Re: Question

[Guest guest]

DHill writes:

<< With astute carb counting and knowing my ins./carb ratio (1u:6 carbs) and

how

much each unit brings down the grams 1u dropping 28 grams, I am able to

remain pretty stable. I have a light lunch of 2 slices brown bread, low fat

cheese,l nofat mine meat and 8oz. skim milk and if I am going to exercise I

have a half cup of chicken noodle soup, even thaen I fiand I need a snack

after nine holes of golf before completing the second nine.

Don and Penguinie the pumper penguin >>

It sounds like you are not eating very much, and that you have some insulin

resistance. Are you considered a type 1 or type 2? Are you on a pump? How

are your HbA1c's running And what is " mine meat " ?

Sorry ... I am very curious - okay, nosy ... about other diabetics and their

situations and treatment programs and successes.

Susie

[Guest guest]

I am new to this group, but am often amazed at the knowledge provided

by Susie. I have GERD (gastroesophageal reflux disease), but not

Barrett's Disease...and know of it, but had not read the good info that

Susie posted. Great, good info!

rjm

OtterCritter wrote:

>

>

> wrote:

>

> << ... my brother has Barrett's (precancerous esphogus), he was

> tested 25 days ago,they told us it would be around 7 days before

> we got the results,well we still don't have the results, >>

>

> it is so cruel to make you wait like this! Are you speaking with the

> doctor - or the staff? Sometimes you can move things along if you get to the

> doctor. Phone at least once a day.

>

> I see good news about nonsurgical removal of the Barrett's dysplasia on the

> internet:

>

> " Barrett's esophagus (BE) is a serious consequence of chronic

> gastroesophageal reflux disease (see Barrett's Esophagus for a detailed

> description of BE). Because approximately 10% of patients with BE go on to

> develop adenocarcinoma of the esophagus, it is important to identify those

> therapies that may enhance regression of cells to normal pathology or that

> limit the spread of these premalignant cells.

>

> This presentation described the use of photodynamic therapy (PDT), which has

> been found to effectively destroy dysplastic mucosa in patients with this

> condition. In this series, 21 patients were assessed (20 with high-grade

> dysplasia and one with low-grade dysplasia). Light (630 nm) was delivered

> endoscopically using a diffuser or by a centering balloon technique. All but

> one were treated as outpatients. Two patients needed 3 separate PDT

> sessions, 3 needed 2 sessions, and the other 16 patients were treated only

> once. All also received omeprazole maintenance therapy (20 mg BID for 3

> months then 20 mg daily for 9 months).

>

> The dysplasia was eliminated in 17 patients. No cancer was detected in 11

> patients who were followed for periods of 6 to 16 months. Between 75% and

> 80% of the Barrett's mucosa was replaced by squamous epithelium after

> treatment. Half of the patients developed esophageal stricture and all of

> these patients responded to dilation (usually one dilation). When small

> isolated islands of dysplastic tissue were found after light treatment,

> these were readily eliminated by the use of YAG laser treatment. These

> findings indicate that PDT can destroy dysplastic mucosa in BE and appears

> to be a safe and effective alternative to more radical esophagectomy. The

> role of long-term acid-suppressive therapy as an adjunctive therapy needs to

> be evaluated in controlled trials. "

>

> ------------------------------------------------------------------------

> Looking for your kindred spirit?

> http://www.onelist.com

> Go to ONElist: where kindred spirits connect and stay connected.

[Guest guest]

I agree! - I have often thought that Susie should establist herself as a

diabetes consultant or something like that.

Re: question

>

>

> I am new to this group, but am often amazed at the knowledge provided

> by Susie. I have GERD (gastroesophageal reflux disease), but not

> Barrett's Disease...and know of it, but had not read the good info that

> Susie posted. Great, good info!

>

> rjm

>

> OtterCritter wrote:

>

> >

> >

> > wrote:

> >

> > << ... my brother has Barrett's (precancerous esphogus), he was

> > tested 25 days ago,they told us it would be around 7 days before

> > we got the results,well we still don't have the results, >>

> >

> > it is so cruel to make you wait like this! Are you speaking with the

> > doctor - or the staff? Sometimes you can move things along if you get to the

> > doctor. Phone at least once a day.

