Re: [IPk] Sugar to Carb ratio? + ? dawn phen.
Thanks Pat,
I've since found others given the same advice about sugar to Carb ratio. I
now know it's an incredibly antiquated approach. Unfortunately I was so
diligent in the early days that it is really hard to erase. It's the first
thing I look at on a apackage. And I sort of feel I don't know what I'm
looking at now regarding Carbs. Though I presume when we are bolusing it'll
be about that.
Re: Dawn Phenomenon I was hoping to contribute to the decisions for basals
by observing beforehand was there any pattern. Grace will be so unimpressed
skipping meals ( loves her grub) that it was a stab in the dark to see if we
could strike lucky and find her settle pretty quickly, Grasping at straws
really. Plus reading Pumping Insulin, I found I learnt more about her
present system of twice daily injections than I ever had beforehand I was
sort of transferring and trying to understand at the same time.
To my suprise and on much reflection last night ( with sound advice thrown
in) I am going to smile at the DSN all the way. She gets to decide our start
up dates etc and keeping her happy is really important just now.
Effectively, I can't change teams in Ireland and the Consultant has signed
the approval so even if she delays it , we will get the pump. Then, I have
here! I do believe the problems are all about understaffing and the strain
on the Team. When Shay was dying and we got poor service we figured that for
someone to know what we really needed they'd have to walk in our shoes and
we couldn't wish that on anyone. It's different with basic care of something
like Diabetes but all the health Service here is overstretched.
About "normal". It is so daft for Grace, for the idea to be that we
strive for her to be normal. To me that's the one thing that'll draw her
attention to the fact that her life is different. It's like when people try
to hide what they are eating from her... so that she doesn't feel bad!?! She
feels lousy but can't say it cos it isn't "really" happening! I will
incorporate what you said in my reply cos it is daft to perpetuate this idea
that Diabetes can be made neat.
I will hang around the school for the first month and hopefully get the
chance to put my points of view across.I had a head injury in 1993 and it is
really hard for me to bulls..t. But I'd turn cartwheels for Grace and the
pump, so it's just another challenge. Thankyou to everyone for the support.
Mir
Mum to Grace 5yrs dx 10.03 and Brian 8yrs
----- Original Message -----
From: "Pat Reynolds" <email @ redacted>
To: <email @ redacted>
Sent: 29 August 2004 15:04
Subject: Re: [IPk] Sugar to Carb ratio? + ? dawn phen.
> In message <007e01c48cfd$dda1cec0$email @ redacted>, Miriam Connor
> <email @ redacted> writes
> >At diagnosis we were told to choose foods that Carbs, of which sugars
were,
> >a third of the number of Carbs. Initially I presumed that this was a
> >reflection of glycemic index. It took a while to cop on that many of the
> >foods that seem to have the best ratio are really high glycemically.
> >Example Weetabix per 100grms :68gCHO of which sugars :4.7g. Glycemic
Index
> >:75.
> >Sorry if I am missing something really obvious but it would be helpful to
> >understand if the sugars of which are as relevant as was implied.
> >Any ideas?
>
> I am completely muddled by this description!
>
> 'Foods of which sugars were a third of the number of Carbs - does this
> mean food where, for every 10g of CHO, 3.3g CHO is derived from sugars,
> and 7.7g CHO is derived from starches? That simply doesn't make sense
> to me, for two reasons. First, sometimes people think (it's untrue, but
> they think) that the source of CHO (sugars or starches) makes a huge
> impact on blood glucose levels). Second, those people who _do_ think it
> makes a difference _never_ say that one should aim to get 30% from
> sugars - they always say 'minimise sugars'.
>
> I wonder if you have this confused with recommendations on balance of
> calories?
>
> 1 gram carbohydrate has 4 kcal (called calories from here on in, because
> that's what everyone calls them).
> Protein is the same: 1 gram has 4 calories.
> Fat has a wapping 9 calories per gram.
>
> Or has this been confused with the Glycaemic index, with a
> recommendation that foods under 70 on the GI should be eaten in
> preference to other foods????
>
>
> >Can I also ask if Dawn phenomenon fluctuates? In the early days Grace
missed
> >her breaky and freaking I checked and she was up rather than down. I
> >understood this may due to Dawn Phenomenon.( Didn't seem to be rebound as
> >day progressed). Over the past few months preparing for the pump I've
tried
> >to see the pattern of the dawn phenomenon. there doesn't seem to be one.
> >Grace's numbers are the same or less 30mins after waking. I usually have
> >checked her asleep, within an hour of her waking up. Through the hols I
> >have let her sleep on. I am wondering if the occasional times there are
> >minor rises are more due to going past her time and absence of insulin
> >rather than realise from the liver. This may be so obvious if I knew
more. I
> >just want to understand if there are time frames to check that might be
> >better reflections? When it comes to talking basal rates i'd like to be
sure
> >I am making the right deductions. I'm trying to focus on the positive of
> >there being discussions on basal rates!! My way of coping with the fear
of
> >the pump becoming elusive!
>
> Again, I'm not sure what you are saying. Are you saying that monitoring
> bgs 30 mins after rising, and occasionally checking an hour before
> rising shows no difference? All that means is that between those two
> times, her bgs don't move that much.
>
> What you need to do to check for dawn phenomenon: check on the hour,
> throughout the night (different nights, two or three nights apart. do
> this for some weeks, so you've got 3 or 4 checks at each hour of the
> night. Also check every hour of the day, skipping breakfast (this can
> be done on 3 separate days, as you can do the measurements on the same
> day).
>
> Then look at the pattern - is it consistent? Is there a rise? When is
> the rise? (My dawn phenomenon is there around 6am - 8am, but it is at
> its worst around 10am)
>
> If you are saying that you have done this, and you used to see the peak
> around the time she wakes up, but now don't see it any more .... I can
> only respond that from time to time our bodies seem to reset themselves
> (often around seasonal changes), and the dawn phenomenon increases or
> decreases or shifts in time of peak).
>
> Hope that helps,
>
> Pat
>
> dm 30+, 508 3+
>
> --
> 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/change list versions,
> contact: HELP@insulin-pumpers.org
----------------------------------------------------------
for HELP or to subscribe/unsubscribe/change list versions,
contact: HELP@insulin-pumpers.org
