Re: glucose meter transition

[Guest guest]

Harry,

From everything I have read, it is not only consistently high BG that causes

complications, but also consistent ups and downs.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Harry Bates

Sent: Thursday, September 29, 2011 6:06 PM

To: blind-diabetics

Subject: Re: glucose meter transition

The actual glucose meter I am now using is the One Touch Ultra2, not the one

touch ultra.Be sure to compare actual glr results by numbers whenever

comparing any two meters together.

I wish I had the actual number results of the CGM to compare to the readings

I got on my One Touch Ultra2 and the Prodigy Auto Code. Unfortunately,

hindsight is more perfect than foresight.

Pay no attention to the man behind the curtain, Harry

Choose communism/socialism/Marxism vote Democrat.

[Guest guest]

Pat, Does the size of the roller coaster make a difference?How high is high and

how low is low?

[Guest guest]

If what Pat says is true, and if Pat read it somewhere I'm sure it is, it stands

to reason the wider the swings, the more conversely direct the effects.

Dave

" ...In this world you will have trouble. But take heart! I have overcome the

world. " [ 16:33]

RE: glucose meter transition

Pat, Does the size of the roller coaster make a difference?How high is high

and how low is low?

[Guest guest]

well i use the clever check. i think it is telling me my readings ok.

glucose meter transition

|

| As a result of a week's worth of glr's as recorded by a CGM continuous

glucose monitor Today I am

switching over to the One Touch Ultra glucose monitor. i do not advise this

switch to all diabetics,

especially blind diabetics. I can only make the switch because my wife takes

practically all of my

glr's. She has normal vision and this is the only reason I can switch. Four

nights out of seven

nights on the CGM I had low glr's readings. Unfortunately, I was not told the

actual numbers

recorded by this machine. The attending nurse also made changes in my insulin

dosages. I told you

over a year ago it seems to me like the doctor and the treatment team is

shooting for a higher A1C

level for me. Dr. Welch said back then she would be satisfied with an A1C of 7.0

or even a little

higher. The reduction in my insulin dosages both Humalog and Lantus will insure

that my glr's will

creep higher and higher insuring over rthe long haul a higher A1C for me. In

fact the nurse said she

considers a glr of lower than 80 to be hazardous for my health. Due to my

medical condition she felt

it would be best for me to run higher glr's and she included blindness as part

of my medical

condition. At this point I told her I do not believe blindness has any thing to

do with it. She will

take the CGM results and her recommendations to the indocrinologist and give me

a more reasoned

recommendation next week. In other words she will see what the indocrinologist

has to say about it.

The nurse maintains that it is the roller coaster ride of high glr's to low

glr's and from low glr's

to high glr's that causes the diabetic complications and not just running high

glr's. For some

reason I doubt this reasoning. I have always read in my research that running

high glr's is the

primary cause of diabetic complications. No matter what the final results may be

remember the

glucose monitor is the diabetic's best friend.It does not praise you and it does

not scold you. It

just tells you how it is.

| until next time, Harry

| Choose Marxism vote Democrat.

|

|

[Guest guest]

Yes, Harry,

I know a person who has swings between 50 and 320 consistently and she has

lots of complications. She calls herself a brittle diabetic, but she

brings the brittleness on herself by taking too much insulin, then going

into a low and then eating too much to get out of the low and going real

high. This is a consistent pattern with her.

If someone swings between 100 and 150 that is really no big deal.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Harry Bates

Sent: Thursday, September 29, 2011 8:04 PM

To: blind-diabetics

Subject: RE: glucose meter transition

Pat, Does the size of the roller coaster make a difference?How high is high

and how low is low?

[Guest guest]

I have also read that in recent years they have linked glucose

variability to complications. Some are now saying that variability may

be even more important than mean (average) in determining risk for

complications.

I was at a conference focusing on Type 1 diabetes a few years ago where

a presenter said that anything above 180 mg/dl disrupts the body's

normal processes at the cellular level, which is part of what causes

complications. I have also read many sources that claim anything above

140 mg/dl does damage because that's usually the peak that people

without diabetes see.

In terms of aiming for a target, I've read you should try and keep your

standard deviation at less than a third of your mean (average) BG. So if

your mean is 120 mg/dl, you would want to keep your standard deviation

(SD) less than 40 mg/dl.

As a Type 1, none of these are easy goals to meet, but they are

something to aim for.

Jen

>

> Pat, Does the size of the roller coaster make a difference?How high is

> high and how low is low?

>