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Medical Forum / Diseases and Disorders / Diabetes / March 2006

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BG readings

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Barbara Carlson - 20 Mar 2006 17:20 GMT
I have been lurking for a bit, but came up with a puzzler this morning and
thought I would post.  I was diagnosed with type 2 about 3 months ago after
a long history of "you should watch your blood sugar" and being "glucose
intolerant."  Which, if I knew then what I know now would have been more of
a warning!

Just to fill in, I am reading books, following internet, and learned a whole
lot in the last 3 months, which while it increases knowledge, also increases
questions.

After a couple of days of higher than target BG readings, despite reasonable
diet, I finally got reading down to 124 2 hours after dinner last night.
Great!  Then this morning my FBG was 134.  The only think I had between then
and now was 1000 mg metformin, and my B/P and arthritis meds.  Never had
anything like this happen before.

Is one of these readings wrong--meter malfunctioning, or can this actually
happen?  I am getting a number of readings which do not seem logical to me,
but this one I cannot explain.  Any comments?

Barbara C.
Susan - 20 Mar 2006 17:53 GMT
> I have been lurking for a bit, but came up with a puzzler this morning and
> thought I would post.  I was diagnosed with type 2 about 3 months ago after
[quoted text clipped - 17 lines]
>
> Barbara C.

Hi, Barbara.  The first thing I do when I get a highly improbable
reading is wash my hands, dry them well, and re-test.  Usually, the
second test is in line, and I will sometimes do a third just to keep
things honest.

What are your one hour readings like?

Susan
David - 20 Mar 2006 17:57 GMT
> I have been lurking for a bit, but came up with a puzzler this morning and
> thought I would post.  I was diagnosed with type 2 about 3 months ago after
[quoted text clipped - 17 lines]
>
> Barbara C.

Can it "actually" happen?? ah, it just DID!  what is your concern?  Are
you trying to self diagnosis yourself for further meds?  You could make
an appointment with your doctor and see what he/she wants you to do.
134 is a BIT high in the morning, but you aren't going to go blind or
die from it in the next month.

What meter are you using?  They don't all read the same.  For example a
Compact will read a bit higher than the LifeScan meters.

If you don't think they are logical, either you don't understand how DM
works, or you have an inaccurate meter and/or strips, or your technique
needs refinement.
You might take 2 or 3 readings in a row and see if it's just meter
variance.  If you have a BD Logic meter, toss it out the window and go
to the store and buy a reliable meter such as  an UltraSmart.

Dave
Barbara Carlson - 20 Mar 2006 18:37 GMT
>> I have been lurking for a bit, but came up with a puzzler this morning
>> and thought I would post.  I was diagnosed with type 2 about 3 months ago
[quoted text clipped - 34 lines]
>
> Dave

I have an Ultra One-Touch.  My early morning BG tends to be higher than
"normal" and 134 not that unusual--but not after a 2-hour post dinner
reading of 124.

Barbara C.
Jennifer - 20 Mar 2006 18:28 GMT
Barbara...

It is likely that you are a typical insulin resistant T2 and what you
have experienced is The Dawn Phenomenom

Here's some info:

During the night while you're asleep and can't be eating, the body still
needs some energy to keep it going.  So, glucose, which has been stored in
the liver as "glycogen" is released into the blood.  In preparation for
waking, the body sends out the biggest batch of glycogen in the last few
hours before waking... usually between 3a - 8a. Also in these wee hours of
the morning, the body puts out  other hormones from the adrenal and
pituitary glands... It's all part of the normal cycle for these hormones.
They signal to the body that a new day is starting.  They rev you up and
get you ready to awaken.  BUT... they also have an added effect on the
liver that makes it less sensitive to insulin.  In non diabetics, this
doesn't pose any problem...  But in us diabetics, the liver dumping
glucose, coupled with the insulin dampening hormones mean we awaken with
higher BGs than when we went to bed.

Jennifer

> I have been lurking for a bit, but came up with a puzzler this morning and
> thought I would post.  I was diagnosed with type 2 about 3 months ago after
[quoted text clipped - 17 lines]
>
> Barbara C.
Barbara Carlson - 20 Mar 2006 18:45 GMT
> Barbara...
>
[quoted text clipped - 18 lines]
>
> Jennifer

Okay, then it does not necessarily mean my monitor is faulty!  My FBG in
a.m. are nearly always higher than normal, and 134 is not that unusual a
reading, but I had never gotten this higher than a 2-hour post dinner
reading.  I'm getting some "odd" numbers occasionally, but admittendly have
been playing with my diet to try to find out what foods seem to work (or not
work).  I need more fruit in my diet to feel better, and have found
whole-grain products send up my GB the worst!  It's a juggling act.  None of
my readings are dangerously high (181 after meals the highest reading I've
ever gotten), but my low readings aren't that low (rarely below 100).  But
really felt this morning's didn't coincide with my diet or last-night's
testing.

Barbara C.
Jenny - 20 Mar 2006 21:18 GMT
> Okay, then it does not necessarily mean my monitor is faulty!  My FBG in
> a.m. are nearly always higher than normal, and 134 is not that unusual a
> reading, but I had never gotten this higher than a 2-hour post dinner
> reading.  I

Eating a huge hunk of protein in your dinner can sometimes lead to a
higher blood sugar in the morning. Protein takes many hours to digest
and about half of it can be turned into carb by the liver.

"Low carb" pasta the night before is good for an extra 10-20 mg/dl in
the morning for me.

Getting up too often at night and having disturbed sleep can raise my
blood sugar.

And some people have the dawn phenomenon that Jennifer describes.

