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[IPk] Re: ip-uk-digest V1 #462



Re "Some find baby oil or olive oil removes the leftover gunk very
effectively"
I seem to have missed out on the original correspondence, so if I'm writing
at cross-purposes please forgive (and ignore) me!
I assume you mean the gunk left after using the adhesive products for the
pump (I note evidence of such on some of the pictures of pump placements at
the web site!).

A product that works is "Zoff" - Smith+Nephew. An experienced doctor pal
told me about it, and it does do the trick, although some apparently dislike
the smell (personally, I don't find it too bad).  It comes in packs of 20
remover wipes, about #4 a pack, expensive perhaps but it does the trick.  I
had trouble in getting hold of it (Boots no longer stock it but might get it
in if you ask nicely), I eventually found it in a small local chemist.

Mary Leonard
----- Original Message -----
From: ip-uk-digest <email @ redacted>
To: <email @ redacted>
Sent: Thursday, April 19, 2001 11:08 AM
Subject: ip-uk-digest V1 #462


>
> ip-uk-digest         Thursday, April 19 2001         Volume 01 : Number
462
>
>
>
> PLEASE edit the subject line of your reply messages.
> ####################################################
> This issue of the digest contains:
> [IPk] On the pump at last!
> RE: [IPk] On the pump at last!
> [IPk] my old pump and the dodgy reservoirs
> Re: [IPk] On the pump at last!
> Re: [IPk] my old pump and the dodgy reservoirs
> RE: [IPk] my old pump and the dodgy reservoirs
> [IPk] Running and bgs's
> Re: [IPk] my old pump and the dodgy reservoirs
> Re: [IPk] my old pump and the dodgy reservoirs
> [IPk] Melatonin
> Re: [IPk] On the pump at last!
> [IPk] Prestigious University
> Re: [IPk] On the pump at last!
> [IPk] leg
> [IPk] Cases
> Re: [IPk] Cases
> Re: [IPk] Running and bgs's
> Re: [IPk] news from Pat
>
> ----------------------------------------------------------------------
>
> Date: Wed, 18 Apr 2001 08:35:31 -0000
> From: "Paul Nestor" <email @ redacted>
> Subject: [IPk] On the pump at last!
>
> Hello there its been a long while.My name is Paul Nestor,i joined about 6
> months ago .My girlfriend is a diabieic and at that time you gave me the
> info and everything i needed to present the idea to Emily.Since i've been
> studying in ireland,travelling with emily in spain and now in france
> while she is studying i find it very hard to find time to email or do
> anything.I have been keeping track though and am very proud to be part of
> your group, we we are also in other groups for diebieties as
> well,fighting for the rights of diabietics .Thank you so much for your
> courage,insight and perserverence.After all of what you gave ous Emily
> finally decided to go on the pump .What worries me is the way she is been
> thought to use the pump,its the new 508.The nurse never answers Emily
> straight when asking a diret question as to say 'well if i am doing
> something wrong what do i do to correct it'the answer is usually vague
> and disheartining,but after all of what we've learned from all of you we
> have come to expect this.Its always the diabietic and not the diabieties
> in the eyes of most (not all) non diabietics. The nurse said you can only
> use the stomach as the insertion point,is this normal?I would like to
> surprise her with buying a few accessories but where and what are my
> options as she only has one case for the pump.I am reily excited for her
> and for ous yet i know that their are alot out their who have to fight
> alot harder odds to get their pump.If you have any Q's or if their is
> anything that we may be able to do to help in any way,just ask.Keep up
> the good work.
>
> And i love that saying "it may look messy now but look back in a hundred
> years" i keep on reading on the mails i get.
>
> Yours Sincerely,
>
> Paul Nestor & Emily Renvoise.
>
> - ------------------------------------------------------------------------
>
> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 09:56:05 +0100
> From: "Elizabeth OShea" <email @ redacted>
> Subject: RE: [IPk] On the pump at last!
