Hello group

(Hrvoje) said:

Hello group,

this is my 1st post to this group, so let me introduce
myself: Diabetes diagnosed in June 2003, type 1 HbA1c
13,67% Today: HbA1c 5,37%, full of energy and joy for life
34 years old, my pancreas still works a little bit, per
day: 2xInsulatard, 2xNovoRapid, using AccuCheck Active and
I'm satisfied with all of it. BG between 3mmol/L ...
8mmol/L I'd like to thank to all my doctors who have really
extraordinary treatment in my University Clinic but nothing
can be compared to talk to other people who have diabetes,
so I'd like to thank all of you for your experiences and
recommendations for solving your real life problems. It
will be my pleasure to exchange my experiences with yours.
My main target is to get a little bit on weight (BMI 19.3)
which is rapidly improving as well as my numbness and pain
in my feet are also almost gone.

Welcome to our little group. It has a lifetime membership.
And to add insult to injury, you cannot resign your
membership. BMI of 19.3, I wish.

_____________________________________________
tcainternet.comindex.htmlOpen ↗ Free
Diabetic Software

Hrvoje wrote in message
<[email hidden]>...

Quoted message said:

Hello group,

this is my 1st post to this group, so let me introduce
myself: Diabetes diagnosed in June 2003, type 1 HbA1c
13,67% Today: HbA1c 5,37%, full of energy and joy for life
34 years old, my pancreas still works a little bit, per
day: 2xInsulatard, 2xNovoRapid, using AccuCheck Active and
I'm satisfied with all of it. BG between 3mmol/L ...
8mmol/L I'd like to thank to all my doctors who have really
extraordinary treatment in my University Clinic but nothing
can be compared to talk to other people who have diabetes,
so I'd like to thank all of you for your experiences and
recommendations for solving your real life problems. It
will be my pleasure to exchange my experiences with yours.
My main target is to get a little bit on weight (BMI 19.3)
which is rapidly improving as well as my numbness and pain
in my feet are also almost gone.

Stay healthy !
--
Hrvoje, Croatia

Glad you found us.

Sorry: Time to Nag. Two shots of Insulatard per day works
for some folks, doesn't work for others.

Insulatard tends not to work very well for folks whose
pancreas has stopped making insulin. I needed 4 shots
per day of Insulatard to get the type of control I
wanted and was thinking of 5 x before I switched to a
modern basal insulin.

Err. . .many of us with non-functioning pancreas have some
strong opinions about Insulatard, e.g.

"Insulaturd", "GodawfulNPH"

The rest of the opinions are not suitable for family-
oriented newsgroups.

Insulatard is too peaky for easy control if you aren't
making insulin anymore. I had too many low blood sugars
until I split my daily Insulatard into several smaller
doses. Even then, I had more lows than I wanted.

The problems with a peaky, short-lived basal such as
Insulatard are:

a. At the end of the absorbence period, often too
little insulin enters your blood, your liver dumps
and your sugars rise, perhaps above 17 mmol/L

b. If you increase the dose to make it last longer,
you will have lows and hypos about 4 hours after
the injection. The middle-of-the-night hypos can
be very troublesome.

Folks still making insulin can tolerate Insulatard since
they can cover part of their basal with the remnants of
their self-generated insulin supply. When the self-generated
dries up, matters become difficult.

Hope you have access to Ultratard or Lantus. If not, think
about splitting your daily Insulatard into as many small
shots as you can.

I shoot 3 shots of the longer lasting Ultratard for my
basal. I shoot rapidly-absorbing Humalog bolus before every
meal. If my between-meals sugar is too high, I shoot a bit
more Humalog between meals to "tweak" my sugar.

That means a minimum of 7 injections on an easy day, and
perhaps 10-12 on difficult days.

My type of injection regime is often called DAFNE (Dose
Adjusted For Normal Eating)

pc.rhul.ac.ukDAFNE.htmlOpen ↗

hon.ch509463.htmlOpen ↗

Regards
Old Al

oldal4865 wrote:

<snip>

Quoted message said:

Err. . .many of us with non-functioning pancreas have some
strong opinions about Insulatard, e.g.

