as needing to wait 45 minutes instead of a couple

of hours. Even so, the reading at 7 a.m. was 126 and then at 8:45

a.m. still not having eaten, it was 142! I don't like

THAT at all. I ate then and only discovered I was supposed to have

waited about 2 hours after when I got back to the computer to read

the old email. I can't imagine what it might have been if I'd

waited an entire two hours.

This is exactly what happens to me too Sky. I seem to do better if

I eat something as soon as I get up. It doesn't matter if it's just

protein or a very small amount of carbs and protein, but I seem to

do better if I eat something immediately. Kat

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> well....according to my doctor...who with his wife are our closest

friends...they are afraid of the hypo's. Hypo's can be deadly and

must be treated

I think you are right on with this. There are articles all over our

local newspapers around here about malpractice and doctors insurance

rising forcing them out of our community. I think they are scared

to death of lawsuits. My doc will usually give me what I want, but

I guess she is making sure that I can handle it first. <and I am

glad of this> Kat

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At 10:50 AM 11/6/04, katakaniki wrote:

re: dawn effect and eating

>This is exactly what happens to me too Sky. I seem to do better if

>I eat something as soon as I get up. It doesn't matter if it's just

>protein or a very small amount of carbs and protein, but I seem to

do better if I eat something immediately.

The thing I have to wonder about is if I took another reading at 3 hours

after breakfast and 4 hours after, would I see the numbers the same as they

were when I waited that 45 minutes before eating. What would they have been

if I could have waited the two hours after I got up? I could check, but I'm

running low on lancets and I don't think I can refill any more.

sky

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Kat wrote:

>My question is why do you think doctors are reluctant to prescribe

>insulin? . . . I shudder to think about these doctors getting some kind

>of monetary kickback for just pushing the pills and they know insulin

>works better and is cheaper.

I think docs are reluctant to prescribe insulin because it is very risky if

oral agents (pills) would work as well for a Type2 individual (for Type 1

there is no choice). So what do I mean " risky " ?? . . . one can die quickly

from an overdose of insulin and the learning curve is higher (with a " bad

error " being potentially fatal) to use/dose it correctly. For a doc/clinic,

that translates to liability, litigation, etc. . . . the very real risk of

endangering a patient's life.

Sandy

T1 - 1979

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