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Sunday, January 10, 2010

[Type-2-Diabetes] Digest Number 3866

Messages In This Digest (25 Messages)

1a.
Re: 20-point BG rise from 8 g of carb <sigh> From: Holly Shaltz
1b.
Re: 20-point BG rise from 8 g of carb <sigh> From: Jude
1c.
Re: 20-point BG rise from 8 g of carb <sigh> From: Holly Shaltz
1d.
Re: 20-point BG rise from 8 g of carb <sigh> From: Holly Shaltz
1e.
Re: 20-point BG rise from 8 g of carb <sigh> From: Holly Shaltz
1f.
Re: 20-point BG rise from 8 g of carb <sigh> From: Diane Moro
1g.
Re: 20-point BG rise from 8 g of carb <sigh> From: Bonnie Petroski
1h.
for Bonnie From: Jude
1i.
Re: for Bonnie From: sharon osborn
2a.
meals and bg From: GJ
2b.
Re: meals and bg From: Dorothy Wurth
3a.
Food Diary From: Collette
3b.
Re: Food Diary From: Jude
3c.
Re: Food Diary From: AnaLog Services, Inc.
3d.
"trouble" eating From: Jude
3e.
insulin therapy From: Jude
4a.
One Touch Ultra Mini question From: benzo4321
4b.
Re: One Touch Ultra Mini question From: Jude
4c.
Re: One Touch Ultra Mini question From: benzo4321
4d.
Re: One Touch Ultra Mini question From: Jude
5a.
Abbreviations From: Denise
5b.
Re: Abbreviations From: Deb Billwiller
5c.
Re: Abbreviations From: Jude
5d.
Re: Abbreviations From: Hugh Ramsdell
6.
Onglyza?? From: Cynthia

Messages

1a.

Re: 20-point BG rise from 8 g of carb <sigh>

Posted by: "Holly Shaltz" holly@shaltzfarm.com   hollyshaltz

Sat Jan 9, 2010 5:57 am (PST)



Linda writes:

<<I have a hard time understanding why you want to
go so low. >>

The numbers you were given are a perfectly
reasonable goal for many. But I agree with
Bernstein's position that they're not what
non-diabetics have, and that diabetics, if they
are motivated to do the work needed, deserve
non-diabetic numbers.

In his book (literally as well as figuratively :),
a non-diabetic averages around 83, moving little
more than 10 points from most meal. A high-carb
meal might cause more of a blip, but it takes,
apparently, a lot of carbs to do that to a truly
non-diabetic person.

He tells the story of how salesmen for BG meter
companies come to his office and offer to test his
BG with their meters. He declines, telling them
he's stuck himself plenty, but he'll guess *their*
BG results. He guesses 83 at all times, and it's
always within a very few points of that
(presumably, he guesses higher if he sees a
salesperson who's overweight! :)

We're all told sustained high BGs lead to damage
in the body. But what we're not told (at least, I
wasn't) is *fluctuations* can be just as damaging,
and that "high" BGs is anything out of the
non-diabetic range; then, of course, we're not
told an honest story about what the non-diabetic
range really is! But even the ADA now admits that
non-diabetics have A1Cs no higher than 5.0.
That's progress, significant progress, but it will
probably take a long time to filter through to the
training our medical professionals get, and even
longer for them to really accept and act on it.

In my case, I'm doing the work that Bernstein
spells out - actually, I'm slightly exceeding his
standards in that I routinely eat 10-15% fewer
carbs, and exercise over an hour virtually every
day. Ever carb into my mouth is a slow carb as
well. But I can't attain the non-diabetic
standards with *this* diabetic body - not unless I
get insulin.

Which apparently I've got a cold-day-in-hell kind
of a chance of getting.

That old catch-22 - I can watch my numbers slowly
creep up for years, doing more and more damage to
my body - and remember, thanks to not being
diagnosed for 30 years, I've got PLENTY of damage
to be going on with! - before finally it's bad
enough for a medical professional to grudgingly
offer insulin. Or I can quit my WOE, eat like
most on this list, watch my BGs skyrocket, feel
like HELL, and *maybe*, if I'm really lucky, my PA
might say it's time for insulin.

Either way I'm screwed - many years of sacrifices
that slowly don't do the job, or a fast trip
through hell.

Hmmm, shall be interesting to talk to the DNE on
Wednesday. I wonder if she will insist I eat ADA
for a few days, just to see what it would do to
me? I wonder if I will agree to that if it might
mean getting insulin? But then the cravings, the
weight gain, the wooziness, the retinopathy
immediately getting worse...

<sighing> No, I'll keep doing what I gotta do, no
matter how slim the immediate reward. Even unto
eating 8 g of carb and watching my BG shoot up and
stay there.

