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Re: [IPk] Re: which pump, and covering protein with insulin, and UK question

If it takes longer for protein to be converted to glucose, shouldn't that be 
covered with your basal dose?  ie if you are using humalog, wouldn't it 
start working too soon and finish working too early?

>From: Nanette Chana Freedman <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: [IPk] Re: which pump, and covering protein with insulin, and UK 
>Date: Tue, 14 Nov 2000 23:07:56 -0800 (PST)
>It makes sense to cover protein with some insulin, because the
>breakdown products of protein include glucose.  In my experience,
>protein mostly gets digested more slowly than many carbs, hence the
>late highs which sometimes follow meals which are high in protein, if
>you do not increase insulin dose accordingly.
>About low carb diets, like Atkins, Bernstein etc - seems to me they may
>be more suitable for type 2 than for type 1 diabetics.  As type 1,
>using fast acting insulin, one should be able to deal with almost any
>carbohydrates (at least in moderation!).
>In my one personal experiment with a low carb diet (actually brought
>about because I forgot to bring extra insulin on a trip away from home,
>and figured I could last out if I ate low carb), I found that although
>my blood sugars were fairly good and fairly stable, it meant that if I
>ever lapsed and ate more carbs, my body was much more sensitive to the
>carbs, response to carbs became unpredictable, and blood sugar would go
>shooting up.  Since I felt that a rigid low carb diet was not really
>compatible with my normal life - family, work, socializing, eating out
>etc, I decided to aim for some middle road rather than very low carb a
>la Atkins with any minor carb lapse being catastrophic for me.  YMMV.
>I use a Disetronic pump - when I was deciding, 2 years ago, the
>deciding factors for me were 1) Disetronic is waterproof, 2) the basal
>rate is delivered in smaller more frequent dribbles, hence in the event
>that one needs to reduce the basal rate if hypo during unscheduled
>physical activity, one can get more immediate effect, and 3) a very
>local but practical and important reason - the Disetronic rep here at
>that time was clearly much better informed and more effective than the
>Minimed rep, so that I felt that in practical terms I would get
>excellent help and support from him, and this has indeed been the case.
>Now a question - I will be in the UK (London and Cambridge) for a short
>visit in 2 weeks time for a family wedding - I hope I will have no pump
>problems, but just in case, could anyone give me a phone number to call
>for assistance from Disetronic?
>Thanks very much
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