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control
Barbara Carlson - 21 Mar 2006 01:09 GMT
I think I have the dawn phenomenon, but never with readings like that
before.  Dinner was a salad--with sliced egg, and small amount of cheese,
some bacon--the rest greens, tomato, onion.  Nothing that should have sent
is soaring.  But at least I know it can happen and that it doesn't mean my
meter is wrong.

Barbara C.
>> Okay, then it does not necessarily mean my monitor is faulty!  My FBG in
>> a.m. are nearly always higher than normal, and 134 is not that unusual a
[quoted text clipped - 19 lines]
> http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
> Sugar Under Control
Jeanie - 21 Mar 2006 14:05 GMT
> Barbara...
>
[quoted text clipped - 18 lines]
>
> Jennifer

Thank you, Jennifer, for that explanation.  It makes a lot of sense.  I
have the same problem with BG levels higher in the morning than they are
after a meal.  I'm having a real problem getting on top of this diabetes.

Jeanie
Roger Zoul - 21 Mar 2006 22:06 GMT
:: Jennifer wrote:
::: Barbara...
[quoted text clipped - 25 lines]
:: they are after a meal.  I'm having a real problem getting on top of
:: this diabetes.

You've only been at it a short time, Jeanie. Don't be hard on yourself.
Priscilla Ballou - 20 Mar 2006 20:19 GMT
> I have been lurking for a bit, but came up with a puzzler this morning and
> thought I would post.  I was diagnosed with type 2 about 3 months ago after
[quoted text clipped - 17 lines]
>
> Barbara C.

Any chance you have an infection going?  No new meds, not even OTCs?  
How about your menstrual cycle?  High stress time?  Dehydrated?

Priscilla
Barbara Carlson - 20 Mar 2006 20:35 GMT
> Any chance you have an infection going?  No new meds, not even OTCs?
> How about your menstrual cycle?  High stress time?  Dehydrated?
>
> Priscilla

None I am aware of--too old for periods and also had a complete
hysterectomy.  Not dehydrated.  Had a busy weekend--showing my dog two days,
but actually I consider that getting away from stress, and got more exercise
than usual running around the ring!  I usually swim for my exercise (did
that, too) and running (or attempting to) is more stressful, I guess.  I
have noted stress appears to affect my BG.

Barbara C.
Priscilla Ballou - 20 Mar 2006 20:44 GMT
> > Any chance you have an infection going?  No new meds, not even OTCs?
> > How about your menstrual cycle?  High stress time?  Dehydrated?
[quoted text clipped - 7 lines]
> that, too) and running (or attempting to) is more stressful, I guess.  I
> have noted stress appears to affect my BG.

Probably just dawn phenomenon then.  Maybe work on refining your evening
snack?

What kind of dog?  How'd you do in the show?

Priscilla, de facto cat person, theoretical dog person  ;-)
Barbara Carlson - 21 Mar 2006 01:16 GMT
We eat about 7--no evening snack.

I have a Saluki.  She won her class, reserve winners bitch, both days at the
Fort Lauderdale show.  I know if I want to get more serious I have to get
someone else who can run to show her.  I could show something like a pug
where you just have to walk a little faster--but I am 72 with 2 knee
replacements and a hip replacement, and run fast is not really in my
vocabulary any more, and I am showing a Saluki which is the fastest mammal
in the world at distances over 3 miles!!!  Good motion is important in the
show ring.  Oh, well, we're both having fun!

We also have a Dobey, and 4 house/outside cats and an indeterminate number
of "barn cats" and 2 horses--retired old broodmares.  We used to raise
Arabians, and I used to show horses, and judge horses.  Dogs are more
affordable, though I can still ride, but a nice quiet "bomb proof" horse,
which I don't really have.

Barbara C.

>> > Any chance you have an infection going?  No new meds, not even OTCs?
>> > How about your menstrual cycle?  High stress time?  Dehydrated?
[quoted text clipped - 16 lines]
>
> Priscilla, de facto cat person, theoretical dog person  ;-)
Priscilla Ballou - 21 Mar 2006 01:41 GMT
> We eat about 7--no evening snack.

You might want to try one and see how it affects your morning numbers.

> I have a Saluki.  She won her class, reserve winners bitch, both days at the
> Fort Lauderdale show.

Woo hoo!

> I know if I want to get more serious I have to get
> someone else who can run to show her.  I could show something like a pug
[quoted text clipped - 3 lines]
> in the world at distances over 3 miles!!!  Good motion is important in the
> show ring.  Oh, well, we're both having fun!

That *is* the important thing, but getting a more mobile handler sounds
like a good idea, too.

> We also have a Dobey, and 4 house/outside cats and an indeterminate number
> of "barn cats" and 2 horses--retired old broodmares.  We used to raise
> Arabians, and I used to show horses, and judge horses.  Dogs are more
> affordable, though I can still ride, but a nice quiet "bomb proof" horse,
> which I don't really have.

Your place sounds nice.  I have a small house on the edge of the city
with four indoor cats plus I help care for a small colony of ferals out
back.  I satisfy much of my dog-hunger by reading Susan Conant and other
dog mystery writers.  *sigh*  Maybe when I retire....

Nice talking to you.  Seriously -- look into the evening snack thing.

Priscilla
Cheri - 21 Mar 2006 02:24 GMT
You're definitely the kind of cat owner I like. Indoor cats are a good
thing. Beats seeing them flattened in the streets looking like animal
rugs. :-)

--
Cheri

Priscilla Ballou wrote in message ...