I want to feel better. That's the whole point of
managing diabetes, right? We *all* want to feel
better than we did before diagnosis. In my case,
I have many complications - for example:

I have frozen shoulders and the equivalent tendon
problems in my hips and elbows making it very
difficult to sleep at night - I toss and turn, and
every time I do, I get stabs of pain from those joints
Neuropathy in my feet, including severe tingling
that interferes with getting to sleep
I've had retinopathy turn into proliferative
retinopathy turn into diabetic macular
degeneration which has threatened my sight (almost
certainly the result of BG fluctuations people
here would dismiss as nothing)
I have severe memory and thinking problems
I have cataracts at the ripe old age of 51
I have heart palpitations (autonomic neuropathy)
I believe, though my PA has thus far ignored my
concerns, that I am probably hypothyroid, have
some gastroparesis, and have early kidney damage
and these are just the *obvious* things that I can
read about in any publication and say "hey, I've
been living with that for years, sometimes decades!"

Reasons, and then some, to try to keep my BGs in
the non-diabetic range and have some small hope of
reversing some of the damage.

So I'll keep on truckin', trying to reach the
standards I've learned offer me the best hope of a
long and healthy life. The sacrifice *is* worth
it. My quality of life is so far over what it
used to be that it's impossible to convey in a few
words (or even a LOT of words) in emails.

But sometimes I've just gotta vent at the
frustration of not getting where "the book"
assures me I could be, with this degree of
sacrifice and work.

Thanks for not criticizing the way I feel, even if
you didn't understand why I would feel that way :)

Holly in MI

1b.

Re: 20-point BG rise from 8 g of carb <sigh>

Posted by: "Jude" peridotjude@yahoo.com   peridotjude

Sat Jan 9, 2010 6:50 am (PST)



--- In Type-2-Diabetes@yahoogroups.com, Holly Shaltz <holly@...> wrote:<snip> I can quit my WOE, eat like most on this list, watch my BGs skyrocket, feel like HELL>

Whoa, nellie, that sounds really judgmental, hon. I doubt that was your intention, but careful there. You make the rest of us sound like loser lackies who are merrily skipping our way into Complication Hell, and I doubt that the people who are active on this list fall into a category anywhere near that. Speaking only for myself, although I admit to my ongoing problems, my glucose levels are hardly "skyrocketing"-- maybe by your standards, but *looks around the room and at my RL* gee, I haven't heard that from anyone else. In fact, my new bariatric doc 'bout squeeeeeed her way out of her chair the other day, when I told her about my current 6.0 A1c.

What you've done is slow or stop the progression of your complications. You can't undo the past, and I hear your anger and frustration about that-- hey, I'd like to be 25 again and have another chance, too, but that ain't gonna happen, so you might as well shelve all of that stuff, 'cause what's past is truly dead and gone. I find it hard to feel bad for you, even though I'm trying hard to sympathize, because I know that whatever's going on in your insides, you undoubtedly do NOT have galloping (or even moseying) complication levels.

Are you trying to be a non-diabetic? Hey, I figure I won't be a diabetic in heaven, but as long as I'm on this side of the pearly gates, THIS *looks around at my reality* is it. You might see that as compromise, but I call it doing the goldurned best I can.

> Either way I'm screwed - many years of sacrifices that slowly don't do the job, or a fast trip through hell.>

Wow, how dramatic.

<< No, I'll keep doing what I gotta do, no matter how slim the immediate reward>>

Where do you get this slim reward stuff?

<snip> Reasons, and then some, to try to keep my BGs in the non-diabetic range and have some small hope of reversing some of the damage>

As you well know, both kinds of neuropathy are not particularly reversible. Once the nerves affected are dead, they stay dead. There can be a reversing of some of the nasty symptoms as things come into control, but...the dead cannot be resurrected, in this case.

If your neuropathy is that painful, keeping you awake at night, etc, ask your doc for a trial of one of the drugs now currently being used for that pain. I'm not on one of them myself because my peripheral neuropathy is more of a numbness thing, and I don't have a whole lot of neuropathy-associated pain, but if I did, I'd ask for a trial of Lyrica or one of the others.

And so the beat goes on, right?

Hugs, Judy D.

1c.

Re: 20-point BG rise from 8 g of carb <sigh>

Posted by: "Holly Shaltz" holly@shaltzfarm.com   hollyshaltz

Sat Jan 9, 2010 7:17 am (PST)



Judy writes:

<<Whoa, nellie, that sounds really judgmental,
hon. I doubt that was your intention, but careful
there.>>

Please don't read judgment in where none was
intended or even thought about.

By "eating like most on this list" I simply meant
eating the ADA way, lots more carbs than I
currently eat. I don't care how others eat -
everyone finds what works for them, as I've said,
in some form, in every post I've written.

By "watching my BGs skyrocket" I simply meant
that's what would happen to ME if I ate that way -
which I also stress in every post. If I'm eating
8 g of slow-acting carb at a meal that's not
breakfast, yet my BGs go up 20 points, what would
happen if I ate 50 g of carb, much of which would
have to be fast types? Many here have shared they
routinely eat that much carb, or more, at a meal.
That is not judgment, that's a statement of fact.

