[Diabetes-talk] Spike.

Thu Mar 8 22:29:13 UTC 2012

I think ten bucks.
Bernadette M. Jacobs
1st Vice-President of Diabetes Action Network

Please consider making a donation to the Diabetes Action Network because 
Diabetes is the leading cause of Blindness
----- Original Message ----- 
From: "Alan Wheeler" <awheeler65 at windstream.net>
To: "'Diabetes Talk for the Blind'" <diabetes-talk at nfbnet.org>
Sent: Thursday, March 08, 2012 8:11 AM
Subject: Re: [Diabetes-talk] Spike.

>I hate to sound stingy, but for the braille, how much do they charge? I ask
> because at the moment my income is tighter than tight.
>
>
> -----Original Message-----
> From: diabetes-talk-bounces at nfbnet.org
> [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of William and
> Bernadette Jacobs
> Sent: Thursday, March 08, 2012 7:08 AM
> To: Diabetes Talk for the Blind
> Subject: Re: [Diabetes-talk] Spike.
>
> Contact the Materials Center Alan!  I think they might have 2011's.  I'm 
> not
> sure.  But I do know what they have is in all forms, at least Braille and
> Large print.
>
> Bernadette M. Jacobs
> 1st Vice-President of Diabetes Action Network
>
> Please consider making a donation to the Diabetes Action Network because
> Diabetes is the leading cause of Blindness
> ----- Original Message -----
> From: "Alan Wheeler" <awheeler65 at windstream.net>
> To: "'Diabetes Talk for the Blind'" <diabetes-talk at nfbnet.org>
> Sent: Wednesday, March 07, 2012 12:06 PM
> Subject: Re: [Diabetes-talk] Spike.
>
>
>> Reading this brings up a couple of things.
>>
>> First, would anyone be interested in me posting an old article
>> "Carbohydrate counting and the exchange list" by Ann Williams?
>>
>> Secondly, is there an accessible copy of the exchange list available?
>>
>>
>>
>>
>> -----Original Message-----
>> From: diabetes-talk-bounces at nfbnet.org
>> [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Bridgit
>> Pollpeter
>> Sent: Wednesday, March 07, 2012 10:58 AM
>> To: 'Diabetes Talk for the Blind'
>> Subject: Re: [Diabetes-talk] Spike.
>>
>> Hmmm... That's very odd you've been told fruit is bad for diabetics.
>> Since being diagnosed at age 4, and I'm now 30, fruit has always been
>> a part of my diet and encouraged by medical professionals. With any
>> food containing carbs, you have to fit it into your carb allotment for
>> the day, but I've never, never been told to avoid fruits, and I've
>> seen several endos, nurse educators and nutritionist over the past
>> 26-1/2 years, and they always encouraged fruit.
>>
>> Sincerely,
>> Bridgit Kuenning-Pollpeter
>> Read my blog at:
>> http://blogs.livewellnebraska.com/author/bpollpeter/
>>
>> "History is not what happened; history is what was written down."
>> The Expected One- Kathleen McGowan
>>
>>
>> -----Original Message-----
>> From: diabetes-talk-bounces at nfbnet.org
>> [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Michael Park
>> Sent: Wednesday, March 07, 2012 9:27 AM
>> To: diabetes-talk at nfbnet.org
>> Subject: Re: [Diabetes-talk] Spike.
>>
>>
>> Back from gym and a pre-lunch sugar of 103 and just ready to face the
>> world.
>>
>> The problem here in South Africa is that if you cannot afford medical
>> care, which is the position in which I find myself, you have to depend
>> on the government health care system to help you manage diabetes and
>> unless as a diabetic, you become educated smartly, you will find
>> yourself in a very perilous spot. The average doctor at our primary
>> hospitals do not have a clue how to treat diabetes and they will not
>> refer you to specialist facilities which can give you the proper
>> treatment. Fortunately, I know two very competent diabetologists
>> through
>>
>> family contacts and through being an activist for diabetics in this
>> country and I get my advice from the two of them. So I just walk into
>> the primary facility, shove the script which one of them wrote, under
>> the nose of the doctor concerned with the expectation that the
>> medication I need, and which has been recommended by a competent
>> diabetologist, will be issued. I have had no difficulty in this regard
>> since the people concerned, are known to them to be very competent in
>> their field--in fact, one of them is the top diabetologist in the
>> country and he contributes regularly to international forums of
>> doctors who specialise in the treatment of diabetes.
