Medical Forum / Diseases and Disorders / Diabetes / May 2008
Club Membership Renewed
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Gary Woods - 02 May 2008 19:40 GMT HbA1c 5.87; about a tenth above last time. I'll take it, especially since HDL was up a good 10 points (and already decent), and LDL down the same. So, Mr. Nordic Track is earning his keep! Good news on a gloomy drizzly day.
Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic Zone 5/6 in upstate New York, 1420' elevation. NY WO G
Tiger_Lily - 02 May 2008 20:37 GMT > HbA1c 5.87; about a tenth above last time. I'll take it, especially since > HDL was up a good 10 points (and already decent), and LDL down the same. [quoted text clipped - 3 lines] > Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic > Zone 5/6 in upstate New York, 1420' elevation. NY WO G way to go Gary ! ! !
/me does a snoopy happy dance :)
 Signature kate type 1 since 1987 www.diabetic-talk.org
Trinkwasser - 03 May 2008 20:06 GMT >> HbA1c 5.87; about a tenth above last time. I'll take it, especially since >> HDL was up a good 10 points (and already decent), and LDL down the same. [quoted text clipped - 6 lines] > >/me does a snoopy happy dance :) Wouldn't this group be disappointing if people didn't keep posting results like these? <G>
Nicky - 02 May 2008 21:09 GMT >HbA1c 5.87; about a tenth above last time. I'll take it, especially since >HDL was up a good 10 points (and already decent), and LDL down the same. >So, Mr. Nordic Track is earning his keep! >Good news on a gloomy drizzly day. Woo-hoo! Nice one, Gary!
Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25
Cheri - 02 May 2008 21:21 GMT Gary Woods wrote in message <5snm149ulrs879j2g7383o8pvi8vf0f4qg@4ax.com>...
>HbA1c 5.87; about a tenth above last time. I'll take it, especially since >HDL was up a good 10 points (and already decent), and LDL down the same. >So, Mr. Nordic Track is earning his keep! >Good news on a gloomy drizzly day. Great news Gary.
Cheri
Oleg Lego - 03 May 2008 06:55 GMT >HbA1c 5.87; about a tenth above last time. I'll take it, especially since >HDL was up a good 10 points (and already decent), and LDL down the same. >So, Mr. Nordic Track is earning his keep! >Good news on a gloomy drizzly day. Good stuff, Gary! Keep on Trackin'!
 Signature Larry, T2, Saskatchewan, Canada. DX 24 Aug 07. D&E Metformin 2000mg, Ramipril, Simvastatin Dx A1c 8.1 : Latest 5.1 (4 Mar 08)
Ozgirl - 03 May 2008 09:20 GMT >>HbA1c 5.87; about a tenth above last time. I'll take it, especially since >>HDL was up a good 10 points (and already decent), and LDL down the same. >>So, Mr. Nordic Track is earning his keep! >>Good news on a gloomy drizzly day. > > Good stuff, Gary! Keep on Trackin'! I didn't get Gary's message, so great news Gary!
Alan S - 03 May 2008 07:20 GMT >HbA1c 5.87; about a tenth above last time. I'll take it, especially since >HDL was up a good 10 points (and already decent), and LDL down the same. [quoted text clipped - 3 lines] >Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic >Zone 5/6 in upstate New York, 1420' elevation. NY WO G Congrats! Keep being a good example mate:-)
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest:Is Testing Worthwhile? and Cambodia http://loraltravel.blogspot.com/2008/03/cambodia.html
Quentin Grady - 04 May 2008 08:40 GMT >HbA1c 5.87; about a tenth above last time. I'll take it, especially since >HDL was up a good 10 points (and already decent), and LDL down the same. >So, Mr. Nordic Track is earning his keep! >Good news on a gloomy drizzly day. > >Gary Woods Gary, you're the greatest. Not only have you renewed your membership of the 5% club but you've improved your HDL. Now that doesn't happen by accident. Lowering LDL is easier by comparison than raising HDL for many T2 diabetics. I tried for months and months on one occasion without success. The usual ways are increased exercise and giving up smoking. As a non-smoker the later wasn't an option. I charged up a local hill every day in the certain knowledge it was going to raise my HDL. It didn't.
So here is another reason you might not have thought about why I wish to say you're the greatest. You've told us how you achieved it ... using the Nordic Track.
It all helps others know what works for someone else. Who knows it might just work for them. Thanks.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Gary Woods - 04 May 2008 13:34 GMT > You've told us how you achieved it ... >using the Nordic Track. And interestingly enough, the NT is the "Achiever" model!
It has a history: Bought by my dear wife some years ago, sadly outlived her. It was injured by the intense heat from a kitchen fire two years ago, but I was able to get a replacement computer/display box (LCD displays do NOT like heat!) online. I'm working on a virtual trip up the Appalachian Trail: got the trail guides, and mark off the distance traveled at each workout. So far, I've got from Georgia to Tennessee, heading eventually to Maine. I've only walked short stretches of the actual trail whenever I had the chance. At my previous checkup, the Endo told me to get more exercise, because the HDL was lower than he liked, hence the renewed emphasis on the Nordic Track. For the retro TV types, I'm currently watching episodes of "McHale's Navy" while skiing. Not a lot like the Navy I was in long ago, but enough similarities to convince me the writers had actual experience...
And back to re-potting heirloom tomato plants; it will be a few more weeks before they can safely go into the garden; in the meantime they'll live in a cheapo plastic greenhouse.
