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I am a 10 year old diabetic - Page 3


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Old 05-04-2012, 21:08   #21
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Quote:
Originally Posted by nabchak View Post
Hi Buddy

The Repace 50 that i take for Hypertension is actually for my hyperactive mind. I am not so conversant with the medicine diagnosis but I also take

Glyciphage SR 1gm and Zosert 25. My lipid test hasnt been updated and yes I do take rice both times in my meal. this is supplemented by primarily fish and veggies. I do not take much fried stuff except for papad and an occassional alufry.

My last test which I did this Tuesday was 107 Fasting and 177 PP.

I am also on Human Mixtard insulin 70/30 16 units before b'fast and 28 units before dinner.

My blood glucose used to be sky high previously when another doctor was treating me. He used to prescribe Galvus Met 50/1000 which is pretty expensive. and on top of all the medication and insulin I could hardly have my blood glucose under control.
So I referred another doctor and I am much better now.

regards
Nabarun

Here's my response.

Why are you here ?
I've been extremely limited in giving advice to diabetics I meet in real life, because I dont think many people value the importance of keeping sugars in the 80-120 range (non diabetic range)
Key questions you need to ask yourself
1. If there was a way to keep your sugars in the normal non diabetic range would you be able to motivate yourself to stick to a plan at all costs ?
2. Do you value keeping your sugars at those normal range more than anything else ?
3. Do you believe that you should keep your sugars at the normal non diabetic range at ALL times and not settle for numbers that are "good enough for a diabetic" ?

I have found that in many cases the friends and family I meet in real life do not have a resounding yes and cannot stick to the plan.

So if you do not have a resounding Yes for all these three questions then this interaction will not be of much meaning but if you are convinced that read on

Normal Ranges

A normal non obese, non insulin resistant human would have a hbA1c of around 5 or maybe even less (between 4.5 to 5). Anything more than that is not normal

A normal non obese, non insulin resistant human normally has a fasting in the low 90s or in the 80s and 70s. Anything more than that is not normal

A A normal non obese, non insulin resistant human would normally not spike to more than 140 after a carb meal and will be around the 100 - 120 mark at 2 hours (or maybe less than 100). Anything higher than that is not normal.

I believe these should be your targets

Damages start happening to your organs whenever your sugar is higher than 140.


Diet

There is no way in the world I can eat so many carbs. Each gram of carbohydrate gets coverted into glucose which is sugar. So if you are eating 100 gms of rice (about 80 gms carbs) you have just eaten 80 gms of slow sugar (about 15 spoons).

From my experience I believe a low carbohydrate diet is the best. In a low carbohydrate diet I do not eat bread, roti, rice, oats, wheat EVER. I NEVER eat these things.

To cover my calorie deficit I have good fats - walnuts, almonds, flaxseed. I also take good amount of pure butter, ghee and cocunut oil. I do not use vegetable of artificial oils

Medicines

You really need to learn about the medicines you are putting in your body. What does each medicine do ? How does it work ? Is it required ? If yes then why ?

Now consider this. You are taking insulin. In addition you are taking a medicine called glimepride in that triple drug. Glimepride forces your pancreas to produce insulin. Now common sense tells me that if I am already taking insulin why the heck should I pressurize my already challenged pancreas to make more insulin ?

Mixtard insulin are also part of history in most countries. It's given to those people who prefer the convenience of taking one injection instead of two. So again you need to ask yourself is your convenience more important or your numbers. Mixtard insulin is a combination of one fast acting and one slow (long) acting insulin. The fast acting is to cover the carbs in the meal and slow acting is for slow operation.

Now consider another thing. I am sure you are not eating the same amounts of carbs every breakfast and dinner then why in the world are you taking the same number of units. ?

So my point is - get to know your medication better


Testing

I think you need to test more. To start with please get a meter and test yourself before and after every meal. You'll be surprised to find out how each food effects your blood sugars

foxl, *LoveBugMama*, moon and 4 others like this.
__________________

HbA1c 5.9 (Feb 2019)
Medication
Novarapid = 4-5 at breakfast (no other insulin)
Metformin 1000 mg

Lifesytle: LC, exercise most days


--------------------------------------------------------
"Be the change you want to see in the world" - Mahatma Gandhi
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Old 05-05-2012, 00:55   #22
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Quote:
Originally Posted by tony0611 View Post
Nabarun

Here's my response.

Why are you here ?
I've been extremely limited in giving advice to diabetics I meet in real life, because I dont think many people value the importance of keeping sugars in the 80-120 range (non diabetic range)
Key questions you need to ask yourself
1. If there was a way to keep your sugars in the normal non diabetic range would you be able to motivate yourself to stick to a plan at all costs ?
2. Do you value keeping your sugars at those normal range more than anything else ?
3. Do you believe that you should keep your sugars at the normal non diabetic range at ALL times and not settle for numbers that are "good enough for a diabetic" ?

