Medical Forum / Diseases and Disorders / Diabetes / July 2008
1 hour/2 hour
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Donna - 23 Jul 2008 23:45 GMT I had a discussion with the diabetes educator today. She's probably as proactive as they come. She has a passion for all things diabetes. And, more importantly, I trust her.
I talked to her about the 1 hour versus 2 hour versus 1 hour and 2 hour readings. Her thoughts were to play around and see what those readings are and to shoot for <180 for a 1 hour reading and <140 for a 2 hour reading AT THE OUTSIDE. She, like many of you here, explained the rise within 1 hour versus the potential leveling at 2 hours.
We left it with me trying both ways. She's very pleased to hear I'm testing before and after meals, snacks, as well as fasting and bedtime. She suggested that I am indeed a proactive person with diabetes and that is going to be part of my success with staving off complications.
I talked to the dietitian too, but don't have as much faith in her quantity/quality instructions. In general, I believe she is on the money, but when it comes down to specifics and what causes a rise in my glucose versus what causes a rise in yours, I'm not sure she's totally invested.
I do have a physician appointment tomorrow. I'm sure my med levels are much better than they were and that I'm in a good place blood sugar wise. I'm not nearly perfect and continue to need to monitor, eat right, exercise, and learn.
The things I read at ASD are great. It's one of those places where you can "take what you need and leave the rest." I'm definitely sticking around.
 Signature ~Donna A~ http://www.thesewingdictionary.com
Julie Bove - 23 Jul 2008 23:51 GMT >I had a discussion with the diabetes educator today. She's probably as > proactive as they come. She has a passion for all things diabetes. And, [quoted text clipped - 26 lines] > The things I read at ASD are great. It's one of those places where you can > "take what you need and leave the rest." I'm definitely sticking around. Those numbers are pretty high. Most here aim for <140 at an hour after and <120 at two hours after. My highest number usually comes at 2 hours so I was aiming for <140 then but the diabetes nurse wants me at 90-130 at all times. Yeah, right...
Ozgirl - 24 Jul 2008 00:10 GMT > I had a discussion with the diabetes educator today. She's probably as > proactive as they come. She has a passion for all things diabetes. [quoted text clipped - 6 lines] > explained the rise within 1 hour versus the potential leveling at 2 > hours. 180 at 1 hour? That is very archaic and extremely dangerous advice.
> We left it with me trying both ways. She's very pleased to hear I'm > testing before and after meals, snacks, as well as fasting and > bedtime. She suggested that I am indeed a proactive person with > diabetes and that is going to be part of my success with staving off > complications. Only if you ignore her bg limit advice and aim for much lower, always.
I'm not nearly perfect and continue to need to monitor,
> eat right, exercise, and learn. > > The things I read at ASD are great. It's one of those places where > you can "take what you need and leave the rest." I'm definitely > sticking around. Good ;)
Susan - 24 Jul 2008 00:48 GMT > I had a discussion with the diabetes educator today. She's probably as > proactive as they come. She has a passion for all things diabetes. And, [quoted text clipped - 5 lines] > THE OUTSIDE. She, like many of you here, explained the rise within 1 hour > versus the potential leveling at 2 hours. Your vision, kidneys, nerves and pancreas are all accumulating serious damage when time your bg hits over 140.
Joslin diabetes center at Harvard is too conservative, too, but they and the professional endocrinology association say to aim under 160 at one hour and under 140 at two hours. I aim to never go above 120, myself, but that's where I feel best and neuropathies stay way.
> We left it with me trying both ways. She's very pleased to hear I'm testing > before and after meals, snacks, as well as fasting and bedtime. She > suggested that I am indeed a proactive person with diabetes and that is > going to be part of my success with staving off complications. This is the truth, as long as you don't accept certain of her recommendations.
> I talked to the dietitian too, but don't have as much faith in her > quantity/quality instructions. In general, I believe she is on the money, > but when it comes down to specifics and what causes a rise in my glucose > versus what causes a rise in yours, I'm not sure she's totally invested. She's pushing what the sponsors of the ADA sell; starches and drugs.
> I do have a physician appointment tomorrow. I'm sure my med levels are much > better than they were and that I'm in a good place blood sugar wise. I'm > not nearly perfect and continue to need to monitor, eat right, exercise, > and learn. Doing the former is how you do the latter. :-)
> The things I read at ASD are great. It's one of those places where you can > "take what you need and leave the rest." I'm definitely sticking around. Good for you!
Susan
ray - 24 Jul 2008 01:15 GMT > I had a discussion with the diabetes educator today. She's probably as > proactive as they come. She has a passion for all things diabetes. And, [quoted text clipped - 25 lines] > can "take what you need and leave the rest." I'm definitely sticking > around. I suggest you do some reading. I'd recommend Dr. Richard Bernstein's "Diabetes Solution" - should be able to get a copy at the local library - it may change some of your ideas. If you've not read something similar already, "Diabetes for Dummies" is quite educational.
