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Medical Forum / Diseases and Disorders / Diabetes / February 2006Insulin timing
I'm pregnant so the doctor told me to stop taking metformin and go on a MDI program to control my BG. I have been using rapid insulin for one meal a day already. Now she wants me to use it for every meal and to inject 15 units of Lantus at bedtime. I am supposed to eat 3000 calories a day with at least 300g carbs. This will be hard for me because I have been eating less than 2000 calories and about 110 carbs. I have been using a carb/insulin ratio or 5.5:1 when I use insulin. I injected 18 units with a meal of 100 carbs, consisting of brown rice, blueberries and yogurt for the main carbs, plus lamb chops and green beans. I tested after 1 hour and was 202, way over my goal of 140. I tested again at 2 hours and was 132, not so bad. I was down to 108 after 3 hours. It is obvious that eating so many carbs causes early spikes. I have been injecting just before I start eating. Would it be better to wait 15-30 minutes to eat? It seems like I had the right amount of insulin but the food was faster than the insulin. I don't want to have any hypos, last time I was pregnant they told me that severe hypos could cause a miscarriage. Andrea2 Type 2 --------------------------------------- We can hold back neither the coming of the flowers nor the downward rush of the stream; sooner or later, everything comes to its fruition. -- Loy Ching-Yuen > I'm pregnant so the doctor told me to stop taking metformin and go on > a MDI program to control my BG. I have been using rapid insulin for [quoted text clipped - 20 lines] > Andrea2 > Type 2 Andrea, first of all sorry to hear you're having problems. Secondly, you mention "rapid acting" insulin but not which kind. Do you mean Humalin R or are you using Humalog? Humalog has a faster onset than R does and when I was using R I would inject it about 20 minutes before eating, but that's just me. REAL IMPORTANT: Everyone is different when it comes to timing of their insulin and carb to insulin ratio. People here might give you advice but we are not doctors nor do we know your individual needs. You really need to ask your doctor - the person who knows your insulin needs the best - about these things. In your condition it is important that you really take care of yourself and I am glad to hear you are aware of the hypo factor. Hope your doctor can help you find the answers you need. If he or she doesn't then find one who will! Best, Kurt T1 and never been pregnant :) >> I'm pregnant so the doctor told me to stop taking metformin and go on >> a MDI program to control my BG. I have been using rapid insulin for [quoted text clipped - 40 lines] >Kurt >T1 and never been pregnant :) I use Humalog pens, I have never used R insulin. I will ask my doctor about these early spikes, she may make me go to the insulin training class again. It was almost 2 years since I went last time. I have never had to deal with the timing issue before, maybe I just overlooked it. I usually test 2 hours after eating and almost always below 135 at that point. I know the importance of taking care of myself, I lost a baby in the 7th month DEC 03. I so much want this one. Andrea2 On Tue, 21 Feb 2006 17:22:00 -0800, Andrea2 <andrea6192001nospam@yahoo.com> Huffed and Puffed the following into the madness of usenet: >I'm pregnant so the doctor told me to stop taking metformin and go on >a MDI program to control my BG. I have been using rapid insulin for [quoted text clipped - 20 lines] >Andrea2 >Type 2 it's the type of carbs you ate and the amount that had the impact in such a short time. I don't see where you took your pre-meal BG into account when calculating your meal dose. Did your doc explain how to do this? Say you are eating exactly 100 grams of carbs and you need 18 units to cover it, but your premeal BG is above your target range, you will need more than 18 units. If your premeal BG is below your target you will need less than 18 units to avoid a potential hypo. Go to the how to section at the insulin pumpers web site and print out the instructions for calculating the various ratios. Ignore anything that mentions BASAL insulin for now. Take it to your doc and make sure you understand what you are reading before making any changes. for example: my target BG is 120 my example premeal BG is 155 I am going to eat 100 grams of carbs using your ratio how much insulin do think I should actually take? hint, it's not 18 units.  SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. >>Andrea2 >>Type 2 [quoted text clipped - 22 lines] > >hint, it's not 18 units. I have to eat so many carbs, I don't know what I could eat to get that many. Brown rice is easy to carb count and I do like it. I always test before eating, my plan says premeal 90-110 - inject normal; below 90 subtract 1 unit; 110-130 add 1 unit; 130-150 add 2 units. Since I started this high carb diet (yesterday) I have been between 95 and 102 before every meal. In your example I would inject 20 units (add 2 units). I haven't seen the endo or OB yet. I just talked to the endo on the phone. Last pregnancy the OB wanted me to keep my fasting and premeal BGs 100 or below. I remember this was hard to do in the later months, my ratio went down to 3.2:1 and I was always afraid of hypos injecting that much insulin but had very few. My ratio will probably change in the next few days because I quit the 2000mg of