Cheers!
Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic Zone 5/6 in upstate New York, 1420' elevation. NY WO G
Quentin Grady - 04 May 2008 23:33 GMT >> You've told us how you achieved it ... >>using the Nordic Track. [quoted text clipped - 11 lines] >because the HDL was lower than he liked, hence the renewed emphasis on the >Nordic Track. Hey, I'm further impressed. I've been reading Jenny's book including her comments on exercise. She emphasizes that the most important point is not to hurt yourself. T2s simply can't afford the permanent injuries since T2 is for ever. Now I really like the way you have a cross country trip set out for yourself. That means you're taking care of yourself.
>For the retro TV types, I'm currently watching episodes of "McHale's Navy" >while skiing. Not a lot like the Navy I was in long ago, but enough >similarities to convince me the writers had actual experience... Like the guy who wrote Red October. They investigated him apparently wondering how he figured out some of the nuclear submarine strategies.
>And back to re-potting heirloom tomato plants; it will be a few more weeks >before they can safely go into the garden; in the meantime they'll live in >a cheapo plastic greenhouse. The heirloom tomatoes have gone here. The plants have been pulled out. The only tomatoes available now are red and grown in glass houses. With fuel prices being what they are I'm not expecting many locally grown tomatoes.
I've had to turn to yellow-fleshed kiwi fruit aka zespri to get lutein for protecting peripheral vision. The other benefit of kiwi is that it provides chromium. This information might well be unkind to those who live in areas where kiwi is expensive. We get the ones that are too large or oddly shaped at give away prices.
>Cheers! > >Gary Woods Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Gary Woods - 04 May 2008 23:41 GMT >Like the guy who wrote Red October. They investigated him apparently >wondering how he figured out some of the nuclear submarine strategies. I spent some time trying to find subs from a patrol aircraft many many years ago, and I was amused to find mention in Tom Clancy's book of things I thought were highly classified. Of course, much of that technology used little glowing glass bottles, and was far out of date by then. Interesting to contemplate what they're doing now!
With which, it's time to spend a little time on the trail.
Cheers!
Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic Zone 5/6 in upstate New York, 1420' elevation. NY WO G
Quentin Grady - 06 May 2008 05:43 GMT >>Like the guy who wrote Red October. They investigated him apparently >>wondering how he figured out some of the nuclear submarine strategies. [quoted text clipped - 8 lines] > >Cheers! G'day G'day Gary,
I'm fascinated with the adventurous lives many of us have lived with quite a few being in a military in the US or UK. Perhaps stress and tension is a factor in producing T2 diabetes. Nah. Not likely.
With reference to Tom Clancy. apparently some of the submarine tactics such as the Crazy Ivan were used in practice. In the Crazy Ivan the lead sub would reverse props and do a sharp right angle change of direction causing the following sub's propellers to produce cavitation and give away its presence. Either that or ram the lead sub.
That got him investigated. If one spends months or years figuring out what would make a good story one is bound to create tactics that could be used in real life.
>Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic >Zone 5/6 in upstate New York, 1420' elevation. NY WO G Thanks Gary, Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
John - 07 May 2008 14:01 GMT > I spent some time trying to find subs from a patrol aircraft many many > years ago, and I was amused to find mention in Tom Clancy's book of things > I thought were highly classified. What a coincidence. I thought the same thing about those same aircraft/ programs when I read the book. Used to work on those aircraft which shall not be mentioned.
John C.
Alan S - 05 May 2008 01:14 GMT >I've been reading Jenny's book How did you order? I'm a bit grumpy with Amazon; after I paid they advised delivery in late July. Jenny assures me they will be quicker, but still...
In the meantime I'm reading a totally fascinating book by a guy who keeps digressing to ruminations about a Farmer's Market:-)
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest:Is Testing Worthwhile? and Cambodia http://loraltravel.blogspot.com/2008/03/cambodia.html
Quentin Grady - 06 May 2008 06:01 GMT >>I've been reading Jenny's book > >How did you order? I'm a bit grumpy with Amazon; after I >paid they advised delivery in late July. Jenny assures me >they will be quicker, but still... I ordered from Barnes and Noble. I opted for the intermediate international mail rate. Let me say I think you'll thoroughly enjoy JENNY's book. It even mentions a diabetic activist called Alan S. Wonder who that could be.
>In the meantime I'm reading a totally fascinating book by a >guy who keeps digressing to ruminations about a Farmer's >Market:-) A good point well made. Out books are different in their intent. If you're looking for one on diabetes, read Jenny's book. She is above all intelligent and reaches simple to follow sound conclusions from the scientific evidence available on the subject. I think her book is marvelous.
Mine is a book with a different intention. It is a book that engages readers in learning for themselves what changes they could make that would benefit them. As a writer the most gratifying feedback has been the number of blokes who have after decades of disinterest taken an interest in shopping and cooking.
What is the book about? Well, it is a personal story about the positive attributes of being a bloke and how we handle adversity. When I started writing I wasn't aware what a powerful role the Farmer's Market would play in my story. I wrote about it because things happened there that were worth writing about. They illustrated some point or other. The Farmers Market has developed into a wonderful place to observe the very best in human nature. Each Sunday people roll up with their families to enjoy the music, to meet friends, share good food. Think of it as local free concert every day it is fine. It brings out the best in human nature.
I'm glad you're enjoying it. Most people pass on their copy to a friend who passes it on to another friend. I received an order last Friday from the University bookshop in the further most part of New Zealand. How they came to know of me I don't know.
