isn’t that amazing when you know more than the people caring for you?? I was
admitted once (years ago, before the pump) for a kidney infection and i
finally
just insisted that they let ME care for my own diabetes cause they had me so
mixed up!
faith >>
Being a "nurse", Haven’t I been saying that all of us have to be smarter
than our health providers????? Every group of physicians and nurses I teach
are amazed to see an insulin pump!!
Every diabetic support group….I get the same response…."Wow! high tech!

when did this come on the market??? It is a learning experience, and we all
pumpers, become teachers….Joan:)

and

The last is brand new book for children, with a CD-ROM; I have only had a
brief chance to look at it. It’s designed to teach children how to
develop habits to sleep correctly and give them specific successes to look
forward to when sleep is good.

You would befriend the child who receives it but the "Sleep tips for you"
on the back cover will help everyone.

Dr. Joe, the Diabetes Doctor

Frank

I’ve been reading the type2 group, and they all brag about 5s and 6s,
which blew me away!
Thank you, Frank,

Courtney >>
Hi Courtney: I’m a type 2, and I wouldn’t brag except to say we all work
very hard to get our bgs down into a normal range and keeping it there. 7.1
isn’t bad, but a little less would be better….It’s a lifelong
effort…Joan:))

Yesterday you may recall that I had a drink with 124 grams of
carbohydrates, 19 grams of fat and 23 grams of protein in it. It is also
important to know that I rode my bike for 1 hour and 45 minutes at a
moderate to high effort before work. Now I will tell you how I adjusted and
administered my insulin to make sure my blood sugar stayed level.

This is what I did.
To cover the 124 grams of carbs I divided 124 by 17 since one unit of
insulin covers 17 grams of carbohydrates for me when I exercise like I did
yesterday (when I do not exercise I use one unit for every 15 grams of
carbs). So I took 7.3 units to cover the 124 grams of carbs. Since my drink
had a "fair" amount of fat (22%) and protein in it I new I would benefit

from using a ’square wave’ bolus on my insulin pump to deliver my insulin
over time. This is because the fat and protein would slow the absorption of
the carbohydrate into my system. I chose 30 minutes to deliver my dose
based on past experience with ’square wave’ bolusing. So my 7.3 units was
delivered over a 30 minute time period which allowed my Humalog to be
available longer than if I had taken it all at one time.

The thing I would like you to remember is that Humalog is really only
active in your blood stream for about 3.5 hours. If you eat a meal high in
fat and or protein your Humalog may not last long enough to cover the carbs
that are delayed in entering your system due to the fat and protein in the
meal. The higher the fat and protein content of your meal, the longer time
period the
insulin will need to be delivered over. Those not on pumps may find
Regular insulin works better for these types of meals because it tends to
stay active for about 5.5 hours.

Oh and in case you were wondering, I was off by about one unit in my
calculation for the Peanut Butter Mood….I guess I exercised a little
harder than I thought. I actually only needed 6.3 units which would have
made my insulin to carb ratio 1:20.

Steve Deal, RN
Diabetes One on One

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I’ve been reading the type2 group, and they all brag about 5s and 6s,
which blew me away!
Thank you, Frank,

Courtney

— In Insulinpumpusers@y…, "Frank" <metguy31@z…> wrote:
> A general chart that I posted in the files section of the group
says that a 5 =90 6 = 120 7=150 8 = 180 and so on and so on but each
lab may differ slightly.

> Frank