metformin. Andrea2 >>>Andrea2 >>>Type 2 [quoted text clipped - 40 lines] > >Andrea2 Just wondering why you quit the Metformin? Without it, odds are your IR will go up, and you will need more insulin to get the same results. Be careful not to over compensate though. PS, Remember, 3rd time is a charm...... Sleepy ------------------------------------------------------------------ It is easier to make a saint out of a libertine than out of a prig. -George Santayana (1863-1952) ------------------------------------------------------------------ >>>>Andrea2 >>>>Type 2 [quoted text clipped - 53 lines] > -George Santayana (1863-1952) > ------------------------------------------------------------------ Met isn't indicated for pregnant women. Insulin and dietary management are the only indicated treatments during pregnancy. Vicki >Just wondering why you quit the Metformin? Without it, odds are your >IR will go up, and you will need more insulin to get the same results. [quoted text clipped - 8 lines] >-George Santayana (1863-1952) >------------------------------------------------------------------ The last time I was pregnant they told me that metformin was pregnancy class B, not tested in human pregnancy. This time she just told me to stop the metformin and control with insulin alone. I'll ask her about it tomorrow. Last time they wouldn't let me use Lantus, this time I will be using it, another thing to ask about. I really worry when I eat out, it is harder to count the carbs. At home it is a lot easier, I got out the scale and weigh the high carb foods. This will be the third and probably last time. Age and illnesses are taking their toll. Andrea2 > The last time I was pregnant they told me that metformin was pregnancy > class B, not tested in human pregnancy. This time she just told me to > stop the metformin and control with insulin alone. I'll ask her about > it tomorrow. Last time they wouldn't let me use Lantus, this time I > will be using it, another thing to ask about. You may want to check out the PCOS group; I'm pretty sure that women there are being kept on metformin by their reproductive endocrinologists through their pregnancies to avoid miscarrying. They're severely insulin resistant. The group is soulcysters.com Susan >x-no-archive: yes > [quoted text clipped - 12 lines] > >Susan I read over the site. Last year when I had my workups for endometriosis, PCOS was consider as a possibility. It was ruled out by tests and finally a laparoscopic examination that showed several endometriosis implants that were probably caused by retrograde menstruation. This was further verified when injections to suppress my menstrual periods completely eliminated my symptoms. It looks like the metformin is given to enhance futility in women with PCOS. Futility is not a problem, I have gotten pregnant every time I engaged in unprotected sex. I will talk to the doctor about metformin tomorrow. I am already thinking I need to change my carb/insulin ratio and I only quit the metformin Monday. I also want to know about Lantus, last time they wouldn't let me use it, I used UltraLente. This time she told me to inject Lantus at bedtime every night. I have a great need to feel secure in my treatment, I worry so much I can't sleep very well. The responses to my post, especially those from the T1's about insulin, has helped a lot. Andrea2 Andrea, I so understand your need to feel secure, and I hope you are able to find it. The best that I can do is to give you lots of cyber hugs as they would be to a daughter. My heart truly goes out to you in this time of need. (((((((HUGS))))))) Billie....... great-grandmother to Matthew (2), and Kaitlyn (2 weeks) : I have a great need to feel secure in my treatment, I worry so much I : can't sleep very well. : : Andrea2 >It looks like the metformin is given to enhance futility I don't need any enhancement of my futility, thanks. SignaturePeter Bowditch aa #2243 The Millenium Project http://www.ratbags.com/rsoles Australian Council Against Health Fraud http://www.acahf.org.au Australian Skeptics http://www.skeptics.com.au To email me use my first name only at ratbags.com > On Tue, 21 Feb 2006 23:36 > I haven't seen the endo or OB yet. I just talked to the endo on the [quoted text clipped - 3 lines] > that much insulin but had very few. My ratio will probably change in > the next few days because I quit the 2000mg of metformin. Andrea, First of all, my very best wishes for your pregnancy to be healthy and produce the baby you long for. When you see both doctors, you might ask them to give you the reasoning why you need to eat such a huge amount of carbohydrate. I can see where they'd want you eating enough to avoid hypos and ketosis, but eating such a huge amount of carbs when you have a body that doesn't handle carbs well seems like you are stressing your body further. Another issue is that when we count the carbs in foods, we are guesstimating. There's always some error. Package labels are not perfect, and when we eat mixtures of things it is hard to know exactly how much carbohydrate is really in a serving. The larger the amount of carb in the food, the larger the chance is that we are estimate it wrong. When trying to match insulin to a guesstimate, you make it much more likely you will see "unexplained" highs and lows, because if there is 20 grams less carb in the food than you think, you can go low and if there are 20 grams more, you'll be high. Meanwhile, when you get lows, you