Alan S - 24 Jul 2008 05:42 GMT >I talked to her about the 1 hour versus 2 hour versus 1 hour and 2 hour >readings. Her thoughts were to play around and see what those readings are >and to shoot for <180 for a 1 hour reading and <140 for a 2 hour reading AT >THE OUTSIDE. She, like many of you here, explained the rise within 1 hour >versus the potential leveling at 2 hours. Read this: http://loraldiabetes.blogspot.com/2006/12/hi-all-one-of-things-that-becomes.html
and this: http://loraldiabetes.blogspot.com/2006/11/when-to-test-one-hour-or-two-hour.html
and see if you still agree with her.
Cheers, Alan, T2, Australia. -- Everything in Moderation - Except Laughter. Blog http://loraldiabetes.blogspot.com DLife column http://tinyurl.com/5v74xr http://loraltravel.blogspot.com (The Taj Mahal)
Oleg Lego - 24 Jul 2008 05:48 GMT >I had a discussion with the diabetes educator today. She's probably as >proactive as they come. She has a passion for all things diabetes. And, [quoted text clipped - 5 lines] >THE OUTSIDE. She, like many of you here, explained the rise within 1 hour >versus the potential leveling at 2 hours. I try to stay under 140 at any time.
 Signature Larry, T2, Saskatchewan, Canada. DX 24 Aug 07. D&E Metformin 2000mg, Ramipril, Simvastatin Dx A1c 8.1 : Latest 5.1 (3 Jun 08) - 3rd successive 5.1
Michelle C - 24 Jul 2008 19:51 GMT >>I had a discussion with the diabetes educator today. She's probably as >>proactive as they come. She has a passion for all things diabetes. And, [quoted text clipped - 8 lines] > > I try to stay under 140 at any time. Me too, and am *usually* not over 130 1 hr post meal; often less than that.
 Signature Best regards, Michelle C., T2 diet & exercise BMI 21.5
krom - 24 Jul 2008 06:56 GMT A good educator/endo/doc are like gold..glad ya found one who is willing to discuss and try things with you.
Next time you talk to her say you want to maintain non diabetic numbers..she will then admit her outside ranges are WAY over that..and will likely say she recommends those because many claim to be working at control but either arent really or for some diabetics they cant maintain non diabetic numbers. The thing for you to do is see how close to non diabetic numbers you can maintain on the least amount of drugs...this could mean lowering carb intake and upping exercise..and eventually you might be able to drop the meds totally...its your job to find out and it looks like your well on your way.
Your doing awsome!..keep it up!
KROM
>I had a discussion with the diabetes educator today. She's probably as > proactive as they come. She has a passion for all things diabetes. And, [quoted text clipped - 26 lines] > The things I read at ASD are great. It's one of those places where you can > "take what you need and leave the rest." I'm definitely sticking around. Donna - 24 Jul 2008 15:11 GMT > A good educator/endo/doc are like gold..glad ya found one who is > willing to discuss and try things with you. That's what I thought. My numbers are staying within a very good range pre, post, 1 hour, 2 hour, and I'm eliminating those foods which do cause spikes. It's a process.
I'm learning from her, from my doctor, from ASD, from various web sites, from anywhere I can, and most of the time I think I'm right on target. I know I have a lot to learn yet, but when I do post something that I think is positive, there are people who turn it around and say it's not good enough. I appreciate those posts and do read and research the links and information given. It's just a bit surprising sometimes.
The group has been at this a lot longer than I have. Like I said, I'm not going anywhere. I need to learn even more and take care of my body.
 Signature ~Donna A~ http://www.thesewingdictionary.com
Paul L - 24 Jul 2008 17:01 GMT >> A good educator/endo/doc are like gold..glad ya found one who is >> willing to discuss and try things with you. [quoted text clipped - 10 lines] > enough. I appreciate those posts and do read and research the links and > information given. It's just a bit surprising sometimes. Donna, there is no doubt that as a group, folks here have a much different standard that you will find elsewhere. Your doctor's suggestion of 180/140 for 1 hr and 2 hr numbers are straight from the ADA. Some of us feel that those are numbers recommended not so much because they are any sort of "ideal," but more because the ADA does not think the diabetic population as a group would have any success if the bar is set any higher.
There is some conflicting information out there and, in the end, we must think for ourselves and determine our own personal goals and approach to this disease. All type 2's are "diabetic," yet we differ widely in the amount our bodies are impaired. Some here can get by with strict diet and exercise only, while others will never be able to do that, no matter how careful and diligent they may be.