I have found that in many cases the friends and family I meet in real life do not have a resounding yes and cannot stick to the plan.

So if you do not have a resounding Yes for all these three questions then this interaction will not be of much meaning but if you are convinced that read on

Normal Ranges

A normal non obese, non insulin resistant human would have a hbA1c of around 5 or maybe even less (between 4.5 to 5). Anything more than that is not normal

A normal non obese, non insulin resistant human normally has a fasting in the low 90s or in the 80s and 70s. Anything more than that is not normal

A A normal non obese, non insulin resistant human would normally not spike to more than 140 after a carb meal and will be around the 100 - 120 mark at 2 hours (or maybe less than 100). Anything higher than that is not normal.

I believe these should be your targets

Damages start happening to your organs whenever your sugar is higher than 140.


Diet

There is no way in the world I can eat so many carbs. Each gram of carbohydrate gets coverted into glucose which is sugar. So if you are eating 100 gms of rice (about 80 gms carbs) you have just eaten 80 gms of slow sugar (about 15 spoons).

From my experience I believe a low carbohydrate diet is the best. In a low carbohydrate diet I do not eat bread, roti, rice, oats, wheat EVER. I NEVER eat these things.

To cover my calorie deficit I have good fats - walnuts, almonds, flaxseed. I also take good amount of pure butter, ghee and cocunut oil. I do not use vegetable of artificial oils

Medicines

You really need to learn about the medicines you are putting in your body. What does each medicine do ? How does it work ? Is it required ? If yes then why ?

Now consider this. You are taking insulin. In addition you are taking a medicine called glimepride in that triple drug. Glimepride forces your pancreas to produce insulin. Now common sense tells me that if I am already taking insulin why the heck should I pressurize my already challenged pancreas to make more insulin ?

Mixtard insulin are also part of history in most countries. It's given to those people who prefer the convenience of taking one injection instead of two. So again you need to ask yourself is your convenience more important or your numbers. Mixtard insulin is a combination of one fast acting and one slow (long) acting insulin. The fast acting is to cover the carbs in the meal and slow acting is for slow operation.

Now consider another thing. I am sure you are not eating the same amounts of carbs every breakfast and dinner then why in the world are you taking the same number of units. ?

So my point is - get to know your medication better


Testing

I think you need to test more. To start with please get a meter and test yourself before and after every meal. You'll be surprised to find out how each food effects your blood sugars
Hey Buddy..

Your posts are so insightful that I get focussed into them.. I am all 'YES' for the 3 points you mentioned for a good diabetic normal life. Now the qs. is how do I do it.

You have suggested the pros and cons of the meals, the mixtards and everything else..I get the idea but twhat do you suggest me to do with regards to type of insulin, meals( what to eat- if not rice..i cant eat almonds for lunch).
I do have an exercise regime but considering the knowledge lack on insulin, meds and diet I guess I need to focus more on these.

Could you please from your busy schedule, tell me what kind of Indian food can I take for meals if I am not taking rice as staple food. Secondly what type of insulin should I be taking for the maximum benefits.

I would be visiting my doctor today at 10 am IST..if you could reply before that at least the type of insulin to take I shall talk about it with my doctor.

thanks and so deeply grateful for your concern for my goodhealth.. am touched Tony..God bless you.

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Old 05-05-2012, 01:02   #23
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Quote:
Originally Posted by foxl View Post
Ms., actually. And thanks. I am not familiar with Golf Green, it sounds quite nice, though. T's orphanage was in Salt Lake.

I am trying to learn as much as possible about the culture of W Bengal, it is fascinating and rich! While T gets some advantages by being in the US, I have little doubt that she has also lost a lot by not being in India.
Golf Green is a nature's haven within the heart of the city. Its got more trees than apartments and you get to see beehives and exotic bird chirps and all that nature has in abundance .
T's got a new home, a loving and caring family. What more can she want. Life here in India for such orphanage children is a misery. There is no adequate nutritious food, care and most of all family.. She's one of those fortunate ones who have been blessed with parents as loving and concerned as you are..Gold bless you and your family.
Will tell you more about my city from a writer's point of view.

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Old 05-05-2012, 01:47   #24
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I think people -- families in India -- are closer than in the US. To lose that is to lose a lot (but we are a very close family!).

Let me see, ten yrs ago, and yet ... we toured the museum, a huge collection of sadly unlabeled artifacts. (I see references to things in that museum, and yet when I was there, had no idea what I was looking at!).

There was a huge sidewalk book sale -- overwhelmingly huge! I love books and it was hard to not buy anything, but we were traveling light.

My husband went to a bazaar that sold only bicycle parts, though --- he loves bicycles and the mechanics of them and had a lovely time!

