Insulin pump issue - Page 2

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Insulin pump issue - Page 2


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Old 08-22-2010, 16:55   #11
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Iam allowwed 60 carbs per meal at home and 75 eating out. Iam pretty accurate and always include everything.

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Old 08-22-2010, 17:55   #12
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That is an awful lot of carbs, Tren . . . I think it would be good if you dialed it down a little, at least until you get stabilized on the pump, and can get some of your pending surgeries behind you.

The simple truth of diabetes is that carbs raise blood glucose levels, and even people who are pumping are usually watching their carb intake very carefully.

Give us an idea of what your typical meals are like.




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Old 08-22-2010, 20:47   #13
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I really couldnt since I eat out alot.Iam a lvn and work 14 hr shifts.My meals are never actually meals there more like snacks.Is that really too many carbs.Thats what the pump rep and diabetes educator told me to shoot for.

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Old 08-22-2010, 21:02   #14
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Yes, it's too many carbs - especially now that you say they're more like snacks than meals. You would be wise to aim for under 100g of carbs per day for a little while and you'll be amazed at the changes in your BG. Even though you're on insulin, you can lower your carb intake and you won't need so much insulin.

It is common knowledge among diabetics with good control that the medical professionals, dietitians & diabetes educators - even and especially the ADA - give uncommonly bad advice about carbs.

If you want to gain control of your diabetes, Tren, you're going to have to buckle down and control your diet. You have been following the advice of the docs and nurses, and that hasn't worked out too well, has it?

If you must eat out, then avoid ordering fries and anything that comes on a bun or on bread. Soups and salads are pretty good choices. Focus on eating protein and fats - they provide good nutrition, energy and they do not raise your blood sugar.





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Old 08-22-2010, 21:25   #15
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Quote:
Originally Posted by jeremiahtren View Post
Iam allowwed 60 carbs per meal at home and 75 eating out. Iam pretty accurate and always include everything.
WOW. That is a lot of carbs. There is part of your trouble right there. A good number to start with is around 45 for meals and no more than 15 or 20 for a snack. My meals normally range around 35grams of carb. I can go up to a about 60 for a meal...sometimes....but only if I have not had a lot of carbs for other meals during the day. I usually only go that high when I am eating out. If you cut back on your carb intake you are going to see a big difference. I also am a nurse...and I work 12 shifts at night...so I know how difficult it can be to do. But it can be done. I dont cook a lot at home either, but there are ways to eat out even and keep your carb intake lower.

I am actually quite surprised your doctor is telling you to eat that many carbs and is increasing an already huge dose of insulin without offering you realistic dietary guidelines. Please ask about metformin also...you are obviously very insulin resistant and I am not sure why you arent on it already.

I also work as a nurse here in San Antonio...would be a hoot if you worked for the same place as I do! LOL

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Old 08-23-2010, 08:06   #16
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WOW. That is a lot of carbs. There is part of your trouble right there. A good number to start with is around 45 for meals and no more than 15 or 20 for a snack. My meals normally range around 35grams of carb. I can go up to a about 60 for a meal...sometimes....but only if I have not had a lot of carbs for other meals during the day. I usually only go that high when I am eating out. If you cut back on your carb intake you are going to see a big difference. I also am a nurse...and I work 12 shifts at night...so I know how difficult it can be to do. But it can be done. I dont cook a lot at home either, but there are ways to eat out even and keep your carb intake lower.

I am actually quite surprised your doctor is telling you to eat that many carbs and is increasing an already huge dose of insulin without offering you realistic dietary guidelines. Please ask about metformin also...you are obviously very insulin resistant and I am not sure why you arent on it already.

I also work as a nurse here in San Antonio...would be a hoot if you worked for the same place as I do! LOL
How funny. I actually work for my dr.and my basal went up Again to 5.5 in am 6.0 from 10pm to 1am and 6.5 from 1am to 8am.

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Old 08-26-2010, 01:20   #17
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update....since i changed insulins my bs has been great.

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Old 08-26-2010, 03:11   #18
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Awesome..I am really glad the new insulin is working for you

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Currently taking:

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Neurontin 300mg three times a day
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Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
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Old 08-26-2010, 03:17   #19
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Quote:
Originally Posted by jeremiahtren View Post
update....since i changed insulins my bs has been great.
What type of insulin are you using in your pump? It is hard to keep track since you have been on so many.

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Old 09-22-2010, 08:42   #20
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Out of curiosity, how many total grams of carbs are you allowing for your meals or snacks? Maybe if you can give us an idea of a typical menu that you eat we can help you find any hidden carbs you might be eating and not counting for.
right now iam allowed 50 carbs per meal.My numbers have somewhat stabilized but my insulin requirements went up.iam on a basal of 9.6 u/hr and using over 500 units per day.

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