Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Vicki, Don't assume you are at fault. You can manage your T2 diabetes with the utmost care, never straying, but if your body says it's not going to comply, you can't do anything about it. Continue to shed excess body weight, exercise, follow a strict meal plan according to your age and life style, and if your A1C is still unacceptably high, you'll most likely need more insulin. Is your one injection Lantus (long lasting) insulin? Is your doctor recommending supplementing this with some fast acting insulin like Humalog? Dave -- Weather conditions on 12/2/2010 10:06:59 AM in Lancaster, Pennsylvania Overcast, 35.1°F Wind:W-280° at 15mph Join the BARD Talk list: bardtalk-subscribe Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com discouraging hi: my doctorr says I may have to go on two shots of insulin a day, instead of one. My average reading is 9.5, I thought things were going in the right direction. I have one month, before any changes are made. Of course, it is the worst time of year to improve sugar readings. I rarely eat potatoes or pasta and have increased the veggies. What else could I be doing wrong? Thanks, Vicky windows messenger: vickystacknick@... email: vicks57@... or skype: vick-tang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Vicki, Don't assume you are at fault. You can manage your T2 diabetes with the utmost care, never straying, but if your body says it's not going to comply, you can't do anything about it. Continue to shed excess body weight, exercise, follow a strict meal plan according to your age and life style, and if your A1C is still unacceptably high, you'll most likely need more insulin. Is your one injection Lantus (long lasting) insulin? Is your doctor recommending supplementing this with some fast acting insulin like Humalog? Dave -- Weather conditions on 12/2/2010 10:06:59 AM in Lancaster, Pennsylvania Overcast, 35.1°F Wind:W-280° at 15mph Join the BARD Talk list: bardtalk-subscribe Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com discouraging hi: my doctorr says I may have to go on two shots of insulin a day, instead of one. My average reading is 9.5, I thought things were going in the right direction. I have one month, before any changes are made. Of course, it is the worst time of year to improve sugar readings. I rarely eat potatoes or pasta and have increased the veggies. What else could I be doing wrong? Thanks, Vicky windows messenger: vickystacknick@... email: vicks57@... or skype: vick-tang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and units of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in there, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and units of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in there, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and units of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in there, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 harry, my doctor has always told me the price to pay for good control is reactions. have they changed their thinking on this. karen From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Harry Bates Sent: Thursday, December 02, 2010 11:35 AM To: blind-diabetics Subject: Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and unit s of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in ther e, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 harry, my doctor has always told me the price to pay for good control is reactions. have they changed their thinking on this. karen From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Harry Bates Sent: Thursday, December 02, 2010 11:35 AM To: blind-diabetics Subject: Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and unit s of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in ther e, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 I believe, if you ask 10 doctors, you'll get 10 different answers. It does appear the " experts " are softening their insistence that the A1C be closer to a normal person's A1C, mostly due to what I believe is an over reaction to their perceptions of the danger of hypoglycemic reactions. I don't hear much about Dr. Bernstein and his idea that diabetics must be as near to a normal A1C as possible. I'm comfortable in that 6.0 range, and will try to keep it there. If at the end of the day, time does reveal that a1C readings in the mid 6's, or even up to 7 are perfectly acceptable, well, that's very well. Dave -- Weather conditions on 12/2/2010 1:16:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and unit s of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in ther e, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 I believe, if you ask 10 doctors, you'll get 10 different answers. It does appear the " experts " are softening their insistence that the A1C be closer to a normal person's A1C, mostly due to what I believe is an over reaction to their perceptions of the danger of hypoglycemic reactions. I don't hear much about Dr. Bernstein and his idea that diabetics must be as near to a normal A1C as possible. I'm comfortable in that 6.0 range, and will try to keep it there. If at the end of the day, time does reveal that a1C readings in the mid 6's, or even up to 7 are perfectly acceptable, well, that's very well. Dave -- Weather conditions on 12/2/2010 1:16:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and unit s of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in ther e, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 I believe, if you ask 10 doctors, you'll get 10 different answers. It does appear the " experts " are softening their insistence that the A1C be closer to a normal person's A1C, mostly due to what I believe is an over reaction to their perceptions of the danger of hypoglycemic reactions. I don't hear much about Dr. Bernstein and his idea that diabetics must be as near to a normal A1C as