You know it's SERIOUS when your Dr calls you in to see her on Saturday

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You know it's SERIOUS when your Dr calls you in to see her on Saturday


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Old 10-29-2011, 21:16   #1
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Default You know it's SERIOUS when your Dr calls you in to see her on Saturday

Dr's . Office left a message on my answering machine on Thursday while I was at work,because she knew I was scheduled for my flu shot Saturday morning. She said it was important and that she needed to speak to me at the time of my flu shot.
I had gone for a urine culture 1 week ago when I thought I had seen BLOOD in my urine. Now, I was scared.!!!
Went in today and she tells me nope No Blood but ALOT of glucose spilling from kidney's into my urine!! The number was 23!! Not sure what that means but she said TAKE MORE INSULIN!!! I said my BG is below 7 most of the time and that I had taken the urine test after my lunch. She said it DOESN'T matter!!! I told her that If I took more insulin I'd gain MORE weight and may go Hypo.What about 30 grams of carb per day.6/12/12 as per Dr.B's diet?? She said that should be oKAY. NOW, I AM SCARED to death. What am I to do? I have already gone from 142lbs to 170lbs since starting insulin last October. Afraid I'll Gain too much and go hypo!!!

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Old 10-29-2011, 22:37   #2
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Dr's . Office left a message on my answering machine on Thursday while I was at work,because she knew I was scheduled for my flu shot Saturday morning. She said it was important and that she needed to speak to me at the time of my flu shot.
I had gone for a urine culture 1 week ago when I thought I had seen BLOOD in my urine. Now, I was scared.!!!
Went in today and she tells me nope No Blood but ALOT of glucose spilling from kidney's into my urine!! The number was 23!! Not sure what that means but she said TAKE MORE INSULIN!!! I said my BG is below 7 most of the time and that I had taken the urine test after my lunch. She said it DOESN'T matter!!! I told her that If I took more insulin I'd gain MORE weight and may go Hypo.What about 30 grams of carb per day.6/12/12 as per Dr.B's diet?? She said that should be oKAY. NOW, I AM SCARED to death. What am I to do? I have already gone from 142lbs to 170lbs since starting insulin last October. Afraid I'll Gain too much and go hypo!!!
First of all, I want to say that it sounds like you have a wonderful Doc. My urine test in April showed I had 1,000 Glucose, blood, protein, and ketones of 40, plus lots of white blood cells indicating a major urinary tract infection. My Doctor did NOTHING, so I assumed it was all okay. I had another urine test in August and fortunately I saw the Nurse Practitioner at that appt. because she was ALARMED, started me on an Anti-biotic and referred me on to an Endo Doc after also noticing that my Ha1c's had been in the 10-12 range for the past 3 years and my Doc was not treating me with anything for it - except cinnamon and alpha lipoic acid.

Anyway, I say this only so you won't be too scared of a "23." Believe me - it could be much worse.

Are you sure the weight gain is true weight and not fluid? I gained 18 lbs in my first 18 days on Insulin, but it all came off in 3 days after I started taking a "water pill." You might need this as well.

I follow the LC/HF and have not gained any weight on the Insulin, but I am actually losing weight. And, I take quite a lot of Insulin as you can see from my signature.

If you test at least 4 times a day and two hours after eating, you won't have to worry about going too hypo. You will get symptoms when you get below 70 (which is hypo) so your body will let you know. Then, just pop a glucose tablet and re-test to make sure you BG is going back up. The glucose tablets are the fastest way to get your BGs back up instead of using carbs. The carbs have to be converted into glucose which can take too much time when you're on a rapid decline. So, stick with the glucose tablets. Just one at a time until it starts to go back up.

So, I would follow my Doctor's orders. She sounds like she's on the right track.

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Old 10-29-2011, 23:52   #3
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Hi Pands - perhaps you've posted this elsewhere, but what insulin(s) are you using and in what amounts? Also, what does your diet look like?

Diabetes is certainly frustrating sometimes, isn't it?

Jen

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Old 10-30-2011, 00:33   #4
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Thanks MsTCB and Jen for responding soo swiftly to my posts.A short history....2008 dx'd Type 2. Many different meds but none seemed to work. Lost 25 pounds because I was afraid to eat!!! 2 yrs and MANY UTI's later( 2010)I started LC'ing but did NOT gain nor lost weight. I was dx'd with T1.5. Meds plus 1 insulin shot before bed...levemir and still BG not very well controlled. Then last October peptide C test confirmed Type 1. Since then 4 shots per day. Apidra and levemir . Not low carbing and NOT counting carbs. Gained upwards of 30 pounds . I am to start LC/HF on Monday. Not sure but do I take glucotabs with me to work. I am a teacher and usually have pockets filled with fruit, juice, yogourt, etc just in case?? I want to do this right so I intend to be prepared. Thanks for the support!! Trust me I will NEED all the advise you all can give me.