>>
>> I must also add that proverbially speaking, I have landed with my bum
>> in
>>
>> the butter. My diabetes nurse care-giver is a dear friend of ours who
>> also goes to our church. If I had to pay her for her services, help
>> from
>>
>> her side would simply be out of the question and of course, the same
>> also holds true for my biocheneticist who is also in our church.
>>
>> Regarding fruit, and this is a sore bone of contention I have with the
>> dietition at our local hospital, fruit is said to be bad for diabetics
>> on the ground that it contains lots of sugar. When one does not have a
>> hypo, apples are rightly one of the best, if not the best fruit that a
>> diabetic can have. I have eaten so many apples that they are growing
>> out
>>
>> of my ears and I am thinking of setting up shop and selling some of my
>> produce.
>>
>> It is true that apples have lots of sugar in them, but apples are
>> among those snacks with a high glycaemic load and a low glycaemic
>> index value,
>>
>> which in plain English means that apples have lots of sugar, but the
>> sugar is a slow absorbing sugar.
>>
>> I don't want to wax to eloquently about sugar here, but suffice it for
>> me to say that all sugars are broken down into glucose. Some take
>> longer
>>
>> to break down than others, hence the fact that, in order to avoid all
>> the niceties of the Glycaemic Index, I usually just explain to folk
>> that
>>
>> I counsel, that there are good sugars and bad sugars. The good ones
>> take
>>
>> longer to break down into glucose while the bad ones break down to
>> glucose quite quickly.
>>
>> In my terminology therefore, apples contain lots of "good sugar" which
>> is there to help sustain one from meal to meal.
>>
>> My gripe with the local dietition is that she told one of the folks
>> that
>>
>> I am counselling, that apples are bad because they contain lots of sugar.
>> The response I meet with when I chat to the chap is this "are you
>>
>> a doctor that you can tell me that apples are good for me?" Of course,
>> I
>>
>> have no response other than the fact that I know that apples are good
>> for one on the basis of the road I have already travelled as a diabetic.
>>
>> Of course, my advice is being rejected by this person on the strength
>> of
>>
>> what an idiot, who should not even be in practise and who should
>> possibly even be shot in public, has told him. So, when he snacks, he
>> eats sweets, chocolates and crisps with gay abandon and the sugar
>> tests afterwards, speak for themselves. All that I can do in a
>> situation like this, is to helplessly sit by and watch this person
>> destroy himself.
>>
>> Regarding insulin too, I agree with you that it is basically a case of
>> each one unto himself. My own view on insulin, for the record, is that
>> I
>>
>> personally believe that, come the day, and I will have to ultimately
>> go onto insulin. This fact holds no terror for me, although the rider
>> to this statement is the fact that as little as I do know about
>> insulin, it
>>
>> is something which should be treated with the greatest of respect.
>>
>> Now one can say all sorts of things about insulin, but I have
>> deliberately refrained from taking that course of action, since much
>> of what can be said about insulin, belongs to the realm of speculation
>> and some of the things might even be old wives' tales. I certainly do
>> not wish to indulge in urban legends, spurious statistics and the
>> rest.
>>
>> However, come the day I do go onto insulin, I want to do it when a
>> suitably educated person is around to teach me what to do. For the
>> moment, my nurse care-giver is anti insulin, and while I am not
>> familiar
>>
>> with her reason for being anti, and I am not decrying insulin either,
>> I am quite happy to live with her regime, since between her, my doctor
>> friends, my dietition (not the one at the hospital), and my
>> biocheneticist, they all have things in hand. All I have to do is to
>> go along for the ride and I don't need to fret about anything.
