Medical Forum / Diseases and Disorders / Diabetes / January 2004
Unexpected hypos
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Katie - 10 Jan 2004 22:11 GMT Hi everyone - I was diagnosed type 1 and have been on insulin since Nov 15, 2003. I take 8 units of Lantus and 8-10 units of Novolog (before each meal.) I am 17 years old and weigh 126 pounds (down from 134 prior to diagnosis.)
I've only had occasional mild hypos until last week. Last week I had 3 hypos at school, 2 were so severe I had to leave class and lay down in the nurses office. I watch my diet real close, and have been eating the same as before. I use the Novolog Flexpens for the Novolog injections. All of the injections last week were from a new pen that I started using last Sunday. Each pen lasts me over a week. I am very careful to do the airshots, and to dial in the right dose. After the first bad hypo, I also have been double checking the dose by looking at the syringe. The doses are always right. Is it possible the Novolog insulin in this pen is stronger than usual? I called my doctor, she said to inject 6-8 units and see if I still get hypos.
Could my insulin requirement be changing? These hypos come on while sitting in class, without any prior exercise. The last time it was real bad, it took a long time to recover, even after taking many glocose tablets.
KT Type 1
Fester - 10 Jan 2004 23:43 GMT > Hi everyone - I was diagnosed type 1 and have been on > insulin since Nov 15, 2003. I take 8 units of Lantus and > 8-10 units of Novolog (before each meal.) I am 17 years old > and weigh 126 pounds (down from 134 prior to diagnosis.)
> I've only had occasional mild hypos until last week. Last > week I had 3 hypos at school, 2 were so severe I had to [quoted text clipped - 10 lines] > I called my doctor, she said to inject 6-8 units and see if > I still get hypos. It could be possible that the insulin is working faster but i doubt it. When you eat do you check your blood sugar 2 hours after? It should be falling down to somewhere between 4 and 7 mmol/l or between 84 and 147 at the two hour mark, if it is lower than you're going to go hypo. You should also test before you eat meals to see how much insulin you really need. If you test before you eat and you're at 84 or lower and then you inject enough food to cover a meal you will go up to a point and then down back to where you started out. If your insulin works faster than your food you may go too low, if you inject a little too much insulin for the food you eat you will also go too low. Are you taking your lantus does 3 times a day? or does that one shot of 8 last you the whole day. What time do you take your lantus dose?
I run the following routine;
6.45 am is breakfast. 2 weetabix and 8 to 12u of novorapid depending on what my morning blood sugar reading is.
I test at 10.00am to see what my blood sugar is. I can then gauge when i need to eat lunch.
12:00pm is lunchtime Chicken and salad sandwich with a sausage roll. I inject 10 to 12u of novorapid depending on what my pre lunch blood sugar is.
I test at 2.00pm to make sure my blood sugar is still where it should be.
6.00pm is tea time I eat whatever i want here, but usually around 40 to 50g of carb. I'll inject accordingly between 10 and 12 u of novorapid depending on what my reading is.
I'll test at 8ish to make sure blood sugar is ok.
I'll test at 11:00pm to see if i need a light snack before i go to bed. A slice of toast for me is usual.
The point is that i don't inject the same insulin every time because my body handles the same meal differently each day. First thing i'd do is talk this through with your nurse or doctor, but if you have a meter and a good supply of testing strips i'd use that to find out what's going on. Why not test just before you've been going hypo and see what your blood sugar is doing. You may find you need a little less insulin at some meal times and more at others.
No one person will need the same insulin and on one person will ever be able to predict exactly what a meal and a fixed level of insulin will do because we just don't know.
What you may find is that because of your age and the fact you're a healthy active woman that you may actually need less insulin than you're using. But as i've said, the only way you will know this for sure and with any degree of accuracy is by testing your blood sugar at regular intervals for a while. Then you may see a pattern emerging. Once you have a rough pattern you can start to work to it. Still testing of course, but maybe just not as frequently as before.
> Could my insulin requirement be changing? These hypos come > on while sitting in class, without any prior exercise. The [quoted text clipped - 3 lines] > KT > Type 1 Sounds like you're dropping very low between meals, as above, you really do need to test so you can see just how low you're going and when it's happening. Then and only then can you start to work out why it's happening and preempt a hypo and also stop them from happening in the first place.
I do hope this is of some help to you, i'm no expert and many have been diabetic longer than me but these are the things that have helped put me back in charge of my life and my diabetes.
Patrick -- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
Stephanie Kolban - 11 Jan 2004 00:33 GMT Katie, Sorry you've had a rather tough time of it lately. It stinks to do the same thing every day, and still have variations in your numbers. As you age, and your body changes, and as your rountines change, your insulin requirements will also change. Currently, my insulin requirements change based on my cycle. Just before and during my cycle, I am not as sensitive to insulin as at other times. Just after my cycle, I am extremely sensitive to insulin. I haven't also been like this. I am sure that at some point in time, this too will change.
If you keep good records, and test often, you will start to see some patterns emerge. Be prepared that as you figure out a pattern, it will change on you : ) About all you can do is test, test, test and be prepared for hypos.
Good luck. Steph
> Hi everyone - I was diagnosed type 1 and have been on > insulin since Nov 15, 2003. I take 8 units of Lantus and [quoted text clipped - 23 lines] > KT > Type 1 Sleepyman - 11 Jan 2004 02:38 GMT >Katie, >Sorry you've had a rather tough time of it lately. It stinks to do the same [quoted text clipped - 13 lines] >Good luck. >Steph Again not being a T1, I am not in the know on certain things, but I often hear about a "honeymoon period". Might that be the problem?
Sleepy
----------------------------------------------- Let's Kick the Right Wing, Out of the West Wing -----------------------------------------------
Stephanie Kolban - 11 Jan 2004 03:31 GMT > >Katie, > >Sorry you've had a rather tough time of it lately. It stinks to do the same [quoted text clipped - 18 lines] > > Sleepy I don't know. I thought about that, especially since Katie was first diagnosed as a T2. I think that it is entirely possible that she may still be producing some insulin. If her injected insulin has given her possibly still functioning pancreas a bit of a rest, then perhaps her pancreas is now producing too much insulin when coupled with her injected insulin. I was diagnosed at 14, and had little to no honeymoon. So, I know next to nothing about honeymoons. If she is in a honeymoon phase, then as she grows older and as her body changes, she will need to adjust her insulin requirements.
Steph
David_G - 11 Jan 2004 04:45 GMT > > >Katie, > > >Sorry you've had a rather tough time of it lately. It stinks to do the [quoted text clipped - 36 lines] > > Steph Katie You were diagnosed in November, so you could be getting lucky with a 'honeymoon Period' It would be lucky for you because that would mean better BG levels for a while with less injected insulin, so less chance of hypos. Also gives you a chance to get used to things like adjusting insulin dose to match exercise or different amounts of food without too much trouble. Then again maybe the hypo's you experienced were due to hormones, or freak fluctuations of insulin sensitivity.
Whatever the reasons for the hypo's last week its a good idea to try and track the activity curve of your insulin and learn to work with it.
I use a small journal to record amounts of food, insulin, exercise and BG level.
Remedy for low BG:
1. Take 'less' insulin and keep an eye on BG readings with your handy dandy BG Monitor. 2. Take your BG Monitor with you and test if you feel you might be hypo, or are feeling strange or weird. 3. Keep plenty of glucose tabs with you at all times.
Hope this helps you.
