Medical Forum / Diseases and Disorders / Diabetes / August 2005
have to commit
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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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