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[IP] Re: Not to worry. . . .
Don't get all upset and cause more problems that you can cope with.
Count the carbs as close as you can without the scale. I didn't have one at
the start and I did just fine. . . . I did purchase one later on but really
and truly I didn't need it. I have been diabetic for 38 years and pretty
well know how much regular insulin to take for the carbs I take in. The CDE
will help you determine what your CHO to insulin needs to be from the
amounts you are taking before the pump. Mine is 11 to 1 so for every 11
carbs I eat I have to take 1 unit of Velosulin. If I calculate the amount
of carbs from what is on the package it is usually darn close and I shoot
for a target of 100. If I am off 50 points that is still just fine because I
can bolus some extra at the next meal for the high or go chase a few cars on
the highway and get the BG down!
The breakfast meal for me if usually 7.5 units and it is loaded with
carbs. Lately I have been skipping lunch and don't have to bolus for dinner
and BG will hang around 125 if I don't chase any cars! LOL. I might add here
that with the heart condition I have now my lady keeps me chained up usually
and can't get out on the street so I have to calculate a little closer to
maintain a good number at noon.
Like Sara, I can now look at a plate of groceries and guess darn close
what it will take to cover it. . . . even restaurant food. We went to a
Bar-B-Q place in Houston this last Friday night and I got all the pork ribs
and ranch style beans and potato salad I could eat for $9.00 or so and
Saturday morning even with all the sweet sauce on them ribs my fasting BG
Look at what you are fixing to consume. . . . . Calculate as close as
you can with the Info on the package. A setting at Catfish Cabin with a
baked potato and a trip to the salad bar with the "Thousand Calorie"
dressing will cost me a bolus of 12 units of unleaded and $9.95 in cash!
That is with hush puppies and 8 or 10 saltines with the salad!
This can be done on a budget and I have proved it can. You will get some
200's no doubt! Don't let it upset you. They will not stay up there long
just don't overreact and over bolus. Slow and easy until you see the
patterns that will develop and you learn how much Velosulin/Humalog it takes
for your favorite meals.
Don't fret, you will do just fine and feel better than you have since
you have been diabetic!
Buddy '-) email @ redacted
To feel any better I would have to be twins!
From: email @ redacted <email @ redacted>
Date: Thursday, April 16, 1998 8:02 PM
>Thu Apr 16 18:00:12 1998
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>From: "Laurel & Wayne Sedgwick" <email @ redacted>
>To: <email @ redacted>,
<email @ redacted>
>Subject: OVERWHELMED! (long)
>Date: Thu, 16 Apr 1998 18:56:38 -0500
>X-Mailer: Microsoft Internet Mail 4.70.1162
>Content-Type: text/plain; charset=ISO-8859-1
>X-Rcpt-To: email @ redacted
>Lurker Laurel here.
>First, I want to thank everyone who wrote with support for my insurance
>problem. I'm the one with the insurance company that only wanted to
>approve the pump for one month.
>I'm happy to report that my endo went to bat for me, and the company seems
>to have backed down on their idiotic stance, and is now promising to give
>me at least 3 months. Also, the Minimed pump rep (Mike Thomas) claims
>that my particular insurance company has never ultimately denied a pump.
>My CDE won't be back until Monday, and I have to see the dietician before
>tje CDE is allowed to train me, so I may wait until Monday to call Minimed
>back to tell them I am ready for them to ship my pump.
>I figured I could do my homework in the meantime, and have been reading
>But, oh my gosh, I'm feeling really overwhelmed by all the stuff the book
>is saying I must do to be a "good pumper"! Really, REALLY overwhelmed! In
>particular, the extent of food weighing they recommend! We're in a
>financial crunch at the moment, and I'm not even sure how I'm going to
>manage paying to see the out-of-plan CDE, much less buying a digital gram
>scale to the tune of $50-$200. I am also so overstressed by the rest of
>life (our financial situation, both of us working full time while we also
>take classes to try to shift career gears, etc.) that I do not see any way
>I can possibly do all of the things that (apparently) will be required of
>How realistic is the book in this regard?
>I'm also very worried about the fasting tests to determine day basal rates.
> I have severe acid stomach, for which I take Prilosec daily, and I know
>that if I have to go without food for very long during my waking hours, I
>will be positively miserable and non-functional for work. I actually look
>forward to not having to eat at times when I am not hungry (which does
>happen, though infrequently), but that will not necessarily be the case
>if/when I am required to fast. Has anyone else found this a problem?
>Isn't there any other way to figure out the day basals?
>I guess now that it appears that I am actually going to get a pump, I'm
>kinda freaking out, too. Did many of you who felt a lot of trepidation
>about being constantly attached to something, getting skin infections,
>etc., find that most of your fears were not realized? I am very excited
>about finally being able to start pumping and hopefully get my erratic BGs
>into better control and enjoy a more flexible lifestyle, but I'm also
>really scared. Will I be able to do it? Will the members of my health
>team think I'm a "bad" diabetic or a "bad" pumper?
>For the last three days, I have been keeping a detailed food log, which my
>CDE told me would be needed for the visit to the dietician. I'm being
>honest, and I'm ashamed of what I've had to write down. Yesterday was
>probably the single busiest day of my work year (I work in University
>support services; and, with graduation nearing, I've had to organize
>multiple special events on top of my regular work), and when I am under
>stress, I have little resistance to foods that I know are not good for me
>or my BGs, but represent emotional comfort. There is too much sugar, fat,
>and alcohol. I'm afraid the dietician is going to yell at me, or deem me
>so non-compliant that I am an unworthy pump candidate.
>Okay, I'll stop now. Thanks for letting me vent. I sure do appreciate
>being able to read the posts to this list. And I will welcome any comments
>you might have.
>Since it's been some time since I posted my intro, I'll add FYI that I've
>been Type 1 for 23 years and on MI (NPH & Humalog) for at least 10 years.
>Last A1c was 8.3. BGs have never really been stable, though I test a lot
>and do try hard. I do my best to compensate for high BGs and dietary
>indiscretions by taking appropriate amonts of insulin. Have also had very
>erratic morning BGs, even when I'm doing "all the right things." Also have
>had clinical depression since childhood, and expect to be on
>anti-depressants for as long as I'm on insulin! I'm 40, went through a
>hellish divorce 5 years ago, recently remarried. Undeservedly lucky enough
>to have no confirmed complications (though the stomach is questionable).
>I really appreciate this list.
>Insulin-Pumpers website http://www.bizsystems.com/Diabetes/
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>send the next two lines in a message
>to the e-mail address: email @ redacted
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