well, DH has switched from humulog 75/25 to a fast acting humulog and
lantos. Unfortunately he still can't get his bg readings under 150 most
of the time. I'm not sure exactly how much of each he's taking, but it
is a lot more than our doctor suggested he start with.

So the good news is, since we are about an hour from Boston, I made an
appointment for him at the Joslin Clinic. Our doctor told him he should
go there many years ago, and he finally admits it's past time to go.

I'll tell you, armed with all the great information and support I have
found here, I feel we are more than ready to tackle this challenge.

thanks gang!
Ellen

"Ellen G" <EMG_217@comcast.net> wrote in message
news:3F018A51.8020509@comcast.net...
Hi Ellen.

Glad to hear hubby is ready to go to Joslin Clinic.

Spouses, parents, grandparents............it isn't like they are 6 years
old, and you can just carry them to the car, and make them see whatever
doctor.

Mom resisted going to a nephrologist for her kidneys for the first 6 or 7
months that she lived with me. Her primary doc took things slowly, and kept
an eye on her labs. Unfortunately, she suffered an uncommon condition after
a surgery that caused her kidneys to fail rapidly.......she almost died.
When Mom went for her 30 follow-up exam, SHE asked the doc to get her an
appointment with the nephrologist.

Sometimes, the heart wrenching truth is that it takes something dramatic,
and sometimes life threatening to occur before we are ready to set aside our
fears and denial.

I don't know what the full story is with your dear hubby, but bg that won't
go below 150 can be spooky and frustrating.

Wrapping my virtual arms around you both.......

Marie, Caretaker

Ellen I will respond to the good news, The Joslin is one of the best of
its kind in the country and glad your husband is getting to go there,
Please keep us informed as to how the visit went and what they want him
to do.

Loretta

--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.

oh thank goodness he's off that terrible premix sh** (now ask me what i
really think of it lol)

good luck at the Joslin.......hope all goes well and they are able to
titrate him quickly......... perhaps an e-mail contact with them on an
ongoing basis will assist in this endeavour???

kate
--
Join us in the Diabetic-Talk Chatroom on UnderNet
/server irc.undernet.org --- /join #Diabetic-Talk
More info: http://www.diabetic-talk.org/

"Ellen G" <wrote in message .net...

Ellen G wrote in message <3F018A51.8020509@comcast.net>...
Bravo on Lantus and Humalog! ! !

DAFNE: "Dose Adjusted For Normal Eating "

You somehow figure out your carb to Humalog ratio. Then you count the
carbs in a meal so that you can shoot enough Humalog to "cover" the carbs.

I shoot 1 unit Humalog for about 12 -15 gram of carb but I'm a Type 1, i.e.
a non-Insulin Resistance fellow.

An Insulin Resistance person might expect to shoot about 1 unit for each 7
gram of carb.

If I have high sugar before a meal, I shoot my Humalog, then wait a bit to
give it a chance to start working and driving my bG down before I eat.

That only works if you have reasonable control over "when" the food will
be in front of you though I find that I can safely shoot 30 minutes early
with almost no problem (that works in restaurants) , and 60 minutes early
if I am much too high (but that only works at home; it's dangerous if you
don't have control over the food! )

My local hospital has two types of Diabetic Training courses.

a. The basic Type 2 Diabetes training (10 classroom hours)

b. Insulin-Users training (9 classroom hours)

The insurance companies recognize the difference between the courses. The
insulance enforces a waiting period between "repeats" but taking one, then
the other is not a "repeat".

Regards
Old Al

oldal4865 wrote:
I think he's shooting way more than that though. His meals contain next
to nothing for carbs, so to be on the safe side I'd say 10g-15g, usually
just a small salad or broccoli. But he's taking 20-30 units of humulog
and still having the high readings. He's also still taking the 850mg of
Metformin and I'm wondering if he should be taking that more often.
Tonight he told me he had forgotten to take it for the first few days of
the new insulin. That would explain the readings over 170.

What to do now?

Thanks for the well wishes everyone

Ellen

"Ellen G" <EMG_217@comcast.net> wrote in message
news:3F021F4B.4080900@comcast.net...
:
:
: oldal4865 wrote:
: >
: > Bravo on Lantus and Humalog! ! !
: >
: > DAFNE: "Dose Adjusted For Normal Eating "
: >
: > You somehow figure out your carb to Humalog ratio. Then you count the
: > carbs in a meal so that you can shoot enough Humalog to "cover" the
carbs.
: >
: > I shoot 1 unit Humalog for about 12 -15 gram of carb but I'm a Type 1,
i.e.
: > a non-Insulin Resistance fellow.
: >
: > An Insulin Resistance person might expect to shoot about 1 unit for each
7
: > gram of carb.
:
: I think he's shooting way more than that though. His meals contain next
: to nothing for carbs, so to be on the safe side I'd say 10g-15g, usually
: just a small salad or broccoli. But he's taking 20-30 units of humulog
: and still having the high readings. He's also still taking the 850mg of
: Metformin and I'm wondering if he should be taking that more often.
: Tonight he told me he had forgotten to take it for the first few days of
: the new insulin. That would explain the readings over 170.
:
: What to do now?
:
: Thanks for the well wishes everyone
:
: Ellen
:

Did his dr start him on 20-30u? That seems MIGHTY high, usually they
start a resistant person off at 10u and move upward over a few weeks or
months.

It's possible he's taking WAY too much insulin and having liver dumps to
cover it naturally. Not everyone has hypos when they overshoot. I don't,
I have a very active liver, from the cgms i've had, I can drop to 50 and
not know it, liver kicks in and i'm at 130 or higher in no time, Before I
would test and realize i'm high, then correct again, till I realized what
was happening.

personal experience tells me, I'd reduce the insulin and see if I get better
results first, if not, then yep, he's prolly very resistant. But you won't
know
till you experiement some.

Ain't this disease a bucket of laughs?.. NOT! :-)

RK
T1 - 5/00

RK wrote:
Our doctor started him on 3-4 units and it didn't take long to see that
wasn't going to do the trick. He has been gradually increasing the
doseage and I think we've pretty much concluded that he is very much IR.

So off to Joslin we go, but not until the 24th of next month.

more like a kick in the head, huh.
Ellen

On Tue, 01 Jul 2003 09:19:13 -0400, Ellen G <EMG_217@comcast.net>
wrote:


please keep us updated on what he works out with Joslin and his
insulin regime.

Mack
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.insulin-pumpers.org

In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.