tag:blogger.com,1999:blog-30206473.post968192974712333108..comments2023-10-23T11:24:13.532-04:00Comments on Diabetes Update: Debugging the Highs: UpdateJennyhttp://www.blogger.com/profile/17384082448952856117noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-30206473.post-67426168044526646642007-11-14T08:42:00.000-05:002007-11-14T08:42:00.000-05:00The study reports a 38-percent reduced risk of dev...The study reports a 38-percent reduced risk of developing diabetes for high-blood-pressure patients who demonstrated regression of LVH during therapy for high blood pressure, with a 26-percent reduced risk after adjusting for other risk factors for diabetes. The reduction in risk of diabetes was independent of therapy type and of the degree of blood pressure change in this population.Take care.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30206473.post-51005834211641197842007-11-14T08:36:00.000-05:002007-11-14T08:36:00.000-05:00Rob,Dr. B's warning in the older books is why I av...Rob,<BR/><BR/>Dr. B's warning in the older books is why I avoided NPH. I did well on Ultralente before it was discontinued. But I asked about it on one of his teleconferences and he said that with the other human long acting insulins gone, he does recommend it for people who can't take the analogs.<BR/><BR/>I had serious problems with both Lantus and Levemir--blood pressure surges, persistent Jennyhttps://www.blogger.com/profile/17384082448952856117noreply@blogger.comtag:blogger.com,1999:blog-30206473.post-62587090447881715312007-11-13T20:11:00.000-05:002007-11-13T20:11:00.000-05:00Dr. Bernstein suggests avoiding NPH because it has...Dr. Bernstein suggests avoiding NPH because it has some animal (?) protein in it which has/might cause an allergy sensitiveness. He also recommends it in the book when needed. RobLL (the first Rob comment on this page)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30206473.post-68760287468379396752007-11-13T14:20:00.000-05:002007-11-13T14:20:00.000-05:00The Novolog worked exactly as it always has. Insul...The Novolog worked exactly as it always has. <BR/><BR/>Insulin carb ratio: 1 unit to 12 grams. Dose: <B>2</B> units<BR/><BR/>Reference meal: 20 g whole wheat bread with natural Peanut butter<BR/>1 hour: 110 mg/dl<BR/>2 hour: 87 mg/dl.<BR/><BR/>Identical meal with <B>3 </B>units of R insulin (1/8 ratio):<BR/><BR/>1 hr 123<BR/>2 hr 105<BR/><BR/>Very odd. I am wondering if somehow taking NPH Jennyhttps://www.blogger.com/profile/17384082448952856117noreply@blogger.comtag:blogger.com,1999:blog-30206473.post-26598227893668221672007-11-13T08:39:00.000-05:002007-11-13T08:39:00.000-05:00Anonymous,A course of Prednisone eleven years ago ...Anonymous,<BR/><BR/>A course of Prednisone eleven years ago seems to be what pushed my blood sugar from marginal to fully diabetic, and since I still have some beta cell function left, I would not want to take it out of fear of destroying my remaining basal function.<BR/><BR/>If I can't figure out some way to get around this I am going to have to go see my PCP and get a referral to a really good Jennyhttps://www.blogger.com/profile/17384082448952856117noreply@blogger.comtag:blogger.com,1999:blog-30206473.post-55920780992241266952007-11-13T03:36:00.000-05:002007-11-13T03:36:00.000-05:00How about a more direct approach? If the problem r...How about a more direct approach? If the problem really is antibodies, why not deal with antibodies. Although it's blunt force, when I was in a similar situation my doctor gave me prednisone in pulsed doses for a couple of weeks to break a cycle at much, much higher blood glucose levels. Perhaps there is a similar approach that would work for you. RobAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-30206473.post-61049614228074579902007-11-12T09:11:00.000-05:002007-11-12T09:11:00.000-05:00Bad Decision Maker,I'll be testing that next. Anot...Bad Decision Maker,<BR/><BR/>I'll be testing that next. Another possibility might be to inject the R even earlier.<BR/><BR/>Further bad news is that the new insurance plan I changed to after my last plan went up to $600 per month with higher deductibles and copays wont' pay for insulin Pens so when the pack I have is gone, it's gone.Jennyhttps://www.blogger.com/profile/17384082448952856117noreply@blogger.comtag:blogger.com,1999:blog-30206473.post-38094339160005285472007-11-12T01:28:00.000-05:002007-11-12T01:28:00.000-05:00Jenny - you said novolog was too fast for you, but...Jenny - you said novolog was too fast for you, but if you're high 1-2 hrs after eating and low a few hours later, it might be worth another try as you said you might. You could try giving it after you eat (or give part of the dose after) instead of before so that it won't set in quite as fast.Bad Decision Makerhttps://www.blogger.com/profile/14394225373078412615noreply@blogger.comtag:blogger.com,1999:blog-30206473.post-30577322788085676482007-11-11T15:24:00.000-05:002007-11-11T15:24:00.000-05:00Lili,Combining R & Novolog was what I'd been doing...Lili,<BR/><BR/>Combining R & Novolog was what I'd been doing for the last couple months any time I ate at a local restaurant where I was going to have a familiar meal and knew I wouldn't have a wait. <BR/><BR/>I'd do half my insulin as R before we drove to the restaurant and the rest as Novolog when I got my food, and it was working great--until a couple weeks ago. <BR/><BR/>Rob,<BR/><BR/>I usedJennyhttps://www.blogger.com/profile/17384082448952856117noreply@blogger.comtag:blogger.com,1999:blog-30206473.post-27681176511824943392007-11-11T13:59:00.000-05:002007-11-11T13:59:00.000-05:00I seem to remember that you didn't like Lantus, bu...I seem to remember that you didn't like Lantus, but might you reconsider. My Internist had me switch from R (about 20 units in 3 injections) to an evening Lantus. Not as high a dose as I wanted, I stay about 99-115, eating less than 50g carb a day. I think 2 10 unit doses would put me at my 85-100 which is my goal. What surprised me was how constant BGs stay. RobAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-30206473.post-55369210161303924272007-11-11T13:47:00.000-05:002007-11-11T13:47:00.000-05:00Maybe try combining Novolog and R? Like a dual wav...Maybe try combining Novolog and R? Like a dual wave bolus.Lilihttps://www.blogger.com/profile/00941594110486613388noreply@blogger.comtag:blogger.com,1999:blog-30206473.post-34505515746866722382007-11-11T12:16:00.000-05:002007-11-11T12:16:00.000-05:00Thanks for the suggestion!Novolog is already almos...Thanks for the suggestion!<BR/><BR/>Novolog is already almost too fast for me. I'll get good readings at 1 or 2 hours but go back up higher at 3. <BR/><BR/>But I eventually going to do some testing with the Novolog to see if it works better for me now that the R is not. But I am testing and adjusting one thing at a time.Jennyhttps://www.blogger.com/profile/17384082448952856117noreply@blogger.comtag:blogger.com,1999:blog-30206473.post-29866551683731274602007-11-11T10:41:00.000-05:002007-11-11T10:41:00.000-05:00Have you tried Apidra? I haven't, yet, but it seem...Have you tried Apidra? I haven't, yet, but it seems really promising as a very fast acting insulin. Maybe the fastness would help with the delay, even with antibodies?<BR/><BR/>Anyway, sorry to hear about your complications, and I hope you get things squared away soon!<BR/><BR/>Take care.Anonymousnoreply@blogger.com