a little down

Hi everyone!!
I hope your holidays are going great. I am doing pretty good except for the
news I had at my doctor’s office today. It’s got me a little down and I was
hoping for a little info from the list. Why is it that a few numbers from a
test can change your attitude. I thought I was doing pretty good until I got
my test results. I had a 24 hour urine test for protein and creatine
clearance done and here are the results: serum creatine 1.6 ; total protein
1220 and creatine clearance 49. Every value is worse than the last time
tested. I should be used to it by now because I have battled the kidney
stuff for many years. I have had worse tests (serum up to 3.3 and protein
up to 14,000) too except for the cr. clearance. This is the lowest I’ve
ever been on that test. I usually tested around 70. Anyone been down this
road? What can I expect? What would help? I would appreciate any info.
My doc has me on the maximum dosage of the ACE inhibitor so not much to do
there. She didn’t seem too concerned and yet I think she just thinks I know

what is to come, but I really don’t know for sure the progression this
disease takes. What are the symptoms and how fast does kidney disease go?
Please help. Thank you. Well, sorry for the downer post. Merry Christmas
everyone… Love, Jeana Ü

24 Responses to “a little down”

  1. patience_15 Says:

    << I hope your holidays are going great. I am doing pretty good except for
    the
    news I had at my doctor’s office today. It’s got me a little down and I was
    >>

    I have been fortunate not to have any kidney problems. With being diabetic
    for 33yrs Im counting my blessings. Im sure Dr Jan will have an answer as
    she is having problems in this area herself. Hang in there. Diabetes can
    rear its ugly head and hurt us so your feelings are very normal for what you
    are dealing with. Im sure Jan can give you some ideas on how to deal w/this.
    I do care about you and pray you will be OK. Chrissy

  2. Sharlene Latia Says:

    Jeana,

    Try not to overreact to the results of this testing session. Repeat again
    soon, and do a micro-albumin as that is a better, newer kidney function
    test. The serum 1.6 is not so bad, and the clearance is dependant on urine
    output. The protein is high and I am assuming that is a 24hr urine protein.

    Best of luck,

    Scott

  3. colin_140 Says:

    Hi Jeana: listen, invest in a couple of texts that are excellent reference
    materials, and something I think that all of us shou

  4. Randolph Fawn Says:

    Jeana,
    About 6 yrs ago my kidney function was at 35%. I told my endo I wanted a
    referral to a nephrologist. He looked a little hurt that I didn’t trust him
    but I reminded him of the fellow who went to him and had to have his leg
    amputated up to his knee, later to his thigh, then died. Dr. said, "I wish he
    had come to me sooner." I said I didn’t want a neph to say that about me. My
    function is now at 18% but I’m *MAD* that I just found out 1.5 yrs ago that
    there is such a thing as carb-countin; I didn’t need to run in the 300s
    everytime after a site change; that BGs are NOT for info only, you DO
    something with the results. I have found out these things only since getting
    on the ‘net.

  5. colin_140 Says:

    Hi Jeana: listen, invest in a couple of texts that are excellent reference
    materials, and something I think that all of us should use to educate
    ourselves - these are some of my study texts — :
    1. The Merck Manual of Diagnosis andTherapy- 17th Ed.
    (this is definitely written in medicalese, but not difficult to catch the
    gist of the idea - about $35.00)
    2. A Manual of Laboratory and Diagnostic Tests - Frances Fisbach
    3. Clinical Guidelines in FamilyPractice ($60)
    Barmarrae Books, Inc.
    3017 NW 62nd Terrace
    Gainesville,Fl 32606
    You might be able to get better prices thru Amazon.com or ebooks.com.
    The cheapest resource for information is www.diabeteswell.com
    Its the best resource for the non-medical person and you can always try them
    out for e-management as well. I’ve used it as resources for my patients

