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Fwd: [IPk] ketones- again

Mary, I hope that you won't mind if I have another go. You probably know or 
have thought about the following, but here goes anyway.

It sounds as if it is often an absorption problem when you have a bad site. I 
suppose that you have tried inserting your sets in many areas. For myself, I 
use my thighs, buttocks and abdomen so that by the time I have done the 
rounds and return to the same site again, several months will have passed. 
Unfortunately, however, I know that many others can't use all of these areas.

The other thing that is hardly ever mentioned on here is the effect that a 
little exercise can have on insulin sensitivity and absorption. For myself 
just going for a short 30 min walk increases my insulin sensitivity. Of 
course everybody is effected differently.

Just one more point. If your insulin has a delayed effect, have you tried 
giving your pre-meal boluses earlier?

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Date: Sun, 13 Apr 2003 17:19:47 EDT
Subject: Re: [IPk] ketones- again
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In a message dated 4/13/2003 10:03:18 PM GMT Daylight Time, email @ redacted 

> Ahhh...maybe adding a unit to what you normally would bolus when you've just 
> put in a new set might be worth a shot (err, bad pun!!!)? If you know your 
> bg is going to rise when you put in the new set (I have had the same 
> problem 
> you have there), might it be possible to head it off at the pass?
Thanks, Melissa - but no way can I tell whether or not the new set/site is 
going to work, and 80+% of the time the result is fine and the extra bolus 
would make me have a _serious_ hypo.

Knowing whether or not the new site/set was OK would probably solve the 
problem, but I don't know how/if that can be done.

I realise that you're all trying to help - and I really appreciate that! - 
and I'm sorry that I've been giving pretty negative responses.  I have spent 
more than two years going through all the options.  But sometimes you can 
miss something so please do keep coming with advice and thoughts.  Wasting 
10-20% of sets and the inconvenience of the lost day is important to me!


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