As you say, it IS "a process" and your situation will never be identical to anyone else's. It seems to me that you are on the right track and the decisions you make will be good ones.
best wishes
Paul
> The group has been at this a lot longer than I have. Like I said, I'm not > going anywhere. I need to learn even more and take care of my body. Michelle C - 24 Jul 2008 20:05 GMT >> A good educator/endo/doc are like gold..glad ya found one who is >> willing to discuss and try things with you. [quoted text clipped - 9 lines] > is positive, there are people who turn it around and say it's not good > enough. Hi Donna,
We do tend to be a bit "rabid" on the subject, but it's only because we've learned from hard experiences that the medical profession sets the bar too low (or maybe I should say too high?). Many here have suffered bad consequences due to the medical professions' failure to teach that (most) diabetics can achieve non-diabetic numbers. Therefore, we try to nudge, nudge, nudge... :-)
While there are many possible reasons for this failure on the part of the medical profession--ignorance, lack of time to teach, too much reliance on the newest med--some of it has to do with the diabetics themselves. We've heard doctors say that if they try to impress lifestyle changes, many diabetics just go out the door and these doctors don't see these patients again. Therefore some doctors are afraid to bring up the subject of diet and exercise. Many diabetics are totally non-compliant.
So, we'll keep nudging, and push for far better numbers than most doctors/diabetes educators will tell you to aim for.
You're doing very well, with the testing, research, and controlling your numbers. I hope you realize what an accomplishment that is.
 Signature Best regards, Michelle C., T2 diet & exercise BMI 21.5
I appreciate those posts and do read and research the links and
> information given. It's just a bit surprising sometimes. > > The group has been at this a lot longer than I have. Like I said, I'm not > going anywhere. I need to learn even more and take care of my body. W. Baker - 24 Jul 2008 23:21 GMT : "Donna" <donna@exitstageleftcroakerwoods.com> wrote in message
: Hi Donna,
: We do tend to be a bit "rabid" on the subject, but it's only because we've : learned from hard experiences that the medical profession sets the bar too : low (or maybe I should say too high?). Many here have suffered bad : consequences due to the medical professions' failure to teach that (most) : diabetics can achieve non-diabetic numbers. Therefore, we try to nudge, : nudge, nudge... :-)
: While there are many possible reasons for this failure on the part of the : medical profession--ignorance, lack of time to teach, too much reliance on [quoted text clipped - 3 lines] : again. Therefore some doctors are afraid to bring up the subject of diet : and exercise. Many diabetics are totally non-compliant.
: So, we'll keep nudging, and push for far better numbers than most : doctors/diabetes educators will tell you to aim for.
: You're doing very well, with the testing, research, and controlling your : numbers. I hope you realize what an accomplishment that is. I tend to accept the 140 at 1 hour and 120 at2 as the standard. I have noticed, lately, that many here are pushing , or boasting, or encouraging much lower numbers, like I never go ablve 120, or Ilike to be below 100, or other comments. I keep to my dorignal standards and am just delighted if my numbers are lower at 1 or 2 hours, but don't sweaat to keep them there or get upset if they are at 140 at t1 or 120 at 2. I wonder if we are n't getting a little competative around here, which can be very discouraging for newbies who are proactive like Donna or Willy who, for some reason like to call his bgs gcs.
I think we have to be careful not to frighten off newbies with exremely high standard(or low numbers), while encouraging them to meet those standards we most of us sesem to accept as the numbers that will most likely prevent damage. None of us has a guarantee adn if you want to get your numbers lower and lower, fine, but be careful of just getting into a "my numbers are lower than your numbers" kind of attitude and scaring away peole who need us.
Wendy
Susan - 25 Jul 2008 01:39 GMT > I tend to accept the 140 at 1 hour and 120 at2 as the standard. I have > noticed, lately, that many here are pushing , or boasting, or [quoted text clipped - 13 lines] > "my numbers are lower than your numbers" kind of attitude and scaring away > peole who need us. Wendy, since I'm the one who consistently offers that I aim lower, while encouraging newbies to shoot for under 140 at all times, I assume you mean me.
I'm offended at your suggestion that mentioning personal goals amounts to "pushing" or "boasting." It has nothing to do with competition, and everything to do with broadening the idea of what's possible when newbies arrive fearing that their DM will be a hard row to hoe and that such goals will be unreachable.
Susan
Cheri - 25 Jul 2008 01:48 GMT Susan wrote in message
>I'm offended at your suggestion that mentioning personal goals amounts >to "pushing" or "boasting." It has nothing to do with competition, and [quoted text clipped - 3 lines] > >Susan Agree. Newbies need to know what is possible in many cases, and just about everybody tells them not to expect perfection immediately, but as one recent post proved, an endo no less, saying 180 an hour or two after testing was fine instead of saying *it's a start,* gives the impression that one is doing great...when they're not doing great long term. I'm talking about type2's.
Cheri
bgl - 25 Jul 2008 15:44 GMT > as one recent post proved, an endo no less, saying 180 an hour or two > after testing was fine instead of saying *it's a start,* gives the > impression that one is doing great...when they're not doing great long > term. I'm talking about type2's. Nobody seems to have picked up that the endo did say "AT THE OUTSIDE," and of course we don't know what she might have said down the line if the patient did well with those initial instructions.
I see by a later post that the doctor is impressed & is reacting to the patient's successfully going *below* & beyond initial recommendations. It's not like she's saying "you're not eating enough you're *too* low...."
