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Re: [IP] Re: School nurse: Help!
> Moira said:
> Can someone PLEASE give me a simple way to explain basal to her
> (how it works in the body --- why it does
> NOT peak and you do not have to feed it) so I can get her to
> UNDERSTAND??? It's really bothering Lauren quite a bit.
The way I explained it to my mom is sort of like this:
Our livers--yours, mine, everyone's-- trickles out glucose 24 hours a
day. This way we can breathe, our hearts can beat, our brains can
think and we can move around even when we're not digesting
anything and our tummies and intestines are *empty*.
It makes it possible for us to "go out and hunt down our breakfast"
if we need to. It's a fantastic example of conservation of energy:
What we don't use from our meal gets stored in the liver for use
later on. But it also means we need a constant trickle of insulin
too, so that we can actually *use* that constant glucose trickle.
Lente, Ultralente (in other words--**slowly absorbed** insulin) and
pump basals match that trickle of glucose with a trickle of insulin.
Whereas injections of fasting-action insulin (Regular and Humalog)
and pump boluses match the glucose that's coming out of our
intestines shortly after a meal.
Before becoming diabetic just over a year ago, I hadn't the
SLIGHTEST clue that our bodies were like this. All I knew was
that diabetics needed insulin and sugar but I had NO clue why. I'm
shocked and very dismayed that a nurse doesn't have that
seemingly *basic* understanding of all our metabolisms!
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