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Medical Forum / Diseases and Disorders / Diabetes / May 2008

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Days off, Grilling, Dr appt and beer

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Johnnie McCoy - 19 May 2008 06:17 GMT
Wheeee! My weekend starts now (yours probably ends now). Don't get to sleep
all day, tomorrow, though - got a doctors appointment. Gonna do that
sound-sonar whatever thing again (I guess he's looking for submarines).
AND - I'm gonna tell him, once and for all, get me off these financially,
ball-breaking pills and find something generic to replace them. If my LDL is
high, what the heck did they do for it before they had 3 dollar pills? Hell
with Actos, whatever happened to Metformin? Screw Antera, how about some
cheap simvusatatin - or course, there is this:
http://www.dailymail.co.uk/pages/live/articles/health/healthmain.html?in_article
_id=447325&in_page_id=1774&in_page_id=1774&expand=true


Chicken and no-sugar baked beans (and fresh tomatoes from my 90 yr old
daddy's garden) for midnight grill tomorrow night (Monday).  And, gotta find
some New York Pinot Noir (got the highest concentration of that reverse a
troll, or whatever it is, in the world).  I guess that's cause New York is
full of fungus.

Ah Ha! Time for my Sunday-Night-Workweek-Over-Celebration-Catpiss Beer -
Seeya!

John
Oleg Lego - 19 May 2008 06:47 GMT
>Wheeee! My weekend starts now (yours probably ends now). Don't get to sleep
>all day, tomorrow, though - got a doctors appointment. Gonna do that
[quoted text clipped - 5 lines]
>cheap simvusatatin - or course, there is this:
>http://www.dailymail.co.uk/pages/live/articles/health/healthmain.html?in_article
_id=447325&in_page_id=1774&in_page_id=1774&expand=true

I particularly liked the statement "Dr Butler, who has previously
received payment from a number of drugs companies, including Pfizer -
which makes atorvastatin under the brand name Lipitor - also noticed
more patients returning to hospital for further treatment after using
simvastatin."

Hmmm.

>Chicken and no-sugar baked beans (and fresh tomatoes from my 90 yr old
>daddy's garden) for midnight grill tomorrow night (Monday).  And, gotta find
[quoted text clipped - 6 lines]
>
>John

Signature

roses are #FF0000
violets are #0000FF
all my base
are belong to you

Johnnie McCoy - 19 May 2008 07:03 GMT
>>Wheeee! My weekend starts now (yours probably ends now). Don't get to
>>sleep
[quoted text clipped - 14 lines]
> more patients returning to hospital for further treatment after using
> simvastatin."

Yeah... I like that part, too.

John

> Hmmm.
>
[quoted text clipped - 9 lines]
>>
>>John
Trinkwasser - 19 May 2008 19:56 GMT
>>Wheeee! My weekend starts now (yours probably ends now). Don't get to sleep
>>all day, tomorrow, though - got a doctors appointment. Gonna do that
[quoted text clipped - 11 lines]
>more patients returning to hospital for further treatment after using
>simvastatin."

Details somewhat lacking. :(

I'd have been switched to simvastatin if I hadn't been on it already.
Been taking it for about ten years now so perhaps I'm already dead.
That would explain lots . . .
Ozgirl - 19 May 2008 10:49 GMT
> Wheeee! My weekend starts now (yours probably ends now). Don't get to
> sleep all day, tomorrow, though - got a doctors appointment. Gonna do
[quoted text clipped - 15 lines]
> Ah Ha! Time for my Sunday-Night-Workweek-Over-Celebration-Catpiss
> Beer - Seeya!

lol. And isn't it reserve a troll? You kow, you put in an order for one to
be ready when you need it...
Johnnie McCoy - 19 May 2008 23:09 GMT
>> Wheeee! My weekend starts now (yours probably ends now). Don't get to
>> sleep all day, tomorrow, though - got a doctors appointment. Gonna do
[quoted text clipped - 18 lines]
> lol. And isn't it reserve a troll? You kow, you put in an order for one to
> be ready when you need it...
I wait till they're on sale.
Oleg Lego - 20 May 2008 06:50 GMT
>> Wheeee! My weekend starts now (yours probably ends now). Don't get to
>> sleep all day, tomorrow, though - got a doctors appointment. Gonna do
[quoted text clipped - 18 lines]
>lol. And isn't it reserve a troll? You kow, you put in an order for one to
>be ready when you need it...

Around here, no reservations are needed. There's no waiting; never a
line. Immediate troll service. Just say something even remotely
sensible and they'll come out of the woodwork.

Signature

roses are #FF0000
violets are #0000FF
all my base
are belong to you

ted rosenberg - 20 May 2008 13:52 GMT
Well, my A1c was up to 6.1 ths time !!

That is because I have taken NO Insulin for over 2 months

I was getting very brittle, and having lots of hypos, so I stopped
completely. It takes me about 3 hours to completely recover after meals,
but, if I take some Novolog to drop my 2 hr, I go hypo at about 3 hours
and need to take food again

2 years ago I was taking about 400 units a day.

