So these scenarios are from Canada? Does the National Health system publish their "rules" like "Don't talk to the doctor, even if you see them in the hallway?" or is this a peculiarity of this particular doctor?
hi AR,
i think it's a general rule.
Or else people would not go to their appointments i guess.
So we can't call them or email them directly.
So we always have to make a list of all our questions and not forget them or else we have to wait for our next appointment.
They probably don't have a system for billing the patient or whoever (don't know how healthcare works in Canada, eh) if they just talk to the doctor in the hallway or email or write a letter. That's probably why it's discouraged.
I wrote on one of these forums a while back about how my doc wouldn't refill my scripts until I paid some money I owed and made an appointment, even though it was 2 months out. I was pretty cheesed off about that.
Canada has a “national health” plan so there may actually be rules about doctor/patient communications or you get x level of care with y diagnosis or whatever? This sort of stuff is the essence of some objections to gov’t care in the US. Although people in the US have to deal with insurers obsessed with test strip grey markets conspiring to reduce our level of care.
Well they took my letter seriously and they gave me an appointment for the
25th of april.
It seems when i write letters things get moving.
i did the right thing and did not waste my breath, they read my letter and they called me today to give me an appointment for next week.
I hope they give me my CGM and metformin.
What do you do if you forget to take your basal dose before bed?
I went out with some friends on saturday and got back home really late and forgot to take my basal dose of 22u (lanctus).
i woke up a bit high in the 240 mg/dl.
i had vodka and chivas that night and i figured it would bring my BG down, but it did not.
Lots of us have forgotten our insulin. When you miss your lantus, you should "correct" and then make up the missed dose.
To correct, use your normal correction factor and inject rapid insulin to bring your 240 mg/dl down to target. If your correction factor is 20, and your target is 100 mg/dl, then you would take (240-100)/20 = 7 U of rapid.
To make up a missed basal dose, figure out the "proportion" of the remaining period and use that fraction of a dose. So if you missed your evening dose at 6pm and remembered it at 6am, you could take half your dose (11 U) at 6am (assuming you take only on lantus injection a day).
This is not a perfect solution, but it is a reasonable compromise.
I rode with a friend out of town today, to go to an organic farm and help my friend make dandelion tinctures. Had 30g breakfast, went to bolus for it, and my pump was on E. Must have beeped in the night, or early morning to say my cartridge was low, probably just turned it off and went back to sleep. 30 min after breakfast my bg was 498, at 8:30am. No insulin, on a farm, 1 hour from my house. Squeezed the last of the insulin in my pump through the tube (about 3 units), and drank some lemon water with dandelion leaves for the high bg thirst and dry mouth. Bg at 9:30 was 250, no insulin left at all, I suspended my pump. By noon- bg was 220. Ate lunch, asparagus, broccoli, lettuce and kidney beans. Drank a grape chia seed kumbucha, 8grams carb. Plan was stay on farm til' 6 with my ride, my other friend could give me ride home at 1. By 1, when we headed out, my bg was 450. Got home at 2, changed site and reloaded pump cartridge. Took correction bolus, and had 20g of juice that I did not bolus for b/c intuition said the correction dose was too much and would drop me too low. Then, so tired from the highs, lay down to sleep at 3. Woke up at 6, bg 111. Correcting is so much fun. But it is just not fun to go anywhere with diabetes! My understanding loving friends, bring joy to my heart. They are not upset I was the party pooper of the day. But, I still feel like, crap why did I leave the house without checking stats, without bringing a vial of insulin, and spare tubing and insertion sites. How could I forget, I am a diabetic, and responsible to it myself, others have their own agendas and lives responsibilities. One friend there, a 3rd year med student, said, so you need insulin to raise your blood sugar. I was in no shape to educate. He said, sorry, I just don't get diabetes. I said, most med students don't. He said something Bob Marley about staying 'high' and I thought it was super funny. Anyway, I don't get diabetes. One time, I flew so high with the eagles, I spent 6 weeks in the hospital. I told everyone, I was going out to the farm to hoop dance. Guess I did. When I got home, an email from Cousens Diabetes Reversal Program from The Tree of Life, rates have been reduced, and there is loans available.
DW, good luck with Endo appointment tomorrow, I also see my Endo tomorrow,,, and get lab results back too. Peace brotha,
Back from Endo appointment.
Got prescription to begin metformin again.
Also advised to raise my basal dose before bed.
I also learned that the only CGM available in Canada is the Medtronic and it's like 2k $
I might get it.
I am starting to feel better but i still get short term memory loss, forget little things. My dietician also told me my ratio is 2u for 15 carbs.
I also will start seeing a diabetic Psy for my anxiety.
So many things in so little time, it's overwhelming.
Yes, it is overwhelming, but it sounds like your endo appointment went well, DW, and you got a good plan of action. I hope the I:C ratio works well for you. Keep recording numbers to see if you need to tweak it for the different meals.