>>
>> My experience with probiotics and certain claims which my
>> biocheneticist
>>
>> makes, make me optimistic about my chances of never going onto insulin
>> at all and that I may even come off my sugar tablet in due course. Be
>> it
>>
>> as it may, I will only go onto insulin if I absolutely have to.
>>
>> Nevertheless, I must agree with the sentiment that insulin is the
>> greatest inovation in the treatment of diabetes, except perhaps for
>> stuff called Byetta, affectionately known as "lizzard spit", which I
>> believe, may in certain respects, even eclipse insulin. If folks are
>> interested, I am prepared to share information on "lizzard spit" which
>> I
>>
>> heard about at a recent educational meeting for diabetics. I will do
>> so in a separate post.
>>
>> Michael Park.
>> I am not an expert, because "ex" means "has been" and "spert" is "a
>> drip under pressure".
>>
>>
>> On 2012/03/07 10:35, Bridgit Pollpeter wrote:
>>> What you say is absolutely correct. I have been trying to explain to
>>> people for years that you can't take the across the board approach
>>> with diabetics. So many people think they know what a diabetic
>>> regimen
>>
>>> should be, but diabetes really is an individual disease. Whether type
>>> 1 or 2, it affects us all in different ways, and so many variables
>>> play a role that, again, will be different for people.
>>>
>>> My doctors are comfortable with my A1-C sitting between 7 and 7.5
>>> because when I try to get it below 7, it means I'm having more lows
>>> than anything. I've also had very few food restrictions since being
>>> diagnosed 27 years ago since I respond quickly to insulin, have a
>>> higher metabolism and tend to be more active. Now that I'm pregnant,
>>> they actually keep telling me to eat more food in general, though I
>>> feel like I'm eating a ton already, grin.
>>>
>>> Regardless of being diabetic or not, exercise works differently in
>>> our
>>
>>> bodies. What works for me, might not for you. This is a fact that
>>> people are just starting to accept though the science has been around
>>> for a while. Despite this though, any activity is good for diabetics
>>> as long as you manage things and test frequently.
>>>
>>> There are some things that are important for any diabetic to be aware
>>> of and routines to follow, and in general, certain glucose ranges are
>>> the target for any diabetic to hit, but it's still very much
>>> dependent
>>
>>> on the person and other health/biological factors.
>>>
>>> I've never heard that fruit was bad for diabetics though. I've always
>>> been encouraged to eat fruit in a day, and that it also makes for a
>>> good snack. Over my 27 years of being diabetic, the nutrition info
>>> always reinforced, and important for all diabetics, has been to watch
>>> and count carbs, incorporate protein into meals and snacks, watch
>>> foods high in fat especially trans-fat and make sure I'm following an
>>> insulin regimen in proportion to the carbs I eat, and of course to
>>> make "smart" food choices. Fruit has always been a food pushed
>>> especially in place of sugary treats.
>>>
>>> Ultimately, a diabetics routine must be specific to that individual
>>> and established by an endocrinologist. Inevitably things will change
>>> and your routine will change with you, which is why it's vital for us
>>> to communicate regularly with our doctors. We can ask advice and
>>> suggestions from others, but at the end of the day, it has to be
>>> about
>>
>>> what works best for us and our lifestyles.
>>>
>>> Having said that though, I don't think it's wrong to be aware of what
>>> is happening with diabetic research and consider various treatment
>>> options. In terms of insulin, and I too am no expert, one of the
>>> reasons some type 2's are placed on insulin sooner rather than later
>>> is because at some point, many type 2's end up on insulin anyway; all
>>> the type 2's I know personally have been, or are in, this very
>>> situation. If you feel your current regimen works, fantastic, but
>>> it's
>>
>>> also good to be informed on other options, and those investigating
>>> other options are not wrong to do so. I'm a type 1 and there is
>>> currently no other treatment option than insulin, so I'm very aware
>>> of
>>
>>> how insulin affects the body, plus, I'm pretty sensitive to it. It
>>> does work great for some type 2's if following a good management
>>> system, and some possibly could benefit from it. I have nothing
>>> against oral meds, I'm just saying don't discredit other methods, or
>>> discourage others from at least investigating those methods.