Now I am completely off of Insulin, and have lost over 80 lbs.

Hooray for Byetta
Alan S - 20 May 2008 14:45 GMT
>Well, my A1c was up to 6.1 ths time !!
>
[quoted text clipped - 10 lines]
>
>Hooray for Byetta

Yep. I'll add a "hip, hip" to that. Great news Ted. 80lbs?
Wow!

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.

Angkor Wat
http://loraltravel.blogspot.com
Oleg Lego - 20 May 2008 16:19 GMT
>Well, my A1c was up to 6.1 ths time !!
>
[quoted text clipped - 10 lines]
>
>Hooray for Byetta

And hooray for your wight loss!

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)

ted rosenberg - 20 May 2008 21:12 GMT
>  
>> Well, my A1c was up to 6.1 ths time !!
[quoted text clipped - 15 lines]
> And hooray for your wight loss!
>  

The Byettta is the cause of my weight loss, it makes me more sensitive
to natural insulin, so, when I eat, the food goes where it should,
instead of staying in my blood, SO, I eat and am no longer so hungry
Pre Byetta, I was always hungry, no matter how much I ate
Tiger_Lily - 20 May 2008 16:30 GMT
> Well, my A1c was up to 6.1 ths time !!
>
[quoted text clipped - 10 lines]
>
> Hooray for Byetta
wow, Ted, that's excellent! ! !

congratulations on the GREAT weight loss

and a 6.1 is pretty good for the A1c :)  it's definitely below 6.5

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

John - 20 May 2008 16:48 GMT
> Well, my A1c was up to 6.1 ths time !!
>
[quoted text clipped - 10 lines]
>
> Hooray for Byetta

That is an extraordinary accomplishment. Congratulations.

John C.
Trinkwasser - 20 May 2008 20:28 GMT
>Well, my A1c was up to 6.1 ths time !!
>
[quoted text clipped - 10 lines]
>
>Hooray for Byetta

Kinda good news, bad news eh?

80 lbs is excellent and 6.1 isn;t that far from 5.9 <G>
ted rosenberg - 20 May 2008 21:14 GMT
>  
>> Well, my A1c was up to 6.1 ths time !!
[quoted text clipped - 17 lines]
> 80 lbs is excellent and 6.1 isn;t that far from 5.9 <G>
>  
I'll take 6.1 any day, it comes with no insulin, no hypos, continuing
weight loss, lack of hunger,..........
Michelle C - 21 May 2008 02:19 GMT
>>> Well, my A1c was up to 6.1 ths time !!
>>>
[quoted text clipped - 17 lines]
> I'll take 6.1 any day, it comes with no insulin, no hypos, continuing
> weight loss, lack of hunger,..........

Wonderful news, Ted!
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Trinkwasser - 21 May 2008 20:28 GMT
>>  
>>> Well, my A1c was up to 6.1 ths time !!
[quoted text clipped - 19 lines]
>I'll take 6.1 any day, it comes with no insulin, no hypos, continuing
>weight loss, lack of hunger,..........

I reckon you'll be back in the fives by next test if you go on like
this

Have you had the Great Pants Sale yet?
Johnnie McCoy - 20 May 2008 22:08 GMT
> Well, my A1c was up to 6.1 ths time !!
>
[quoted text clipped - 10 lines]
>
> Hooray for Byetta

Am I wrong, or does this demonstrate something I've suspected for some time;
that is, perhaps some doctors should reevaluate the use of insulin as - I
don't know; the word "crutch" comes to mind, and start thinking more along
the lines of oral meds, proper diet and exercise? Just a suspicion, of
course.

John
Tiger_Lily - 20 May 2008 22:22 GMT
>> Well, my A1c was up to 6.1 ths time !!
>>
[quoted text clipped - 18 lines]
>
> John
actually 'current' thought is to use insulin SOONER rather than later
with a type 2 diabetic

of course, Byetta is a NEW med, and it has obvious advantages for a type
2 who needs to lose weight, along with the good bg control it allows

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Johnnie McCoy - 20 May 2008 22:39 GMT
>>> Well, my A1c was up to 6.1 ths time !!
>>>
[quoted text clipped - 23 lines]
> of course, Byetta is a NEW med, and it has obvious advantages for a type 2
> who needs to lose weight, along with the good bg control it allows

Please keep in mind, I honestly don't know what I'm talking about, here;
just some niggling little feeling that, initially, exhausting every "most
natural" course - as close to "med-less" as possible (and proceeding up the
ladder of treatment from there) - seems the most logical path.