end up with counterregulatory hormones like adrenaline which raise blood pressure, constrict blood vessals, etc. When you get highs, you flood the baby with glucose. So it would seem to me that shooting for a more moderate input of carbs (150-200 grams, say) would make it easier to stay on an even keel. Thhat 300 gram number. It sounds very arbitrary to me. Was it chosen with your weight and body size in mind, or only as a percentage of calories? It is possible that with some intelligent discussion back and forth with your doctors you may be able to negotiate a carbohydrate intake level that is easier on your blood sugar control. --Jenny http:www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control After I posted, I discovered that I'd posted almost the same message as RK. That's one for the history books, but given how rarely the two of us agree, it suggests that our point is worth considering. <g> --Jenny http:www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control Andrea... Do you really need to eat 300gm a day? I'm not judging what your endo thinks.. I just think thats quite a bit. I'd think eating more heathy while pregnant would be top concern.. and I cant think of a way to get 300gm of carbs without eating junk... or really startchy stuff. But listen to what Mack said in his post, I was going to say simular but why repeat.. Congrats... on the pregnancy.. You'll be in my prayers that you have a VERY heathly wonderful child.. I've miscarried as well and know that grief. Sadly, my first was my last. But I was truely blessed.. as you will be. Signature---- RK - Animas IR1250 pumper ... having fun with autoimmune diseases NOT! dx 5/00 - last a1c 6.3 | I'm pregnant so the doctor told me to stop taking metformin and go on | a MDI program to control my BG. I have been using rapid insulin for [quoted text clipped - 25 lines] | sooner or later, everything comes to its fruition. | -- Loy Ching-Yuen >Andrea... > [quoted text clipped - 11 lines] >that grief. Sadly, my first was my last. But I was truely blessed.. as >you will be. They have always been after me to gain weight, I usually weigh below 100 pounds. When I called her and told her I was pregnant (2 home tests were positive), she told me to quit metformin, start using insulin with every meal and try to eat 300 carbs a day. I have an appointment for Thursday. I hope they cut the carbs to 250 or below when I see the OB. Your so right, it is hard to eat that many carbs especially since I'm accustomed to eating far less. I was eating low-carb Breakfast and Lunch before. I want a baby more than anything in the world. This might be my last chance, I'll need an operation for endometriosis after the pregnancy. Andrea2 LOL trust me, you'll gain enough when you're pregnant. I think the best thing is to eat how much your body tells you it needs.. Some days I remember I was more hungry then others.. I let mother nature rule me at that time. I only gained 45lbs while pregnant, and when I gave birth I immedately dropped 26lbs .. which only 6lbs was the kid, the rest was water.. --- Just remember, it's easier to stay thinner, then it is to take it off.. Don't worry about this pregnancy.. You'll end up with a wonderful child. Signature---- RK - Animas IR1250 pumper ... having fun with autoimmune diseases NOT! dx 5/00 - last a1c 6.3 | >Andrea... | > [quoted text clipped - 27 lines] | | Andrea2 > I'm pregnant so the doctor told me to stop taking metformin and go on > a MDI program to control my BG. I have been using rapid insulin for [quoted text clipped - 17 lines] > hypos, last time I was pregnant they told me that severe hypos could > cause a miscarriage. What doctor is this? Ob? Endo? MD? Preferably the first two but whatever. Most pregnant women only need a few more calories than they normally have. If what you have been advised to eat is way more than usual then have a talk to the doctor. Of course you want to avoid hypos but you also want to avoid weight gain (other than pregnancy related gain) and hard to control bg's. I won't comment on the insulin, I can't remember what I took for my GD pregnancies but I do know it was 20-30 minutes before a meal. >> I'm pregnant so the doctor told me to stop taking >metformin and go on [quoted text clipped - 43 lines] >insulin, I can't remember what I took for my GD pregnancies >but I do know it was 20-30 minutes before a meal. It was my endo that told me to eat so much, she knows me very well. I have always been at least 15 pounds under weight, which has caused her much concern. I will have a talk with her Thursday when I go in for my appointment. I can't go on eating this much, I am still bloated and it's 2:30 in the morning. I'm not sure if I can't sleep because of being bloated or because I an so worried. When you injected 20-30 minutes before meals, were you using Humalog or R insulin? I will be using Humalog and Lantus this time. Last time I was pregnant I used Humalog and UltraLente. She said they don't make UltraLente any more. Andrea2 >>> I'm pregnant so the doctor told me to stop taking >>metformin and go on [quoted text clipped - 11 lines] >>> >>> I have been using a carb/insulin ratio or 5.5:1 when I use insulin. >>> I injected 18 units with a meal of 100 carbs, consisting of >>brown rice, >>> blueberries and yogurt for the main carbs, plus lamb chops [quoted text clipped - 38 lines] > I was pregnant I used Humalog and UltraLente. She said they don't make > UltraLente any more. It's