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Medical Forum / Diseases and Disorders / Diabetes / August 2005

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Bonita - 16 Aug 2005 17:47 GMT
just have to...

I tried the 'no insulin' method...tried new meds, tried and tried, and
kept trying, but I was stupid, so stupid.  My blood sugars have been
running an average between 350 and 550, a deadly amount.

And you'd think the thought of losing my feet/legs or eyesight or
kidneys, etc would scare me enough to do whatever it takes to control
this disease, but it didn't.

What did scare me was that my right thumb starting drying up and
cracking painfully, withering is what it looked like, and I'm right
handed.  The idea that I could lose fingers instead of toes terrified
me.  So, the upshot is that I went back on insulin three days ago.

In two days, I regained ten of the pounds I'd lost since going off
insulin about four months ago.  But losing fifty pounds in four months
without insulin...well, I guess I wanted to lose weight more than I
wanted to live because living at that weight, with all that pain, the
depression, it wasn't a life.

I think my pancreas has given out, I really do.  I'm finding that I
need to shoot short acting insulin before I eat anything, and my body
and blood sugars are almost normal.  The first day I went back on
insulin, my sugars dropped from 527 down to 92, and I awoke with a
fasting blood sugar the next morning of 128.  I didn't even have to get
up in the middle of the night to go potty last night.

I'm going to find an endo today, but I'm committed to this insulin
thing (have to, no other choice apparently), and since I don't want to
balloon up again in weight, I'm going to watch what I eat and exercise
so I don't do what Kate calls, 'feeding the insulin'.  That I awoke
this morning to find I'd lost two of those pounds gained gave me hope.
And even though I went through two serious hypos yesterday, I have to
take this insulin, so I have to find a way.  I feel like I"m stumbling
along trying to find my way in the dark again, but at least I'm up and
moving, not collapsing and giving up.

So what does a T2 do when they find they're facing either pancreatic
insuffiency or outright failure?  This is a whole new ballgame now, one
I don't know how to play.

Bonita

last A1C, 13
taking 60 units N twice a day
20 units R, 3 times a day
(this might change, I'm winging it here)
Loretta Eisenberg - 16 Aug 2005 18:34 GMT
Bonita, how are you.  I am glad that you made the decision to do the
insulin,  I wonder how you felt with numbers near five hundred.  It
seems to me that I wouldnt be able to get out of bed.

I believe that if types twos get to the point that med is not doing it,
they go on insulin.

Weight is not healthy we all know that, but having those high numbers is
so much worse,  I can just imagine withered fingers.

Loretta

--
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.
Bonita - 17 Aug 2005 04:39 GMT
my daughter, now eighteen and already married, was so entirely rude to
me this afternoon (was funny in all actuality), but she tucked her hand
up onto her shoulder and beneath her tee shirt, then waved her elbow
around and called me stumpy.

Must not use swear words.

I laughed first at her and then at myself, albeit, I am glad that
something woke me up to reality.

Big hugs.

Bonita
Diana - 17 Aug 2005 04:43 GMT
My daughter calls me her Pop N Fresh dough mommy but she is overweight too
and beautiful. We tease each other and get onto each other over our weight.
If she ever did it and not be joking she is never too old or big to be
whooped by her momma LOL

> my daughter, now eighteen and already married, was so entirely rude to
> me this afternoon (was funny in all actuality), but she tucked her hand
[quoted text clipped - 9 lines]
>
> Bonita
Loretta Eisenberg - 17 Aug 2005 15:59 GMT
Bonita, I dont think that anyone has the right to make jokes on another
persons back.  As mothers we love unconditionally and therefore
especially daughters think they can get away with it.  I would never
tolerate that behavior from my daughter.

I had an experence when I went away with my daugther for a couple of
days.  She was constantly picking and watching every move I made and
everything I did.

Finally I said to her that I wasnt having a good time,  That I find that
I wasnt being treated with respect and civility. That I hadnt died so
therefore she hasnt become the mother.  I said if she doesnt stop, i
wnat to go home.  She must have been shocked because she was the most
darling girl after that.

I watched a show on pbs aboujt mothers and daughters.  I forgot the name
of the doctor but she said that although we love our children
unconditionally and they know it, it is not right to disrespect us.
They didnt give birth to us, we gave birth to them.

I got the wakeup call when I saw the look on my daughtes face saying
what happened tomy mother , she is old and decrepit.  but she never
verbalized it.  I personally would not accept it.  children dont have
the right to make their parents cry.

off the soapbox

Loretta

--
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.
Bonita - 18 Aug 2005 19:14 GMT
Loretta, you are so right on so many levels.

