Diabetic folks

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The numbers you mentioned, are they your daily "stick your finger" numbers or are they the long term blood test numbers?

They are both. Finally found a new GP in January (I was without one for almost 3 years) and she is pretty keen on me being tested every 3 months. I did a look up on why we are reporting differently... apparently, I use mmol/l and you are using mg/dl. Both identical but different units. I would guess that it is a doctor's or regional preference.

the finger poking test, it is up around 170 or so. Her doc wants these numbers to be right around 100.

The only thing I can think is that she isn't getting a big enough dosage or she needs to adjust the diet. perhaps her dosage needs to be upped. It is hard to stop eating if you are under any type of stress..when I pain level goes beyond what I can medicate for, I eat.

Question, I realize you said you are unable to exercise, might I ask why?

Really bad accident. I was stopped waiting for someone to turn left..my foot was on the brake..I just glanced in my rear view when I say a black truck coming at me. I turned to grab my beagle and he hit me at an estimated 45 mph..no brakes. Suffered sever damage to my spine..specifically in my c's, l4-5 and s1 and moderate damage to my Ts. On a good day I can walk 1/2 mile. I really never know how I am going to feel until I get up. So I am going back to school (2 courses) trying t upgrade so I can find work and my spine decided to squish my sictic nerves in my right leg...apparently, I am doing too much sitting in class. Sheesh. You know, it would be easier to take if there was a good reason for the accident but it was just some high school going int town to get his girl a burger while on a class off. He got a new truck. Not even charged for anything even though he was on a cell phone.

I should mention that you must watch out for Diabetic Neuropathy in the legs so if you can exercise..and I just mean walking..please do so.

And will diet alone be enough to control things, or does one NEED to exercise? I am of the understanding that exercise is a gigantic help, in regards to a diabetic.

Yes. there are 3 points to the triangle to control diabetes as explained to me. Food, exercise and meds.

Do you guys have a local Diabetic Education Center...usually located in a hospital ? Wouldn't be a bad spot to go. I try to go every couple of
years..they do free foot examination on a regular basis.

Oddly enough, the Duster has helped me work through many issues ( including anger, the loss of my life as I knew it, etc.). I didn't get a lot out of counseling except for pain counseling.

We try too hard to put everything in a pox...but we are individuals and have to find a way that works for us. I don't consider diabetes as a life ending disease but rather a wake up call.

My daughter told me this year that she had to go through a grieving period for me for the Dad she lost. I had no idea what to say.
 
We use mg/dl which is pretty much the standard in the states which is what I used every place I lived. Ink there is a point to not being able to exercise unlike Grassy I am unable to from a inoperable rupture disc in the L4-5 due to diabetes, and a previous operation in the same disc with a lot of scar tissue. Byt I do try and walk a short distance in wal mart.
 
Aren't you supposed to take Metformin WITH food?

At any rate, go to a nutritionist. Get the plan for a balanced diet. Two meals a day won't do you any good. I've got my diabetes under control and even had my meds dropped to lower levels. To be honest, if it wasn't for Deb riding herd on me and going to the doc appointments, the classes and whatever else, I don't think I would be as good as I am right now. I owe her so much. She even got us Disneyland passes and walked my tubby *** around that place on a weekly basis.

Be supportive, but keep on her about this my friend.
 
Doug for me diabetes runs in my family on both sides. Dad, Uncle, both Grampas.
A little info on my dad and his diabetes(insulin dependent) My last trip home to see Dad, he was on Dialysis 3 times a week and each session was 3 hours. In conjunction with this was chemotherapy once a week. He lost close to 25 lbs in 2 months because of not eating! He would eat an equivalent of maybe a sandwich a day(due to chemo everything tasted like mush/****). Sorry for being long winded here, but my point is that Dad is now NOT on dialysis and NOT taking insulin?? WTF happened?? This is my opinion that because he had no INPUT(food) that his kidneys cleared themself up?? I dunno how else to explain it. Everyone I know or heard from, once you are on Dialysis, you are on it for life. Weird how it "straightened" out.

I think Rocky is onto some good points there(again) with going for a drive(maybe try running outta gas??) LOL
But even if the drive is 80% of the outing and then walking for 20% of it. Its something different and a gradual increase in excercise is better than none.
Its big changes and its tough to get out of a rut when you are in one. Trust me I know. Like Grassy said the daily "stick yer finger" is approx 4-7.
The 3 month average is measured differently. I got my results last week and can post them if you like. Like I said doc said I have kidneys of a 75 year old....I just bout pissed my pants right there!!
Healthy snacks throughout the day is better than 1 or 2 meals, but I dont practice what I preach.