>Cheers, Alan, T2, Australia. >d&e, metformin 1500mg, ezetrol 10mg >Everything in Moderation - Except Laughter. Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Alan S - 06 May 2008 06:24 GMT >>>I've been reading Jenny's book >> [quoted text clipped - 38 lines] >Friday from the University bookshop in the further most part of New >Zealand. How they came to know of me I don't know. I'm confident that in a while you'll be hearing of orders from Harvard.
My copy will be passed on to my kids first.
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest:Is Testing Worthwhile? and Cambodia http://loraltravel.blogspot.com/2008/03/cambodia.html
Quentin Grady - 07 May 2008 05:33 GMT >I'm confident that in a while you'll be hearing of orders >from Harvard. > >My copy will be passed on to my kids first. > >Cheers, Alan, T2, Australia. G'day G'day Alan,
When compared to "international best sellers" my sales are miniscule. To me though they are personal and fantastic. The book really matters to the people who read it. For many of them they feel compelled to stop me at the market or in the street as it were thanks to recognising me from the photo on the back of books to tell me what a difference to their lives or of their loved ones. That's what counts most to me. To my surprise I was stopped last Sunday by a successful nutritionist practicing locally blown away with the knowledge bank he'd tapped into reading my book.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Alan S - 07 May 2008 05:37 GMT >>I'm confident that in a while you'll be hearing of orders >>from Harvard. [quoted text clipped - 16 lines] > >Best wishes, The only one surprised about the response is you:-)
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest:What to Eat Until You Get Your Meter. and Cambodia http://loraltravel.blogspot.com/2008/03/cambodia.html
Quentin Grady - 08 May 2008 09:36 GMT >The only one surprised about the response is you:-) > >Cheers, Alan, T2, Australia. Yes. Alan.
I think I richly deserve that comment as indeed I didn't foresee it. The number of people whose lives it has changed came as a surprise. I hadn't quite expected that. Nor had I suspected so many people would find it a "jolly good read". People engrossed in it chuckle so much their partners want them hurry up so they can read it too. That I hadn't expected. The whole-hearted endorsement from the professional nutritionist also came as a surprise.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Oleg Lego - 07 May 2008 06:49 GMT >>I'm confident that in a while you'll be hearing of orders >>from Harvard. [quoted text clipped - 14 lines] >successful nutritionist practicing locally blown away with the >knowledge bank he'd tapped into reading my book. That's great, Quentin! I know I'd be incredibly chuffed if I could write something that helped people. I'm anxiously awaiting the next North American importation.
Quentin Grady - 08 May 2008 09:41 GMT >That's great, Quentin! I know I'd be incredibly chuffed if I could >write something that helped people. You know that is what I most wanted to do. To that end I poured everything into it.
>I'm anxiously awaiting the next North American importation. Email me. We may do it directly this time.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
John - 07 May 2008 14:04 GMT > On Mon, 05 May 2008 10:14:02 +1000, Alan S > [quoted text clipped - 55 lines] > > http://homepages.paradise.net.nz/quentin I'd love a signed copy. If that's at all possible, Quentin, please let me know.
John C.
Quentin Grady - 08 May 2008 09:42 GMT >I'd love a signed copy. If that's at all possible, Quentin, please let >me know. > >John C. G'day G'day John C,
Please email me.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Jefferson - 05 May 2008 00:53 GMT Hi Gary:
>>You've told us how you achieved it ... >>using the Nordic Track. > > And interestingly enough, the NT is the "Achiever" model!
> I'm working on a virtual trip up the Appalachian > Trail: got the trail guides, and mark off the distance traveled at each [quoted text clipped - 3 lines] > because the HDL was lower than he liked, hence the renewed emphasis on the > Nordic Track. I live near the Appalachian Trail in Maryland. I was doing some hiking on the Trail prior to rupturing an Achilles tendon. I am a little leery about going out on the Trail by myself since then. The virtual hike is not quite like the real thing. I wore out the soles on some boots on one hike over a lot of rocks. Also the temperature was near 90 degrees F. The slopes can also be very steep in some places. Nevertheless congratulations on your success. I'm staying on the bike close to home now, but it is not as vigorous as the Nordic Track.
Frank
Quentin Grady - 06 May 2008 06:12 GMT >I live near the Appalachian Trail in Maryland. I was doing some hiking >on the Trail prior to rupturing an Achilles tendon. I am a little leery [quoted text clipped - 6 lines] > >Frank G'day G'day Frank,
IMHO the key to sustainable exercise is making it part of something greater than yourself. Forest and Bird Societies seem a bit cuckoo to me yet they have a very positive attribute. They bring people together. Tramping by yourself besides being blood dangerous, at least in New Zealand, mean you miss out on the sustenance of companionship. So that ruptured Achilles tendon may be a blessing in disguise. (You probably don't feel that way. It's easier for someone else to do so if you see what I mean.)
While Nordic Trainers and the like allow you to regulate your exercise and have all sorts of benefits there is one thing they don't do that the real thing does. They don't provide the "uneven ground" stimulation of the ankles. This is reported to stimulate blood flow to the feet. IIRC it reduced peripheral arterial disease. I may that wrong in detail but the general idea was important. Worth looking up perhaps or simply joining a club that gets you out with others on a real hike.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Chris Malcolm - 07 May 2008 01:43 GMT >>I live near the Appalachian Trail in Maryland. I was doing some hiking >>on the Trail prior to rupturing an Achilles tendon. I am a little leery [quoted text clipped - 6 lines] >> >>Frank
> G'day G'day Frank,
> IMHO the key to sustainable exercise is making it part of > something greater than yourself. Forest and Bird Societies seem a [quoted text clipped - 4 lines] > disguise. (You probably don't feel that way. It's easier for someone > else to do so if you see what I mean.)