Now I'm going to go check my BG - I'm doing a
profile of my breakfast rises to show the DNE on
Wednesday, and I won't be boring anyone with a
continuation of this thread any longer :)

Holly in MI

1d.

Re: 20-point BG rise from 8 g of carb <sigh>

Posted by: "Holly Shaltz" holly@shaltzfarm.com   hollyshaltz

Sat Jan 9, 2010 7:19 am (PST)



Judy writes:

<<I confess that I may have forgotten more of my
nutrition 101 than I ever learned, but if I
remember right-- it's ALL converted to glucose
eventually.>>

Only about one third of protein is converted to
carb by the body, and that very slowly - over many
more hours than it took for me to zip up 20
points, which is why Bernstein makes it the
keystone of his dietary recommendations.

From Becker's book, page 24: "This conversion
[of protein to glucose] takes time, so a pure
prtein meal will not only cause a lower increase
in your BG levels, but the increase will be much
longer after eating, usually four to six hours."

And apparently protein is converted to carb only
if the body really needs it for energy. Normally,
it's broken down into its constituent amino acids,
and used as such to build muscle, nerves, and
organs, among other things.

Pg 124 of Bernstein's book:

"The liver (and to a lesser degree, the kidneys
and intestines), instructed by the hormone
glucagon, can very slowly transform as much as 36
percent of these 6 grams per ounce [of protein]
into glucose - if blood sugar descends too low, if
serum insulin levels are inadequate, or if the
body's other amino acid needs have been met."

So, no, the measly 3 servings of protein I had are
not responsible for the, for me, large rise in BGs.

<<I mean, even non-diabetics go up 20 points after
they eat-- are they usually back to where they
started in just two hours?>>

Just like with diabetics, it depends on how much
they eat - obviously it takes longer to digest a
large meal than a small one, regardless of what's
in it.

As to going up 20 points, that's not Bernstein's
perspective on a truly non-diabetic person after a
normal meal (page 43):

"The nondiabetic ordinarily maintains blood sugar
immaculately within a narrow range - usually
between 80 and 100 - with most peope hovering near
85. There are times when that range can briefly
stretch up or down - as high as 160 and as low as
65 - but generally, for the nondiabetic, such
swings are rare."

In Becker's book, she quotes someone on page 67:

" 'I cannot get my BG over 120, no matter what I
eat, or when I test,' said Jim D. 'And it is at
that high for only a few minutes, before plunging.
Even getting it over 100 is rare, and takes a
LOT of sugar. Any slower carb, and I will not
leave the 90s, no matter what the quantity.'"

My point is not so much the absolute number I
ended up with as the relationship between the
carbs I ate - slow-acting 8, maybe 9 grams of
carbohydrate - and the *rise* - 20 points.

<<In your heart of hearts, do you think further
weight loss would help?>>

No, I really don't think that's an issue any more.

<<Is your BMI 25 or less?>>

According to this calculator,
<http://www.nhlbisupport.com/bmi/>, my BMI is 23.5
(5'5" tall, 141 pounds). I wouldn't mind losing
another 20 pounds, but I've lost what I can
through carb control and exercise, obviously, as
I've been maintaining for for a couple months or
more now, and I'm not willing to cut back on
calories as well, even if it would work for me
(never did before :)

I'm skin and bones, practically, Judy - except for
muscles - my calves are quite impressive <g> And
lose skin - sure would like to be able to afford
some nip-and-tuck work, but thankfully my life
doesn't need that for self esteem! And my
stomach, which is a size 14 where the rest of me
is probably a 10. Some of that is LOTS of sagging
skin, some of that is weak muscles - I can't do a
sit-up to save my life - but some is undoubtedly a
little residual fat. It's pretty safe to say I'll
never have "6 pack" abs :)

<<If you were anyone else, I'd be climbing up on
my
FCOL-83-and-101-are-in-the-same-glucose-ballpark
soapbox. >>

A legitimate concern, which is why, when I saw 100
on my meter so unexpectedly, I immediately washed
my hand and retested - got 99 the second time, and
of course 101 at the next test, 30 minutes later.

Although we are right in criticizing the accuracy
standards to which our meters are held, in actual
fact, my experience with both the One Touch Ultra
and the Freedom Freestyle Lite has been that they
are usually very very consistent. When I've seen
a result that concerns me enough to retest, it's
only maybe 1% of the time that the second test
isn't' within about 3 points of the first. That's
pretty dang good, quite good enough to be going on
with in my book.