NO, many of us have strong opinions - no mater what is
functioning, and no matter what the subject is!!

Quoted message said:

<snip>

--
"...in addition to being foreign territory the past is, as
history, a hall of mirrors that reflect the needs of souls
observing from the present" Glen Cook

"oldal4865" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

Glad you found us.

...

Quoted message said:

a. At the end of the absorbence period, often too
little insulin enters your blood, your liver
dumps and your sugars rise, perhaps above 17
mmol/L

b. If you increase the dose to make it last longer,
you will have lows and hypos about 4 hours after
the injection. The middle-of-the-night hypos can
be very troublesome.

... Do you have any experience with Mixtard insulins ?

Quoted message said:

My type of injection regime is often called DAFNE (Dose
Adjusted For Normal Eating)

pc.rhul.ac.ukDAFNE.htmlOpen ↗

hon.ch509463.htmlOpen ↗

Regards
Old Al

Thanks, bookmarked, will be checked. I really expected Old
Al to be one of the first people who will answer my post and
I appreciate your advices. So, when I was diagnosed a
diabetes T1, my doctor adviced me to take for a start a
'conventional' method which includes only 2 shots of
Insulatard (14i.u./10i.u.). It lowered my BG rather well (I
corrected it to 20i.u./10i.u.) and only had peaks after
breakfast and lunch. I'm not talking of some high peaks, but
between 10 and 13mmol/L. Then, my clinic organised so called
'daily hospital' which includes a group of about 8 people
approximately same age and problems. It lasted for a week
and we were educated about everything concerning diabetes.
We had a lot of laboratory tests and BG measurements and
after a week doctor adviced to each of us different therapy.
My therapy includes additional 4 units of NovoRapid before
breakfast and lunch and it works pretty well. Clinic then
call each group every 3 months to see are we doing well and
if needed make some improvements on our therapy. Yes, I have
access to Ultratard and Lantus, but nevertheless for now I'm
happy with my insulins. Of course it doesn't exclude my
interest in Lantus or Ultratard. Thanks.

--

... and, yes: why is everyone in group so upset on 'Dr.' Jai Maharaj ?
Message filters are made for people like that.
Reading his posts only increases your BG !

--

Hrvoje

Hrvoje, Yes, Old Al is a gem.

I'm glad that you went to the daily hospital program. It
sounds a lot like an intensive week long program I went to a
few months after diagnosis. I still rely upon some of the
information I learned then. (It was 21 years ago.) The parts
that stayed with me were the importance of measuring food
amounts, exercise, and what to do when you get sick.

Steph

"Hrvoje" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

"oldal4865" <[email hidden]> wrote in message

news:<[email hidden]>...

Quoted message said:

Quoted message said:

Glad you found us.

...

Quoted message said:

a. At the end of the absorbence period, often too
little insulin enters your blood, your liver
dumps and your sugars rise, perhaps

above 17

Quoted message said:

Quoted message said:

mmol/L

b. If you increase the dose to make it last
longer, you will

have

Quoted message said:

Quoted message said:

lows and hypos about 4 hours after the injection. The
middle-of-the-night hypos can be very troublesome.

... Do you have any experience with Mixtard insulins ?

Quoted message said:

