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5 Responses

  1. pwd doc
    pwd doc December 15, 2012 at 3:45 pm | | Reply

    You should be careful when switching brands of pumps, as different pumps calculate insulin on board (active insulin) differently when calculating meal boluses, even with the same time of action. Even with the same calculation, different brands of pumps use IOB differently when calculating a recommended meal bolus. You may find a difference of a few units with the same settings at times when calculating a meal bolus with the same number of carbs, especially if your blood glucose is in the low or low normal range before the meal. If possible, experiment with both the old pump and the new pump (not connected to you, or running with normal saline) to see what the differences are before you actually switch so you will know how the doses will be different and you can adjust your settings if necessary.

  2. Jane Morai
    Jane Morai December 15, 2012 at 5:21 pm | | Reply

    Excellent Q&A. My grandmother was diagnosed with Diabeties when I was younger and has since passed away, but the time we shared is invaluable. I know that while things are great now they may change in the future and anything I can learn and use to assist those in my life with diabeties is of great importance to me. it’s great to get advice from those who are going through it and to learn from them.

  3. Adam Becker
    Adam Becker December 23, 2012 at 8:58 pm | | Reply

    I believe you are mistaken when you assert “your body also needs an average number of carbs in a day,” There is NO dietary need for carbohydrate. If you reduce your carb intake to nearly 0, then your liver will make ketone bodies from fat, and your brain will happily subsist on them, (as mine is, right this minute.) The brain then still has a small need for glucose; the body will meet that need from the fat it burns. (Fatty acids can’t be turned to glucose, but the fats’ glyceride backbone can, and that’s enough.) Alternatively, the body will make glucose from protein.

    Where do you get the idea that dietary carbs are a necessity? (i’m willing to followup with cites to the literature if you’d like.)

    1. John
      John January 1, 2013 at 2:54 am | | Reply

      Hi Adam,
      I was always under the impression that ketone bodies are acidic and whilst minimal levels can be tolerated in a diabetic person rising levels will ultimately lead to Keto acidosis. Could you please cite your references.

  4. Camila
    Camila December 27, 2012 at 7:37 pm | | Reply

    I recently found out in July that I am dibteaic, have high blood pressure and high cholesterol. Since then I have lost 40 pounds and have come off my blood pressure medication. I have madea lifestyle change, not a diet. It’s been really hard tho to figure out what to eat. I have to look out for so many different things. Could you recommend some good things for me to eat? I’m bumbling and stumbling way through this the best I can.

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