>
> Hi Paul -
>
> I'm glad things are going well for you and Emily. You can use other site
for
> infusion. I find the stomach is the most reliable. The best thing is to
look
> at the insulin pumpers web site. Click the link for infusion sets, and
> you'll see pictures of a wide variety of infusion sites. I use my hips and
> upper abdomen as well as my stomach, but I find my stomach is the most
> reliable, and the sets last longest there. But it's good to give my
stomach
> a holiday!
>
> elizabeth
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 10:25:33 +0100
> From: Diana Maynard <email @ redacted>
> Subject: [IPk] my old pump and the dodgy reservoirs
>
> Well I finally handed in my old 506 pump to the clinic today, as i got a
letter
> from them asking for it.
> I told them I wasn't too happy about the fact that they were only
*loaning* me
> the 508, but i was *giving* them my 506 (which belongs to me personally).
I
> would have let them have it anyway, but it was the fact that they were
> demanding it. Anyway, I was told that the only reason the new pump was on
loan
> instead of being given to me was that it meant the hospital would have it
> serviced once a year for me if it belonged to them. And that if I were to
leave
> Sheffield, for example, they wouldn't take the pump away from me (still
not
> sure I believe that, but still....) So I feel better about it now. They
also
> said that the pump servicing would only take about an hour, so it wouldn't
mean
> I was pumpless. I don't understand that - I thought the pum phad to be
sent off
> to Minimed for servicing. Are they just talking about someone inthe
hospital
> looking at it and checking it still works? If so, that seems like a waste
of
> time! Pete/Ray, perhaps you know something about this?
>
> I also complained about the reservoirs they had given me which were 3
years out
> of date. At first the nurse just told me I was WRONG and they weren't out
of
> date. I argued with her for a while before she said that AMT must have
sent her
> out of date reservoirs because they were a new batch. I don't believe that
for
> a minute - I bet they were a box sitting at the back of the cupboard. FOr
a
> start, the box had been opened. Of course, she wasn't going to admit
> responsibility - though she said she'd go and check the other boxes....
> Do you think I should write a letter of complaint to the hospital about
this?
>
> Di
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 11:35:21 +0200
> From: John Neale <email @ redacted>
> Subject: Re: [IPk] On the pump at last!
>
> Hi Paul -
>
> I'm glad to hear about Emily and her pump...
>
> The stomach is generally considered the best place to put the infusion set
> - - not entirely sure why, but I think the insulin is absorbed faster and
> more regularly. But some people use other areas as well. If you go to
>
> http://www.insulin-pumpers.org.uk/infusionsets
>
> and scroll down the page, you'll see a picture taken from Disetronic which
> shows "recommended", "acceptable" and "not acceptable" areas.
>
> I notice that the buttocks are in the "not acceptable" area - and that
ties
> in with people's stories here of very irregular absorbtion from that area.
> But as with so many things, try things out cautiously and see what works
> for you. We're all different.
>
> I personally only use the stomach area - right down into the groin, up
onto
> my lower rib cage and right round the back as far as I can reach - much
> like on the picture.
>
> On the web page you'll see lots of photos from members of our US group.
> This shows what is possible, but not necessarily what is recommended.
>
> John
>
> - --
> mailto:email @ redacted
> http://www.webshowcase.net/johnneale
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 12:04:46 +0200
> From: John Neale <email @ redacted>
> Subject: Re: [IPk] my old pump and the dodgy reservoirs
>
> >I also complained about the reservoirs they had given me which were 3
> >years out
> >of date.
>
> >Do you think I should write a letter of complaint to the hospital about
this?
>
> Yes! :-)
>
> You should always "copy" a complaint to the top of an organisation. That
> way the organisation can respond and correct any managerial problems -
> perhaps by increasing staff training or whatever. You nurse clearly has a
> vested interest in not letting on that she personally failed to check the
> expiry date of goods that she gave out to a patient, as I am sure she is
> required to do under hospital policy.