The storefronts were not imposing, but there was a lot of shopping. Construction projects seemed quiet but ongoing, at a slower pace. Men in dhotis, sneakers or sandals, and tee shirts were doing the hard labor, breaking up rock and so on.

Went into a cyber cafe (ten yrs ago) the young men running it were very knowledgeable, and helpful -- very refreshing! They told us where we could buy CDs, too.

We stayed at the Hotel Hindustan, and the help all seemed so educated! A discussion with the head bellman was quite interesting -- he had strong opinions about US politics and was a big Clinton fan. And one of my favorite memories was a waiter bringing out a silver service tray, to poolside as we had our morning coffee .... to feed the resident CATS! I am a big cat-lover and found that absolutely charming.

T was from a fine orphanage, she got physicial therapy (which was truly beneficial!) the whole time she was there. The orphanage was poor, but she was clearly loved and received a lot of attention. The caregivers did not speak English, but their care of her was evident. I remember riding away from the orphanage, holding her (all 13 lb, at 1 yr!) on my lap in a cab, with the entire staff lined up on the front lawn waving farewell. She was too little to remember that, but I will remember it, forever!

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Last edited by foxl; 05-05-2012 at 01:52.
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Old 05-05-2012, 03:35   #25
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Quote:
Originally Posted by foxl View Post
I think people -- families in India -- are closer than in the US. To lose that is to lose a lot (but we are a very close family!).

Let me see, ten yrs ago, and yet ... we toured the museum, a huge collection of sadly unlabeled artifacts. (I see references to things in that museum, and yet when I was there, had no idea what I was looking at!).

There was a huge sidewalk book sale -- overwhelmingly huge! I love books and it was hard to not buy anything, but we were traveling light.

My husband went to a bazaar that sold only bicycle parts, though --- he loves bicycles and the mechanics of them and had a lovely time!

The storefronts were not imposing, but there was a lot of shopping. Construction projects seemed quiet but ongoing, at a slower pace. Men in dhotis, sneakers or sandals, and tee shirts were doing the hard labor, breaking up rock and so on.

Went into a cyber cafe (ten yrs ago) the young men running it were very knowledgeable, and helpful -- very refreshing! They told us where we could buy CDs, too.

We stayed at the Hotel Hindustan, and the help all seemed so educated! A discussion with the head bellman was quite interesting -- he had strong opinions about US politics and was a big Clinton fan. And one of my favorite memories was a waiter bringing out a silver service tray, to poolside as we had our morning coffee .... to feed the resident CATS! I am a big cat-lover and found that absolutely charming.

T was from a fine orphanage, she got physicial therapy (which was truly beneficial!) the whole time she was there. The orphanage was poor, but she was clearly loved and received a lot of attention. The caregivers did not speak English, but their care of her was evident. I remember riding away from the orphanage, holding her (all 13 lb, at 1 yr!) on my lap in a cab, with the entire staff lined up on the front lawn waving farewell. She was too little to remember that, but I will remember it, forever!
That goodbye at the orphanage truly touched me Foxl. India may be economically backward(obviously when the people running the country have multimillion dollar accounts in their Swiss Bank accounts) yet it is very rich in culture and values. I will tell you about myself..I am 36 and am a bachelor..I still live with my parents although I have another house for myself closeby with fully furnished rooms. If I am coming home late, I make it a point to call my father whom I call 'baba' to inform him that I will not be having dinner with him and he should not wait for me ..I have the keys to the house and I insist that he go to sleep yet when I come back home late, I find him awake, watching TV waiting for me.

We have a custom of our women going regularly to the temple to offer prayers. Men also do but not as religiously as women. My mother whom I call 'ma' goes to the Kali Temple near our home every Saturday to offer prayers with sweets and flowers and spends time with the Goddess to ask her to look after me.. These are small things in life but are so invaluable and integral part of the family bond.
Although I run my own expenses yet my father insists that he pay for the household meals and everyday groceries. I am authorized( I say this cause we, ma and me, still give him the position of the family head as the one with the most experience in our family) to spend for the electricity and telephone bills but not beyond that..

Isnt that wonderful..not that I save money but how deeply baba feels for me . Life like this is unthinkable in the US. People get divorced at tender ages, sons move away from their aged parents and its not anybody's fault..its just that the culture and the system of life and society is such..There are a lot of other good things in US culture which the Indians should adopt like openness in thought and civilized behavior yet the value system in India is something that stands as an example.

Looking forward to communicate again with you..have a good night sleep

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Old 05-05-2012, 04:04   #26
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I was missing my family too much here but now I am happy. I am going back to India after spending 8 months in New York. I will have a lot of sweet memories of NYC. It is great City.

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Old 05-05-2012, 05:02   #27
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Quote:
Originally Posted by nabchak View Post
Hey Buddy..

