Comments on: Ok, I’m confused http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/ Some tips for diabetic, recipes and products. Thu, 20 Nov 2008 12:20:54 +0000 http://wordpress.org/?v=2.2.1 By: John Smith http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11260 John Smith Tue, 29 Nov 2005 21:18:39 +0000 http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11260 The dawn effect is more pronounced phenomenon in Type 1's (and we are for sure a real minority here), but as you mentioned earlier, it is a result of a liver dump of glucose in the hours before waking....This is one reason why there is a problem with overindulging in alcohol...If you go to bed with a high alcohol, your liver is spending all its time trying to detoxify...and the glucose dump does not happen and you can have hypoglycemia... But I meant that I don't need increased insulin for the dawn effect. Since I'm aware this happens to me, I found out that as long as I eat a little something early, mostly protein, right when I get up, the rise won't occur; only happens if I go without eating. So I was wondering if that would solve the increase for you as well. I don't use a pump... I'm Type 2 and I try to shoot the very least amount of insulin I can get by with, and it changes on a daily basis; some days if I'm <!--more--> very good about what I eat and get my exercise in for the day, I don't need any at all, and that's what I'm aiming for, getting to the point of control where I don't need any. [Non-text portions of this message have been removed] By reading the messages of this group you agree to hold yourself FULLY responsible FOR yourself. Have a nice day ! The dawn effect is more pronounced phenomenon in Type 1’s (and we are for sure a
real minority here), but as you mentioned earlier, it is a result of a liver
dump of glucose in the hours before waking….This is one reason why there is a
problem with overindulging in alcohol…If you go to bed with a high alcohol,
your liver is spending all its time trying to detoxify…and the glucose dump
does not happen and you can have hypoglycemia…

But I meant that I don’t need increased insulin for the dawn effect. Since
I’m aware this happens to me, I found out that as long as I eat a little
something early, mostly protein, right when I get up, the rise won’t occur;
only
happens if I go without eating. So I was wondering if that would solve the
increase for you as well.
I don’t use a pump… I’m Type 2 and I try to shoot the very least amount of
insulin I can get by with, and it changes on a daily basis; some days if I’m

very good about what I eat and get my exercise in for the day, I don’t need
any
at all, and that’s what I’m aiming for, getting to the point of control where
I don’t need any.

[Non-text portions of this message have been removed]

By reading the messages of this group you agree to hold yourself FULLY
responsible FOR yourself.
Have a nice day !

]]> By: John Smith http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11259 John Smith Tue, 29 Nov 2005 10:15:48 +0000 http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11259 But I meant that I don't need increased insulin for the dawn effect. Since I'm aware this happens to me, I found out that as long as I eat a little something early, mostly protein, right when I get up, the rise won't occur; only happens if I go without eating. So I was wondering if that would solve the increase for you as well. I don't use a pump... I'm Type 2 and I try to shoot the very least amount of insulin I can get by with, and it changes on a daily basis; some days if I'm very good about what I eat and get my exercise in for the day, I don't need any at all, and that's what I'm aiming for, getting to the point of control where I don't need any. [Non-text portions of this message have been removed] But I meant that I don’t need increased insulin for the dawn effect. Since
I’m aware this happens to me, I found out that as long as I eat a little
something early, mostly protein, right when I get up, the rise won’t occur; only
happens if I go without eating. So I was wondering if that would solve the
increase for you as well.
I don’t use a pump… I’m Type 2 and I try to shoot the very least amount of
insulin I can get by with, and it changes on a daily basis; some days if I’m
very good about what I eat and get my exercise in for the day, I don’t need any
at all, and that’s what I’m aiming for, getting to the point of control where
I don’t need any.

[Non-text portions of this message have been removed]

]]> By: John Smith http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11258 John Smith Tue, 29 Nov 2005 02:26:41 +0000 http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11258 Hello Scott, <<suggest you look into pump therapy....much more effective way to deliver insulin..... Prove it >: > !!! Its no more effective than injections and has far less side effects... IMHE... BUt we agree on one thing somethings wrong with the data presented... 60 does not compute. Jeff [Non-text portions of this message have been removed] By reading the messages of this group you agree to hold yourself FULLY <!--more--> responsible FOR yourself. Have a nice day ! Hello Scott,

<<suggest you look into pump therapy….much more effective way to deliver
insulin…..