nearly 10 years since I was on insulin Andrea. If the endo is wanting you to gain weight perhaps you could eat more fats - more calories, less bulk. I would find it quite hard to eat 300 gr carb a day. 1,000 extra calories a day isn't needed for a baby to grow properly. hi Andrea - 3 ? when the bg about 3 hours after eating is back to pre meal level , its been just the right amount of insulin for the input. To find out how many minutes before the meal I should inject, I sit down with 20 carbs in front of me on the table, take my bg, then inject for the 20 carbs and take my bg every 5 minutes until it starts to sink significantly, which is when I eat the carbs and follow my post meal bg in half hour steps to see if its ok. That way I found that I have to inject Humalog about one hour(!) before my breakfast and about 10-15 Minutes before eating at other times of the day - and that Humalog seems to stretch up to 5 hours in the evening! With the injection in time before the meal the post meal bg curve shows, how many carbs I can cover at a time within my limits. With me its too many when the bg rises above 140. Hans, T2 since 1990, Germany Apidra & Lantus > I'm pregnant so the doctor told me to stop taking metformin and go on > a MDI program to control my BG. I have been using rapid insulin for [quoted text clipped - 25 lines] > sooner or later, everything comes to its fruition. > -- Loy Ching-Yuen Insulin may take a bit longer to start working with you. It does with me. The only way to know is to test. In John Walsh's book, Pumping Insulin, he recommends taking a meal bolus of rapid insulin 20 minutes before eating. "Whenever possible, a 20 minute lead time is better, because it lets the bolused insulin begin to appear in the blood at about the same time as quickly digested carbohydrates." I second Mack's advice about testing your ratios. The insulin pumper's how to section is the best source on the web for this type of information. http://www.insulin-pumpers.org/howto.shtml You can also test your timing. Take your meal bolus, then test every 10 minutes or so until your insulin starts to make your bg drop, then eat. Since glucose absorption begins in the mouth, you won't have to worry about having a hypo. By doing this, I found I have to take my meal bolus 30 - 40 minutes before eating, and that the duration of bolus insulin for me is just over 3 hours from the time of injection. But you'll be different. Keep glucose tabs around just in case. Test often. You'll do wonderfully, I'm sure. Best wishes. Vicki >Insulin may take a bit longer to start working with you. It does with >me. The only way to know is to test. In John Walsh's book, Pumping [quoted text clipped - 22 lines] > >Vicki Thanks to everyone that replied. I found a lot of good advice and comfort in the posts. I feel so much better today, I was really down yesterday with worry and a bad case of indigestion. I found out is ok to take Tums or Rolaids. I'll be doing the timing test; test every 10 like Vicki said. This will give me a better idea what is going on. We went to iHop for breakfast. I had no trouble eating 100 carbs. I had a Belgian waffle with gobs of fresh fruit and whipped cream on top. I also stole an egg and sausages from my boyfriend's plate. He had a low-carb special, 4 eggs, sausage, ham and bacon on a huge plate. We stopped on the way home and got some better higher carb foods, whole wheat bread, sweet potatoes, corn, fruits; etc. Andrea2 > Thanks to everyone that replied. I found a lot of good advice and > comfort in the posts. I feel so much better today, I was really down > yesterday with worry and a bad case of indigestion. I found out is ok > to take Tums or Rolaids. I lived on Gaviscon during my last pregnancy, straight from the bottle. Tums have the added advantage of adding more calcium to the pregnancy diet. On Wed, 22 Feb 2006 14:21:53 -0800, Andrea2 <andrea6192001nospam@yahoo.com> Huffed and Puffed the following into the madness of usenet: >Thanks to everyone that replied. I found a lot of good advice and >comfort in the posts. I feel so much better today, I was really down [quoted text clipped - 10 lines] > >Andrea2 you know, if you are going to be doing a lot of extra testing and you have an accuchek meter that takes comfort curve strips, I can send you some strips at no cost if it will help. you'd simply need to email me your snail mail address. you can do so by emailing the webmaster address at the www.alt-support-diabetes.org web site and it will get forwarded to me or if you do not feel comfortable doing that you can email it to RK and she can send it to me. SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. >you know, if you are going to be doing a lot of extra testing and you >have an accuchek meter that takes comfort curve strips, I can send [quoted text clipped - 5 lines] >comfortable doing that you can email it to RK and she can send it to >me. It's real nice of you to offer those strips. I use OneTouch Ultra strips and so does my boyfriend. Between us we can get a lot more strips than we need and have 12 boxes of them on hand. We each get 8 boxes every 3 months from our insurance. Your right about testing a lot. I have been testing before and usually 2-3 times after meals. This has all my fingers sore and I'll have to cut down on the tests if they get any worse. I went to the doctor today, it was a conference with my endo and OB. They both agreed that I need to gain body fat. They