>>>
>>> But really, to each his own, smile.
>>>
>>> Sincerely,
>>> Bridgit Kuenning-Pollpeter
>>> Read my blog at: http://blogs.livewellnebraska.com/author/bpollpeter/
>>>
>>> "History is not what happened; history is what was written down." The
>>> Expected One- Kathleen McGowan
>>>
>>>
>>> -----Original Message-----
>>> From: diabetes-talk-bounces at nfbnet.org
>>> [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Michael Park
>>> Sent: Wednesday, March 07, 2012 12:07 AM
>>> To: diabetes-talk at nfbnet.org
>>> Subject: Re: [Diabetes-talk] Spike.
>>>
>>>
>>> I'm a brittle type II diabetic and on tablets. I have very good sugar
>>> control with just the tablets. This year, as from 1 January to the
>>> present, for instance, I have only had 3 readings over 180 compared
>>> to
>>
>>> the 5 of last year at the same time. I manage this control without
>>> starving myself and, to give you a good idea of the sort of control I
>>> have, my average for the last 180 readings is 119. This is a bit
>>> higher than the norm that I set myself, namely anywhere between 90
>>> and
>>
>>> 117, although my averages, when compliant, seldomly drop below 108.
>>>
>>> I must stress that my sugar control is one that works for me, and
>>> that
>>
>>> it will not necessarily work for the next diabetic. What I am saying
>>> here, therefore, is not intended as a definitive solution to the
>>> problem, but is intended as presenting avenues to explore.
>>>
>>> Having said that, there are a number of factors that a type II has to
>>> bear in mind when controlling his/her sugars. The most important
>>> factor is to try and determine what your sugar management norms are.
>>> These, as I already indicated, will differ from person to person. The
>>> only way in which you will find out what your norm is, is to test
>>> regularly, keep a thorough diary of your results and then to try and
>>> identify patterns.
>>>
>>> Once you have identified your patterns, you need to try and refine
>>> the
>>
>>> diet you have been given, in order to re-inforce that pattern, that
>>> is, assuming that the pattern is a good one. If the pattern is not a
>>> good one, i.e. if sugars are too high or too low, then various things
>>> will need to be fine tuned. You may need to vary your diet, or you
>>> may
>>
>>> need to change your medication. Bear in mind that the generic
>>> diabetic
>>
>>> diet simply does not exist in the sense that what may be good for one
>>> diabetic, may not necessarily be good for another diabetic. As an
>>> illustration of my point, I have found that I get better blood sugars
>>> if
>>>
>>> I use rice as my starch rather than potatoes. While I love potatoes,
>>> I
>>
>>> only have those as a treat. For the rest, I stick to rice. I agree
>>> that the potato thing may not be a problem for other diabetics.
>>>
>>> Consequently, in the light of what I have just said, I personally,
>>> totally reject out of hand, the notion of "fits one, fits all" when
>>> it
>>
>>> comes to sugar management. The general norms laid down for sugar
>>> management, is therefore, only a point of departure--nothing more.
>>>
>>> In short, I manage sugars through diet and exercise and I deal with
>>> spikes as and when they arise. The advantage of keeping a diary is
>>> that it is often possible to deal with the cause of spikes whenever
>>> these arise.
>>>
>>> I know that David Mendosa and I would not agree, but I also use fruit
>>> as
>>>
>>> a means of controlling blood sugar. I have a fruit at breakfast, a
>>> fruit
>>>
>>> for my midmorning snack and a fruit for an afternoon snack. As far as
>>> the late night snack is concerned, I have a far greater lattitude as
>>> to what I can or cannot have. The fruit I usually have is an apple.
