Group photo
Author:
CAREY.LISK's Photo CAREY.LISK SparkPoints: (0)
Fitness Minutes: (6,274)
Posts: 519
11/11/09 12:49 P

Send Private Message
Reply
Glad to here that you guys reconize the problem and have a plan to fix it good luck!!

"you CAN do ALL things through Christ which STRENGTHENS you"
phil 4:13


I don't believe in failure.

( this includes getting healthy!!)


 current weight: 178.0 
178
169.75
161.5
153.25
145
MANDYB55's Photo MANDYB55 Posts: 408
11/11/09 12:13 A

My SparkPage
Send Private Message
Reply
Ok so my doctor said I am doing great since I started the pump! She brought to my attention that a lot of my high numbers occured late at night and that sometimes I work up with great fasting numbers but other times I wake up with high numbers. She is convinced it is what I am eating and when I am eating dinner. Just as I predicted. SO I am going to be focusing on eating ealier and eating about 45 carbs a meal with lean meats and veggies and see what that does. She said my basal rates all look correct because my numbers are good for the most part, it's just the random times where I am eating certain things and eating to late.

I'll keep you posted!

I love my endo because shes diabetic too, so she totally gets what I am talking about and what to do!

 current weight: 158.0 
180
167.5
155
142.5
130
MANDYB55's Photo MANDYB55 Posts: 408
11/11/09 12:05 A

My SparkPage
Send Private Message
Reply
Ok so my doctor said I am doing great since I started the pump! She brought to my attention that a lot of my high numbers occured late at night and that sometimes I work up with great fasting numbers but other times I wake up with high numbers. She is convinced it is what I am eating and when I am eating dinner. Just as I predicted. SO I am going to be focusing on eating ealier and eating about 45 carbs a meal with lean meats and veggies and see what that does. She said my basal rates all look correct because my numbers are good for the most part, it's just the random times where I am eating certain things and eating to late.

I'll keep you posted!

I love my endo because shes diabetic too, so she totally gets what I am talking about and what to do!

 current weight: 158.0 
180
167.5
155
142.5
130
CAREY.LISK's Photo CAREY.LISK SparkPoints: (0)
Fitness Minutes: (6,274)
Posts: 519
10/27/09 5:01 A

Send Private Message
Reply
I am glad you are going to the doc I probarly call my doc once a week a little excessive I know but due to the lows I have had which required ICU hospitalization I perfer to be on the safe side my basal changes all the time especial during the day I have it adjust for change three times a day I went from 2 units an hour to .95 and hour it was way to high and since it was so high it was covering my meals and with the boluses well you can imagine the lows. also my basal changes due to activity changes. I was wondering do you have a contunious glucose meter? I just got approved and with it checking your BG so much every 5 mins for mine the mini med 722, it will help me see lows ahead of time and especially highs. I also wonder if your basal is right but your correction factor is too low? it takes alot of time for us diabetics to stay healthy but so worth it. I am young 27 to be exact and I don't want to lose a leg or end up with the countless complications related to diabetes so for me staying on top of it is of the utter most importance. I hope you find your answers please let us know how it goes.

"you CAN do ALL things through Christ which STRENGTHENS you"
phil 4:13


I don't believe in failure.

( this includes getting healthy!!)


 current weight: 178.0 
178
169.75
161.5
153.25
145
MANDYB55's Photo MANDYB55 Posts: 408
10/27/09 12:25 A

My SparkPage
Send Private Message
Reply
I have an appt. thurs so I'll find out. I've been checking myself 2-3 hours after meals the past few days and have been between 100-150, so maybe I was checking myself too soon after meals. Who knows haha

 current weight: 158.0 
180
167.5
155
142.5
130
SUPERDUPER26's Photo SUPERDUPER26 Posts: 1,553
10/26/09 4:56 P

My SparkPage
Send Private Message
Reply
Just to throw a wrench into things....
Just because your basal rate was right a few months ago doesn't mean it still is.
Bodies change, routines change, stress levels change, and sometimes the combination of such changes means your rates and ratios need to change too. I adjust my basal probably every month or two...
Every 5 pounds or so (either gaining or losing) I have to readjust, and every semester's new schedule requires some tweaking too. If you've been losing weight, that might require some adjusting, as well as if you're schedule has changed some.

