[Diabetes-talk] Diabetes management strategy. Was Re: raw peeling fingers.

[d m gina]

Hi Michael,
You know sir we all have our Crosses to carry and you do so well 
carrying yours.
That has to be a struggle doing the balancing act.
Keep up the swell work.

Original message:
>       Hi there.

> You are right. The "fits one, fits all"-approach does not work for
> everyone, and that is why I am not too hung up about people having the
> same sorts of blood sugar levels as I have, but good as my readings are,
> I do have another problem: I tend to suffer from hypoglycaemia, and even
> if I try and manage my sugars at a higher level, this problem does not
> go away at all. In my case, I tend to have a tendency for my sugars to
> drop either in the late morning or in the course of the afternoon and
> especially if I have a low fasting sugar, I go badly hypo. I think my
> lowest reading I ever had, was 41, and while I was fortunate not to fall
> into a coma, I nearly died. That is how terrible I felt.

> The nursing sister who helps me inbetween visits to the diabetologist,
> tells me that 45 and below, is coma territory. And so I have to manage
> my sugars with that in mind. Fortunately, this does not apply to every
> diabetic either, but the drawback for me is the fact that because of the
> circumstances, the variety of diabetic friendly snacks even, that I may
> have in the course of the day, is limited as I have to make it my
> priority to take slow release sugars such as can be found in apples, for
> instance, onboard in order to try and counter the effects of hypos. I
> know that this is not relevant to this post, but I want to share in
> separate posts, some of the ideas I have regarding diabetic counselling:
> how I have tried to help myself, and some of the strategies developed
> from my own experience, that I have used to help others.

> Michael Park
> "I will bring the blind by a way they did not know; I will lead them in 
> paths they have not known. I will make darkness light before them, and 
> crooked places straight. These things I will do for them, and not 
> forsake them." (Isaiah 42:16 NKJV).

> We support NVDA, a free screenreading program for the blind, giving 
> high quality computer access to many commercial applications, as well 
> as portability.


> On 2010/10/04 18:35, d m gina wrote:
>> I keep something with me, just incase lunch isn't at the time shared.
>> Now for me to have the numbers where you are, is a bit low for me.
>> I watch in the winter months where I would chect and see where they are.
>> Thanks for sharing.
>> What I am trying to say is in the winter months my sugars drop
>> quickly. they don't understand that one, I don't either, but we just
>> go with the flow.

>> Original message:
>>>   Hi there.

>>> I have read this thread with much interest. Personally, and judging from
>>> my own experience, it is necessary to test at least three times a day,
>>> and I say this for the reason that it is important to try and keep
>>> sugars stable rather than low.

>>> I must say that I am not too excited about people who say that your
>>> readings should be this or that, for as I understand it, the damage that
>>> is rendered to the body through diabetes, differs from person to person
>>> and from circumstance to circumstance. Testing at least three times a
>>> day not only gives you an idea of the pattern according to which your
>>> blood sugars move, but in my experience, it also gives you an idea of
>>> what levels would be suitable for you.

>>> The nursing sister I mentioned in my previous post, who actually helps
>>> me to monitor my condition, is herself rather dogmatic about fasting
>>> sugars. According to her, a good fasting sugar should be anything
>>> between 90 and 110. Now this system works well for me, but I have
>>> encountered situations where I have helped other diabetics, where the
>>> patterns suggest that they should have sugars over 110 for fasting, for
>>> the simple reason that they cannot get them down to those levels.

>>> I disagree with the dogmatic statement that sugars in a diabetic should
>>> specifically be one thing under certain circumstances and another under
>>> other circumstances. I have often argued the point with my nursing
>>> sister friend, not because I cannot maintain those levels myself, or
>>> because I have to starve to death in order to keep to those levels (and
>>> incidentally, I don't starve when I maintain those levels), but I have
>>> counselled folks before today who simply would find it impossible to
>>> maintain their sugars at that level.

>>> Regular testing is important also because the process of identifying
>>> movement patterns in blood sugar levels and stabilizing sugars, can take
>>> up to six months to accomplish.

>>> The other important factor is to be able to learn to listen to your
>>> body, because you may find yourself in situations where your glucometer
>>> is not available to you and you need to take action because your sugars
>>> fall too low.

>>> The other day, I attended a seminar and was told before hand, that lunch
>>> would be served at 12 noon. As it turned out, lunch was served a full
>>> two hours late and because my sugars are by nature very volitile, I fell
>>> into a hypo and was useless to the conference for the course of the
>>> afternoon proceedings. Needless to say, I had somewhat to say to the
>>> organisers, for this was a conference geared to the disabled and I had
>>> gone to considerable lengths to inform them of my condition, and to my
>>> mind, my informing them, simply fell on deaf ears. Furthermore, the lack
>>> of consideration was highly embarrassing to me.

>>> Being able to listen to my body tells me in advance whether I am going
>>> to go hypo or not and I know that my chances of going hypo are
>>> particularly good if I have a fasting sugar below 90.

>>> I have got this down to a fine art so that I can estimate my blood
>>> sugars to within 10 points before I even get to pricking my finger. This
>>> morning, for instance, I guessed that my fasting sugar would be 86 and
>>> sure enough, my test showed that it was 88--a reading which is lower
>>> than acceptable.

>>> Again, I personally take issue with people who say that your HB1c3
>>> should be at a specific level, for the simple reason that hB1C3 is based
>>> on your actual sugar levels and in my view, it is difficult enough to
>>> determine what those levels should be, let alone, what one's HB1C3
>>> should be.

>>> I will probably have mine taken when I go to the diabetic clinic on
>>> Wednesday, and my guess is that my HB1C3 is going to sit between 105 and
>>> 115, somewhere.

>>> Finally, I would be inclined to think that if your friend is not
>>> testing, that it is highly likely, given the circumstances, that her
>>> sugars are well out of control. My experience in the time that I have
>>> been counselling folks here, is that the ones who don't test, are the
>>> ones whose sugars are invariably out of control.

>>> The consolation prise for your friend is that if she can test regularly,
>>> and if she is given proper counselling, I believe that she could learn
>>> to listen to her body and hence the fact that testing might eventually
>>> have to be done less frequently.

>>> It goes without saying that I am making the catagoric assumption that
>>> the person concerned, is adhering to some sort of diabetic compliant
>>> diet, at least.

>>> --
>>> Michael Park
>>> "I will bring the blind by a way they did not know; I will lead them
>>> in paths they have not known. I will make darkness light before them,
>>> and crooked places straight. These things I will do for them, and not
>>> forsake them." (Isaiah 42:16 NKJV).

>>> We support NVDA, a free screenreading program for the blind, giving
>>> high quality computer access to many commercial applications, as well
>>> as portability.


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