Medical Forum / Diseases and Disorders / Diabetes / April 2007
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Hannah Burke - 10 Apr 2007 08:27 GMT I posted a question yesterday and I don't see it...wonder why it didn't show up? I need help understanding this disease... and how it works...do you take your shot before or after you eat? Do you have trouble with no appetite afterwards? Thanks!
Julie Bove - 10 Apr 2007 08:30 GMT >I posted a question yesterday and I don't see it...wonder why it didn't > show up? > I need help understanding this disease... > and how it works...do you take your shot before or after you eat? > Do you have trouble with no appetite afterwards? Thanks! Your message was there and I answered it. I do not take shots.
Hannah Burke - 10 Apr 2007 08:54 GMT Thanks for your answer...I could not find my original question...I am asking this question about the appetite because I am concerned that I may soon need to take shots and I need to understand how it works..could any of you who take shots and who feel that you are not hungry afterwards and if you think the shot causes you not to be hungry..
TigerLily - 10 Apr 2007 10:01 GMT i have been taking insulin for over 19 years now
i have never had the insulin shot make me 'not hungry'
what is it that you have heard??? are you referring to byetta?
kate
 Signature Join 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.
> Thanks for your answer...I could not find my original question...I am > asking this question about the appetite because I am concerned that I > may soon need to take shots and I need to understand how it works..could > any of you who take shots and who feel that you are not hungry > afterwards > and if you think the shot causes you not to be hungry.. Alan S - 10 Apr 2007 10:44 GMT >Thanks for your answer...I could not find my original question...I am >asking this question about the appetite because I am concerned that I >may soon need to take shots and I need to understand how it works..could >any of you who take shots and who feel that you are not hungry >afterwards >and if you think the shot causes you not to be hungry.. Hi Hannah.
Welcome.
Now, sit back, take a deep breath and relax a little. This thing usually works slowly; you have time to learn, to adjust things, to improve your lifestyle to help manage your diabetes.
So, relax.
Now, tell us a little more about yourself. You don't have to - but it will help the others give you better answers if you can give a little more info. Things like your blood glucose levels, HbA1c, any other lab numbers like cholesterol, whether you need to lose weight, what your doctor has told you, whether the doc has prescribed any medications - all that sort of detail.
Best wishes. While you wait for the replies, read this: http://www.alt-support-diabetes.org/NewlyDiagnosed.htm and this might help too: http://loraldiabetes.blogspot.com/2006/10/d-day.html
Cheers Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher. http://loraldiabetes.blogspot.com/ Everything in Moderation - Except Laughter.
Kurt - 10 Apr 2007 18:20 GMT > On Tue, 10 Apr 2007 02:54:05 -0500, Hannah1...@webtv.net > [quoted text clipped - 26 lines] > Best wishes. While you wait for the replies, read this:http://www.alt-support-diabetes.org/NewlyDiagnosed.htm > and this might help too:http://loraldiabetes.blogspot.com/2006/10/d-day.html For God's sake, Alan. She asked a simple specific question and you spam her with your usual amateur sites that has nothing to do with her question. Give it a rest. It's okay not to know all the answers and to not answer every post.
Kurt
Alan S - 11 Apr 2007 03:24 GMT >> On Tue, 10 Apr 2007 02:54:05 -0500, Hannah1...@webtv.net >> [quoted text clipped - 33 lines] > >Kurt Hi Kurt, and Hannah
Hannah, please ignore the spat between Kurt and myself. We have a history; I am a type 2 who offers suggestions based on my "amateur" personal experience and reading, he is a type 1 who has a problem with anyone other than qualified doctors offering any suggestions to anyone with a medical condition. We will never agree - so please do not let our dispute interfere with your need. I am sorry it intruded into your thread, but I'll answer it here. No need to read further, you are just the meat in the sandwich here, and I really apologise for that.
Kurt, I was not answering just this question about appetite. "For God's sake"? No, and not even for your sake. But for newby type 2's sake I'll clarify why I answered as I did.