David_G
Sleepyman - 11 Jan 2004 00:45 GMT >Hi everyone - I was diagnosed type 1 and have been on >insulin since Nov 15, 2003. I take 8 units of Lantus and [quoted text clipped - 23 lines] >KT >Type 1 Hi Katie, Nice to see you posting again! Not being a T1, I can't give you any insulin advice, but I was wondering what your BGs have been like before you inject. About the weight loss, I do know that T1s often lose weight, but is that weight good for you do you think? Of course I know all women think they are fat, and own way to many pairs of shoes...
Sleepy
----------------------------------------------------------- You can tell those republicans sure do like the poor folks, They just keep helping create more and more of them! -----------------------------------------------------------
Colleen - 11 Jan 2004 01:05 GMT > course I know all women think they are fat, <xnip>
and own way to many pairs
> of shoes... > > Sleepy Probably why we're all diabetic. Too many shoes. Damn! c
That
> ----------------------------------------------------------- > You can tell those republicans sure do like the poor folks, > They just keep helping create more and more of them! > ----------------------------------------------------------- Sleepyman - 11 Jan 2004 02:35 GMT I kinda miss the shoe guy, he was great fun!
Sleepy
>> course I know all women think they are fat, > [quoted text clipped - 13 lines] >> They just keep helping create more and more of them! >> ----------------------------------------------------------- ----------------------------------------------- Let's Kick the Right Wing, Out of the West Wing -----------------------------------------------
RK - 11 Jan 2004 03:12 GMT > Hi everyone - I was diagnosed type 1 and have been on > insulin since Nov 15, 2003. I take 8 units of Lantus and [quoted text clipped - 23 lines] > KT > Type 1 Katie, you really need to learn how to dose adjust, while I understand and it's great you want to listen to your doctor exactly. Learning to dose adjust will help you learn "your" insulin sensitivity level. Also yes, your insulin requirements might be changing, you might becoming more sensitive.
Here is the other thing. Novolog starts working about 15mins, peaking iirc about 1.5-2hr and is gone within 4hrs. You also need to learn the activity curve of the insulin you are taking and how "you" react to it.
We are all different, why 6-8u isn't gonna cut it! For me, novolog starts to work in 20mins, I peak at 1:45mins and i get hit again with it's tail around the 4.5hr mark. Like it has to give me that final "humph".
This is why a T1 "should" be close to 180 at the 2hr mark - because by the time the insulin is done working you'll be back to normal, otherwise at 4hrs you risk a hypo. Usually about the 2hr mark I hover at 150-160 - 4hr mark i'm at 110-120.
theres also a little tidbit about the "unused insulin rule" you should look up and learn. the more "you" know about your body, the better off you will be. your doctor isn't the t1 in your body.. you are.
 Signature RK - t1 In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
Katie - 11 Jan 2004 05:06 GMT I did just finish my period. Maybe I am more insulin sensitive because of that, causing the hypos.
The doctor wants me to "dose adjust", but not until I am ready. Now she has me trying to eat specific amounts of carbs, and injecting insulin for these amounts. If I am low before eating or will be exercising a lot, she told me to inject less. I won't be ready to dose adjust until I get real good at estimating the carb amounts in my food. I guess that is the first step, she is taking it one step at a time.
At school, I don't always get a chance to test before injecting and eating. This has not been a problem until this past week. I did test before injecting and eating the time I had the last and worst hypo, I was 115, about right, so I don't think that was the cause.A During the hypo I tested 42, it took 45 minutes to get back to 100.
I don't know anything about this "honeymoon" effect. Maybe I am still making a lot of my own insulin, but it should be decreasing not increasing.
I had the hypos in the same class all 3 times. The teacher in that class is watching me real close, I don't like being singled out for any special attention. I hope it don't happen again.
KT
> > Hi everyone - I was diagnosed type 1 and have been on > > insulin since Nov 15, 2003. I take 8 units of Lantus and [quoted text clipped - 47 lines] > and learn. the more "you" know about your body, the better off you will be. > your doctor isn't the t1 in your body.. you are. Fester - 11 Jan 2004 09:22 GMT > I did just finish my period. Maybe I am more insulin > sensitive because of that, causing the hypos. As a bloke that's something i'm never going to be able to comment on ;)
> The doctor wants me to "dose adjust", but not until I am > ready. Now she has me trying to eat specific amounts of [quoted text clipped - 3 lines] > real good at estimating the carb amounts in my food. I guess > that is the first step, she is taking it one step at a time. It's not that difficult once you get the hang of it. Once you've worked out what foods do what and what your insulin to carb ratio is you can pretty much eat what you like and inject accordingly. What would be your typical meal at school and what time do you eat it?
> At school, I don't always get a chance to test before > injecting and eating. This has not been a problem until this > past week. I did test before injecting and eating the time I > had the last and worst hypo, I was 115, about right, so I > don't think that was the cause.A During the hypo I tested > 42, it took 45 minutes to get back to 100. That's a nice low one ... i wonder what you ate and how much you injected for it, however it may just have been one of those things and unrelated to anything.
> I don't know anything about this "honeymoon" effect. Maybe I > am still making a lot of my own insulin, but it should be > decreasing not increasing. There is a chance it could be fluctuating, i never had much of my own insulin left although it seemed to take me about 5 years from Dx for my insulin requirements to change but the change was minimal.
> I had the hypos in the same class all 3 times. The teacher > in that class is watching me real close, I don't like being > singled out for any special attention. I hope it don't > happen again. > > KT I do know that as a young person at school the last thing you want to feel is different or special and you definitely don't want to feel like one of "THEM" is watching you ;) A most unnerving feeling especially when you're trying to get away with day dreaming and they insist on watching like a hawk. However you can't let this put you off, your best course of action as far as your diabetes care is concerned is to pretend that the only person there is you. If you feel you need to test then test, if it's fine after testing then that's ok. If you need to adjust something like eating more food then you go do just that. Maybe you could go see that teacher and explain very simply that you're not doing in on purpose, just let him / her know that you're a new diabetic and you're having some issues adjusting to your medication and how it works for you. Most people are totally ignorant of what we need to do and why we do it. However most people are more than understanding when they understand a little of what's going on.
You're never going to be rid of hypos, but as you get older you'll be able to spot them coming and take preventative measures before they cause you a problem. Things will sort themselves out and you won't feel like the odd one out forever.
Patrick
T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
Stephanie Kolban - 11 Jan 2004 16:20 GMT Katie,
I suggest that you pay close attention to the time just after you finish your period next month. See if you have the same tendency to drop. Then you will be prepared to lower your insulin dosages, and know that you will be more susceptible to hypos.
I saw another poster's suggestion to carry the canned orange or pineapple juice with you in your purse. I have done this for years. My mother never let me out of the house without OJ in my purse! For me, OJ works very well. Although warm canned OJ may not taste great, it is effective.
Once you begin to adjust your own insulin, it will help you to avoid some of these hypos. Don't worry, you will eventually become proficient at eyeballing your plate and adjusting accordingly. (However, you will always make mistakes. I've been doing this for 21 years, and still mess up.) Another poster mentioned taking your lunch to school as a way to have some consistency in your diet. This is a good idea. Also, be wary of cafeteria food. Sometimes it can be laden with fat. The fat will delay the absorption of the carbs. This can also cause hypos. I've lost count of the times when I have misjudged the fat content, and taken too much insulin. There is nothing more disgusting than eating a good, satisfying meal and then having to eat more (or drink OJ) because your sugars have dropped. It is very frustrating and makes you VERY full!
