Re: Re: really frustrated ME TAYLOROKC

[Guest guest]

metaylorokc@... you wrote:

> > +Ultralente which caused me lots of high/low probs).

> >

>Yea, my doctor said he didnt like this one, but nothing was said about why

>not to use lantus/humalog, maybe it was that my sugars and a1c's at the time

>were ok, but this rollercoaster is making me ill,

No, it wasn't Ultralente (used as a basal) that caused the problems; many

still use 2 shots per day of UL as their basal quite successfully. It was

the combo of " Regular alone or Regular+Ultralente " which caused me lots of

high/low problems. *Regular* was the real culprit (the wrong section got

quoted out of context) . . . i.e., using R as a " short acting " (back before

Humalog or Lantus existed; both are only 4-5 years old) when it's life was

up to 12+ hours.

I've always found the insulin time activity charts really clarify things

for me because I can " see " (or actually graph) similar curves/graphs for

food and activity . . . then when you overlay all those graphs of what's

really (or close) going on in your body at any given time, it makes lots of

sense (at least to me ).

Sandy

T1 -1979

[Guest guest]

metaylorokc@... wrote:

>[in response to] > Do your homework and Good Luck!

>Any tips on if I should bring printed info with me or what to do to plead

>my case?

Replicate the time/activity graph of the Novolog 70/30 but start the graph

at the clock time that you actually inject the insulin . . . then add all

the info from your notecards that you've been tracking re: times of eating,

eating what, activity, hypo times, etc. By studying that combined graph, my

guess is that you (or at least your doc) will get some big clues as to why

the drastic peaks/lows are happening when they are . . . and if you can

show that you understand that, your doc would likely feel comfortable

putting you on a different insulin regimen that can be adjusted to better

fit your lifestyle. In short, your lifestyle curve (and its peaks) is not

matching the 70/30 curve (and its peaks) so you have 2 choices . . . change

the insulin regimen to allow you flexibility -or- learn to

live/eat/exercise to match the dosage of 70/30.

As " wambo1941 " explained quite well in a previous message, the 70/30 mix is

70% NPH and 30% Novolog (which is sorta similar to Regular). Very early on,

I was on NPH for about a year and found, as many do, that the only way to

live with NPH is to structure your life around the predetermined

peaks/valleys of the NPH and I *hated* it. After a move between cities

(early 1981), I started with a university teaching/research hospital endo

department and, so long as I was willing to do MDI (multiple daily

injections), they quickly and happily changed my insulin regimen to Regular

+ UltraLente . . . which gave me much more flexibility . . . though not

*nearly* the amount of flexibility that I got when I switched to

Humalog/Lantus but both of those are only about 4-5 years old.

Do your homework and Good Luck!

Sandy

T1 - 1979