>Your place sounds nice.  I have a small house on the edge of the city
>with four indoor cats plus I help care for a small colony of ferals out
[quoted text clipped - 4 lines]
>
>Priscilla
Barbara Carlson - 21 Mar 2006 03:03 GMT
We have very little problem with that--none with the house/outdoor cats.
Our property is fenced (10 acres) and while the cats can get through the
gate, we have plenty of woodsy areas for them to hunt on our own side of the
street!  We also have very little traffic.  We do have some problem with
stray dogs killing cats, though, but that has improved since we put up a
good gate.  Problem is with 5 dogs on property that love cats our cats are
not frightened by dogs until it is too late!  We have spayed or neutered all
the cats we can catch, but people keep dropping off more--usually pregnant
females.

Barbara C.
> You're definitely the kind of cat owner I like. Indoor cats are a good
> thing. Beats seeing them flattened in the streets looking like animal
[quoted text clipped - 14 lines]
>>
>>Priscilla
Cheri - 21 Mar 2006 03:58 GMT
Yes, it sounds like you don't live in a busy town. Here, there are run
over cats in the street quite often. I'm not a cat person, but I always
think it's a shame when that happens to an animal, if the animal was
owned by someone. Feral cats are a different matter, since nobody really
has control over them most times.

--
Cheri

Barbara Carlson wrote in message
<5uSdnRCDqIJsw4LZnZ2dnUVZ_tydnZ2d@snappydsl.net>...
>We have very little problem with that--none with the house/outdoor cats.
>Our property is fenced (10 acres) and while the cats can get through the
[quoted text clipped - 25 lines]
>>>
>>>Priscilla
Barbara Carlson - 21 Mar 2006 03:06 GMT
If I snack before bedtime I do not sleep as well, and it doesn't help the
weight problem.  I am overweight.  Have lost 15 pounds since I was
diagnosed, but it is a struggle and I need to lose a lot more.  I really
have trouble finding snacks.  My lunch usually consists of peanut butter on
celery which is fine with blood sugar, but not that easily digested before
bed.  I always snacked on fruit before!

Barbara C.

>> We eat about 7--no evening snack.
>
[quoted text clipped - 34 lines]
>
> Priscilla
Grandpa Chuck - 21 Mar 2006 03:46 GMT
>If I snack before bedtime I do not sleep as well, and it doesn't help the
>weight problem.  I am overweight.  Have lost 15 pounds since I was
[quoted text clipped - 4 lines]
>
>Barbara C.

You do not say what your bedtime snacks have been. Ours is usually a
small cup of hot chocolate made with 2% milk and Nestle's Quick and a
small cinnamon/raisin roll (as in about the size of a deck of cards).
The warm chocolate milk does very well at making us sleepy and the
carbs seem to carry pretty well through the night. There is nothing
there to cause any indigestion or the like. Sleepy time tea works
well, but there aren't any carbs there so I would be looking at higher
morning numbers.
Signature

Grandpa Chuck
-ô¿ô-
 ~

The following information is given with the utmost respect
for the armed forces and civilians who have died in the
current war in Iraq. According to http://icasualties.org/oif/
The number of Americans killed in Iraq as of Mar. 16, 2006 is 2,318.
Americans wounded = 16,653 as of 02/07/2006
United Kingdom = 103
Other = 104  
Iraqi deaths are probably in excess of 100,000.

Today, March 20, 2006
It has been 1054 days since Bush declared,
"Mission Accomplished in Iraq."

Barbara Carlson - 21 Mar 2006 17:09 GMT
Things that do not cause indigestion when younger can be problematic when
you are older (I am 72).  I just find if I do not eat anything in the couple
of hours before bedtime I sleep better!  I do sometimes have a cup of
tea--but I like my tea with honey and lemon.  Somehow tea just doesn't taste
the same without honey.  Sometimes I will eat a cookie with my tea though
and it doesn't seem to send the blood sugar up.

Barbara C.

>>If I snack before bedtime I do not sleep as well, and it doesn't help the
>>weight problem.  I am overweight.  Have lost 15 pounds since I was
[quoted text clipped - 14 lines]
> well, but there aren't any carbs there so I would be looking at higher
> morning numbers.
Susan - 21 Mar 2006 17:20 GMT
> Things that do not cause indigestion when younger can be problematic when
> you are older (I am 72).  I just find if I do not eat anything in the couple
> of hours before bedtime I sleep better!

Barbara, I have trouble sleeping, too, if I eat something that elevates
my bg before bed.  A small protein snack, however, keeps my fbg nice and
low and doesn't cause sleeplessness.

 I do sometimes have a cup of
> tea--but I like my tea with honey and lemon.  Somehow tea just doesn't taste
> the same without honey.  Sometimes I will eat a cookie with my tea though
> and it doesn't seem to send the blood sugar up.

Honey and a cookie is pretty much guaranteed to raise bg and may have
something to do with those morning numbers.

Susan
W. Baker - 21 Mar 2006 04:41 GMT
: If I snack before bedtime I do not sleep as well, and it doesn't help the
: weight problem.  I am overweight.  Have lost 15 pounds since I was
: diagnosed, but it is a struggle and I need to lose a lot more.  I really
: have trouble finding snacks.  My lunch usually consists of peanut butter on
: celery which is fine with blood sugar, but not that easily digested before
: bed.  I always snacked on fruit before!

Love yur animal collection.  I never owned, but once knew a saluki during
a summer vacation.  remarkable dog and boy could she run!

As to the snack.  it shudl have a little slow carb and a bit of fat.  I
think the heory is that this revents your going low and rebounding with a
release of gucagon from the liver in the AM.  something like a Wasa=whole
ry cracker with a bit of sheese or peanut butter on it, 5-7 grams of
slower acting carb, slowed further by the cheese or peanut butter.  Ann
alternative woudl be a handful (but keep it small) of almonds or other
nuts.  Calrie dense, so waatch the quantity.  Some people swear by this to
keep blood sugars down in the AM.  You definitely, do not have to stuff
yurself to get this benefit:-)  

Welxome to the club you never wanted to join, but do keep posting and
reading and learning.  