Perhaps the doctor is, as she said, so used to patients who balk that she doesn't want to risk alienating one right off the bat with recommendations that might send them off screaming never to return. bj
Cheri - 25 Jul 2008 19:02 GMT bgl wrote in message ...
>Perhaps the doctor is, as she said, so used to patients who balk that she >doesn't want to risk alienating one right off the bat with recommendations >that might send them off screaming never to return. >bj That could well be, but scaring somebody is no reason not to present the facts, for the same reason a doctor will tell you if you don't stop smoking, you're going to have a heart attack for instance. If it scares a person, should the doc say, "but if it scares you to hear that, 3/4 of a pack a day is fine?" I don't think so. Present the facts, so a patient can at least strive for it...or not.
Cheri
Nick Cramer - 26 Jul 2008 14:34 GMT > bgl wrote in message ... > [quoted text clipped - 11 lines] > that, 3/4 of a pack a day is fine?" I don't think so. Present the > facts, so a patient can at least strive for it...or not. Agreed! Every time I visit my diabetician, cardiologist or nephrologist, they tell me, among other things, to stop smoking and cut down on my drinking. I thank them for their advice. I have cut down, nominally, on both. I'm mildly concerned about those fat red blood cells. ;-/
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Trinkwasser - 28 Jul 2008 21:34 GMT >Susan wrote in message > [quoted text clipped - 15 lines] >impression that one is doing great...when they're not doing great long >term. I'm talking about type2's. One thing that needs pushing is the fact that better control leads to better control IMO. Over time I've found that it's become easier to maintain good numbers AND when I blow out the results aren't nearly as bad as they were. Not that I do it deliberately or often, you understand, but in a way it's interesting, a bit like a GTT, I suspect the combination of sitting on my IR and not stressing my pancreas has given me a bit more headroom.
The crayfish tails and salad were a good move but there was a chilli con carne with my name on it in the pub and I ate far too much rice. OK I've learned the drill now, a half pint of beer and a rapid walk round the village immediately after eating and what would have been 140 - 180 not that long ago becomes a 120 or 130.
Do it every week though and I have little doubt the numbers would go back up again. I'll leave that experiment for someone else.
W. Baker - 25 Jul 2008 17:11 GMT : x-no-archive: yes
: > I tend to accept the 140 at 1 hour and 120 at2 as the standard. I have : > noticed, lately, that many here are pushing , or boasting, or [quoted text clipped - 13 lines] : > "my numbers are lower than your numbers" kind of attitude and scaring away : > peole who need us.
: Wendy, since I'm the one who consistently offers that I aim lower, while : encouraging newbies to shoot for under 140 at all times, I assume you : mean me.
: I'm offended at your suggestion that mentioning personal goals amounts : to "pushing" or "boasting." It has nothing to do with competition, and : everything to do with broadening the idea of what's possible when : newbies arrive fearing that their DM will be a hard row to hoe and that : such goals will be unreachable.
: Susan No susan, i did not mean you personally or even as the prime example or any such thing. I have just notices that MANY peole have been doing this . I am not trying to "name names" but just a puzzled at eh constantly lower numbers beign provided adn encouraged.
Wendy
Susan - 25 Jul 2008 18:41 GMT > No susan, > i did not mean you personally or even as the prime example or any such > thing. I have just notices that MANY peole have been doing this . I am > not trying to "name names" but just a puzzled at eh constantly lower > numbers beign provided adn encouraged. But Wendy, I read here every day, and I can tell you that while I've seen people make mention of those numbers, I haven't seen anyone boasting about it or pushing it. Just celebrating achievements, with justification.
The constantly lower numbers are healthier, and if someone knows that they're possible, and that others are doing it, they may be encouraged about their own potential progress, which is a lot better than the "progressive disease" rap we've seen posted here as having been given by diabetes educators. That's the really dangerous and discouraging advice.
I shoot for the lower numbers because ample research proves that diabetic type damage begins to accrue at HbA1c of 4.6% and above; simple as that. If others don't want to strive for numbers as low, at least they're informed about their options and can be watchful for complications that they're told elsewhere not to expect.
Susan
Michelle C - 25 Jul 2008 18:55 GMT > : x-no-archive: yes > [quoted text clipped - 43 lines] > > Wendy Hi Wendy,
In my case, I just share my own experiences, and my experiences are that almost always, I am able to achieve numbers 10 points below 140 at one hour unless I am eating something that's iffy. As I mentioned to Donna, I personally do tend to be very rabid about my numbers. I was diagnosed when I was 41 years old, and looking back I realize I was having symptoms back in my 20's (the reactive hypoglycemia whose significance I failed to understand), at least 15 years before. Since I sincerely hope to live to be a healthy little old lady, I feel I must try harder. My pancreas has to last awhile.
 Signature Best regards, Michelle C., T2 diet & exercise BMI 21.5
Willy - 25 Jul 2008 03:42 GMT > : "Donna" <donna@exitstageleftcroakerwoods.com> wrote in message > [quoted text clipped - 48 lines] > > Wendy Wendy:
Please DO correct me. What do I call my blood glucose level in error?