My type of injection regime is often called DAFNE (Dose
Adjusted For Normal Eating)

pc.rhul.ac.ukDAFNE.htmlOpen ↗

hon.ch509463.htmlOpen ↗

Regards
Old Al

Thanks, bookmarked, will be checked. I really expected Old
Al to be one of the first people who will answer my post
and I appreciate your advices. So, when I was diagnosed a
diabetes T1, my doctor adviced me to take for a start a
'conventional' method which includes only 2 shots of
Insulatard (14i.u./10i.u.). It lowered my BG rather well
(I corrected it to 20i.u./10i.u.) and only had peaks after
breakfast and lunch. I'm not talking of some high peaks,
but between 10 and 13mmol/L. Then, my clinic organised so
called 'daily hospital' which includes a group of about 8
people approximately same age and problems. It lasted for
a week and we were educated about everything concerning
diabetes. We had a lot of laboratory tests and BG
measurements and after a week doctor adviced to each of us
different therapy. My therapy includes additional 4 units
of NovoRapid before breakfast and lunch and it works
pretty well. Clinic then call each group every 3 months to
see are we doing well and if needed make some improvements
on our therapy. Yes, I have access to Ultratard and
Lantus, but nevertheless for now I'm happy with my
insulins. Of course it doesn't exclude my interest in
Lantus or Ultratard. Thanks.

--

... and, yes: why is everyone in group so upset on 'Dr.'
Jai Maharaj ? Message filters are made for people like
that. Reading his posts only increases your BG !

--

Hrvoje

Hrvoje wrote in message
<[email hidden]>...

Quoted message said:

"oldal4865" <[email hidden]> wrote in message

news:<[email hidden]>...

Quoted message said:

Quoted message said:

Glad you found us.

... Do you have any experience with Mixtard insulins ?

. . .(snip).. . ..

Quoted message said:

So, when I was diagnosed a diabetes T1, my doctor adviced
me to take for a start a 'conventional' method which
includes only 2 shots of Insulatard (14i.u./10i.u.). It
lowered my BG rather well (I corrected it to
20i.u./10i.u. . . .

1. Mixtard: Not a bit. Our local endo is strong willed and
vocal. He stands up at educational seminars and says:

"No mixed insulins (Mixtard types) for Type 1 Diabetics!"

"No mixed insulins for Type 2 unless the Type 2 is thought
to be making substantial amounts of insulin"

He mentions this to the other docs in town at appropriate
times. Also, since most of the docs send their patients to
his staff of CDE for insulin training, his opinions tend
to prevail.

2. . . . .(I corrected it to 20 i.u. . .) Bravo.

That's about what I did and the trainers were horrified.
This mystified
me. I couldn't think of any scenerio where the patient
would continue to use a dose that wasn't working right.
However, they thought I should try it for several days,
then come in for a consult.

The thought of a weekend with 6 hypo's didn't appeal to me
so we did it my way.

Regards
Old Al

oldal4865 said:

Hrvoje wrote in message
<[email hidden]>...

Quoted message said:

Do you have any experience with Mixtard insulins ?

. . .(snip).. . ..

Quoted message said:

So, when I was diagnosed a diabetes T1, my doctor adviced
me to take for a start a 'conventional' method which
includes only 2 shots of Insulatard (14i.u./10i.u.). It
lowered my BG rather well (I corrected it to
20i.u./10i.u. . . .

1. Mixtard: Not a bit. Our local endo is strong willed
and vocal. He stands up at educational seminars and
says:

"No mixed insulins (Mixtard types) for Type 1 Diabetics!"

"No mixed insulins for Type 2 unless the Type 2 is
thought to be making substantial amounts of insulin"

Is there any particular reason why mixed is bad? I mean, if
the proportions work for you... why not?

I'm a recent T1 (dx 11-2003, 29yo), and I've been taking two
shots of mixed insulin: 1 before breakfast and 1 before
dinner. Novomix 30, which AIUI is like Mixtard, but with an
ultra-fast acting component like Novolog.

My endo suggested I might be more comfortable with a 4 shot
regimen, probably something like 3x Novolog and 1x basal,
because it gives more flexibility in the daily routine. But
because I have good control as it is (no hypos yet, HbA1C
6.0%) I declined. I like the convenience of only 2 shots a
day, and I don't have to inject at the office. I'm reducing
the dosage a lot now that I've started exercising, and I've
been *quite* content with it.

Ernst Jan

Ernst Jan Plugge said:

Is there any particular reason why mixed is bad? I mean,
if the proportions work for you... why not?