John
Michelle C - 21 May 2008 02:18 GMT
>>>> Well, my A1c was up to 6.1 ths time !!
>>>>
[quoted text clipped - 30 lines]
>
> John

Hi John,

I think the primary issue is to maintain normalized BGs.  Since a lot of
patients are leery of using insulin, despite the fact they don't have good
control, they're walking around with out of control BGs, when proper use of
insulin would ameliorate the problem.  However, if normal BGs can be
achieved through other means, then insulin isn't necessary.  (However, I'll
admit to being leery of a lot of the brand new oral diabetic meds, since a
few of the newer ones have bad side effects.  I'd use insulin first.)
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Johnnie McCoy - 21 May 2008 02:52 GMT
>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>
[quoted text clipped - 41 lines]
> since a few of the newer ones have bad side effects.  I'd use insulin
> first.)
What I'm thinking about are those who jump on insulin because they don't
want to be bothered with d&e - patients and doctors. Do you think that
happens?

John
Tiger_Lily - 21 May 2008 04:24 GMT
>>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>>
[quoted text clipped - 48 lines]
>
> John
nope, i don't think that happens

right now, what i commonly hear is the Dr talking about D&E and 'if you
don't comply, you will end up on insulin' with insulin being a 'threat' :(

a LOT of type 2's will radically improve their fasting levels (assuming
that's the one reading they have troubles with) simply by adding either
levemir or lantus before bedtime

of course, just my 2 cents :)

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Oleg Lego - 21 May 2008 07:55 GMT
>>>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>>>
[quoted text clipped - 52 lines]
>right now, what i commonly hear is the Dr talking about D&E and 'if you
>don't comply, you will end up on insulin' with insulin being a 'threat' :(

Yes, and if he threatens me with insulin again, I'll ask him how
injections of insulin will reduce my insulin resistance.

>a LOT of type 2's will radically improve their fasting levels (assuming
>that's the one reading they have troubles with) simply by adding either
>levemir or lantus before bedtime
>
>of course, just my 2 cents :)

Signature

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violets are #0000FF
all my base
are belong to you

Michelle C - 21 May 2008 19:31 GMT
>>>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>>>
[quoted text clipped - 58 lines]
>
> of course, just my 2 cents :)

Hi Kate,

Yeah, insulin should not be used as a threat, like "you've been a bad boy
and here's your punishment".  However, it seems I've heard of a number of
people who are put on oral meds, like metformin and given no instruction
about d & e.  For example, I had dinner with my grandparents and a married
couple with whom they've been long time friends.  The man is diabetic.  When
dinner was finished, desert was offered.  I said, I don't eat desert because
I manage my diabetes with diet.  The man looked at me like he had absolutely
no clue what I was talking about and commenced to eating his pie.  The thing
of it is, I really don't think he had a clue--not that he was in denial.  I
think the doctor gave him a pill, said "take this" and that was the end of
it.

Hopefully, before one gets to insulin there is some effort to educate the
patient about d & e.  But I bet if my grandparents' friend gets to the point
he needs insulin, his doctor will put him on it, and tell him to "take this
shot".
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

ted rosenberg - 22 May 2008 04:09 GMT
Michelle C wrote:<snip>
> Hi Kate,
>
[quoted text clipped - 15 lines]
> shot".
>  

So what ? this guy did not WANT to know - I have known people like him
I had a friend (now deceased) who, when we went out to dinner, had a
huge plate of pasta, a basket of garlic bread, a bowl of soup, BUT,
since he was diabetic, a HUGE apple pastry which was "no sugar added ".  
This was an otherwise intelligent man, who'I miss, but he would NOT test
properly, look at his blood tests, or try to moderate his eating habits.
Johnnie McCoy - 22 May 2008 05:58 GMT
> Michelle C wrote:<snip>
>> Hi Kate,
[quoted text clipped - 22 lines]
> an otherwise intelligent man, who'I miss, but he would NOT test properly,
> look at his blood tests, or try to moderate his eating habits.

I think the problem is, it's hard to deny yourself eating pleasure when
nothing obvious happens if you don't. For example, if I didn't test, I
wouldn't know I had diabetes.

John
Michelle C - 22 May 2008 20:18 GMT
>> Michelle C wrote:<snip>
>>> Hi Kate,
[quoted text clipped - 28 lines]
>
> John
Yeah, I think for some people complications in the future are too esoteric
compared to instant gratification and no immediate punishment.
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Chris Malcolm - 23 May 2008 12:48 GMT
>> I think the problem is, it's hard to deny yourself eating pleasure when
>> nothing obvious happens if you don't. For example, if I didn't test, I
>> wouldn't know I had diabetes.

> Yeah, I think for some people complications in the future are too esoteric
> compared to instant gratification and no immediate punishment.

I personally find procrastination so rewarding that I've become
extremely good at it.

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/]

Trinkwasser - 23 May 2008 20:14 GMT
>>> I think the problem is, it's hard to deny yourself eating pleasure when
>>> nothing obvious happens if you don't. For example, if I didn't test, I
[quoted text clipped - 5 lines]
>I personally find procrastination so rewarding that I've become
>extremely good at it.