<<And I know you're feeling criticized right now,
but stop that this minute! >>

No, actually, I'm not feeling that way one bit :)
I've read your two responses, Linda's, and
Diane's. None of you understand why I'm upset,
none of you agree with the goals I try to reach,
and that's perfectly OK. You at least haven't
belittled how I feel, and I seriously expected to
see many posts (OK, the morning is still young and
it's a Saturday - maybe by Monday there will be
many such) putting me down for being upset. Not
by *you* - that's not your style :)

Let's just put it this way.... I'm walking the
walk. I'm making the sacrifices. I'm getting
good results, but I'm not getting the results
Bernstein confidently expects of those who follow
(remember, I'm *exceeding*) his recommendations.

It's my choice to follow those or not. I will
continue, no matter what happens, because I know
the value of those sacrifices for *my* body - it's
well worth the prices of giving up popcorn for how
much better I feel in every possible way.

But it's nonetheless discouraging to see a number
that indicates my body didn't read the book, that
it needs help from exogenous insulin to achieve
the goal of non-diabetic BGs, and that I'm not
going to get that unless I dump the methods,
accept a prolonged period of physical and
emotional misery and illness.

I'd rather be hanged as a saint than a sinner <g>
though, so I'll keep on keepin' on.

Holly in MI

1e.

Re: 20-point BG rise from 8 g of carb <sigh>

Posted by: "Holly Shaltz" holly@shaltzfarm.com   hollyshaltz

Sat Jan 9, 2010 7:19 am (PST)



Judy writes:

<<Whoa, nellie, that sounds really judgmental,
hon. I doubt that was your intention, but careful
there.>>

Please don't read judgment in where none was
intended or even thought about.

By "eating like most on this list" I simply meant
eating the ADA way, lots more carbs than I
currently eat. I don't care how others eat -
everyone finds what works for them, as I've said,
in some form, in every post I've written.

By "watching my BGs skyrocket" I simply meant
that's what would happen to ME if I ate that way -
which I also stress in every post. If I'm eating
8 g of slow-acting carb at a meal that's not
breakfast, yet my BGs go up 20 points, what would
happen if I ate 50 g of carb, much of which would
have to be fast types? Many here have shared they
routinely eat that much carb, or more, at a meal.
That is not judgment, that's a statement of fact.

Now I'm going to go check my BG - I'm doing a
profile of my breakfast rises to show the DNE on
Wednesday - and I won't be boring anyone with a
continuation of this thread any longer.

Holly in MI

1f.

Re: 20-point BG rise from 8 g of carb <sigh>

Posted by: "Diane Moro" deemoro@gmail.com   signoradiana

Sat Jan 9, 2010 10:12 am (PST)



Yeah, I second Judy.
Holly that does sound very judgmental. I'm sure you didn't mean to call us a
bunch of lazy slackers (my interpretation)...if anything I think the people
on this list are VERY motivated just by being here. I respect your choice of
wanting to stay in a non diabetic range all the time, but I don't think that
is what everyone wants to do. To remain in the 80's I would have to eat next
to nothing. To me that does not feel good.S
Then again, I have not suffered the way you have.
Still, we are all in different places.
~diane

On Sat, Jan 9, 2010 at 9:49 AM, Jude <peridotjude@yahoo.com> wrote:

> --- In Type-2-Diabetes@yahoogroups.com, Holly Shaltz <holly@...>
> wrote:<snip> I can quit my WOE, eat like most on this list, watch my BGs
> skyrocket, feel like HELL>
>
> Whoa, nellie, that sounds really judgmental, hon. I doubt that was your
> intention, but careful there. You make the rest of us sound like loser
> lackies who are merrily skipping our way into Complication Hell, and I doubt
> that the people who are active on this list fall into a category anywhere
> near that. Speaking only for myself, although I admit to my ongoing
> problems, my glucose levels are hardly "skyrocketing"-- maybe by your
> standards, but *looks around the room and at my RL* gee, I haven't heard
> that from anyone else. In fact, my new bariatric doc 'bout squeeeeeed her
> way out of her chair the other day, when I told her about my current 6.0
> A1c.
>
>
1g.

Re: 20-point BG rise from 8 g of carb <sigh>

Posted by: "Bonnie Petroski" dragonlady@moosebrookroad.net   moosebrookroad

Sat Jan 9, 2010 8:02 pm (PST)



Holly,

When I grow up, I want to be just like you! I just am not organized enough
to control every variable like you. Some days, my arthritis is just too
painful to exercise, and I resolve to write everything I put into my mouth,
then three days later I am trying to remember!

My husband and I are both T2's, and we just don't buy stuff we shouldn't
eat. We eat all protein for breakfast, mostly protein for lunch and a
protein and something else for dinner. Very very little bread. No
potatoes, rice, pasta, or sugar.

I have no idea how many carbs we eat a day, but very little. Still, I am
not losing any weight! But, as I said, I am not very consistant with the
exercise.

Anyway, love hearing how well you do it! Maybe if I live long enough.....
Oh, we are not on any meds, and I run in the high 5's and my hubby in the
low 6's.

