This free chapter ("The Laws of Small Number s") from Dr. Bernstein's Diabetes Solution book may be useful to you and your husband. It may require changes in his diet to mesh with using smaller insulin doses but the payoff, long term, is well worthwhile. Bernstein's book is available from Amazon as well as other vendors in both printed and digital versions. It is highly recommended reading and the link above provides access to some free chapters online.View Thread
Sorry to inform you that <7 may be "acceptable" to some, but at that level (nearly twice non-diabetic levels), it is going to result in the development of "complications" down the road. The explanation of your "unwise eating" habits and allegedly "still acceptable" A1c levels is simple: 1. high carb intake (unwise eating) will spike your blood sugar levels well above acceptable levels immediately or shortly after meals. 2. the beta cells of your pancreas will work furiously to secrete sufficient insulin to cover the load and may eventually lower your BG levels sufficiently to achieve "acceptable" levels which are still far above normal and causing ongoing damage to vital organs in your body. 3. your beta cells will eventually become fatigued or die off, producing less and less insulin as a consequence. But then you have been told repeatedly that diabetes is a "progressive" disease and thus accept the bleak outlook as a natural outcome of having diabetes.
What are the short term risks other than glycating hemoglobin? How about glycating kidneys, eyes, heart, nerves, just for starters. Glycation does not affect only hemoglobin although the latter is the most easily measured. Glycation also occurs with the cellular proteins of your precious internal organs but the damage is "ouchless" (you don't necessarily feel anything ... until, of course, it reaches an advanced stage). You need to embark on a serious venture into self education through online resources as well as some superb books on diabetes such as Dr. Bernstein's Diabetes Solution and Jennie Ruhl's Blood Sugar 101 . Check online for free chapters of both books such as the hyperlinks provided. Good luck.View Thread
The Giant Biosensor is not very accurate, certainly is not "best-of-breed," nor can one realistically expect any low-priced device (<$149 category) to reliably provide the benefits claimed. One of the better devices in this genre was one called "Sleep Sentry." The latter actually received FDA approval but has a checkered history in terms of sales and support (originally sold for $389). In recent years, it has been reborn (redesigned) and is now marketed under the name, "Diabetes Sentry". It is considerably more expensive than the Giant Biosensor watch and the current price is $499. However, based on user feedback, Diabetes Sentry only catches about 80% of the hypoglycemic episodes; the other 20% are either outright failures to detect hypo episodes or comprise false positives. You can read more details at these links: Mendosa.com HealthCentral.com Note: I intentionally did NOT include a direct link to the product manufacturer's site because the last time that I did, an uneducated member reported my post as spam and it was pulled by an equally uninformed but unknown person (no flame intended; just a simple statement of fact).
CGMs (Continuous Glucose Monitor Systems) provide the most accurate means of detecting low blood glucose episodes but even those devices produce annoying false alarms/positives. CGMs are also invasive, their ongoing consumables are expensive, and the devices themselves are costly. But why bother with any of that when proper blood sugar control to avoid hypos can be easily mastered with just a modest effort? In most cases, night time hypos are caused by injecting too much insulin and reducing dosages will almost always resolve the problem:
If your husband has been a T1DM since the age of 7, he should have learned how to adjust his insulin dosages to match the criteria shown above. The procedure is called "dynamic insulin dosing" and is recommended by most physicians except for those patients who are newly diagnosed. On the other hand, there are some patients who have never been taught about dynamic dosing and rely solely on fixed, static doses that are virtually guaranteed to eventually get them into trouble. However, it is never too late to learn and, in addition to gobs of free online articles dealing with the topic, there are a number of books that cover the proper use of insulin in depth such as: Think Like A Pancreas by Gary Scheiner Using Insulin by John Walsh
Check to see if your local library has these as well as other books on the topic to see if they will provide information that your husband can use to prevent overnight hypos from occurring in the first place. If you feel more comfortable checking with his doctor first, by all means do so. Just keep in mind that the ultimate responsibility for good diabetes control rests with ongoing self-education and self-management.View Thread
In one word, Terminal. Based on simple raw statistics without knowing anything about the extent, degree, severity, etc. of the multiple conditions, the prognosis is probably something less than 24 months. And so that there's no misunderstanding, the final two to six months are not going to be pleasant ones. Untreated congestive heart failure will result in water retention in the lungs and the patient may feel as though s/he is drowning but in slow motion. Of course, many of us feel that the complications of D that you have listed result from uncontrolled diabetes that might have been prevented altogether by normalizing blood sugars. But that's quite another story. Also, final stage renal failure may cause death sooner than CHF as can a cardiovascular event so exiting this life can occur from more than one vector.View Thread