>>>
>>> Apples have a low glycaemic index value and a high glycaemic load
>>> which means that the overall effect of apples on blood sugar
>>> management, is to
>>>
>>> sustain blood sugar levels from one meal to another, so that they
>>> will
>>
>>> not drop too low.
>>>
>>> Another factor that could impact on the possibility of sugars
>>> spiking,
>>
>>> could be the medications you are on. These may not necessarily be
>>> diabetic medication, but could instead, be medication you take for
>>> other
>>>
>>> problems.
>>>
>>> As I intimated in an earlier post to the list, I have recently gone
>>> onto
>>>
>>> probiotics because my immune system has effectively been fried by the
>>> quantities of antibiotics I had been taking of late. I have learnt
>>> that probiotics do tend to lower blood sugars, but other medications
>>> again may tend to raise blood sugars, thus causing sugars to spike.
>>>
>>> In such cases, in the same way as I have to also do, one needs to
>>> change
>>>
>>> the diet to suit the conditions, but one must make sure that you
>>> don't
>>
>>> starve yourself in the process either.
>>>
>>> Spiking blood sugars could also be due to infection. You may not have
>>> the classical signs of infection, but that does not mean that you
>>> must
>>
>>> rule out the possibility of infection.
>>>
>>> If you are about to see the doctor, a test done to measure your blood
>>> cell count, will be a definite tell-tail sign of infection if your
>>> white
>>>
>>> blood cell count is up.
>>>
>>> There are numerous factors that could bring about a spike in blood
>>> sugars, both environmental and personal/emotional, but I don't want
>>> to
>>
>>> try and make a complete list of the possible causes here.
>>>
>>> The question that remains is the question, what to do if my sugars
>>> spike? I am going to assume here that spikes are in the vacinity of
>>> 180 to about 280.
>>>
>>> One of the things I have often come across in diabetes forums both
>>> here in South Africa and around the world, is the quick fix solution
>>> and I am
>>>
>>> afraid that I would not want to be seen dead near some of the
>>> solutions that have been proposed. The idea is to strike the right
>>> balance between
>>>
>>> intervention and non-intervention and I personally am of the view
>>> that
>>
>>> if intervention is necessary, it should be an intervention which
>>> should be as conservative as possible. If the intervention is
>>> drastic,
>>
>>> this could at best contribute to very unstable blood sugars and in
>>> the
>>
>>> worst case scenario, could even drive blood sugars down to
>>> dangerously
>>
>>> low levels. This could most likely be the case, especially if you
>>> cannot ascertain the cause of the spike in the first place.
>>>
>>> Obviously, if you are on insulin and the doctor has given you a
>>> sliding scale to administer insulin in the case of a spike, it is OK
>>> to use that
>>>
>>> sliding scale. One would assume that the doctor would take all
>>> factors
>>
>>> known to him, into account when prescribing a sliding scale for the
>>> administration of insulin.
>>>
>>> The sort of intervention which is the safest for type II diabetics
>>> not
>>
>>> on insulin, is just to insure that you drink enough water and if the
>>> sugar levels don't drop, to make a plan to see the doctor.
>>>
>>> Obviously, if you are recording readings say, in excess of 280, you
>>> will
>>>
>>> most likely find yourself on crisis territory and the doctor may have
>>> to
>>>
>>> be contacted sooner or later.
>>>
>>> What to do if your sugars spike? One of the most important lessons
>>> that my nurse care-giver has taught me, is to learn to listen to my
>>> body and as far as it may be appropriate, to just do what my body
>>> feels like doing. If your sugars are spiking or if they go the other
>>> way, and you feel tired, that is perfectly OK.
>>>
>>> Let me mention that I basically manage my sugars through diet,
>>> tablets
>>
>>> and exercise. My exercise program has been designed by a
>>> biocheneticist and having familiarised myself with what a competent
>>> biocheneticist can do, I would strongly recommend that every diabetic
>>> should see a biocheneticist as part of the treatment.