>
> John
>
> - --
> mailto:email @ redacted
> http://www.webshowcase.net/johnneale
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 12:01:12 +0100
> From: "Elizabeth OShea" <email @ redacted>
> Subject: RE: [IPk] my old pump and the dodgy reservoirs
>
> I second John on writing to the hospital about it. Surely there must be
some
> student nurse assigned to go through the cupboards once a year to check
> expiry dates! A hospital should certainly ensure their products are in
date.
>
> elizabeth
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 12:20:07 +0100
> From: "Audrey Sheal, SE Grampian" <email @ redacted>
> Subject: [IPk] Running and bgs's
>
> I usually exercise (cross-trainer, bike, stepper) for 30 mins in the
morning
> before breakfast.  This (since I have been on the pump) has always reduced
> my bg and it has stayed fairly low, with low boluses required, throughout
> the day.  However, I have now started to train for a sponsored run and am
> running 10 minutes (it is as much as I can manage at present!) and my bg
is
> acting strangely - it is not coming down much (~0.5m/mol) as a result of
the
> exercise, and then it is going up by about 5m/mol's during the morning.
>
> I think it is because when I run I am exercising at a higher intensity -
has
> anyone else had this problem and if so, what did they do?
>
> I was wondering about delivering a larger square or dual wave bolus
through
> the morning - though really I would rather not?  Or should I have a higher
> basal rate when exercising?  My starting bg is usually somewhere between
6.5
> and 8 m/mol.
>
> Any ideas gratefully received.
>
> Audrey Sheal
> IDDM 20 years+, Minimed 508 pumper 6 months+
>
> ________________________________________________________________________
> Scottish Enterprise Network
> http://www.scottish-enterprise.com
>
> This message is sent in confidence for the addressee only.
> It may contain legally privileged information. The contents are not to
> be disclosed to anyone other than the addressee. Unauthorised recipients
> are requested to preserve this confidentiality and to advise the sender
> immediately of any error in transmission.
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 13:59:22 +0100
> From: "MiniMed" <email @ redacted>
> Subject: Re: [IPk] my old pump and the dodgy reservoirs
>
> The Minimed pumps do not need regular servicing, and in fact all you can
do
> is clean them and check that the flow rate and occlusion alarms are within
> normal range. However some hospitals seem to require this to be done
> regularly, and it is certainly something that they are capable of doing
(Job
> creation ? if I want to be cynical). I don't know how they can do this in
> one hour though. As I like to be really sure I would normally do a flow
test
> over a 24 hour period, so you would expect a pump sent back to us to take
> three or four days.
>
> Some people do like the reassurance of a regular check-up and we would
> normally do this free of charge. If any one requires this, it would
> certainly be a good idea as the pump comes up to the end of it's 4 year
> warranty, so you can be sure we find any potential problems while within
the
> warranty period (We will arrange a loan pump while we have yours). But
> equally many people just let their pumps run for years without any
> attention.
>
> In the rare event of an actual breakdown then the pump usually needs to be
> returned to the US for complete servicing.
>
> I hope this answers the question
>
> Best regards
>
> Ray Morrissey
>
> - ----- Original Message -----
> From: Diana Maynard <email @ redacted>
> To: <email @ redacted>
> Sent: Wednesday, April 18, 2001 10:25 AM
> Subject: [IPk] my old pump and the dodgy reservoirs
>
>
> > Well I finally handed in my old 506 pump to the clinic today, as i got a
> letter
> > from them asking for it.
> > I told them I wasn't too happy about the fact that they were only
> *loaning* me
> > the 508, but i was *giving* them my 506 (which belongs to me
personally).
> I
> > would have let them have it anyway, but it was the fact that they were
> > demanding it. Anyway, I was told that the only reason the new pump was
on
> loan
> > instead of being given to me was that it meant the hospital would have
it
> > serviced once a year for me if it belonged to them. And that if I were
to
> leave
> > Sheffield, for example, they wouldn't take the pump away from me (still
> not
> > sure I believe that, but still....) So I feel better about it now. They
> also
> > said that the pump servicing would only take about an hour, so it
wouldn't
> mean
> > I was pumpless. I don't understand that - I thought the pum phad to be
> sent off
> > to Minimed for servicing. Are they just talking about someone inthe
> hospital
> > looking at it and checking it still works? If so, that seems like a
waste
> of
> > time! Pete/Ray, perhaps you know something about this?