In earlier posts Hannah has written:
"I am asking because I was diagnosed as being borderline for type 2...my Mom had it..I have a friend who takes insulin shots and I sit for a man who takes 4 a day...he is in bad shape...my question is a two parter.. !. Why do the doctors want you to take the shot before you eat? 2. Seems people who take insulin do not want to eat? Why not?" and: "I posted a question yesterday and I don't see it...wonder why it didn't show up? I need help understanding this disease...and how it works...do you take your shot before or after you eat? Do you have trouble with no appetite afterwards? Thanks!" and now: "Thanks for your answer...I could not find my original question...I am asking this question about the appetite because I am concerned that I may soon need to take shots and I need to understand how it works..could any of you who take shots and who feel that you are not hungry afterwards and if you think the shot causes you not to be hungry.."
From that I understood the following:
1. She is diagnosed with pre-diabetes and her Mother is a diagnosed type 2.
2. She is worried about insulin - but she does not take it and fears that she may have to. Additionally, she is misinformed on the effects of insulin on diet. It is possible she is confusing the effects of insulin and Byetta.
3. If she does start insulin she wants information on timing of shots and meals - however that question is really irrelevant at the moment, because she doesn't take it and as a pre-diabetic is unlikely to in the near future.
4. Her questions show a need for information on self-treatment of pre-diabetes, not insulin use. As she said: "I need help understanding this disease".
5. Her questions also imply a poor knowledge of the way diet and type 2 diabetes are inter-related.
Therefore, I provided the best information I have to hand for pre-diabetes, testing and diet - Jennifer's advice and my own blog. You disagree, but on that point I consider your low opinion of Jennifer's advice less than worthless. Your opinion of mine is obvious.
Later, depending on her answers, I would add Gretchen Becker's book, either the pre-diabetes one or First Year Type 2, but of course Gretchen is only a "Patient Expert" and thus her advice is worthless in your opinion. In my lay opinion every doctor treating a type 2 should have her books on his shelf to lend to patients - and to read for themselves.
Since then Hannah responded to others in another thread with:
"Thank you for all of your answers...I will read all of the information and get back to you..about me.. I am 63 weight 176 Height 5'8" , high Colest. , HBP got that down with the help of a diuretic and St John's Wort, working on the colest..after 40 yrs of daily stress and bad nutrition my body is showing it..until 4 yrs ago when I crushed my sciatica nerve I could bent over from my knees and place my palms flat on the floor.. always in good shape until now...I have to eat every 5 hrs during the day or I will get sick, I have to have at least protein two times a day...I am eating more raw vegetables now that I can afford it. rarely eat anything sweet or want it..do not drink sodas or sweet tea...I do eat 1 tablespoon of honey a day...I need to work out that always levels the BS.. tha's about it for me unless you have questions.. The stomach ailment sure sounds like something my old gent may have...will pass this info on to his daughter... Thanks again for the help..."
So, her BMI is 26.8 (good) but she has other problems as many of us type 2's do.
I stand by my response. I'll be particularly interested to see the post-prandial BG results after her tablespoon of honey.
Now, not "For God's sake" but for the type 2 newbies sakes, stay out of their threads. You do not add help at a time when they need it, only confusion, doubt and fear. Of course they should see their doctor - but she already has and so has almost every other newby who arrives here seeking the suggestions and experience of other type 2's.
You are a destructive element they don't need at a time when they are particularly vulnerable.
Alan, T2, Australia.