Thanks Rocky, yes oral meds only for me, so type 2. Glumetza is time released Metformin and all my diabetic pills are to be taken with food. Oh yes I also take Percocets...not often maybe 3 a month for my back. I also have Diclofenac(anti inflam) and take MAYBE 2 a month. Thanks for the heads up with these!!

All the best Doug, baby steps and I tell Lori Im 45 and my health AINT gonna get better without changes.

Funny it feels good contributing to something that is non mopar related LOL
 
Doug for me diabetes runs in my family on both sides. Dad, Uncle, both Grampas.
A little info on my dad and his diabetes(insulin dependent) My last trip home to see Dad, he was on Dialysis 3 times a week and each session was 3 hours. In conjunction with this was chemotherapy once a week. He lost close to 25 lbs in 2 months because of not eating! He would eat an equivalent of maybe a sandwich a day(due to chemo everything tasted like mush/****). Sorry for being long winded here, but my point is that Dad is now NOT on dialysis and NOT taking insulin?? WTF happened?? This is my opinion that because he had no INPUT(food) that his kidneys cleared themself up?? I dunno how else to explain it. Everyone I know or heard from, once you are on Dialysis, you are on it for life. Weird how it "straightened" out.

I think Rocky is onto some good points there(again) with going for a drive(maybe try running outta gas??) LOL
But even if the drive is 80% of the outing and then walking for 20% of it. Its something different and a gradual increase in excercise is better than none.
Its big changes and its tough to get out of a rut when you are in one. Trust me I know. Like Grassy said the daily "stick yer finger" is approx 4-7.
The 3 month average is measured differently. I got my results last week and can post them if you like. Like I said doc said I have kidneys of a 75 year old....I just bout pissed my pants right there!!
Healthy snacks throughout the day is better than 1 or 2 meals, but I dont practice what I preach.

Thanks Rocky, yes oral meds only for me, so type 2. Glumetza is time released Metformin and all my diabetic pills are to be taken with food. Oh yes I also take Percocets...not often maybe 3 a month for my back. I also have Diclofenac(anti inflam) and take MAYBE 2 a month. Thanks for the heads up with these!!

All the best Doug, baby steps and I tell Lori Im 45 and my health AINT gonna get better without changes.

Funny it feels good contributing to something that is non mopar related LOL

Interesting stuff....if you would not mind please do post the results.
There is more than a bit of tension in the house right now. That's ok, I don't mind rattling peoples cages.....but is it really rattling her cage if it is for her own good?
She did get on the elliptical today. One day at a time I suppose.
Rocky does indeed make have some very valid points. The closest high school is about 20 miles away, so I don't think that will be happening. However, we do live near a lake (1/4 mile in front of us) that I used to spend some time walking around. Hills are brutal on my back but if it helps get her moving the pain will be worth it......might have to explain all this to our doc so if I have to get my pain killers refilled early he does not send me out for a p*ss test.......again. Although December is right around the corner so I am do for one any way.

Would like to thank everyone for helping me out. I know a thing or two about mental health troubles but nothing about this stuff.....

And to answer Rocky's question I don't see any self esteem issues.
 
Hey Doug I will dig the papers outta the truck and post them up on humpday(tomorrow)!! Ya know the only person that Ernie may truly listen to about something like this is a Doc. No offense to you or Ernie, but it may take someone in "authority" to show her the light...
 
Doug I bet one big reason she veggies out after dinner is because the sugar level has gone up. Before I was diagnosed that's one of the first symptoms I noticed. After every meal I'd get real sleepy. When you have other problems exercise can be a daunting task but I fight through the pain and exercise as much as I can to help keep the weight down. Lost about 32 lbs. since being diagnosed. I used to be 5'8" but due to back issues and 2 surgeries am now only 5'6" and when the doc told me I was diabetic I weighed 210. Now I'm 178. Just that alone helped my sugar readings go down and also somewhat lessened the chronic back pain. Along with reading food labels (a lot of food is just loaded with sugars and carbs), and eating 4-5 small meals a day instead of 3 big meals has dropped my A1C 3 points. As mentioned that's the test the doc gives you every few months. The meter you check your sugar with reads the sugar count in your blood and mine dropped 40 points with the exercise and modified eating. There have been a lot of good tips here and I especially like Rocky's suggestion of taking her for a ride right after dinner to break the cycle she's in. Also the next time she see's her doc for a checkup go with her and ask the doctor if he'll send her to a eating specialist (sorry I can't remember the medical title but he'll know) to discuss what's bad and what's good and when you shop go with her if you don't already and like someone else mentioned read the labels and pick what's better for her, and you.