> >
> > I also complained about the reservoirs they had given me which were 3
> years out
> > of date. At first the nurse just told me I was WRONG and they weren't
out
> of
> > date. I argued with her for a while before she said that AMT must have
> sent her
> > out of date reservoirs because they were a new batch. I don't believe
that
> for
> > a minute - I bet they were a box sitting at the back of the cupboard.
FOr
> a
> > start, the box had been opened. Of course, she wasn't going to admit
> > responsibility - though she said she'd go and check the other boxes....
> > Do you think I should write a letter of complaint to the hospital about
> this?
> >
> > Di
> > ----------------------------------------------------------
> > for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> > help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 15:32:55 +0200
> From: John Neale <email @ redacted>
> Subject: Re: [IPk] my old pump and the dodgy reservoirs
>
> >Well I finally handed in my old 506 pump to the clinic today, as i got a
> >letter
> >from them asking for it.
>
> I suppose on balance trading in an old pump in return for a guaranteed
> supply of free infusion sets is not that bad a deal...
>
> John
>
> - --
> mailto:email @ redacted
> http://www.webshowcase.net/johnneale
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 15:51:14 +0100
> From: email @ redacted
> Subject: [IPk] Melatonin
>
> My brother and sister are firm believers in Melatonin as a "safe and
> natural"
> way of relaxing or as an aid to getting to sleep.
> I was give a small container as a gift, but the label on the back says, in
> part, "if you have ....., diabetes,...."
> consult your doctor.
> I will do that at my next appointment, but first I think it's more
> important to ask the experts, you!
>
> so, what experiences, good, bad, or ugly do you have with this  "natural
> food supplement"?
>
> that's the way it is marketed  in the US,
> btw, it's been quite a while since I've posted, soI should  re-introduce
> myself,
> I am from California, and I am working on corporate assignment in
> England(Warwick) for another 18 months.
> I use a Disetronic, test 6 to 8 times a day, I have fairly tight control,
> and  am in generally good health.
> I would really appreciate your   comments.
> Then, when I see the doctor, I'll be prepared!
>
> thanks in advance.
>
> Bob Weitzman
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 09:44:33 -0500
> From: "Melissa Ford" <email @ redacted>
> Subject: Re: [IPk] On the pump at last!
>
> Thanks to John Neale for the link to the photos of strange places where
people
> put their infusion sets!  Having been on the pump for five years, I can
say
> that my stomach (broadly defined--anywhere from 1.5 inches from my navel
to
> 1.5 inches from my hip-bones on either side) has worked just fine.  I
cannot
> imagine putting a set in my leg or (heaven forbid!) my breast.  The former
> would not work for me as I wear bike shorts when I excercise and the set
would
> probably want to come out, and the latter would just plain not work for
me.
> Re using just my abdomen for...I ALWAYS alternate sides: a set on the left
> side for a few days; the new one on the right, etc.  That helps a lot,
esp. if
> I'm not infected but the area around the previous site has gotten a little
> tender.  My "rule" is that if I can't feel the needle going in at all
(which
> means I've hit dense, poor insulin-absorbing scar tissue), or if the pain
> makes me want to howl (which means the site is likely to hurt when the
set's
> in), I need to find a new site and reattempt.  Something I learned while
> taking shots: if you're sensitive to the pain of injection/needle
insertion,
> it may help to choose a site, pinch up, and hold on pretty tight for about
30
> seconds before going for it.  The discomfort of the pinch can sort of
> "distract" your nerve endings/pain receptors (something like that) and
dull
> the feeling of the needle.
>
> Melissa Ford
> IDDM 7 years; pumper 5 years
>
> M.A. student, Theology
> The University of the South
> Sewanee, Tenn.