Your posts are so insightful that I get focussed into them.. I am all 'YES' for the 3 points you mentioned for a good diabetic normal life. Now the qs. is how do I do it.

You have suggested the pros and cons of the meals, the mixtards and everything else..I get the idea but twhat do you suggest me to do with regards to type of insulin, meals( what to eat- if not rice..i cant eat almonds for lunch).
I do have an exercise regime but considering the knowledge lack on insulin, meds and diet I guess I need to focus more on these.

Could you please from your busy schedule, tell me what kind of Indian food can I take for meals if I am not taking rice as staple food. Secondly what type of insulin should I be taking for the maximum benefits.

I would be visiting my doctor today at 10 am IST..if you could reply before that at least the type of insulin to take I shall talk about it with my doctor.

thanks and so deeply grateful for your concern for my goodhealth.. am touched Tony..God bless you.

Hi I just woke up so I am not sure if you see this before your appointment but as far as the food goes. I would eat normal Indian food without the rotis, bread and rice. Fish, Chicken, Meat, Vegetables , limited dals, salads, paneer dishes. Basically all the other food leaving out the grain.

See suppose (for example) you were earlier having lunch of fish, roti and veggies. I would eat the same lunch and instead of 1 roti I will add one spoon of butter on my fish.

For Insulin I would ask for separate fast acting and long lasting insulin shots.

foxl likes this.
__________________

HbA1c 5.9 (Feb 2019)
Medication
Novarapid = 4-5 at breakfast (no other insulin)
Metformin 1000 mg

Lifesytle: LC, exercise most days


--------------------------------------------------------
"Be the change you want to see in the world" - Mahatma Gandhi

Last edited by tony0611; 05-05-2012 at 05:12.
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Old 05-05-2012, 05:19   #28
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A very important thing, when you cut carbs you insulin requirements drop a lot. A high dose of insulin (because your requirements have dropped) can KILL you.

So please check before your meal, after your meal (1 hr and 2 hr) and you if feel your sugar is dropping to fast and is at dangerous levels have a few sips of juice....slowly you can start reducing your insulin....

Over the long term you will be able to exactly calculate the amount of insulin you need for each meal depending on what you are planning to eat

foxl likes this.
__________________

HbA1c 5.9 (Feb 2019)
Medication
Novarapid = 4-5 at breakfast (no other insulin)
Metformin 1000 mg

Lifesytle: LC, exercise most days


--------------------------------------------------------
"Be the change you want to see in the world" - Mahatma Gandhi
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Old 05-05-2012, 13:30   #29
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I have just personally cut my basal by 2U, and my rapid by HALF, by substituting a protein shake for one dinner every other day, and dropping about 6 lb!

You definitely should cut out grains, yes it is an act of will but well worth it. You will be amazed at the effect! You will lose undesired body fat, and your blood sugar will be much improved.

I have read a great deal about Indian family customs, and yes, SO different from Western ones! I am the unusual American who lived with my parents until age 32, and I was treated as a dependent freak. My brothers were mean about it, and most people my age were suspicious, older women would chew me out for being a burden (I did my own laundry which was what irked one of them, paid rent, and often cooked for my parents.). Yes, my parents needed to know where I was, if I would be home, etc. I suspect I cost them less than if they paid all my college tuition, bought me a brand new car, helped out on a house down payment, etc. which many parents do.

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Old 05-05-2012, 15:39   #30
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Quote:
Originally Posted by foxl View Post
I have just personally cut my basal by 2U, and my rapid by HALF, by substituting a protein shake for one dinner every other day, and dropping about 6 lb!

You definitely should cut out grains, yes it is an act of will but well worth it. You will be amazed at the effect! You will lose undesired body fat, and your blood sugar will be much improved.

I have read a great deal about Indian family customs, and yes, SO different from Western ones! I am the unusual American who lived with my parents until age 32, and I was treated as a dependent freak. My brothers were mean about it, and most people my age were suspicious, older women would chew me out for being a burden (I did my own laundry which was what irked one of them, paid rent, and often cooked for my parents.). Yes, my parents needed to know where I was, if I would be home, etc. I suspect I cost them less than if they paid all my college tuition, bought me a brand new car, helped out on a house down payment, etc. which many parents do.
I know how you feel. You are truly not the usual American. Staying with parents till 32 is unthinkable in the subcontinent, leave alone US. But you did your parents happy and proud. You took care of them and stood by them when they needed you the most.
I could do with some insights from you for my book which I am writing.
I am so deep rooted with grains that it would take some effort to get it out of my meals. But if it does good to my health I better do it soon. I have just been diagnosed with a frozen shoulder. Probably because of the posture where I sit & write.

Need to do some paperwork for a client now..Will catch up with you soon..stay happy

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Last edited by Shanny; 05-05-2012 at 17:19.
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