> >

> > I see good news about nonsurgical removal of the Barrett's dysplasia on the

> > internet:

> >

> > " Barrett's esophagus (BE) is a serious consequence of chronic

> > gastroesophageal reflux disease (see Barrett's Esophagus for a detailed

> > description of BE). Because approximately 10% of patients with BE go on to

> > develop adenocarcinoma of the esophagus, it is important to identify those

> > therapies that may enhance regression of cells to normal pathology or that

> > limit the spread of these premalignant cells.

> >

> > This presentation described the use of photodynamic therapy (PDT), which has

> > been found to effectively destroy dysplastic mucosa in patients with this

> > condition. In this series, 21 patients were assessed (20 with high-grade

> > dysplasia and one with low-grade dysplasia). Light (630 nm) was delivered

> > endoscopically using a diffuser or by a centering balloon technique. All but

> > one were treated as outpatients. Two patients needed 3 separate PDT

> > sessions, 3 needed 2 sessions, and the other 16 patients were treated only

> > once. All also received omeprazole maintenance therapy (20 mg BID for 3

> > months then 20 mg daily for 9 months).

> >

> > The dysplasia was eliminated in 17 patients. No cancer was detected in 11

> > patients who were followed for periods of 6 to 16 months. Between 75% and

> > 80% of the Barrett's mucosa was replaced by squamous epithelium after

> > treatment. Half of the patients developed esophageal stricture and all of

> > these patients responded to dilation (usually one dilation). When small

> > isolated islands of dysplastic tissue were found after light treatment,

> > these were readily eliminated by the use of YAG laser treatment. These

> > findings indicate that PDT can destroy dysplastic mucosa in BE and appears

> > to be a safe and effective alternative to more radical esophagectomy. The

> > role of long-term acid-suppressive therapy as an adjunctive therapy needs to

> > be evaluated in controlled trials. "

> >

> > ------------------------------------------------------------------------

> > Looking for your kindred spirit?

> > http://www.onelist.com

> > Go to ONElist: where kindred spirits connect and stay connected.

>

>

>

>

> ------------------------------------------------------------------------

> Looking for a new hobby? Want to make a new friend?

> http://www.onelist.com

> Come join one of over 165,000 e-mail communities at ONElist!

>

[Guest guest]

Oluf wrote:

<< Its not glucotrol which wear out your betacells, its the progression of

your DM Type-2, but it may accellerate this process. Most antiabetic pills

have a stimulating effect on the betacells, but mainly only initially in

treatment. The primary effect of most of these agents is the effect of

reducing the increased insulin-resistance of your body-cells. >>

Oluf, this is WRONG. Every time you broadcast this misinformation, I will

correct it. The ONLY diabetes pills which wear out the pancreas are the

sulfonylureas such as Glucotrol.

<< To delay this process in DM Type-2, early diet/weightreduction and

physical exercise is crucial. If successfull, its possible to have a good

life without getting to the point where insulin therapy is needed, as its

possible to have a good life on insulin as well! Obesity at the point where

insulin therapy may be neccessary in a DM Type-2, is a complication, as

quite high doses of insulin will be needed to compensate for the extreme

insulin resistance, which has developed in such diabetics. >>

Oluf, if type 2's take the sulfonylureas which you recommend, they will

likely need to inject insulin within a few years, because they will lose

pancreas beta cell function. The other things like diet and weight loss

won't be able to prevent that sulfonylurea-induced deterioration.

Susie

[Guest guest]

I talked to my Primary Care Physician (when I was there for a physical) and

asked him about Prandin. He said Prandin was better, but often one must

take it with each meal. Since the internest is the one that prescribed

Glucotrol, he said that either the internest can switch me, or wait until I

can see the Endocronologist (Aug 30).

I see the internest again tomorrow. If he doesn't impress me more than he

did the last time, it will be the last time I see him.

Although I could switch Primary Care Physicans in Sept (open enrollment) and

have the internest as my PCP, I prefer Dr. Bill and will stay with him.