Prove it >: > !!!

Its no more effective than injections and has far less side effects… IMHE…
BUt we agree on one thing somethings wrong with the data presented… 60 does
not compute.
Jeff

[Non-text portions of this message have been removed]

By reading the messages of this group you agree to hold yourself FULLY

responsible FOR yourself.
Have a nice day !

]]> By: Dave Black http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11257 Dave Black Mon, 28 Nov 2005 12:49:48 +0000 http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11257 "R" stands for Regular, it is not a fast-acting insulin like Humalog, or Novolog (commonly used with pump therapy). It is however a sharp "peaking" insulin, unlike the long acting Lente insulins...The dawn effect sounds like your nemesis...It is easy to handle with pump therapy, you just program in an increased rate 2 or so hours before rising.... [Non-text portions of this message have been removed] "R" stands for Regular, it is not a fast-acting insulin like Humalog, or Novolog
(commonly used with pump therapy). It is however a sharp "peaking" insulin,
unlike the long acting Lente insulins…The dawn effect sounds like your
nemesis…It is easy to handle with pump therapy, you just program in an
increased rate 2 or so hours before rising….

[Non-text portions of this message have been removed]

]]> By: John Smith http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11256 John Smith Mon, 28 Nov 2005 04:06:42 +0000 http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11256 I may be wrong, and if I am, I'm sure someone will correct me. First of all, I don't know what "R" stands for. But if that is a fast acting insulin and you took it first thing when you got up in the morning, and forgot to eat completely, I've had that happen to me. I was told it has to do with a liver dump of insulin called dawn phenomenom. Happens only when I don't eat anything. Drinking doesn't count. In fact, my bs will stay high for hours and hours if I don't eat. Have to eat a little something to start things working, if only a couple of crackers and a slice of cheese. To my knowledge, insulin that you shoot does not build up in your blood and cause higher bs. [Non-text portions of this message have been removed] I may be wrong, and if I am, I’m sure someone will correct me. First of all,
I don’t know what "R" stands for.
But if that is a fast acting insulin and you took it first thing when you got
up in the morning, and forgot to eat completely, I’ve had that happen to me.
I was told it has to do with a liver dump of insulin called dawn phenomenom.
Happens only when I don’t eat anything. Drinking doesn’t count. In fact, my
bs will stay high for hours and hours if I don’t eat. Have to eat a little
something to start things working, if only a couple of crackers and a slice of
cheese. To my knowledge, insulin that you shoot does not build up in your
blood and cause higher bs.

[Non-text portions of this message have been removed]

]]> By: John Smith http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11255 John Smith Sun, 27 Nov 2005 13:52:21 +0000 http://diabetes.pocket-book.com/2005/11/27/ok-i-m-confused/#comment-11255 Richard, Not enough data...cannot compute....type of insulin you are using...more diet info...alcohol onboard.... suggest you look into pump therapy....much more effective way to deliver insulin..... I havn been on insulin for a couple of months. This morning I woke up with my normal, but not understood, BS numbers at 180. I took my normal 60 units of R and forgot to eat. Two hours later my numbers at 230. Is the insulin building up my BS. Or does it only work to counteract what I eat after the injection. Regards <!--more--> Richard By reading the messages of this group you agree to hold yourself FULLY responsible FOR yourself. Have a nice day ! Richard,

Not enough data…cannot compute….type of insulin you are using…more diet
info…alcohol onboard….

suggest you look into pump therapy….much more effective way to deliver
insulin…..

I havn been on insulin for a couple of months. This morning I woke up
with my normal, but not understood, BS numbers at 180. I took my
normal 60 units of R and forgot to eat. Two hours later my numbers at
230. Is the insulin building up my BS. Or does it only work to
counteract what I eat after the injection.

Regards

Richard

By reading the messages of this group you agree to hold yourself FULLY
responsible FOR yourself.
Have a nice day !

]]>