New member in club!
Question:
Hi Viorel, Is not so easy and so correctly to be diagnosed as a T1 patient only in one week.How old are you? Is this the first diabetes onset ? Which were the diagnosis basics? (BG,HbA1c,Lipid’s Profile – HDL,LDL VLDL, CHOL,TGL,C-Reactive Protein,Urine Analysis,Autoantibodies et al.). euristics < < – Hide quoted text — Show quoted text – > So, I was diagnosed type I one week ago (I stayed one week in hospital). > My BG is quite higher (a medium = 180), but it varies very much in the day. > My problem it is not the weight; I am very skinny. But guys, I am very > hungry (this was my problem all the time). I don’t know what to do. If I eat > my BG it blows; if I don’t eat I am hungry all the time. > If I understood correctly it is better to make the tests after meals? But I > must take the insulin before so that means I must do also a test before > eating. Right? > Thank you for your answers! > Viorel
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- Hide quoted text — Show quoted text -> My problem it is not the weight; I am very skinny. But guys, I am very > hungry (this was my problem all the time). I don’t know what to do. If I eat > my BG it blows; if I don’t eat I am hungry all the time. > You need to eat until you satisfy your hunger, but you’ll need to > adjust your insulin dose so your bgs don’t get out of control. > If I understood correctly it is better to make the tests after meals? But I > must take the insulin before so that means I must do also a test before > eating. Right? > Yes. You’ll need to test before your meal, because your before-meal > reading will affect how much insulin you take. And you need to test > after the meal to be sure you took the correct amount of insulin. > Tell us which insulins are you using? How has your doctor ordered your > doseage? What patient education did your doctor arrange for you? >>You need to eat until you satisfy your hunger, but you’ll need to > adjust your insulin dose so your bgs don’t get out of control.>>>
I have been type 1 since 1939 and I get a false hunger when my bg goes above 150 for any length of time, so I would caution against eating until you satisfy your hunger. Work on getting your bg down and then see if you’re still hungry.
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I have 34. Last 2 week I was very ill. I took varicella from my girl; and last week I called the emergency because I was very, very bad. I couldn’t breath and I had pain on the back; first they believed that I have pneumonia, but on the analysis my PH was 5.4 (like in "Aliens") and the BG was very high; also they found in my urine large amounts of ketones and sugar. So they gave me insulin and other stuff and I start recovered very quickly. They ask me if before this I was going often to the toilet = yes Drink a lot of water = yes (4 l / day) Loose weight = yes; but not very much. They didn’t find anything else.
Response:
Viorel, welcome to the club that no one wanted to join, But we are here and we will try to answer all your questions, I cant help with the insuin and testing question, But, as to the food there is no reason you cannot eat, Just dont eat carbs, especially starchy ones, Protein, which is what gives you a full feeling is good to eat, moderation of course in everything, Vegetables are a good choice,I dont know how many carbs you eat a day and what your dietician has told you, Insulin users eat differently than those on diet and exercise and meds. Good luck stay and learn. Loretta — In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
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– Hide quoted text — Show quoted text – >So, I was diagnosed type I one week ago (I stayed one week in hospital). >My BG is quite higher (a medium = 180), but it varies very much in the day. >My problem it is not the weight; I am very skinny. But guys, I am very >hungry (this was my problem all the time). I don’t know what to do. If I eat >my BG it blows; if I don’t eat I am hungry all the time. >If I understood correctly it is better to make the tests after meals? But I >must take the insulin before so that means I must do also a test before >eating. Right? >Thank you for your answers! >Viorel
This is correct you must test fasting(upon waking before eating), before meals and two hours after meals and at bedtime. Especially if you are injecting novolog or humalog to cover meals. At first it feels like it’s a very big inconvenience but you do get used to it after a while and will start testing out of habit. Do you have an endocrinologist? What insulins are you taking? Have you received any training from a diabetes educator and dietician? Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
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Thay wrote that Novolin ge NPH Penfill last for about 24 hours.
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>Thank you for yours answers! >I take 4 shoots of insulin mainly like this: >6 units in morning (NovoRapid – insulin aspart) >6 units about noon (NovoRapid – insulin aspart) >8 units in the evening (NovoRapid – insulin aspart) >14 before sleeping (Novolin ge NPH)
NPH only lasts about 12 hours. NovoRapid is not designed to be used in the absence of a basal insulin. I would get better advice on your insulin regime that what you have now. >At theses shoots I have to take correction if: ><= 4 -> -2 units >4.1 – 10 -> nothing (this it a normal level) >10.1 – 12 -> +1 unit >12.1 – 15 -> +2 units >=15.1 +3 units
a pretty basic chart. Does your doctor know how to adjust this to your individual needs or does she/he think this chart will work for everyone the same way? I would suggest going to the how to section at http://www.insulin-pumpers.org the information here applies to insulin injections and pumping in regards to the info on calculating bolus(meal injections) and making corrections. It will show you how to calculate how much one unit of insulin will effect your BG and give you help in figuring out how much a specific amount of carbs will effect your BG. Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism. – Hide quoted text — Show quoted text ->(for american system multiply by 18) >I use a One Touch InDuo meter.