    because no matter how much you ask questions, they always lead to others, so
    it’s a good idea to subscribe to their E-news and get constant updates on
    what’s new about all of us.
    For all of us on the list - remember, as we’ve all met because of a miserable
    metabolic problem, we’ve also all become friends to help each other along.
    When we are determined to control our diabetes instead of it controlling us,
    that’s the first step ( my pep-talk to you).
    No matter how hard we work at the control, gotta stop feeling guilty about
    numbers.
    Need to look at the overall scope of things and learn how to help slow down
    some of the damage the diabetes does to us.
    Nutrition is definitely one avenue - Protein sparing diets to take the load
    off the kidneys. Takes a bit of education, but isn’t difficult with a bit of
    determination.
    Drinking plenty of water.
    I believe very strongly in nutritional supplements - Vitamin C, E, B6, B12,
    Brewers Yeast (for the other B’s), Lecithin, L-Arginine, Folic Acid, and
    give or take a few other trace minerals here and there. Generic vitamins
    don’t absorb well, and with good nutrition, plus the antioxidants above, we
    can certainly give ourselves a push along.
    Taking a low-dose aspirin twice a day, plus your ACE Inhibitor and whatever
    other meds you use to control hypertension which is also very important.
    Diabetes and hypertension are good buddies.
    Gotta be determined to keep those numbers below 130/80 or better.
    Diabetes and hypertension both affect our blood vessels especially our eyes,
    heart, and kidneys, then the rest of our bodies. Our central nervous system
    (shoulder joints and low back forinstance), that’s why we end up with
    neuropathy - so,
    As damage progresses, we have our vision effected, are at risk for heart
    attack, and microalbuminuria ( protein in the urine - tattle tale that the
    diabetes is starting to effect the kidneys), joint problems, arthritis
    (wonderful Aarthuritis [ouch!]), carpal tunnel, kidney stones, need I go
    on??? I’m sure we can all talk about our wonderful aches…
    You may want to ask your endo about changing your ACE inhibitor if it is not
    achieving the goal of keeping blood pressure down to switch to one of the
    newer ones.
    It’s a combination of working on all areas that help to slow down damage.
    Keeping glucose normal (75-110 mg/dL) or at least < 140 mg/dL 2 hrs after a
    meal as a goal.
    Talk to the nutritionist about a protein-sparing diet. They can help you to
    help yourself.
    Keep your chin up, kiddo. Look at the positives and set your goal on that
    and not the negatives. We all meet our Maker someday…as long as that
    Higher Power decides we stay, we stay, we live our lives the best we can,
    and make a better way for the ones behind.
    We’ve all made a conscious choice to make a difference for ourselves by
    pumping. Now take a look at the other ways to help there.
    I’m sure Jan ( Hi Jan! - Happy Snow!!! glad you got your new computer!!) will
    tell you the same.
    I’m studying for my final exam tomorrow - wouldn’t you know - Physical
    Assessment no less., and Pharmacology over the weekend.
    But I wanted to put my two cents in….don’t let numbers get you down Jeana.
    Like I said, look at your successes and focus on those. Depression also
    affects glucose control. Attitude can play a big role in how you keep
    yourself.
    I wish all you and your loved ones a Blessed, Joyful and Happy Holiday
    season, whether you’re Buddist, Muslim, Brahman, Christian, Jewish, or just
    plain old human, the joy of life….we’re all here to make a difference.
    Joan :))))))

  6. Jennie Mui Says:

    Jan,
    When you say your kidneys are functioning at 18%, what test is that? Is
    that the creatine clearance or something else? I know you’re on a list for
    a transplant, right? Do you do dialysis? Just trying to figure out my
    options. My doctor is an edocrinologist that specializes in diabetic kidney
    disease. Is that what I need? What kind of advice does your doctor give
    you. . I read alot of medical books but they don’t always give the real
    world experiences. I want to hear from an actual person who has "been
    there". Thanks for sharing, Love, Jeana Ü

  7. Hilton Walter Says:

    jeana,
    good morning.i have had diabetes for 30 yrs and never had that test until a
    yr ago.mine was
    the macro something or nother.i dont remember the numbers. he put me on .10
    of zestril,and
    on my own i try to not eat much protein and limit my carbs as to not need
    as much insulin,as i know later i will creep up with the dosage.But what i
    want to say is after doing that for a yr,when
    i had my last one done it was better.i can say i hate the fact that it
    takes all my energy.i use
    to kid myself and say that was my high #’s (which part of it was) but my av
    blood sugars now are 5.8,i had gone to almost 11.(i had no count dr’s
    regarding the diabetes for many yrs)i can tell
    you this read ALL you can on your own and ask ?’s to anybody who will
    listen.we can’t reverse

    this i dont think but we can fight to keep it from progressing too fast.
    sharon in va Pumper for 8 months
    ps share anytime it is good for all of us.(my non diabetic family sometimes
    can’t relate)thanks.