I'm anal about stuff like that and want to do it RIGHT!!! LOL
Willy
Nick Cramer - 25 Jul 2008 14:05 GMT > "W. Baker" <wbaker@panix.com> wrote in message > > : "Donna" <donna@exitstageleftcroakerwoods.com> wrote in message > > [ . . . ] > Please DO correct me. What do I call my blood glucose level in error? > > I'm anal about stuff like that and want to do it RIGHT!!! LOL Willy,
Do not check your BG (blood glucose) from bleeding haemorrhoids!
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Oleg Lego - 25 Jul 2008 21:46 GMT >> "W. Baker" <wbaker@panix.com> wrote in message >> > : "Donna" <donna@exitstageleftcroakerwoods.com> wrote in message [quoted text clipped - 6 lines] > >Do not check your BG (blood glucose) from bleeding haemorrhoids! Nick! Have you ever seen bits of cucumber splattered all over a monitor and keyboard? I have, just now when I read your post.
<mumble mumble>
 Signature Larry, T2, Saskatchewan, Canada. DX 24 Aug 07. D&E Metformin 2000mg, Ramipril, Simvastatin Dx A1c 8.1 : Latest 5.1 (3 Jun 08) - 3rd successive 5.1
Nick Cramer - 26 Jul 2008 14:39 GMT > >> "W. Baker" <wbaker@panix.com> wrote in message > >> > : "Donna" <donna@exitstageleftcroakerwoods.com> wrote in message [quoted text clipped - 12 lines] > > <mumble mumble> When my diabetician does a prostate exam on me, he does a hemocult test immediately after. No wasted waste!
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Alan S - 26 Jul 2008 01:45 GMT >> "W. Baker" <wbaker@panix.com> wrote in message >> > : "Donna" <donna@exitstageleftcroakerwoods.com> wrote in message [quoted text clipped - 6 lines] > >Do not check your BG (blood glucose) from bleeding haemorrhoids! Nick, as well as keyboard alerts, please post "do not read while eating breakfast" alerts in future.
I'm going to have to keep a "clean the keyboard" chamois in the office from now on...
Cheers, Alan, T2, Australia. -- Everything in Moderation - Except Laughter. Blog http://loraldiabetes.blogspot.com DLife column http://tinyurl.com/5v74xr http://loraltravel.blogspot.com (The Taj Mahal)
Nick Cramer - 26 Jul 2008 15:04 GMT > On 25 Jul 2008 13:05:08 GMT, Nick Cramer > >> "W. Baker" <wbaker@panix.com> wrote in message [quoted text clipped - 5 lines] > I'm going to have to keep a "clean the keyboard" chamois in > the office from now on... Do you have real chamoix in Oz? All I can find here is some synthetic crap.
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Alan S - 27 Jul 2008 02:34 GMT >> On 25 Jul 2008 13:05:08 GMT, Nick Cramer >> >> "W. Baker" <wbaker@panix.com> wrote in message [quoted text clipped - 7 lines] > >Do you have real chamoix in Oz? All I can find here is some synthetic crap. I have a very old one, more holes than chamois leather. It still soaks up liquids better than any of the synthetic ones I have.
Cheers, Alan, T2, Australia. -- Everything in Moderation - Except Laughter. Blog http://loraldiabetes.blogspot.com DLife column http://tinyurl.com/5v74xr http://loraltravel.blogspot.com (The Taj Mahal)
krom - 25 Jul 2008 09:04 GMT Every sick persons goal should be to be as close to normal as possible right?
So i personally strive to keep my numbers as close to non diabetic as possible..i see it as a goal..not a competion with anyone else.
But thats me..i can only recomend what seems logical and thats to strive as best as one can to have non diabetic numbers.
KROM
> : "Donna" <donna@exitstageleftcroakerwoods.com> wrote in message > [quoted text clipped - 48 lines] > > Wendy Nick Cramer - 25 Jul 2008 13:39 GMT > : "Donna" <donna@exitstageleftcroakerwoods.com> wrote in message > [ . . . ]
> I think we have to be careful not to frighten off newbies with exremely > high standard(or low numbers), while encouraging them to meet those [quoted text clipped - 3 lines] > into a "my numbers are lower than your numbers" kind of attitude and > scaring away peole who need us. Hi, Sis,
I've come to believe that anything over 120 is doing damage to my body. With my many spikes, I sure can't boast about my occasional good numbers. I think encouraging each other, including newbies, to strive for non-diabetic numbers is a good thing. Sure, a few people 'crow' about their numbers, but most congratulate newbies on their progress. So I would say. "Don't plotz over it!"
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Donna - 25 Jul 2008 11:05 GMT "Michelle C" <bookbug_35@yahoo.com> wrote in news:g6ajq8$pna$1 @registered.motzarella.org:
> hope you realize what an accomplishment that is. I didn't until yesterday.
I went to my doctor for a 2-week followup of the glucose levels and a couple comments she made were interesting.
