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	<title>Comments on: PUMP ? /Jan</title>
	<link>http://www.diabetes-information.alpinistka.net/2007/06/26/pump-jan/</link>
	<description>for people with diabetes</description>
	<pubDate>Fri, 05 Dec 2008 11:57:31 +0000</pubDate>
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		<title>By: carolann_70</title>
		<link>http://www.diabetes-information.alpinistka.net/2007/06/26/pump-jan/#comment-4234</link>
		<author>carolann_70</author>
		<pubDate>Tue, 26 Jun 2007 14:57:10 +0000</pubDate>
		<guid>http://www.diabetes-information.alpinistka.net/2007/06/26/pump-jan/#comment-4234</guid>
		<description>Janet,
 I've learned a lot since getting on the 'net. My endo was one of 2 in the
 state of Indiana in early '80s. I'm afraid he hasn't kept up with things. I
 just heard the words carb-counting 6/99. Complete surpise. Then I joined 2
 pump lists and that is how it is being taught. My last endo visit I asked
 him why I didn't know about carb-counting. He said to stick with the
 exchange system - it's good enough.(!!) I'm learning basal rates change -
 when I began the pumps delivered in whole units only and the internal
 computer figured out how often to give it by the one rate that was set. My
 second pump allowed a Supplemental Basal rate to override the one constant
 rate. Listen to the education you are getting now because I'm not sure that
 Gail even knows all the *in* stuff that's new because we have fallen through
 the cracks. I'm kind of anxious to see my endo's reaction to my 6.1 A1c
 when I go in next time. In 16.5+ years of pumping, I have NEVER been that
 low. It's because of stuff I'm learning from the lists. I might have been
 &lt;!--more--&gt;
 better off if I had had the intense training that should have been given
 then. I now know that I do not have to eat and that if meals are missed, the
 basal rate should carry me through until I do eat and cover that food with a
 bolus. I usually go high in a.m. after getting up so my 6-9 a.m. basal is
 4x higher than my overnight one. Yesterday in church I was 90 at 10:00
 a.m. - I temporarily lowered my basal by .2u per hour for one hour. At 11:30
 I was 55. I guess the activity of getting ready for church lowered my BG.
 We didn't eat lunch until 1:00 p.m. In the *olden days* That would have been
 disastrous. NPH needed to be *fed* at noon. Church banquets never start at
 5:00 p.m. for the convenience of diabetics, etc. But, as one person said on
 one of the lists: As long as there is insulin in this house my son will eat
 what he wants, when he wants. Join Jessica in that banana split - and happy
 pumping!
 Jan
 When we went for pump education the other week I was suprised an
 example used was a banana split. We were told we just have to cover the
 carbs with enough insulin. I am sure you have said before, but do you
 follow a schedule or eat when and what you want? Janet</description>
		<content:encoded><![CDATA[<p>Janet,<br />
 I&#8217;ve learned a lot since getting on the &#8216;net. My endo was one of 2 in the<br />
 state of Indiana in early &#8217;80s. I&#8217;m afraid he hasn&#8217;t kept up with things. I<br />
 just heard the words carb-counting 6/99. Complete surpise. Then I joined 2<br />
 pump lists and that is how it is being taught. My last endo visit I asked<br />
 him why I didn&#8217;t know about carb-counting. He said to stick with the<br />
 exchange system - it&#8217;s good enough.(!!) I&#8217;m learning basal rates change -<br />
 when I began the pumps delivered in whole units only and the internal<br />
 computer figured out how often to give it by the one rate that was set. My<br />
 second pump allowed a Supplemental Basal rate to override the one constant<br />
 rate. Listen to the education you are getting now because I&#8217;m not sure that<br />
 Gail even knows all the *in* stuff that&#8217;s new because we have fallen through<br />
 the cracks. I&#8217;m kind of anxious to see my endo&#8217;s reaction to my 6.1 A1c<br />
 when I go in next time. In 16.5+ years of pumping, I have NEVER been that<br />
 low. It&#8217;s because of stuff I&#8217;m learning from the lists. I might have been<br />
 <!--more--><br />
 better off if I had had the intense training that should have been given<br />
 then. I now know that I do not have to eat and that if meals are missed, the<br />
 basal rate should carry me through until I do eat and cover that food with a<br />
 bolus. I usually go high in a.m. after getting up so my 6-9 a.m. basal is<br />
 4x higher than my overnight one. Yesterday in church I was 90 at 10:00<br />
 a.m. - I temporarily lowered my basal by .2u per hour for one hour. At 11:30<br />
 I was 55. I guess the activity of getting ready for church lowered my BG.<br />
 We didn&#8217;t eat lunch until 1:00 p.m. In the *olden days* That would have been<br />
 disastrous. NPH needed to be *fed* at noon. Church banquets never start at<br />
 5:00 p.m. for the convenience of diabetics, etc. But, as one person said on<br />
 one of the lists: As long as there is insulin in this house my son will eat<br />
 what he wants, when he wants. Join Jessica in that banana split - and happy<br />
 pumping!<br />
 Jan<br />
 When we went for pump education the other week I was suprised an<br />
 example used was a banana split. We were told we just have to cover the<br />
 carbs with enough insulin. I am sure you have said before, but do you<br />
 follow a schedule or eat when and what you want? Janet</p>
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