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We've been so busy this fall with soccer and I've been struggling so much with schedules and blood sugars. So we got together on October 20, 1999 to talk about how sports and exercise effect diabetes. Delaine M. Wright, MS, CDE, a Clinical Exercise Physiologist & Certified Diabetes Educator joined us to answer questions about how our bodies react to exercise and what it does to blood sugars whether you're on shots, the pump or pills. This is a must read for everyone facing diabetes of any kind!
A few questions that were discussed were:
@ 208.176.92.75 . . . . Wed, Oct 20, 10:01PM PST
so how many of you all excersise regularly? and lets be honest shall we??
daria the ghostly @ 63.25.240.78 . . . . Wed, Oct 20, 10:01PM PST
hi i almost forgot how much fun diabeties can be
Cindy @ 209.90.138.89 . . . . Wed, Oct 20, 10:02PM PST
MM Ihave been walking 3 miles every other day for a while now. Honest!
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:02PM PST
If you count running and taking kids around ME. If not I don't excerise with any purpose.
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:03PM PST
hello everyone . . .I'm here for the chat with Delaine . . . :) Hey Delaine, are you here yet?
Steph @ 206.47.80.157 . . . . Wed, Oct 20, 10:05PM PST
I look at the tread mill every day...does that count????
Diabetes @ VirtualNurse Chat . . . . Wed, Oct 20, 10:06PM PST
Attention: Delaine M. Wright, MS, CDE has entered Melissas Diabetes Chat
Leann(IN) @ 216.176.151.159 . . . . Wed, Oct 20, 10:06PM PST
Welcome Delaine :-)
Steph @ 206.47.80.157 . . . . Wed, Oct 20, 10:06PM PST
I live in a rat race...does that count....(sorry I couldn't help myself)
Cindy @ 209.90.138.89 . . . . Wed, Oct 20, 10:06PM PST
Yes Steph!!!!!!!!
dirkdiggler @ 137.104.164.162 . . . . Wed, Oct 20, 10:07PM PST
what does cde stand for?
@ 208.176.92.75 . . . . Wed, Oct 20, 10:07PM PST
well looking is a start but I am afraid it cannot be as beneficial as getting on it ...that would be the next step
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:07PM PST
Hello all! :)
Cindy @ 209.90.138.89 . . . . Wed, Oct 20, 10:07PM PST
Hi Delaine! Nice to meet you!
@ 208.176.92.75 . . . . Wed, Oct 20, 10:07PM PST
Hello Delaine how are ya?
Steph @ 206.47.80.157 . . . . Wed, Oct 20, 10:08PM PST
Hi delaine!
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:08PM PST
A CDE is a "certified diabetes educator".... and I also have the distinct honor of living with diabetes myself.
@ 208.176.92.75 . . . . Wed, Oct 20, 10:08PM PST
How is this place compared to your Delaine?
@ 208.176.92.75 . . . . Wed, Oct 20, 10:09PM PST
you still consider it an honor? then? I feel priviledged but I don't know about honeor? lol
Cindy @ 209.90.138.89 . . . . Wed, Oct 20, 10:10PM PST
Welcome to the club Delaine!
Leann(IN) @ 216.176.151.159 . . . . Wed, Oct 20, 10:10PM PST
Delaine, do you wear a pump?
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:11PM PST
Hi Delaine :) Guess who? I don't expect to be chatting much as I'm working on my history paper, but I wanted to show up for your national chat debut . . .
@ 208.176.92.75 . . . . Wed, Oct 20, 10:11PM PST
what had you planned to chat about Delaine?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:11PM PST
I'm very excited to be with you this evening... and happy to answer as many questions as I can concerning exercise & diabetes.... in particular about pumps.
Steph @ 206.47.80.157 . . . . Wed, Oct 20, 10:11PM PST
Whats the low end of normal on the US scale??
Cindy @ 209.90.138.89 . . . . Wed, Oct 20, 10:11PM PST
Hi Melissa! How are you tonight?
Steph @ 206.47.80.157 . . . . Wed, Oct 20, 10:12PM PST
Is it better to exercise after eating or does it matter?
Leann(IN) @ 216.176.151.159 . . . . Wed, Oct 20, 10:12PM PST
Delaine, my son will be on the basketball team this year for the first time, we will disconnect his pump but should we bolus to cover lost basal and feed before disconnecting?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:12PM PST
I do wear a pump myself (2 yrs in November) and have had Type 1 for 17 yrs.
daria the ghostly @ 63.25.240.78 . . . . Wed, Oct 20, 10:13PM PST
70 to 120 normal range
Melissa (POM) @ 209.48.243.132 . . . . Wed, Oct 20, 10:14PM PST
Hi all! Sorry I'm late! I've been trying to get my computer working right! Hi Delaine! Welcome! I'm so glad you could come tonight!! While I reboot this old dinosaur I call a computer, how about telling us alittle about what exactly a Clinical Exercise Physiologist is and does! :-)
@ 208.176.92.75 . . . . Wed, Oct 20, 10:14PM PST
Congrats Delaine I have had mine for 2 years as well and I was diagnosed 37 years ago
@ 208.176.92.75 . . . . Wed, Oct 20, 10:15PM PST
that is a great idea Delaine could you enlgihten us?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:15PM PST
Re: "after eating question - I think it is best to exercise WHENEVER is best for you. Some of us can't be too picky about "when" *lol* ... it can be a good management tool after a meal for some.
daria the ghostly @ 63.25.240.78 . . . . Wed, Oct 20, 10:16PM PST
hi melissa
@ 208.176.92.75 . . . . Wed, Oct 20, 10:17PM PST
when you wear a pump what is most reccomended you do with the basal I cut mine in half as suggeted byt my cde , is there another option?