By the way, have yu seen an opthamologist since your diagnoses for a
dilated eye exam?  Thi is important to check for any diabetic retinopathy
or at lest, to be a base line for ufuture exams.  As yu may be able to
tell from my typing, I am not only a poor typict, who can't use her spell
checker, but have vision problems so I can't even see al the mistakes.  

Wendy
W.M.McKee - 21 Mar 2006 04:49 GMT
>By the way, have yu seen an opthamologist since your diagnoses for a
>dilated eye exam?  Thi is important to check for any diabetic retinopathy
[quoted text clipped - 3 lines]
>
>Wendy

Hello, dear Wendy

How are you tonight? I hope you are OK...

I do know about the vision problems...  Unless they have had them,
most people just do not realize.... It is truly scary to wake up one
day and realize you cannot see....

Please take care.... You are very much in my thoughts and prayers.

Will, T2
Barbara Carlson - 21 Mar 2006 17:12 GMT
I generally see an optometrist (who does do a dilated eye exam and check
pressures, etc.) yearly.  I do plan to ask my doctor if I should see an
ophthalmologist instead.  I have noticed some vision changes occasionally,
and do have cataracts, very small, not recommended for surgery yet.

Barbara C.

>>By the way, have yu seen an opthamologist since your diagnoses for a
>>dilated eye exam?  Thi is important to check for any diabetic retinopathy
[quoted text clipped - 15 lines]
>
> Will, T2
bj - 21 Mar 2006 17:25 GMT
>I generally see an optometrist (who does do a dilated eye exam and check
>pressures, etc.) yearly.  I do plan to ask my doctor if I should see an
>ophthalmologist instead.  I have noticed some vision changes occasionally,
>and do have cataracts, very small, not recommended for surgery yet.

YES YOU SHOULD see an ophthalmologist.
And the sooner the better.
Optometrists are fine for some things, but NOT for looking at/for diabetic
eye damage.
ESPECIALLY if you already have any problems -- whether or not
diabetes-related.
Was it the optometrist who said your cataracts aren't ready for surgery yet?
You should get an ophthalmologist's opinion on that as well.
JMO.
bj
Ma¢k - 21 Mar 2006 19:15 GMT
On Tue, 21 Mar 2006 11:12:02 -0500, "Barbara Carlson"
<bbcarlson@snappydsl.net> Huffed and Puffed the following into the
madness of usenet:

>I generally see an optometrist (who does do a dilated eye exam and check
>pressures, etc.) yearly.  I do plan to ask my doctor if I should see an
>ophthalmologist instead.  I have noticed some vision changes occasionally,
>and do have cataracts, very small, not recommended for surgery yet.
>
>Barbara C.

I saw optometrists since I was kid.  They always did dilated eye
exams.  They always told me that my eyes were great shape and showed
NO signs of damage what so ever.  They all knew that I was diabetic
since I was 8.  A couple of years ago both of my eyes started to
hemorrhage.  The blood blocked my field of vision in both eyes.  Not
completely.  I went in to see my endo, easiest doc for me to get
access to and he sent me straight from his office to the
ophthalmologist across the street from the hospital where he works.
The next day I was having laser surgery done on one eye.  Then when
the bandages came off I immediately had the other done.  I had to be
sent to a retina specialist because the right eye kept getting worse.
After 2 vitrectomies (removal of the fluid from the eye) and having my
damaged retina reattached, partial vision was restored in that eye.
Thankfully I still have the left eye working correctly or I would be
drawing disability and going through retraining to find some other way
to support myself.

NEVER trust the word of a guy whose main source of income is selling
prescriptions for glasses.  An optometrist is NOT qualified to detect,
diagnose or even treat any disease of the eye, especially one related
to diabetes.  All of the specialists I have seen have told me the same
thing over and over again.  If I had seen an ophthalmologist even once
in the previous 20 years I could have avoided loosing the vision in my
eye.

Diabetics, regardless of type, need to see an Ophthalmologist soon
after diagnosis to establish a base line for their visual health and
then be seen at least once every year after that.  Less ONLY if the
ophthalmologist says that yearly exams are not needed based on visual
health AND over all diabetic control.

The damage to our eyes does not begin suddenly nor does it begin
within the field of vision that would alert us to the changes going
on.  It starts slowly, outside the filed of vision and progresses
until it damages our field of vision.  By that time when we actually
notice it and finally go in to have something done about it, there are
no promises that we can stop or reverse the damage.

Signature

Mâck©® 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.

DISCLAIMER If you find a posting or message from me
offensive, inappropriate, or disruptive, please ignore it.
If you don't know how to ignore a posting, complain to
me and I will be only too happy to demonstrate...
.

           

Kurt - 21 Mar 2006 19:41 GMT
> On Tue, 21 Mar 2006 11:12:02 -0500, "Barbara Carlson"
> <bbcarlson@snappydsl.net> Huffed and Puffed the following into the
[quoted text clipped - 44 lines]
> notice it and finally go in to have something done about it, there are
> no promises that we can stop or reverse the damage.

Like most things with diabetes, and in the case of our eyes even
moreso, early detection is key.  None of us likes to face the realities
of what damage this disease can do so it's a natural reaction to want
to ignore things.  But it just ain't smart.  Go see an eye specialist
ASAP.  The "you" 10 years from no will be very thankful that you did!