Also, I've been warned about over-checking, and my dr says that my BG 2-3 hours after eating is the one that tells you if your bolus is right or not, since even the fast insulin takes a few hours still to clear your system. Checking 1 hour after a meal can show you how fast your food hits, but to know if your dosing is good use the readings from further out and that's what you should check to make corrections with. If you're spiking high after eating but a few hours later you're fine, that's probably just a timing issue.
Let us know what your endo says though, its always nice to know what the professionals think!


Edited by: SUPERDUPER26 at: 10/26/2009 (17:04)
 current weight: 173.5 
180
174.75
169.5
164.25
159
MANDYB55's Photo MANDYB55 Posts: 408
10/23/09 1:23 A

My SparkPage
Send Private Message
Reply
Don't worry I wouldn't go and change anything without talking to my endo first. I was just asking because sometimes it's nice to hear from other people that have been through similar issues and what has worked for them!

Thanks for the advice!

 current weight: 158.0 
180
167.5
155
142.5
130
CAREY.LISK's Photo CAREY.LISK SparkPoints: (0)
Fitness Minutes: (6,274)
Posts: 519
10/22/09 9:22 P

Send Private Message
Reply
I hear alot of people complain of high sugars from food and job and what not and while yes those are components it can't be treated even with those factors for me I am a paramedic and work 24 hr shifts and the adreniline rush as well as epinephrine running through my veins my sugars are prone to reach high levels but my doc and I did not change food heck I am lucky to get one meal a day depending on the call volume for ems that day but we really felt the carb count was the biggest factor I garantee that one your carb count is adjust to meet your bodys needs you with see big differences. I am by no means saying that is a hundred percent but i am saying even though all diabetics react differ. we do have similar problems I use carb count and one not change it for the world it lets me eat what i want ( within means) and when i want. I think this is really something you should go over with your diabetes educators or endo they are medically qulified to deal with this even though we live with this disease we still use the diabetes experts to help. I don't think it is a good idea to switch your diet without talking to your doc before making any changes it is always good to get mulitiple opinions cause someone might miss something someone else figures out. you could even take our responses to your doc and see what they say it can't hear the worse you could hear is no. but please don't go and treat yourself without consulting your doc. please keep us updated.

"you CAN do ALL things through Christ which STRENGTHENS you"
phil 4:13


I don't believe in failure.

( this includes getting healthy!!)


 current weight: 178.0 
178
169.75
161.5
153.25
145
MANDYB55's Photo MANDYB55 Posts: 408
10/22/09 1:06 P

My SparkPage
Send Private Message
Reply
I am convinced that it is what I eat! I noticed that some foods make me sky rocket even if I gave myself the right amount of foods and other foods do nothing. It must be the food. My biggest problem is I eat out a lot at work and even though I am following the carbs who knows what they put in there!

What is a wave bolus? Is that the same as a combo bolus where it givses you so much insulin throughout a set amount of time? I use that a lot, and I love it!

I'm on humolog.

 current weight: 158.0 
180
167.5
155
142.5
130
HONEYBEAR027's Photo HONEYBEAR027 Posts: 1,058
10/21/09 2:17 P

My SparkPage
Send Private Message
Reply
Low carb - I'd very careful about doing a true Atkins low carb diet and I'd talk to my endo first. I know THREE diabetics that ended up in the hospital from keto acidosis while trying to do Atkins.

I tried to do South Beach and had lots of trouble because I was eating so much protein it was raising my blood sugar over long periods of time and I ended up just high all the time.

Salads are great, as long as there are some carbs, like chickpeas, or kidney beans or something. I'm okay as long as I have at least 15g of carb a meal (not including fiber).

Carey - the square wave bolus is a great idea.

What kind of insulin are you using in the pump?

-Honey

 Pounds lost: 3.0 
0
4.25
8.5
12.75
17
CAREY.LISK's Photo CAREY.LISK SparkPoints: (0)
Fitness Minutes: (6,274)
Posts: 519
10/20/09 11:54 P

Send Private Message
Reply
I know for me just like honeybear it is all what I eat. at first my basal was set to high which was killing me with lows I didn't even have to bolus for meals so after that was adjusted I was alot better off. my endo has me on a set carb of 203 carbs a day or less but no more it helps to have consistancy I use about the same amount of insulin each day since the carbs are the same and since i exersize each day for an hour and my basal is buted down by 35 percent to make sure i don't go low during or after a workout and then set back to normal 2 hrs after the workout. your correction factor might need some adjustment as well I know for me 1 unit of insulin drops my sugar by 38 so it took some time to figure that out. everyone is different with foods for me I can't do simple carbs like chips or coke cause i go high real quick and then bottom out but if I eat foods like peanut butter or whole grains like brown rice i am good but don't even get me started on pasta nights that is a whole battle in its self even when it is whole grian pasta i still have to watch my sugar closely to ensure i don't go high so i try to eat that spearingly maybe twice a month. fast food is of the question. ohh just a thought but have you tried using the square wave bolus or dual wave bolus for your meals? square waves help me when i am eating carbs and fat that takes longer to digest just a thought a CGM might benifit you to see how foods effect your bg and help you adjust your diet to accomadate your needs.