Last edited by pands45; 10-30-2011 at 00:35.
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Old 10-30-2011, 01:08   #5
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Thanks MsTCB and Jen for responding soo swiftly to my posts.A short history....2008 dx'd Type 2. Many different meds but none seemed to work. Lost 25 pounds because I was afraid to eat!!! 2 yrs and MANY UTI's later( 2010)I started LC'ing but did NOT gain nor lost weight. I was dx'd with T1.5. Meds plus 1 insulin shot before bed...levemir and still BG not very well controlled. Then last October peptide C test confirmed Type 1. Since then 4 shots per day. Apidra and levemir . Not low carbing and NOT counting carbs. Gained upwards of 30 pounds . I am to start LC/HF on Monday. Not sure but do I take glucotabs with me to work. I am a teacher and usually have pockets filled with fruit, juice, yogourt, etc just in case?? I want to do this right so I intend to be prepared. Thanks for the support!! Trust me I will NEED all the advise you all can give me.
After the first 4 days or so, I think you'll really like the LC/HF diet.

What is your teaching schedule?
Do you have a planning period?
How many hours of classes do you have back-to-back?

Especially at first until you get into a regular routine and know how your body is going to respond to lower carbs and Insulin, I would suggest testing during all your breaks and wouldn't go any longer than a 2-hour back-to-back teaching session without testing.

I know the last thing you want is to have to deal with a hypo right in the middle of teaching session. With some planning and testing, I think you can "tweak" your food and meds so that you can take the worry out of it.

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Old 10-30-2011, 02:19   #6
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If that did not jive with your numbers, request a re-test!!!!

I think your BG has to be over 250 or something to get blood in your urine.

http://http://en.wikipedia.org/wiki/Glycosuria

A urine dipstick can show a false-positive glucosuria if someone is taking Pyridium or AZO Standard, medications that relieve symptoms of urinary tract infection.
So ... were you?


Last edited by foxl; 10-30-2011 at 02:23.
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Old 10-30-2011, 03:07   #7
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After the first 4 days or so, I think you'll really like the LC/HF diet.

What is your teaching schedule?
Do you have a planning period?
How many hours of classes do you have back-to-back?

Especially at first until you get into a regular routine and know how your body is going to respond to lower carbs and Insulin, I would suggest testing during all your breaks and wouldn't go any longer than a 2-hour back-to-back teaching session without testing.

I know the last thing you want is to have to deal with a hypo right in the middle of teaching session. With some planning and testing, I think you can "tweak" your food and meds so that you can take the worry out of it.
Teach everyday. Grade 6. I presently have a student teacher so that should make break time every 2 hrs available to me.I have had many lows while teaching and have always kept a candy, carrots or a yogurt on my desk. I am a bit nervous ,to say the least!!!
With LC/HF Do I need snacks on hand and what??...besides GluTabs??

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Old 10-30-2011, 03:20   #8
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Quote:
Originally Posted by foxl View Post
If that did not jive with your numbers, request a re-test!!!!

I think your BG has to be over 250 or something to get blood in your urine.

http://http://en.wikipedia.org/wiki/Glycosuria

A urine dipstick can show a false-positive glucosuria if someone is taking Pyridium or AZO Standard, medications that relieve symptoms of urinary tract infection.
So ... were you?
No...I DON'T take pyridium or AZO standard. ( Although I don't know what either of these drugs are.)

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Old 10-30-2011, 04:20   #9
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No...I DON'T take pyridium or AZO standard. ( Although I don't know what either of these drugs are.)
I think they were mentioned because you spoke of having many UTIs in the past. These are the drugs used to treat those urinary/bladder infections - at least they were when I would get them years ago.




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Old 10-30-2011, 05:54   #10
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Teach everyday. Grade 6. I presently have a student teacher so that should make break time every 2 hrs available to me.I have had many lows while teaching and have always kept a candy, carrots or a yogurt on my desk. I am a bit nervous ,to say the least!!!
With LC/HF Do I need snacks on hand and what??...besides GluTabs??
When you're on the LC/HF diet, you'll want to ditch those high-carb snacks you mentioned. The best thing to do is to PREVENT the lows by eating your protein & fat meals and snacks on a regular basis - every 2-3 hours. If you look at the Recipe section (or maybe in the Diet and Nutrition section) there is a great thread that lists low-carb snacks. It's a long list, so you'll surely find things on there that you like.

Glad you are able to test regularly. I would test before eating and 2 hour after eating for a while until you learn how your body is responding to the new way of eating and the Insulin. By watching BGs like this, you won't go so hypo that you can't fix it. But, like I said, it's best to keep your BGs stable and in the normal range by eating the LC/HF meals and snacks on a regular basis. For ex. A snack for me might be a 1 oz of thinly sliced ham with a thin layer of cream cheese rolled up and maybe 4-5 Olives. A meal might be 3 oz of tuna salad made with real mayo and eggs. They don't have to be big meals and snacks to keep your BGs stable and normal.


Last edited by MsTCB; 10-30-2011 at 06:02.
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