say it is below 12% and could be an added risk in the pregnancy. They backed off some on the carbs, but still want me to keep them at 70+ per meal. They told me to plan on going in the hospital at 25 weeks for a delivery at 32-34 weeks. If preterm labor starts there will be a much better chance to stop it if I am already at the hospital. Spending over a month in the hospital is not something I am looking forward to but if it means getting a healthy baby it will be worth it. I will be seeing the OB next for a full examination and further instructions. Andrea2 Type 2 -------------------------------------------- Health is the greatest gift, contentment the greatest wealth, faithfulness the best relationship. -- Buddha On Thu, 23 Feb 2006 19:18:03 -0800, Andrea2 <andrea6192001nospam@yahoo.com> Huffed and Puffed the following into the madness of usenet: >It's real nice of you to offer those strips. I use OneTouch Ultra >strips and so does my boyfriend. Between us we can get a lot more [quoted text clipped - 4 lines] >2-3 times after meals. This has all my fingers sore and I'll have to >cut down on the tests if they get any worse. Glad that's not an issue. ask your doc about alternate sight testing. my pump came with a lancing device that helps get samples from alternate sights. It is designed to help draw the sample up to the skin so I can use the heel of my hands. Gives the fingers a rest. >I went to the doctor today, it was a conference with my endo and OB. >They both agreed that I need to gain body fat. They say it is below >12% and could be an added risk in the pregnancy. They backed off some >on the carbs, but still want me to keep them at 70+ per meal. I can understand their concerns. I've seen high risk pregnancies in women who were seriously under weight due to bad lifestyles. They were at much greater risk than you and they had healthy kids when they did what they were told to do. >They told me to plan on going in the hospital at 25 weeks for a >delivery at 32-34 weeks. If preterm labor starts there will be a much [quoted text clipped - 9 lines] >faithfulness the best relationship. > -- Buddha well you look at this way, 1st you are getting a mandatory vacation. No-one in their right mind is gonna hassle you over it. Enjoy it for all it's worth. 2nd, you're definitely stocking up for this kids future. If you were Jewish or Catholic you could start rehearsing now for when the kid hits puberty, "a month of agony in the hospital for this!?, why do you do this to your poor mother?" Trust me, I am sure a Buddhist mother has her version of this, "I went through hell for over a month in the hospital to spare you from this Karma, and this is what I get?" It's easy to say, and harder to do, but try not to worry so much about what is not right in front of you. Be prepared for it, get your paperwork and everything in order so that you can check into the hospital when the time comes, but don't focus on it and worry about it. Stress is unhealthy too, take care of what is right in front of you. Make everyone else in your life stress out instead. SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. >On Thu, 23 Feb 2006 19:18:03 -0800, Andrea2 ><andrea6192001nospam@yahoo.com> Huffed and Puffed the following into [quoted text clipped - 54 lines] >it. Stress is unhealthy too, take care of what is right in front of >you. Make everyone else in your life stress out instead. There is no doubt, stress is my biggest enemy. I've never been able to handle stress, and I can only prey it will not become a self fulfilling prophecy. I think going in the hospital will actually be less stressful than staying home. I'll feel more secure there and know that help will be close by if I need it. I've started testing on the second joint. I always test on the sides and even have been using my thumbs. It hurts a lot more on the second joint but it almost doubles the available test sites. My boyfriend talked me into soaking my fingers in salt water, I think it did help. Andrea2 >Your right about testing a lot. I have been testing before and usually >2-3 times after meals. This has all my fingers sore and I'll have to >cut down on the tests if they get any worse. Hi Andrea - are you using the sides of your fingers, near the tip, rotating through them all, and have you adjusted your lancet to the minimum needed for a sample? Congrats BTW:-) I won't say much about the 300 carbs - I've never been pregnant:-) But Ozgirl has the BTDT credentials - listen to her. Cheers, Alan, T2, Australia. d&e, metformin 2x500mg SignatureEverything in Moderation - Except Laughter. i was pregnant when i was 37 and still able to walk nightly for my exercise i walked up till the 8th month when i was put on strict bedrest i would guesstimate (the kid is now almost 12) that i was eating about 150 grams of carbs a day......... there is no way i could eat much more.... i was stuffed at that level kate SignatureJoin us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ http://www.diabetic-talk.org/freeveggies.htm I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher. > >Your right about testing a lot. I have been testing before and usually > >2-3 times after meals. This has all my fingers sore and I'll have to [quoted text clipped - 12 lines] > Cheers, Alan, T2, Australia. > d&e, metformin 2x500mg >>Your right about testing a lot. I have been testing before and usually >>2-3 times after meals. This has all my fingers sore and I'll have to [quoted text clipped - 12 lines] >Cheers, Alan, T2, Australia. >d&e, metformin 2x500mg I do test on the sides, below the nail and never on the pads. I keep the lancet on the lowest setting as I have very thin skin and thin fingers. They backed off some on the carbs but still want me to eat over 200, 70 per meal. It they are trying to "fatten me up", it is working. I have gained 2 pounds since Monday. I did cut down on my exercise, that alone would make me gain weight. Andrea2 >Insulin may take a bit longer to start working with you. It does with >me. The only way to know is to test. In John Walsh's book, Pumping [quoted text clipped - 22 lines] > >Vicki I did the test every 10 minutes on 3 different meals. I found that the brown rice is the fastest food for me. I will inject 15 minutes before eating it. The slowest food for me was 100% Buckwheat soba (Japanese noodles). When I injected and immediately ate them my BG dropped 15 points before it started raising, then it only went up to 121. I also tried it with sweet potato, it was somewhere between the rice and buckwheat noodles. I won't be doing any more every 10 minutes testing until my fingers heal up. Andrea2 Type 2 On Fri, 24 Feb 2006 01:57:00 -0800, Andrea2 <andrea6192001nospam@yahoo.com> Huffed and Puffed the following into the madness of usenet: >I did the test every 10 minutes on 3 different meals. I found that the >brown rice is the fastest food for me. I will inject 15 minutes before [quoted text clipped - 9 lines] >Andrea2 >Type 2 with the noodles, you may find you get a delayed spike, sorta like the pizza effect, at about 1 hour to one and half hours later. Or you may get no spike at all if the portion size is right and the slow absorption is at the right rate for your metabolism. It has to do with the fat content in the noodles delaying the digestion and absorption of the carbs. I have the same effect with any of the instant noodles like ramen pride or cup o noodles as well. But I don't get that much of delay eating regular spaghetti. But with that I will actually rinse the noodles a lot better than with the oriental noodles or the instant noodles. you might want to consider testing at one hour and then at 1and half hours after eating noodles. SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. >On Fri, 24 Feb 2006 01:57:00 -0800, Andrea2 ><andrea6192001nospam@yahoo.com> Huffed and Puffed the following into [quoted text clipped - 27 lines] >you might want to consider testing at one hour and then at 1and half >hours after eating noodles. The only ingredients in these noodles is buckwheat, salt and water; no fat. I eat them cold, dipped in a soy based sauce. The only other thing I had was some spinach and green onion. I did have a cup of homemade yogurt with chopped peaches. It must be the buckwheat that absorbs slow. My BG never went over 121, it stayed there for 2 hours, at 3 hours I was near normal again. Andrea2 > The only ingredients in these noodles is buckwheat, salt and water; no > fat. I eat them cold, dipped in a soy based sauce. The only other > thing I had was some spinach and green onion. I did have a cup of > homemade yogurt with chopped peaches. It must be the buckwheat that > absorbs slow. My BG never went over 121, it stayed there for 2 hours, > at 3 hours I was near normal again. Buckwheat is a relative of rhubarb, as I recall - not carby at all, relatively. Shirataki noodles should be problem-free too. You might want to try quinoa and amaranth? They're not grains either. Nicky. SignatureA1c 10.5/5.4/<6 T2 DX 05/2004 1g Metformin, 100ug Thyroxine 95/74/72Kg On Fri, 24 Feb 2006 14:27:59 -0800, Andrea2 <andrea6192001nospam@yahoo.com> Huffed and Puffed the following into the madness of usenet: >The only ingredients in these noodles is buckwheat, salt and water; no >fat. I eat them cold, dipped in a soy based sauce. The only other [quoted text clipped - 4 lines] > >Andrea2 buckwheat noodles? I am going to have to check these out for myself. I wonder if they are any good with warm olive oil and parmesan? SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. >On Fri, 24 Feb 2006 14:27:59 -0800, Andrea2 ><andrea6192001nospam@yahoo.com> Huffed and Puffed the following into [quoted text clipped - 11 lines] >buckwheat noodles? I am going to have to check these out for myself. >I wonder if they are any good with warm olive oil and parmesan? I've never tried them with anything else but soba noodle soup base. They are eaten cold, dipped in the sauce. There are several different brands, I don't like the ones that contain wheat flour. Me and Terry got married yesterday in Las Vegas. I don't feel much like a newlywed, just a tired, stressed out, pregnant, diabetic. Andrea2 Type 2 -------------------------------------------- You are now like a withered leaf; the messengers of death have come near you. You stand at the threshold of your departure. Have you made provision for your journey? -- The Dhammapada On Mon, 27 Feb 2006 13:58:28 -0800, Andrea2 <andrea6192001nospam@yahoo.com> Huffed and Puffed the following into the madness of usenet: >I've never tried them with anything else but soba noodle soup base. >They are eaten cold, dipped in the sauce. There are several different >brands, I don't like the ones that contain wheat flour. I doubt you would have such good BG results with the wheat flour. I love hot noodles with olive oil and parmesan cheese. I fell for it when I used to cook in an Italian place in my teens. Of