Just this year, I kind of declared my own independence, that yes, I can
still be your mother, but no, I'm not a floormat to wipe your feet on.
Both my kids are grown, and they were both giving me heck one day about
a year ago.  I finally spoke up for myself and said to them (with con
mucho gusto), "Get this straight, kids!  Your father and I live here,
while you're just passing through."

I then changed the banner on my cordless phone to read 'Bonita is #1',
to remind me that I have a place in this world too, and I bought myself
a laptop like I"ve been wanting to do for years.  Then for Christmas, I
bought my husband a laptop.  The kids had a good Christmas, but I spent
more on myself and my husband than them for a change.

It was up to me to set the boundaries, and I never did that effectively
before.  So far I love being in my forties.  It's a real good time to
discover oneself.  And I love it when you climb onto your soapbox
because 9 out of 10 times, you're right on the mark.

Hugs,

Bonita
Diana - 18 Aug 2005 19:42 GMT
Bonita, words can not describe how proud I am of you. Yes you are # 1 and I
am glad you have come to see that finally. Our kids are our life but in
order to care for them we need to care for ourselves first. Congrats
sweetheart on the achievements you have made thus far.

> Loretta, you are so right on so many levels.
>
[quoted text clipped - 19 lines]
>
> Bonita
Grandpa Chuck - 18 Aug 2005 20:46 GMT
>Loretta, you are so right on so many levels.
>
[quoted text clipped - 19 lines]
>
>Bonita

That is just plain fantastic!

You have now discovered the how good the forties can be.

The fifties can be even better and the sixties can be absolutely
fabulous.

IOW, living life a day at a time and doing the best you can every day
leads to a wonderful meaningful life.

Keep going the way you are headed now.

Take care and be well.

--

Grandpa Chuck
-ô¿ô-
 ~
Diana - 16 Aug 2005 19:18 GMT
Bonita, I don't have any answers for you as I too don't do what is right for
me. Actually I guess I have been trying harder but still not doing exact. I
found to be in very early stage of renal failure and am told that getting
into control now would stop it in its track. If you ever need me to listen I
am here for you. I take a while to answer sometimes and sometimes I forget
but I will be here as much as I can be. You can reach me at
newlifespromiseNO@SPAMmsn.com  remove the capital letters and then I will
send you my regular email address where I am always at.

Take care lady and please try hard to gain control for your family and for
yourself. I am hanging in here with you and I love you dear friend. I am
glad you always come here and let us know how you are doing.

Love and Hugs
> just have to...
>
[quoted text clipped - 44 lines]
> 20 units R, 3 times a day
> (this might change, I'm winging it here)
Bonita - 17 Aug 2005 04:50 GMT
I do infinitely better when hanging out here.  Not only is most of the
advice good, the intentions are even better.  I miss my friends is what
I'm trying to say using 20 dollar words.

I remember oh so long ago, when you and Jude were trying to help me get
'this thang'.  I wish I'd have listened.  Wouldn't be talking about
several more years down the road and much worse off than before.  If
there's anything we can tell newcomers to this disease is to 'take it
seriously'.  There is no way anyone can go too far in combatting
diabetes, but not enough won't come close to cutting it and it will
progress in ever more deadly steps.

So, Di, sweety...let's get this thing now, okay?  Let's not end up on
dialysis with your legs lopped off and my fingers gone (honestly, I
thought...how would I type...how would I turn the pages in a book...how
would I operate that damn remote to the TV)...let's not get any worse,
shall we?

You know I love you and miss you.  I won't let shame make me hide
anymore.  Tonight I messed up on my tight diet control just a tad...but
then was fighting a hypo of 60.  Four days ago, I was being blase about
527.

hugs and kisses and warm thank you's

Bonita
Cheri - 16 Aug 2005 20:14 GMT
Bonita it's good to see you back and posting. I believe the groups help
so much with day to day management and after you've seen your endo, keep
posting and let us know what's going on on a daily basis if possible.
Best to you.

--
Cheri

Bonita wrote in message

>So what does a T2 do when they find they're facing either pancreatic
>insuffiency or outright failure?  This is a whole new ballgame now, one
[quoted text clipped - 6 lines]
>20 units R, 3 times a day
>(this might change, I'm winging it here)
Bonita - 17 Aug 2005 04:59 GMT
hey Cheri, thank you for the warm welcome, and yes, I agree that until
they find a way to bottle and sell this newsgroup, it's the only place
I've been able to do better with.