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:17PM PST
Stephanie wants to get a pump badly. What are some good questions to ask about her getting one? She will be 15 in Feb.
daria the ghostly @ 63.25.240.78 . . . . Wed, Oct 20, 10:18PM PST
what's the topic for tonight
@ 208.176.92.75 . . . . Wed, Oct 20, 10:18PM PST
excersise and pump therapy
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:19PM PST
Thanks for the welcome, everyone! ... Re: pumps and basketball. The best advice I can give almost everyone regarding exercise is to be diligent about testing pre and post... make notes, know that exercise "type" can cause rather wide variations in BS response (and we can get into that in some detail).... you will most likely have to disconnect during basketball (contact sport issues) - most pumpers find they do need to replace the basal.... better to err on the side of caution by taking half & correcting as needed - watching for patterns the entire time.
Cindy @ 209.90.138.89 . . . . Wed, Oct 20, 10:19PM PST
Well folks I am t-2 and not on a pump so I'll leave and make some room for the rest of you! Have a great evening! I'm off to bed!
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:19PM PST
i thought it was for insulin needle users
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:20PM PST
night cindy i'll e-mail you
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:20PM PST
hi Carol . . .I am 17 and just got a pump. If you want to ask me any questions about that I will be here for awhile.
@ 208.176.92.75 . . . . Wed, Oct 20, 10:21PM PST
will the effects of harduous excersise (i.e.low BG) continue for a long period of time ? or can you say how long it can or has??Answer
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:21PM PST
Most pumpers will need to decrease basals by half or more with mild to moderate intensity "aerobic" exercise..... but this CAN differ greatly from one person to another... and again, the best thing you can do is to figure out what your "typical" exercise session does to your sugars.... tweaking as you go along from there.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:21PM PST
Okay new pumper, What was your worst experience, I think I've heard all the good stuff from Stephanie.
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:22PM PST
well guys i'm out of here ,
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:22PM PST
What are basals?
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:22PM PST
we have found Alex has to be careful if he eats/boluses and then exercises because then insulin is absorbed more quickly
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:22PM PST
night everyone
@ 208.176.92.75 . . . . Wed, Oct 20, 10:23PM PST
daria it is for everyone who uses insulin really because wether you use a pump or needles you use the insulin and excersise has the same effect on all
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:23PM PST
G-night Daria
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:23PM PST
have a good one connie
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:23PM PST
Carol basals are the background amount of insulin delivered by the pump to cover fasting bgl,
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:24PM PST
oh, i misunder stood
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:24PM PST
People on MDI (injections) may do it a couple of different ways... by decreasing short acting insulin dosages pre-exercise if appropriate, or probably most easily by increasing the amount of carb ingested prior to exercise. I do work in a cardipulmonary rehab and wellness program with all types of diabetics... pump users, those on injections, and Type 2's managing on orals and/or diet and exercise alone.
@ 208.176.92.75 . . . . Wed, Oct 20, 10:24PM PST
niht Daria, and Cindy though you don't have to leave ;-(
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:24PM PST
Is that like when you take the pump off for swimming etc. contact sports.
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:25PM PST
the main problem i have is i can never tell when falcon is going to crash ,sometime i can ,can anyone help ?
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:26PM PST
when you disconnect the pump for swimming and sports carol you may first need to bolus and amount to cover the basal that you will be missing. Understand or an i confusing you?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:26PM PST
I encourage those that I work with (and practice myself) to learn their OWN response to an exercise session.... does everyone here know how much their BS might vary with a typical exercise session?? :)
@ 208.176.92.75 . . . . Wed, Oct 20, 10:26PM PST
why do you take it off for swimming i don't, I hate the case I have to wear but I would rather swim with it
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:26PM PST
Hey guys it's not JUST for pumpers! Excercise effects EVERYONE!!! Please stay!!
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:27PM PST
i'm still here
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:27PM PST
MM why would you rather swim with it, since Alex would at least suspend during this amount of exercise he has no need to keep it connected and i think the sports guard is big and clunky
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:28PM PST
can anyone help?
@ 208.176.92.75 . . . . Wed, Oct 20, 10:28PM PST
Daria does the falcon ever act weird or does he just like ....crash///
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:28PM PST
Exercise can certainly cause decreases in blood sugar sometimes up to 2-4 hrs after a session. It may vary a bit depending on the activity and the intensity, but metabolism can stay elevated that long.... unfortunately there aren't really any hard and fast answers, but that's a good estimate. Hope that helps??
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:28PM PST
hmmmm . . .my worst experience. I've been pumping about six weeks now and fortunately have not had any major problems (no clogged infusion sets or anything. I had some problems with the tape sticking, which took some creative problem solving (and a pair of scissors :) Sometimes the stickiness from the tape is hard to get off. Also, I've had a couple of sites that have hit a blood vessel and bled when I took them out. Probably the worst so far was a night when I was sick and had to stay up most of the night figuring out how to get my blood sugars down -- went through two site changes, a new bottle of insulin, and lots of bg tests. Which reminds me of something: pumping is definately way better than injections, but you can still have high numbers and you need to be more diligent about figuring out why you have them.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:29PM PST
I know that Stephanie needs 1 extra serving of carbs to ride for 1 hour and she also found out that if gym is extra hard she will need 1 extra serving. But I just don't understand about bolus and basal yet. She does great on the N's and R's. I felt until she could regulate her own insulin she should not get the pump.