> While Nordic Trainers and the like allow you to regulate your exercise > and have all sorts of benefits there is one thing they don't do that [quoted text clipped - 4 lines] > perhaps or simply joining a club that gets you out with others on a > real hike. I think there are benefits to legs, hips, and back from uneven ground, not just ankles and feet. If you walk on paved surfaces you get into a groove where you repeatedly make exactly the same movements. That's a very restricted kind of exercise. Whereas on uneven ground, especially if it's uneven enough that you have to select where to place your feet, you can't hold a consistent stride, you sway all over the place, your have to keep recovering balance, etc.. All your joints get pushed further from their habitual comfortable envelopes, as do the muscles and tendons which control them.
Walking on increasingly rough ground was an important part of recovering strength and mobility in my back after injuring it badly.
If you walk on rough ground with thin soles you also get the benefit of a serious foot massage while you walk, and if the ground is rocky enough to give only partial foot support you use all those little muscles controlling differential foot movement which are normally completely passive in stout footwear. My guess is that if you have circulation problems in your feet all this can only be beneficial.
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Quentin Grady - 07 May 2008 05:44 GMT >I think there are benefits to legs, hips, and back from uneven ground, >not just ankles and feet. If you walk on paved surfaces you get into a [quoted text clipped - 5 lines] >pushed further from their habitual comfortable envelopes, as do the >muscles and tendons which control them. G'day G'day Chris,
Thank you for extending this theme. It is so important. Reading your post has helped me recall an article I read some time ago about balance and the elderly. They benefit from chaos. A little bit of randomness helps them keep better balance. If they only walk on even ground they are more likely to have falls. Some scientist had experimented with giving them slightly wobbly shoes to stimulate their brains to respond to chaos appropriately. It has been a while since I read the article so I may be experiencing some slippage in the details. The general idea though was to encourage the "recovering balance" that you have mentioned.
Best wishes Quentin.
>Walking on increasingly rough ground was an important part of >recovering strength and mobility in my back after injuring it badly. [quoted text clipped - 6 lines] >circulation problems in your feet all this can only be beneficial. >  Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Chris Malcolm - 07 May 2008 10:59 GMT >>I think there are benefits to legs, hips, and back from uneven ground, >>not just ankles and feet. If you walk on paved surfaces you get into a [quoted text clipped - 5 lines] >>pushed further from their habitual comfortable envelopes, as do the >>muscles and tendons which control them.
> G'day G'day Chris,
> Thank you for extending this theme. It is so important. Reading > your post has helped me recall an article I read some time ago about [quoted text clipped - 6 lines] > details. The general idea though was to encourage the "recovering > balance" that you have mentioned. My own take on the worsening balance of the elderly is that it's certainly partly due to aging of the balance sensor. You can test your balance sensor (the inner ear labyrinth) by standing on one leg with your eyes closed. At age 65 that's getting pretty difficult for me. But I notice that if I practice at it I get better. And I've read research reports suggesting that making old folk practice balancing exercises improves their balance and reduces their liability to falls.
So I suspect that balancing is one more in the list of things which old folk get a lot worse at because they find a certain amount of degeneration discouraging, and stop going there. Like they're a bit tired and achey so they take less exercise. Which in turn reduces the strength of their muscles. Which makes them more tired and achey. A vicious spiral of degeneration.
I think the same thing happens with balance. Once you start feeling a little uncerain on your feet, and falls hurt more, you make a point of avoiding doing anything which needs you to concentrate on balancing. Too risky. They don't go there any more. And therefore the now less used capacity degenerates more through disuse.
So I also make a point of incorporating opportunities to practise balance into my daily life. I've deliberately left the coffee jar at an awkward place in the kitchen which means I have to balance on one leg and reach far out with my arm, balancing myself with the other leg outstretched at the other side, to get the coffee. I can stabilise myself with the other hand, but I avoid doing that unless it's really necessary. Which means I do a difficult balancing exercise every morning :-)
More generally I just take opportunities to do a bit of balancing practice when it's easily and safely doable. And whenever I have something to do that makes me focus a lot on balancing, I notice that I get increasingly better at it as the days pass.
I also suspect there's a meta effect: if you keep practising different things to improve, you get better at improving by practice :-)
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Susan - 07 May 2008 14:35 GMT > My own take on the worsening balance of the elderly is that it's > certainly partly due to aging of the balance sensor. You can test your [quoted text clipped - 3 lines] > research reports suggesting that making old folk practice balancing > exercises improves their balance and reduces their liability to falls. Balance in the elderly is vastly improved by high doses of vitamin D3, and falls reduced. Deficiencies are very widespread, more often the case than not.
Putting my mother on D3 improved her balance a great deal.
Susan
Alan S - 08 May 2008 00:12 GMT >Balance in the elderly is vastly improved by high doses of vitamin D3, >and falls reduced. Deficiencies are very widespread, more often the [quoted text clipped - 3 lines] > >Susan Are you aware of any studies relating the need for vitamin D to climate and latitude?