I'll try and post daily, again, making a committment here.  I exercised
today, did a bit too much.  I told myself to start slow, only do 30
minutes, but I did closer to an hour.  I have these marvelous machines
here...treadmill, rowing machine and that Tony Little glider dealy bob.
All these gadgets.

had another hypo today, not quite as bad as yesterday when I had one
major hypo and one minor.  Goes with the territory of trying to find
the right balance to this insulin.  I don't want to run sky high, but
to run close to normal, I have to deal with hypos until I learn what to
do from the time I shoot until I eat.

I'll get it though...have to.

Bonita
Hi_Therre - 16 Aug 2005 22:38 GMT
>just have to...
>
[quoted text clipped - 37 lines]
>insuffiency or outright failure?  This is a whole new ballgame now, one
>I don't know how to play.

Sounds like you ran into a train wreck.  NPH/R in small amounts last
fall put 15# on my butt.  And I can't get rid of it.  Now use novolog
to cover morning spikes, but in ever increasing amounts.  I wish there
was a good way to balance insulin and the weight gain for a T2.  The
IR varies and that really screws me up.  If your endo has a good way
for a T2 to efficiently use insulin w/o weight gain, please post it.
_____________________________________________
http://wave.prohosting.com/ugleeeee/
Health Diabetic Software - Free
Ozgirl - 17 Aug 2005 01:06 GMT
Happy late birthday Bonita ;)

Good luck with the committing.
Bonita - 17 Aug 2005 04:35 GMT
thank you...I'm currently 20 years old with 26 years
experience...er...ah...

aw, heck, I'm 46, and unless I live to be 92 (doubtful), then I'm
beyond middle aged.  So, what's the classification between middle aged
and elderly?  There's gotta be something.  Too old to party and too
young for AARP.

Ah, I know...watch reruns of Law and Order.

hehe

Bonita
Diana - 17 Aug 2005 04:37 GMT
I love all the Law and Order shows. Never miss them if I don't have to LOL

> thank you...I'm currently 20 years old with 26 years
> experience...er...ah...
[quoted text clipped - 9 lines]
>
> Bonita
Alan S - 17 Aug 2005 02:13 GMT
>just have to...
<snip>
>last A1C, 13
>taking 60 units N twice a day
>20 units R, 3 times a day
>(this might change, I'm winging it here)

Hi Bonita

Welcome back, nice to hear from you but I wish the
circumstances were better. No advice, apart from the usual -
and you've heard it all before.

Stay here for a while this time; see the endo of course, but
do keep in touch and vent when you want to.

Good luck, and welcome back again.

Cheers Alan, T2, Australia.
Signature

Everything in Moderation - Except Laughter.

Andrew B. Chung, MD/PhD - 17 Aug 2005 03:19 GMT
> just have to...
>
[quoted text clipped - 28 lines]
> balloon up again in weight, I'm going to watch what I eat and exercise
> so I don't do what Kate calls, 'feeding the insulin'.

Watching **what** you eat (ie dieting) does help people lose weight
permanently.  Neither does exercise even with dieting.

Would instead suggest you ask your doctors to supervise your use of the
diabetic 2PD-OMER Approach which teaches you how to watch **how much**
you are eating:

http://www.HeartMDPhD.com/wtloss.asp

http://www.HeartMDPhD.com/press.asp

You may hear me speak about the 2PD-OMER Approach in person and meet
others who have been using this WOE here:

http://www.TheHealthFair.com

You may also choose to have me speak to your group or organization about
the 2PD-OMER Approach in person for the usual and customary speaker's
fee of US$30,000.00 made as a tax-deductible contribution to
TheWellnessFoundation.com (it remains my choice to not profit personally
from the 2PD-OMER Approach):

http://www.TheWellnessFoundation.com  

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
Jeff - 17 Aug 2005 04:20 GMT
(....)

> Watching **what** you eat (ie dieting) does help people lose weight
> permanently.  Neither does exercise even with dieting.
>
> Would instead suggest you ask your doctors to supervise your use of the
> diabetic 2PD-OMER Approach which teaches you how to watch **how much**
> you are eating:

Unfortunately, the "approach" has not been shown to be safe or effective in
any clinical trial that has been published in the peer-reveiwed literature.
Despite Chung's claims to the contrary, there is no real evidence on whether
it is safe or effective.