>>>
>>> Michael Park.
>>> I am not an expert, because "ex" means "has been" and "spert" is "a
>>> drip under pressure".
>>>
>>>
>>> On 2012/03/07 00:08, Bridgit Pollpeter wrote:
>>>> Yeah, I think some studies are showing that the sooner type 2's are
>>>> placed on insulin, the better management they experience. I don't
>>>> know how many doctors are considering this, and most type 2's I know
>>>> on insulin were put on it only after the oral meds were not working
>>>> as well. Is this something a patient can request even if their
>>>> doctor
>>
>>>> isn't prescribing it? I'm very unfamiliar with type 2 other than
>>>> type
>>
>>>> 2's have some level of functioning of the pancreas.
>>>>
>>>> Sincerely,
>>>> Bridgit Kuenning-Pollpeter
>>>> Read my blog at:
>>>> http://blogs.livewellnebraska.com/author/bpollpeter/
>>>>
>>>> "History is not what happened; history is what was written down."
>>>> The
>>
>>>> Expected One- Kathleen McGowan
>>>>
>>>>
>>>> -----Original Message-----
>>>> From: diabetes-talk-bounces at nfbnet.org
>>>> [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of William and
>>>> Bernadette Jacobs
>>>> Sent: Tuesday, March 06, 2012 3:53 PM
>>>> To: Diabetes Talk for the Blind
>>>> Subject: Re: [Diabetes-talk] Spike.
>>>>
>>>>
>>>> What are you eating?  Anything different?  Many times cold cereals
>>>> can be a horrible culprit: pasta, breads, even some barbecue sauces,
>>>> Are you on oral meds? or just insulin?  From my experience, I find
>>>> my
>>
>>>> control, personally,
>>>> is much better with Insulin.  I use Rapid-acting 15-20 minutes
>>>> before meals, (on sliding scale) then I use Lantus at night.  I
>>>> myself have felt
>>> much,
>>>> much better taking insulin.  If I had it to do all over again,
>>>> I'd've
>>
>>>> gone straight to insulin in the first place.
>>>>
>>>> Bernadette M. Jacobs
>>>> 1st Vice-President of Diabetes Action Network
>>>>
>>>> Please consider making a donation to the Diabetes Action Network
>>>> because
>>>>
>>>> Diabetes is the leading cause of Blindness
>>>> ----- Original Message -----
>>>> From: "Alan Wheeler"<awheeler65 at windstream.net>
>>>> To: "'Diabetes Talk for the Blind'"<diabetes-talk at nfbnet.org>
>>>> Sent: Tuesday, March 06, 2012 4:38 PM
>>>> Subject: [Diabetes-talk] Spike.
>>>>
>>>>
>>>>> Hi everyone,
>>>>> For the second time in about a week, my blood sugar spiked into the
>>>>> 190-200 range. I am going to my doctor on Friday, but in the mean
>>>>> time, what
>>>> do I
>>>>> do
>>>>> when my sugar has spiked like this? Do I sleep it off (which is all
>>>>> I
>>>> feel
>>>>> like doing), or is something else recommended?
>>>>>
>>>>> Thanks in advance.
>>>>>
>>>>> Alan
>>>>> "The kind of work God usually calls you to is the kind of work that
>>>>> you need most to do and that the world most needs to have done.The
>>>>> place God
>>>> calls
>>>>> you to is the place where your deep gladness and the world's  deep
>>>> hunger
>>>>> meet."
>>>>> - Frederick Buechner's definition of "vocation" in his little book
>>>>> "Wishful Thinking" Psalms 33:3 Psalms 150:5
>>>>>
>>>>>
>>>>> Alan Wheeler
>>>>> Lincoln, Nebraska
>>>>> awheeler65 at windstream.net http://twitter.com/#!/Country_Storm
>>>>>
>>>>> _______________________________________________
>>>>> Diabetes-talk mailing list
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>>>>>
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>>>> b
>>>> s
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