I guess I should play the Devil's Advocate here. Did you know that vaccine manufacturers are protected from lawsuits by Federal law? The Supreme Court ruling in February 2011 ruled that the only way parents can be compensated for the negative side effects of a vaccine is through a special tribunal set up by Congress. This de facto immunity from law suits for vaccine manufacturers is a chilling one that goes against normal concepts of liability in the event a product is defective and causes harm to the consumer. Despite all the hype that one reads, sees, and hears, the jury is still out on the true effectiveness of some vaccines. These include the polio and MMR vaccines. Read the following article (evidence-based) with ample references cited: The Vaccinated Spreading Measles: WHO, Merck, CDC Documents Confirm
An_261234, you didn't state whether your husband was diabetic but if he is, know that diabetics have weaker immune systems in general than non-diabetics unless their blood sugars are well-controlled in the "true normal" range. MMR vaccines are generally safe when administered to adults and children over 5 years of age after their immune systems have fully developed. Children have a greater risk for an adverse event when they are much younger (e.g., under 3 years of age) and the anecdotal evidence concerning autism occurs frequently enough that it shouldn't just be ignored and swept under the rug. It should also be noted that the special tribunal has given out damage awards in at least 8 cases involving autism but the lion's share of such claims have been denied. Your husband should probably get an MMR vaccination as a precaution but it is doubtful that a "second vaccination" is going to provide any additional benefit (read the above hyper-linked article for details that lend credence to this).View Thread
Session 16 of Dr. Bernstein's University covers the topic of normal/ideal blood sugars in the general population (non-diabetics). The information is not new to those familiar with the contents of his book but to hear it fully and verbally explained helps emphasize what he has been advocating for his patients. I have personally experienced full (100%) reversal of my own neuropathies by targeting my blood sugar levels in the eighties. Here are the non-diabetic blood sugar numbers summarized in session 16 of Dr. Bernstein's Diabetes University: Children and Pre-puberty teens: 70's Pregnant Women: mid-60's Normal adults and post-puberty teens: 83
there really wasn't anything new and exciting on the diabetes front. Just lots of health tracking software, smart phone apps/digitized logs, more accurate food scales with built-in calculators, etc. There was also a huge growth in vendors displaying massage chairs and foot massage devices; also electronic (battery operated) acupuncture-like probes and other "stimulant" instruments to relieve pain but I found the latter to be of dubious value (having actually purchased and tried one in the past). One of the vendors (the proprietor was Indian) did tell me about an ancient Ayurvedic procedure known as "oil pulling ." Some seemingly miraculous claims were made for the practice (just do a search for the term, "oil pulling ," in your favorite search engine) that included alleged benefits for diabetes. After analyzing the claims and "studies," it appears that 99% of the effects of oil pulling are the result of an improvement in oral health. The resulting reduction in inflammation indirectly benefits blood glucose control and a host of other chronic illnesses. Since it doesn't really cost anything except for the oil itself , you might want to try it (minimum trial period recommended is once daily for three weeks). Organic sunflower seed oil is the preferred oil but many people like to use coconut oil. Just make sure you don't spit it into the drain or, over time, it's going to cause plumbing problems; that's because coconut oil solidifies at room temps (note: the hyperlinks are all different so explore to your heart's content).
I did wind up getting captivated by a technology known as "Whole Body Vibration " (WBV). After having walked well over ten miles the first day and being on my feet for over eight hours, my feet were feeling somewhat tired the second day. That's when I ran into two different booths at the Sands Convention Center promoting mid-range and upper mid-range WBVs. I stood on the most expensive model for just five minutes and was absolutely enthralled by the unique sensation that it imparted. The WBV re-vitalized my tired feet so much that I decided I had to have one. My primary intent was to use it to improve overall systemic circulation and health; any other claimed benefits (and they are many) would simply be gravy. This WebMD article takes a more cautious view of WBV technology but does conclude that it may provide promising health benefits; just "nowhere near the claims being made." Having used mine for over a week now, I am very satisfied with the purchase. The brand that I bought was the company's top-of-the-line model, comes with a full 3-year warranty, and is manufactured in Japan. The German-made models mentioned in the WebMD article are a notch above but the cost is also higher (note: made in China look-alikes under various and multiple brand names sell for as little as one-tenth of the price that I paid for mine but are extremely low/poor quality).