I'm going to start tomorrow
BlueBrooke - 23 May 2008 22:19 GMT
>>I personally find procrastination so rewarding that I've become
>>extremely good at it.
>
>I'm going to start tomorrow

Procrastinating?
Oleg Lego - 24 May 2008 06:11 GMT
>>>I personally find procrastination so rewarding that I've become
>>>extremely good at it.
>>
>>I'm going to start tomorrow
>
>Procrastinating?

I was going to start last week, but I never got around to it.

Signature

roses are #FF0000
violets are #0000FF
all my base
are belong to you

BlueBrooke - 24 May 2008 06:24 GMT
>>>>I personally find procrastination so rewarding that I've become
>>>>extremely good at it.
[quoted text clipped - 4 lines]
>
>I was going to start last week, but I never got around to it.

You're making the other Club members proud.  Keep up the good work!
;-)
Robert Miles - 26 May 2008 03:40 GMT
>>>>I personally find procrastination so rewarding that I've become
>>>>extremely good at it.
[quoted text clipped - 4 lines]
>
> I was going to start last week, but I never got around to it.

I was going to read this thread days ago, but didn't get around
to it.
RodS - 26 May 2008 04:38 GMT
>>>>> I personally find procrastination so rewarding that I've become
>>>>> extremely good at it.
[quoted text clipped - 4 lines]
> I was going to read this thread days ago, but didn't get around
> to it.

I havta add this to my list one of these days, gota start that list one day
Nicky - 23 May 2008 23:23 GMT
>>>> I think the problem is, it's hard to deny yourself eating pleasure when
>>>> nothing obvious happens if you don't. For example, if I didn't test, I
[quoted text clipped - 7 lines]
>
>I'm going to start tomorrow

Or maybe the day after - but RSN, for sure :P

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Alan S - 23 May 2008 22:59 GMT
>>> I think the problem is, it's hard to deny yourself eating pleasure when
>>> nothing obvious happens if you don't. For example, if I didn't test, I
[quoted text clipped - 5 lines]
>I personally find procrastination so rewarding that I've become
>extremely good at it.

SWMBO believes that if procrastination was an Olympic sport
I would have a cabinet full of gold medals. With a special
cabinet for jobs around the house.

But I'm happy to procrastinate on diabetes complications;
thus I take a long time to eat (a good trick is to talk a
lot at the table, Trink:-).

I also tend to procarastinate at trying medications that
haven't been around very long.

Cheers, Alan, T2, Australia.
--
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
http://loraldiabetes.blogspot.com

http://loraltravel.blogspot.com
Latest: Bangkok
Trinkwasser - 24 May 2008 18:51 GMT
>>>> I think the problem is, it's hard to deny yourself eating pleasure when
>>>> nothing obvious happens if you don't. For example, if I didn't test, I
[quoted text clipped - 9 lines]
>I would have a cabinet full of gold medals. With a special
>cabinet for jobs around the house.

Come on, you'd never have gotten around to building the cabinet.
Amateur! <G>

>But I'm happy to procrastinate on diabetes complications;
>thus I take a long time to eat (a good trick is to talk a
>lot at the table, Trink:-).

Good point!

>I also tend to procarastinate at trying medications that
>haven't been around very long.

Sadly another good point.
Alan S - 25 May 2008 00:37 GMT
>>>>> I think the problem is, it's hard to deny yourself eating pleasure when
>>>>> nothing obvious happens if you don't. For example, if I didn't test, I
[quoted text clipped - 12 lines]
>Come on, you'd never have gotten around to building the cabinet.
>Amateur! <G>

I will - as soon as they award the medals to me. But the IOC
sub-committee on procrastination is still deliberating on
the venue for their first meeting. Since 1896.

>>But I'm happy to procrastinate on diabetes complications;
>>thus I take a long time to eat (a good trick is to talk a
[quoted text clipped - 6 lines]
>
>Sadly another good point.

Yep.

Cheers, Alan, T2, Australia.
--
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
http://loraldiabetes.blogspot.com

http://loraltravel.blogspot.com
Latest: Bangkok
Michelle C - 24 May 2008 00:07 GMT
>>> I think the problem is, it's hard to deny yourself eating pleasure when
>>> nothing obvious happens if you don't. For example, if I didn't test, I
[quoted text clipped - 6 lines]
> I personally find procrastination so rewarding that I've become
> extremely good at it.

 ;-)  ;-)
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

John - 23 May 2008 14:16 GMT
> >> Michelle C wrote:<snip>
> >>> Hi Kate,
[quoted text clipped - 38 lines]
>
> - Show quoted text -

That sentence really boils it down to it's essence. And I'll be the
first to admit that I've felt like that on more than one occasion.
Sometimes it really takes a lot of willpower to stay on course,
knowing that down the road it will probably make a positive
difference.

John C.
Michelle C - 24 May 2008 00:09 GMT
On May 22, 3:18 pm, "Michelle C" <bookbug...@yahoo.com> wrote:
> "Johnnie McCoy" <johnniemc...@NOSPAMhotmail.com> wrote in message
>
[quoted text clipped - 48 lines]
>
> - Show quoted text -

That sentence really boils it down to it's essence. And I'll be the
first to admit that I've felt like that on more than one occasion.
Sometimes it really takes a lot of willpower to stay on course,
knowing that down the road it will probably make a positive
difference.