course back then it was the regular high carb noodles. But oh so good. >Me and Terry got married yesterday in Las Vegas. I don't feel much >like a newlywed, just a tired, stressed out, pregnant, diabetic. > >Andrea2 >Type 2 Plan the honeymoon for when you can get a babysitter. Around the terrible 2s. You'll really appreciate it then. Seriously, congratulations!!!!! Remember, by marrying Terry you didn't inherit nagging in-laws, you inherited BABY SITTERS!! SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. snip >>Me and Terry got married yesterday in Las Vegas. I don't feel much >>like a newlywed, just a tired, stressed out, pregnant, diabetic. [quoted text clipped - 9 lines] >Remember, by marrying Terry you didn't inherit nagging in-laws, you >inherited BABY SITTERS!! Thanks to everyone that sent their congratulations. They are appreciated. I wish I could feel more like a new bride should. I don't know how I would inherit any baby sitters. His only daughter dislikes me, probably because I'm 11 years younger than she is. Her oldest daughter will graduate from high school this year. I will be her grandmother. I always knew I would survive 30-40 years longer than him but I had put it in the back of my mind. Now it is out in the open. His reason for insisting on the marriage was because he would have little to leave to the baby or me. He's a retired military officer and gets a large retirement, as his surviving spouse I would continue to receive 55% of that. The marriage will also insure health care coverage for the baby, which is in doubt under our present situation. We didn't need the marriage ceremony to express our commitment to each other. It was for his peace of mind, and for the security it will offer to me and the baby. Andrea2 >snip >>>Me and Terry got married yesterday in Las Vegas. I don't feel much [quoted text clipped - 31 lines] > >Andrea2 Hi Andrea, I am so happy for you! Best Wishes! Will, T2 On Mon, 27 Feb 2006 18:07:12 -0800, Andrea2 <andrea6192001nospam@yahoo.com> Huffed and Puffed the following into the madness of usenet: >We didn't need the marriage ceremony to express our commitment to each >other. It was for his peace of mind, and for the security it will >offer to me and the baby. > >Andrea2 darlin, you don't have to explain anything to this rag tag group of cyber misfits. Marriage is more than just a piece of paper or what any religion has ever tacked on to it. It is the bond that you have already had for each other. And you will most definitely appreciate those benefits later as the child gets older. Nor will you have to worry about someone from his family showing up at your door with a u-haul trailer expecting to cart off everything you own claiming that you are not a spouse and they are the surviving family so they have the right to take it all. I've been through that. The reason you don't have that "newlywed" feeling, is because you've been married in every way except on paper. Now you get to have the fun of choosing how you are going to go about changing your name. You going to keep it simple and choose one name, keep your maiden name and his name and put the old - between them? The form makers really love that, since they never leave enough room for names like that. ;} SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. > Thanks to everyone that sent their congratulations. They are > appreciated. I wish I could feel more like a new bride should. You feel like quite a few new brides feel. The fantasy that modern day brides are enveloped in nothing but bliss is just that--a fantasy promoted by the media. Most of us nowadays, by the time of marriage, have known our spouses long enough that the initial unrealistic glow of idealistic happiness has worn off, we know what our problems are going to be, and the seriousness of what we have done when we make that legal commitment can be very daunting. My own feeling is that a good sense of reality at the time of your wedding is more likely to correspond to a good long term marriage. I've attended quite a few marriages of young people who had stars in their eyes at the reception and divorced three years later when they had actually gotten a chance to know each other. After 10 years living with my sweetie, the idea of tying the knot still fills me with unease. I've been married, and I've been divorced, and I understand that the legal ceremony is a legal ceremony and can end up forcing you into another legal ceremony, divorce, which is surely one of the ugliest procedures possible between two people. We had just started making our own marriage plans this spring when a couple really ugly disasters happened to immediate family and forced us to postpone our plans for at least a year. I confess to a certain amount of relief. Meanwhile we just enjoyed a lovely 10th anniversary celebration of our not being married yet. <g> So relax, get back to just loving each other, and getting ready to welcome your new child! --Jenny http://www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control > Me and Terry got married yesterday in Las Vegas. I don't feel much > like a newlywed, just a tired, stressed out, pregnant, diabetic. Here's One Big Happy Dance for the New Bride!!!!!!!!!!! Congratulations! You WILL feel better, eventually, and meanwhile, we are all rooting for you! --Jenny http://www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control >Here's One Big Happy Dance for the New Bride!!!!!!!!!!! > >Congratulations! Yup! Congrats