Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 I'm doing the Snoopy Happy Dance. Dang doctor backed down, after reading my fax, and through his nurse, said for me to continue with the sliding scale. And that I've completely puzzled him. Moron. I'll see him on the 28th. He should be afraid. Be very afraid. <G> Marilyn whimsy2 wrote: I'd sure like to hear the answer to that one too. Please let us know. Take care, Vicki < I don't know why I haven't done this with the diabetes before, but believe me, my doctor and his nurse will receive my faxed questions to them this afternoon, more or less asking " what the heck am I doing taking 40 units of insulin when my blood sugar reading is in the 60s? And I'm following the sliding scale, and not your new figures. " That ought to get a response. The funny thing is, this doctor is highly recommended. So I'm sure I'll be labeled " non-compliant " but I don't care. I just need him to explain his rationale for my taking high doses of insulin even when my BG is low. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Great. Learning from our experiences is one of the best things we can do to manage our condition. --- In diabetes_int , Marilyn <marilyncmorris@s. > I get a funny feeling and tremble a bit, sometimes sweat. This time, tho, I pushed those signs to the side, determined to go to the grocery store on the way home. Will never do that again! (Learning experience!) > > Marilyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Marilyn: Any time you feel a little weird (and learn to pay attention to those things; don't push it aside!) bring out your meter and test! Keep a little spiral notebook in your purse and write everything down. You might even want to get a PDA and use that. And don't leave the meter in the car. Keep it with you in your purse. It should be with you at all times. If you don't wear a purse all the time, wear a butt bag and put it in that. Vicki Re: Re: Blood Sugar Dive While Driving -So Scared! > > Rotramel wrote: > Marilyn, > Don't do anything you are not comfortable doing, but I urge you not to > let this incident scare you off of driving. As long as you have your > meter with you and use it, and you have something to raise your sugar > if you need to, then you should be fine. I try not to let diabetes get > in the way of living, if you know what I mean. > > Yes, I do know what you mean. Funny thing: When I got lupus in 1988, > I determined then that I wasn't going to quit living just so I could > live. Don't know why I didn't think of this with diabetes, unless my > absolute terror got in the way, as I haven't driven my car since last > Thursday. > > I don't remember if you had any warnings of being low. For me, I get a > little sweaty and light headed. For my wife, she gets grouchy and > ditzy. (Thank goodness she no longer gets mad at me when I point out > she is grouch and ditzy, but instead agrees and goes and eats > something.). > > I get a funny feeling and tremble a bit, sometimes sweat. This time, > tho, I pushed those signs to the side, determined to go to the grocery > store on the way home. Will never do that again! (Learning > experience!) > > Marilyn > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Thank you. I'll do that. Marilyn whimsy2 wrote: Marilyn: Any time you feel a little weird (and learn to pay attention to those things; don't push it aside!) bring out your meter and test! Keep a little spiral notebook in your purse and write everything down. You might even want to get a PDA and use that. And don't leave the meter in the car. Keep it with you in your purse. It should be with you at all times. If you don't wear a purse all the time, wear a butt bag and put it in that. Vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Yeah. I just wish I didn't have to learn the hard way! Marilyn Rotramel wrote: Great. Learning from our experiences is one of the best things we can do to manage our condition. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 When you get to where you can handle even MORE information you might want to take a look at Dr. Bernstein's book, especially the discussion of meal dosing. Also, I imagine your doctor did tell you that Humalog has a " standard instruction " start time of 15 minutes, which means you would wait 15 minutes after injection before starting to eat. Even better if you test to check on your own personal start time. You would do this by preparing your meal, take a bg reading, and those of us who dose for carb or gigl would prepare a syringe with the appropriate number of units - you would do it according to your scale, then test every five minutes until your bg drops 10 points, record that total number of minutes, and EAT! Then you know how long it takes for that insulin to start working for you. This is to get the insulin and the food to work together instead of having one start working before the other one does. And for more technical explanations of just why we do this you will need to hear from someone else, because I can only understand all that stuff when I'm reading it - and after that I just do what I'm told. If this is already too much information for right now just ignore me. I don't mind. CarolR Marilyn wrote: > It's humalog. 