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:29PM PST
this time he was his normal joking self , he said he was dizzy ,then he fell out
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:29PM PST
Exercise in Alex can affect him up to 12 hours later, have to be careful of nighttime lows with strenuous exercise during the day
you are right it is clunky but I would rather stay hooked up than to have to guestimate the amount I might miss. @ 208.176.92.75 . . . . Wed, Oct 20, 10:30PM PST
I just have gotten used to wearing it while I do everything the only time I disconnect is for showeres....and sometimes....well you know
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:31PM PST
I notice when Kristina is at a great number during a soccer game, that she will drop during the game unless I give her a snack beforehand - about 30 carbs! But if she's in the 200's or 300's during a game, she doesn't drop till later! Is that strange??
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:31PM PST
Is the pump easier or harder for you to figure out than N's and R's
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:31PM PST
Often times people with Type 2 diabetes using orals especially, will notice a RISE in BS with exercise. Anyone ever notice such a thing?? It sounds crazy, but there is a very good physiologic reason for it. And, yes YES - please do stay... this is certainly NOT limited just to pumpers. My apologies if I made it appear that way. ;)
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:31PM PST
MM, Alex does not need to make up the amount he misses with swimming or team sports, usually has to eat even more!
Connie @ 152.163.213.198 . . . . Wed, Oct 20, 10:31PM PST
It's really a challenge to know how Marisa's (9) BG's will respond when she plays volleyball. During matches she disconnects for sometimes up to an hour and that seems to work best. I never replace her missed basals-- doesn't seem necessary.
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:31PM PST
mm. normaly he can fell a crash coming on
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:32PM PST
falcon needs the computer ,so i'd better go
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:32PM PST
good night
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:33PM PST
bye again daria
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:33PM PST
night carol
@ 208.176.92.75 . . . . Wed, Oct 20, 10:33PM PST
Daria if you could get the falcon to document for about a week what his numbers are and what his food intake and when it is consumed you might get a idea as o\to why and when he could crash
Darlene @ 209.162.36.146 . . . . Wed, Oct 20, 10:33PM PST
We have really had to lower my daughters N dose at night since she started playing soccer. It seems the exercise really works for her about 12 hours.
daria the ghostly @ 63.25.239.134 . . . . Wed, Oct 20, 10:34PM PST
thanks i will .thanks again mm good night
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:34PM PST
carol, i think it is easier to make adjustments on the pump because the results are immediate. IMHO
@ 208.176.92.75 . . . . Wed, Oct 20, 10:35PM PST
what effect will excersising have on someone who is at or above 240 when they excersise?
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:35PM PST
Which was easier to learn pump or injections, and how long before you felt comfortable doing it all on your own. We plan to go to Childrens for classes before she starts.
@ 208.176.92.75 . . . . Wed, Oct 20, 10:36PM PST
well darn close to iimediate anyway using Humalog right?
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:36PM PST
Pump was easier, but that may have been because we had already been through injections
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:36PM PST
Darlene, there have been nights when Kristina needed NO insulin at dinnertime cause of the hard soccer game she played that day! We use H and U but when we used the N, I used to lower that nighttime dose too after a game!
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:36PM PST
Carol-- to be honest it is much easier for me to deal with only using one kind of insulin (i use humalog but you can also use regular) in a pump as opposed to NPH and humalog on injections. I don't need to worry about peaking NPH and all the problems that go along with that. But then, I was already regulating my own doses before. Is Stephanie calculating her own dosages based on carbs or is she on fixed doses?
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:37PM PST
Ooohhh that's my question too MM! About blood sugars being over 240 ---
I goota go getting busy hoep to see you all later @ 208.176.92.75 . . . . Wed, Oct 20, 10:38PM PST
Carol i still am part of a team ...when I started with the pump I joined a team consisting of a MD (oncall) a CDE and I \fax numbrs weeekly so you should probalby get set up the same way right DElaine
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:38PM PST
She stays on her calorie diet and calculates her own dosages with me making sure I feel the calculating was correct. Her diabetic dr. feels he would like her to use humalog before she starts pump.
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:39PM PST
bye MM
yes a good team is very important we have a great dietician too i consult with them all
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:39PM PST
I have only been diabetic for about 5 months, so injections AND pumping are both new to me . . .I was only on injections for three months before getting a pump (lucky me!!) and found both to be easy but pumping to be less of a hassle. It is much easier to test bg and push a button than test bg and whip out a syringe. The first time I changed my pump infusion set it took me 45 minutes. After 6 weeks I can do it in 10 minutes, but like with anything there is definately a learning curve. It helps to read alot first. Taking classes is a great idea :)
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:39PM PST
Soccer, basketball and such sports can actually cause rises in BS's (especially noted on a pump because of the small amounts of insulin that we are typically dealing with (basals) - exercises that are considered "anaerobic" or power-type exercises, involving lots of sprinting for example actually cause the body to pull from stored glucose sources like from muscle and liver.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:40PM PST
Mr. Mailman, the dr. on call is always there for us if we feel that we aren't sure what to do. It's always a relief to know help is just 7 digits away.