Everything I read at the moment indicates that D supplementation may be useful to all, not just the elderly. However, the vast majority of those reports are from the Northern latitudes of the Northern Hemisphere. I'm dubious that that is relevant living where I live.
I'm specifically interested at the moment because my mother has had a recent fall, but she takes too many pills now and I don't want to suggest another supplement unless there is a clear need.
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest:What to Eat Until You Get Your Meter. and Cambodia http://loraltravel.blogspot.com/2008/03/cambodia.html
Tiger_Lily - 08 May 2008 03:47 GMT >> Balance in the elderly is vastly improved by high doses of vitamin D3, >> and falls reduced. Deficiencies are very widespread, more often the [quoted text clipped - 26 lines] > and Cambodia > http://loraltravel.blogspot.com/2008/03/cambodia.html vitamin D is essential to absorption of calcium...........not 'just calcium' but a 'bone building calcium' product that contains manganese, Vit D, etc etc
but ask her Dr if she should be taking a product like this while healing (makes sense that it would be a good idea, but ya never know, eh)
 Signature kate type 1 since 1987 www.diabetic-talk.org
Alan S - 08 May 2008 05:07 GMT >vitamin D is essential to absorption of calcium...........not 'just >calcium' but a 'bone building calcium' product that contains manganese, >Vit D, etc etc No argument - my question was related to the fact that vit D is also related to sunlight absorption and much less likely to be deficient in my locality.
>but ask her Dr if she should be taking a product like this while healing >(makes sense that it would be a good idea, but ya never know, eh) Will do if it's needed.
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest:What to Eat Until You Get Your Meter. and Cambodia http://loraltravel.blogspot.com/2008/03/cambodia.html
Alice Faber - 08 May 2008 06:01 GMT > >vitamin D is essential to absorption of calcium...........not 'just > >calcium' but a 'bone building calcium' product that contains manganese, [quoted text clipped - 3 lines] > is also related to sunlight absorption and much less likely > to be deficient in my locality. It's apparently blocked by sunscreen, so if folks are religious about slathering up before they go outdoors, they're blocking Vit D generation along with the sun's rays.
 Signature "[xxx] has very definite opinions, and does not suffer fools lightly. This, apparently, upsets the fools." ---BB cuts to the pith of a flame-fest
Julie Bove - 08 May 2008 06:07 GMT >> >vitamin D is essential to absorption of calcium...........not 'just >> >calcium' but a 'bone building calcium' product that contains manganese, [quoted text clipped - 7 lines] > slathering up before they go outdoors, they're blocking Vit D generation > along with the sun's rays. I never use sunscreen any more. I just try to limit my time in the sun. And I have an old fashioned sun bonnet that I wear for gardening.
Trinkwasser - 08 May 2008 19:15 GMT >>vitamin D is essential to absorption of calcium...........not 'just >>calcium' but a 'bone building calcium' product that contains manganese, [quoted text clipped - 8 lines] > >Will do if it's needed. This is interesting, we're having a heatwave and mother is an order of magnitude less wobbly. When it starts to rain again (as surely it will) I will observe the results. She already takes a calcium supplement for osteoporosis and a multivitamin with iron so should be covered anyway.
Of course it might just be the increased heat freeing up her joints (DON'T get old!)
Tiger_Lily - 08 May 2008 21:20 GMT >>> vitamin D is essential to absorption of calcium...........not 'just >>> calcium' but a 'bone building calcium' product that contains manganese, [quoted text clipped - 16 lines] > Of course it might just be the increased heat freeing up her joints > (DON'T get old!) the calcium should state on the package 'bone building forumla' and contain the maganese, vit D and other vitamins needed for calcium absorbtion (this from the guy running the bone density clinic on Monday)
 Signature kate type 1 since 1987 www.diabetic-talk.org
Trinkwasser - 09 May 2008 18:51 GMT >>>> vitamin D is essential to absorption of calcium...........not 'just >>>> calcium' but a 'bone building calcium' product that contains manganese, [quoted text clipped - 20 lines] >contain the maganese, vit D and other vitamins needed for calcium >absorbtion (this from the guy running the bone density clinic on Monday) Oh yes it's proper genuine stuff which she is prescribed, alternating with alendronic acid once per month (I think).
Tiger_Lily - 10 May 2008 04:05 GMT >>>>> vitamin D is essential to absorption of calcium...........not 'just >>>>> calcium' but a 'bone building calcium' product that contains manganese, [quoted text clipped - 21 lines] > Oh yes it's proper genuine stuff which she is prescribed, alternating > with alendronic acid once per month (I think). oh good
insurance doesn't pay for a calcium supplement, so we are left to go find the 'right thing' on our own :(
sigh
 Signature kate type 1 since 1987 www.diabetic-talk.org
W. Baker - 10 May 2008 20:27 GMT : >>>>> vitamin D is essential to absorption of calcium...........not 'just : >>>>> calcium' but a 'bone building calcium' product that contains manganese, [quoted text clipped - 22 lines] : > with alendronic acid once per month (I think). : oh good
: insurance doesn't pay for a calcium supplement, so we are left to go : find the 'right thing' on our own :(
: sigh They don't pay for it here in the US also, but my endo , after looking at my bone scan put me on generic ofossamax 1 time a week, calcium citrate with vitamin D- 4 giant pills a day and 2000 units of vitamin D(I found a single pill with that amount of D3, which Susan had recmmended.)