"you CAN do ALL things through Christ which STRENGTHENS you"
phil 4:13


I don't believe in failure.

( this includes getting healthy!!)


 current weight: 178.0 
178
169.75
161.5
153.25
145
MANDYB55's Photo MANDYB55 Posts: 408
10/20/09 10:41 P

My SparkPage
Send Private Message
Reply
I know my basal rates are correct. I worked on those for a long time. I think my biggest problem is what I eat and I need to focus on eating less carbs. I also need to start giving myself insulin a half hr before I eat. I always eat too soon and get high, but then still have the units on board which lower me after a couple of hours. So that's my fault. I'm thinking it would be easier to go on a low carb diet. I only have a half hr break at work and the time always varies so a lot of the time I don't have a half hr to wait after I do the insulin, so I think in that case I just need to bring really low carb food like a salad or something.

 current weight: 158.0 
180
167.5
155
142.5
130
HONEYBEAR027's Photo HONEYBEAR027 Posts: 1,058
10/20/09 5:26 P

My SparkPage
Send Private Message
Reply
I have to third everyone's opinion. With the pump, you have to first make sure you have your basal rate set correctly, then make sure your ratio's for your bolus are set correctly, and THEN make sure you have your exercise adjustments figured out.

If your bolus ratios are off, eating less carbs helps just because the problem isn't magnified. The other thing to think about is - are you having issues with CERTAIN carbs? For instance, I just can't eat oatmeal or white rice without getting a high blood sugar.

For me, it isn't about low carb, it's about eating the RIGHT carbs, which are whole grain things. The closer a grain is to its natural state, the better off I am. And when I say "whole grain" I DON'T mean "whole grain" bread, what I mean is things like quinoa, barley, farro, wheat berries, etc. I use whole wheat pastry flour for everything I cook instead of white flour. I cook quinoa to make a hot cereal for breakfast on cold winter mornings since I can't do oatmeal.

Good Luck on figuring it all out!

-Honey

 Pounds lost: 3.0 
0
4.25
8.5
12.75
17
CAREY.LISK's Photo CAREY.LISK SparkPoints: (0)
Fitness Minutes: (6,274)
Posts: 519
10/20/09 12:07 P

Send Private Message
Reply
I personally had to deal with some lows before we got everything adjusted properly like my correction factor and my carb count was already okay since I had been carb counting for yrs its something different to get used to I know but so worth it. personally I would go to my DE or endo and get them to make some adjustments

"you CAN do ALL things through Christ which STRENGTHENS you"
phil 4:13


I don't believe in failure.

( this includes getting healthy!!)


 current weight: 178.0 
178
169.75
161.5
153.25
145
RLEEGIRL's Photo RLEEGIRL Posts: 530
10/20/09 8:40 A

My SparkPage
Send Private Message
Reply
You might need to adjust your ratios.I have been finding that when Im high I bolus the amount the pump says and then Ill drop like a stone,so called my DE and she adjusted it.Now takes a little longer to come down but dont have to worry about a massive low.

 current weight: 188.5 
213
197
181
165
149
MANDYB55's Photo MANDYB55 Posts: 408
10/19/09 10:28 P

My SparkPage
Send Private Message
Reply
Hi all! So i started the pump back in July. I love it, but I am still trying to adjust to how sensitive it is compared to being on shots! If I don't wait a half hour to eat after doing my bolus I'll go high and if I don't count my carbs exactly I'll go high or low. It can get really frustrating. Would it be better for me to go on a low carb diet now that I have the pump and it's quite sensitive? Any tricks?

 current weight: 158.0 
180
167.5
155
142.5
130
Page: 1 of (1)  

Report Innappropriate Post

Other Type 1 Diabetes General Team Discussion Forum Posts

Topics:
Last Post:



Thread URL: https://www.sparkpeople.com/myspark/team_messageboard_thread.asp?board=0x13537x29181992

Review our Community Guidelines