    Hi everyone!!
    I hope your holidays are going great. I am doing pretty good except for
    the
    news I had at my doctor’s office today. It’s got me a little down and I
    was
    hoping for a little info from the list. Why is it that a few numbers from
    a
    test can change your attitude. I thought I was doing pretty good until I
    got
    my test results. I had a 24 hour urine test for protein and creatine
    clearance done and here are the results: serum creatine 1.6 ; total
    protein
    1220 and creatine clearance 49. Every value is worse than the last time
    tested. I should be used to it by now because I have battled the kidney
    stuff for many years. I have had worse tests (serum up to 3.3 and protein
    up to 14,000) too except for the cr. clearance. This is the lowest I’ve
    ever been on that test. I usually tested around 70. Anyone been down
    this
    road? What can I expect? What would help? I would appreciate any info.
    My doc has me on the maximum dosage of the ACE inhibitor so not much to do
    there. She didn’t seem too concerned and yet I think she just thinks I
    know
    what is to come, but I really don’t know for sure the progression this
    disease takes. What are the symptoms and how fast does kidney disease go?
    Please help. Thank you. Well, sorry for the downer post. Merry Christmas
    everyone… Love, Jeana U

  8. Hilton Walter Says:

    joan,
    thanks for the name of the ref books,i have been thinking of which ones are the
    best and i will
    try those.Funny you mentioned Lecithin havent heard about that in yrs,i use to
    take that yrs
    ago.is that good for aches in the legs i can’t remember.i have a time with my
    legs(esp once a
    month).anything good for that other than an RX?i dont need anymore of those if i
    can help it.
    thanks,
    sharon

    Hi Jeana: listen, invest in a couple of texts that are excellent reference
    materials, and something I think that all of us should use to educate
    ourselves - these are some of my study texts — :