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> So, I was diagnosed type I one week ago (I stayed one week in hospital). > My BG is quite higher (a medium = 180), but it varies very much in the day. > My problem it is not the weight; I am very skinny. But guys, I am very > hungry (this was my problem all the time). I don’t know what to do. If I eat > my BG it blows; if I don’t eat I am hungry all the time. > If I understood correctly it is better to make the tests after meals? But I > must take the insulin before so that means I must do also a test before > eating. Right? > Thank you for your answers!
Many of us here are type 2. What applies to us doesn’t necessarily apply to you. Some type 2s test before eating, but most of us test after eating. You have no choice but to test before because you use insulin. As far as the hunger goes, that could be because your BG is too high. When it’s high, you are literally starving your cells and no amount of food will help because it isn’t getting into your cells. Get your BG down to where it should be and you might find that your hunger lessens. I don’t use insulin, so I can’t help you there. Could be you need to be using a different type, different combination or different amount. If you could tell us what type you are using, how much and when, then perhaps someone else could be of more help with that. — Type 2 http://users.bestweb.net/~jbove/
Response:
>Thay wrote that Novolin ge NPH Penfill last for about 24 hours.
sorry but it’s 12 hours. There may be some residual effect as it tapers off but it will not work properly as a basal for 24 hours with only one injection. Mack Type 1 since 1975 http://www.alt-support-diabetes.org http://www.insulin-pumpers.org In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
Response:
So, I was diagnosed type I one week ago (I stayed one week in hospital). My BG is quite higher (a medium = 180), but it varies very much in the day. My problem it is not the weight; I am very skinny. But guys, I am very hungry (this was my problem all the time). I don’t know what to do. If I eat my BG it blows; if I don’t eat I am hungry all the time. If I understood correctly it is better to make the tests after meals? But I must take the insulin before so that means I must do also a test before eating. Right? Thank you for your answers! Viorel
Response:
> My problem it is not the weight; I am very skinny. But guys, I am very > hungry (this was my problem all the time). I don’t know what to do. If I eat > my BG it blows; if I don’t eat I am hungry all the time.
You need to eat until you satisfy your hunger, but you’ll need to adjust your insulin dose so your bgs don’t get out of control. > If I understood correctly it is better to make the tests after meals? But I > must take the insulin before so that means I must do also a test before > eating. Right?
Yes. You’ll need to test before your meal, because your before-meal reading will affect how much insulin you take. And you need to test after the meal to be sure you took the correct amount of insulin. Tell us which insulins are you using? How has your doctor ordered your doseage? What patient education did your doctor arrange for you? — E I know you believe you understand what you think I said. I’m just not sure you realize what you heard is not what I meant.
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"viorel blanaru" wrote in part … If I understood correctly it is better to make the tests after meals? But I must take the insulin before so that means I must do also a test before eating. Right? Thank you for your answers! Viorel, I am an oral meds D&E Type 2, so I will leave the insulin question to others. However, I think all here will agree that the numbers after eating (1 hr, 2 hrs) give you more of an idea of where you are at with this disease, than at any other time. Arnie –
Response:
– Hide quoted text — Show quoted text ->So, I was diagnosed type I one week ago (I stayed one week in hospital). >My BG is quite higher (a medium = 180), but it varies very much in the day. >My problem it is not the weight; I am very skinny. But guys, I am very >hungry (this was my problem all the time). I don’t know what to do. If I eat >my BG it blows; if I don’t eat I am hungry all the time. >If I understood correctly it is better to make the tests after meals? But I >must take the insulin before so that means I must do also a test before >eating. Right? >Thank you for your answers! >Viorel
Once you learn how to manage your insulin shots, you will be able to eat and your bG will not "blow". Once you learn how to manage your insulin shots, it will not "varies very much in the day". Your post sounds like you have not been taught the proper techniques yet. Tell us which insulins you use, when you shoot, and how much. We will respond with our opinions on proper technique. The insulin users training course at my hospital takes 9 hours in a classroom, spread over 3 days. I hope that you have access to a proper training course. If not, we can tell you how we manage our insulin shots. Regards Old Al
Response:
Thank you for yours answers! I take 4 shoots of insulin mainly like this: 6 units in morning (NovoRapid – insulin aspart) 6 units about noon (NovoRapid – insulin aspart) 8 units in the evening (NovoRapid – insulin aspart) 14 before sleeping (Novolin ge NPH) At theses shoots I have to take correction if: <= 4 -> -2 units 4.1 – 10 -> nothing (this it a normal level) 10.1 – 12 -> +1 unit 12.1 – 15 -> +2 units >=15.1 +3 units
(for american system multiply by 18) I use a One Touch InDuo meter.
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