Steph
> I did just finish my period. Maybe I am more insulin > sensitive because of that, causing the hypos. [quoted text clipped - 105 lines] > strife and > > terrorism. *~*WiseWords - WiseWords4Diabetics - 12 Jan 2004 11:01 GMT > Katie, > ... [quoted text clipped - 5 lines] > Although warm canned OJ may not taste great, it is effective. > ... True about the OJ at room temp. Pineapple or apple juice isn't as bad, and the Pineapple juice has a 2-3 more gms of carbs than the other juices.
Some people prefer flavored punch because it has less acid than the orange juice. The carbs are about the same, but the fruit juice is more nutritious.
Also, the fruit punch seems to only be available in plastic bottles, or those cardboard boxes. When I have safe storage space available, I prefer the apple juice in the box. It is less expensive than the canned juice, and the container holds more than 6 oz. I usually need the larger amount.
The liquid glucose in the tube is also absorbed very fast, but the tubes have a break-away or twist-off cap that may break off in her purse. It is quite a mess to have glucose all over the inside of a purse or briefcase, or backpack. They are good to have around, however. I keep a couple of tubes in a glass candy jar in the kitchen at my house, where they are easily available if needed. I learned my lesson about keeping them in the over-stuffed compartment of my car ! My local diabetes organization used to sell them as a fund-raiser, in a short, easy to carry tube, with a screw on cap,---best design ever, but they stopped doing it after over 40 years. And, it cost less than the commercial stuff. Could be a real money-maker for someone who could finance it. For now, you have to use what is available.
Lastly, I always pick up a few sugar packets when I am in a fast-food restaurant. They are also easy to carry, and the price is right !
*~*WiseWords - WiseWords4Diabetics - 11 Jan 2004 11:21 GMT
> ...This is why a T1 "should" be close to 180 at the 2hr mark > - because by the time the insulin is done working you'll be > back to normal, otherwise at 4hrs you risk a hypo. > Usually about the 2hr mark I hover at 150-160 - 4hr mark > i'm at 110-120. I can't believe what you wrote, especially for someone who was promoting the use of insulin pumps in another thread.
Once, when I suggested that 140 to 180 was normal after a meal, many people put down the idea of having a BG between 140-180. While that is normal and acceptable, on occasion, 180 should not be the goal to strive for, and is not a solution to low blood sugars. Even you said, "usually about the 2hr mark I hover at 150-160." So, why would you tell her that she should be close to 180?
If one gets low from the peak of their fast-acting insulin, then they are taking too much, or not eating enough food. Simple as that ! It is NOT normal to be low from the peak action of Humalog or Novolog.
What she needs to do is to take less pre-meal Novolog, or or eat more food. The insulin adjustment is probably preferable, although some additional non-high carb foods may also be helpful. The biggest problem is consistency at a school cafeteria. Of course, she can always have some extra ketchup for a vegetable serving !!
I know that when I was in school, and even now, if my BG gets too high, even within the so-called "safe-limits" of 160-180, I get tired and find it difficult to stay awake. Sleeping for 40 minutes during class is hardly a solution. During one semester, I had a study hall during first period, and if I had too big of a breakfast, I slept rather than study. Not only was it a waste of time, but it didn't help when I had an English class during first period the following semester. This was in the days before Humalog or Novolog, and taking more Regular insulin would have necessitated a mid-morning snack, which was also impractical at the time. I solved the problem by having a fourth period phys-ed class, which was just before lunch, switched with the first period English class. One advantage to having diabetes is that one can manipulate their own class schedules, to suit their medical needs, if other classes meet at the needed times.
RK - 11 Jan 2004 17:08 GMT Are you a T1 on insulin?
Do you understand and have experienced insulin activity curves?
Are you an active teen?
NO! so STFU! you have NO wise words.
 Signature RK - t1 In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
> > ...This is why a T1 "should" be close to 180 at the 2hr mark > > - because by the time the insulin is done working you'll be [quoted text clipped - 47 lines] > to suit their medical needs, if other classes > meet at the needed times. *~*WiseWords - WiseWords4Diabetics - 12 Jan 2004 10:10 GMT > Are you a T1 on insulin? > [quoted text clipped - 6 lines] > > RK - t1 My medical history is not the topic of discussion, and I take great exception to those who feel it is necessary to list one's medical history on a discussion group where anyone who has read a few posts knows a little about the person making the posts. One's medical details generally come out, as needed, during the course of discussion. Google also has a group search engine that can be searched by the poster's UserName.
Not only am I a Type 1 Diabetic, but I have had this medical condition since the age of 12, and have a great deal of knowledge about what it is like to go through Jr. High or Middle School, High School, & College, as well as making one's way through the real world. I think the answers I gave katie were right on target.
So sorry that you felt the need to sink to the level of nasty comments.
RK - 12 Jan 2004 19:41 GMT wow, if you are a t1, your ignorance is overwhelming
 Signature RK - t1 In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
> > Are you a T1 on insulin? > > [quoted text clipped - 26 lines] > So sorry that you felt the need to sink to the level of > nasty comments. t2_lurking - 11 Jan 2004 03:40 GMT Hey Katie! Nice to "hear" from you again. Sorry to hear you're having trouble. Hope a T1 here can help you out. Don't forget about misc.health.diabetes.
 Signature -- t2_lurking geabbottATabbottandabbottDOTcom Do not mail to t2_lurking (auto-delete) ============================ "Off with her head!' the Queen shouted at the top of her voice. "Who cares for you?' said Alice, "You're nothing but a pack of pixels"! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ New to Diabetes? Go to: http://www.alt-support-diabetes.org *********************************************************
> Hi everyone - I was diagnosed type 1 and have been on > insulin since Nov 15, 2003. I take 8 units of Lantus and [quoted text clipped - 23 lines] > KT > Type 1 *~*WiseWords - WiseWords4Diabetics - 11 Jan 2004 10:28 GMT > Hi everyone - I was diagnosed type 1 and > have been on insulin since Nov 15, 2003. > I take 8 units of Lantus and 8-10 units of Novolog (before each meal.) > I am 17 years old and weigh 126 pounds > (down from 134 prior to diagnosis.) As a fairly new diabetic, things will be changing with regard to the amounts of insulin that you need. However, any changes should not occur overnight. Right now, only 8 units of Lantus is a rather small amount, and may increase over the years, but it is certainly not causing you to be low. The lows are a combination of the fast-acting Novolog and possibly, some insulin still being produced unexpectedly, from your pancreas. You have only been on insulin for less than two months.
The big issue is recognizing a low BG and treating it successfully.
> I've only had occasional mild hypos until last week. > Last week I had 3 hypos at school, 2 were so severe I had to > leave class and lay down in the nurses office. Laying down is NOT recommended, although some nurses don't know squat !
The reason, is that you do feel tired with a low blood sugar, and if you lay down before you have had enough glucose or other carbs to bring your BG back up, you could fall asleep or pass out while the BG gets lower. Don'dodat ! You do need to take a break from other activity, but stay sitting while you wait for the carbs to take effect.
> I watch my diet real close, and have been eating the same as before. > I use the Novolog Flexpens for the Novolog injections. [quoted text clipped - 6 lines] > Is it possible the Novolog insulin in this pen is > stronger than usual? It is possible, but not likely. I don't know what size pen-cartridge you use, but with only 8-10 units of Novolog,(and now less), per injection, it probably lasts for a while, usually unrefrigerated at room temperature. The insulin in the older pen might have been slightly weakened, although this is not supposed to happen.
Consistency in manufacturing of insulin is highly regulated. Sometimes, a new batch may act a little different, but most likely this would be due to storage during transport, if it was exposed to high temperatures. This would not cause it to be stronger. Chances are, your other insulin may have been weaker. Do you store the unopened insulin in a refrigerator? You should do this.