Been meaning to give you a call but have been so busy lately trying to get last minute things done before the snow flies and dealing with kidney stones again just haven't had a chance. As soon as I get a free minute I'll give you a ring.
 
Some food, like carrots are very high in sugar. Also fruit. You have to know your foods.

Oral meds only for me, so type 2. Not totally, I am a type 2 and am insulin dependent

A book..my brother in law is no longer on pills..


http://www.huffingtonpost.com/2013/...ntion-the-end-of-diabetes-book_n_2478790.html

These are others like this..

Oh, if a doctor tries to get you to move over on to insulin...unless you have tried everything else, resist it..

Ian.

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Some food, like carrots are very high in sugar. Also fruit. You have to know your foods.

Oral meds only for me, so type 2. Not totally, I am a type 2 and am insulin dependent

A book..my brother in law is no longer on pills..


http://www.huffingtonpost.com/2013/...ntion-the-end-of-diabetes-book_n_2478790.html

These are others like this..

Oh, if a doctor tries to get you to move over on to insulin...unless you have tried everything else, resist it..

Ian.

.

Ian Thanks for this link my wife is a diabetic also this book may help reduce my Independence on insulin.
 
Some food, like carrots are very high in sugar. Also fruit. You have to know your foods.

Oral meds only for me, so type 2. Not totally, I am a type 2 and am insulin dependent

A book..my brother in law is no longer on pills..


http://www.huffingtonpost.com/2013/...ntion-the-end-of-diabetes-book_n_2478790.html

These are others like this..

Oh, if a doctor tries to get you to move over on to insulin...unless you have tried everything else, resist it..

Ian.

.


Thanks Ian....
I have suggested she goes and talks to a Nutritionist, but I doubt she will. I am going to let things settle down for a few days and then "suggest" to her that she tries to exercise prior to dinner.
 
Not eating for long periods will cause low blood sugar problems. I'm diabetic and I know that if I go 5-6 hours without eating I get all woozy and shakey, if you let it continue it can be very bad for you, leading to passing out and dropping into a coma.

If I start feeling that way I eat or drink something sweet and that takes care of it.
 
understand type 1 is insulin dependent, your body does not produce it. type 2 could be either depending on it's progression.

I think first and foremost is getting her to accept it. There are cases of insulin dependent now on oral, and oral not taking anything and maintaining. I am unsure of the statistic's and their circumstances though. As far as I know there is no cure.
I think getting started with some of the suggestions here prior to a nutritionist, I especially think her keeping a food and testing log for a month will tell her which foods currently in her chain cause her to spike. It is different with people. Things that effect others might have little to no effect on her. So that's why the log and testing in regular intervals, at least at first, are key.
That info can help a nutritionist develop a plan for her to make a change w/o just flat blanket cutting foods she enjoys creating even more resistance to acceptance.
Yes diabetes has no real cure, but it also doesn't need to define who you are. I can now eat nearly any food I wish to but I also know how that food will effect my BGL's. A food spike isn't going to kill you it is the consistent elevation that will cause internal organs to fail among other things. It sounds like there are some simple things she can do now to protect herself and get this in HER control.

Was she recently diagnosed and has she been seeing a doctor regularly for check up's? If it just came to light and hasn't been a progression of years than even better.

I feel my best at 120-130 when I get around 100 I start feeling weak and confused, around 60-70 I am ready to pass out. Around 170+ I feel flush like my face is on fire it is a burning sensation like a sunburn. I keep glucose pills around for when I get low.
 
My wife suffers a very special kind of diabetics - she has a kind of cancer, called "insulinom".

The hell it is - she could normally eat and drink everything she wants. Now she has an age of 49, is 1.80 m heigh and has a weight of 69 kg, that's normal.

But if the insulinom gets active, it produces insulin masses. Within a few minutes her numbers can drop below 20. normally - for her - is a number between 140 / 160. Until 25 she' s complete clear. Below it she becomes unconcentrated, below 20 she becomes cold out. At this time I try to get her sugar up, water her with accuchek, a high concentrated sugar-suspension that contains 50 x more sugar than coke and fead her with dextrose-pills. If this doesn't work, the last chance is to set a injection of a hormon that fires up her system to burn the last reserves of sugar. In that case she wakes up, but all her sugar is burnt and we've less than 15 minutes to stock up her reserves with lots of chocolate, bread, all that stuff.

Sometimes it rund the other way - suddenly her body doesn't produce insulin and her sugar raises up. Peaks reached more than 700... In that case we do injections...

It's not adjustable by meds, and we have to face that one day in sleep she won't wake up... If I'm not at home...
 
Hey big&bad, sorry to hear about your wifes ailment! I have never heard of that before.