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:41PM PST
Carol they like you to be on multiple shots/day before starting the pump, how many is she on?
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:42PM PST
So Delaine, that is why when the blood sugar is over 240, it doesn't go down and even goes up? That's amazing! Do you know why the body does that? it seems so backwards! LOL
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:42PM PST
She takes one before breakfast, one before supper and one before nite snack.
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:42PM PST
And yes... I have to agree that with injections, and NPH in particular it seems, the effects of exercise can carry over much farther than a few hrs.... when I was on injections as well, my greatest problems with hypoglycemia were seemingly always related to NPH. It is most probable that we change absorption rates of NPH for hours after an exercise bout.... hence the difficulties.
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:43PM PST
Carol: I can't really recommend whether or not you should switch to humalog before starting a pump or not, as I have never used regular . . Maybe Delaine could answer that one?? question: are you counting just calories or carbs too? Also, it's definately good that Stephanie calculates her own doses. There is nothing wrong with you checking even if she is pumping.
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:43PM PST
Is 240 a magic number or is it different for each, i let Alex exercise if he is over 240 with no ketones but not over 300
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:43PM PST
Stephanie also ck's b.s. at least 4 times a day and sometimes every 2-4hrs.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:44PM PST
Counting carbs works out the best. That was the way we were taught. The calories take care of themselves. Its the fat that she has been watching lately
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:45PM PST
Elevated blood sugars due to "insulin insufficiency" (not enough around) causes the body to mistakenly think that there is not enough glucose around to provide the needed energy. Your body then tries to assure that you will have enough glucose by pulling from stored sources in your liver and muscle. You actually carry quite a bit of sugar around!
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:45PM PST
Carol it sounds like she is ready for the pump!!!
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:46PM PST
If a child is over 240 before starting a soccer game, should they be kept OUT of the game?? And if you can't keep them out, what is a good thing to do to keep them from going higher during the game?
Greg @ 216.88.65.208 . . . . Wed, Oct 20, 10:46PM PST
I was 315 lbs 6 weeks ago...am now 279...i am type 2..my back and leg is very sore when i try and walk...is there any other exercise program you may reccommend. I am on Glucophage twice/day...Glucotrol....and avandia 4mg. my "normal" seems to be around 140...but today it went down to 96. Is this normal?
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:47PM PST
Mentally she is, but mom is still scared of it. When she horseback rides will she have to take it off, and if she hikes alot will she still have to eat an extra serving?
isiah @ 136.186.1.117 . . . . Wed, Oct 20, 10:47PM PST
Delaine...*wink*, I made it, anyway, I certainly noticed how the body can pull from those stored glucose sources last night. After bball I reached 12.something. And on the other hand, the week before I couldn't stop them from going down..hehe.
Darlene @ 209.162.36.146 . . . . Wed, Oct 20, 10:49PM PST
Well all, I must get off the phone line, so hubby can use it. Thanks for letting me sit in and listen for a while!
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:49PM PST
Carol Horseback riding and hiking she should be able to leave it on, probably no need to eat extra, she can reduce her rates or suspend the pump, but she will have to test often to see what is right for her.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:49PM PST
bye Darlene
Connie//BC @ 207.194.24.27 . . . . Wed, Oct 20, 10:49PM PST
Night all, starting a cold, and want to rest so it'll go away, so far whay I've seen, it's an excellent forum as usual.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:50PM PST
bye Connie
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:50PM PST
The ADA guidelines state "no exercise if over 300" or great than 250 fasting with ketones. Do I always follow those guidelines?? No... I consider whether the "300" is a post-meal sugar... what was consumed most recently, when was the last insulin injection taken, when will it peak. I also have patients who use a sliding scale and will correct for BS's this high prior to exercise - although I caution you to correct with HALF or less of your usual correction factor prior to exercise to avoid a low.
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:50PM PST
Carol, it is reasonable to be scared but after she starts pumping you will wonder why you didn't have her start sooner!
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:51PM PST
I'm glad she wouldn't have to take it off. Because the horse barn and the woods aren't the cleanest place in the world.
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:51PM PST
Congratulations Greg! Sounds like you're doing good! 96 is pretty normal for someone who DOESN'T have diabetes so you're doing well! Hi Isiah! My daughter has the same problem when she plays soccer sometimes it just goes up and up and others, I can't keep her from going low for the rest of the day and into the night!
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:52PM PST
Carol, do you have any specific fears about Stephanie getting a pump?
isiah @ 136.186.1.117 . . . . Wed, Oct 20, 10:52PM PST
It's a case of test lots and take it as it comes, either way (high or low or peeeerfect!)!!
isiah @ 136.186.1.117 . . . . Wed, Oct 20, 10:53PM PST
Goodnight Delaine!!
Greg @ 216.88.65.208 . . . . Wed, Oct 20, 10:53PM PST
Thanks Melissa....but what is the best way to exercise when one cant walk for over 20 minutes at a time? thanks
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:54PM PST
OHHHH that's good Delaine --- that was my next question--- how much of a correction should I give if she's too high to play but has to anyway!! I usually give 1 unit of H for every 100 points she's high! So if I give 1 for every 200, she'll be ok ---
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:54PM PST
I have horses (2 - my "kids"! *grin*) ... (hi Ry!) ... and I ride with my pump on without a problem. Interestingly, for me riding actually raises my blood sugar... I found this out through extra testing and patterning. I now use a higher temp basal during a ride. I also hike.. and rock climb with the pump on. For those activities I reduce my rates. On injections I would need to eat 15 - 30grams of CHO prior to avoid lows.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:54PM PST
No, its just a change. It took us several years of constant changing insulin dosages, her hormones went crazy. I don't want to go through the fustration of not being able to control what the body does. She sometimes went to hi or to low for no reason. It's not like that anymore. But it was very fustration figuring out how much and what kind of activity changed her blood sugars.
