Hello Paul: 
It's Nice to meet you. Hey, 40+ years with the Big D. Very Good. Congratulations.
Complications of the feet and kidneys, I do not consider minor since they do turn into something worse. I do hope that you are being looked after by your Endo. for these complications. Good sugar control is definitely a must, as you know. I'm sure that you have worked hard to keep your sugars under control. We understand that it is not an easy task to do sometimes whether by pump, MDI or oral meds. There are times when our sugars go out of whack for reasons we don't understand. Those times happen to everyone on occasion.
A pump is a Great system for Diabetes maintainance but you must understand how it works(taught and followed by your pump Rep and pump Educator), how to count carbohydrates, what your I:C Ratio is(your Endo or Dietician can tell you this), etc.
Keeping a log of all your tests, exercise, foods and drinks that you consume is helpful to show to your Endo and Dietician so that they know your schedule and perhaps will know why the sugars are not in line.
I eat 5-6 small meals to keep my sugars more balanced. Most of my meals, i.e.: a coffee, yogurt and piece of cheese or a banana and a handful of almonds with a glass of water, a small chicken salad with a tea and cookie or a tuna sandwich with a milk or a fruit smoothie with a water, or 3/4 cup of stew with a piece of rye with a water or a small bbq steak with a cup of brussel spouts, etc. Less carbs, less weight, less meds. You, as an active Guy, would need more, of course.
It's Nice to meet you. Hey, 40+ years with the Big D. Very Good. Congratulations.
Complications of the feet and kidneys, I do not consider minor since they do turn into something worse. I do hope that you are being looked after by your Endo. for these complications. Good sugar control is definitely a must, as you know. I'm sure that you have worked hard to keep your sugars under control. We understand that it is not an easy task to do sometimes whether by pump, MDI or oral meds. There are times when our sugars go out of whack for reasons we don't understand. Those times happen to everyone on occasion.
A pump is a Great system for Diabetes maintainance but you must understand how it works(taught and followed by your pump Rep and pump Educator), how to count carbohydrates, what your I:C Ratio is(your Endo or Dietician can tell you this), etc.
Keeping a log of all your tests, exercise, foods and drinks that you consume is helpful to show to your Endo and Dietician so that they know your schedule and perhaps will know why the sugars are not in line.
I eat 5-6 small meals to keep my sugars more balanced. Most of my meals, i.e.: a coffee, yogurt and piece of cheese or a banana and a handful of almonds with a glass of water, a small chicken salad with a tea and cookie or a tuna sandwich with a milk or a fruit smoothie with a water, or 3/4 cup of stew with a piece of rye with a water or a small bbq steak with a cup of brussel spouts, etc. Less carbs, less weight, less meds. You, as an active Guy, would need more, of course.
