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[IP] The beat goes on
I went to my nurse practicioner yesterday. To get things off to a good
start, I informed her the God had spoken to me and said that by my faith
alone would I be cured of diabetes and that I intend to cast down all my
medications and pray.
Her head actually hit the table!!! Then we got to talking seriously. I had
my "Pumping Insulin" book with me and said that according to the book I
still needed some work to be really ready for a pump. She would like for me
to get my average BGs down to 160 (from 300) before I see an endo about a
pump. Smelling a rat, I told her I could work on it, but I didn't want to
hear, "You're doing so well on your MDI that you don't need a pump." She
agreed not to do that.
Then we got to diet. Both she and PI agree that a diet of 40% carbs is
ideal. I'm still not completly sold on this idea. I keep hearing that
protein is hard on kidneys. I have accute renal failure and my nephrologist
(who is a vegetarian) has told me that if I prefer to eat meat then this is
fine. However, I do see the rationale behind allowing your bolus to do it's
work instead of contending with the slower process of working with protein
conversion. But, I am thinking that a square wave bolus might cover that.
We got to talking about milk products. I can drink it without problems, I
just don't ordinarily do it. She recommended that I try fat free, sugar
free ice cream. Then added, "if it tastes good, you probably shouldn't be
We finished off with a discussion of coffee. Her interpretation was that
black coffee had no calories. When I pointed out that the caffeine could
stimulate the adrenal glands to produce cortisol her solution was to go
De-caffe. The plan was 1/4 decaffe, 1/2 decaffe, etc.
I even went out and bought decaffe coffee!!!! Later on last night I got to
thinking. This is not why I want to pump. I want to pump and bolus for the
coffe I've been drinking for over 30 years!
On a bright note I got an A1C, and a C-peptide (my first ever). I've got a
hunch the A1C is between 11 - 12 and my C-Peptide (don't know the values or
normal limits here) will be high enough to kill a healthy horse. I managed
to get a switch in my insulin from Regular to Humalog.
The beat goes on!
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