God bless, Bonnie in Maine

<<Whoa, nellie, that sounds really judgmental,
hon. I doubt that was your intention, but careful
there.>>

Please don't read judgment in where none was
> intended or even thought about.
>

1h.

for Bonnie

Posted by: "Jude" peridotjude@yahoo.com   peridotjude

Sat Jan 9, 2010 10:04 pm (PST)



--- In Type-2-Diabetes@yahoogroups.com, Bonnie Petroski <dragonlady@...> wrote: <snip> Some days, my arthritis is just too
painful to exercise>

Anyone who has serious health issues on top of their diabetes srsly has a double whammy to deal with, but I believe that decent, even good, control can be gained even without exercise-- it's not the ideal way of treating the condition, but there are ways to compensate, through diet and meds if necessary.

In fact, IMO, there aren't too many real excuses for walking around over a 7.0 A1c, much past say 4 months out from diagnosis. Your A1c is "in the high 5s", so this doesn't apply to you; that's actually a good A1c. OTOH, it sounds as if you're not eating much, so it's possible you're a bit malnourished; only a doc or nutritionist could say for sure.

<<and I resolve to write everything I put into my mouth,then three days later I am trying to remember!>

If you're not willing to keep your food log and a pen right next to where you sit to eat, you'd do better to put the idea of even keeping a food log out of your mind. If you're like me, you can't remember what you ate 2 or 3 hours ago, much less 2 or 3 days-- of course, that's the reason for keeping a food log in the first place, to help you remember! <G>

> My husband and I are both T2's, and we just don't buy stuff we shouldn't eat. We eat all protein for breakfast, mostly protein for lunch and a protein and something else for dinner. Very very little bread. No potatoes, rice, pasta, or sugar>

Sounds boring as anything. How do you stand it? Not too healthy-- no veggies or fruit or dairy or fats?

> I have no idea how many carbs we eat a day, but very little. Still, I am not losing any weight!>>

It's easy to figure carbs. Get yourself a $9 Calorie King book, and start looking things up, and/or use food labels. It's easy peasey.

You won't lose weight if you're eating too little; your metabolism will drop right down into the cellar, and your body will hang on to every single calorie you're giving it, if you're eating less than 1000 calories a day. 1200ish calories is considered about the lowest women should go, unless they're on a medically supervised low calorie program.

Some folks have a fair amount of swelling too-- edema is the medical term for it. I don't know how overweight you are, but obese folks can routinely be carrying around 20+ extra pounds of bloat. Since you're not eating any fiber, or at least not eating much or eating it regularly, I wouldn't be a bit surprised if your insides aren't a little...sluggish. heh

Judy D.

1i.

Re: for Bonnie

Posted by: "sharon osborn" shaross8@gmail.com   osborn.sharon

Sun Jan 10, 2010 3:56 am (PST)



>>Since you're not eating any fiber, or at least not eating much or eating it regularly, I wouldn't be a bit surprised if your insides aren't a little...sluggish. heh
> Judy D.

Gah! I am eating tons! Tons of fibre, and it's not helping.
Metamucil, veg, veg, veg. It must be the Metformin or the
Gemfibrozil, although they both say they cause the reverse. This is
agonizing. It makes me want to eat more, alhtough I'm not too
worried, yet, still losing slowly. One thing, I actually feel perkier
when BG goes up, like 152 after some Joseph's cookies(diabetic, no
sugar, although *carbs*) and nonfat milk. Most of the rest of the
time when it's 117-fasting this AM, I'm pretty draggy.
Well, if I can't get high any other way, carbs will do it I now know.
sharon o' walla walla, wa US

2a.

meals and bg

Posted by: "GJ" gj.lentz76@gmail.com   gj.lentz

Sat Jan 9, 2010 8:37 am (PST)



typicaly for me, and my eatting habits are still a work in progress:

1,000mg metformin a.m. w/breakfast
1,000mg metformin p.m. before bed
30 units Lantus p.m. before bed

average fast 145 (anywhere between 90-165 the last 2 weeks, my goal is 100, been hitting some good 120's lately)

after meal, 1-2.5 hrs is typicaly 200/225 with highs of 255 (goal is 140)

my before meal bg check is commonly 165-180 with sporadic lows between 125-140

now, i understand the whole carb count thing, but i honestly dont count, but i limit to small portions, and things like potatos and pasta i try to limit as 1 or 2 time a week. I have cut out the white bread, and like i said the taters and pasta have been drasticaly limited. I have introduced more fruit and veggie, though i hav always liked my fruits and veggies, just more thoughtful of having them regularly now.

i live with my uncle, so we share groceries and dinners, so dinner is a little bit of a challenge. ive mentioned before i am an over eater (im sure there is some psychological doohikki involved there, lol). im not obese but definatly have some extra weight. never before have i "watched" what i ate, but felt i ate a good mix...just too much.