Jeff
Andrew B. Chung, MD/PhD - 17 Aug 2005 04:31 GMT
> (....)
>
> > Watching **what** you eat (ie dieting) does **not** help people lose weight

**typo corrected** My apologies.

> > permanently.  Neither does exercise even with dieting.
> >
[quoted text clipped - 4 lines]
> Unfortunately, the "approach" has not been shown to be safe or effective in
> any clinical trial that has been published in the peer-reveiwed literature.

Nonetheless, the 2PD-OMER Approach has helped more than 625,550 people
lose weight safely without regain over a period of more than 5 years:

http://www.HeartMDPhD.com/wtloss.asp

http://www.HeartMDPhD.com/press.asp

You may hear me speak about the 2PD-OMER Approach in person and meet
others who have been using this WOE here:

http://www.TheHealthFair.com

You may also choose to have me speak to your group or organization about
the 2PD-OMER Approach in person for the usual and customary speaker's
fee of US$30,000.00 made as a tax-deductible contribution to
TheWellnessFoundation.com (it remains my choice to not profit personally
from the 2PD-OMER Approach):

http://www.TheWellnessFoundation.com  

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
Jeff - 17 Aug 2005 12:40 GMT
>> (....)
>>
[quoted text clipped - 16 lines]
> Nonetheless, the 2PD-OMER Approach has helped more than 625,550 people
> lose weight safely without regain over a period of more than 5 years:

Evidence please. So far you have been unable to back your claims. The
appraoch is utter nonsense.All we have is the claims of one religious
zealot.

Jeff

(...)
Jerry Attrix - 17 Aug 2005 04:01 GMT
Bonita,
I get up every morning and say...

I love the smell of insulin in the morning.
It smells like victory.
mrslang - 17 Aug 2005 08:09 GMT
can't offer you anything here because your new endo will help you get
back to some kind of good control.  but I have to say that the fact you
have reached this crisis point can be a good thing.  I know it sounds
corny but it truly is always darkest before the dawn.  best of luck to
you and listen to your doctor!

Sally

> just have to...
>
[quoted text clipped - 44 lines]
> 20 units R, 3 times a day
> (this might change, I'm winging it here)
oldal4865 - 17 Aug 2005 17:26 GMT
Bonita wrote in message
<1124210843.528647.27940@g44g2000cwa.googlegroups.com>...
>just have to...
>
>I tried the 'no insulin' method...tried new meds, tried and tried, and
>kept trying, but I was stupid, so stupid.  My blood sugars have been
>running an average between 350 and 550, a deadly amount.

. . .(snip). . .
>In two days, I regained ten of the pounds I'd lost since going off
>insulin about four months ago.  . . .(snip). . .
[quoted text clipped - 9 lines]
>20 units R, 3 times a day
>(this might change, I'm winging it here)

   In theory,  ALL T2 will end up on insulin if they have the disease long
enough.    The beta cells  steadily die even if you fight to save them.

One of the purposes of the strict control regimes is to keep them alive long
enough so that you die of old age before you need the shots.     But some T2
need insulin at age 15   (yep, "fifteen"),  so it's really a YMMV thingy.
About 20% of all T2 are on insulin now but the docs think that at least 50%
should be on insulin.

Insulin N is extremely difficult to use.   I gained 20 lb. during my first
year on Insulin N.    I suspect that if you went on more modern insulins you
might have an easier time with weight gain.    Unfortunately,  the cost
doubles when you switch to (Humalog or Novolog) + (Lantus or Levemir)

The problem with your 2x regime is the strong possibility of excessive
hunger at 4-6 hours after taking that large dose of Insulin N.  One trick
you might try now is to split your daily N into a few more smaller doses.  I
ended up on a 4x regime with the last shot as close to Midnight as I could
manage.

Metformin helps with the weight.

Regards
 Old Al
Bonita - 18 Aug 2005 19:18 GMT
Al, you're a lifesaver!

I'm printing this out and taking it to my doctor.  I think he'll agree
to the insulin changes.  If not, maybe I need another doctor.

I think I better tap into that vast knowledge of yours to stay on
track.

Again, thank you!

Bonita
Diana - 18 Aug 2005 19:43 GMT
Again I am so proud of you for coming back here. This group is outstanding
when it comes to support , knowledge and friendship. You will do so well
here Bonita and I hope you stay here for a very long time.

> Al, you're a lifesaver!
>
[quoted text clipped - 7 lines]
>
> Bonita
 
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