Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 > my was 7.5 and i think is great compare to 15.0 three months ago. > That is awesome! You really brought that down! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 > my was 7.5 and i think is great compare to 15.0 three months ago. > That is awesome! You really brought that down! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 yes man you are right on the money. my was 7.5 and i think is great compare to 15.0 three months ago. keep the good work you all. ADOLFO BUSTOS. Windwarrior Windwarrior@...> wrote: Hello, Ok, all of what you have quoted/copied from the Joslin materials seems pretty accurate, EXCEPT for one very serious & significant thing. Any time that you use tighter control... every single time you attempt for this " normal " 90-120 range and attempt to KEEP in ONLY that tight... such that over the longer term you come back with 6.5 A1C's (or lower) readings.. every 3-4 months Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 yes man you are right on the money. my was 7.5 and i think is great compare to 15.0 three months ago. keep the good work you all. ADOLFO BUSTOS. Windwarrior Windwarrior@...> wrote: Hello, Ok, all of what you have quoted/copied from the Joslin materials seems pretty accurate, EXCEPT for one very serious & significant thing. Any time that you use tighter control... every single time you attempt for this " normal " 90-120 range and attempt to KEEP in ONLY that tight... such that over the longer term you come back with 6.5 A1C's (or lower) readings.. every 3-4 months Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 GREETINGS -- It has been my experience (Type 2 using insulin since diagnosis 10+ years ago) that if I have good blood sugar control on a day-to-day basis the A1c tests will take care of themslves without the hypoglycemic episodes experienced by diabetics on the blood sugar rollercoaster. I had poor control (resulting in typical diabetes complications) until I discovered " Dr. Bernstein's Diabetes Solution " about two years ago; at which time I changed insulins and dietary approach. For the last 18 months my A1c's have ranged from 5.2 to 5.6 and I have experienced only two lows (blood sugars below 55 mg/dL). I was told initially when first diagnosed to aim for an A1c of 7.0 % because of the propensity to experience unacceptably low blood sugars because of the rollercoaster effect. The dietary approach when I was diagnosed called fo high carb low fat. The limited treatment and dietary options available then have been replaced by many combinatios (I happen to use Humalog and Lantus and limit my carb intake to 10- 15% of the calories I consume). The strategy I use requires both persistance and patience but it has worked for me and I have been able to contain (and partially reverse) the complications I brought on myself earlier). wambo1941 > Hello, > > Ok, all of what you have quoted/copied from the Joslin materials seems > pretty accurate, EXCEPT for one very serious & significant thing. > > Any time that you use tighter control... every single time you attempt for > this " normal " 90-120 range and attempt to KEEP in ONLY that tight... such > that over the longer term you come back with 6.5 A1C's (or lower) readings.. > every 3-4 months > > Because of that fact, there is a far greater chance of having lows that are > serious problems! > > The DCCT was painfully clear on that point. The folks in the study who > ~tightened down~ 30% of them had major problems, requiring outside > assistance for their lows. > > It is the short term danger of being too zealous. One we need to be > painfully aware of too... > > Jeff > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 GREETINGS -- It has been my experience (Type 2 using insulin since diagnosis 10+ years ago) that if I have good blood sugar control on a day-to-day basis the A1c tests will take care of themslves without the hypoglycemic episodes experienced by diabetics on the blood sugar rollercoaster. I had poor control (resulting in typical diabetes complications) until I discovered " Dr. Bernstein's Diabetes Solution " about two years ago; at which time I changed insulins and dietary approach. For the last 18 months my A1c's have ranged from 5.2 to 5.6 and I have experienced only two lows (blood sugars below 55 mg/dL). I was told initially when first diagnosed to aim for an A1c of 7.0 % because of the propensity to experience unacceptably low blood sugars because of the rollercoaster effect. The dietary approach when I was diagnosed called fo high carb low fat. The limited treatment and dietary options available then have been replaced by many combinatios (I happen to use Humalog and Lantus and limit my carb intake to 10- 15% of the calories I consume). The strategy I use requires both persistance and patience but it has worked for me and I have been able to contain (and partially reverse) the complications I brought on myself earlier). wambo1941 > Hello, > > Ok, all of what you have quoted/copied from the Joslin materials seems > pretty accurate, EXCEPT for one very serious & significant thing. > > Any time that you use tighter control... every single time you attempt for > this " normal " 90-120 range and attempt to KEEP in ONLY that tight... such > that over the longer term you come back with 6.5 A1C's (or lower) readings.. > every 3-4 months > > Because of that fact, there is a far greater chance of having lows that are > serious problems! > > The DCCT was painfully clear on that point. The folks in the study who > ~tightened down~ 30% of them had major problems, requiring outside > assistance for their lows. > > It is the short term danger of being too zealous. One we need to be > painfully aware of too... > > Jeff > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 In a message dated 7/28/2004 10:47:38 AM Pacific Standard Time, Windwarrior@... writes: It is the short term danger of being too zealous. One we need to be painfully aware of too... Jeff Hi Jeff, meant to ask you if you ever took glyburide? I had heard of lows, but never experienced a bad one till I had glyburide. After I shook myself into the corner of my seat, embarrassed to look like I was having a serious drug withdrawal or something, I got off of that medication! Then upon studying it, I discovered it was not that uncommon! Why do they do this to us??? Hugs, Marilyn Jeff, what part of the country are you from? ;-) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 Jeff, I stand corrected. I was not thinking about type 1. So sorry. Gail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 Hello Gail, < Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 >< on, consume some protein with a whole wheat or rye cracker. This may work for T2's who aren't on insulin but would be quite deadly for a T1, considering the time it takes for a cracker to " hit, " much less some protein. >Too little and you're still " crashing " too much you can play catch up at any >point later on... couldn't care less about too high myself. Too little... >that can get real ugly...fast. Don't want to play guessing games, " ... did I >have enough.... when I'm going primal... and slurring thoughts/words.... >BAD, bad plan, Jeff Amen!! Sandy T1 - 1979 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 ----- Original Message ----- > However, lows in those who are intensely managed, you (generic) do NOT ever > treat w/ crackers & a little protein. If you might be feeling a little low > that's one thing, then you can test to your hearts content and go forward > from there... > > However, in type 1 folks a-typically when we feel " low " its not something > you can ~play around with~ at least in my experience..... ie NOT a tiny, > tiny snack of the type & kind you seem to be indicating. A low, a genuine > low requires at minimum a goodly amount of carbs... > > 15 grams is protocol... but " reality " often demands slightly more. Start > getting into 30-45 grams found in a typical can of soda and you're on the > border of almost too much. But it does get into the system QUICK, gotta love > ~carbonation~ > ; ) But hey, too much ALWAYS before too little in my book. > > Too little and you're still " crashing " too much you can play catch up at any > point later on... couldn't care less about too high myself. Too little... > that can get real ugly...fast. Don't want to play guessing games, " ... did I > have enough.... when I'm going primal... and slurring thoughts/words.... > trying to figure out the number on the can was 5 over or under... > > BAD, bad plan, > > Jeff You are so right on this one Jeff, I am a type 2 and just this afternoon felt the onslaught of a low, tested and came up at 74, thought ok, can get by with the crackers and peanut butter that I keep in my locker at work, 15 carbs... generally will pull me up and I will be fine, well, before I could eat the crackers, I got busy and thirty minutes later I was feeling like I was fixing to hit the floor.. 4 glucose tablets and the crackers later, it took me 30 minutes before I could get back on the floor to work..I didn't test a second time, should have I guess, but figured that I was sitting around 45 before I took something. Carmen Quote Link to comment Share on other sites More sharing options...
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