Doug, here are my results, I will try to organize them on here, but up here in Canada we use different measuring gauges. Also the doc gave me 2 printouts/sheets, so Im not sure which is the 3 month average and which is the immediate. Tests were done at 8am and I had fasted.
Sheet 1
Urine test
Microalbumin(F) results 75mg/l Optimal range 0-20
Creatinine-Random(F) results 20 mmol/l
Microalb/Creat Ratio results 3.8 Optimal range 0-2
I did math for the "Ratio" result. Basically divide Creatinine # into Microalbumin to get 3.8(3.75 rounded up). So if she can keep the Microalbumin the lower the better(IMO)

Hemoglobin A1c-HbA1c/Total Hemoglobin Results 7.5% Optimal 4.0-6.0%
Chart below for HbA1c interpretation as per Canadian Diabetes Assoc Guidelines
Ideal NON diabetic Less than 6% is Normal
Optimal Diabetic less than 7%
Suboptimal Diabetic 7-8% "action may be required"
Inadequate Greater than 8.4% "action required"

Doug with the 2nd sheet, I will take a pic and post it.
 
Hey big&bad, sorry to hear about your wifes ailment! I have never heard of that before.

Doug, here are my results, I will try to organize them on here, but up here in Canada we use different measuring gauges. Also the doc gave me 2 printouts/sheets, so Im not sure which is the 3 month average and which is the immediate. Tests were done at 8am and I had fasted.
Sheet 1
Urine test
Microalbumin(F) results 75mg/l Optimal range 0-20
Creatinine-Random(F) results 20 mmol/l
Microalb/Creat Ratio results 3.8 Optimal range 0-2
I did math for the "Ratio" result. Basically divide Creatinine # into Microalbumin to get 3.8(3.75 rounded up). So if she can keep the Microalbumin the lower the better(IMO)

Hemoglobin A1c-HbA1c/Total Hemoglobin Results 7.5% Optimal 4.0-6.0%
Chart below for HbA1c interpretation as per Canadian Diabetes Assoc Guidelines
Ideal NON diabetic Less than 6% is Normal
Optimal Diabetic less than 7%
Suboptimal Diabetic 7-8% "action may be required"
Inadequate Greater than 8.4% "action required"

Doug with the 2nd sheet, I will take a pic and post it.

Since you're on a different system how does it show up for our system here in the states? My A1C was 6.5 anything over 7.00is high
 
Steve your A1C is generally considered an average measured over several months. I get checked every 6 months with blood work and I am at that time now come to think of it. It looks like the system you use to measure A1C is the same. And yes that is elevated. You need to be 6.0 or lower....
 
Since you're on a different system how does it show up for our system here in the states? My A1C was 6.5 anything over 7.00is high

Hey Cliff, check the above chart out I typed. I think US and Canada are on the same board for this. Im quoting from the above chart here "Suboptimal Diabetic" range is anywhere from 7-8.4.
Optimal range for diabetics is Less than 7. So yer doing good bud!

Oh when I do the "prick finger" test. Im usually around 7ish. I think that is where our countries differ...your readings are different but thats because they measure in different "scales"

Here is a pic of my 2nd sheet of results
 

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Steve your A1C is generally considered an average measured over several months. I get checked every 6 months with blood work and I am at that time now come to think of it. It looks like the system you use to measure A1C is the same. And yes that is elevated. You need to be 6.0 or lower....

Thanks John, but are you saying Im a little "high"??:glasses7::brave:
 
Yeah the finger prick is different since we use the mgdl so my daily averages changes a small amount unless I have a day when I can't keep my gl where it needs to be like today my average so far is 174 mgdl which is up a little but my doctor is happy with the results.
I have to say being on a insulin pump really does help if you also follow the diet and in my case some exercise. I am going to be trying a new drug for neuropathy that is suppose to help rebuild the shield over the nerves so the nerves may come back or not it takes years for it to work.
 
Steve your A1C is generally considered an average measured over several months. I get checked every 6 months with blood work and I am at that time now come to think of it. It looks like the system you use to measure A1C is the same. And yes that is elevated. You need to be 6.0 or lower....

You must have an older (late 50s) doctor..

AiC is it an average of 3 months...

You are in the zone from 3.6 to 6.7

Doctors are ok if you slide into the early 7s if you are a type II..no idea if type 1

Some type 2s find it hard to be in the zone ..shaking, etc.. I was so high when I was diagnosed that it took me a long while before I would stop shaking if I dropped below 6.5

When I was diagnosed, I read everything including the stuff produced by the AMA. One of the best guides I have ever read was the Dummins guide for diabetics..fun, informative and very spot on..who would have thought..
 
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