Other factors, such as your monthly period, which someone else mentioned, can play a role in insulin requirements, as well as differences in foods consumed each day. Keeping a diet record for a week or two, with estimated amounts of each food item that you have at school, may help to point out any possible reasons for getting low. If it is possible to take your lunch in a bag from home, only for a week or so, that would allow a consistent diet without changes. Then, you would know if the cafeteria food is a problem. When I was in school, there were some days that I preferred to avoid the cafeteria food, and others when I could tolerate it. You need to learn what works for you. School cafeterias are notorious for doing things that one does not expect. Possibly, you could talk to the dietitian at school to learn more about the carbs, fats, & proteins that come with each meal, or get a weekly menu if you do not already have access to one. That will make planning easier.
> I called my doctor, she said to inject 6-8 units and see if > I still get hypos. Making adjustments to your insulin requirements is a normal part of diabetes management, but not if you are unsure of what to do. After you have diabetes for a longer period of time, your doctor will probably want you to be more in control of fine-tuning needed adjustments to meal/activity schedules. Even one unit will make a difference for you, especially because you are not taking a large number of units. Each unit is very powerful, and doing a lot of work for you. Always test before and after meals with any changes in insulin dosage, to see if you made the correct change, or to put it another way, to see if your doctor guessed right !
> Could my insulin requirement be changing? Absolutely !
> These hypos come on while sitting in class, > without any prior exercise. [quoted text clipped - 3 lines] > KT > Type 1 I am not a big enthusiast of glucose tablets because each one does not have enough glucose, and if your BG is very low, you may need to eat too many before it gets back up. As they are about as soft as rocks, the possibility of biting your tongue or chipping a tooth, especially when one is very low, can be a problem. Maybe you can keep some juice in your locker, which they have to allow you to do, and/or at the nurse's office. The problem with the nurse's office, is that they will want to make that a pattern that can get to be a bit annoying. If you can manage on your own, the nurse will just be there for extra insurance when and if needed.
I suggest carrying one small 6 oz. can of OJ or pineapple juice with you in your purse, along with the glucose tablets. The juice will act quicker, and if you need more, you will still have the glucose tabs. Extra juice can be kept in your locker. The plastic bottles or cardboard boxes with fruit juice or punch may leak or get punctured in your purse. The cans are a little more expensive, but more durable.
Check your BG before class to be sure that your blood is not at the low end of normal. If you start class with it in the lower 70's or even in the 80's, it may drop too low during class. This could be especially true when the fast-acting Novolog is reaching its peak. If problems continue, you could try Humalog to see if the slight differences help. If you also use syringes, you could get one vial, (your doctor should have free-samples---ask if he doesn't offer it), and try it on the weekend at home, and then in school with the syringes, before getting a pen. Some people prefer Novolog, and some prefer Humalog.
Always do an extra test with you meter when in doubt.
Bay Area Dave - 12 Jan 2004 17:47 GMT katie, don't adjust your dosages or timing based on what ANYONE here says. Call your endo and tell them what is happening. YOu should report severe hypos to your doc and have them explain how to correct for that. I could go on and on with suggestions, but that's falling into the realm of giving medical advice. CALL YOUR DOCTOR, instead of relying on the advice of strangers.
I don't really give a flying crap about being flamed, as the flamers are the idiots who give out medical advice.
dave
> Hi everyone - I was diagnosed type 1 and have been on > insulin since Nov 15, 2003. I take 8 units of Lantus and [quoted text clipped - 23 lines] > KT > Type 1 Guy - 12 Jan 2004 18:42 GMT Dave, I agree with you on this. I try to not offer specific advice but general information, We have enough trouble with quickie doctors. I do not want the potential liability and I know I cannot offer a diagnosis with no medical training or patient contact.The exchange of info here is valuable but a substitute for medical care. Guy
>katie, don't adjust your dosages or timing based on what ANYONE here >says. Call your endo and tell them what is happening. YOu should [quoted text clipped - 35 lines] >> KT >> Type 1 Mack - 12 Jan 2004 19:00 GMT >katie, don't adjust your dosages or timing based on what ANYONE here >says. Call your endo and tell them what is happening. YOu should [quoted text clipped - 7 lines] > >dave you are always so angry Dave, and yet everyone is telling her to seek her doctor's advice as well.
go figure.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
>> Hi everyone - I was diagnosed type 1 and have been on >> insulin since Nov 15, 2003. I take 8 units of Lantus and [quoted text clipped - 23 lines] >> KT >> Type 1 Bay Area Dave - 13 Jan 2004 01:34 GMT I'm hardly angry! I just like to give flamers a head's up that they might as well save themselves a few keystrokes. I thought I was doing them a favor... :)
dave
>>katie, don't adjust your dosages or timing based on what ANYONE here >>says. Call your endo and tell them what is happening. YOu should [quoted text clipped - 49 lines] >>>KT >>>Type 1 Fester - 12 Jan 2004 19:35 GMT She was told to adjust it to 6-8 by her doctor and that hasn't worked so she came to see if anyone here had some experience they might be able to share that might shed a little light on the problem. None of us think she should act on our advice, we think she needs to do this with her medical professional. On the basis of your argument i'm wrong to take advice on food from Quentin, wrong to accept advice from oldal on DAFNE, all things i might add have improved my diabetic quality of life no end. Had i listened to the medical professionals i'd still have been on insulatard. This group is here for support, support is what Katie has been offered. Medical advice is given by medical professionals. However you might just about be able to concede that in certain areas and with the wide range of experiences we ALL have and share that there might just be the odd time that we know more about our condition than the experts do. None of us claim to know everything about each part of our condition ... but there will be specialist areas that we've all had practical experience of. Relating those experiences to someone who is having similar problems is what all of us do on a day to day basis in the hope that it can help someone else. Even if all Katie does is read this then go back to her doctor with a new set of questions that she can ask then we've helped.
Last of all, i'm sure the last thing any newly dx'd diabetic needs to see is diabetic infighting amongst the very group they came to for answers and maybe just a little moral support and encouragement. YOU might want to think about that before you go running off with the "knives of the just" out.
When i first posted here that was very much the impression i got of the group, thanks to stone throwing by a small few. To close can you honestly say you've never given advice based your own personal experiences ;) Or do you just get on the high horse when you feel you're on safe moral ground to do so.
Patrick. -- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> katie, don't adjust your dosages or timing based on what ANYONE here > says. Call your endo and tell them what is happening. YOu should [quoted text clipped - 35 lines] > > KT > > Type 1 t2_lurking - 12 Jan 2004 21:35 GMT Thanks Patrick, I thought it was just me.
