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Re: Finally saw the endo today

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At 5:37 PM -0500 11/29/05, Kressler wrote:

>Hi Group!

>

>She did discuss diet briefly and her recommendations were mostly

>*stay under 30 carbs per meal*. I tried hard not to laugh. I could

>hear all of your voices echoing in my head. We'll see how things

>go. Could be interesting.

>

>

>

I'm not laughing. Many of us do not follow the restrictive diet that

some advocate. The real test of how many carbs you eat is what your

meter and the A1C tell you is happening.

--

Ray B.

rbowler@...

Type 2 diet, Fortarmet

Live near Des Moines, IA

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said:

>She did discuss diet briefly and her recommendations were mostly

> >*stay under 30 carbs per meal*. I tried hard not to laugh.

At 06:43 PM 11/29/05, Ray Bowler wrote:

>I'm not laughing. Many of us do not follow the restrictive diet that

>some advocate. The real test of how many carbs you eat is what your

>meter and the A1C tell you is happening.

That's interesting. I was thinking that thought that was too MANY

carbs per meal, as I did, not too few. So now I'm wondering which it

was. ?

sky

Intaxication: Euphoria at getting a tax

refund, which lasts until you realize it

was your money to start with.

http://www.skydor.com

http://www.skydancers.com

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, are you going to try and wait it out - and chance tetany? Or will

you be going back on meds and calcium?

I do not see any effects on my bgs from calcitriol, or calcium, for that

matter. By keeping my calcium between the low 8s and the low 9s I have

no brain fog either.

But I do take HCTZ to help the kidneys return calcium to my system and

that does raise bgs; however, only in a small way. I have idiopathic

edema and was taking furosemide before the TT, but that pushed out too

much calcium and I wound up in ER twice. It also did not have a large

effect on my bgs.

Good luck,

Helen

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At 11:42 PM 11/29/05, you wrote:

>Sky,

>

>I was thinking that was *probably* too many and was sounding a lot

>like the ADA line.

Yes, that's what I thought. Glad to hear I was right (for a change).

8-) On the other hand, ADA's meals seem to be more in the 70 - 80+ carbs

per meal range. At least the few I've read.

sky

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At 11:59 PM 11/29/05, Helen Mueller wrote:

>Of course, Bernstein advises 30 all told, but he classifies most plant

>food as no-nos. Like tomatoes, which I do eat. It might be a good place

>to start, but it is very stringent, therefore too easy to fall off.

There are some things I will NOT give up. Tomatoes are one of them. Then

come onions and garlic.

sky

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, all diuretics can increase bgs. As a diabetic, it is even more

important for you to keep your bp in a good range. Going to an ACE

inhibitor or an ARB will give you a double benefit: Good for bp and

kidney protective. According to my endo, 25mg of HCTZ is enough for the

calcium issues. Taking that amount gives you another double benefit: It

will help the kidneys hold onto calcium and it will work synergistically

with an ACE or ARB.

You might try some cod liver oil and some sunshine, if you can get it, to

up your vitamin D levels. This may help with the calcium retention until

you get calcitriol.

I started with 200mg of calcitriol and 1800mg of calcium when I told the

endo I had waited long enough to see if my paras would bounce back.

Twice in the hospital for tetany and mag infusions burn. Not to mention

over 12 hours there. About a year later I dropped to 150mg of

calcitriol, same calcium. A few months ago I pushed her to further lower

the calcitriol and I began spilling calcium, so we lowered that too. I

am taking a gram a day. Last calcium test was 8.2, no symptoms of

tetany. I also take mag. When I see my endo in Jan, I will ask again

about a 24 hour collection.

At this level of medication, I seem to be stabilized.

Now if I could only get my bgs there! Using byetta for five weeks seems

to have changed something. Either my pancreas itself or my IR. I am

calculating new insulin parameters; but am not able to get the morning

numbers down where I want them.

Helen

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At 11:31 PM 11/30/05, Kressler wrote:

>So, now my question for you (and everyone else) is........ any hints

>for dealing with the start of metformin? I am hoping it doesn't

>bother me, but I tend to be bothered by most things so, we'll see.

>Does it tend to bother folks immediately, after you've been on it

>awhile, or is it totally a YMMV issue?

I was given the extended release metformin and never had any digestive

problems with it. All I can remember is that I didn't have much of an

appetite for awhile, which allowed me to lose weight. Once a my doctor

(former doctor, now) wrote the prescription instead of his nurse

practitioner and he wrote it for regular metformin. I took it for a few

days until I got the prescription straightened out but didn't have any

upset with that. My stomach growled a lot, though.

Now I take 2000mg of the metformin XR (or ER) just before bed.

sky

Beezlebug: Satan in the form of a mosquito,

that gets into your bedroom at three in the

morning and cannot be cast out.

http://www.skydancers.com

http://www.skydor.com

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Eating yogurt every day stopped the problem for me. Sue

On Thursday, December 1, 2005, at 08:37 AM, Kressler wrote:

>

> I am probably going to start the metformin tonight. She started me

> on 500 mg but I think it is just the regular not XR version. I will

> have to read it again to see.

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Helen/:

I am interested in your discussion, not sure what started it as I missed a lot

of postings while " disconnected " I am also not sure altogether what you are

talking about, but having been recently diagnosed with Osteoporosis, and having

not found any way to stop the muscle cramps, mostly in my toes or calves - but

also in my hands at times; I find any mention of Calcium, Magnesium, & Vit D.

" right up my alley " (I have had fewer cramps with the use of Quinine)

I am still awaiting blood work results from November 4th as well as HBA1c and

other bloodwork done a few weeks before that. When I saw my doctor on Nov 4th -

the previous tests had not arrived, so she had me do a whole bunch more at the

hospital that day. she was supposed to call me with results - I am still

waiting! Left her a message, but the secretary said she may not be in until

Monday now.

I know that Thyroid and Parathyroid were some of the tests & Calcium levels of

course.

Does any of this resonate with what you are discussing?

CJ

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