Re: the lovely dawn effect

[Guest guest]

> Now I know why my hospital blood work fasting

> levels were so much higher than anything I see at

> home.

Dont't forget that the hospital readings were sure

to have been referenced to plasma whereas many home

meters are referenced to whole blood. The difference

is that plasma-referenced readings are always 10-15%

higher than for the same blood measured on a whole-blood

referenced meter, even more for readings taken

after meals (or so I am told). Your meter manual

should tell you what your meter reference is.

Limits given in clinical guidelines are almost always

plasma referenced.

[Guest guest]

No reluctance here, just haven't seen the endo yet. That's in another

month. I will certainly raise the issue of taking insulin. I think I

have to convince him to give me an antibody test first, right? Isn't

that what confirms it's Type 1? I have only had one diabetes

appoinment with him, although he was my endo for the thyroid, too. I'm

wondering if he'll see my good levels think it's not necessary.

Speaking of thyroid, he's always been adament about taking it on an

empty stomach and waiting 30 minutes to eat. It's also what I see

written about levothyroxine on the web.

Thanks again for the articles. I was especially heartened to read that

getting Type 1 later in life means there is less of a genetic

component involved. I would rather have no idea how I got it than

think that my kids were more likely to get it.

- H-

>

> Hi, ...sounds like you're doing fine but I have two comments.

> One, since you read the material I sent you about LADA,why the

> reluctance to start insulin? You should really do it, to save your

> remaining beta cells.

>

> BTW, the thought of taking insulin is usually a lot scarier than the

> actuality. Using super-fine needles and shooting in my belly (where

> there are relatively few nerve endings) I very rarely feel any pain at

> all, hardly a prick.

>

> The other thing is, I've been hypothyroid for 35 years (diabetic for

> only 7) and I was never given an instruction to have a half hour

from my

> thyroid pill till eating time. I have always taken it after my meal,

> along with most of my other pills with absolutely no problem. 35 years

> is a long time to be doing it this way, so I think if there was a

> problem with it, I'd certainly know by now.

>

> OTOH, I DO have to take my Fosamax a half hour before eating breakfast.

> Vicki

>

[Guest guest]

Don't they say that one third of the people today with diabetes don't

even know they have it? Think about how much worse it was, say, 50

years ago. My maternal grandfather was never diagnosed with diabetes,

but his leg rotted off and wouldn't heal after a minor scrape. And he

was treated at Duke! He died as a result of this minor scrape in 1953,

and I can't remember how long he was sick. Sue

> So why my brother is now prediabetic is one of those mysteries. As far

> as either of us know, there have been no type 2 diabetics in our

> family.

> Of course, in the " old days " no one ever talked about their chronic

> illnesses anyway, so it may have been that there were in fact some

> family members with diabetes...we'll just never know.

[Guest guest]

In a message dated 11/16/2005 8:47:27 PM Eastern Standard Time,

whimsy2@... writes:

The other thing is, I've been hypothyroid for 35 years (diabetic for

only 7) and I was never given an instruction to have a half hour from my

thyroid pill till eating time. I have always taken it after my meal,

along with most of my other pills with absolutely no problem. 35 years

is a long time to be doing it this way, so I think if there was a

problem with it, I'd certainly know by now.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Hi Vicki and group,

I apologize if this subject has already been discussed to death. I've been

running over 600 emails behind in my reading.

Anyway, I -- like you, Vicki -- have been hypothyroid for a long time, 30-35

years. Initially I was given no instructions about when to take my

medication but a few years ago, the instruction sheet I got from a new pharmacy

[a

Canadian pharmacy to which I changed because of cost considerations] said that

Synthroid should be taken on an empty stomach before breakfast. It didn't say

how long before breakfast, so I asked my doctor and she said at least 30

minutes. So I changed my dosing pattern. Six months later I was able to decrease

the dose of Synthroid I was taking. To me it's worth it to wait the 30 minutes

and have less medication in my system, but maybe I'm just not thinking

straight. At any rate, YMMV.

Jeanne

Type 2, dxed 8/17/05, Low Carb Diet, Metformin 1500mg, Precose

Also Astelin, CoReg, Fluoxetine, Furosemide, Imitrex, Lipitor, Micardis-HCT,

Micro-K, Miralax, Prevacid, Provigil, Serevant, Skelaxin, Synthroid,

Topamax, Zyrtec; Supplements include CoQ10, Vit E, and Omega 3.