Best,
Kurt
wmmckee@cox.net - 21 Mar 2006 19:52 GMT
> I saw optometrists since I was kid.  They always did dilated eye
> exams.  They always told me that my eyes were great shape and showed
[quoted text clipped - 12 lines]
> drawing disability and going through retraining to find some other way
> to support myself.

Hi Mack,

Thanks for sharing this. I had no idea.... You have really had a hard time.

I hope your vision problems have stabilized now, and there is no danger to
your remaining good eye.

Will, T2
Ma¢k - 22 Mar 2006 02:41 GMT
>> I saw optometrists since I was kid.  They always did dilated eye
>> exams.  They always told me that my eyes were great shape and showed
[quoted text clipped - 21 lines]
>
>Will, T2

so far no more deterioration.  And for the most part, my brain has
unconsciously adjusted for the loss of vision in the other eye.  It's
most noticeable when I am really tired after working for more than 15
to 16 hours in a day.  I am actually due in a month for my regular
exam.

Signature

Mâck©® 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.

DISCLAIMER If you find a posting or message from me
offensive, inappropriate, or disruptive, please ignore it.
If you don't know how to ignore a posting, complain to
me and I will be only too happy to demonstrate...
.

           

W. Baker - 21 Mar 2006 20:22 GMT
: I generally see an optometrist (who does do a dilated eye exam and check
: pressures, etc.) yearly.  I do plan to ask my doctor if I should see an
: ophthalmologist instead.  I have noticed some vision changes occasionally,
: and do have cataracts, very small, not recommended for surgery yet.

: Barbara C.

Some changes in vision are normal as blood sugars change, so don't get new
glasses until your numbers are stable.  Do see an opthamologist early on,
as I said earlier, if for nothing other than to have a base line.  In
addition, diabetic retina problems can develop before diagnosis or even
early in the post diagnosis period.  

Wendy
W. Baker - 21 Mar 2006 20:18 GMT
: >By the way, have yu seen an opthamologist since your diagnoses for a
: >dilated eye exam?  Thi is important to check for any diabetic retinopathy
[quoted text clipped - 3 lines]
: >
: >Wendy

: Hello, dear Wendy

: How are you tonight? I hope you are OK...

: I do know about the vision problems...  Unless they have had them,
: most people just do not realize.... It is truly scary to wake up one
: day and realize you cannot see....

: Please take care.... You are very much in my thoughts and prayers.

: Will, T2

Thank yu Will,

I am about the same, but gettingg used to a new, not only computer, but
whole system.  I now have a tiny Mac to replace 2 elderly PC's at two
detinaitions.  I will be able to move this weeny one back and forth,
plugging it into my peripherals at both location.  This will take some
doing ans my son (the Mac one, of course) is helping me tranlate my files
to the new system so I can read and use all the stuff I write, etc.    

I like the feel of the new keyboard, adn its white color is much brighter
than m old gray one, but I will, probably , get some stickers with darker
and larger letters .  

I see the eye guys again next Turesday adn will see if the visin is still
oleing as to whether I need a new tretment or not.  I co't think the
change, if present, is much, in any event.  

Wendy
Barbara Carlson - 22 Mar 2006 03:13 GMT
Thanks for all the advice about the ophthalmologist.  I definitely intended
to talk to my primary about this.  Now I just have to convince his office to
give me a referral, but in the meantime I will do a little research about
who is the best to see.

I work as a medical transcriptionist, so have good access to some good
medical advice and will ask around about who to see that is on my HMO and
get a referral.  I can find out who my doctors go to!

Barbara C.
> : If I snack before bedtime I do not sleep as well, and it doesn't help
> the
[quoted text clipped - 29 lines]
>
> Wendy
Jeanie - 21 Mar 2006 14:04 GMT
> We eat about 7--no evening snack.
>
[quoted text clipped - 14 lines]
>
> Barbara C.

Salukis are terrific dogs, aren't they?  They are the mascot of Southern
Illinois University (about 20 miles from here) my husband's alma mater.

I have Maltese, but I don't show them.  Roxie and Winston had their
first litter a week or so ago.  Got a box full of puppies on the floor
near me right now.  LOL

Jeanie
Loretta Eisenberg - 21 Mar 2006 14:51 GMT
The not eating the evening snack is the problem.  Also I didnt see any
carbs with your meal.  I also have some kind of carb whether it be a
three ounce potato, some pasta, some brown rice, etc.

If you have no carbs then the liver has to produce the glucose to
protect you from going low.

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.
Barbara Carlson - 21 Mar 2006 17:16 GMT
There was some bacon (I know more fat than carbs) and some cheese, and I did
have a glass of skim milk which I hadn't mentioned.  I am a milk drinker,
and I have cut way back on what I drink, but totally giving up milk is not
an option.  There were also some sesame seeds sprinkled on--I think that
comes in the carb group, not sure.

Barbara C.
> The not eating the evening snack is the problem.  Also I didnt see any
> carbs with your meal.  I also have some kind of carb whether it be a
[quoted text clipped - 9 lines]
> of Israel, two bastions of strength in a world filled with strife and
> terrorism.
Susan - 21 Mar 2006 17:23 GMT
> There was some bacon (I know more fat than carbs) and some cheese, and I did
> have a glass of skim milk which I hadn't mentioned.  I am a milk drinker,
> and I have cut way back on what I drink, but totally giving up milk is not
> an option.  There were also some sesame seeds sprinkled on--I think that
> comes in the carb group, not sure.

Barbara, skim milk is pretty high in fast acting carbs from lactose.
Sesame seeds are very low carb and heart healthy, loaded with fiber and
good oils.