> USA<br clear=all><hr>Get your FREE download of MSN Explorer at <a
> href="http://explorer.msn.com">http://explorer.msn.com</a><br></p>
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 17:26:33 +0100
> From: "Hilary Biddle" <email @ redacted>
> Subject: [IPk] Prestigious University
>
> I'm sure we could arrange abit of reformation here in Cambridge, we can
> manage it in English, even American! If we met up I,m sure I could find
> something to reform, fancy a new nose? Oh, I know, you could reform the
> Oxford boat crew, they need it!!!
> Hilary
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 10:09:35 -0800
> From: "Michael" <email @ redacted>
> Subject: Re: [IPk] On the pump at last!
>
> > Hello there its been a long while.My name is Paul Nestor,i joined
> > about 6 months ago
> <snip>
> > The nurse said you can only
> > use the stomach as the insertion point,is this normal?> As I am a new
pumper (1 month),  Is there any different areas that
> > you can use other than your tummy area for the infusion site?
>
> Hi Paul,
>
> See our picture section at:
> http://www.insulin-pumpers.org/faqs.shtml
> "Photos of where to put infusion sets"
> and
> "Videos showing Tender/Sil/Comfort Set Insertion"
>
> If you haven't done so already, to become better informed on all
> aspects of pumping, purchase the book "Pumping Insulin". There is a
> link to the correct amazon page on the BOOKS page of our web site at:
>
> http://www.insulin-pumpers.org/books.shtml
> or in the UK
> http://www.insulin-pumpers.org.uk/books/#Pumping_Insulin
>
> Michael
> email @ redacted
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 18:56:34 +0100
> From: "keith grimbley" <email @ redacted>
> Subject: [IPk] leg
>
> hello paul,my name is keith grimbley and i have been on the pump for about
6
> months also,i normally change my insertion point from the stomach to my
top
> of my leg ocasionally,i prefer having it in my leg because  i cant feel it
> as much also i sleerp a lot better when it there:)but its not suitable all
> the time yours keith grimbley :)
>
>
> >From: "Michael" <email @ redacted>
> >Reply-To: email @ redacted
> >To: email @ redacted
> >Subject: Re: [IPk] On the pump at last!
> >Date: Wed, 18 Apr 2001 10:09:35 -0800
> >
> > > Hello there its been a long while.My name is Paul Nestor,i joined
> > > about 6 months ago
> ><snip>
> > > The nurse said you can only
> > > use the stomach as the insertion point,is this normal?> As I am a new
> >pumper (1 month),  Is there any different areas that
> > > you can use other than your tummy area for the infusion site?
> >
> >Hi Paul,
> >
> >See our picture section at:
> >http://www.insulin-pumpers.org/faqs.shtml
> >"Photos of where to put infusion sets"
> >and
> >"Videos showing Tender/Sil/Comfort Set Insertion"
> >
> >If you haven't done so already, to become better informed on all
> >aspects of pumping, purchase the book "Pumping Insulin". There is a
> >link to the correct amazon page on the BOOKS page of our web site at:
> >
> >http://www.insulin-pumpers.org/books.shtml
> >or in the UK
> >http://www.insulin-pumpers.org.uk/books/#Pumping_Insulin
> >
> >Michael
> >email @ redacted
> >----------------------------------------------------------
> >for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> >help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> _________________________________________________________________________
> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 18:23:44 +0100
> From: Pat Reynolds <email @ redacted>
> Subject: [IPk] Cases
>
> In message <email @ redacted>, Paul Nestor
> <email @ redacted> writes
> >I would like to
> >surprise her with buying a few accessories but where and what are my
> >options as she only has one case for the pump.
>
> This last weekend I had a conversation with a leatherworker about the
> possibility of a new case.  I'm going to send him the dimensions, and
> some design ideas, and he's going to cost it for me.
>
> We were talking about some Celtic knotwork design on the flap.  Since
> then, I've wondered about having something made to match a bracelet I'm
> fond of: it has flat cut amber in silver rectangular compartments -
> modernist, but the method of cutting the stone is early medieval. A
> mount of something like that down the side of a leather case which is
> amber-coloured, perhaps.