    1. The Merck Manual of Diagnosis andTherapy- 17th Ed.
    (this is definitely written in medicalese, but not difficult to catch the
    gist of the idea - about $35.00)
    2. A Manual of Laboratory and Diagnostic Tests - Frances Fisbach
    3. Clinical Guidelines in FamilyPractice ($60)
    Barmarrae Books, Inc.
    3017 NW 62nd Terrace
    Gainesville,Fl 32606
    You might be able to get better prices thru Amazon.com or ebooks.com.
    The cheapest resource for information is www.diabeteswell.com
    Its the best resource for the non-medical person and you can always try them
    out for e-management as well. I’ve used it as resources for my patients
    because no matter how much you ask questions, they always lead to others, so
    it’s a good idea to subscribe to their E-news and get constant updates on
    what’s new about all of us.
    For all of us on the list - remember, as we’ve all met because of a miserable
    metabolic problem, we’ve also all become friends to help each other along.
    When we are determined to control our diabetes instead of it controlling us,
    that’s the first step ( my pep-talk to you).
    No matter how hard we work at the control, gotta stop feeling guilty about
    numbers.
    Need to look at the overall scope of things and learn how to help slow down
    some of the damage the diabetes does to us.
    Nutrition is definitely one avenue - Protein sparing diets to take the load
    off the kidneys. Takes a bit of education, but isn’t difficult with a bit of
    determination.
    Drinking plenty of water.
    I believe very strongly in nutritional supplements - Vitamin C, E, B6, B12,
    Brewers Yeast (for the other B’s), Lecithin, L-Arginine, Folic Acid, and
    give or take a few other trace minerals here and there. Generic vitamins
    don’t absorb well, and with good nutrition, plus the antioxidants above, we
    can certainly give ourselves a push along.
    Taking a low-dose aspirin twice a day, plus your ACE Inhibitor and whatever
    other meds you use to control hypertension which is also very important.
    Diabetes and hypertension are good buddies.
    Gotta be determined to keep those numbers below 130/80 or better.
    Diabetes and hypertension both affect our blood vessels especially our eyes,
    heart, and kidneys, then the rest of our bodies. Our central nervous system
    (shoulder joints and low back forinstance), that’s why we end up with
    neuropathy - so,
    As damage progresses, we have our vision effected, are at risk for heart
    attack, and microalbuminuria ( protein in the urine - tattle tale that the
    diabetes is starting to effect the kidneys), joint problems, arthritis
    (wonderful Aarthuritis [ouch!]), carpal tunnel, kidney stones, need I go
    on??? I’m sure we can all talk about our wonderful aches…
    You may want to ask your endo about changing your ACE inhibitor if it is not
    achieving the goal of keeping blood pressure down to switch to one of the
    newer ones.
    It’s a combination of working on all areas that help to slow down damage.
    Keeping glucose normal (75-110 mg/dL) or at least < 140 mg/dL 2 hrs after a
    meal as a goal.
    Talk to the nutritionist about a protein-sparing diet. They can help you to
    help yourself.
    Keep your chin up, kiddo. Look at the positives and set your goal on that
    and not the negatives. We all meet our Maker someday…as long as that
    Higher Power decides we stay, we stay, we live our lives the best we can,
    and make a better way for the ones behind.
    We’ve all made a conscious choice to make a difference for ourselves by
    pumping. Now take a look at the other ways to help there.
    I’m sure Jan ( Hi Jan! - Happy Snow!!! glad you got your new computer!!) will
    tell you the same.
    I’m studying for my final exam tomorrow - wouldn’t you know - Physical
    Assessment no less., and Pharmacology over the weekend.
    But I wanted to put my two cents in….don’t let numbers get you down Jeana.
    Like I said, look at your successes and focus on those. Depression also
    affects glucose control. Attitude can play a big role in how you keep
    yourself.
    I wish all you and your loved ones a Blessed, Joyful and Happy Holiday
    season, whether you’re Buddist, Muslim, Brahman, Christian, Jewish, or just
    plain old human, the joy of life….we’re all here to make a difference.
    Joan :))))))

  9. Randolph Fawn Says:

    > For all of us on the list - remember, as we’ve all met because of a
    miserable
    > metabolic problem, we’ve also all become friends to help each other along.

    Isn’t it sad to meet because of a disease, but our gain to know each other?

    > No matter how hard we work at the control, gotta stop feeling guilty about
    > numbers. Need to look at the overall scope of things and learn how to help
    slow down
    > some of the damage the diabetes does to us.

    About April of ‘99 is when I got on the ‘net (48.5 yrs of DM) - until that
    time I had been lead to believe I WOULD either die or have major complications
    no matter what. I have since learned a test isn’t JUST for information, but
    you DO something about it. That I can bolus a minute amount (I’m pretty

    insulin-sensitive) to bring a somewhat high into a more normal range, and all
    the other etc.

    > Nutrition is definitely one avenue - Protein sparing diets to take the load
    > off the kidneys. Takes a bit of education, but isn’t difficult with a bit
    of
    > determination.
    > Drinking plenty of water.

    Maybe it’s just because when my kidneys were functioning at 35% I was told to
    drink only when I’m thirsty so as to not overwork my kidneys. Diseased kidneys
    don’t want/need to work hard. I also belong to a kidney/pancreas transplant
    egroup and some of them were/are limited to 4 cups a day. So there must be a
    fine line when you do/don’t. I’m also limited on my potassium. AND Diet
    Coke! - 8^(

    I am taking a combination of 3 diff. kinds a day. Altogether I take 11 diff.
    meds, a bi-weekly EPO injection of 8,800u, and Humalog via pump. I know many
    people don’t want to add another med to their regimen, but if it gives you a
    better quality of life, so be it. I knew a lady who was severely depressed
    over the fact that she had to take a pill every day the rest of her life.
    Well, I’d like to take *A* pill the rest of my life.

    > I’m sure Jan ( Hi Jan! - Happy Snow!!! glad you got your new computer!!)
    will
    > tell you the same.