 Signature
t2_lurking geabbottATabbottandabbottDOTcom Do not mail to t2_lurking (auto-delete) ============================ Well, i dreamed i saw the silver Space ships flying In the yellow haze of the sun -- Neil Young -- ==================== New to Diabetes? Go to: http://www.alt-support-diabetes.org ====================================================
> She was told to adjust it to 6-8 by her doctor and that hasn't worked so she > came to see if anyone here had some experience they might be able to share [quoted text clipped - 70 lines] > > > KT > > > Type 1 Bay Area Dave - 13 Jan 2004 01:37 GMT LIsten all you want about food advice. but to adjust meds based on a stranger's ideas??? THAT'S PATENTLY NUTS! ('course that's just that little voice of REASON that I listen to..) There are too many people giving medical advice on the net. And ALL of them think they've got an inside track to the fountain of medical knowledge. Give me a break!
dave
> She was told to adjust it to 6-8 by her doctor and that hasn't worked so she > came to see if anyone here had some experience they might be able to share [quoted text clipped - 71 lines] >>>KT >>>Type 1 Mack - 13 Jan 2004 08:31 GMT >LIsten all you want about food advice. but to adjust meds based on a >stranger's ideas??? THAT'S PATENTLY NUTS! ('course that's just that [quoted text clipped - 3 lines] > >dave uh dave you really need to a grip on this. this is a diabetic group. changes in diets will directly effect how our meds work. discussing one without the other is dangerous.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
>> She was told to adjust it to 6-8 by her doctor and that hasn't worked so she >> came to see if anyone here had some experience they might be able to share [quoted text clipped - 71 lines] >>>>KT >>>>Type 1 Bay Area Dave - 13 Jan 2004 22:49 GMT of course diet affects how you medicate. we BOTH know that. Discussing how to take meds, is what I find reckless, regardless of the fact that it is tied into the long standing tradition of talking about FOOD here...
dave
>>LIsten all you want about food advice. but to adjust meds based on a >>stranger's ideas??? THAT'S PATENTLY NUTS! ('course that's just that [quoted text clipped - 92 lines] >>>>>KT >>>>>Type 1 Bay Area Dave - 13 Jan 2004 01:39 GMT oh, I forgot to read your last paragraph.
I don't give medical advice. I will mention my personal experiences. there's a vast difference and if you can't distinguish between the too, I'd hardly be surprised...
dave
> She was told to adjust it to 6-8 by her doctor and that hasn't worked so she > came to see if anyone here had some experience they might be able to share [quoted text clipped - 71 lines] >>>KT >>>Type 1 Bay Area Dave - 13 Jan 2004 01:42 GMT oop! :) make that "two"; not "too"... it's been a rough day... <g>
dave
> oh, I forgot to read your last paragraph. > [quoted text clipped - 3 lines] > > dave Fester - 13 Jan 2004 07:46 GMT :P it's a rough life ;) <VBG> -- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> oop! :) make that "two"; not "too"... it's been a rough day... <g> > [quoted text clipped - 7 lines] > > > > dave Fester - 13 Jan 2004 07:45 GMT Actually i can distinguish quite well between the two, I have a degree in english language and english literature, 10 years studying shakespeare and the feeling i have a thesarus / dictionary built into my head allow me to understand these things quite clearly. There is a huge gray area especially when we talk about diabetes. None of us here can say exactly how much insulin a person can need for a given meal, none of us can tell someone what insulin to use and none of us would. However what we can do is comment on how a particular insulin worked for us and how we find certain foods work. On the basis that we might all be different, but we're not THAT different it's fair to say that our opinions do matter as long as we clearly state that's all they are. I still believe that with knowledge comes empowerment, to take control of our own condition and understand it well enough to go ask our respective medical teams valid and pertinent questions. If once in a while we make them think too then that's no bad thing either. Perhaps you need to learn to distinguish between people relating personal experiences and offering medical advice as to date i've seen very few of our more responsible posters offering anything of the sort.
If i ask oldal how he's found a particular insulin / food mix and he tells me, he's explaining how a medical process worked for him, you could almost say he's offering medical advice relating to insulin and food, but what he's not doing is offering ME medical advice about MY condition, that's the difference. Like anything advice must be tempered with some intelligence and a little experience and like cooking tastes better with a pinch of salt.
I agree that people who pose as quacks are dangerous, people who come on here posting rubbish about herbal this and tree hugger that should also be shot in the genitals with frozen peas till they relent and cease spouting rubbish. However i hope that the people who make this group such a worthwhile source of information continue to do so as they have helped me and doubtless many others too. Just because someone has a medical degree does not and cannot mean that they know every single thing about every single one of us, as is proven time and time again there are just as many bad doctors as bad patients, i for one welcome the chance to hear a different view.
Sounds to me like you're born into a generation of ambulance chasers and the politcally correct who seem to exist to put permanent dampers on the good things people do for free. If you think the advice given is medical fair enough, those of us who aren't of such a closed mind and mentality can see the advice for what it is. Advice about medical supplies and the mechanics of how they work enables us all to use our supplies to the best of our advantages.
Tell me about DAFNE dave, tell me how many doctors here in england know about it, tell me how many english T1 diabetics are doing it, tell me how my clinic on hearing about it privately congratulated me on doing it but said that due to lack of training and funding they could provide me with no official support for it as they didn't understand it. What's to understand, it's a refined MDI routine with careful attention to blood sugar and eating and injecting accordingly. Tell me that I should have paid no attention to DAFNE as after all, people handing out advice on medical matters are all wrong aren't they, tell me I should not have gone off and done my own research into something that will add years to my life. I'm telling you that for me and i suspect a good many others the advice given here is good and i for one hope it continues.
Patrick.
-- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> oh, I forgot to read your last paragraph. > [quoted text clipped - 79 lines] > >>>KT > >>>Type 1 Bay Area Dave - 13 Jan 2004 22:38 GMT Patrick,
I didn't find a single thing in your post relating to DM that I'd argue with. One item that could use a bit of comment is that I might be "politically correct". Now THAT'S a hoot! :) I've NEVER been mentioned in the same breath as politically correct! I'm 56 and irreverent as hell. I don't like tree huggers too much either.
I don't see any problems with folks giving their clearly labeled opinions and experiences. But when some newbie posts a question directly related to dosing, timing, or type of meds, then that's a line that shouldn't be crossed by anyone with self restraint. No matter that they think they are doing the OP a favor, I maintain they should keep their traps shut, unless they write to prod the OP to contact his/her physician for guidance. If they don't trust they doc, they should be spending their free time looking for a new one, instead of getting on the net. Course that's just my OPINION!
I don't waste my time entering a pissing contest with the quacks. There are plenty of old-timers here who'll gladly take up THAT battle.
Sure, there is PLENTY of good advice to be gleaned from discussing DM with others so afflicted. There's also a lot of totally clueless BS floating through cyberspace that makes it tough for the uninitiated newbie to separate the wheat from the chaff.
I'm sure that SOMEHOW, studying Shakespeare for a decade has improved your discernment of medical advice vis-a-vis opinion. :)
Cheers.
dave
> Actually i can distinguish quite well between the two, I have a degree in > english language and english literature, 10 years studying shakespeare and [quoted text clipped - 202 lines] >>>>>KT >>>>>Type 1 Fester - 13 Jan 2004 23:45 GMT > Patrick, > [quoted text clipped - 3 lines] > in the same breath as politically correct! I'm 56 and irreverent as > hell. I don't like tree huggers too much either. Wwe have a couple of things in common barring age ;)
> I don't see any problems with folks giving their clearly labeled > opinions and experiences. But when some newbie posts a question [quoted text clipped - 5 lines] > spending their free time looking for a new one, instead of getting on > the net. Course that's just my OPINION! I agree to a point, and we're both entitled to one ;) However when someone posts a question in a public forum that tells the rest of us that they are after some information, if nothing else something to be able to go back to an Endo with. However when that Endo simply says reduce dosage that doesn't explain how or why this would be nescessary. You should treat the cause not the symptoms.
> I don't waste my time entering a pissing contest with the quacks. There > are plenty of old-timers here who'll gladly take up THAT battle. Not me ... i'll get what i need from them and balance that info with advice and info from elsewhere.
> Sure, there is PLENTY of good advice to be gleaned from discussing DM > with others so afflicted. There's also a lot of totally clueless BS > floating through cyberspace that makes it tough for the uninitiated > newbie to separate the wheat from the chaff. True enough but it's only by personal experience that any of us learn and it's only by sharing our own experiences that others can learn as we've had to. I don't deny that it's good to boot ideas around the public forum so that they can be refined and balanced by all who read and post, but i'd like to think that BS was killed off by us as required, I don't believe for one minute that any of the advice offered thus far is classable as BS.
