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Re: [IP] zero to DKA in nothin' flat?



Thanks Lori,  that does a wonderful job of putting it perspective!

LBE FSD wrote:

> Thanks Ruth -- that was a great response.  While I don't want to give up my
> pump, I have different reasons (namely the gastroparesis that wasn't
> supposed to happen with very tight control -- I blame extreme stress because
> it's a true and handy excuse) than many here.  I'll echo a couple of other
> member comments too, then add my own.
> I adamantly agree with Michael -- all Type 1's should be counting carbs.  I
> found out long before docs and ADA were saying so that my bgs depended on
> the carbs.  I'd smile and nod at the dieticians as they tried to legislate
> what I would be able to eat, then drag out a carb book and do it my way when
> I left.
>
> Like Ruth, I think that there will (I agree with you completely) be
> downs/rebellions somewhere along the way.  Working through diabetes may
> force maturity faster, but it may be a time bomb effect.  Sometimes
> "normalcy" looks so good, so easy.  Barbara, you sound like a person who can
> add wonderful perspective to your patients --including the one whose
> pancreas transplant has just failed (prayers continue).  Parents can help
> with that perspective too by encouraging involvement that is for others, not
> just self care.  There really is always someone else who needs your help.
> While my parents had a tough time coping with my diabetes, they gave me the
> strength to help myself, and more love than anyone could expect.  Logical
> analysis is a personal strength, but if you have love (and that fits every
> parent's post I've read) you will conquer the obstacles, whichever route you
> choose.
>
> Sorry for the sappiness.  My main point is that MDI can also be a good
> route.  I'm not certain why there are so many vocal opponents to Ultralente,
> perhaps my body was one in a trillion that fits its curve.  Before the
> gastroparesis problems ensued, my life on U was very similar to what most
> talk about with the pump.  The differences? -- costs were much lower, I
> wasn't "hitched" to a machine, and life was a pain once a month when my
> basal needs increased for menses.  I could, however, eat what I wanted,
> whenever I wanted to.  I skipped meals with abandon.  I had a few
> reactions - but minimized them with testing.  My A1c's were never over 7,
> and when prepping for pregnancy were between 4 and 4.5.  I had a good doc,
> and a great CDE.  I was (am) motivated.  I did (do) a LOT of bgs.  Sounds
> like a pumper, right?  I think that the keys are twofold; motivation/bg
> monitoring, and a doc who is actually willing to work with and through the
> initial hassles to get U set up.  While I pray that none of my kids will
> ever need manufactured insulin, I would definitely try the Ultralente route
> first.  I agree fervently that life on Nph is an enormous pain in the
> behind, but U can be very similar to the pump.  And, of course, YMMV (your
> mileage may vary).
> Take care,
> Lori
> dx'71, MM507 1/98, Humalog
>
> ps -- has anyone heard if things have improved any for Rodney?
>
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