    ‘Tain’t a new one, it’s same ol’ repaired one. And, I’m having trouble with
    something or other. I posted to this site yesterday and don’t see that it has
    come through yet. I own a list and don’t receive some of those messages - have
    to go to the archives to keep abreast of what’s happening. I also received 53
    messages at once yesterday and they were all duplicates of what I already had
    (triplicates?). The weather guy just said we’re expecting more snow, with ice
    and/or sleet tonight! Enough!!! The snowplow went by and I’m housebound now -
    can’t get out but I have what I need - and MY PC - otherwise I couldn’t get to
    the library!! 8^)

  10. Jennie Mui Says:

    Thanks Sharon. You really helped me feel not alone in this. I am going to
    tweak my diet a bit and maybe that will help. Could you (or anyone) give me
    an example of the type of foods you eat. It seems now a days that there
    isn’t much choice left. Most of the food I can think to eat has too much
    fat, salt, sugar, protein, carbs, etc. What’s left? I need ideas…
    Thanks, Jeana Ü
    —– Original Message —–

    > on my own i try to not eat much protein and limit my carbs as to not need
    > as much insulin,as i know later i will creep up with the dosage.

  11. Sharlene Latia Says:

    >Most of the food I can think to eat has too much
    > fat, salt, sugar, protein, carbs, etc. What’s left? I need ideas…

    In fact, that is just about all there is, just a matter of being creative
    with various combinations of the above,
    ah, and spices…give me reason to live.

    Scott

  12. Randolph Fawn Says:

    Jeana,
    I have been having problems receiving messages and this one was posted at
    12/14 10:30 p.m. and I just received it 8:50 p.m. 12/15 - didn’t know you
    wrote this to me. My ISP did an upgrade between 12/11-12/15 and I just got 56
    messages at once released to me. (Maybe it wasn’t egroups’ fault after all).

    My hugsband’s employer is looking for a new ins. carrier and at present has no
    contract, just a month-by-month basis. I wanted to go for an interview/listing
    at Northwestern Univ. in Chicago but Humana is not on their plan. There is no
    way we can afford 30% of $50,000-$500,000. Even 10% is WAYYYYY toooo much.
    The coordinator at NWU said they haven’t done anyone over 55 either.

    The advice I get is watch the potassium - have your level checked. Presently
    (6 yrs) I am in the safe zone. As kidneys fail, the toxins are not peed out,
    therefore potassium builds in the system and that regulates the heart rate and

    can cause heart attack. I haven’t been able to give up my beloved mashed
    potatoes, but have not had a whole banana since 8/1/94. I have a list of foods
    and their amounts of P to keep a check on it. Kale has a whopping amount and I
    didn’t give that up cuz I never ate it! Carbonated beverages are not good for
    the kidneys and I was advised to eat more chicken and fish instead of red
    meat. The water restriction is to not overwork damaged kidneys, but I don’t
    know at what point that begins.

    If your dr. specializes in kidneys, do dialysis patients see her, too? If not,
    get the best at the endline who wants to prevent you from going that route.
    The best drs have the most patients who die. Why? Cuz they wait until the last
    minute to go to the best and can’t be saved.

    If I think of anything else, I’ll post it.
    Jan

  13. Jennie Mui Says:

    Thanks Jan. That was a tremendous help!! Blessings to you. Love, Jeana Ü

  14. hines7 Says:

    i had a pt the other day who’s protein level in a 24 hr urine was 15,000
    something. and she wasn’t even diab. she had eclampsia.
    that was the highest i ever saw

    Kathy
    florida
    mom to
    Maria 21 graduate of the police academy
    Jonathan 16 adhd bipolar
    Veronica almost 15
    Alisha 11 dx T1 2-2-98 pumping 1-6-00 add, depression, emotionally disabled
    (Since dx of diab)
    and grandma to
    Paige 3

  15. Randolph Fawn Says:

    Jeana said:
    > I had a 24 hour urine test for protein and creatine
    > clearance done <snip> creatine clearance 49.

