Tight Glucose Control May Provide Long-term Benefits in Diabetics
And it is interesting, because of the long term results and the opinions of the researchers.
Author: kathleen
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So far, good…
I ended up running a bit of a basal test on the new basal rate, since I was able to go all evening without eating.
It’s good.
And this morning ate breakfast, and the new bolus rate looked good. At least so far, I’m not chasing a high
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Research on Tight Diabetic Control
As a patient, I know that there is a raging debate among endos as to whether or not tight control is a good thing or bad thing.
Some of that is up to the individual patient, few patients are as sensitive to insulin and or blood sugar as I am. Most diabetics and most doctors (my own included), tend to think I’m nuts. My doctor at least humors me.
However, I have trouble with my vision when my blood sugar is over 160 … this is a problem. I’m dizzy at 90-110, especially if I have come down from a higher number. This is a problem too. And those are just the beginning sympthoms.
But who knows if the tigher control I tend to prefer is better for me in the long run? I do run the risk of hypoglycemia. Look at the last week. If I lose my awareness, I could get into real trouble.
At least now I can point back to some research and maybe more is coming. It’s only in the past few years we could even achieve tight control.
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Don’t do this at home!
I’ve updated my photo album, adding the Spring 2004 – Best Friends
This is the most interesting photograph. Maggie doesn’t like the camera and decided that she didn’t want her picture taken, so the photographer and I decided we’d see if we could get them to interact and maybe she would forget the camera.
I was baiting Maggie over the teeter, and I forgot that Marcie would of course, follow.
I should have grabbed the board, but didn’t think to do that, I don’t even know if I realized they were both on the board until it tipped anyway. Baiting them all the way down to the bottom assured their safety — the teeter automatically tips back into the original position.
FYI, having both dogs didn’t really work, whenever the photogather thought harder than I was thinking about food, Maggie was off.
Obviously Marcie LOVES the camera.
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Basal rates
Glad I changed that basal rate — woke up at 3:00 am with a blood sugar of 108 and again at 5:00 am with a blood sugar of 103.
I’ve decided to go ahead and add the 1/2 hour decrease (by .05 units) in basal tonight, as it looks like I am right where I want to be.
Still seeing some weight loss too.
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Changed basal rate
Since I’ve woken up with fairly low blood sugar three mornings in a row, I’ve decided to drop my midnight to 4:00 am basal rate by 0.05 unit. I’m reduced my basal by a whole .20 units 🙂 Actually every little bit helps reduce the total.
I’ve also been slowly, from midnight back, decreasing my biggest and longest basal rate during the day. I’ve been dropping by .05 unit every half hour, and am now dropping from 9:00 pm on.
It works out pretty well, the basal rates are now
12:00 – 4:00 0.85
4:00 – 8:00 1.10 — this will be the next place I change
and I half it on cardio in the morning days
8:00 – 9:00 1.00 — this is the rate I’ve been decreasing by half
9:00 – 12:00 0.95So things are going well.
Here’s the really good news, my daily total insulin usage has dropped to 38 – 45 units a day with an occasional excursion to 78. That’s a whole lot better than it was before I started working out regularly.
And I know I’ve lost at least 20 pounds since I discovered my scale wasn’t working.
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Tight control IS important
This is why I like my pump, and why I work so hard, and I do document what is going on.
DB’s Medical Rants » Long term benefits of tight control in diabetes
I’m actually quite pleased how things have been going. I’m not only maintaining control, but losing weight.