Wendy
Trinkwasser - 11 May 2008 19:11 GMT >>> the calcium should state on the package 'bone building forumla' and >>> contain the maganese, vit D and other vitamins needed for calcium [quoted text clipped - 6 lines] >insurance doesn't pay for a calcium supplement, so we are left to go >find the 'right thing' on our own :( I can sell you some
<scrapes inside of kettle>
Nicky - 08 May 2008 08:20 GMT >Everything I read at the moment indicates that D >supplementation may be useful to all, not just the elderly. >However, the vast majority of those reports are from the >Northern latitudes of the Northern Hemisphere. I'm dubious >that that is relevant living where I live. The requirement is 10-15mins daily on more than face and hands at 52deg. I expect you exceed that by quite a margin :P
Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25
Alan S - 08 May 2008 10:43 GMT >>Everything I read at the moment indicates that D >>supplementation may be useful to all, not just the elderly. [quoted text clipped - 9 lines] >D&E, 100ug thyroxine >Last A1c 5.6% BMI 25 Definitely, even in the dead of winter. My problem is the reverse, as I discussed with Quentin. Too much sun on the skin.
Thank you for the specific detail. That's what I was looking for.
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest:What to Eat Until You Get Your Meter. and Cambodia http://loraltravel.blogspot.com/2008/03/cambodia.html
Chris Malcolm - 09 May 2008 11:51 GMT >>Everything I read at the moment indicates that D >>supplementation may be useful to all, not just the elderly. >>However, the vast majority of those reports are from the >>Northern latitudes of the Northern Hemisphere. I'm dubious >>that that is relevant living where I live.
> The requirement is 10-15mins daily on more than face and hands at > 52deg. I expect you exceed that by quite a margin :P Colour of the skin matters too. That's why there are more pale-skinned blondes and red heads in Northern latitudes. Evolution in action improving the efficiency with which their skin can collect the beneficial effects of sunlight. Being bald also adds a good amount of extra bare skin area well oriented to catch the sun's rays. So being a pale skinned bald Scot I'm a very efficient solar collector :-)
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Quentin Grady - 08 May 2008 09:52 GMT >My own take on the worsening balance of the elderly is that it's >certainly partly due to aging of the balance sensor. You can test your [quoted text clipped - 16 lines] >balancing. Too risky. They don't go there any more. And therefore the >now less used capacity degenerates more through disuse. G'day G'day Chris,
I'm impressed with the power of your logic. Your hypothesis does provide a good explanation of why some people gradually degenerate and other people don't. The one's who don't are those who engage in something like yoga or steps or lift weights. They also belong to clubs that get them out and about. In the mental area they play games like bridge which keeps their minds lively. The social activity also helps them. Without these they are likely to die of boredom. IMHO boredom ought to be on many death certificates but doctors have yet to recognize it.
>So I also make a point of incorporating opportunities to practise >balance into my daily life. I've deliberately left the coffee jar at [quoted text clipped - 4 lines] >necessary. Which means I do a difficult balancing exercise every >morning :-) I find that incredible. It is one thing to talk about things. It is another to do as you have done to deliberately put into action a plan to reverse the likely progressions.
>More generally I just take opportunities to do a bit of balancing >practice when it's easily and safely doable. And whenever I have [quoted text clipped - 3 lines] >I also suspect there's a meta effect: if you keep practising different >things to improve, you get better at improving by practice :-) Way to go Chris. You're an inspiration to us all.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Trinkwasser - 08 May 2008 19:21 GMT > I'm impressed with the power of your logic. Your hypothesis does >provide a good explanation of why some people gradually degenerate and [quoted text clipped - 5 lines] >boredom ought to be on many death certificates but doctors have yet to >recognize it. I go both ways here, my midbrain likes routine and my neurotransmitters/endocrines can freak out otherwise.
Meanwhile my cortex dies without sufficient stimulation.
Time (Mason, Waters, Wright, Gilmour) 7:06
Ticking away the moments that make up a dull day You fritter and waste the hours in an offhand way. Kicking around on a piece of ground in your home town Waiting for someone or something to show you the way.
Tired of lying in the sunshine staying home to watch the rain. You are young and life is long and there is time to kill today. And then one day you find ten years have got behind you. No one told you when to run, you missed the starting gun.
So you run and you run to catch up with the sun but it's sinking Racing around to come up behind you again. The sun is the same in a relative way but you're older, Shorter of breath and one day closer to death.
Every year is getting shorter never seem to find the time. Plans that either come to naught or half a page of scribbled lines Hanging on in quiet desperation is the English way The time is gone, the song is over, Thought I'd something more to say.
Quentin Grady - 09 May 2008 19:22 GMT >> I'm impressed with the power of your logic. Your hypothesis does >>provide a good explanation of why some people gradually degenerate and [quoted text clipped - 36 lines] >The time is gone, the song is over, >Thought I'd something more to say. Beautiful poem. Thank you.