> I'm sure that SOMEHOW, studying Shakespeare for a decade has improved > your discernment of medical advice vis-a-vis opinion. :) > > Cheers. > > dave All learning english for too many years did was allow me the ability to pontificate as well as most 56 yr olds whilst being of much younger years ;) As it happens, most of the medical advice i've recieved so far has been years behind what i've gleaned from here. Doesn't exactly instill confidence in the system.
Patrick. -- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
t2_lurking - 14 Jan 2004 00:02 GMT Geez should I get you guys a room?
8))
> > Patrick, > > [quoted text clipped - 58 lines] > T1 Dx'd 1993. > 26u Lantus and as much novorapid as my meter says i need Bay Area Dave - 14 Jan 2004 04:20 GMT jealous? :)
dave
> Geez should I get you guys a room? > [quoted text clipped - 83 lines] >>T1 Dx'd 1993. >>26u Lantus and as much novorapid as my meter says i need Fester - 14 Jan 2004 06:44 GMT He's mine ...and ain't he fine ;) And i want to know if you're lurking hoping to see something lol
-- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> jealous? :) > [quoted text clipped - 87 lines] > >>T1 Dx'd 1993. > >>26u Lantus and as much novorapid as my meter says i need Mack - 14 Jan 2004 12:19 GMT >Geez should I get you guys a room? make sure it's a padded one.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
>8)) > [quoted text clipped - 67 lines] >> T1 Dx'd 1993. >> 26u Lantus and as much novorapid as my meter says i need Bay Area Dave - 14 Jan 2004 04:19 GMT Patrick,
I'll go out on a limb and say that most folks consider health care to be "broken" on both sides of the pond. From what I've read of problems getting care in Europe, I guess as bad as it is here, it's a lot worse for folks outside the U.S. I sympathize with your poor standard of care. Here good to excellent care is possible, with good insurance and being proactive in finding the "right" caregiver. Off the top of my head, I'd say that about 30-50% of the doctors I've seen (in various specialties) are deficient in resolving a problem. When we get to DM care, I've had 4 technically excellent endos, 1 that I fired while in the hospital for surgery, 1 that thought my beef insulin allergy was due to "nerves", 1 idiot (stupid me put up with him for about 10 years) who wouldn't put me on a pump and thought that running 250+ constantly was ok. So let's see here, 3 out of 7 were flakes.
dave
Fester - 14 Jan 2004 06:44 GMT Care here is ok .. in that we don't pay for it as such. I get all my supplies free ( not hassle free ) the challenge for me is getting the doctors to understand what i want and not question it because they *think* what they learnt in med school 20 years ago still applies.
Endo / Dietcicians make some changes to my insulin, get me on novorapid and lantus. Send me off telling me to test 4 times daily. I get to the doctors who writes out the prescription, he won't prescribe that many strips at once as he believes it's a sign of poor control. No matter i dropped from 11.7 to 8.3 in 2 months .....
So i get the test strips 200 a month after a 6 week battle which ended up in me complaining to our local health trust. my Doctor, and the Endo. Letters get written and finally i can have them, not once do i hear sorry from the Doctor for the trouble. I won't change him because all i use him for is a signature on my prescription, do i feel he knows less than me ... in DM care damned right i do.
I then go away armed with my new drugs but frankly little idea of how powerful they can be when used correctly, so i wander back to these groups where i hadn't been for about 5 years and i now wish i'd never left but there you go. On coming here i learn about DAFNE, Carb counting, insulin resistance, diet control, portion control, insulin to carb ratio and god knows how many other things that my doctor knew nothing of, the local Endo knew of but couldn't tell me as he'd not been officically trained, the dietician thought i was talking crazy man talk and shrugged her shoulders saying "you seem to know best" and that was my DM training for an MDI routine.
I have no problem with the medical profession for the general day to day health care, flu , coughs, colds that kind of thing, but anything to do with diabetes i simply don't trust a word they say. The only person i will listen to is the Endocriniologist but when even they are ten years behind some of the leading UK Diabetes centres you have to wonder just who is in charge of who. Like the US we have different ideas of care depending on which county you're in ( like your states ) and as such you can travel 50 miles in any direction and get totally different levels of care. You'd think on an island this size we'd all be banging to the same drum but sadly that's just far too organised because we english love to do things the hard way.
Despite all that i'm still fairly happy with what i've achieved and take great delight in pointing out to my "care team" that the ONLY reason for me being a better diabetic is because i went away and researched exactly what i needed to do to be one. Yes they gave the drugs, yes they gave me a kick up the a.s for running crap numbers, they did let me run those numbers for 2 years without mentioning what the Hba1c tests came back as but what they couldn't do was supply me with any of the relevant, current and useful information that people like Al on the uk group, oldal here, RK, you name them .... they've all done far for me than the NHS. When i go back to my local doctor for my hba1c and stuff, he won't discuss my diabetes at all with me, in fact he won't even look me in the eye which i find quite amusing ;)
Patrick
-- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> Patrick, > [quoted text clipped - 13 lines] > > dave Pete - 14 Jan 2004 14:19 GMT >Care here is ok .. in that we don't pay for it as such. I get all my >supplies free ( not hassle free ) the challenge for me is getting the >doctors to understand what i want and not question it because they *think* >what they learnt in med school 20 years ago still applies. I am lucky in that respect, I get no hassle at all. No shortage of meds or test kit and if I think I need a specific test I book an appointment and provided my reasons are sound - it happens. I have no complaints really.
>Endo / Dietcicians make some changes to my insulin, get me on novorapid and >lantus. Send me off telling me to test 4 times daily. I get to the doctors >who writes out the prescription, he won't prescribe that many strips at once >as he believes it's a sign of poor control. No matter i dropped from 11.7 to >8.3 in 2 months ..... My doc queried my use of test gear but when he saw that I was capable of producing desired results he agreed that in my case it was worth the expense. It is not always the case.
>So i get the test strips 200 a month after a 6 week battle which ended up in >me complaining to our local health trust. my Doctor, and the Endo. Letters >get written and finally i can have them, not once do i hear sorry from the >Doctor for the trouble. I won't change him because all i use him for is a >signature on my prescription, do i feel he knows less than me ... in DM care >damned right i do. My doc admits his limitations with regard to diabetes but he always responds to a question he cannot answer with "I don't know but I will find out" which he does either there and then or phones me later. Not many like him IME.
[snip]
>Despite all that i'm still fairly happy with what i've achieved and take >great delight in pointing out to my "care team" that the ONLY reason for me [quoted text clipped - 9 lines] >;) >Patrick <VBG> That's the way to do it mate..............after all, they are there to work or you and paid by you for that priveledge. Sometimes they loose sight of that fact. I liken your experience [and mine to a degree] to car insurance.....[never made a claim in my life so I think that since I am a damn good risk as far as they are concerned, my premiums should reduce year on year] a controlled diabetic with the capacity to maintain his condition to the best degree that he can is a good prospect as far as the medical services are concerned. Less of a risk for future expense and therefore it is worth spending that little extra to provide you with the necessary to assist you. Short term expense to save future outlay. Got to be the way to go. As far as your doc is concerned you are taking a lot of weight of his shoulders and he should appreciate that. By comparisson at least he need not worry about your sittuation as much as he might about others.