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 10:54PM PST
Ohh Greg -- that one is for Delaine! I don't know! :-)
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 10:54PM PST
Carol -- my mother is actually much more comfortable with me having a pump than when I was on injections. I had many problems with lows due to peaking NPH and not being able to eat very conveniently when I "should" have. Now she can feel more confident that I won't have problems like that very often. I have had a couple of lows after meals from overestimating carbs in food at restaurants and things like that.
Greg @ 216.88.65.208 . . . . Wed, Oct 20, 10:55PM PST
Melissa... What you are doing as a community service is very well appreciated. You are doing a wonderful job. I would like to see more fund raising and "telethons" for Diabetes.. Have any ideas where we may start in hte Houston area? I would like to become involved. Thanks again
carol @ 216.68.130.99 . . . . Wed, Oct 20, 10:56PM PST
I wonder why riding would rise your sugars, it is very rigiours.(sp)
@ 216.176.151.159 . . . . Wed, Oct 20, 10:57PM PST
riding is probably exhilerating, like why some people bg raises from watching an intense movie?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:57PM PST
Greg... what is it that is going on with your back and legs... is it muscular?? You may do well with a non-weight bearing activity, like swimming, or perhaps even biking - a recumbent bike is usually a good piece of equipment in these cases... but it is a little difficult to say, especially as I am not sure what is going on in your situation.
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 10:58PM PST
Carol, i won't lie to you there is a learning curve in the beginning and you do have to keep accurate records and make adjustments but once you have that down the control is sooooo much more predictable
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 10:59PM PST
The discipline of riding that I do (dressage) is actually more "anaerobic"... like a muscular toning class. For my HORSE on the other hand, his blood sugar probably plummets! *LOL*
Greg @ 216.88.65.208 . . . . Wed, Oct 20, 11:00PM PST
Delaine, I have degenerative disc disease in L 3-4-5 and my legs go numb as the nerves are caught between the discs. It's sometimes very painful. Also have the same condition in C 2 and 3. The bike is a good suggestion. I'll try it. Any other advice?
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:00PM PST
So far from everyone here and at her camp, everyone on it loves it and is very encouraging. The only other concern is whether it makes it so much more appealing to overeat because you can just correct your insulin now. At first that was her concern. And also if you get sick vomiting, and diareah what do you do not eat, take the pump off what?
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:01PM PST
Thanks Greg! I've been at it for 3 years and I love it! I wish I could do more! As far as what's going on in each community, I don't know! But if you write to Joseph LaMountain at JLAMOUNTAIN@DIABETES.ORG you can get on his mailing list! Every letter of his has something about what you can do! The latest is collecting signatures - you can see the page at http://www.diabetes.org/Advocacy/petition/petition.htm Also see the story of Emily at www.messenger-inquirer.com/omi/yourhealth/552305.htm
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:01PM PST
Melissa, I agree.. I would start with half the correction dosage during the game. You can always increase from there if needed. Even small dosages of insulin, as are possible on a pump, will assist in avoiding a rising blood sugar.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:01PM PST
Stephanie is cantering, trots, and is learning how to trail ride the right way.
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:03PM PST
Alex i think actually eats less now that he is not feeding the insulin. He no longer eats snacks at school. Sick days are much easier because you can reduce or raise basal rates accordingly, no need to ever take the pump off(except for contact sports or swimming) if needed you can suspend the pump from delivering any insulin and since there is no long acting insulin there will be none in her system, but again testing often and checking ketones is key
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:04PM PST
Kristina's blood sugar drops drastically and VERY quickly when she's been startled or terribly upset by something! Last time we went to see the doc, the nurse decided to give her a flu shot while we were there! Since we didn't know this was going to happen, Kristina got VERY upset till we decided to wait on it! 1/2 an hour later, her blood sugar was 56! yikes!
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:05PM PST
Greg.. additional suggestions - keep an eye on your numbers and don't be surprised if with your consistent exercise and the weight loss, that your sugars get even lower. You may be able to decrease your medication dosages/therapy with your physician's assistance, of course. Best of luck to you with your program.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:05PM PST
Thanks, as her mom, I feel better about her decision. She already felt good about it. I've told her it was her decision not mine. I feel she is ready.
Greg @ 216.88.65.208 . . . . Wed, Oct 20, 11:06PM PST
Thanks so much Delaine...and Thanks Melissa..I just made 10 copies that I will get signed by tomorrow..Hope to chat again...Good Health to everyone!!!
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:07PM PST
bye Greg, and good luck
Greg @ 216.88.65.208 . . . . Wed, Oct 20, 11:08PM PST
bye Carol...
