What the Nurse Educator said to me

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What the Nurse Educator said to me


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Old 01-31-2012, 18:01   #1
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Default What the Nurse Educator said to me

I started the insulin pump this morning. As we got started she was asking me general questions about how my BGs were doing since starting the I:C ratio. How I was feeling since last seeing her etc. She is diabetic herself and wears the same pump I started on. When getting to the formulas used to set basal rates she asked me about my diet. I told her I was doing LCHF. She said to me "whatever works for you...the ADA recommendations don't make sense. Carbs are our enemy. There is a whole new school of thought on the low carb diet and how it helps us. The ADA just hasn't come around yet." Now she(nurse) doesn't do the diet recommendations for patients. There is a seperate person(dietician) that does that and is not a diabetic herself. She(dietician) sticks to the ADA recommendations when working with patients.

I expected a totally different reaction!!

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Old 01-31-2012, 18:12   #2
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Sounds like the Nurse Educator is lots smarter than the dietitian. If I were you, I would listen to what the dietitian has to say, smile politely and then when you get home - do what you feel is appropriate for you You can always schedule another appt w/Nurse Educator and talk to her one on one. She sounds like a "keeper".

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Old 01-31-2012, 18:30   #3
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Well, the fact that the Nurse Educator is diabetic and uses insulin pump right there tells you she experiences this diabetes thing like the rest of us. The dietician is NOT a diabetic, so perhaps the ADA recommendations work well for her and keep her very healthy. At least someone can use the ADA and have it work for them, but not a diabetic.

Marsha, quick question....I'm still experiencing high bg's on the I:C ratio way of taking insulin. I've been pretty diligent with looking up how many carbs are in the meal I am about to eat, and also correction dose for what my bg's are at other times. Exactly how long is reasonable to know if I'm doing this correctly? I am pretty sure I have calculated correctly since I used the formulas that are recommended for I:C, correction doses, and Total Daily Insulin amount, as well as calculations for basal. Am I just being impatient? I hate having higher bg's when I'm not eating "bad" foods.

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Old 01-31-2012, 18:37   #4
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I have noticed the same things with my support staff. I get rid of them if they don't like my LCHF diet. I actually need to make it more LC right now as a matter of fact...

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Old 01-31-2012, 18:51   #5
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Just from personal experience ... my pre-meal dose is about twice as high as my post-meal corrective dose. I found this out by raising the pre-meal dose gradually, 1u at a time, every 3 days until it worked.

Your levels may vary.

When the pre-meal dose is right, the correctives shouldn't be needed so much.

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Old 01-31-2012, 19:07   #6
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I noticed a difference in a couple of days. You may have a different insulin sensitivity than me. My I:C ratio was given to me by my endo. I would have no idea where to start if I had done it on my own.


@strawberry i dont have to see the dietician again. Only if I had questions. Then I can call her. Think I might lose that number . I will see the educator once a week for 6 weeks and she gets my BGs once a day for a couple of weeks til my doses are correct.

Hope everyone is having a wonderful day!!

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Old 01-31-2012, 19:30   #7
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I was ecstatic with my trip to the Dietician. I was expecting the same ole blah blah blah by someone that doesn't understand my condition with the Gastroparesis but was pleasantly surprised. She was knowledgeable and didn't try to push a lot of stuff on me that just won't work with me. It gave me new hope for the medical professional system.

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Old 01-31-2012, 19:32   #8
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I think the nurse educator is correct. I want to know why do all Dieticians have to follow the ADA guidelines. I worry about newly dx'd D's that haven't found online forums yet. I remember when I first started LC/HF I felt I was doing something forbidden. My doctor's attitude is whatever works. I always get a kick out of the overweight nurses in my doctors office always want to know what my diet secrets are. I always tell them dump the carbs.

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Old 01-31-2012, 20:10   #9
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All I can think to say about this, Marsha, is HALLELUJAH!




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Old 01-31-2012, 20:37   #10
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All I could say to the people that develop the guidelines at the ADA is "walk a mile in my shoes"

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