Never do this

Randy Sigman said:

Nico Kadel-Garcia said:

Randy Sigman said:

Nico Kadel-Garcia <[email hidden]> wrote:
> Never. Never. Never. Never accidentally take your
> morningn insulin at bedtime.

> Never, never, never do this.

> I *hate* glucagon kits, they always give me this sick
> nauseous headache for a few hours.

> Have I mentioned today that I love my wife? And that
> she's a very, very nice lady who sometimes helps me out
> in a crisis?

Hi Nico,

Sorry to hear about your episode. As a pumper, I don't
ever have to

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Yeah, me too. It also may *not* have been that kind of
error on my part. I had another whopper last night, and
had been triple careful about taking the right doses of
night time insulin. This is of some concern to me, of
course: I need to revew my night time regimen and see
what the heck is going on.

Perhaps your requirements are changing. This happens to me
more often than I'd like. It might be best for you to
substantially reduce your dose and watch your BGs very
closely for a couple of days.

I'm watching closely, but keeping more of an eye on my
dinner and when I go to bed. My doctor suggested recently
that I might prefer Lantus and Humalog to my current NPH and
Humalog, because mornings have been iffy (though more on the
high side, and at 9am not 4am).

Work's also been way hard lately. My boss is retiring,
completely unannounced, and I absolutely *do not want* his
job. Anyone know a really competent 15 year or more veteran
of network/systems work who's actually managed IT
departments of companies with more than 100 people,
interested in living in Boston? Multi-platform, wildly over-
educated users of both incredible brilliance and incredible
foolishness, sometimes simultaneously?

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Trust me, it's the damn Glucagon. I've had the rare and
memorable hypoglycemic episode of doom. (I do try to
avoid them!). The only ones that hit like this are the
ones where some thoughtful person gave me glucagon.

Ok, point taken. 🙂

Best of luck,

Thanks. Today's been a lot better....

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

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Liz, Keeping glucagon around is a good idea. But, you're
right...your cats

(I'm

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sure they are clever) won't be able to use it. Is there
someone you can call in the mornings as a check in? My
husband travels quite a bit, and

we

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have a system that he calls me in the morning to make sure
I woke up, and

am

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okay. If I do not answer the phone, then he is to call my
brother or the hospital. If you have a neighbor or nearby
friend, perhaps you could work out some sort of similar
system. If you don't answer the phone, then your neighbor
or friend (who has a key) can come and check on you and
help you

if

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you need help.

My closest family member is an hour away (without traffic).
I do have a couple of friends nearby who have keys to my
apartment, but they work. Also, I'm not a morning person so
I don't usually get out of bed until
9:00-10:00 when most people are already at work.
Fortunately, I make my own schedule at work so can go in
at noon if I want.

A couple of times when I woke up and just didn't

Jim Dumas said:

It has to do with relative sun intensity, much like the
relative BG sensor in the brain for hypoglycemic events.
We have to reset the BG sensor when we become hypoglycemic
unaware. A similar process happens with bright sunshine
when living long-term in Florida (IMO). So we need to
reset the sun sensor from the eyes to pineal gland with
bright light. This synchronizes the body with yearly
hormonal cycles that slow the metabolism in the winter
months and increase the metabolism in the summer months.
This is the major cause of yearly HbA1c cycles, IMO. But
this HbA1c link has yet to be proven, so this is my
hypothesis.

Hmm. This could be astoundingly difficult to separate from
other seasonal affects: humidity levels and temperature
affecting amounts of exercise, or simply having to deal with
the influx of tourists in Florida and locally available
foodstuffs. Even the likelihood of being able to walk, or
having to drive to work due to the weather, could affect
your HbA1c's by the levels you describe.

It is an interesting hypothesis, thouugh.

Jim, Thanks for taking the time to explain your hypothesis.
I'm certainly familiar with resetting my body when I become
hypo unaware. I've had to do that a few times. I've never
noticed a seasonal fluctuation in sugars. That being said, I
do tend to have more hypos in summer than in winter. I know
that heat and humidity play a part in my daytime summer
hypos. I also hit periods of time where I will have 3-6
nights in a row of nighttime hypos. (Around 3 or 4 in the
morning.) However, I've hit these strings at various times
of the year. The next time I hit one of these patches, I
will pay attention to the season.

Thanks. Steph

"Jim Dumas" <[email protected]!mindspring.com> wrote in
message -"]news:[email hidden]-
ink.net...

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Stephanie Kolban said:

Interesting hypothesis regarding the fall equinox. Why,
however, would

it

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be more pronounced while living in Fl rather than Ma? It
seems to me

that

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the more temperate Fl climate would lessen the seasonal
effect. Or, did

I

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misunderstand your hypothesis?

Hi Steph,

It has to do with relative sun intensity, much like the
relative BG sensor in the brain for hypoglycemic events.
We have to reset the BG sensor when we become hypoglycemic
unaware. A similar process happens with bright sunshine
when living long-term in Florida (IMO). So we need to
reset the sun sensor from the eyes to pineal gland with
bright light. This synchronizes the body with yearly
hormonal cycles that slow the metabolism in the winter
months and increase the metabolism in the summer months.
This is the major cause of yearly HbA1c cycles, IMO. But
this HbA1c link has yet to be proven, so this is my
hypothesis.

My personal HbA1c data shows a 0.3% yearly variation in
Florida versus a .7% variation in Boston (for constant red
blood cell cohort weighted glycemia over 120 day mean
lifespan with 10 day standard deviation). This variation
is what I see theoretically if BG is identical in both
locations when trying to achieve my 6% HbA1c target. My
personal data suggests that if I lived at the equator, I'd
have less yearly variation in HbA1c. But I need more years
of data to make sure this is true for me.

My hypothesis about low cortisol synchronized and delayed
to the fall equinox also needs more data. So I'm waiting
to see if I have higher insulin sensitivity this October,
that in turn causes nocturnal hypoglycemia. This past
October, I was clobbered 3 nights (4 in 7 days)

in

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a row even after lowering my bedtime NPH. So my
"apparent" dawn

phenomenon

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was much lower for roughly a week, even though it is not
supposed to be caused by cortisol. But obviously, if
cortisol is low, insulin requirements drop as well. This
will appear as a weaker dawn phenomenon. (I clearly could
not be sick at this time, as that would increase my
insulin requirements.)

In any case, if the sunlight is brighter, the pineal gland
should have a stronger impact on hormonal cycles. This
would suggest an increase in cortisol after the spring
equinox for higher activity levels in the

summer;

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and, a decrease in cortisol (exercise stress hormone)
after the fall equinox in preparation for lower activity
levels in the winter. The

change

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in this stress hormone could cause a temporary disturbance
in BG management. (The pineal gland kicked the cortisol
"daily pacemaker" and

it

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took a few days to get back on track.)

That's the theory,
--
Jim Dumas T1 4/86, background retinopathy, rarely
hypoglycemic: <1/mo. lispro+R+U+NPH daily, moderate
exercise, typically <6% HbA1c