Bye Carol....Good Luck to you Also
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:09PM PST
LOL Another advocate! LOL Good to see you Greg! Take care and good luck! :-)
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:09PM PST
Delaine, how often should Alex check his bg during a basketball game?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:09PM PST
Having diabetes, or a child with diabetes truly makes one appreciate the amazing job that the working pancreas does(!), doesn't it?? ;)
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:09PM PST
Carol--it is much easier to be sick with a pump--as I've recently found out :) no need to worry so much about making sure you get food down, etc. Also, one thing my endo mentioned to me if you do need to suspend the pump, make sure you check blood sugar often at least the first few times, to see how long you can go without insulin. the reason is not only because of high bgs or ketones, but because if you wait until your bg starts to rise before reconnecting, it will take another half hour at least (or so) for your new basal insulin to start working, during which time you can go alot higher.
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:10PM PST
Delaine, I was impressed with the indepth plan or regimine you helped Sue figure out for her daughter! Was that all through lots of testing and experimentation? How long did it take to figure it all out?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:11PM PST
Leann, if you don't mind.. tell me, how long can a game typically last? And how much play time might he get??
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:11PM PST
Delaine -- that was exactly what I've been thinking lately! Of course, it is kind of neat that our brains can get so good at imitating a major organ . . .kind of makes you feel talented, doesn't it? Heehee :)
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:12PM PST
thats good to know, Last year was a bad one. She was sick alot and went into the hospital 2x so sick that she was in intensive care once. For no apparent reason except for maybe a virus. She got high ketones and even with the help from the drs. on an hourly basis she didn't get better until she got the drip.
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:12PM PST
Delaine, I agree! Trying to keep up with the silly things a body does is enough to wear out any pancreas! LOL I think it's amazing that a body can make the mistake of thinking there is no glucose on board and start producing more of it!
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:13PM PST
well, i am surmising that a game lasts about 2 hours, and he will most likely be playing the entire game since there will probably only be 6 on the team(small school)
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:14PM PST
Thanks Melissa! *lol* ALthough... Sue and Amy did all the hard work. I simply explained as best I could, what the "physiology" behind it all was. I give parents of kids with diabetes a LOT of credit! They spent a couple of weeks, at best guess, playing with numbers and fine tuning things. Competition changes everything! (we worked on a plan for track) and just when they had it all figured out... the sport changed! *lol*
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:14PM PST
Kristina's soccer games last 1 hour and she plays at least 3/4 of it, if not the whole hour! At least 1/2 the game, she's running hard! I usually test her before, at half time and afterwards! But she has a snack after a game that one of the parents brought so I don't know how accurate the after game test is since she beats me to the snacks before I can test her! LOL
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:14PM PST
hello John
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:16PM PST
LOL, Melissa. That reminds me of another question, how soon does food start affecting blood sugar after consumption, there have been times when Alex forgets to test and starts eating, so we test while he's eating
John @ 169.207.77.37 . . . . Wed, Oct 20, 11:16PM PST
hello
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:17PM PST
Stephanie loves the idea that she wouldn't have to eat her snacks at school anymore. But would miss her afterschool snack. When she started walking home from school (about 1 1/2 miles) her insulin dosage went down about 4 units
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:17PM PST
OH yea.. games are VERY different than practices! Kristina rarely has trouble at practices! She has a snack when she gets home and then we run out to the soccer field! Practice is 1 1/2 hours and I try to keep the girls running and energetic for most of it! I'm amazed at how few times she's gone low during practice!
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:17PM PST
To clarify, not fast acting foods but a dinner meal
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:18PM PST
Carol- hopefully that's behind you now! One thing to look out for though-- if you end up in the hospital with a pump, make sure someone is there who can tell people not to take it off!! The first thing people do when they are unfamiliar with things is to "get that THING off!!"
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:18PM PST
Carol, Alex eats a snack afterschool because i think normally most kids do, after all they are still growing!
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:19PM PST
the great thing about a pump is that Stephanie could easily give up her morning snack while still being able to have an afternoon snack. By the way, is she allowed to test in school classrooms or does she need to go to the nurse?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:19PM PST
Leann.. if at all possible, I would have him check every 30 minutes.... the more info you have to go on, the better. Try not to correct the first time, unless you see things going WAY out of range.... attempt to "pattern" what is going on. Basketball is a fairly intense(!) sport, to say the least. Have your carbs handy, and also be prepared to replace that missed basal (maybe by just half to start).... I can't say for sure if basketball will drop him right away if he is disconnected.... I would suggest waiting for a BS rise to begin before I bolused anything.
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:20PM PST
Hi John! How are you? Ohhh Leann, we do that alot too!! I always figure (HOPE is more like it) that I have about a 15 minute leway! LOL It doesn't always work though! Like tonight... her blood sugar was perfect all day... then I gave her ice cream for snack tonight and forgot to test till she was just finishing it up... didn't take more than 10 minutes to eat! And she had jumped already to the 300's! eeeks! I'm hoping I just didn't give the right amount of insulin at dinner! LOL *ducking in shame* LOL
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:20PM PST
thanks Delaine, i know we have our work cut out for us trying to figure it out. I will probably sit in on the first week of practice
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:22PM PST
I'm sure they are starved. They eat lunch at 11:45, and don't eat supper until around 5 or 5:30. Most normal people would be starved. She likes to stop on her way home at the store with her friends and get a snack and a pop. And if what I've learned here tonight she can still do that. We try to keep everyday as close to the same as possible, as far as food intake and times eating. Does that help?
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:23PM PST
yes Carol that helps on injections but she will no longer need to do that on the pump(except maybe when figuring out basal rates in beginning), she can stop for that snack and pick out exactly what her friends are having, even a slurpee!