>
> Has anyone else had a custom-made case?  Or (clever things) made one
> themselves?
>
> >
> >And i love that saying "it may look messy now but look back in a hundred
> >years" i keep on reading on the mails i get.
> >
> Terry Pratchett is a very, very, funny writer!  He has written (among
> other things) a series of books set on 'Discworld'.  The character who
> has this line is an architect who has problems with scale.  I like its
> ambiguity: in 500 years, everything will be nice and tidy OR if you
> think this is bad, come back in 500 years, and you'll see REAL mess.
>
> Best wishes to all
>
> Pat
> - --
> Pat Reynolds
> email @ redacted
>    "It might look a bit messy now, but just you come back in 500 years
time"
>    (T. Pratchett)
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 14:32:03 -0500
> From: "Melissa Ford" <email @ redacted>
> Subject: Re: [IPk] Cases
>
> - ----Original Message Follows----
> In message <email @ redacted>, Paul Nestor
> <email @ redacted> writes
>  >I would like to
>  >surprise her with buying a few accessories but where and what are my
>  >options as she only has one case for the pump.
>
> MiniMed offers a catalogue of accessories such as neoprene sport cases,
> leather cases, pouches that clip to a bra, and a case that's supposed to
be
> water-tight and impact-resistant (for use at the beach, etc.--I'm not sure
> I'd play water polo with it).  Visit www.minimedstore.com to check out the
> selection.  I highly recommend the thigh pouch!  I think it would make a
> good gift.  I had one for a couple of years and when it wore out I just
> didn't bother to replace it (having the audio bolus option on my pump
means
> I can dial up insulin without having to hold the pump in my hand.  I can
get
> at it through my dress if it's clipped to the waistband of my tights.).
>
> Melissa Ford
> IDDM 7 years; pumper 5 years
>
> email @ redacted
>
> M.A. student, Theology
> The University of the South
> Sewanee, Tenn.
> USA
> _________________________________________________________________
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>
> ------------------------------
>
> Date: Wed, 18 Apr 2001 19:59:44 -0500
> From: "Melissa Ford" <email @ redacted>
> Subject: Re: [IPk] Running and bgs's
>
> Audrey,
>
> First, congrats on keeping a regular exercise routine.  Keep it up and the
> long-term benefits will rock.  I never exercised enough until I had a
pump.
> I've maintained a healthy weight because I don't have to eat a lot in
order to
> avoid getting low while working out.  However, you may want to consider
> exercising after you've eaten breakfast if you can bear to do so.  You are
> exercising on a *fabulous* waking-up bg.  It's not a fabulous working-out
bg,
> however.  It's not a happy thing to set your basal rate so that you wake
up
> much above normal, but you must have sugar to burn in your system before
you
> break a sweat.  Remember that exercising burns glucose at a pretty good
rate.
> I normally exercise with a bg of at least 9 mmol/L, but I take 1.5 units
of
> insuin first if I'm at 16 mmol/L.  When I was a new pumper, I was not to
> exercise until my bg hit 11 mmol/L.  That's a general recommendation--if
your
> MD or diabetes care team has told you to exercise before breakfast, on a
bg of
> ca. 5-8, you have a choice about whether to listen to them!  You need to
> listen to your body first and tell your care team what you're doing.  You
> might want to try testing your bg before, during (1/2-way point), and
> immediately after your workout one day per week for a few weeks to see
what's
> happening (I bet you have to watch the number of strips you use...which is
> AWFUL because pumpers should feel free to test 6-8 times/day. Grrr.).
With
> that out of the way....
>
> You didn't mention if you're tacking the 10 minutes of running onto the 30
of
> something else that you usually do or whether you're substituting the 10
min.
> run for the usual 30 minutes of cardio.  That is a VERY important bit of
> information; please let me know.  I have some guesses about why your bg is
> spiking up by 5 mmol/L (a significant amount), but I can't say anything
until
> I know just how much you're exercising.
