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Re: [IPk] NICE


I was taught that healthy eating included wholemeal bread and pastas but I 
find that low glycemic foods do not suit Humalog if my BGs are already on 
the low side.  I find I can go hypo before that food becomes active.  Pastas 
in particular cause this problem.  Square wave is very helpful here.


>From: Pat Reynolds <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: Re: [IPk] NICE
>Date: Sun, 26 Jan 2003 20:21:17 +0000
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>In message <004801c2c547$e6ef7d80$email @ redacted>, Abigail King
><email @ redacted> writes
> >> I will be attending the Pump Management for Professionals (PUMP) next
> >week,
> >> where this will be discussed. So please let me know if there any 
> >> that you will want me to put forward.
> >>
> >
> >1.hypos on a very frequent basis are unacceptable even if self treated
> >2some people need differing amounts of basal insulin aty different times 
> >day.
>3. some people have 'unpredictable' needs for different basals to a
>typical days - e.g. while and after exercising, while ovulating /
>menstruating, while fighting infections, while taking chemotherapy, and
>so on.  CSII allows them to more accurately match their basal needs to
>the basal delivery - glargine is a once-in-24-hrs choice, which impacts
>for 24 hrs, the pump is a choice _now_, for as long as the choice is
>4. I think some people may find the square bolus or dual bolus
>particularly useful.  It's not so much people with slow digestions all
>the time - they could use actrapid, or insulatard even to cover their
>meals.  It's those who find that _some_ meals are worse than others.
>It's not a case that the 'healthy' meal fits the profile of Humalog, and
>'unhealthy' doesn't - although many people, like me, will shift the
>balance of insulin delivery towards the long term having eaten a meal
>where more calories come from fat.  It's the person who sometimes has
>porridge for breakfast (needing a nice, long, square bolus), but
>sometimes have two oranges and a fat free yoghurt (needing a short sharp
>shock of insulin), who finds that 'one insulin' does not 'fit all', too.
>4 may be too difficult for 'professionals' to cope with - please feel
>free to translate it into simpler language for them.
>Best wishes,
>(dm 30+, 508 1+)
> >----------------------------------------------------------
> >for HELP or to subscribe/unsubscribe, contact:
> >HELP@insulin-pumpers.org
>Pat Reynolds
>email @ redacted
>    "It might look a bit messy now, but just you come back in 500 years 
>    (T. Pratchett)
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