[Guest guest]

Hi Toni, I could not agree more!! I also had a very bad doctor. I had

counsel from a nurse over the diabetes program here and she said " fire him "

if you are not satisfied and getting well. I had so much anxiety before I

went that it made me sick. If I wasn't perfect he put me down, not

considering how hard I had worked to be where I was and had even lost weight

due to good diet and exercise. It was like no matter what I did it wasn't

good enough. I changed doctors and even drive 90 miles to go to him and

LOVE HIM!!! I am under control and was on 100 units of Insulin N a day and

now I am on oral medication hopefully temporarily and watch what I eat. You

just had to know where I was when I made this decision. I had neurapathy in

my feet and legs so bad I could not get warm and could not wear shoes. I am

a very active person and it knocked me off my feet. It was my fault I got

to this state, because I gave up. I have to have a uplifting Dr. who has

my best interest at heart and cares for me and wants me to get well, and

still be that way if I am not perfect. I have a lot of sinus infections and

a lot of times it will shoot my bs up and I think I have about got that well

now. The Dr does count. Just my .02. Shelia

[Guest guest]

Part of the problem is my fault...I did NOT insist on seeing an Endo when I

first got diagnosed a few years ago. I'll call the Endo's office tomorrow

and see how long it will take to make a follow up appointment. I can

understand a new patient taking more time and limiting how many are

scheduled. Then again, he contracted with the HMO, so he should be

available sooner.

Re: Question

>From: SRicha9391@...

>

>Hi Toni, I could not agree more!! I also had a very bad doctor. I had

>counsel from a nurse over the diabetes program here and she said " fire him "

>if you are not satisfied and getting well. I had so much anxiety before I

>went that it made me sick. If I wasn't perfect he put me down, not

>considering how hard I had worked to be where I was and had even lost

weight

>due to good diet and exercise. It was like no matter what I did it wasn't

>good enough. I changed doctors and even drive 90 miles to go to him and

>LOVE HIM!!! I am under control and was on 100 units of Insulin N a day and

>now I am on oral medication hopefully temporarily and watch what I eat.

You

>just had to know where I was when I made this decision. I had neurapathy

in

>my feet and legs so bad I could not get warm and could not wear shoes. I

am

>a very active person and it knocked me off my feet. It was my fault I got

>to this state, because I gave up. I have to have a uplifting Dr. who has

>my best interest at heart and cares for me and wants me to get well, and

>still be that way if I am not perfect. I have a lot of sinus infections

and

>a lot of times it will shoot my bs up and I think I have about got that

well

>now. The Dr does count. Just my .02. Shelia

>

>---------------------------

[Guest guest]

Hi,

I lived in Tx(San and Witchita Falls) when ex husb in the Air Force.

My son was born at Wilford Hall in San .I codeveloped the Rape Program

in San

[Guest guest]

Are you a native? I am in North Texas...in Texas all my life, except for a

couple of years in Alaska! Toni

SRicha9391@... wrote:

> From: SRicha9391@...

>

> Yes Toni, along the gulf coast. Beaumont TX... Shelia

>

> ---------------------------

[Guest guest]

I'm in Austin, Texas...grew up an Air Force Brat, then joined the Navy (for

5 years). I was born in Watertown, New York. I'm half Italian (my Mom was

born in the US, but both of her parents came over from Italy).

That makes at least three of us in Texas.

Re: Question

>

>

>Are you a native? I am in North Texas...in Texas all my life, except for a

>couple of years in Alaska! Toni

>

>SRicha9391@... wrote:

>

>> From: SRicha9391@...

>>

>> Yes Toni, along the gulf coast. Beaumont TX... Shelia

>>

>> ---------------------------

[Guest guest]

There are lots more! Pete in in San , Jerry Boyd in East Texas Mitch

Scarlett (maybe on this list) in Austin, others too! Toni

Bill Eastman wrote:

>

>

> I'm in Austin, Texas...grew up an Air Force Brat, then joined the Navy (for

> 5 years). I was born in Watertown, New York. I'm half Italian (my Mom was

> born in the US, but both of her parents came over from Italy).

>

> That makes at least three of us in Texas.

