Author: jps

Sometimes it feels like just yesterday since I was diagnosed. So much has happened in that last year and a half. I’ve learned so much about this disease in that time, thanks to the people on this forum. You guys have been nothing short of amazing in your insight and support. I will forever be grateful.

A year ago today was the last time that I stuck a needle in my belly. That’s some cause for celebration, being med free for a year. Going from some to none can be scary. Diabetes feels like walking on a tightrope, but the insulin was my safety net. For the last year, at least in the beginning, it felt like walking the tightrope without a safety net. I knew being off insulin would be a stern test. Testing my commitment to my new lifestyle. I’m glad to say that my exercise regimen didn’t slip at all in the past year, in fact, I probably became a little more active over the course. I wasn’t as good with the diet in the year I was off insulin. On insulin (6 months), I think I had one "cheat" meal. Off insulin (1 year), I’ve had 5 or 6 "cheat" meals. But even so, those non-insulin cheat meals (higher carb) didn’t have any adverse affect on my blood sugar.

I wanna see just how long I can extend this med-free stretch.

Moi Drodzy,

Potrzebuje Waszej pomocy ze skompletowaniem info odn. galerii handlowych, ktore sa juz w budowie, a z roznych przyczyn te budowy zostaly wstrzymane.

Chodzi tu zarowno o duze galerie handlowe (po kilkadziesiat tys. mkw), jak i te male (po kilka / kilkanascie tys. mkw), zarowno w duzych jak i malych miastach – n.p.:

– Millenium Hall w Rzeszowie,
– Felicity w Lublinie,
– Galeria Otwock w Otwocku…

Z gory dzieki za pomoc! :cheers:

Maybe a little late for this, but remember that it can be dangerous.

Four diabetic patients in ED right now with critical low glucoses between 20-30 and alcohol contents of greater than 200 mg/dL (0.20%).

Be careful out there.

Let’s take this hypothetical patient into consideration:

5’11" 220 lb 40 year old male. FBS 121, A1c 6.0. Cholesterol 220, Triglycerides 250, LDL 125, HDL 35. Normal liver enzymes. Slightly active lifestyle. Typical "American" diet. Assume he is not type 1 nor 1.5.

You’re a doctor for a day. What is the advice you give this patient as his physician?

Would you just tell him to diet and exercise and check back in a six months? Would you just let it go? Would you place him on meds? Which meds? Would you send him to classes?

I realize that we are a VERY biased group since we have this condition, but I’m still curious about your answers.

Trust me, I’m not bellyaching or looking for sympathy. I just can’t figure some of these things out. I simply cannot blame the following on "little green men". I’ve seen too much of it. And trust me, I’m not trying to say I’ve "cured" my diabetes. I know better and I’ve accepted it.

I’ve gone back to testing more frequently, even though I keep coming up with normal numbers. Normal numbers are great, but they do have a downside. They almost give you the green light to go back and eat like garbage. As many of you know, I’ve been diet and exercise controlled for nearly a year.

I keep turning up completely normal (always sub 100, nearly always sub 90) numbers regardless of when I test. That’s why I cut back on testing. I keep eating the same safe foods and I feel I have really customized my diet to where I don’t have to worry.

This morning upon waking, 84. Breakfast, a medium sized red apple and a banana. 2 hours post, 87. I should mention that even though I am a low carb advocate, I have added many natural carbs back into my diet because I can now tolerate them.

Lunch – premeal 81, turkey and cheese, no bread, mustard. Some almonds and a handful of popcorn. Post meal 85.

Now here is what has me freaked out completely. I went to my favorite mexican restaurant tonight for an early dinner. Haven’t been there in 18 months. My intentions heading in were solid – just get the fajita and don’t eat the rice beans or tortilla. Do that, I don’t have to worry. My premeal was 85. However, I spazzed a bit with the meal. More than a bit. Mexican is my weakness. I had a boatload of fresh, hot, homemade tortilla chips with salsa. I ate the heaping serving of rice and beans. I ate the tortillas with the fajitas. And to top it off – yes, I feel guilty – I had a couple of sopapillas with honey. After eating the chips before the main course, it was too easy to rationalize that I "blew the entire meal", so I obviously went heavy with the carbs after that. I was mad when I was doing it. Afterwards, I was extremely full. I tested as soon as I got home, which was one hour after first bite. 83. I don’t get it. I really, really don’t. I was expecting a one hour to be above 140. An hour and a half later – 92. At two hours I registered a 90. And just to make sure, I checked my three hour number 88. I also just tested my four hour number which was 85. No exercise after the meal.

My strips are fine, my calibration code is ok, my QC checks are fine.

I’m not trying to be a bleeding heart because I know people would kill to get these numbers. I’m just trying to figure out what is going on. Doesn’t this seem like a completely normal, non-diabetic response to a large (high carb) meal? Do you think my pancreas is overworking to maintain these numbers?

I’m sick in the head. I’m at the point to where I WANT to see bad numbers after a not so healthy meal so I can just stay with eating healthy. Although I know if I make this a habit, they’ll soon be there.