>
> With regard to how you ought to adjust your insulin for exercise, the
general
> rec. that I follow if my bg is above 11 mmol/L is to reduce my basal rate
by
> half (so if I'm on a 1.3 u/hr rate, I make it .6) about half an hour
before I
> plan to exercise, and I let that run for a half-hour after my workout.
> (Example:  I want to go to the gym at 5:30.  I test my bg at 5 and set my
> temporary basal rate to last 2 hours.  I change clothes, eat a snack, etc.
I
> work out from 5:30 to 6:40. Then I check my bg.  If I'm above 8.8 mmol/L,
I
> take a little insulin, but not what I'd take if I hadn't just exercised--I
> take about 30% less because my body's metabolism is going to be running
higher
> for the next several hours.).  I always exercise in the late afternoon or
> early evening, after I would normally want a little snack anyway.  If my
bg is
> between 7 and 8.5, I usually eat an apple or some raisins first to make
sure
> I'll have enough glucose to burn.  If my bg is low for exercise (ca. 5-6
> mmol/L), I often a piece of bread with honey on it and a few raisins.
(Wait!
> You people call them sultanas.  Give me a break: I am going back and forth
> between this e-mail and a tool that converts mg/dl--how I measure my
bgs--to
> mmol/L [http://people.ne.mediaone.net/dclc/convert.htm]) Honey is more
> effective and much tastier than a glucose tab!
>
> PLEASE let me know just how much you're exercising and we can work on the
> spiking you're experiencing.  Perhaps having this conversation on-list
will
> help other readers too, but if you'd prefer to communicate privately
that's
> okay too.  One more thing that I'll throw out before closing: be attentive
to
> how your hormones are affecting your body and adjust your basal rates as
> necessary.  If you've only been running on the new schedule for about a
week,
> perhaps your hormones are playing a part in the spiking--you'll know if
that's
> the case.  I generally need .3 u/hr. more than normal for about 10 days
every
> month.  I used to be scared to raise my basal rate by that much all by
myself,
> but with time I have become more confident.  If you see the need to
increase
> your basal, start with .1/hr for all profiles during which you're running
> high.  Stick with that for 2 days and increase by another .1/hr if every
two
> days until you see improvement.  Write down what works best and just use
it as
> soon as you think you need it the next month in order to fine-tune the
system.
> Also beware that the rules under which the "system" operates are subject
to
> change without notice.  As my very wise (now-retired, unfortunately)
diabetes
> educator used to say, "Diabetes is an art, not a science."
>
> The reward for anyone who read this whole e-mail is a book recommendation:
> Outsmarting Diabetes by Richard Beaser.  It's out of print and surely a
little
> out of date now, but Beaser's approach to intensive therapy got me started
in
> learning to pay more attention to my body than to standard-issue medical
> recommendations developed by well-intentioned people with fully funtional
> pancreases.
>
> I will stop writing now and go eat dinner!
>
> Melissa
> IDDM 7 years; pumper 5 years
>
> M.A. student, Theology
> The University of the South
> Sewanee, Tenn.
> USA<br clear=all><hr>Get your FREE download of MSN Explorer at <a
> href="http://explorer.msn.com">http://explorer.msn.com</a><br></p>
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>
> ------------------------------
>
> Date: Thu, 19 Apr 2001 11:06:11 +0100
> From: Pat Reynolds <email @ redacted>
> Subject: Re: [IPk] news from Pat
>
> In message <l03130301b701b10b5014@[213.7.121.11]>, John Neale
> <email @ redacted> writes
> >Some find baby oil or olive oil removes the leftover gunk very
effectively.
>
> Olive oil worked for me (I couldn't find any baby oil in the house, and
> Crabtree and Evelyn's vanilla body lotion didn't work very well).  Many
> thanks for this and the other advice - I am trying to take things easy,
> but it is not natural to me!
>
> Best wishes,
>
> Pat
> - --
> Pat Reynolds
> email @ redacted
>    "It might look a bit messy now, but just you come back in 500 years
time"
>    (T. Pratchett)
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>
> ------------------------------
>
> End of ip-uk-digest V1 #462
> ***************************
>
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