possible. I'm comfortable in that 6.0 range, and will try to keep it there. If at the end of the day, time does reveal that a1C readings in the mid 6's, or even up to 7 are perfectly acceptable, well, that's very well. Dave -- Weather conditions on 12/2/2010 1:16:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and unit s of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in ther e, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 vicky, consider yourself lucky, I take shots four times a day minimum, still it is a small price to pay for good control which we try to achieve. you want to avoid complications at all cost. I don't want to be without a limb. it is bad enough being totally blind. you are doing fine. just count those carbs and do your insulin shots or get a pump. karen From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Vicky Sent: Thursday, December 02, 2010 9:40 AM To: blind-diabetics Subject: discouraging hi: my doctorr says I may have to go on two shots of insulin a day, instead of one. My average reading is 9.5, I thought things were going in the right direction. I have one month, before any changes are made. Of course, it is the worst time of year to improve sugar readings. I rarely eat potatoes or pasta and have increased the veggies. What else could I be doing wrong? Thanks, Vicky windows messenger: vickystacknick@... <mailto:vickystacknick%40hotmail.com> email: vicks57@... <mailto:vicks57%40sympatico.ca> or skype: vick-tang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 vicky, consider yourself lucky, I take shots four times a day minimum, still it is a small price to pay for good control which we try to achieve. you want to avoid complications at all cost. I don't want to be without a limb. it is bad enough being totally blind. you are doing fine. just count those carbs and do your insulin shots or get a pump. karen From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Vicky Sent: Thursday, December 02, 2010 9:40 AM To: blind-diabetics Subject: discouraging hi: my doctorr says I may have to go on two shots of insulin a day, instead of one. My average reading is 9.5, I thought things were going in the right direction. I have one month, before any changes are made. Of course, it is the worst time of year to improve sugar readings. I rarely eat potatoes or pasta and have increased the veggies. What else could I be doing wrong? Thanks, Vicky windows messenger: vickystacknick@... <mailto:vickystacknick%40hotmail.com> email: vicks57@... <mailto:vicks57%40sympatico.ca> or skype: vick-tang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 vicky, consider yourself lucky, I take shots four times a day minimum, still it is a small price to pay for good control which we try to achieve. you want to avoid complications at all cost. I don't want to be without a limb. it is bad enough being totally blind. you are doing fine. just count those carbs and do your insulin shots or get a pump. karen From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Vicky Sent: Thursday, December 02, 2010 9:40 AM To: blind-diabetics Subject: discouraging hi: my doctorr says I may have to go on two shots of insulin a day, instead of one. My average reading is 9.5, I thought things were going in the right direction. I have one month, before any changes are made. Of course, it is the worst time of year to improve sugar readings. I rarely eat potatoes or pasta and have increased the veggies. What else could I be doing wrong? Thanks, Vicky windows messenger: vickystacknick@... <mailto:vickystacknick%40hotmail.com> email: vicks57@... <mailto:vicks57%40sympatico.ca> or skype: vick-tang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Have you put on weight with that 60 grams of carbohydrate per meal requirement, Harry? What about mid-morning and mid-afternoon snacks? Dave -- Weather conditions on 12/2/2010 1:25:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and units of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in there, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Have you put on weight with that 60 grams of carbohydrate per meal requirement, Harry? What about mid-morning and mid-afternoon snacks? Dave -- Weather conditions on 12/2/2010 1:25:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and units of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in there, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Have you put on weight with that 60 grams of carbohydrate per meal requirement, Harry? What about mid-morning and mid-afternoon snacks? Dave -- Weather conditions on 12/2/2010 1:25:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and units of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in there, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Hi Vicky, I know it is not pleasant to take 2 needles a day, but the alternative of complications is a lot worse. As Dave and then Harry mentioned, sometimes it is not your fault. You cannot control how long it is before your pancreas gives up which you have no control over. People who have had the ultimate control also face these issues. I too, was not pleased when as a teenager had to have a second shot and now as an adult had to take a third, but the results I am seeing are well worth it. I am in the best control of my life and feeling better for it. Hang in there and don't get discouraged. You are not alone. Take care. Ruth From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Vicky Sent: Thursday, December 02, 2010 8:40 AM To: blind-diabetics Subject: discouraging hi: my doctorr says I may have to go on two shots of insulin a day, instead of one. My average reading is 9.5, I thought things were going in the right direction. I have one month, before any changes are made. Of course, it is the worst time of year to improve sugar readings. I rarely eat potatoes or pasta and have increased the veggies. What else could I be doing wrong? Thanks, Vicky