John @ 169.207.77.37 . . . . Wed, Oct 20, 11:23PM PST
I'm sure some asked this so forgive me. Sports & the pump or no pump. My daughter is playing soccer and we think about going on the pump.
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:24PM PST
How quickly dinner works depends on the dinner... (a higher fat and protein ratio will slow down those carbs) but if he is still eating, you can be fairly sure that your test is fairly accurate. If fast acting carbs take 10 - 15 min to reach the blood stream, then the beginnings of dinner will take a bit longer. Unless of course he starts with dessert! *LOL*
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:24PM PST
Ohhh you're doing better than I am Carol! Dinner now can be anywhere between 6pm and 8pm cause of soccer! Soccer practice is on Tuesdays and Thursdays and some nights we don't even get home till 7:30pm!!! The other days are all normal though!
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:25PM PST
John, my son is on the pump and he plays soccer, basketball, golf, and playground football!
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:25PM PST
Melissa, don't you love that pump, no more worries about what time dinner is and if practice/games will interfere!
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:26PM PST
In her school system she has to go to the nurses office because of the blood, If any blood is sited in a classroom, it has to be cleared out and the area surrounding the blood cleaned and sprayed with something. When she was in grade school she was allowed to do it in the classroom, all the kids thought it was neat, and when it was time for her snack or blood test they wouldn't let her forget. BOY high school is really different. Her nurses at school are well educated in diabetes and will listen to me and her. They always call if her sugars are low or high, and check to see if what she did was okay. Usually it was.
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:26PM PST
But we only have 3 more weeks of it so we'll get back to normal after that... till the spring season starts in April! LOL
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:28PM PST
The pump is definitely well designed for active lifestyles... and although it may take a bit of a time committment to work it all out, life becomes much more flexible and closer to "normal". :) It is closer to what the normal pancreas would do... although, without the nifty blue color. *wink*
John @ 169.207.77.37 . . . . Wed, Oct 20, 11:28PM PST
Leann, did he ever play these sports without the pump ? I'm thinking better control with the pump ??
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:28PM PST
Carol--one of the reasons I got a pump was because I hated the schedules, plus it was dangerous when I couldn't stick to them! I never eat on a schedule now--high school is not conducive to them!! My lunch time varies from 10:45 to 12:15 on a daily basis.
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:29PM PST
Everyone we know, know that we are very strict on the time schelule, and we try to schedule out activities around the food time. And if now, we take our food.
Both our kids do not like sports except hunting, fishing, hiking, horseback riding, and they do piano, flute and clairnet. talk on phone etc. I would suspect that team sports are sosoooo hard, because you can't pick the time. Hats off to those parents and children who can.
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:29PM PST
John, we are fairly new to pumping, but yes better control, and if his bgs are better his body will be physically better for the sport
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:30PM PST
LOL Leann, I WISH we had the pump! In fact, our doc says when we go on the pump we'll have to be on an even MORE rigid schedule!! He says it's alot harder than shots and will take ALOT of effort! WE're still trying to get it.. he's considering it and is just waiting for his "team" to agree to it too! I'm not sure which of the "team" he means cause everyone we've seen and talked to said they'd do whatever he said to! We've been trying for 2 years to get a pump!! We're still hoping! He was supposed to talk to his team again this week but even if they said yes, we have some work to do! He wants her blood sugars straightened out completely before we start! And because we've been working so hard on that already, her A1c is down to 7.4!!! She hasn't been that low since she was 18 months! So I don't know what we're waiting for now... except.... "the team"!!
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:30PM PST
I am supposed to go to the nurse to test, but I haven't yet this year. I test too often for that too be realistic, especially when testing before and after gym class (no time)
John @ 169.207.77.37 . . . . Wed, Oct 20, 11:31PM PST
Leann, How does Alex feel about the pump ?
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:31PM PST
oh sorry Melissa thought she had her pump already. For the first 5 days Alex ate the same exact meals with no snacks in order to set basal rates but after that he was allowed to be as flexible as he wants with eating(while of course still eating healthy)
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:32PM PST
John, Kristina has been playing soccer for 3 years, all without a pump! We've had our good days and our bad days with the shots and the crazy schedule! I'm looking forward to BETTER days with a pump!!
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:32PM PST
I had written an article about pumping and exercise which I would be happy to email to anyone who is interested. It attempts to address some of the physiology behind exercise, and explain some of the reactions that we can observe... both highs and lows. If you wish, email me at dare@edgenet.net and I would be happy to forward you a copy. ~ for anyone who is interested. Although... I'll forward it out tomorrow as I've got to be getting off to bed soon. Are there any other pressing exercise questions that I can try to help with before I go??
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:32PM PST
Alex loves his pump!! He doesn't understand why we waited so long and why all type 1s aren't pumping
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:32PM PST
Wow that's great Leann!! Congratulations!
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:33PM PST
Yes . . .having a blue pancreas is kind of a novelty . . .
Melissa: I hope you get that pump SOON!!
Bruce @ 209.183.23.200 . . . . Wed, Oct 20, 11:34PM PST
just dropping in to lurk
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:34PM PST
I'm so happy with our dr. he waited until Stephanie said she was ready, she had lots of pressure for the last 2yrs. but was afraid that she would sneak to much food and gain weight. She is really trying to keep that under control, and is doing really good with it her last A1c was 7.9 which was down fron 8.5 then 8.9
She is doing great in 1 year. I feel she realizes that what she does effects her life and nothing I do for her can help she has to be the one who does it. I AM SO HAPPY she is growing mentally up.