What is a typical day of meals for you, if it's not too much trouble,
and have you considered tracking your food and using Jennifer's advice
to newbies to identify your problem foods?

You may find that you feel so much better that it's a self reinforcing
exercise, even if it sounds tedious upon first read.

Susan
Barbara Carlson - 22 Mar 2006 03:38 GMT
I am tracking foods trying to find what I can eat and what I cannot.
Breakfast is a big problem.  I usually have, and I know it is not ideal, but
I have a half a bagel with cream cheese and a generous portion of lox
(smoked salmon) and a cup of coffee.  It does NOT send my BG soaring at all.
I can just eat so many eggs.  I thought oatmeal might be okay, but it sent
my BG way up--far more than the bagel/cheese/lox does.  What else is there
to eat for breakfast?  I usually have some peanut butter on celery for
lunch.  Dinner varies widely.  I have cut out rice.  I have one glass of
milk, usually with dinner, but sometimes with the peanut butter and celery.
Milk is not sending the numbers up.  Any kind of whole grain breads send the
numbers spiking.  I'm trying to have some fruit with dinner because of the
constipation problem.  Strawberries, raspberries (can't afford either often)
pineapple seems pretty good.  I just try to keep it in moderation.  I don't
eat sweets (well maybe a little whip cream on the strawberries)--don't like
most sweets.  I have tried things like Glucerna bars, or Dr. Atkins, and
aside from the fact that they taste AWFUL (way too sweet for my taste) they
do send the BG up.

I'm also trying to lose weight, so have to watch the fats.  I know peanut
butter is high calories, but it also seems to calm down the hunger.  I
really miss crackers--is there such a thing as a low-carb cracker ? I found
some crackers--whole wheat and some rice ones--that were 15 crackers for 19
carbs, and thought maybe I could have a few of those--but 3 or 4 sent up the
BG.  Dinner tonight was eat out--had lamb chops, a nice salad, and 1/2 a
baked potato.  BG 141 1 1/2 hours later.  Last night I had one hot dog on a
slice of low-carb (4 grams) bread and some homemade Boston Baked Beans.  I
like chicken.  Tomorrow it will be corned beef and cabbage with vegetables
thrown in with it (onion, potato, parsnips)  So that is the kind of thing.
I'm being very conscious of portion control because of the weight
thing--have lost 15 pounds in 3 months so far.  I do exercise daily--usually
swimming.  Arthritis is too bad to do much other type of exercise, but I am
gradually increasing my walking as pain will allow.  (have 2 knee
replacements and a hip replacement--but it is my back that bothers me most
with exercise other than swimming, but have a routine of back exercises I do
daily--mostly stretching type).  My job is sitting in front of a computer
way too many hours.  I am a medical transcriptionist, probably spend 5 or 6
hours at the computer a day, sometimes more (could be 10 or 12 on rare
occasions) sometimes less.  I try to get up and move around every 30 minutes
or so, even if briefly.

There you have it.  Would sure like some breakfast suggestions!

Barbara C.

> x-no-archive: yes
>
[quoted text clipped - 16 lines]
>
> Susan
Jennifer - 22 Mar 2006 05:07 GMT
Crunchy crackery... substitute it for your bagel at breakfast!

Wasa Fiber Rye.

http://us.wasa.com/Wasa/smpage.fwx?page=595&group=1137&product=1138&main=products

7g of carbs per slice
2g of fiber

For a net of 5g per slice.

Jennifer

> I am tracking foods trying to find what I can eat and what I cannot.
> Breakfast is a big problem.  I usually have, and I know it is not ideal, but
[quoted text clipped - 60 lines]
>>
>>Susan
Barbara Carlson - 22 Mar 2006 16:42 GMT
Hmmm....  I like those, too, but so far anything similar has not checked out
well with the BG.  However, it is something to test and I'll be most happy
if it works out.  I miss my crackers.  Not sure I can give up the bagels--at
least once in a while!  Thanks for the suggestion.

Barbara C.
> Crunchy crackery... substitute it for your bagel at breakfast!
>
[quoted text clipped - 75 lines]
>>>
>>>Susan
Alan S - 22 Mar 2006 06:57 GMT
>There you have it.  Would sure like some breakfast suggestions!

Try these.

BTW - this morning was a little chopped onion,
capsicum(peppers), celery, and broccoli fried lightly in a
spoonful of olive oil until just softening, then I added
50gms canned pink salmon, then poured over an egg lightly
beaten with a little water and some thai fish sauce. I added
a grating of cheese, put it under the grill(broiler) and ate
it direct from the little cast-iron skillet (on a trivet)
when the cheese started bubbling and browning. Delicious;
FBG 5.9(106), 1hr PP 6.4(165).

Breakfasts With Minimal Carbs

1. Egg. The humble egg can be cooked in so many ways:
poached, fried (minimal oil in a non-stick pan), normal
omelette (beat it lightly while cooking), fluffy omelette
(seperate, whip the white with a spoonful of water, fold
back with filling and yolk), scrambled with a little milk,
frittata (sort of a heavier omelette with filling), and
baked. Use fillings, cheese, fresh herbs if you can, dried
if you can't.

2. Meat. Bacon, Ham, small steak, hamburger patty (watch the
fat), chicken, prosciutto, hot dogs and so on. Can be fried,
grilled/broiled, chopped after cooking and added to
omelettes, frittata or scrambled eggs. For bacon or other
fatty meats, drain on absorbent paper before serving.

3. Fish. Smoked, canned or fresh. Can be poached, fried, as
a mornay (easy on the thickener), mixed in a stir-fry etc.
Same for seafood.