windows messenger: vickystacknick@... <mailto:vickystacknick%40hotmail.com> email: vicks57@... <mailto:vicks57%40sympatico.ca> or skype: vick-tang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Hi Dave, My doctor from the beginning said she did not want me to aim below 6 because with humulogue on board, I was too much at risk of bottoming out too quickly. I sometimes go under 6 but do not aim for this and do not suffer too many lows and have had A1C numbers between 6 and 7. As you say each doctor’s perspective is a little different. Even the clinical practice guidelines do not suggest these numbers are for everyone as each person has extenuating circumstances which can make the numbers vary slightly.. Things like age, length of diabetes, other complications, etc. all play a part in determining the numbers. One size does not fit all. Ruth From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of dave Bond Sent: Thursday, December 02, 2010 12:27 PM To: blind-diabetics Subject: Re: Re: discouraging I believe, if you ask 10 doctors, you'll get 10 different answers. It does appear the " experts " are softening their insistence that the A1C be closer to a normal person's A1C, mostly due to what I believe is an over reaction to their perceptions of the danger of hypoglycemic reactions. I don't hear much about Dr. Bernstein and his idea that diabetics must be as near to a normal A1C as possible. I'm comfortable in that 6.0 range, and will try to keep it there. If at the end of the day, time does reveal that a1C readings in the mid 6's, or even up to 7 are perfectly acceptable, well, that's very well. Dave -- Weather conditions on 12/2/2010 1:16:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe <mailto:bardtalk-subscribe%40yahoogroups.com> Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and unit s of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in ther e, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Hi Dave, My doctor from the beginning said she did not want me to aim below 6 because with humulogue on board, I was too much at risk of bottoming out too quickly. I sometimes go under 6 but do not aim for this and do not suffer too many lows and have had A1C numbers between 6 and 7. As you say each doctor’s perspective is a little different. Even the clinical practice guidelines do not suggest these numbers are for everyone as each person has extenuating circumstances which can make the numbers vary slightly.. Things like age, length of diabetes, other complications, etc. all play a part in determining the numbers. One size does not fit all. Ruth From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of dave Bond Sent: Thursday, December 02, 2010 12:27 PM To: blind-diabetics Subject: Re: Re: discouraging I believe, if you ask 10 doctors, you'll get 10 different answers. It does appear the " experts " are softening their insistence that the A1C be closer to a normal person's A1C, mostly due to what I believe is an over reaction to their perceptions of the danger of hypoglycemic reactions. I don't hear much about Dr. Bernstein and his idea that diabetics must be as near to a normal A1C as possible. I'm comfortable in that 6.0 range, and will try to keep it there. If at the end of the day, time does reveal that a1C readings in the mid 6's, or even up to 7 are perfectly acceptable, well, that's very well. Dave -- Weather conditions on 12/2/2010 1:16:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe <mailto:bardtalk-subscribe%40yahoogroups.com> Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and unit s of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in ther e, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Hi Dave, My doctor from the beginning said she did not want me to aim below 6 because with humulogue on board, I was too much at risk of bottoming out too quickly. I sometimes go under 6 but do not aim for this and do not suffer too many lows and have had A1C numbers between 6 and 7. As you say each doctor’s perspective is a little different. Even the clinical practice guidelines do not suggest these numbers are for everyone as each person has extenuating circumstances which can make the numbers vary slightly.. Things like age, length of diabetes, other complications, etc. all play a part in determining the numbers. One size does not fit all. Ruth From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of dave Bond Sent: Thursday, December 02, 2010 12:27 PM To: blind-diabetics Subject: Re: Re: discouraging I believe, if you ask 10 doctors, you'll get 10 different answers. It does appear the " experts " are softening their insistence that the A1C be closer to a normal person's A1C, mostly due to what I believe is an over reaction to their perceptions of the danger of hypoglycemic reactions. I don't hear much about Dr. Bernstein and his idea that diabetics must be as near to a normal A1C as possible. I'm comfortable in that 6.0 range, and will try to keep it there. If at the end of the day, time does reveal that a1C readings in the mid 6's, or even up to 7 are perfectly acceptable, well, that's very well. Dave -- Weather conditions on 12/2/2010 1:16:02 PM in Lancaster, Pennsylvania Overcast, 36.0°F Wind:WNW-290° at 12mph Join the BARD Talk list: bardtalk-subscribe <mailto:bardtalk-subscribe%40yahoogroups.com> Visit the BARD Talk web site: http://www.bardtalk.com Created by Weather Signature v1.32 . http://www.weathersig.com Re: discouraging As a general rule of thumb the type2 diabetic's pancreas plays out some where between 10 and 15 years after they have been diagnosed as a type2 diabetic. Some go earlier and some go later. In my case I became an insulin dependent diabetic 16 years after my initial diagnosis as a type2 diabetic. While you may feel discouraged, I assure you have done nothing wrong. It is just the way it is. So start taking some long-acting insulin like Lantus to establish a basal