John C.

I guess we're just lucky that through temperament, life experiences, etc.,
we do have the willpower to maintain most of the time.
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Trinkwasser - 22 May 2008 18:49 GMT
>Michelle C wrote:<snip>
>> Hi Kate,
[quoted text clipped - 23 lines]
>This was an otherwise intelligent man, who'I miss, but he would NOT test
>properly, look at his blood tests, or try to moderate his eating habits.

Was he a dietician? <G>
Michelle C - 22 May 2008 20:19 GMT
>>Michelle C wrote:<snip>
>>> Hi Kate,
[quoted text clipped - 36 lines]
>
> Was he a dietician? <G>

Good one.  ;-)
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Michelle C - 22 May 2008 20:17 GMT
> Michelle C wrote:<snip>
>> Hi Kate,
[quoted text clipped - 22 lines]
> an otherwise intelligent man, who'I miss, but he would NOT test properly,
> look at his blood tests, or try to moderate his eating habits.

I get your point, Ted.  However, some people are just uninformed.  I don't
think this man's doctor even told him about getting a glucometer and
testing.  Unfortunately, a lot of people trust their doctors and don't do
independent research.
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

ted rosenberg - 23 May 2008 01:42 GMT
Michelle C wrote:<snip>
>>> Hopefully, before one gets to insulin there is some effort to educate the
>>> patient about d & e.  But I bet if my grandparents' friend gets to the
[quoted text clipped - 15 lines]
> independent research.
>  

There ARE a lot of bad doctors out there, and many of us are here
because we got bat medical care and recognized that we would have to do
for ourselves,.  Part of the problem is the refusal to recognize
reality, and part of the problem is doctors who are too controlling and
do not involve the patient.

There is NOTHING that you can do for some people, and,likewise, there
are physicians who are an active menace
Michelle C - 23 May 2008 02:08 GMT
> Michelle C wrote:<snip>
>>>> Hopefully, before one gets to insulin there is some effort to educate
[quoted text clipped - 22 lines]
> There is NOTHING that you can do for some people, and,likewise, there are
> physicians who are an active menace

Agreed!
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Tiger_Lily - 22 May 2008 04:15 GMT
> Hi Kate,
>
[quoted text clipped - 14 lines]
> he needs insulin, his doctor will put him on it, and tell him to "take this
> shot".

oh, i totally believe what you have written here

my neighbour was told 'take this pill twice a day, keep on your diet,
and come back in a month'

that was ? 18 months ago now, and this Dr is HAPPY with a fasting bg
level of 15 or lower!!!!!!!!!!!

he'll probably never put my neighbour on insulin (because my neighbour
won't live that long :( )

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Michelle C - 22 May 2008 20:20 GMT
>> Hi Kate,
>>
[quoted text clipped - 25 lines]
> he'll probably never put my neighbour on insulin (because my neighbour
> won't live that long :( )

Exactly!  And your neighbor is probably one of those who trusts his/her
doctor and will never think to do independent research.
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Tiger_Lily - 23 May 2008 04:05 GMT
>>> Hi Kate,
>>>
[quoted text clipped - 27 lines]
> Exactly!  And your neighbor is probably one of those who trusts his/her
> doctor and will never think to do independent research.
exactly, Michelle!

he's 66 yrs old and he 'does what he is told'

he's also thrilled that he 'doesn't have to change his diet'
because he was SURE that the box of chocolates that he eats every night
would be taken away from him
his wife let him eat a WHOLE box of chocolates every night for 3 months,
then she put down her foot and told him chocolates were banned in the
house........... now he eats 2 or 3 bowls FULL of ice cream, finishing
off the better part of a quart of ice cream

sigh

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

ted rosenberg - 23 May 2008 05:10 GMT
>>>> Hi Kate,
>>>>
[quoted text clipped - 41 lines]
>
> sigh

and, if his BG was under control, say through Insulin. he would eat less
- then, if he can maintain it, say with an oral and maybe Byetta, he
will eat even less.

I NEVER ate like that, but I still could not keep my weight under  300
lbs.  At least I didn't gain any more..

When I was on Rezulin, I lost 45 lbs, and went off of Insulin, then they
took it off of the market, and I regained it.
Michelle C - 24 May 2008 00:05 GMT
>>>> Hi Kate,
>>>>
[quoted text clipped - 39 lines]
> house........... now he eats 2 or 3 bowls FULL of ice cream, finishing off
> the better part of a quart of ice cream

Eke!
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Trinkwasser - 21 May 2008 20:33 GMT
>>>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>>>
[quoted text clipped - 58 lines]
>
>of course, just my 2 cents :)

If Old Al was still here he'd agree with you, there are twodifferent
treatment paradigms, one is to do as little as possible for as long as
possible and the other is to be majorly proactive at first and maybe
back off later when the BG has become more or less normalised and
fewer meds need to be thrown at you.