JMO
Pete
Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide + Asprin 210lbs at Dx to BMI 166lbs achieved. To mail: aspen at freeuk.com
Bay Area Dave - 14 Jan 2004 15:40 GMT Patrick,
From your description of your endo, I'm beginning to think that maybe the bozo that I had for over 10 years has a twin brother in the UK. He gladly let my A1c hover around 11 for years. I'd ask about how to deal with very high AM bg's and he couldn't come up with anything in all those years, which is why I suspected I needed to get off MDI. Seems I was right; as soon as I got a pump I was able to tame the dawn phenomenon. BTW, I get 600 strips and month, and my wife gets 400. I used to get 800 a month when my bg's were totally out of control. Even now, if I get too high I'll check repeatedly until it comes down to normal. It would be great if a reliable continuous glucose monitor comes to market that won't irritate the skin, has alarms for rapidly changing bg's and over and under target bg's. My wish is that they can do all this without the need for frequent replacement of "consumables" such as strips or sensors.
...my bozo endo ALSO wouldn't look me in the eye. <g>
dave
> Care here is ok .. in that we don't pay for it as such. I get all my > supplies free ( not hassle free ) the challenge for me is getting the [quoted text clipped - 72 lines] >> >>dave Fester - 14 Jan 2004 16:43 GMT I'm doing quite well on MDI .. and to be honest i don't think a pump is for me whilst the current regieme works. That may of course change over time but not with my current medical team. I've just managed to get 200 strips a month and that has taken me nearly 2 months of arguing and complaining. Roll on progress and as you say some kind of continuous testing device.
-- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> Patrick, > [quoted text clipped - 93 lines] > >> > >>dave Pete - 14 Jan 2004 14:19 GMT >Patrick, [snip]
>From what I've read of problems getting care in Europe, >I guess as bad as it is here, [snip]
>dave Comment:
That is correct, certainly in UK. However, the rest of what you call Europe [I prefer not to class the UK as part of it although geographically it is] have quite high standards - no doubt with their own problems - but opperate on a completely different basis than we do in the UK. There are a number of cases of UK citizens who have to go to France or Germany for surgery because of waiting lists or unavailability of certain procedures. It is becoming commonplace and now the NH system actually condones some cases 'going abroad' and pays for it. Recently [last few days] the Government announced that they were actively recruiting Dentists from Scandanavia and the Benelux countries to offset a lack in the UK. In my area all dentists are private and there is only one who opperates under the NHS system. He is a damn butcher so I have to pay private. Having said that, its like anything else, you have to know the system and when you do well enough then you can usually find an easier route to getting sorted out.
Just my opinion.
Pete
Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide + Asprin 210lbs at Dx to BMI 166lbs achieved. To mail: aspen at freeuk.com
Lance-A-Lot - 14 Jan 2004 17:00 GMT <snip>
> That is correct, certainly in UK. However, the rest of what > you call Europe [I prefer not to class the UK as part of it > although geographically it is] have quite high standards - <snip>
Pete,
Question about the term "UK". I always thought that the UK was England and a few other countries (Ireland, Scotland, ...) It doesn't matter if it's in Europe or not since my world map shows it all as Europe. Seriously - I'm asking 'cause I want to know, and don't. Thanks.
 Signature Steve, T2 since 9/29/03
Sleepyman - 14 Jan 2004 23:39 GMT ><snip> > [quoted text clipped - 10 lines] >Europe or not since my world map shows it all as Europe. Seriously - I'm >asking 'cause I want to know, and don't. Thanks. UK is England, Scotland, Wales and (presently) Northern Ireland . They all have certain local autonomy.
Sleepy
----------------------------------------------- Let's Kick the Right Wing, Out of the West Wing -----------------------------------------------
Lance-A-Lot - 15 Jan 2004 04:07 GMT > UK is England, Scotland, Wales and (presently) Northern Ireland . They all > have certain local autonomy. [quoted text clipped - 4 lines] > Let's Kick the Right Wing, Out of the West Wing > ----------------------------------------------- Thank you :-)
 Signature Steve, T2 since 9/29/03
Sleepyman - 15 Jan 2004 07:22 GMT >> UK is England, Scotland, Wales and (presently) Northern Ireland . They all >> have certain local autonomy. [quoted text clipped - 6 lines] > >Thank you :-) If you really want to get confused, try to figure out the Commonwealth of Nations. (Not sure if that is the *official* name)
Sleepy
----------------------------------------------- Let's Kick the Right Wing, Out of the West Wing -----------------------------------------------
Pete - 15 Jan 2004 08:49 GMT >>> UK is England, Scotland, Wales and (presently) Northern Ireland . They all >>> have certain local autonomy. [quoted text clipped - 10 lines] >Nations. (Not sure if that is the *official* name) >Sleepy I can understand how you would be confused by that term 'Commonwealth'. Try reading it literally. ie: Common - for the benefit of wealth for those involved. That is common procedures, ideas, methods, concepts ............an association of likeminded individual componets. Pretty much like the Commonwealth of Diabetics......do get a life
HTH
Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide + Asprin 210lbs at Dx to BMI 166lbs achieved. To mail: aspen at freeuk.com
Mack - 15 Jan 2004 18:00 GMT >>> UK is England, Scotland, Wales and (presently) Northern Ireland . They all >>> have certain local autonomy. [quoted text clipped - 11 lines] > >Sleepy No harder than figuring out any commonwealth in the USA.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
Sleepyman - 15 Jan 2004 23:06 GMT >>>> UK is England, Scotland, Wales and (presently) Northern Ireland . They all >>>> have certain local autonomy. [quoted text clipped - 15 lines] > >Mack When you figure out Massachusetts, please let me know!
Actually my reference was more to why a group of former colonies that stay in a loose confederation, still honor the regent of the country that formerly held them. I realize that the concept hadn't been conceived when we broke away, but can you imagine US citizens saying "God Bless the Queen"? I can't.
Sleepy
----------------------------------------------- Let's Kick the Right Wing, Out of the West Wing -----------------------------------------------
Mack - 16 Jan 2004 13:56 GMT >>>>> UK is England, Scotland, Wales and (presently) Northern Ireland . They all >>>>> have certain local autonomy. [quoted text clipped - 26 lines] > >Sleepy I can, but I think the Brits and their Queen would be slightly offended by where I've heard it.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
Fester - 16 Jan 2004 23:35 GMT Brits .. i do hate that term, probably as much as you folks hate us referring to you as "Yanks" etc etc:)
-- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> >>>>> UK is England, Scotland, Wales and (presently) Northern Ireland . They all > >>>>> have certain local autonomy. [quoted text clipped - 38 lines] > of Israel, two bastions of strength in a world filled with strife and > terrorism. Ozgirl - 16 Jan 2004 23:50 GMT > Brits .. i do hate that term, probably as much as you folks hate us > referring to you as "Yanks" etc etc:) Pommies is better? ;)
Mack - 17 Jan 2004 00:52 GMT >Brits .. i do hate that term, probably as much as you folks hate us >referring to you as "Yanks" etc etc:) only people from the south east coast would have a problem being called a Yank.
since you are part of the UK should we say UKs?
pronounced Uhcks.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
Sleepyman - 17 Jan 2004 20:50 GMT >>Brits .. i do hate that term, probably as much as you folks hate us >>referring to you as "Yanks" etc etc:) [quoted text clipped - 7 lines] > >Mack You would have to extend that aversion to all of the old confederacy, plus Boston.
Sleepy
----------------------------------------------- Let's Kick the Right Wing, Out of the West Wing -----------------------------------------------
Sleepyman - 17 Jan 2004 20:48 GMT >Brits .. i do hate that term, probably as much as you folks hate us >referring to you as "Yanks" etc etc:) I don't particularly care for the term Yanks, especially being from Boston (but that's another story) however if it comes from a foreigner, its an "oh well no big deal" Just wondering what you find objectionable about the term brits? I always thought of it as just a shortening of the word British. Not trying to start a flame war here. I am just wondering.