dose of insulin. In my case I take two shots of Lantus per day. 30 units at bedtime and 20 units of lantus in the morning. The Lantus dose is determined by your body weight in pounds. My beginning dose was supposed to be24 units of Lantus per day, but this had to be adjusted upward as indicated by glr glucose level readings. You will also need to take some short-acting insulin like Humalog to deal with bolus carb intake. Now is the time for you to learn to count on lots of things like carbs consumed, units of Lantus dosed and unit s of Humalog dosed to cover bolus carb consumption. My indocrinologist does not want to see me have a single low sugar reaction as defined by a glr under 70. I am instructed to consume 60 grams of carbs at each meal, which I have complied with my indocrinologist's instructions. I have had very few low sugar reactions usually in the mid to upper 60's. My indocrinologist A1C goal is some where between 6.5 and 7.0. Of course I am still in the adjustment phase in my indocrinologist treatment. Hang in ther e, and you will soon be on track. Harry For some truth is a hard thing to swallow. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Initially, I gained about five pounds, but later lost it. my weight was 200 pounds, and today my weight is 199 pounds. I do not eat snacks as a rule. By consuming 60 grams of carbs at each meal I rarely feel hungry or have the urge for a snack. Ocasionally, I will drink a beeer for a snack, but usually nothing is eaten. I am encouraged to include the beer carbs in my meal carbs. My wife is now resting easier, since the low glucose reactions have been eliminated for all practical purposes. It sounds unreasonable to me, but my indocrinologist equates a low sugar reaction, glr under 70, as being the same as a stroke or its equivalent. I do not believe this, since I have had numerous low glucose reactions in the past and I have also had two strokes of which I know, and believe me a low sugar reaction is nothing like a real stroke. But what do I know? I am just a real person, not a medical doctor. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Initially, I gained about five pounds, but later lost it. my weight was 200 pounds, and today my weight is 199 pounds. I do not eat snacks as a rule. By consuming 60 grams of carbs at each meal I rarely feel hungry or have the urge for a snack. Ocasionally, I will drink a beeer for a snack, but usually nothing is eaten. I am encouraged to include the beer carbs in my meal carbs. My wife is now resting easier, since the low glucose reactions have been eliminated for all practical purposes. It sounds unreasonable to me, but my indocrinologist equates a low sugar reaction, glr under 70, as being the same as a stroke or its equivalent. I do not believe this, since I have had numerous low glucose reactions in the past and I have also had two strokes of which I know, and believe me a low sugar reaction is nothing like a real stroke. But what do I know? I am just a real person, not a medical doctor. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 Initially, I gained about five pounds, but later lost it. my weight was 200 pounds, and today my weight is 199 pounds. I do not eat snacks as a rule. By consuming 60 grams of carbs at each meal I rarely feel hungry or have the urge for a snack. Ocasionally, I will drink a beeer for a snack, but usually nothing is eaten. I am encouraged to include the beer carbs in my meal carbs. My wife is now resting easier, since the low glucose reactions have been eliminated for all practical purposes. It sounds unreasonable to me, but my indocrinologist equates a low sugar reaction, glr under 70, as being the same as a stroke or its equivalent. I do not believe this, since I have had numerous low glucose reactions in the past and I have also had two strokes of which I know, and believe me a low sugar reaction is nothing like a real stroke. But what do I know? I am just a real person, not a medical doctor. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 , I do not know the answer to your question. All I can say is my indocrinologist wants me to have exactly 0 low sugar reactions, even if they are 65, 66, 67, 68, 69, since they are all under 70. I have given up on achieving a " normal " glr reading, which would give me an A1C reading of 4.2-5.2 which is not normal for a diagnosed diabetic, which I am. My indocrinologist believes it would be quite acceptable for me to have an A1C of 6.5-7.0, which is far from a normal person, a non diabetic's average A1C level. The days of my A1C being 5.5 or lower is long gone. I plan to have no more low glucose readings, and no more shakes, sweats, mental confusion and getting lost in the house. According to my indocrinologist the low glr's are not worth the cost of peace and harmony in the household. Not perfect, but that is the way it is. Harry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 2010 Report Share Posted December 2, 2010 , I do not know the answer to your question. All I can say is my indocrinologist wants me to have exactly 0 low sugar reactions, even if they are 65, 66, 67, 68, 69, since they are all under 70. I have given up on achieving a " normal " glr reading, which would give me an A1C reading of 4.2-5.2 which is not normal for a diagnosed diabetic, which I am. My indocrinologist believes it would be quite acceptable for me to have an A1C of 6.5-7.0, which is far from a normal person, a non diabetic's average A1C level. The days of my A1C being 5.5 or lower is long gone. I plan to have no more low glucose readings, and no more shakes, sweats, mental confusion and getting lost in the house. According to my indocrinologist the low glr's are not worth the cost of peace and harmony in the household. Not perfect, but that is the way it is. Harry Quote Link to comment Share on other sites More sharing options...
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