3 times a day, before meals. But not any more -- <G> Now I'm doing the sliding scale, like the ER doc recommended. I'm still feeling somewhat scared over the whole thing, tho. God, what could have happened! > Thanks, Carol. > Marilyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Whatever you do, if you take Humalog - I highly suggest, when eating out at a restaurant that you DO NOT take your insulin until your food is in front of you. With an onset time of 15 min (give or take a few) you can be in deep, deep doo-doo if something goes wrong and your order is delayed! I had this happen, sorta, at work last month. We were having a company BBQ. Boss said 'Food's on " so I dosed up. We were having hamburgers, and by golly I was gonna have one of those soft white buns that I never keep around the house. 34g of carbs. OUCH. So, I dosed with about 4 units. Well, turns out, food *WASN'T* on. It took a few mins for everyone to get gathered up, and then he had to give a little chat, and award the employee of the month, etc. Even when I *TOLD* him " Hey, bossman, I've dosed up, and it takes 15 min to start acting... I gotta eat... " it STILL took us another 10 mins. So, 30 mins between the time I injected and the time I took the first bite. I was so hungry by then (I get hungry when my bs starts to hit the low 90s) that I wolfed down my burger, and barely got to enjoy it 15 mins later, I was shaking and sweating, because my food wasn't catching up with my insulin. BAH! SulaBlue Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 On Wed, 13 Jul 2005 02:48:30 -0000, " SulaBlue " wrote: >Whatever you do, if you take Humalog - I highly suggest, when eating out at a restaurant >that you DO NOT take your insulin until your food is in front of you. With an onset time of >15 min (give or take a few) you can be in deep, deep doo-doo if something goes wrong >and your order is delayed! Yup, had that happen the other day at the Pizza parlor on one of my splurge days. I need about 8 units of Novolog to offset half a pizza (see, I really do splurge sometimes.) I normally wait until the food's on the table before shooting but I figured this time that this carb blorf probably required a head-start. When I saw the cook put the pie in the oven, I shot. Turns out it wasn't my pie. Someone ELSE had also ordered a mushroom, shrimp and sundried tomato pizza. In about 10 minutes, out came the glucose tabs as the first edge of the sweats started. I caught it in time but I effectively wasted the shot. Grrrrrrr. Moral #1: Wait til the food's there before shooting. Moral #2: Keep those glucose tabs handy at all times. Moral #3: Don't assume you're the only one with weird food tastes :-) --- De Armond See my website for my current email address http://www.johngsbbq.com Cleveland, Occupied TN Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Another factor to keep in mind: when going into a hupo a common symptom is that you will do anything possible to accomplish whatever task you're doing just then. GOT to learn to realize this is happening so you can ignore it and test or treat for a low NOW! Ted Quick --- whimsy2 wrote: > Marilyn: Any time you feel a little weird (and learn to pay attention to > those things; don't push it aside!) bring out your meter and test! Keep > a little spiral notebook in your purse and write everything down. You > might even want to get a PDA and use that. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2005 Report Share Posted July 13, 2005 Strange, I have never had the compulsion to finish something, but so far, I have always known when I was having a true low. Sometimes I have calculated that I CAN finish something and then eat, but it has always been a conscious decision. > > Marilyn: Any time you feel a little weird (and learn to pay attention to > > those things; don't push it aside!) bring out your meter and test! Keep > > a little spiral notebook in your purse and write everything down. You > > might even want to get a PDA and use that. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2005 Report Share Posted July 13, 2005 When you knew you were having a true low, was it because you tested to make sure? Vicki Re: Blood Sugar Dive While Driving -So Scared! > Strange, I have never had the compulsion to finish something, but so > far, I have always known when I was having a true low. Sometimes I > have calculated that I CAN finish something and then eat, but it has > always been a conscious decision. > > > >> > Marilyn: Any time you feel a little weird (and learn to pay > attention to >> > those things; don't push it aside!) bring out your meter and test! > Keep >> > a little spiral notebook in your purse and write everything down. > You >> > might even want to get a PDA and use that. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2005 Report Share Posted July 13, 2005 Carol wrote: When you get to where you can handle even MORE information you might want to take a look at Dr. Bernstein's book, especially the discussion of meal dosing. You are correct in guessing I'm feeling overwhelmed with information from this group. I'll do that when I can catch my breath, so to speak. Also, I imagine your doctor did tell you that Humalog has a " standard instruction " start time of 15 minutes, which means you would wait 15 minutes after injection before starting to eat. My doctor didn't tell me jack squat. I took diabetes classes at the hospital but got no really good information out of it; I was too tired from my hospitalization to really learn anything new at that point, and much of it was so much medical terminology I tuned