BG equivalent of H-A1c’s
If you want an H-A1c around 6, what would that equate to in BG
numbers? I’ve been reading the Type2 group, and some of them have it
around the 4s and 5s! I thought that would be too low, like 50 mg/dl
or so.
Any ideas?
Courtney
May 25th, 2007 at 7:36 am
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.
May 25th, 2007 at 12:46 pm
Looks like I better get to work on lowering my 7.1 results from
March! I’ve had type1 for 25 years, and want to nip some
complications in the bud: early stages of retinopathy, and autonomic
neuropathy.
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
May 27th, 2007 at 9:48 am
On that note, I’m sending Dr. Joe’s E-news….have a look….Joan:)
Adjusting My Insulin
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
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
E-News is written by Dr. Joe Prendergast and his staff at Endocrine
Metabolic Medical Center. It is sent out Monday through Friday
If you wish to be removed from our mailing list, simply reply to this
message with REMOVE as the subject.
May 27th, 2007 at 5:55 pm
<< Looks like I better get to work on lowering my 7.1 results from
March! I’ve had type1 for 25 years, and want to nip some
complications in the bud: early stages of retinopathy, and autonomic
neuropathy.
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:))
June 3rd, 2007 at 2:55 am
True Joan, Sometimes the problem with doctors are they just look at that 1
number and base your diabetes management on it. Who has better control a
person who achieves a 6.0 on their HGA1c and is always having reactions or a
person who achieves a 7 and never has significant highs or lows?
Frank
June 5th, 2007 at 12:47 am
Marj,
Are you the Marj and Mike on another pumper’s list, that the Mike is in the
hospital?
If so, hope it wasn’t serious.
Gail
June 7th, 2007 at 12:47 am
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
June 7th, 2007 at 9:40 am
Marj,
I am so sorry to hear about all of this. Please tell Mike he is in my
prayers and you are too. Take care of yourself.
Gail
June 7th, 2007 at 10:09 pm
As a follow-up to the better sleep, better diabetes E-News that I put out
from the ADA presentation, let me again refer you to the work of an old
classmate of mine. Dr. James B. Maas at Cornell University. Dr. Maas has
a deep abiding interest in the effects of sleep on other diseases. Try
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
June 9th, 2007 at 2:47 pm
Hang in Marj….send Mike our best wishes and prayers…Joan:)
June 9th, 2007 at 10:55 pm
<< > <<All the RN’s are in awe and curious, say they’re going to ask for
inservice
> on pumps! Thus is life.
> Marj>>
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:)