First, she initially prescribed 4 mg Amaryl and told me to cut them in half. I did. I ended up with low blood sugar reactions (went to 54 once) and had to cut the Amaryl down to 1 mg. She told me yesterday that she initially prescribed 4 mg with plans to go up to 4 mg, but since I had been doing what she suggested and have been doing the testing and food research, I ended up doing better than she expected. She was truly shocked that I had to have the dose cut so low and hopes (along with me) to eliminate it altogether as the diet and exercise continue to do their job.
Second, she said she was just amazed because most people don't do what she tells them to do - i.e., the food education, doing the testing, taking the meds, etc. She is not used to a patient (me!) being as compliant as I've been. I explained to her that this is life or death and I have to take the bull by the horns.
We discussed testing, levels, and continuing to learn what's what and how it affects my body, and rather than do another 2-week followup, I'm going back for an A1c level in a couple weeks and then for a visit mid- September.
I don't want to get too comfortable, though. I must keep up the momentum and continue to protect my internal organs with good levels.
so yeah, I'm learning that I'm doing something right:)
 Signature ~Donna A~ http://www.thesewingdictionary.com
Nicky - 25 Jul 2008 12:53 GMT >First, she initially prescribed 4 mg Amaryl and told me to cut them in >half. I did. I ended up with low blood sugar reactions (went to 54 once) [quoted text clipped - 5 lines] >to eliminate it altogether as the diet and exercise continue to do their >job. Woo-hoo - go Donna :D It's so nice to shake up a medico's ideas of what's possible and what's not...
Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.4% BMI 25
Trinkwasser - 28 Jul 2008 21:37 GMT >>First, she initially prescribed 4 mg Amaryl and told me to cut them in >>half. I did. I ended up with low blood sugar reactions (went to 54 once) [quoted text clipped - 8 lines] >Woo-hoo - go Donna :D It's so nice to shake up a medico's ideas of >what's possible and what's not... Print out Test Test Test and give her a copy?
Nick Cramer - 25 Jul 2008 14:18 GMT > "Michelle C" <bookbug_35@yahoo.com> wrote in news:g6ajq8$pna$1
> > hope you realize what an accomplishment that is. > [quoted text clipped - 28 lines] > > so yeah, I'm learning that I'm doing something right:) Yea, Donna! That's great! Now, go run around the block and have a nice egg salad when you come home. Nibble on nuts. Don't forget to drink lots of water! ;-)
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
W. Baker - 25 Jul 2008 17:19 GMT : "Michelle C" <bookbug_35@yahoo.com> wrote in news:g6ajq8$pna$1 : @registered.motzarella.org:
: > hope you realize what an accomplishment that is.
: I didn't until yesterday.
: I went to my doctor for a 2-week followup of the glucose levels and a : couple comments she made were interesting.
: First, she initially prescribed 4 mg Amaryl and told me to cut them in : half. I did. I ended up with low blood sugar reactions (went to 54 once) [quoted text clipped - 5 lines] : to eliminate it altogether as the diet and exercise continue to do their : job.
: Second, she said she was just amazed because most people don't do what : she tells them to do - i.e., the food education, doing the testing, : taking the meds, etc. She is not used to a patient (me!) being as : compliant as I've been. I explained to her that this is life or death and : I have to take the bull by the horns.
: We discussed testing, levels, and continuing to learn what's what and how : it affects my body, and rather than do another 2-week followup, I'm going : back for an A1c level in a couple weeks and then for a visit mid- : September.
: I don't want to get too comfortable, though. I must keep up the momentum : and continue to protect my internal organs with good levels.
: so yeah, I'm learning that I'm doing something right:) Donna, Ordinarily, I snip, but your post is so wonderful that I left it unshortened:-)
Keep up the good work. You are doing great adn I fully expect you to be one of the grt advisors to newbies in the future(liek for the next 60 years:-)
Wendy
Donna - 26 Jul 2008 01:28 GMT > (liek for the next 60 > years:-) Well, I turned 53 today, so if I'm around for 60 years worth of advice, I'll take you up on that!
 Signature ~Donna A~ http://www.thesewingdictionary.com
Cheri - 26 Jul 2008 01:35 GMT Happy Birthday Donna!!! What did you do to celebrate?
Cheri
Donna wrote in message ...
>> (liek for the next 60 >> years:-) [quoted text clipped - 5 lines] >~Donna A~ >http://www.thesewingdictionary.com Donna - 26 Jul 2008 03:38 GMT "Cheri" <gserviceatinreachdotcom> wrote in news:bP- dnVVu9Z5M7BfVnZ2dnUVZ_oHinZ2d@softcom.net:
> Happy Birthday Donna!!! What did you do to celebrate? > > Cheri I, drumroll please, took a nap!
My family got me one of those GPS thingies.
 Signature ~Donna A~ http://www.thesewingdictionary.com
Cheri - 26 Jul 2008 03:59 GMT Donna wrote in message ...