Has anyone seen the ads for the TD Gold line of $5.99 diabetes supplies? The company currently offers six products at $5.99 each. Even their shipping charge (fixed/flat rate) is priced at $5.99. Of their six products are two that really intrigued me: a blood glucose meter ($5.99) and test strips (vial of 50 for $5.99). I would need more information on specs and comparisons before purchasing them myself but the price is certainly attractive. If anyone has tried these or know of someone who has, please comment.View Thread
I normally carry my insulin (bare minimum) in a small fanny pack. Others use purses, and general purpose portable pouches. For vial insulin (syringe & needle), I pre-load 2 syringes with estimated dosages: one for projected need and the other for additional backup/correction if needed. The preloaded syringes are stored in Wright carrying case s emulating the equivalent of an insulin pen. I often simply inject (discreetly) at the table and have never encountered any problems or incidents in over ten years. For more sensitive environments (e.g., upper crust, formal dining establishments), I will usually use the privacy of a restroom facility. I also carry a few glucose tablets (in a very small plastic Zip-lock bag) with me but never had to ever use them while traveling or dining out.
Here's a link to a multi-page article that addresses the matter in greater detail. If you have any questions or concerns after reading it, please post back.View Thread
Eli Lily manufactures three major types of insulin: Humulog (a rapid-acting analog/synthetic insulin), Humulin (a fast-acting human insulin in both "regular" and NPH "intermediate" varieties), and Levimir (a slow-acting basal insulin). The proper and safe use of any insulin requires frequent monitoring of your blood sugar levels. It is not wise to just inject static doses of insulin without monitoring the impact that the insulin will have on your blood glucose levels. You might have the insulin names/types confused because injecting ten units of Humulog at bedtime is an extremely high and potentially dangerous dose. Double-check your facts and figures regarding the insulin types you were using; then expand on whether you monitored your BG levels during (e.g., before and after) your insulin use including your readings at bedtime and on arising.View Thread
For those still skeptical about the benefits to seeking normal blood glucose levels, I found another webcast transcript that addresses this issue somewhat:
Transcript (Special Topic discussion on Neuropathy): The American Academy of Neurology has released guidelines for the treatment of diabetic neuropathy. What was astounding about this, and very upsetting, was that all they did was try to put the various drugs on the market for treating diabetic neuropathy in a sequence of what you start with first. They totally ignore the control of blood sugar. Diabetic neuropathy is caused by high blood sugar. It doesn't happen just because you are diabetic. The reason I don't have it (myself) right now is because I've had normal blood sugars, more or less, for the past forty years. Prior to that, I had severe neuropathies. They don't point out that: 1) it can be prevented just by having normal blood sugars; and 2) that you can treat the underlying cause. You can make the neuropathy go away with normal blood sugars. As I've explained before, the neuropathy goes away in two steps. There is what is called metabolic neuropathy, where the nerves are swollen with fluid and sorbitol that can go away in a matter of weeks; and there is what I call anatomic neuropathy where nerves have actually died, and you have to wait until they regenerate, which depending upon the length of the nerve, can take years. But, the treatments suggested by this American Academy of Neurology did not point out that you can actually treat the neuropathy, rather than mask it by giving drugs that relieve the pain. As you are relieving the pain using their method, the neuropathy will get worse and worse, so that eventually, your limbs will become totally numb, and you won't be able to feel anything with your feet. You might have a nail in your shoe and not feel it. Or, you might step on something, and not feel it, not know you have a wound on the bottom of your foot, which eventually gets infected, and you end up with an amputation. (end)
My own experience with neuropathy mirrors what Doc B stated but when a close friend (also diabetic) experienced numbness in her feet and ankle that gradually crept up to her knee "on the threshold of pain," the only remedy her doctor would consider was a prescription to alleviate the pain/symptoms. She decided that she needed to attack the cause, not just mask the symptoms. She joined the ranks of those who elected to go on insulin on their own and has been extremely pleased with the results (latest A1c is in the mid 5% club and continuing to drop based post prandial and fbg test results).View Thread