my last dr visit she was very pleased at my numbers, for such a short time, as i have been dxd since just after thanksgiving. made me feel good!!

exercise consists of running around the restaurant at wor and shoveling the wonderful michigan snow, lol...golfing when the snow finaly goes away (tigerwoods pga on the playstation in the meantime) im a severe homebody, so i have been thinking about wii exercise games i keep checking the local gamestore for a used one.

typical breakfasts consist of my coffee (i still use real sugar) oatmeal or cereal and milk, sometmes just 12grain toast with peanut butter, a couple eggs now and then, maybe a little bacon, bicuits n gravy once a week (i refuse to give up my b-n-g) sometimes i dont even eat breakfast but will grab a bottle of oj or v8 veggie juice on my way to work.

lunch is usually a small portion of what was left over from dinner, or a light sandwich, carrots, fruit for snacking in place of tater-chips...

dinner is my biggest struggle...i am trying to get in more fish and chicken and staying away from the reds, but i do have burger, steak, chops 1 or 2 times a week, sometimes liver. always have veggie, usd to always have a pasta and/or taters too, so now that is greatly replaced with beans or brown rice, and portions is my main goal on dinner, as i typicaly eat several helpings until i am good and full, so it is chore. i drink plenty of water, once a day i have water with one of those diabetic flavor packets that is sugar free and has added vitamins. now and again i fudge it and gorge myself at the china buffet or order delivery pizza.

new years resolution is to hit the gym as i know better and more regular exercise will help a lot.

gregory, b.c. mich

2b.

Re: meals and bg

Posted by: "Dorothy Wurth" dottie.wurth@yahoo.com   dottie.wurth

Sat Jan 9, 2010 10:23 am (PST)





--- On Sat, 1/9/10, GJ <gj.lentz76@gmail.com> wrote:  "typicaly for me, and my eatting habits are still a work in progress:"
 
Hi Gregory, and hopefully our eating habits are a "work in progress" for all of us.  I've been a diabetic for over 20 years and I am still working on it.  I learn a little bit more about myself and diabetes every day.  It doesn't come all at once.
Welcome to the group.  Congratulations for the good work you've done so far.  There were a few things in your post that I wanted to comment on.  First, I, too, tend to be an overeater.  Like you said, I like to eat until I am good and full.  To put some limits on this, I have forced myself to take very small bites and chew them thoroughly.  I taste and enjoy every bit of the food I put in my mouth.  It is surprising how much we gobble down without tasting or thinking about it.  By forcing myself to do this, I enjoyed my food more, I ate slower than everyone else, and I felt more satisfied with less food. 
You said you are sometimes in a hurry and rush out of the house without breakfast, grabbing OJ or V8 juice.  For years, I ignored all the suggestions that breakfast was the most important meal of the day and did the same thing.  Once I got my insulin stabilized, I discovered that I absolutely could not do that any longer.  Now, I always eat a combination of carb and protein that will stay with me for a while.  I have learned to read and understand the labels of everything I buy.  I have found a good whole wheat bread that is only 9 g of carbs per slice, add in 2g of carbs for peanut butter, and I have a breakfast that will sustain me until lunch.  It really doesn't take much longer than the OJ.
I too, love biscuits and gravy.  I tried every way I could think of to make it with fewer grams of carbs.   It was my once a week treat, and when I ate it, I made sure that I totally enjoyed it.  Now, I only have it when I visit my son once a year.  It took almost 20 years to give that up.  So, you see, our eating habits and learning to live with our diabetes truely is a "work in progress."   Congratulations again on your good start.  Take good care.
Dottie.

3a.

Food Diary

Posted by: "Collette" cofees@yahoo.com   cofees

Sat Jan 9, 2010 9:19 am (PST)



As you all know, I have a problem eating. Someone suggested to me to make either a food diary, or meal planner. Does anyone have any suggestions for either one of these? If so, where do I get them, or can you submit a copy of one? I would very much appreciate it.

Thanks,

Collette

3b.

Re: Food Diary

Posted by: "Jude" peridotjude@yahoo.com   peridotjude

Sat Jan 9, 2010 10:06 am (PST)



--- In Type-2-Diabetes@yahoogroups.com, "Collette" <cofees@...> wrote:
As you all know, I have a problem eating. Someone suggested to me to make either a food diary, or meal planner. Does anyone have any suggestions for either one of these? If so, where do I get them, or can you submit a copy of one? I would very much appreciate it. Thanks, Collette>

Try here, Collette. They seem to have all kinds of forms.
http://www.personal-nutrition-guide.com/food-diary-template.html
Judy D.

3c.

Re: Food Diary

Posted by: "AnaLog Services, Inc." analog@logwell.com   sydlevine

Sat Jan 9, 2010 10:20 am (PST)



Trouble eating is the last problem most of us have in here! Gourmand tendencies are more the norm. However, I do not eat regular meals due to my nutty schedule. This was always a problem on oral antiglycemics, but easily dealt with when shooting insulin. It is trivial to match insulin to an irregular eating routine.