    Now that I have gone back to read what you said, your kidney function would be
    at 49%. I forget if you are seeing a nephrologist, but if not - run, do not
    stop and collect $200 (actually you might have to pay it). I started seeing a
    neph at 35% and wish I had sooner. Also, YOU have up-to-date pump knowledge
    going for you. I have just been getting pump educated since getting on the
    ‘net in spring of ‘99 after over 15 years of pumping and doing it wrong. Who
    knows if I could be better off? Your goal is to maintain what you have and not
    lose more function.(~_^) ( I like °Ü° better, but that’s yours)

  16. Krystal Jesica Says:

    Hmmmm…. What were ya doin wrong, Jan?
    fp

  17. Jennie Mui Says:

    Kathy, That’s near my highest. I went up to 14,000 when I was pregnant. I
    had pre-eclampsia. Not fun. I’m glad it eventually came down. Before I
    was pregnant, it was around 1,000. After pregnancy, I stabilized around
    1,000. My second pregnancy I went up to 7,000. Much better but still a
    high risk. After that pregnancy I went down to 1,000 again. Then I was put
    on an ACE inhibitor (Altace) and my level went to 650. After a few years of
    that it is now back up in the 1200’s even on the ACE. That’s why I was
    getting discouraged. It seems different this time. Especially with the
    clearance being lower. But I am not as worried as before because of all
    your help. I will hang in there. Watch my diet better and get my A1c down.
    Thanks everyone. Love, Jeana Ü
    —– Original Message —–

    > Kathy

  18. colin_140 Says:

    thanks for the name of the ref books,i have been thinking of which ones are
    the best and i will
    try those.Funny you mentioned Lecithin havent heard about that in yrs,i use
    to take that yrs
    ago.is that good for aches in the legs i can’t remember.i have a time with
    my legs(esp once a
    month).anything good for that other than an RX?i dont need anymore of those
    if i can help it.
    thanks,
    sharon >>
    Hi Sharon:
    Lecithin is more for the brain function
    L-arginine is GREAT for leg cramps…..whatever and however it works after
    being on it for 3 days, I actually slept without being woken up with my
    calves stiff as boards and my toes tied in knots. So, if nothing else, I’m

    pretty religious about taking my vitamins. That list I gave is what I take
    myself.
    Dr. Prendergrast - Dr. Joe at diabeteswell.com is an endocrinologist in
    Calif. He’s the first endo to set up a web site for patients to so
    self-management of their diabetes.
    I’ve found him and all his staff a wealth of information, and he’s the one
    that recommended the Heart saver formula
    Vit C 500 mg 2x/day
    Vit E 400 IU 2x/day
    L-arginine 1000 mg 2x/day
    low dose aspirin (81 mg) 2x/day
    All of us need at least 1 mg of folic acid every day
    if you tend to be anemic, and you can take iron -
    I find chelated or "Easy" iron sits on the tummy better. Have to be careful
    cause it can cause constipation very easily.
    Lecithin - 1200 mg daily
    B-6 50 mg daily
    Brewers Yeast - about 6 tablets give or take for the other B’s
    Best way for any other supplements is to take a look at your overall dietary
    intake.
    Keep yourself a diet log for a week - just write down whatever you put in
    your face and take a look at it at the end of the week.
    If you look at the food pyramid - how does it fit in with your intake?
    See how you can tweak it without eating like a crazy person.
    As far as joint pains….depending on how "old" you are….I’ll be 53 next
    month….worked hard to get there…No matter what, sometimes the creakies
    let you know they’re there.
    Aspirin works well, and doesn’t have the profound effect on our kidneys that
    all the NSAIDs do - motrin, advil, ibuprofex, celebrex, vioxx……all keep a
    diabetics kidneys from working well and can shut them down. So, tylenol or
    aspirin are the easy choices, just using good judgement on when to take and
    how much. Can cause stomach problems, bleeding ulcers….so using enteric
    coated aspirin so it dissolves in your intestines is a good idea. It also
    acts as a blood thinner, so if you are using the low dose for the Heartsaver
    recipe, remember that when you take anything.
    Happy Holiday!!! Joan :)))

  19. colin_140 Says:

    Hi Jan:
    Sounds like you may have corrupted some files….know how to do a scan disk??
    Go to the Windows Help file and it will talk you through it….Joan:)))

  20. colin_140 Says:

