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Re: [IP] synthroid?
Heather and Pumpers,
I've met pumpers whose innate target BG is 200 because of a fear of hypos.
Are you one of these?
I'm 50 years old; I have a recent bachelor of arts degree in molecular
biology; I am a dealer of art in Austin, Texas USA (I framed my diploma);
I'm married with two young children. IDDM since 1987.
I had a hundred hypos as an intensively controlled type I MDI-er. My wife
had to give me glucose on numerous occasions. Paramedics at least four
I got down to 6.4% on MDI, but the hypos were injuring my body, and
ultimately led my Endo to recommend pumping.
Fourteen months later, since I began pumping, no hypos. My first a1c after
pumping was 4.9% and my most recent was 5.2%. I can't speak for anyone
else, but I am not afraid of inducing a hypo.
Why not? I figure it's because I no longer use the long-acting insulin
(lente, nph, ultralente etc.) that would catch me 6-8 hours after I injected
it. I no longer even use regular either (too slow). Where (on MDI) I would
have a pool of 10 or so units of that stuff in me most of the time, now with
short acting Humalog and the pump, I never have more that a unit or two
apart from boluses.
At our pumpers club meeting last night, we joked we all want an insulin that
acts faster than Humalog.<vbg> But I digress.
If I had your results (and I admit I know nothing about your thyroid), I
would aggressively test and bolus to hit my target (<120). I test 6x or
more daily and always adjust toward target (infuse insulin or eat glucose).
What do I do when a spot test indicates high BG (>160-180mg/dl)? Consider
circumstances. Have I just eaten CHO or a particularly greasy, oily,
fat-laden meal? If it was CHO and BG is still rising, I would bolus up to
twice as much insulin as usual to get it down. A fatty meal? I would bolus
as above and maybe also temporarily increase basals. Under these
conditions, I would test every hour or so, correcting after each test not
moving to target.
I count carbs. I live my algorithm (In other words), grams carbs processed
per unit Insulin, unit insulin per mg/dl of change. I do the math
When I fast, what are my BGs? Basal infusion settings should hold me near
target. If not, these need to be adjusted.
I try to keep it simple. I change just one thing at a time. By that I mean
I stay with the same insulin, same algorithm, the same eating patterns same
quantities etc. I adjust basals conservatively. Objective: I want to try
to keep few the factors controlling my BG. Otherwise, I don't learn what
caused the change.
IMO, My approach is insulin and the pump should handle the BG.
email @ redacted
From: Heather Bannister <email @ redacted>
To: email @ redacted <email @ redacted>
Date: Wednesday, January 27, 1999 5:25 PM
Subject: [IP] synthroid?
> Just got lab results back--I am feeling really bummed. A1C was 8.3,
>and I need to go back to synthroid. I stopped taking it for a while cuz
>it made me nauseus. Is there anything else I could take?
>That damn A1c--I've actually been trying for the past three monthes--my
>last one before that was 7.9 w/out trying. I have no idea why it's so
>~Heather(email @ redacted)
>Age 17, dx'd age 5
>pumping 1.5 yrs
>Get Your Private, Free Email at http://www.hotmail.com
>Insulin-Pumpers website http://www.insulin-pumpers.org/
Insulin-Pumpers website http://www.insulin-pumpers.org/