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Trinkwasser - 11 May 2008 19:13 GMT >>> I'm impressed with the power of your logic. Your hypothesis does >>>provide a good explanation of why some people gradually degenerate and [quoted text clipped - 38 lines] > >Beautiful poem. Thank you. Pink Floyd, Dark Side of the Moon
(say DUH!)
percy - 11 May 2008 23:52 GMT >>>> I'm impressed with the power of your logic. Your hypothesis does >>>> provide a good explanation of why some people gradually degenerate and [quoted text clipped - 40 lines] > > (say DUH!) http://www.youtube.com/watch?v=ntm1YfehK7U
Vicki "Dark Side of the Moon" is the greatest album ever made, IMO.
percy - 11 May 2008 23:55 GMT >>>>> I'm impressed with the power of your logic. Your hypothesis does >>>>> provide a good explanation of why some people gradually degenerate and [quoted text clipped - 45 lines] > Vicki > "Dark Side of the Moon" is the greatest album ever made, IMO. Crap! Wrong version. Above is live. This one is from the album.
http://www.youtube.com/watch?v=1V71MQEUJKY&feature=related
Vicki
Trinkwasser - 08 May 2008 19:11 GMT >So I also make a point of incorporating opportunities to practise >balance into my daily life. I've deliberately left the coffee jar at [quoted text clipped - 4 lines] >necessary. Which means I do a difficult balancing exercise every >morning :-) Hehe, sounds like me putting my socks on
Chris Malcolm - 10 May 2008 10:53 GMT >>So I also make a point of incorporating opportunities to practise >>balance into my daily life. I've deliberately left the coffee jar at [quoted text clipped - 4 lines] >>necessary. Which means I do a difficult balancing exercise every >>morning :-)
> Hehe, sounds like me putting my socks on That's a good point: putting on socks and shoes offers an everyday opportunity to practice balance by trying to do it while standing on one leg. It may not be easy, in fact it may be impossible, but regularly trying to do it ought to produce some useful improvement.
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Alice Faber - 10 May 2008 16:24 GMT > >>So I also make a point of incorporating opportunities to practise > >>balance into my daily life. I've deliberately left the coffee jar at [quoted text clipped - 11 lines] > one leg. It may not be easy, in fact it may be impossible, but > regularly trying to do it ought to produce some useful improvement. When I'm waiting for my food at the take-out place in my building at work (they'll do any sandwich breadless, with a huge mound of baby greens), I practice standing on one foot. Mostly, people don't even notice! And it does make a difference if I stumble over a curb.
 Signature "[xxx] has very definite opinions, and does not suffer fools lightly. This, apparently, upsets the fools." ---BB cuts to the pith of a flame-fest
W. Baker - 10 May 2008 20:29 GMT : >>So I also make a point of incorporating opportunities to practise : >>balance into my daily life. I've deliberately left the coffee jar at [quoted text clipped - 4 lines] : >>necessary. Which means I do a difficult balancing exercise every : >>morning :-)
: > Hehe, sounds like me putting my socks on
: That's a good point: putting on socks and shoes offers an everyday : opportunity to practice balance by trying to do it while standing on : one leg. It may not be easy, in fact it may be impossible, but : regularly trying to do it ought to produce some useful improvement. Just try that with support hose adn you lnd flat on your back!
Wendy
Trinkwasser - 11 May 2008 19:11 GMT >>>So I also make a point of incorporating opportunities to practise >>>balance into my daily life. I've deliberately left the coffee jar at [quoted text clipped - 11 lines] >one leg. It may not be easy, in fact it may be impossible, but >regularly trying to do it ought to produce some useful improvement. I can still do quite well on one leg but the other one (which I buggered up in a parachuting accident) is a tad more challenging.
Keeps me on my toes though
<runs away>
John - 07 May 2008 13:32 GMT > I'm working on a virtual trip up the Appalachian > Trail: got the trail guides, and mark off the distance traveled at each > workout. So far, I've got from Georgia to Tennessee, heading eventually to > Maine. That's really cool. Much better than staring at my messy garage where my treadmill is. I've really got to do something about that garage. Right now, my solution is to just skip the treadmill and walk outside now that it's nice and warm. That way I don't have to see the garage.
Congrats on the great numbers. BTW, what was your HDL number?
John C.
Gary Woods - 10 May 2008 19:44 GMT >Congrats on the great numbers. BTW, what was your HDL number? Finally getting around to pulling the paper out of the file
In 90 days: HDL went from 39.1 to 47.0 LDL from 84.4 to 59.4 Triglycerides from 88.5 to 68.8 Total Cholesterol from 141 to 120.
Think I gotta go have a rib eye steak!
....and make ready for both daughters to make an early Memorial Day visit to family graves.
Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic Zone 5/6 in upstate New York, 1420' elevation. NY WO G
Nicky - 11 May 2008 15:52 GMT >>Congrats on the great numbers. BTW, what was your HDL number? > [quoted text clipped - 5 lines] >Triglycerides from 88.5 to 68.8 >Total Cholesterol from 141 to 120. Wow!! What are you doing again, Gary?
Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25
Trinkwasser - 11 May 2008 19:14 GMT >>>Congrats on the great numbers. BTW, what was your HDL number? >> [quoted text clipped - 7 lines] > >Wow!! What are you doing again, Gary? Yup, I want some too.
Quentin Grady - 12 May 2008 08:42 GMT >>Congrats on the great numbers. BTW, what was your HDL number? > [quoted text clipped - 5 lines] >Triglycerides from 88.5 to 68.8 >Total Cholesterol from 141 to 120. Oooh Oooh compulsive obsessive behavior rears its head. I simply have to calculate your TG:HDL ratios. I'm not a doctor or in any way connected with the medical profession. Calculating TG:HDL ratios is just a hobby amongst T2 diabetics to monitor their progress. IMO, it is far more meaningful than A1c.