My vote's for the latter approach.

There;s no guarantee but there's a strong association between control
and lack of complications.
Johnnie McCoy - 22 May 2008 07:24 GMT
>>>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>>>
[quoted text clipped - 58 lines]
>
> of course, just my 2 cents :)

Actually, that is the only level I have trouble with. So, it sounds like it
might be worthwhile for me to discuss one of those before bedtime with my
doc?

John
Tiger_Lily - 23 May 2008 04:01 GMT
>>>>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>>>>
[quoted text clipped - 65 lines]
>
> John
oh ya, most definitely

as a type 2, i would aim for Levemir as a bedtime basal
insulin........... it's action is supposed to be '24 hour' but try 12
hours......... AND there is a peak with Levemir, the more you take per
kg of body weight, and that peak helps with the dawn
phenom........Lantus is too flat

good luck

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

ted rosenberg - 21 May 2008 15:38 GMT
Johnnie McCoy wrote:<snip>

> What I'm thinking about are those who jump on insulin because they
> don't want to be bothered with d&e - patients and doctors. Do you
> think that happens?
>
> John
No, people don't use Insulin more often because they have been scared
off it, partially by idiots who tout "natural"
Priscilla H. Ballou - 21 May 2008 18:22 GMT
> Johnnie McCoy wrote:<snip>
> >>
[quoted text clipped - 5 lines]
> No, people don't use Insulin more often because they have been scared
> off it, partially by idiots who tout "natural"

Whereas injecting insulin is probably one of the most "natural" ways to
treat high BG.

Priscilla, T2
Michelle C - 21 May 2008 19:23 GMT
>>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>>
[quoted text clipped - 48 lines]
>
> John

I see what you mean.  I'm sure it happens with oral meds, so it's possible
it could happen with insulin too.  Really ridiculous, because all meds,
including insulin, work better with d & e.
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Tiger_Lily - 21 May 2008 04:21 GMT
>>>> Well, my A1c was up to 6.1 ths time !!
>>>>
[quoted text clipped - 31 lines]
>
> John

how do you define the "most natural course" ?

there are many treatment options available to a type 2 diabetic

the old sulfs are felt to cause 'beta cell burn out'

so, do you start on metformin (current thought) and then where do you
go?  arcabose which is a very old carb blocker that is hardly used
anymore?  byetta, which not only stimulates the beta cells, but it
allows you to feel full sooner, which in turn allows you to lose weight
easier?  januvia, that also allows you to feel full sooner? or right to
insulin?

i believe this is a decision to be made with the endo and the patient,
with the goals of the patient being very important (hey, a skinny MODY
who isn't getting results from their sulf will probably want insulin NOT
byetta, and metformin does nothing for them)

i don't think you can make 'blanket statements' about 'the most natural
course' for treatment

do you have a 'list' giving the meds in order that they would be
introduced in this natural course?

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Johnnie McCoy - 21 May 2008 10:28 GMT
>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>
[quoted text clipped - 53 lines]
> do you have a 'list' giving the meds in order that they would be
> introduced in this natural course?

Huh?

John

John
Tiger_Lily - 21 May 2008 15:27 GMT
>>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>>
[quoted text clipped - 62 lines]
>
> John
LOL

food for thought John, questions for you to think about, because, over
time all type 2's do progress in what they need in their treatment plan

learn now, before it comes as a shock to you :)

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

ted rosenberg - 21 May 2008 15:41 GMT
> <snip>

>> i don't think you can make 'blanket statements' about 'the most
>> natural course' for treatment
[quoted text clipped - 5 lines]
>
> John
It is a polite way of saying that you have your head wedged firmly up
your a.s

> John
ted rosenberg - 21 May 2008 15:35 GMT
>>>> Well, my A1c was up to 6.1 ths time !!
>>>>
[quoted text clipped - 32 lines]
>
> John

You are not niggling, you are an active danger to yourself and others
Try some "natural" cure - like Cyanide, or Deadly Nightshade, OR...

"Natural" is a code word for " I am a fraud, and  want to sell you
something which never worked instead of real medicine"
bj - 21 May 2008 16:55 GMT
>> Please keep in mind, I honestly don't know what I'm talking about, here;
>> just some niggling little feeling that, initially, exhausting every "most
>> natural" course - as close to "med-less" as possible (and proceeding up
>> the ladder of treatment from there) - seems the most logical path.

