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Thrown by comments at clinic

iHs said:
Thank goodness I dont suffer with Addisons. Diabetes and Coeliac disease is enough to contend with
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Lol I have that too plus lactose intolerant :rolleyes: but am fit and healthy honest ;)
 
CarbsRok said:
It's a known fact you do not follow up with slow carbs whilst using a pump.
Rule of 15 is treat wait 15 mins then if no rise or dropping then treat again with quick acting carbs. Using slow carbs will only slow the absorption of the quick acting.
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Just checking the handout I got about the 15:15 rule, it doesn't make any mention if you have IOB from your previous bolus, I know on MDI I would follow up with a slow acting carb if it was within 1-2 hours of injecting as the insulin has still not reached its peak, why is different on a pump then Carbsrok? Surely if your bg was climbing back up into the late 3's a carby snack wouldn't interfere with the fast-acting glucose as it's had 15 mins to absorb.........if you get what I mean.
 
iHs said:
Thank goodness I dont suffer with Addisons. Diabetes and Coeliac disease is enough to contend with
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Addisons is the pituitary/adrenal gland at the back of head ?
That correct ?

I got tested for this right off on my very first appointment with my diabetes consultant .
He asked me to do a full 24 hour urine sample and this was tested for cortisol levels
in my urine .
Plus a back f throat swab after midnight was collected .
Then had 2 lots of blood tests done .
Results were I hadn't got it though one test was a positive for something
I cant remember what nurse said it was I was too zonked out to retain this info .

Cortisol is the bodys fight hormone ?
Battles off illness and bugs and infection ?
That correct ?
 
anna29 said:
Addisons is the pituitary/adrenal gland at the back of head ?
That correct ?
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Adrenal glands are in the kidney area :)

Cortisol is the bodys fight hormone ?
Battles off illness and bugs and infection ?
That correct ?
Click to expand...

Yes so if you have an infection you have to take extra steroids to help out. My consultant insists if I vomit twice I have to go into hospital. I didn't hear him say that and tend to inject steroids if I start to get into trouble for some reason.
 
I haven't even got glycogen from my diabetic nurse, should I have it in the house in case?
 
@iHs she was definitely talking about the injection not the gel, I had no IOB as I hadn't eaten yet that morning.

I used 3x glucogel in treatment.

Re nicking blood vessel, maybe but this hypo week went over 2/3 canulas. Chances of that happening? Slim to none I would say.
 
Crikey. I do differently to everyone!!

If in 3's I have 3 maomi pinballs as my hypostoppers.

If under 3 them I have 5 of them. Only once caught out when I was sick pre xmas after a huge bolus and even with glucogel could not stop myself sinking but knew I was going to be in trouble so got hubby to call paramedics as I've never had to have an injection from partner I gave up on getting one of these years ago as they just went out of date.

If I've had any bolus within 5 hours I will eat 1 or 2 rich tea biscuit if in the house or something up to 10g carb only if I'm below 3.

I think its all individual to be honest. We all have differing physical activity stress etc and a carte blanche from a consultant saying to eat xx is the consultant trying to help but not necessarily understanding specifics about yourself. I think they are more worried, rightly so, that you get out and stay out of hypoland...
 
donnellysdogs said:
Crikey. I do differently to everyone!!

If in 3's I have 3 maomi pinballs as my hypostoppers.

If under 3 them I have 5 of them. Only once caught out when I was sick pre xmas after a huge bolus and even with glucogel could not stop myself sinking but knew I was going to be in trouble so got hubby to call paramedics as I've never had to have an injection from partner I gave up on getting one of these years ago as they just went out of date.

If I've had any bolus within 5 hours I will eat 1 or 2 rich tea biscuit if in the house or something up to 10g carb only if I'm below 3.

I think its all individual to be honest. We all have differing physical activity stress etc and a carte blanche from a consultant saying to eat xx is the consultant trying to help but not necessarily understanding specifics about yourself. I think they are more worried, rightly so, that you get out and stay out of hypoland...
Click to expand...

Thats an interesting choice of snack, are they hard or chewy?
I honestly tend to stick with Juice as even coke bumps me up and drops me just as fast.

It wasnt so much the carb thing that got to me it was the 'Orange box' as We always call it. I'm still in disbelief!
 
iHs said:
You should get some Glucogel either from Dsn, GP or buy privately at any pharmacy.
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Cheapest way to get the equivalent of glocogel/hypo stop is to go to the cake dept of any super market and buy a tube of liquid glucose. It also tastes better and just over £1 a tube where as glucogel costs about 10 times that amount to the NHS.
 