----- Original Message -----
From: Collette
To: Type-2-Diabetes@yahoogroups.com
Sent: Saturday, January 09, 2010 11:48 AM
Subject: [Type-2-Diabetes] Food Diary

As you all know, I have a problem eating. Someone suggested to me to make either a food diary, or meal planner. Does anyone have any suggestions for either one of these? If so, where do I get them, or can you submit a copy of one? I would very much appreciate it.

Thanks,

Collette

3d.

"trouble" eating

Posted by: "Jude" peridotjude@yahoo.com   peridotjude

Sat Jan 9, 2010 10:41 am (PST)



--- In Type-2-Diabetes@yahoogroups.com, "AnaLog Services, Inc." <analog@...> wrote: Trouble eating is the last problem most of us have in here! Gourmand tendencies are more the norm>>

'Course there are all kinds of categories, when it comes to eating "trouble", not just overeating, but eating less-than-healthy foods, refusing to give up favorites, even in the face of every whit of common sense given us, skipping meals, etc. The list is as long as your arm.

<<However, I do not eat regular meals due to my nutty schedule. This was always a problem on oral antiglycemics, but easily dealt with when shooting insulin. It is trivial to match insulin to an irregular eating routine>>

True. The miracle of Lantus, combined with a rapid-acting insulin at mealtimes, taken according to a personal carb-to-insulin ratio, give a marvelous sense of meal schedule freedom. That freedom of course DOES have parameters, but I agree, Lantus and Humalog let us live almost like real people! <G>

Judy D.

3e.

insulin therapy

Posted by: "Jude" peridotjude@yahoo.com   peridotjude

Sat Jan 9, 2010 1:32 pm (PST)





--- In Type-2-Diabetes@yahoogroups.com, "Jude" <peridotjude@...> wrote: True. The miracle of Lantus, combined with a rapid-acting insulin at mealtimes, taken according to a personal carb-to-insulin ratio, give a marvelous sense of meal schedule freedom. That freedom of course DOES have parameters, but I agree, Lantus and Humalog let us live almost like real people! <G> Judy D.>

I was contacted by someone off list, asking for clarification of what I meant by this comment. Of course, I would never say that insulin therapy is the best treatment for all type 2 diabetics! For those who need it, it can be the best thing out there, but naturally not everyone is even close to needing it, and whether or not they do is up to their doctor(s).

One of the reasons I enthuse about Lantus and Humalog is because I remember very well all those years when I took beef and pork insulin, the old R and NPH types, when every day was a roller coaster of up and down glucose levels that left me addle-brained, exhausted, sweaty and plumb out of energy. The new generation of insulins is, IMO, as I said, a miracle. For those who need that miracle.

Judy D.

4a.

One Touch Ultra Mini question

Posted by: "benzo4321" ruby.none@gmail.com   benzo4321

Sat Jan 9, 2010 12:10 pm (PST)



I finally got my meter but the readings came out to be low, inconsistent with my recent blood tests both on a fasting and non fasting bases.

I tested the meter using the control solution. I am using the second vial of strips already. The control range is 104 to 139 mg/dl but the reading came out to be 107. It is within the range but it makes me wonder maybe the meter will give me a reading that's perhaps 20% lower than actual.

I wonder what your experiences are with your Ultra Mini. Does a low control solution reading suggest that the meter tends to give me a low glucose level?

Thanks,

Ruby

4b.

Re: One Touch Ultra Mini question

Posted by: "Jude" peridotjude@yahoo.com   peridotjude

Sat Jan 9, 2010 1:36 pm (PST)



--- In Type-2-Diabetes@yahoogroups.com, "benzo4321" <ruby.none@...> wrote: I finally got my meter but the readings came out to be low, inconsistent with my recent blood tests both on a fasting and non fasting bases. I tested the meter using the control solution. <snip> I wonder what your experiences are with your Ultra Mini. Does a low control solution reading suggest that the meter tends to give me a low glucose level?>

I personally wouldn't use any other brand, not as long as my insurance will cover the strips for the One Touch line.

I have two of their meters-- I keep a mini in my bedside table and a One Touch Ultra 2 where I eat my meals. I've never used control solution in my life, lol, not in over 30 years of testing, so I can't comment on that. But I think you can have a good measure of confidence in Lifescan's meters.

If you're within the range of the control solution, then IMO it doesn't matter where inside that range the result is. ??? At least, that makes sense to me.

If you have more questions, call the company's 800 number in the AM. They have a stellar customer service department, and they'll help you use your meter, explain things to you, replace anything you think is defective, etc.

Judy D.

4c.