>"Cheri" <gserviceatinreachdotcom> wrote in news:bP- >dnVVu9Z5M7BfVnZ2dnUVZ_oHinZ2d@softcom.net: [quoted text clipped - 6 lines] > >My family got me one of those GPS thingies. Well, a nap is good. Did Alan post Jennifers' Birthday Cake post? If not, he should. Glad you had a restful day.
Cheri
Susan - 26 Jul 2008 04:04 GMT > I, drumroll please, took a nap! > > My family got me one of those GPS thingies. In case you got lost during a nap?? ;-)
Happy birthday!
Susan
Tiger_Lily - 26 Jul 2008 07:04 GMT > "Cheri" <gserviceatinreachdotcom> wrote in news:bP- > dnVVu9Z5M7BfVnZ2dnUVZ_oHinZ2d@softcom.net: [quoted text clipped - 6 lines] > > My family got me one of those GPS thingies. http://www.google.ca/search?hl=en&client=firefox-a&rls=org.mozilla:en-GB:officia l&hs=XZx&sa=X&oi=spell&resnum=0&ct=result&cd=1&q=GEOcache+sites+USA&spell=1
Geocaching is a BLAST
we have found 8 GeoCaches close to home............hubby takes his GPS to the UK with him in order to have an adventure................ he also takes kidlet along when we are in Victoria, BC visiting Mom...........some of the GeoCache's are only available when the tide is out :)
i liked the story of ONE brick in a wall that came out to disclose the location of the cache :)
it's a lot of fun! hope you pick it up (hey, great exercise, eh????)
take care
 Signature kate type 1 since 1987 www.diabetic-chat.org www.diabetic-talk.org http://www.diabetes-support.org.uk/newly%20diagnosed.html
Tiger_Lily - 26 Jul 2008 07:05 GMT > "Cheri" <gserviceatinreachdotcom> wrote in news:bP- > dnVVu9Z5M7BfVnZ2dnUVZ_oHinZ2d@softcom.net: [quoted text clipped - 6 lines] > > My family got me one of those GPS thingies. oops.............. and Happy Birthday to you!
 Signature kate type 1 since 1987 www.diabetic-chat.org www.diabetic-talk.org http://www.diabetes-support.org.uk/newly%20diagnosed.html
Nicky - 26 Jul 2008 09:04 GMT >"Cheri" <gserviceatinreachdotcom> wrote in news:bP- >dnVVu9Z5M7BfVnZ2dnUVZ_oHinZ2d@softcom.net: [quoted text clipped - 6 lines] > >My family got me one of those GPS thingies. HAPPY BIRTHDAY!
I got one for my birthday too : ) geocaching is a blast, are you new or an old hand?
Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.4% BMI 25
Donna - 26 Jul 2008 17:32 GMT > geocaching is a blast, are you new > or an old hand? New. I didn't want one and then my son came down and we went yard saling with his leading the way. How cool. I do travel a little and when I go to Phoenix in a few weeks, I'm taking it with me. I might actually go hither and yon while my sister is at work! (I visit her twice a year out there.)
 Signature ~Donna A~ http://www.thesewingdictionary.com
Nick Cramer - 26 Jul 2008 15:23 GMT > "Cheri" <gserviceatinreachdotcom> wrote in news:bP-
> > Happy Birthday Donna!!! What did you do to celebrate?
> I, drumroll please, took a nap! > > My family got me one of those GPS thingies. KEWL! I'm at 34.18 N lat, 118.37 W long
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Ozgirl - 26 Jul 2008 05:20 GMT >> (liek for the next 60 >> years:-) > > Well, I turned 53 today, so if I'm around for 60 years worth of > advice, I'll take you up on that! Happy birthday Donna! Hope its a good one!
Alan S - 26 Jul 2008 07:35 GMT >> (liek for the next 60 >> years:-) > >Well, I turned 53 today, so if I'm around for 60 years worth of advice, >I'll take you up on that! Oops - I missed that. Congratulations!
Following Cheri's reminder, on behalf of Jennifer and hoping this isn't too late:
Birthday Cake
IMPORTANT ANNOUNCEMENT!!! Modern research has determined that "Birthday Cake", ie: A highly decorated sweet flour/fat/sugar based dessert, generally festooned with YOUR name, has NO CALORIES, NO CARBS, AND NO FAT.
Shocking? Sure.
But it appears, the joy felt once a year when we eat a piece of this comestible surrounded by our loved ones immediately dissipates all CALORIES, CARBS AND FAT!
There are a few important caveats:
1. It must be YOUR birthday. 2. You must only have ONE birthday a year. 3. Cake must be consumed AFTER appropriate musical accompaniment ("Happy Birthday" or "For He/She's a Jolly Good Fellow/Person" or the like). 4. Candles, while low carb, low calorie and low fat must NOT be consumed... especially when lit. 5. BEWARE! Foods consumed before and after cake maintain their original carb, fat and calorie count.
This has been brought to you as a public service announcement.
Jennifer
Yes, the "Ice Cream AND Cake" variable was addressed in the study.