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:34PM PST
Delaine, would it be ok to put that on a webpage? There really aren't a whole lot of articles out there about exercise and diabetes, let alone pumping and exercise! If I could put it on a webpage for you, people can print it! I'll put the copyright info at the bottom for you also if that's a problem!
John @ 169.207.77.37 . . . . Wed, Oct 20, 11:35PM PST
Leann, Thanks you soooo very much, you have been very helpful. GO ALEX !!
isiah @ 136.186.1.117 . . . . Wed, Oct 20, 11:35PM PST
Take good care Delaine, I'll catch up with you soon sometime!! btw..*wink*..I'd LOVE a copy of your little article!!
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:36PM PST
That's great Carol! Good for her! Hey Bruce! How are you?
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:36PM PST
anytime John :-)
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:37PM PST
John, how old is your child with D?
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:37PM PST
Delaine, Thank you soo much for coming tonight! I appreciate it very much! YOu've been very helpful! Thanks!
Bruce @ 209.183.23.200 . . . . Wed, Oct 20, 11:37PM PST
fine here ... mind if I lurk a bit?
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:37PM PST
I know its hard to get to the nurses office, but life if hard, and we do what we have to do to manage, sometimes though we make mistakes, and usually life goes on.
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:38PM PST
Absolutely Melissa.... I will forward it to you for that purpose as well. Thanks so much for the invitation to join this group tonight. I wish everyone continued health and happiness! :)
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:38PM PST
Go ahead! I see you've been helping folks again with their insulin ratios! Did I tell you Kristina's A1c is down to 7.4 now? LOL and those afternoon lows WAS from the U! The doc reduced it considerably!! LOL
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:38PM PST
You're definately right Carol . . .sounds like Stephanie (and you) are both ready for a pump . . it does take some work but it really does make things so much better. In terms of control and just enjoying life more!!
John @ 169.207.77.37 . . . . Wed, Oct 20, 11:38PM PST
Melissa, that's our problem, crazy schedule! Sometime she goes right to music lesson from soccer and then dinner is late.
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:39PM PST
Oh that'll be terrific Delaine! Thanks!
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:39PM PST
This chat forum has been very informative and helped me so much. Tomorrow I'm going to let Stephanie read all that was written, I think that listening to people that has the pump will encourage her, it has sure encouraged and enlightened me THANKS TO EVERYONE. I guess I'd better go now to its late and tomorrow is a school day.
Bruce @ 209.183.23.200 . . . . Wed, Oct 20, 11:40PM PST
was someone talking about me? hmmm should I hide?
Delaine M. Wright, MS, CDE @ 38.150.214.89 . . . . Wed, Oct 20, 11:40PM PST
Good night all!
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:40PM PST
THANKS DELAINE BYE
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:40PM PST
Wow John! All we have is soccer!! LOL But practice is 1 1/2 hours and then we have to wait around another hour for Kristina's brother to get done with HIS soccer practice! I'm about ready to set up the tent and a barbeque at the soccer fields! LOL
John @ 169.207.77.37 . . . . Wed, Oct 20, 11:40PM PST
Leann, my daughter, Erica, is 16. Been on shots the last 2 1/2 years
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:40PM PST
goodnight Carol and Delaine
carol @ 216.68.130.99 . . . . Wed, Oct 20, 11:40PM PST
WHO ARE YOU BRUCE?
Bruce @ 209.183.23.200 . . . . Wed, Oct 20, 11:41PM PST
that is great Melissa!!! good going Kristina!!! so everything evened out?
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:41PM PST
goodnight carol --Good luck!! Good night Delaine :)
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:41PM PST
Nite Delaine! Thanks again!! NIte Carol! I'll have this all posted in the archives tomorrow!! Bruce, no, LOL I was reading your conversation from last night! I sent you an ICQ message... did you get it?
New Pumper @ 168.191.126.170 . . . . Wed, Oct 20, 11:41PM PST
John-- do you have any other pump questions? I'm 17 and pumping 6 weeks
Bruce @ 209.183.23.200 . . . . Wed, Oct 20, 11:42PM PST
me?? I am just me, Carol. or do you want a biography? LOL
John @ 169.207.77.37 . . . . Wed, Oct 20, 11:42PM PST
I like that barbeque idea.
Leann(IN) son Alex(10) pumper @ 216.176.151.159 . . . . Wed, Oct 20, 11:42PM PST
John, i say if she is interested in the pump, Go For It!
Goodnight all
Bruce @ 209.183.23.200 . . . . Wed, Oct 20, 11:44PM PST
not yet Melissa ... I will open it now. I shut down ICq since my pc is giving me big problems if I have too much running ... I was desperate so everything got closed
Melissa (POM) @ 209.48.244.38 . . . . Wed, Oct 20, 11:44PM PST Bruce, things are better now that the insulin is evened out! But the 7.4 is from alllll those lows she was having!
Carol, Bruce is an old friend and long time chat buddy who's daughter was on U and H and is now on the pump! Bruce is VERY knowledgable about diabetes and loves to help people figure out why they're going too high or too low or whatever!
Thanks to everyone who came tonight! This has been a really good chat... a topic I've never done before! This was great! thanks!