Re: One Touch Ultra Mini question

Posted by: "benzo4321" ruby.none@gmail.com   benzo4321

Sat Jan 9, 2010 2:57 pm (PST)



thanks. i will call their customer service. i saw a new endo last week. he asked me to do the glucose tolerance test. i am trying to schedule an appointment with Quest soon. The manual that comes with the meter suggests that i bring the meter to the lab. test within 15 min of my blood test. then compare the results.

--- In Type-2-Diabetes@yahoogroups.com, "Jude" <peridotjude@...> wrote:
>
> --- In Type-2-Diabetes@yahoogroups.com, "benzo4321" <ruby.none@> wrote: I finally got my meter but the readings came out to be low, inconsistent with my recent blood tests both on a fasting and non fasting bases. I tested the meter using the control solution. <snip> I wonder what your experiences are with your Ultra Mini. Does a low control solution reading suggest that the meter tends to give me a low glucose level?>
>
> I personally wouldn't use any other brand, not as long as my insurance will cover the strips for the One Touch line.
>
> I have two of their meters-- I keep a mini in my bedside table and a One Touch Ultra 2 where I eat my meals. I've never used control solution in my life, lol, not in over 30 years of testing, so I can't comment on that. But I think you can have a good measure of confidence in Lifescan's meters.
>
> If you're within the range of the control solution, then IMO it doesn't matter where inside that range the result is. ??? At least, that makes sense to me.
>
> If you have more questions, call the company's 800 number in the AM. They have a stellar customer service department, and they'll help you use your meter, explain things to you, replace anything you think is defective, etc.
>
> Judy D.
>

4d.

Re: One Touch Ultra Mini question

Posted by: "Jude" peridotjude@yahoo.com   peridotjude

Sat Jan 9, 2010 3:06 pm (PST)



--- In Type-2-Diabetes@yahoogroups.com, "benzo4321" <ruby.none@...> wrote:<snip> The manual that comes with the meter suggests that i bring the meter to the lab. test within 15 min of my blood test. then compare the results>

Your endo undoubtedly has the software to download meter results, too. Bring it along to your appointments there, too.
Judy D.

5a.

Abbreviations

Posted by: "Denise" denisephoto@yahoo.com   denisephoto

Sat Jan 9, 2010 2:57 pm (PST)



Just a quick side question... I've seen WOE and more recently WOL written in a number of responses but I haven't been able to figure out what they stand for. Can someone fill me in? [It's probably something pretty obvious...]   Thanks!

--- On Fri, 1/8/10, Jude <peridotjude@yahoo.com> wrote:

But anyway, yeah, protein and fats could never be as restricted as the carbs are in Bernstein's WOE, or the person would be left with nothing to eat and not enough daily calories.

<< The willingness to make major WOE/WOL changes has to come from within>>

5b.

Re: Abbreviations

Posted by: "Deb Billwiller" auroraws@yahoo.ca   auroraws

Sat Jan 9, 2010 3:05 pm (PST)



Way of Eating and Way of Life. And it's very obvious... once you know! :)

Deb in BC

At 01:37 PM 2010-01-09, you wrote:

>Just a quick side question... I've seen WOE and more recently WOL
>written in a number of responses but I haven't been able to figure
>out what they stand for. Can someone fill me in? [It's probably
>something pretty obvious...] Thanks!

5c.

Re: Abbreviations

Posted by: "Jude" peridotjude@yahoo.com   peridotjude

Sat Jan 9, 2010 3:09 pm (PST)



--- In Type-2-Diabetes@yahoogroups.com, Denise <denisephoto@...> wrote:
Just a quick side question... I've seen WOE and more recently WOL>

Way of eating, way of life or living.
Judy D.

5d.

Re: Abbreviations

Posted by: "Hugh Ramsdell" hughman73@yahoo.com   hughman73

Sat Jan 9, 2010 4:24 pm (PST)



way of eating/way of life

________________________________
From: Denise <denisephoto@yahoo.com>
To: Type-2-Diabetes@yahoogroups.com
Sent: Sat, January 9, 2010 1:37:02 PM
Subject: [Type-2-Diabetes] Abbreviations

 
Just a quick side question... I've seen WOE and more recently WOL written in a number of responses but I haven't been able to figure out what they stand for. Can someone fill me in? [It's probably something pretty obvious...]   Thanks!

--- On Fri, 1/8/10, Jude <peridotjude@ yahoo.com> wrote:

>But anyway, yeah, protein and fats could never be as restricted as the carbs are in Bernstein's WOE, or the person would be left with nothing to eat and not enough daily calories.
>
><< The willingness to make major WOE/WOL changes has to come from within>>
>
6.

Onglyza??

Posted by: "Cynthia" chaysgilliam@yahoo.com   chaysgilliam

Sun Jan 10, 2010 4:01 am (PST)



Is anyone out there using the Onglyza pill? I am on 5mg for about 2 months but can't tell really any difference yet. So far, no side effects, but this medicine is so new that I am worried about later side effects that may not show up for awhile.
Thanks everyone,
Cynthia

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