4. Mushrooms. Small ones can be sliced and cooked with
onions, herbs , garlic etc and a little oil and a smidgin of
flour for a gravy. Large ones can be filled with bolognaise
or napoli sauce (or whatever you like), topped with grated
cheese and baked in the oven. Also another good omelette
filling.

5. Casseroles and stews - beef, lamb, chicken, mince (ground
beef) etc can be pre-prepared and divided into individual
breakfast sized serves. Put them in small plastic containers
in the freezer and zap one in the microwave for breakfast.
Check the carbs in the recipe to check suitability. Beef
bourgignon, Irish Stew (watch the spuds), chicken fricassee,
whatever your favourite is. Always test at 1 hr the first
time with casseroles - thickeners are usually the carb
culprits for high BGs.

6. Leftovers - slices of roast meat, re-heated or cold,
re-heated chops etc

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

Everything in Moderation - Except Laughter.

Barbara Carlson - 22 Mar 2006 16:43 GMT
I'm not much of a vegetable lover, and that takes a lot of time!  But, it
might work for a "once-in-a-while" breakfast.

Barbara C.

>>There you have it.  Would sure like some breakfast suggestions!
>
[quoted text clipped - 53 lines]
> Cheers, Alan, T2, Australia.
> d&e, metformin 2x500mg
Alan S - 22 Mar 2006 23:14 GMT
>I'm not much of a vegetable lover, and that takes a lot of time!  But, it
>might work for a "once-in-a-while" breakfast.

Time is relative. Often, it depends on how you employ it.

Preparation - less than five minutes cutting while the
skillet heated. There is only the equivalent of a tablespoon
of each vege. Then the veges were sauteed for less than five
minutes with an occasional stir while the grill was heated;
beating the egg, opening the salmon and adding the fishoil
was less than three minutes while that was happening.

In between times I turned on the computer and did the normal
"wake up the house" things - opening blinds, doors etc. And
prepared the coffee doodad.

When the timer beeped to remind me I added the cheese, put
the thing under the griller and set the timer to another
five minutes; the coffee-maker then goes on the gas.

While it's coooking, off to the computer to start
downloading newsgroups, Yahoo groups, and emails now that
AVG has done it's morning thing.

Fifteen minutes after commencing breakfast, I was sitting
here checking messages as I ate it and drank my java.

Time is relative:-)

However, this morning I couldn't be bothered so I just fried
a rasher of bacon and an egg. I didn't check fasting, but an
hour later I'm 6.2.

Oh - and becoming a vegetable lover is a survival trait for
type 2 diabetics.

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg

It's amazing what you can learn to like once
you realise that your life depends on it.
Everything in Moderation - Except Laughter.
Barbara Carlson - 23 Mar 2006 03:30 GMT
If loving vegetables is necessary for survival I am doomed.  I have tried
for years to love veggies!  It doesn't work.  I can manage a few, but the
ones I like most are the most starchy ones and carrots are strictly for
horses!  Just got back from dinner out with friends and managed to bypass
the rolls, had duck some broccoli, and about half of the potato.  No desert.

Barbara C.

>>I'm not much of a vegetable lover, and that takes a lot of time!  But, it
>>might work for a "once-in-a-while" breakfast.
[quoted text clipped - 38 lines]
> you realise that your life depends on it.
> Everything in Moderation - Except Laughter.
Susan - 22 Mar 2006 13:31 GMT
> I am tracking foods trying to find what I can eat and what I cannot.
> Breakfast is a big problem.  I usually have, and I know it is not ideal, but
> I have a half a bagel with cream cheese and a generous portion of lox
> (smoked salmon) and a cup of coffee.  It does NOT send my BG soaring at all.

Hi, Barbara.  Your numbers tend to run high, if I recall, so not soaring
is good, but may not be the best you can do.  I buy low carb sesame or
everything bagels from the bagel store, cut them in half, scoop out the
dough, spread cream cheese in the shell and put lots of smoked salmon on
that.  Just a tip.

> I can just eat so many eggs.  I thought oatmeal might be okay, but it sent
> my BG way up--far more than the bagel/cheese/lox does.  What else is there
> to eat for breakfast?

Breakfast is the toughest meal for low carbers.  You may need to get
creative.  If you like hot cereal, buy some flax seeds, grind them in
the morning and add hot water; it's almost pure fiber, too, a lot more
than you can get from berries.  You can mix it with some chopped nuts or
low carb granola, too.  Some of this stuff you can buy in a health food
store, all of it online. Some of us eat dinner leftovers for breakfast.
Some make protein shakes with milk and/or yogurt and frozen berries with
protein powder.  Some make crustless quiche and have that for breakfast.
I've got a recipe for high fiber low carb flax muffins to share if you'd
like it.  Cottage cheese with a few berries, or plain, whole milk yogurt
with a little fruit, with or without cottage cheese is an easy breakfast.

 > I usually have some peanut butter on celery for
> lunch.  Dinner varies widely.  I have cut out rice.  I have one glass of
> milk, usually with dinner, but sometimes with the peanut butter and celery.
> Milk is not sending the numbers up.  Any kind of whole grain breads send the
> numbers spiking.

Have you tried whole kernel rye, the really dense German stuff?  Or the
Baker brand flax or bran bread?  Very high fiber.  Damascus makes a
really good, soft low carb flax rollup, or wrap, see if your store will
carry it.  Toufayan makes a soft LC pita bread.

  I'm trying to have some fruit with dinner because of the
> constipation problem.  Strawberries, raspberries (can't afford either often)
> pineapple seems pretty good.  I just try to keep it in moderation.  I don't
> eat sweets (well maybe a little whip cream on the strawberries)--don't like
> most sweets.  I have tried things like Glucerna bars, or Dr. Atkins, and
> aside from the fact that they taste AWFUL (way too sweet for my taste) they
> do send the BG up.