Should "Ice Cream AND Cake" be consumed, as separate items, each will release HALF of it's calories, carbs and fats. So an option would be to only eat the HALF that is now CCF-FREE. Determining which half is now CCF-FREE is easy... it's the half closest to you.
As for an "Ice Cream Cake" ie: Baskin Robbins/Haggan Daz/Carvel... normal sized slices fall under the original CCF-FREE study and can be consumed with pleasure.
Hope that clears it up.
Jennifer
Cheers, Alan, T2, Australia. -- Everything in Moderation - Except Laughter. Blog http://loraldiabetes.blogspot.com DLife column http://tinyurl.com/5v74xr http://loraltravel.blogspot.com (The Taj Mahal)
Donna - 26 Jul 2008 17:30 GMT > This has been brought to you as a public service > announcement. My cake had no calories, no carbs, no nothin, and it was damned good. I think I like this study :)
 Signature ~Donna A~ http://www.thesewingdictionary.com
Nick Cramer - 26 Jul 2008 14:56 GMT > "W. Baker" <wbaker@panix.com> wrote in
> > (liek for the next 60 > > years:-) > > Well, I turned 53 today, so if I'm around for 60 years worth of advice, > I'll take you up on that! Happy Birthday, Donna! I'm 20 years older than you and I'll settle for another 32 years!
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Michelle C - 27 Jul 2008 00:46 GMT >> (liek for the next 60 >> years:-) > > Well, I turned 53 today, so if I'm around for 60 years worth of advice, > I'll take you up on that! Happy Birthday! :-)
 Signature Best regards, Michelle C., T2 diet & exercise BMI 21.5
Trinkwasser - 28 Jul 2008 21:40 GMT >> (liek for the next 60 >> years:-) > >Well, I turned 53 today, so if I'm around for 60 years worth of advice, >I'll take you up on that! Hippo birdie two ewes
Michelle C - 25 Jul 2008 18:59 GMT > "Michelle C" <bookbug_35@yahoo.com> wrote in news:g6ajq8$pna$1 > @registered.motzarella.org: [quoted text clipped - 31 lines] > > so yeah, I'm learning that I'm doing something right:) Way to go, Donna! :-) You're doing so well.
You are so fortunate to have a doctor who supports your proactiveness--even enjoys it (some view proactive patients as a threat). I can't imagine how frustrating it must be for doctors to have patients who will not even attempt a lifestyle change.
 Signature Best regards, Michelle C., T2 diet & exercise BMI 21.5
krom - 25 Jul 2008 08:58 GMT Yes in the end its entirely up to you what you will do for your own care and it looks like your doing great..congrats!
KROM
>> A good educator/endo/doc are like gold..glad ya found one who is >> willing to discuss and try things with you. [quoted text clipped - 13 lines] > The group has been at this a lot longer than I have. Like I said, I'm not > going anywhere. I need to learn even more and take care of my body. Nick Cramer - 25 Jul 2008 11:39 GMT > "krom" <thekromremoveremove@hotmail.com> wrote in
> > A good educator/endo/doc are like gold..glad ya found one who is > > willing to discuss and try things with you. > > That's what I thought. My numbers are staying within a very good range > pre, post, 1 hour, 2 hour, and I'm eliminating those foods which do cause > spikes. It's a process. [ . . . ] Donna,
What do you mean by 'within a very good range'? You'll get a lot more information from the group by posting your weight, exercise, diet and readings in relation thereto, on a regular basis.
Take care.
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Donna - 26 Jul 2008 01:28 GMT Nick Cramer <n_cramerSPAM@pacbell.net> wrote in news:20080725063906.192 $fF@newsreader.com:
> Donna, > [quoted text clipped - 3 lines] > > Take care. I do that here and there, but I was in brag mode and didn't post them :)
 Signature ~Donna A~ http://www.thesewingdictionary.com
Trinkwasser - 28 Jul 2008 21:22 GMT >> A good educator/endo/doc are like gold..glad ya found one who is >> willing to discuss and try things with you. [quoted text clipped - 12 lines] >The group has been at this a lot longer than I have. Like I said, I'm not >going anywhere. I need to learn even more and take care of my body. There's good enough for now, and there's good enough for the long term. As you say, it's a process.
Nick Cramer - 24 Jul 2008 10:06 GMT > I had a discussion with the diabetes educator today. She's probably as > proactive as they come. She has a passion for all things diabetes. And, [quoted text clipped - 24 lines] > can "take what you need and leave the rest." I'm definitely sticking > around. Hi, Donna. Now set your own goals! Shoot for <140 at one hour and <120 at two hours. Try not to fail as miserably as I sometimes do.
 Signature Nick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~
Donna - 24 Jul 2008 15:11 GMT Nick Cramer <n_cramerSPAM@pacbell.net> wrote in news:20080724050647.678 $bu@newsreader.com:
> Try not to fail as miserably as I sometimes do. I'm sure I will sometimes too :)
 Signature ~Donna A~ http://www.thesewingdictionary.com
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