> You are not niggling, you are an active danger to yourself and others
> Try some "natural" cure - like Cyanide, or Deadly Nightshade, OR...
>
> "Natural" is a code word for " I am a fraud, and  want to sell you
> something which never worked instead of real medicine"

Um, Ted, d&e are "natural" & there are plenty of folk here who take that
tack to the max they can before even thinking about any meds. I didn't go
the max d&e but I did try it for several years. My results were fine, but my
lifestyle & routine got too burdensome or something, so I asked for some
meds to help with the ppbg problem.
bj
ted rosenberg - 22 May 2008 04:03 GMT
>  
>>    
[quoted text clipped - 19 lines]
> bj
>  
Two things,
1)
You should not try D&R because it is "natural" You should try it only if
it is effective!  - "natural" is only used by frauds or dupes.
2)  Current theory is against D&E unless you are under 110 .  Theory may
change again next week, but, at least currently, they are recognizing
that D&E  is not a good idea in most people
Chris Malcolm - 22 May 2008 11:31 GMT
>> Um, Ted, d&e are "natural" & there are plenty of folk here who take that
>> tack to the max they can before even thinking about any meds. I didn't go
[quoted text clipped - 10 lines]
> change again next week, but, at least currently, they are recognizing
> that D&E  is not a good idea in most people

But what is the theory behind that idea? My doc for example told me
that the reason they they don't recommend d&e is because research
shows that very few people stick to it. It's ineffective as a therapy
because of general non-compliance, not because it doesn't work when
actually practised. Which is an important difference if you happen to
be one of the few who who actually *can* stick to a d&e regime.

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/]

ted rosenberg - 23 May 2008 01:38 GMT
>  
>>    
[quoted text clipped - 25 lines]
>
>  
The news has changed again
it is now recommended that new diabetics go on Insulin IMMEDIATELY.  
After they are full under control, then they can start D & E and may go
into remission and can stop the Insulin, all before doing much damage to
our bodies
Johnnie McCoy - 22 May 2008 06:45 GMT
>>>>> Well, my A1c was up to 6.1 ths time !!
>>>>>
[quoted text clipped - 36 lines]
> "Natural" is a code word for " I am a fraud, and  want to sell you
> something which never worked instead of real medicine"
Johnnie McCoy - 22 May 2008 07:15 GMT
>> Please keep in mind, I honestly don't know what I'm talking about, here;
>> just some niggling little feeling that, initially, exhausting every "most
[quoted text clipped - 8 lines]
> "Natural" is a code word for " I am a fraud, and  want to sell you
> something which never worked instead of real medicine"

I see. As I said, I don't know much about it. What I based my thoughts on is
that every now and then, I hear of someone eating things I would never dream
of eating and taking insulin to stabilize it - or at least that's how it
sounds to me. As you see, I don't understand the use of insulin - but would
like to; that's why I voiced my thoughts. I apologize if my request for
further knowledge on the subject angered you.

John
W. Baker - 22 May 2008 18:44 GMT
: >> Please keep in mind, I honestly don't know what I'm talking about, here;
: >> just some niggling little feeling that, initially, exhausting every "most
[quoted text clipped - 15 lines]
: like to; that's why I voiced my thoughts. I apologize if my request for
: further knowledge on the subject angered you.

: John

Doing that kind of thing, eating high carb and then adding a corrective
insulin dose, particularly for type 2's is a good recipe for gaining
weight.  Somehow, you really can't get away with it:-)

Wendy
ted rosenberg - 23 May 2008 01:35 GMT
> <snip>
>>>
[quoted text clipped - 12 lines]
>
> John

Latest news says that T2's should go on Insulin FIRST.  After they get
full BG control they often go into remission, and can drop back to D and E
Tiger_Lily - 23 May 2008 03:59 GMT
>>> Please keep in mind, I honestly don't know what I'm talking about,
>>> here; just some niggling little feeling that, initially, exhausting
[quoted text clipped - 18 lines]
>
> John
oh John

i believe the people that you have heard 'shoot enough insulin to eat
something ridculous' are type 1 diabetics

a type 1 just has to skip their shots for a day, and they will lose any
weight they gained the day before (one of the former posters here would
actually do that........... she never posted that she DID that though!)

i was talking to my GP today, and the top Endo in town gave a seminar,
and in that seminar he taught about using metformin as a first line of
defense, adding avandia/actos if needed, then moving the patient to
basal insulin, then moving the patient to basal/bolus insulin

my GP is now changing all his glipizide patients over to insulin (and
NOT NPH!)

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Priscilla H. Ballou - 20 May 2008 22:45 GMT
> of course, Byetta is a NEW med, and it has obvious advantages for a type
> 2 who needs to lose weight, along with the good bg control it allows

I'm leery to try it because of the reputation for nausea.  Of the Byetta
users here, how many have experienced unpleasant side-effects with
Byetta?

Nausea?

Gas?

What?

Thanks!

Priscilla, T2
Evelyn - 21 May 2008 02:53 GMT
>> of course, Byetta is a NEW med, and it has obvious advantages for a type
>> 2 who needs to lose weight, along with the good bg control it allows
[quoted text clipped - 12 lines]
>
> Priscilla, T2

Don't be leery of it.   It is an excellent drug.

I did get a few twinges of nausea with it, but only for a tiny bit.   Stick
with the 5 mcg pen until you feel it isn't working anymore.   I switched to
the ten mcg pen too soon and I did feel some nausea and I felt too cold all
the time at first, but it wasn't really bad at all.  It passes.