Just back from my Endo appointment too. My A1C actually increased, at 8.2, was 7.some three months ago. Endo says the lab is having some difficulty, office A1C are night and day from lab A1C, he thinks the lab may be wrong, did not do an office test because insurance will only pay for one.
Asked about a c-peptide test for me, Endo says we could do - also interested considering I have gone from 70 units of insulin per day to 20-25, yet if the test shows high levels of c-peptide... insurance will not cover pump, pump supplies, or insulin. Endo thinks that my insulin dose is to low, need more food, have more carbs, take more insulin. He does not recommend Dr. Cousens program for type 1.
Still have vitiligo, still have NLD, much improved, still observing, working with that, using herbals and acupuncture, do not want steroids to treat.
Otherwise, all other lab work is great, no problems.
DX: Type 1 diabetes, not at goal,
RX: Increase mealtime carb ratios to reduce postmeal spikes (13 carb/1Unit), wear CGM for three days to see overnight bgs,
DW,
I'm still hoping for you to get CGM. Do you consider pump therapy also?
My first experience with acupuncture was in Canada, so I know they got that over there, someday when you're ready, give it a try. Very benifical for sleep, anxiety, depression, memory, ect. Not gonna nag you about that though, you got enough to 'think' about.
PS, from a previous thread...Western pharmaceuticals determined to cause type 1, 1.5 diabetes - that I mentioned before, regarding a friend that had this situation, and she won lawsuit, can't say how much or her name, but the drugs are...
Zyprexa - manufacture Eli Lily, sued by law firm Howard Nations, class action lawsuit. Eli Lily lost law-suit. Patients were awarded $.
Seroquel - manufacture AstraZeneca, sued by Howard Nations. Patients were awarded $.
Interesting, i bet Luvox also caused my diabetes.
Nobody has this in my family.
Only on my dad's side a few aunt's have type 2 but they got it after age 60.
I would like a CGM, but i heard it's expensive and it might not be covered by medicare. A pump would be nice too eventually.
For now i have to do injections i guess...
Going to start metformin again tommorrow, see if that helps the spikes.
increase carbs to reduce postmeal spikes? That's confusing, lol
Seems like the metformin is working, i am getting more stable BG readings, i did not go too low or too high. I feel better and less anxious.
Excellent! It does sound like you have some insulin resistance, so that's a good addition to your regimen! Glad you feel better.
Increase I:C ratio to reduce post meal spikes, plus Dr thinks I do not eat enough carbs, I eat about 30-50 grams of carb per day, mostly of brown rice, or rice noodles, and lots of veggies, my appetite does seem to be improving, and getting breakfast these days too. Very strange,,, my bg does go high if I don't eat enough carbs, at one point I could explain that medically, but I forgot
I have pumped for about 15 years, sometimes injection if my pump malfunctions, or don't have pump supplies, it would be strange to go back to injections, I think about it tho... if I start to make too much money to qualify for medical assistance, and yet don't make enough to buy private insurance, otherwise I love the pump,,, I explain to ppl that ask me what is the problem with going back to injections - it is like having a high speed lap top, and then going back to a typewriter, I really love my pump, I do however wish that they would Not market the pump with advertisement of ppl eating Pizza,,, Pizza is a diabetic Killer! Even with a pump, it is difficult for me to calculate for pizza, I tried square wave, dual wave, it just wigs my bg out,,, the marketing message is that 'on the pump you can eat whatever you want'. I joke to my friends, if you really want to kill me, just order me up a nice big greasy cheesy pizza and see how Whack I get, but omg, I am thinking Pizza Luce right now sounds so delicious, and I'm drooling, and prob need to take some insulin just for thinking about it. Howard Nations should sue Pizza Luce for causing diabetes! Hahaha.
Yippeee!!!! Congratulations!
Hi everyone, how you all doing?
I have a question...Is there a way to have lots of energy? is there any foods or vitamins or products we can take to feel more energetic?
It's been a few months i feel always tired and don't have enough energy to do all the chores i want to do.
Example: yesterday i washed my car after lunch and the rest of the day i was completely drained.
I have found that exercise gets me going if I get into a “flow” state where I’m consciously engaging it.
I don’t take any supplements but started eating a lot more veggies last summer and that seemed to help a lot. I replaced small servings of pretzels I’d snack on w/ carrots & broccoli which, coincidentally, also have less carbs? I’m not totally into whole grain stuff but hit that when I can
I would agree with Acidrock23, when I am drained and don't feel like doing anything, I usually find my BG is high and I go and "burn it off" with some moderate that leads to intense exercise.
I was really pounding the raw veggies and this helped to reduce the after meal spikes but it also left me carb starved. I added some carbs with different types of Ezekiel bread(I find it in the freezer section ner the frozen pizza's), sesame, whole grain, and even the english muffins. These gave me some quality carbs that were low on the glycemic index but still quicker carbs than the raw broccoli. I usually toast the bread and spread with peanut butter, this gives me good energy without the blah, "I feel high syndrome".