Andrea:-) Cheers, Alan, T2, Australia. d&e, metformin 2x500mg SignatureEverything in Moderation - Except Laughter. >>On Fri, 24 Feb 2006 14:27:59 -0800, Andrea2 >><andrea6192001nospam@yahoo.com> Huffed and Puffed the following into [quoted text clipped - 29 lines] >Have you made provision for your journey? > -- The Dhammapada He made an honest woman out of you! Congrats! Sleepy ------------------------------------------------------------------ It is easier to make a saint out of a libertine than out of a prig. -George Santayana (1863-1952) ------------------------------------------------------------------ > Me and Terry got married yesterday in Las Vegas. I don't feel much > like a newlywed, just a tired, stressed out, pregnant, diabetic. > > Andrea2 > Type 2 > -------------------------------------------- Wow! Married yesterday and already preggers! :) Dave >Me and Terry got married yesterday in Las Vegas. I don't feel much >like a newlywed, just a tired, stressed out, pregnant, diabetic. I only just saw this. Wow, CONGRATULATIONS!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! >>On Fri, 24 Feb 2006 14:27:59 -0800, Andrea2 >><andrea6192001nospam@yahoo.com> Huffed and Puffed the following into [quoted text clipped - 34 lines] > -- The Dhammapada > Congratulations! Do you know anyone that does shiatsu? A massage works wonders on the constitution. Every little bit helps. Vicki on your wedding! hope it was a fun time now to get some R&R and settle into married life don't remain stressed out ! kate SignatureJoin us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ http://www.diabetic-talk.org/freeveggies.htm I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher. > >On Fri, 24 Feb 2006 14:27:59 -0800, Andrea2 > ><andrea6192001nospam@yahoo.com> Huffed and Puffed the following into [quoted text clipped - 29 lines] > Have you made provision for your journey? > -- The Dhammapada "Ma¢k" <stopthespam@shootspammers.com> wrote in message news:cd080291kb2fm7fuqsnahqgd1boo7n9psj@4ax.com... > On Mon, 27 Feb 2006 18:07:12 -0800, Andrea2 > <andrea6192001nospam@yahoo.com> Huffed and Puffed the following into > the madness of usenet: > >>We didn't need the marriage ceremony to express our commitment to each >>other. It was for his peace of mind, and for the security it will >>offer to me and the baby. [quoted text clipped - 8 lines] > worry about someone from his family showing up at your door with a > u-haul trailer expecting to cart off everything you own claiming that > you are not a spouse and they are the surviving family so they have > the right to take it all. I've been through that. > > The reason you don't have that "newlywed" feeling, is because you've > been married in every way except on paper. Now you get to have the > fun of choosing how you are going to go about changing your name. You > going to keep it simple and choose one name, keep your maiden name and > his name and put the old - between them? The form makers really love > that, since they never leave enough room for names like that. ;} What did you mean about his family claiming everything? I know that California is a community property state, but what was mine before the marriage should remain mine if something happens to him, right? I owned this house and almost everything in it before he came to live with me. Do I have reason to worry, his daughter does dislike me, maybe enough to do what you said. Choosing a name will be more complicated than that. I was already a widow and have been using my first husbands name. That gives me three names to choose from. I would rather not use my maiden name, which is my mothers name. I don't get along with her and haven't spoken to her in almost 10 years. I can't very well go on using my first husbands name so I guess the choice is clear. I'll have a new name and will have to change my name on all my papers, deeds, credit cards etc. Life is not easy for a newlywed. Another thing I have been thinking about, my health care ended when I remarried, Sunday. It was Tricare for the widows of deceased active duty military. Until I get approved for health care as his spouse, I am sorta between hearth care. I have an appointment this week, I'll probably have to pay for it myself. I might even end up paying for the whole pregnancy. It is good to have other things to think about except what a bad person I am for not feeling like a happy bride. He knows how I feel and, I hope, understands why. I have never been good at faking anything. Maybe I can get to sleep now and only dream about my daughter in-law with a u-haul trailer or the mountain of paperwork involved in changing my name or how I could end up paying for a two month stay in the hospital and how much that could cost. Andrea2 Andrea, I am so happy for you. Loretta -- In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism. So am I! I guess the happiest times in my 63 years was first finding out I was pregnant, and then the months following. My husband claims that women are their most beautiful when they are pregnant; he says they have a certain "glow." My autoimmune diseases (RA, lupus) even improved during those months. Here's wishing you the very best Andrea, and looking forward to hearing all of your wonderful developments in the coming months. Billie.... getting ready to go see Kaitlyn, now two weeks old!! : Andrea, I am so happy for you. : : Loretta |
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