Previous ratio = 88.5:39.1 = 2.3 Present ratio = 68.8:47.0 = 1.5
What this means is that you had a good ratio 90 days ago. Being less than 3.0 many people would have slapped themselves on the back assuming they could reach and not sought further improvement. Though you know doubt had other priorities on your mind you have never the less made considerable improvement. Put simply your current TG:HDL ratio is excellent showing a marked reduction in insulin resistance. Another likely benefit is that the LDL which you have much less of anyway has a higher percentage of the less harmful fluffy larger sort than the small nasty stuff that is twice as dangerous.
>Think I gotta go have a rib eye steak! I think you deserve it.
Either that or tonight's prize for inspiring others
>....and make ready for both daughters to make an early Memorial Day visit >to family graves. > >Gary Woods Best wishes and congratulations,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Jefferson - 12 May 2008 15:21 GMT > Oooh Oooh compulsive obsessive behavior rears its head. > I simply have to calculate your TG:HDL ratios. I'm not a doctor or in [quoted text clipped - 14 lines] > anyway has a higher percentage of the less harmful fluffy larger sort > than the small nasty stuff that is twice as dangerous. One advantage of the TG:HDL ratio is that it's components are typical assessments used at the clinical level and the ratio itself is considered a rough measure of insulin resistance. Some excerpts below go into the topic of measuring insulin resistance in more depth.
"The gold standard technique, the euglycemic-hyperinsulinemic glucose clamp (7), measures insulin-mediated glucose disposal by peripheral tissues. The clamp is labor intensive and burdensome for subjects, precluding routine use. Other direct measures of insulin resistance, such as the steady-state plasma glucose (SSPG) test (8,9) and the frequently sampled intravenous glucose tolerance test (10), also primarily measure whole-body glucose disposal and are similarly labor intensive. Indirect markers of insulin resistance, such as serum insulin concentrations, BMI, waist circumference, and serum triacylglycerol concentrations, have limited utility. BMI, for example, is not a good surrogate for insulin resistance, as 16% of individuals with insulin resistance are lean, whereas 30% of insulin-sensitive individuals are obese or overweight (11). Other surrogate measures model the relationship between glucose and insulin. The homeostasis model assessment (HOMA) (12,13), quantitative insulin sensitivity check index (QUICKI) (14), and models based on the oral glucose tolerance test (15) have correlated well with the clamp in some studies, but, often, the correlation has been poor (r2 = ~0.50) (16–19), especially in normal-weight individuals (19). Attempts to define a clinical entity (i.e., the metabolic syndrome) (20) or combine parameters (e.g., BMI and HOMA of insulin resistance) (21) to establish insulin resistance have proven to be insensitive for detecting it (22,23) and do not provide a continuous measure for monitoring treatment response (21)." Source: Whole-Body Glycolysis Measured by the Deuterated-Glucose Disposal Test Correlates Highly With Insulin Resistance In Vivo - http://care.diabetesjournals.org/cgi/content/full/30/5/1143
Some other limitations to indirect measure of insulin resistance: "ATP III criteria for identification of insulin resistance ATP III guidelines (3) recommended that clinical diagnosis of the insulin resistance syndrome require the presence of three or more of the following components: abdominal obesity (waist circumference >102 cm in men and >88 cm in women), elevated blood pressure level (systolic blood pressure >=130 mmHg or diastolic blood pressure >=85 mmHg), elevated triglycerides (>=150 mg/dl), decreased HDL cholesterol (<40 mg/dl in men and <50 mg/dl in women), and elevated fasting glucose (110–125 mg/dl).[...] The poor sensitivity of ATP III criteria for identifying insulin resistance could indicate that a significant number of people are insulin resistant but do not exhibit the metabolic syndrome trait complex. To explore this possibility, we assessed cardiovascular risk factors, including NMR (nuclear magnetic resonance) lipoprotein subclass parameters associated with insulin resistance (13) in three groups of subjects: those who met ATP III criteria (ATP III+), insulin-resistant individuals (GDR <12 mg · kg-1 · min-1) who did not meet ATP III criteria (ATP III-), and those who were ATP III- and insulin sensitive (GDR >=12 mg · kg-1 · min-1) (Table 3). Approximately one-third (20 of 65) of subjects who did not meet ATP III criteria were insulin resistant. Importantly, compared with the insulin-sensitive subgroup, these ATP III- insulin-resistant subjects had significantly worse cardiovascular disease risk factors, including significantly greater mean BMI, waist circumference, triglycerides, and fasting glucose. They also had unfavorable NMR lipoprotein subclass measures such as increased large VLDL concentration and VLDL size, increased total LDL concentration (mainly due to an increment in small to intermediate LDL particles), decreased LDL particle size, and decreased large HDL particles, and HDL size (all P < 0.05) (Table 3 and Fig. 2). In addition, 20% of the insulin-resistant subjects who did not meet ATP III criteria had IGT (by 2-h glucose criteria). Hence, ATP III criteria failed to identify many insulin-resistant individuals who have an adverse cardiovascular disease risk profile, including dyslipidemia as manifested by the NMR lipoprotein subclass analysis." Source: Critical Evaluation of Adult Treatment Panel III Criteria in Identifying Insulin Resistance With Dyslipidemia - http://care.diabetesjournals.org/cgi/content/full/27/4/978
For most of the last 7 years my TG/HDL ratio has been less than 1 in mg/dl. The following abstract goes into abnormal albumin excretion as a factor in insulin resistance. Having a good TG/HDL ratio is not enough. Insulin resistance and abnormal albumin excretion in non-diabetic first-degree relatives of patients with NIDDM. - http://www.ncbi.nlm.nih.gov/pubmed/7758885
Frank
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