>

> Re: Question

>

> >

> >

> >Are you a native? I am in North Texas...in Texas all my life, except for a

> >couple of years in Alaska! Toni

> >

> >SRicha9391@... wrote:

> >

> >> From: SRicha9391@...

> >>

> >> Yes Toni, along the gulf coast. Beaumont TX... Shelia

> >>

> >> ---------------------------

[Guest guest]

BTW I *hate* you for being in Austin! *grin* We lived there from 86 to 92!

Loved it! We lived in far North near the Round Rock line...off 183...used to be

called Jollyville. Came back up here when husband lost his job (he was the

agent for Greyhound and they decided to take back all their commissioned

stations...now they are bankrupt!) Bad move, I think! But really....wish I

could come back, but the house we sold...two story...has doubled in price since

we left! Wish we owned it now! Toni

Bill Eastman wrote:

>

>

> I'm in Austin, Texas...grew up an Air Force Brat, then joined the Navy (for

> 5 years). I was born in Watertown, New York. I'm half Italian (my Mom was

> born in the US, but both of her parents came over from Italy).

>

> That makes at least three of us in Texas.

>

> Re: Question

>

> >

> >

> >Are you a native? I am in North Texas...in Texas all my life, except for a

> >couple of years in Alaska! Toni

> >

> >SRicha9391@... wrote:

> >

> >> From: SRicha9391@...

> >>

> >> Yes Toni, along the gulf coast. Beaumont TX... Shelia

> >>

> >> ---------------------------

[Guest guest]

Thanks Susie,ya'll have been great.

I am so excited about my Mother,for years she has had to lift her leg with

her hand in order to do things like tie her shoe and this morning she could

just lift it up to her knee by itself

[Guest guest]

writes:

<< ... I am so excited about my Mother,for years she has had to lift her leg

with

her hand in order to do things like tie her shoe and this morning she could

just lift it up to her knee by itself. >>

That is exciting! If we are lucky enough to see the reversal of some of our

complications, it is a moving experience ... Hmmm ... sorta sounds like an

unintentional pun there. As our health status improves, another quiet but

important milestone is to have blood work done and see these wonderful

changes in our lab tests. My first impression of type 2 was that we were

eating too much fat and too many calories and too many snacks and not

exercising enough and not making appropriate food choices, etc. Our

" badness " was to blame for the hypertension, high cholesterol and

triglycerides, etc. But when we are able to tame the diabetes monster, it is

reassuring to see these other markers of our overall health status shape up

too.

The medical community still has much to learn about our disease(s) ... So do

we.

Susie

[Guest guest]

some insurance companies are now offering to pay for tr or a percent of

it.Jenee

[Guest guest]

Christie,

I've been told it's 58750

Good Luck!

Maggie

Question

What is the code # for insurance company's

Chrstie

[Guest guest]

I did not think insurance companies paid for tr because they are considered

a cosmetic procedure.

Re: Question

Christie,

I've been told it's 58750

Good Luck!

Maggie

Question

What is the code # for insurance company's

Chrstie

[Guest guest]

OH OK, I use to work with medical insurance and now auto ins and at both the

co I worked for they don't cover it, but if yours does, " good luck for you " .

Re: Question

some insurance companies are now offering to pay for tr or a percent of

it.Jenee

[Guest guest]

Does BCBS pay on infertilty claims?

[Guest guest]

--- DOECSEC@... wrote:

> What is bc/bs?

>

blue cross blue shield

__________________________________________________

[Guest guest]

> Is Dr Levins in LouisVille south or LouisVille Metro

Neither. He's right downtown. Parts of the south and west ends are

kind of icky. Metro is everything on the outskirts of downtown I

think.

[Guest guest]

my prayers are with u

annette

[Guest guest]

He will be back tomorrow 6/25.

[Guest guest]

Dr. Levin returns tomorrow June 26th. I can't wait to get things

scheduled!!! Jackie

[Guest guest]

Dear Jackie:

It is so wonderful that you are at the scheduling stage, how awesome. This

support group helps me to not be so anxious about not being there myself yet.

God's blessings be upon you and your beloved as you journey to the road of

completion again.

agape' linda j