Nothing in all the world is more dangerous than sincere ignorance and conscientious stupidity. Martin Luther King Jr., Strength to Love, 1963
Hannah Burke - 11 Apr 2007 15:12 GMT I appreciate all the help ...I am more worried about my little gent I take care of than myself...he is in bad shape...I have met one doctor who has his case and I would never go to that doctor...in fact I stay as far away from them as I can..I have had more than my share of medical mistakes made in my family including me...I was diagnosed as borderline years ago and have held it back with diet and exercise...since I injured my nerve I am not as active nor as healthy as I was 6 yrs ago because of personal problems in my family therefore it is causing me some problems now...about my spoonful of honey...honey levels out the BS as does exercise...our bodies were meant to work and be active when we are ot it causes more medical problems that most people want to cure with a pill...I prefer to use natural cures as GOD didn't make synthetic bodies and when synthetic drugs and bad nutrition are put into our bodies were are going to have ills.. I have heard of them stem cell and it's possible cures...maybe it's because the stem cells are pure natural protein.. Most ills can be reversed or cured with good nutrition and exercise.. Now in the gentleman's case of type 1 , it is a whole different ball game than type 2 and should be treated differently most doctors want to treat everyone with the same bold stoke and one way is not for all...every body chemistry is different than the next..and watching western medical doctors treat people is down right scarey...before I choose insulin I will take Accupunture..I know a woman who has Multiple Serosis (sp) but you would never know,,, she has had Accupunture for 10 yrs once a month... I am very worried about my lttle gent because he is eating all te wrong things and his family doesn't monitor him or his doctors.. I am sorry I do not CCP post before I respond but that irritates the heck out of me so I don't do it... Thanks for all of yor help...I learned a lot I prefer to talk to real people who have learned what works for them with trial and error...much more reliable than some dr who doesn't really care...you are just another person in the waiting room to get rid of so they can get out of there...
DonnaB shallotpeel - 11 Apr 2007 23:02 GMT In alt.support.diabetes on Wed, 11 Apr 2007 09:12:40 -0500 in Msg.# <29607-461CECD8-1163@storefull-3134.bay.webtv.net>, Hannah1973@webtv.net (Hannah Burke) wrote:
> I am sorry I do not CCP post before I respond but that irritates the > heck out of me so I don't do it... What does this mean? CCP post? Maybe if I know that I can guess why it annoys you so.
And, for the record, I have an excellent doctor. I've seen far too many doctors in my 56 years & some of them have been worthless or less than worthless. But, some of them have been remarkable, too.
 Signature DonnaB
"As the whirlwind in its fury teareth up trees, and deformeth the face of nature, or as an earthquake in its convulsions overturneth whole cities; so the rage of an angry man throweth mischief around him." - Akhenaton [anger]
Alan S - 12 Apr 2007 01:02 GMT >I appreciate all the help ...I am more worried about my little gent I >take care of than myself...he is in bad shape... Have you mentioned his problem? I'm sorry, I missed it if you have.
To be able to care for another, it helps to be in good shape yourself.
I must admit we have some significant differences of opinion on the remainder of your post - but that doesn't really matter. Have you read this yet http://www.alt-support-diabetes.org/NewlyDiagnosed.htm ? Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com/ http://loraltravel.blogspot.com/ latest: Athens and The Adriatic
DonnaB shallotpeel - 12 Apr 2007 03:49 GMT In alt.support.diabetes on Thu, 12 Apr 2007 00:02:00 GMT in Msg.# <0gtq13t738q0otri4je4b1d8poj35fl93b@4ax.com>, Alan S <loralgtweightandcarbs@gmail.com> wrote:
> I must admit we have some significant differences of opinion > on the remainder of your post - but that doesn't really > matter. Yeah, I went right on past.
 Signature DonnaB
"Ah, how happy would many lives be if individuals troubled themselves as little about other people's affairs as about their own!" - Georg Christoph Lichtenberg, German physicist and drama critic (1742-1799)
Uncle Enrico - 10 Apr 2007 12:07 GMT >I posted a question yesterday and I don't see it...wonder why it didn't > show up? > I need help understanding this disease... > and how it works...do you take your shot before or after you eat? > Do you have trouble with no appetite afterwards? Thanks! Hi, Hannah,
Ideally, you want to inject the right amount of insulin at the right time before a meal so that your insulin dose matches the rise in your blood sugar from the carbohydrate and protein that you will eat so that you keep your blood sugar within a range that is as close to normal as possible.