out. Even better if you test to check on your own personal start time. You would do this by preparing your meal, take a bg reading, and those of us who dose for carb or gigl would prepare a syringe with the appropriate number of units - you would do it according to your scale, then test every five minutes until your bg drops 10 points, record that total number of minutes, and EAT! Then you know how long it takes for that insulin to start working for you. This is to get the insulin and the food to work together instead of having one start working before the other one does. And for more technical explanations of just why we do this you will need to hear from someone else, because I can only understand all that stuff when I'm reading it - and after that I just do what I'm told. If this is already too much information for right now just ignore me. I don't mind. I'm not ignoring you for a minute! Lots of information here. It might take me a while to absorb all of it, though. Thanks, Marilyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2005 Report Share Posted July 13, 2005 Yep, information overload. You might want to start a notebook or a puter file for posts that you think might pertain to your situation and just file this stuff to review when you're ready, instead of trying to find these messages in the archives at some later date. I've got a whole file folder full of stuff that I review about every six months, just to remember what I've forgotten, and now that UL is being discontinued I have to start a whole new folder on levemir/detemir/boromir/faramir, whatever it is. Why couldn't they just go with Merry and Pippin? On a positive note, let us not forget that Saturday is Harry Potter day - finally, something IMPORTANT is happening, and yep, I'll be there with all the other 12 year olds to get my book! CarolR Marilyn wrote: > I'm not ignoring you for a minute! Lots of information here. It might take me a while to absorb all of it, though. > > Thanks, > > Marilyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2005 Report Share Posted July 15, 2005 > Another factor to keep in mind: when going into a hupo a common symptom is that you will do > anything possible to accomplish whatever task you're doing just then. GOT to learn to realize this > is happening so you can ignore it and test or treat for a low NOW! > >>>>>>>> So strange, this one. I feel it too... a real sense of urgency. Maybe it's because I'm afraid I won't finish at all if I have the hypo? Or maybe it's just the brain being dumb. Stacey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2005 Report Share Posted July 15, 2005 I think it's just the brain knowing deepdown that ther's only so much time availble before we won't be able to complete whatever, so it tries to get it done. Ted Quick --- snazziest2000 wrote: > > > Another factor to keep in mind: when going into a hupo a common > symptom is that you will do > > anything possible to accomplish whatever task you're doing just then. > GOT to learn to realize this > > is happening so you can ignore it and test or treat for a low NOW! > > >>>>>>>> > > So strange, this one. I feel it too... a real sense of urgency. Maybe > it's because I'm afraid I won't finish at all if I have the hypo? Or > maybe it's just the brain being dumb. > Stacey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2005 Report Share Posted July 15, 2005 That's just what I felt.....I can go and do what I started out to do, regardless of how " funny " I felt......compulsive person that I am....But not any more! I'll never want to do that again. Marilyn snazziest2000 wrote: > Another factor to keep in mind: when going into a hupo a common symptom is that you will do > anything possible to accomplish whatever task you're doing just then. GOT to learn to realize this > is happening so you can ignore it and test or treat for a low NOW! > >>>>>>>> So strange, this one. I feel it too... a real sense of urgency. Maybe it's because I'm afraid I won't finish at all if I have the hypo? Or maybe it's just the brain being dumb. Stacey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2005 Report Share Posted July 15, 2005 Your probably right. I have some studies which show the reduced blood flow in different regions of the brain as BG goes down. Judgement is impaired first because the rbf (regional blood flow) drops in the prefrontal cortex first. BTW the studies show that subjects do not recognise low BG when it's down to 54. Many people test before exercise but for some reason don't think it's important to check BG before driving - and after driving for a while. This is especially important if you eat a heavy carb/fat meal or snack, as well as checking for a hypo. Bea Ted Quick wrote >I think it's just the brain knowing deepdown that ther's only so much time >availble before we > won't be able to complete whatever, so it tries to get it done. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2005 Report Share Posted July 15, 2005 > Your probably right. I have some studies which show the reduced blood flow > in different regions of the brain as BG goes down. I just read in that Type 1 book that blood flow to the brain increases when BG goes down, in an attempt to provide sufficient BG even when levels are lower. I'll try to find a reference. Gretchen Quote Link to comment Share on other sites More sharing options...
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