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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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Julie Bove - 02 Aug 2007 20:18 GMT
I swear this is getting sooo frustrating.

Restarted the Januvia and although it dropped my numbers some, they weren't
as low as I wanted sometimes.

Last night I made hotdogs and Bush's baked beans for dinner.  I despise
hotdogs and couldn't eat one if you paid me and although I love baked beans,
haven't bought any from a can in years.  I normally use a recipe I got here,
(Vicky?  I think...).  I prefer it.  But Angela had surgery to remove a wart
from her foot and can't be up and around.  So I needed something quick to
fix.  I did the shopping ahead of time.

Since I'm normally not very hungry come dinner time, the plan was to have
just some of the baked beans.  I did.  Portioned out about equal to 45 g of
carbs.  Also had one black olive.

About 2 hours later, I was starving.  Didn't test BG.  Probably should have.
Ate 2 1/2 ribs of celery.  Wasn't sure that was such a good idea since I
don't always keep veggies down.

Continued to feel hungrier and hungrier.  That's unusual for me.  Lately I
have no appetite at all ever.  Tested my BG and it was 93.  It was almost
the time I normally eat my bedtime snack. Went ahead and ate my usual snack.

Woke up this morning to the cries of, "Mom!  Mom!  Mom!  Oh NOOOOO!"

I knew it couldn't be good.  It wasn't.  Her sterile dressing came off.  I
felt annoyed but also like everything was sort of surreal.  Managed to call
the Dr. and was told to re-dress it myself.  Luckily we stopped at the
drugstore ahead of time and I bought anything and everything I thought I
might possibly need, so I had some gauze and tape.

Tested BG and it was 66.  Gah!  Had to make her wait with her foot propped
up so I could eat some cereal before I dressed her foot.
Andrew B. Chung, MD/PhD - 02 Aug 2007 20:33 GMT
> I swear this is getting sooo frustrating.
>
[quoted text clipped - 13 lines]
>
> About 2 hours later, I was starving.

Folks who are eating are not starving.  Indeed, your being very hungry
proves you are not starving.  Folks, who are starving after many weeks
of not eating, are not hungry because they are dying.

> Didn't test BG.  Probably should have.
> Ate 2 1/2 ribs of celery.  Wasn't sure that was such a good idea since I
> don't always keep veggies down.
>
> Continued to feel hungrier and hungrier.  That's unusual for me.

It is good.  If you weren't hungry, the veggies would have come back
up.

It is when we are hungry that gastroparesis is not happening.

> Lately I  have no appetite at all ever.

That is bad.  Not being hungry is bad.

>  Tested my BG and it was 93.

Normal.

>  It was almost
> the time I normally eat my bedtime snack. Went ahead and ate my usual snack.
[quoted text clipped - 6 lines]
> drugstore ahead of time and I bought anything and everything I thought I
> might possibly need, so I had some gauze and tape.

No such thing as luck (Proverbs 16:33).

> Tested BG and it was 66.

You are more insulin sensitive because you have lost VAT.

It is only when we are hungry that our bodies get rid of the VAT.

> Gah!  Had to make her wait with her foot propped
> up so I could eat some cereal before I dressed her foot.

Would suggest you inform your doctor so that appropriate downward
adjustments in medications can be made so that you can continue to eat
less, down to the optimal amount to lose the VAT, cure the IR/MetS,
and possibly also cure the type-2 diabetes:

http://HeartMDPhD.com/HolySpirit/Healing

Be hungry... be healthy... be blessed:

http://HeartMDPhD.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Loretta Eisenberg - 02 Aug 2007 22:23 GMT
I hope angelas foot heals quickly.  I didnt know that they operated on
warts.  I thought they freeze them off now. or did I miss something in
the reading.

Loretta
Julie Bove - 03 Aug 2007 01:06 GMT
>I hope angelas foot heals quickly.  I didnt know that they operated on
> warts.  I thought they freeze them off now. or did I miss something in
> the reading.