    Hi Jeana:
    I think your best bet is to register with diabeteswell.com patient management
    program. They have a free trial period, and being that you’re in Alaska, it
    will provide a better resource than just asking us what we do….our caloric
    needs are different, so take a shot, they have nutritionist/CDEs on the
    website who can help immensely in fine-tuning a nutrition plan just specific
    for you…..Joan :)))

  21. Hilton Walter Says:

    hi jeana
    yes i think the food is real limited too.i do alot better if i stick with:
    chicken and lettuce is on top of the list.i try to jazz it up with
    cucumber,pickle,a piece of crunchy bacon and a cherry tomato ,a few
    coutons(i like the ceaser(sp)ones,and a couple
    of bits of hard cheese,then i use about 2 tablespoons of salad dressing.for
    breakfast i eat
    yogert w/ wheat germ,or 1 slice cinn toast (not great for every day) and 2
    scrambled eggs but
    only using one yolk with a piece of swiss cheese over it.i do drink 2 cups
    of coffee a day.i
    drink ALOT of water,and i drink herb tea (i like the combo pack from
    lipton)it has six flavors and
    you get 3 of each.
    boring so far huh?

    dinner is my hardest because of the am high thing that is so easy if you
    dont get that night meal
    right.i can not eat protein at night or i pay BIGTIME.the "diabetes
    resource center"in california
    got me in touch with this tortilla factory that you can order the pita type
    that is ok (i say ok)if
    you like bread and again you can kindof (i say kindof) jazz up the taste a
    bit.i hope this helps.
    i find fruit is touchy with me.i love it but i have to bolus 2x as much for
    what the lit states.
    i love to bake and i get crazy this time of year.i made my pastor a coconut
    cake and about
    could have never gotten it to him.i love anything home made.there is also a
    mag called "sucess
    living with diabetes" which has some ok recipes.let me know if you need
    anything.sorry so long.
    hugs
    sharon

    Thanks Sharon. You really helped me feel not alone in this. I am going to
    tweak my diet a bit and maybe that will help. Could you (or anyone) give
    me
    an example of the type of foods you eat. It seems now a days that there
    isn’t much choice left. Most of the food I can think to eat has too much
    fat, salt, sugar, protein, carbs, etc. What’s left? I need ideas…
    Thanks, Jeana U
    —– Original Message —–

    > on my own i try to not eat much protein and limit my carbs as to not need
    > as much insulin,as i know later i will creep up with the dosage.

  22. Hilton Walter Says:

    jan
    i know what you mean about those mashed potatos.i LOVE any potato.at my house it
    use to
    be how do i want my potato today,not if i want a potato.i even love how it
    sounds.POTATO
    (i know i am a sad case)
    and finally to eat a tablespoon.PLEASE .potatos potatos how do i love thee.(just
    let me count the ways)
    i know that wasnt to me i hope you dont mind.have a Blessed Christmas.
    sharon in Va (pumper for 8 months)30 yr diabetic

    Jeana,
    I have been having problems receiving messages and this one was posted at
    12/14 10:30 p.m. and I just received it 8:50 p.m. 12/15 - didn’t know you
    wrote this to me. My ISP did an upgrade between 12/11-12/15 and I just got 56

    messages at once released to me. (Maybe it wasn’t egroups’ fault after all).

    My hugsband’s employer is looking for a new ins. carrier and at present has no
    contract, just a month-by-month basis. I wanted to go for an interview/listing
    at Northwestern Univ. in Chicago but Humana is not on their plan. There is no
    way we can afford 30% of $50,000-$500,000. Even 10% is WAYYYYY toooo much.
    The coordinator at NWU said they haven’t done anyone over 55 either.

    The advice I get is watch the potassium - have your level checked. Presently
    (6 yrs) I am in the safe zone. As kidneys fail, the toxins are not peed out,
    therefore potassium builds in the system and that regulates the heart rate and
    can cause heart attack. I haven’t been able to give up my beloved mashed
    potatoes, but have not had a whole banana since 8/1/94. I have a list of foods
    and their amounts of P to keep a check on it. Kale has a whopping amount and I
    didn’t give that up cuz I never ate it! Carbonated beverages are not good for
    the kidneys and I was advised to eat more chicken and fish instead of red
    meat. The water restriction is to not overwork damaged kidneys, but I don’t
    know at what point that begins.