I did get some constipation issues with the drug, but it was easily dealt
with.

The benefits outweighed the drawbacks for me.   Good luck trying it!

Evelyn
Priscilla Ballou - 21 May 2008 02:58 GMT
> Don't be leery of it.   It is an excellent drug.
>
[quoted text clipped - 7 lines]
>
> The benefits outweighed the drawbacks for me.   Good luck trying it!

Thanks, Evelyn.  I think I will ask about it.  Maybe I can get it from
my relatively clueless internist if I can't find a good endo quickly.  
The weight loss benefit really attracts me.  *sigh*

Priscilla, T2
Evelyn - 21 May 2008 21:10 GMT
>> Don't be leery of it.   It is an excellent drug.
>>
[quoted text clipped - 16 lines]
>
> Priscilla, T2

Hi Priscilla,

I lost about 28 lbs with it.   I just didn't feel all that hungry, so I ate
less.   That is a really good thing for most of us!    I have heard of
others who have lost even more.

My physicians assistant (not even a doctor) prescribed it first for me, so
if you can get your doc to prescribe it, great.

I was afraid of using the needle at first, but it turned out to be so easy I
wondered what on earth I had been afraid of.

Good luck!

Ev
Priscilla H. Ballou - 21 May 2008 21:44 GMT
> >> Don't be leery of it.   It is an excellent drug.
> >>
[quoted text clipped - 32 lines]
>
> Ev

Thanks, Ev.
ted rosenberg - 21 May 2008 15:20 GMT
>  
>> of course, Byetta is a NEW med, and it has obvious advantages for a type
[quoted text clipped - 15 lines]
> Priscilla, T2
>  
It seems to be related to overeating.
I had some very mild nausea when I first started, but I was thrilled to
no longer be hungry all the time, and rapidly started eating less.

Much eating is from habit - "I ALWAYS have that for breakfast" , and you
have to relearn these habits.  Aler rating food in your mouth, you will
get full, but it is easy to eat twice as much as you need before the
fullness kicks in.
Priscilla H. Ballou - 21 May 2008 18:11 GMT
> >  
> >> of course, Byetta is a NEW med, and it has obvious advantages for a type
[quoted text clipped - 23 lines]
> get full, but it is easy to eat twice as much as you need before the
> fullness kicks in.

Thanks, Ted.

Priscilla
jacquie - 21 May 2008 21:21 GMT
I got very sick on Byetta..it wasn't just nausea it was feeling poorly..all
I could do is lie down and rest...I kept on trying Byetta but just felt
worse...however I really think I am a minority in this. My Dr told me of the
patients he had that were on Byetta, could either tolerate it or they
couldn't...guess I'm one that can't, I think you should try it , I have
heard very good things about it.
Jacquie

>> of course, Byetta is a NEW med, and it has obvious advantages for a type
>> 2 who needs to lose weight, along with the good bg control it allows
[quoted text clipped - 12 lines]
>
> Priscilla, T2
Priscilla H. Ballou - 21 May 2008 21:44 GMT
> I got very sick on Byetta..it wasn't just nausea it was feeling poorly..all
> I could do is lie down and rest...I kept on trying Byetta but just felt
[quoted text clipped - 3 lines]
> heard very good things about it.
> Jacquie

Thanks, Jacquie.  I appreciate the input.

Priscilla
ted rosenberg - 21 May 2008 15:31 GMT
>> Well, my A1c was up to 6.1 ths time !!
>>
[quoted text clipped - 18 lines]
>
> John
No John, you are 100% wrong
Drs tend to wait too long efoe stating Insulin, OR Byetta.  Officially
you are not supposed to take nsulin with Byetta, but many (if not most)
of us do.

The bggest problem in medical treatment is that many many physicians
want to control your Insulin.  I have controlled my own for many years,
first because I didn't have a doctor, and most recently because I have
had doctors who take the attitude that as long as I was succusful, THEY
wern't going to tell me what to do.
W. Baker - 20 May 2008 22:26 GMT
: Well, my A1c was up to 6.1 ths time !!

: That is because I have taken NO Insulin for over 2 months

: I was getting very brittle, and having lots of hypos, so I stopped
: completely. It takes me about 3 hours to completely recover after meals,
: but, if I take some Novolog to drop my 2 hr, I go hypo at about 3 hours
: and need to take food again

: 2 years ago I was taking about 400 units a day.

: Now I am completely off of Insulin, and have lost over 80 lbs.

: Hooray for Byetta

Wonderful news, Ted.  May this keep up for you.

Wendy
Nicky - 21 May 2008 20:05 GMT
>Well, my A1c was up to 6.1 ths time !!
>
[quoted text clipped - 10 lines]
>
>Hooray for Byetta

Go Ted!!! That's great progress. I bet you do a David Mendosa and hit
the 4% club in no time!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
 
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