I'm a recent T1 (dx 11-2003, 29yo), and I've been taking
two shots of mixed insulin: 1 before breakfast and 1
before dinner. Novomix 30, which AIUI is like Mixtard, but
with an ultra-fast acting component like Novolog.

My endo suggested I might be more comfortable with a 4
shot regimen, probably something like 3x Novolog and 1x
basal, because it gives more flexibility in the daily
routine. But because I have good control as it is (no
hypos yet, HbA1C 6.0%) I declined. I like the convenience
of only 2 shots a day, and I don't have to inject at the
office. I'm reducing the dosage a lot now that I've
started exercising, and I've been quite content with it.

Hi Ernst Jan,

When I was first dx'd, I had enough internal insulin to stay
off injections for almost 2 years, with exercise and diet
alone. I was misdiagnosed as a type 2 at 31 years old, and
given pills to control BG. This didn't work but I was doing
well with exercise and was in denial so refused insulin. I
eventually hurt my knee running and was forced to use
insulin. So while I was in my "honeymoon" phase, insulin
therapy was unnecessary provided I exercised and ate slowly
digested carbohydrates.

I suspect you're in this honeymoon period and insulin
requirements are low. This could be one reason the premixed
insulin works for you. But as more beta cells die, you'll
find it more difficult to control BG. As an example, lets
say your morning BG is 17 mmol/l (306 mg/dl), and you want
to get it down to 5 mmol/l as fast as possible. Obviously,
actrapid (R) or NovoRapid or Humalog will be required. So
the premix fails when a quick response to control high BG is
required. When your morning BG creeps up, this may be a
signal that internal insulin production is falling and you
should start to consider a more intensive management
strategy (MDI).

In my case, I still mix actrapid+NPH at bedtime to control
high BG (high dawn phenomenon that neutralizes Humalog's
effects so R is required). Since my bedtime BG is rarely the
same from day to day, I need to change this bedtime ratio of
R:NPH on the fly. So premix fails this requirement of
variable mixing necessary for variable bedtime BGs.

I require the flexibility to "roll my own" R+NPH mixture.
You may not.

And as always, do what works for you, since YMMV. Best
wishes,
--
Jim Dumas T1 4/86, background retinopathy, rarely
hypoglycemic: <1/mo. lispro+R+U+NPH daily, moderate
exercise, typically <6% HbA1c

Welcome to the unasked for life membership. Had some guy in
the senior building where I live trying to sell vitamins, he
asked about my numbers, since my am reading was 86 and my PM
was 89 he pronounced me cured. Listening to him if you never
eat wheat products and buy his vitamins we could cure aids
and stop the war in Iraq, ah life is so easy!! Kidding
aside, welcome there is a lot of goodinfo here. Larry D NJ

Hi_Therre said:

On 20 Apr 2004 02:56:24 -0700, [email hidden]

(Hrvoje) said:

Hello group,

this is my 1st post to this group, so let me introduce
myself: Diabetes diagnosed in June 2003, type 1 HbA1c
13,67% Today: HbA1c 5,37%, full of energy and joy for
life 34 years old, my pancreas still works a little bit,
per day: 2xInsulatard, 2xNovoRapid, using AccuCheck
Active and I'm satisfied with all of it. BG between
3mmol/L ... 8mmol/L I'd like to thank to all my doctors
who have really extraordinary treatment in my University
Clinic but nothing can be compared to talk to other
people who have diabetes, so I'd like to thank all of
you for your experiences and recommendations for solving
your real life problems. It will be my pleasure to
exchange my experiences with yours. My main target is to
get a little bit on weight (BMI 19.3) which is rapidly
improving as well as my numbness and pain in my feet are
also almost gone.

Welcome to our little group. It has a lifetime membership.
And to add insult to injury, you cannot resign your
membership. BMI of 19.3, I wish.

_____________________________________________
tcainternet.comindex.htmlOpen ↗ Free
Diabetic Software