Sleepy
----------------------------------------------- Let's Kick the Right Wing, Out of the West Wing -----------------------------------------------
gman99 - 17 Jan 2004 21:21 GMT dont@bother.com wrote:
> >Brits .. i do hate that term, probably as much as you folks hate us > >referring to you as "Yanks" etc etc:) [quoted text clipped - 6 lines] > > Sleepy I beleive most Irish, Welsh or Scottish do not like being called British as it all translates to being English....almost as bad as mistaking a dutchman for a german....made that mistake once....didn't go over well.
Colleen - 17 Jan 2004 22:17 GMT > dont@bother.com wrote: > > [quoted text clipped - 12 lines] > it all translates to being English....almost as bad as mistaking a dutchman > for a german....made that mistake once....didn't go over well. Or a Dane for a Swede. c
Lance-A-Lot - 18 Jan 2004 01:28 GMT > > dont@bother.com wrote: > > > On Fri, 16 Jan 2004 23:35:21 -0000, "Fester" <fester@deadspam.com> [quoted text clipped - 19 lines] > Or a Dane for a Swede. > c Or a Polynesian for Korean Or a Blonde for a Brunette...
 Signature Steve, T2 since 9/29/03
Pete - 15 Jan 2004 08:46 GMT >> UK is England, Scotland, Wales and (presently) Northern Ireland . They all >> have certain local autonomy. >> Sleepy
>Thank you :-) ** local autonomy.*
Typical from you. Another case of imparting incorrect information. The description is totally incorrect and if you did not intend as a troll bait, then it clearly identifies your inability to grasp a subtle concept and a certain amount of bigotry. But then this is your style eh? Short sharp statements that are basically incorrect.
LOL
FUT
Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide + Asprin 210lbs at Dx to BMI 166lbs achieved. To mail: aspen at freeuk.com
RK - 13 Jan 2004 04:26 GMT *waving hands in air*
errr thats clapping
 Signature RK - t1 In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
> She was told to adjust it to 6-8 by her doctor and that hasn't worked so she > came to see if anyone here had some experience they might be able to share [quoted text clipped - 70 lines] > > > KT > > > Type 1 Mack - 12 Jan 2004 18:16 GMT >Hi everyone - I was diagnosed type 1 and have been on >insulin since Nov 15, 2003. I take 8 units of Lantus and [quoted text clipped - 23 lines] >KT >Type 1 1st is the doctor treating you and endocrinologist?
second, seeing your age and how long you have been type 1, you may still being what is called a "honeymoon phase". This is a period of time where your body is still making some insulin, and never at a predictable rate, and making it difficult to get your correct doses on a consistent basis. Or you could be miss calculating your novolog and amounts of carbs you are eating. I never had any kind of control when trying to use the same doses all the time. I have to match my novolog dose to my carb intake per meal. A good endo can teach you how to o this correctly and safely. Also at your age your body is going through puberty and this makes BG control very difficult for many type ones. The advice of an experienced endo is very important at this stage of development.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
Katie - 14 Jan 2004 03:48 GMT I havn't had any more hypos since my origional post.
I got to talk to my doctor (endo) yesterday. She discounted the possibility of stronger insulin in the pen. The pen was the 3rd one in a batch batch of 5, they are stored in the refrigerator until use. I even store the one in use in the refrigerator overnight and take it out in the morning. She said it was possible that my period caused me to be more sensitive to insulin or caused me to produce more of my own insulin. She said I was still producing quite a bit of my own insulin, between 25% and 75% of my requirements. She said she expected this to decrease over the next 1-5 years to near zero. She said it would be very hard to acheive good BG control without having occasional hypos during this period. I guess this is what is called the "honeymoon" period.
I got some Insta-Glucose tubes of liquid glucose. Doctor said these would work faster than tablets. I will be watching for early signs of hypos, expecialy after the noon meal at school.
KT
Bay Area Dave - 14 Jan 2004 04:21 GMT Katie, test, test, test!
dave
> I havn't had any more hypos since my origional post. > [quoted text clipped - 19 lines] > > KT Fester - 14 Jan 2004 06:48 GMT I agree, your meter is both your friend and your lifesaver. Learn to stick two fingers up to people who stare or wonder what you're doing. I test at least 4 times a day and sometimes 6 or more, it all depends on what i've been doing and it doesn't matter to me where i am. If you test you will know what your blood sugar is, even people like Mack who've been diabetic for a LONG time will still test because even after that long ( sorry matey don't mean to call you old:P ) you still just can't be 100% sure and for most T1 diabetics on multiple daily injections 75% sure is just not sure enough.
Patrick -- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> Katie, test, test, test! > [quoted text clipped - 23 lines] > > > > KT Mack - 14 Jan 2004 12:25 GMT > I agree, your meter is both your friend and your lifesaver. Learn to stick >two fingers up to people who stare or wonder what you're doing. I test at [quoted text clipped - 6 lines] > >Patrick actually I test more now after being type for 22+ years than when I was Katie's age. I test no less than 8 times a day often more,
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
Fester - 14 Jan 2004 16:41 GMT I'm fast coming around to this way of testing. It's working far better than i though it would.
-- T1 Dx'd 1993. 26u Lantus and as much novorapid as my meter says i need
> > I agree, your meter is both your friend and your lifesaver. Learn to stick > >two fingers up to people who stare or wonder what you're doing. I test at [quoted text clipped - 18 lines] > of Israel, two bastions of strength in a world filled with strife and > terrorism. Hi_Therre - 14 Jan 2004 22:00 GMT >> I agree, your meter is both your friend and your lifesaver. Learn to stick >>two fingers up to people who stare or wonder what you're doing. I test at [quoted text clipped - 9 lines] >actually I test more now after being type for 22+ years than when I >was Katie's age. I test no less than 8 times a day often more, What do your finger tips look like?
_____________________________________________ http://www.tcainternet.com/retired/index.html
Mack - 15 Jan 2004 17:59 GMT >>> I agree, your meter is both your friend and your lifesaver. Learn to stick >>>two fingers up to people who stare or wonder what you're doing. I test at [quoted text clipped - 11 lines] >> >What do your finger tips look like? like anyone who dose not test. I use soap and water no alcohol, and I use a finger cream containing tea tree oil. works great. no bruising.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
Mack - 14 Jan 2004 12:21 GMT >I havn't had any more hypos since my origional post. > [quoted text clipped - 12 lines] >period. I guess this is what is called the "honeymoon" >period. yep, that's the honeymoon, without any of the fun stuff.
>I got some Insta-Glucose tubes of liquid glucose. Doctor >said these would work faster than tablets. I will be >watching for early signs of hypos, expecialy after the noon >meal at school. > >KT yea they do work faster but they are single use tubes. I keep both on hand at work now.
Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org
In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
t2_lurking - 14 Jan 2004 16:57 GMT I have to say I'm thrilled that you have a Dr. that really seems to be on top of things. A real bonus for you.
 Signature -- t2_lurking geabbottATabbottandabbottDOTcom Do not mail to t2_lurking (auto-delete) ============================ "Off with her head!' the Queen shouted at the top of her voice. "Who cares for you?' said Alice, "You're nothing but a pack of pixels"! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ New to Diabetes? Go to: http://www.alt-support-diabetes.org *********************************************************
> I havn't had any more hypos since my origional post. > [quoted text clipped - 19 lines] > > KT
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