This takes some experimentation in the beginning plus lots of testing and charting to know just how much insulin to take and when to take it based on the quantities and types of food you eat.
Your doctor will give you some guidelines to begin with.
You may start with two types of insulins: a slow acting insulin that you shoot once (maybe twice) a day, and a fast acting insulin that you shoot before meals.
It is always wise to begin with safety by injecting smaller doses of insulin to avoid low blood sugar episodes which can be quite troublesome and potentially dangerous. Most diabetics who inject insulin will experience many, many episodes of low blood sugar, and get through them just fine but it's best to keep these to a minimum. Also, it's vital to ALWAYS CARRY GLUCOSE TABS WHEREVER YOU GO.
Most diabetics are likely to experience increased (not diminished) appetite following insulin injections, unless they are unwell or have gastroparesis, a nerve damage which affects the stomach muscles and delays stomach emptying. Gastroparesis is caused by too many episodes of high blood sugars over time.
Gene - 10 Apr 2007 14:20 GMT Hannah1973@webtv.net (Hannah Burke) wrote in news:20627-461B3C52-974 @storefull-3131.bay.webtv.net:
> I posted a question yesterday and I don't see it...wonder why it didn't > show up? > I need help understanding this disease... > and how it works...do you take your shot before or after you eat? > Do you have trouble with no appetite afterwards? Thanks! I'm a type 2 that takes shots. I use 1 shot of Lantus at 10 pm and a shot of novolog prior to each meal depending on the carbohydrates in the meal.
Mostly I stay entirely away from simple carbohydrates and eat meals with only a few carbs that I can take care of with normal activities and exercise.
When to take the shot to cover a meal depends on what type of carbs, the quanity of the carbs and how you normally react to the particular insulin you are using. It's something you have to adjust to fit your particular diet and your activity level.
As a type 2 I don't worry much about going low but there is that problem if you take a shot to early or don't eat what you thought you were going to eat or ended up doing a strenuous activity that you had not planned.
With me I know it takes hours for the Novolog to kick in so I have to plan ahead if I'm planning to eat a large carb meal.
 Signature "I would rather be exposed to the inconveniences attending too much liberty than to those attending too small a degree of it." Thomas Jefferson
"History is earmarked by the successes of liberals and mistakes of conservatives." - ETG
Kurt - 10 Apr 2007 18:17 GMT > I posted a question yesterday and I don't see it...wonder why it didn't > show up? > I need help understanding this disease... > and how it works...do you take your shot before or after you eat? > Do you have trouble with no appetite afterwards? Thanks! Hello Hannah,
These are questions best asked your doctor. Hopefully you have a good doctor and if you have diabetes it behooves you to find an endocrinologist who specializes in diabetes to help you.
As far as "shots" I have injected insulin for many years. The timing of which has varied. In the old days when I took slower acting insulins (even kinds like R) I would inject before the meal. Now I am using Humalog that has a rather quick onset. Some people will inject that right before they eat but since I am so active I inject it right after. And no, it will not make you lose your appetite...at least it hasn't for me or any other diabetics I know. You might be talking about Byetta which some report making them a bit nauseus at first, but from those I have talked to it didn't last for long. They have also said it has made them less hungry, but never has it robbed them of their appetite altogether. But this is just anecdotal opinions on my part and you really should discuss it with your doctor.
Kurt
Robert Miles - 10 Apr 2007 19:46 GMT > I posted a question yesterday and I don't see it...wonder why it didn't > show up? > I need help understanding this disease... > and how it works...do you take your shot before or after you eat? > Do you have trouble with no appetite afterwards? Thanks! Do your other messages show up? You may have accidentally killfiled yourself or picked some newsreader where the default is not to see your messages.
I answered your other message and don't take shots.
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