    If your dr. specializes in kidneys, do dialysis patients see her, too? If not,
    get the best at the endline who wants to prevent you from going that route.
    The best drs have the most patients who die. Why? Cuz they wait until the last
    minute to go to the best and can’t be saved.

    If I think of anything else, I’ll post it.
    Jan

  23. Hilton Walter Says:

    thanks a bunch joan!!!!
    didnt know folic had anything to do with aneamia?hum.i do take pain
    powder,that works ok,but
    once a month i have to stop it(you know what blood thinners do to that) i’m
    43.pre-mental.i
    prob should not have gone off the Lecithin.you know alot girl.i feel
    blessed to be here.i cant believe for 30 yrs i didnt hardly have a grip on
    this.thanks again to you and all here.
    sharon

    thanks for the name of the ref books,i have been thinking of which ones
    are
    the best and i will
    try those.Funny you mentioned Lecithin havent heard about that in yrs,i
    use

    to take that yrs
    ago.is that good for aches in the legs i can’t remember.i have a time with
    my legs(esp once a
    month).anything good for that other than an RX?i dont need anymore of
    those
    if i can help it.
    thanks,
    sharon >>
    Hi Sharon:
    Lecithin is more for the brain function
    L-arginine is GREAT for leg cramps…..whatever and however it works after
    being on it for 3 days, I actually slept without being woken up with my
    calves stiff as boards and my toes tied in knots. So, if nothing else, I’m
    pretty religious about taking my vitamins. That list I gave is what I take
    myself.
    Dr. Prendergrast - Dr. Joe at diabeteswell.com is an endocrinologist in
    Calif. He’s the first endo to set up a web site for patients to so
    self-management of their diabetes.
    I’ve found him and all his staff a wealth of information, and he’s the one
    that recommended the Heart saver formula
    Vit C 500 mg 2x/day
    Vit E 400 IU 2x/day
    L-arginine 1000 mg 2x/day
    low dose aspirin (81 mg) 2x/day
    All of us need at least 1 mg of folic acid every day
    if you tend to be anemic, and you can take iron -
    I find chelated or "Easy" iron sits on the tummy better. Have to be
    careful
    cause it can cause constipation very easily.
    Lecithin - 1200 mg daily
    B-6 50 mg daily
    Brewers Yeast - about 6 tablets give or take for the other B’s
    Best way for any other supplements is to take a look at your overall
    dietary
    intake.
    Keep yourself a diet log for a week - just write down whatever you put in
    your face and take a look at it at the end of the week.
    If you look at the food pyramid - how does it fit in with your intake?
    See how you can tweak it without eating like a crazy person.
    As far as joint pains….depending on how "old" you are….I’ll be 53 next
    month….worked hard to get there…No matter what, sometimes the creakies
    let you know they’re there.
    Aspirin works well, and doesn’t have the profound effect on our kidneys
    that
    all the NSAIDs do - motrin, advil, ibuprofex, celebrex, vioxx……all keep
    a
    diabetics kidneys from working well and can shut them down. So, tylenol or
    aspirin are the easy choices, just using good judgement on when to take and
    how much. Can cause stomach problems, bleeding ulcers….so using enteric
    coated aspirin so it dissolves in your intestines is a good idea. It also
    acts as a blood thinner, so if you are using the low dose for the
    Heartsaver
    recipe, remember that when you take anything.
    Happy Holiday!!! Joan :)))

  24. Kristopher Wyatt Says:

    Footprints wrote:

    Hi, I’m very new to the list and I wondered too. I was on a pump in the mid
    80’s and I (and It) were a dismal failures. The nurses in the emergency room
    kept saying "Here she is again." Looking back I can recognize some of the
    problems. Diet was never mentioned. I checked my blood sugar fairly regularly
    but not with the dedication that I now do. When my pump failed, I called the
    company that manufactured the pump (now out of business) and reached a Psycho
    freak who was so thrilled that there actually was a college named Bates that he
    sent the replacement to the wrong address. Nobody had explained what to do if a
    pump failed so I ended up in the emergency room with my blood sugar hitting
    over 700. Thanks to the internet I’m much more aware. I’m now being urged to go
    back to pumping and am having a hard time deciding.
    Mary

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