Dr. said freezing on the foot is not effective and needs to be done 10-15
times due to the thickness of the skin.  I can attest that freezing is not
effective since she had it done twice already on one on her hand.  I am
going to try to take care of that one myself with bloodroot paste.  I had
forgotten about that and I have some that I used years ago on some skin
tags.  I just hope it's still effective.

Anyway...  He cut the wart off.

Nurse told me to redo the dressing which I did.  Then she called back and
told me to soak the foot in Epsom salts, put on Neosporin and apply a
bandage.  I decided to wait to do that since the dressing seemed to be on so
well.
Loretta Eisenberg - 03 Aug 2007 13:51 GMT
Julie that stuff you say you have for a few years I wouldnt use it on
Angela.  My feeling is when in doubt throw it out.  I wouldnt take any
chances with using old meds on my child, myself, that is another story.

jmo

Loretta
Julie Bove - 03 Aug 2007 17:25 GMT
> Julie that stuff you say you have for a few years I wouldnt use it on
> Angela.  My feeling is when in doubt throw it out.  I wouldnt take any
> chances with using old meds on my child, myself, that is another story.

It's not a med.  It's an herb.  If anything it would be inactive.
Nicky - 03 Aug 2007 19:06 GMT
>It's not a med.  It's an herb.  If anything it would be inactive.

And the active ingredients might have morphed into....  why people
think herbs are less dangerous than meds, I do not know!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Julie Bove - 03 Aug 2007 19:45 GMT
>>It's not a med.  It's an herb.  If anything it would be inactive.
>
> And the active ingredients might have morphed into....  why people
> think herbs are less dangerous than meds, I do not know!

They've not morphed into anything.  I don't think herbs are any less
dangerous.  I have read up on this stuff though and there is no expiration
date on it.
KC - 03 Aug 2007 08:20 GMT
Julie,

In a way this sounds good.  I wonder if your gastroparesis could be getting
better to make you hungry.  Do you take a diabetes med besides Januvia, one
that is capable of causing lows?  If your blood sugars keep being this low,
you might be able to reduce meds.

I understand that it is no fun to go low when you have kids waiting for you
though since I have 3 daughters between the ages of 2 and 7.  That was part
of the reason I didn't keep tight control for awhile.  It seemed so hard to
keep tight control when little ones needed things.  But I have learned to
make them wait if I need to.

Good luck with continued lower readings and with perhaps reducing meds if it
comes to that.

KC

>I swear this is getting sooo frustrating.
>
[quoted text clipped - 31 lines]
> Tested BG and it was 66.  Gah!  Had to make her wait with her foot propped
> up so I could eat some cereal before I dressed her foot.
Julie Bove - 03 Aug 2007 08:33 GMT
> Julie,
>
> In a way this sounds good.  I wonder if your gastroparesis could be
> getting better to make you hungry.  Do you take a diabetes med besides
> Januvia, one that is capable of causing lows?  If your blood sugars keep
> being this low, you might be able to reduce meds.

Hard to say.  I also know gastroparesis can sort of come and go.  I mean...
It's probably always there but the paralysis part can come and go.

I just upped the meds.  Also take Metformin and Amaryl.  The problem is my
A1c just keeps getting higher and higher.  Was 7.8 last time I went in.
That's why I'm on the Januvia now.  I quit taking it because for some odd
reason, BG went up to over 300.  I thought at first the Januvia was causing
that, but apparently not.

> I understand that it is no fun to go low when you have kids waiting for
> you though since I have 3 daughters between the ages of 2 and 7.  That was
> part of the reason I didn't keep tight control for awhile.  It seemed so
> hard to keep tight control when little ones needed things.  But I have
> learned to make them wait if I need to.