They are gross, and the Glucerna is made to raisge bg in type 1s, so
it's no good for you.

> I'm also trying to lose weight, so have to watch the fats.  I know peanut
> butter is high calories, but it also seems to calm down the hunger.

If it calms down hunger, it will help you lose weight.

  I
> really miss crackers--is there such a thing as a low-carb cracker ? I found
> some crackers--whole wheat and some rice ones--that were 15 crackers for 19
> carbs, and thought maybe I could have a few of those--but 3 or 4 sent up the
> BG.

The only crackers I can think of that are lower than that taste kind of
like shredded box tops; they're called Bran a Crisp.  You can try Wasa
Light Fiber Rye.

  Dinner tonight was eat out--had lamb chops, a nice salad, and 1/2 a
> baked potato.  BG 141 1 1/2 hours later.  Last night I had one hot dog on a
> slice of low-carb (4 grams) bread and some homemade Boston Baked Beans.  I
> like chicken.  Tomorrow it will be corned beef and cabbage with vegetables
> thrown in with it (onion, potato, parsnips)  So that is the kind of thing.
> I'm being very conscious of portion control because of the weight
> thing--have lost 15 pounds in 3 months so far.

Wow, great results, you're really working at this thing!

  I do exercise daily--usually
> swimming.  Arthritis is too bad to do much other type of exercise, but I am
> gradually increasing my walking as pain will allow.  (have 2 knee
[quoted text clipped - 7 lines]
>
> There you have it.  Would sure like some breakfast suggestions!

See above.  Hang around, you'll pick up lots of ideas and support here.
 And maybe google the low carb group for breakfast ideas.

Susan
Barbara Carlson - 22 Mar 2006 16:47 GMT
My FBGs run high, but my postprandials, if I am reasonably careful, are not
bad at all.  I have not been able to find low-carb bagels, and have looked.
Probably if I went up to Miami, but that's too far to go for bagels.  And,
if they taste like the low-carb breads then I might as well give them up
altogether!

Barbara C.
> x-no-archive: yes
>
[quoted text clipped - 90 lines]
>
> Susan
Susan - 22 Mar 2006 16:55 GMT
> My FBGs run high, but my postprandials, if I am reasonably careful, are not
> bad at all.  I have not been able to find low-carb bagels, and have looked.

Oh, you're in FL?  There aren't any good bagels to be had!  You could
order from Bagel Biz in NY, or Bagel Boss.  They're not actually low
carb, though, because a half will spike me, but half scooped doesn't.

> Probably if I went up to Miami, but that's too far to go for bagels.  And,
> if they taste like the low-carb breads then I might as well give them up
> altogether!

Actually, the ones I buy taste almost exactly like the regulars,
especially wiht the doughy part scooped out.  If I were going up to
Miami, it'd be for stone crab or Cuban food, not bagels!

If your 1 hr. numbers are good, that's great news.  If your fasting is
lousy, try a small protein snack before bed.

Susan
Barbara Carlson - 22 Mar 2006 22:36 GMT
Oh, we have wonderful bagels--just not low carb!

Barbara C.
> x-no-archive: yes
>
[quoted text clipped - 18 lines]
>
> Susan
Susan - 22 Mar 2006 22:38 GMT
> Oh, we have wonderful bagels--just not low carb!

If you think they're wonderful, who'm I to tell you how crappy they
really are?  ;-P

Susan <NYer who's eaten too many So. Fl. bagels>
Barbara Carlson - 23 Mar 2006 03:32 GMT
They you haven't bought them where I do!  I've had bagels in New York and
NJ, but these are every bit as good.  Now, I've bought bagels here that
aren't great, but they may them fresh at Norman Brothers Produce and if you
don't get there early they are gone.

Barbara C.
> x-no-archive: yes
>
[quoted text clipped - 4 lines]
>
> Susan <NYer who's eaten too many So. Fl. bagels>
Alan S - 21 Mar 2006 04:59 GMT
>After a couple of days of higher than target BG readings, despite reasonable
>diet,

Hi Barbara

Define your "reasonable diet" :-)

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

Everything in Moderation - Except Laughter.

Barbara Carlson - 21 Mar 2006 17:19 GMT
That particular night a salad with some bacon, a glass of milk (skim) and
some cheese and sesame seeds on the salad--salad was mostly from our
garden--greens, tomatoes, etc.

Barbara C.

>>After a couple of days of higher than target BG readings, despite
>>reasonable
[quoted text clipped - 6 lines]
> Cheers, Alan, T2, Australia.
> d&e, metformin 2x500mg
Alan S - 22 Mar 2006 01:29 GMT
>That particular night a salad with some bacon, a glass of milk (skim) and
>some cheese and sesame seeds on the salad--salad was mostly from our
>garden--greens, tomatoes, etc.
>
>Barbara C.

And the morning and lunch? What were your BGs after each
meal?

As you've found by now, skim milk has carbs, it's only the
fat (cream) that's been removed. Although, even allowing for
that, your dinner shouldn't have been a signifiscant
problem.

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

Everything in Moderation - Except Laughter.

Loretta Eisenberg - 21 Mar 2006 14:47 GMT
Barbara,I am pretty sure I am just parroting what others have told you
about dawn phenomenon or what we lovingly call liver dump.

During the night your liver dumps glucose to cover any lows you might
have.  Do you have a bedtimne snack.  

If you have a carb and a protein, like a couple of crackers with peanut
butter you might that this morning number will be lower.  I think we
have all lived it here in this group

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.
 
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