I was diagnosed with Angela was 1.  In some ways she had to learn to grow up
fast.  Even at the age of 1, she knew where mommy's candy was and would go
get it for me when my "blood was low".  That's what she called a hypo.  She
used to follow me around saying, "You do blood?"  In those days I had a lot
of hypos so she learned about it early on.  I had  no choice but to put
myself first because of all those hypos.  Wouldn't do to get in a car
accident or something because I'd fainted.

> Good luck with continued lower readings and with perhaps reducing meds if
> it comes to that.

Something is up for sure.  Tested at 84 after dinner and I have a feeling
there were a lot of carbs in it.  I had tacquitos and there was no label
telling me how many carbs were in them.  They were filled with potatoes,
sweet potatoes, corn and peas.  So all carbs.  Had three of those, about 1/2
a cup of pinto beans and a bit of raw corn salad.  More carbs in that meal
than usual I think.  But I felt like I was starving before I ate it.
Andrew B. Chung, MD/PhD - 03 Aug 2007 13:18 GMT
> > Julie,
> >
> > In a way this sounds good.  I wonder if your gastroparesis could be
> > getting better to make you hungry.

It is blessings from GOD that make us hungry.

> > Do you take a diabetes med besides
> > Januvia, one that is capable of causing lows?  If your blood sugars keep
> > being this low, you might be able to reduce meds.
> >
> Hard to say.  I also know gastroparesis can sort of come and go.  I mean...
> It's probably always there but the paralysis part can come and go.

Folks suffering from gastroparesis will not be hungry.

> I just upped the meds.  Also take Metformin and Amaryl.  The problem is my
> A1c just keeps getting higher and higher.

A1c is not useful for the day to day management of diabetic meds as
one is eating less, down to the optimal amount.

Would suggest using only the morning fasting BG for decisions about
whether to either reduce or hold off on diabetic medications for the
rest of the day.

On days when a normal BG allows you to hold off on diabetic
medications, you would be free from any concerns about the possibility
of hypoglycemia.

> Was 7.8 last time I went in.
> That's why I'm on the Januvia now.  I quit taking it because for some odd
[quoted text clipped - 14 lines]
> myself first because of all those hypos.  Wouldn't do to get in a car
> accident or something because I'd fainted.

See above.

> > Good luck with continued lower readings and with perhaps reducing meds if
> > it comes to that.

No such thing as luck either good or bad (Proverbs 16:33).

> Something is up for sure.  Tested at 84 after dinner and I have a feeling
> there were a lot of carbs in it.  I had tacquitos and there was no label
> telling me how many carbs were in them.  They were filled with potatoes,
> sweet potatoes, corn and peas.  So all carbs.  Had three of those, about 1/2
> a cup of pinto beans and a bit of raw corn salad.  More carbs in that meal
> than usual I think.  But I felt like I was starving before I ate it.

Starving folks are not hungry.

It is the world's great lie about hunger that causes the irrational
association of hunger with starvation:

http://HeartMDPhD.com/PressRelease

Be hungry... be healthy... be blessed.

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
KC - 03 Aug 2007 20:30 GMT
> I was diagnosed with Angela was 1.  In some ways she had to learn to grow
> up fast.  Even at the age of 1, she knew where mommy's candy was and would
[quoted text clipped - 3 lines]
> put myself first because of all those hypos.  Wouldn't do to get in a car
> accident or something because I'd fainted.

I was diagnosed just before I started having my kids.  After the recent coma
which understandably scared all the kids, my kids have gotten very aware of
my diabetes and my needs.  I get no arguments from them when I have to test
my blood sugar or inject insulin. They always temporarily forego whatever
they want until I am done doing what I need to do, They all know I need to
do it or very bad things can happen, even the 2 year old knows this.  The 2
year old does talk about it too.

The older kids knew about it during my subsequent pregnancies too because I
was always in great control then, but I unfortunately had not cared for my
diabetes so well when I wasn't trying to conceive or pregnant until after
the coma.

KC
 
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