CarbsRok said:
Cheapest way to get the equivalent of glocogel/hypo stop is to go to the cake dept of any super market and buy a tube of liquid glucose. It also tastes better and just over £1 a tube where as glucogel costs about 10 times that amount to the NHS.
Click to expand...
I think glucogel is deliberately disgusting to stop people taking it that aren't supposed to.
 
I use dextrose tablets and have a pump. I'm usually very frugal with hypo treatments and rarely ever take or need the 10-15g fast acting carbs. The couple of isolated times that I've had hypos that were difficult to treat at night ie rising a bit then falling back then I've followed up with longer acting carbs and reduced my basal for the rest of the night ; belt and braces maybe but I'd rather go to sleep without fear. It happens so rarely that I think that there must be some reason that they hypos has occurred.(unusual absorption, or lots of exercise in the last ) Whatever it was, I want my glucose levels higher for the rest of the night.
. On the times it has happened, I haven't woken up to high levels either.

I've read of parents injecting small doses of glucagon as a 'rescue' dose .It seems that's it quite normal procedure to recommend that.(if sick or they won't eat carbs) but some parents seem to mention using it more proactively than that, for 'mild' hypos.
If everything is working properly then the body itself would release glucagon . One of the 'artificial pancreases' being trialled has both insulin and glucagon.
It would be very necessary though to know what constituted a mini dose for an adult. If a doctor was suggesting it, as seems to be the case here then I would like to have advice on dosing. The side effects of a full dose are reported to be quite unpleasant.
http://www.health.qld.gov.au/caru/networks/docs/parentsguide.pdf
It seems that manufacturers might even be about to supply a pen capable of providing mini doses . It wiil last for two years at room temperature, They are hoping for US approval in 2016
http://www.diabetesdaily.com/blog/2014/12/update-mini-dose-glucagon-coming-soon/
 
CarbsRok said:
lol me to. Do they check the pit for Cushing's?
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Yep - was checked for cushings too .
But they said it probably wasn't this - as am too tiny in frame and build .
 
tim2000s said:
I think glucogel is deliberately disgusting to stop people taking it that aren't supposed to.
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I cant hack it at all - its like yucky slime to me . :yuck:
Always use the kiddies small jelly babies or
glucose tablets (blackcurrant flavoured ones only)
 
anna29 said:
Addisons is the pituitary/adrenal gland at the back of head ?
That correct ?

I got tested for this right off on my very first appointment with my diabetes consultant .
He asked me to do a full 24 hour urine sample and this was tested for cortisol levels
in my urine .
Plus a back f throat swab after midnight was collected .
Then had 2 lots of blood tests done .
Results were I hadn't got it though one test was a positive for something
I cant remember what nurse said it was I was too zonked out to retain this info .

Cortisol is the bodys fight hormone ?
Battles off illness and bugs and infection ?
That correct ?
Click to expand...
Adrenals are controlled by the pituitary gland in the head so you were almost right.

A lot of things in the body are controlled by the pituitary gland but it is unbelievably tiny, like a pea or so in size.
 
Engineer88 said:
Thats an interesting choice of snack, are they hard or chewy?
I honestly tend to stick with Juice as even coke bumps me up and drops me just as fast.

It wasnt so much the carb thing that got to me it was the 'Orange box' as We always call it. I'm still in disbelief!
Click to expand...


I only have maomi pinballs as my stomach stopped working properly when eating jelly babies or anything jelly.

They are 5g of carb each... But hard outer... So ideal for not going soft and squidgy in car whilst I'm working in the summer.

Trouble is they are totally yummy.. I mean totally!! It requires total willpower not to eat more.

In fact if I drop to 3-4 levels I end up wishing I had dropped more so I could have ate another one or two!!

They work I would say faster than jelly babies to be honest once through the outer case...can't recall having to ever have more...(shame!!)

They are family size bags. Tesco sometimes have them on offer for a £1 and I stock up then. Never get fed up of them either!

In house I will still have a warm drink with sugar so I still treat the pinballs as a treat. If I wake up hypo during the night I have no problem mumching them because even at night and just woken up in my brain they are still an absolute treat. Even more pleasurable when with my hubby as he likes them but will never take any because he knows they are my "medicine". Even at night when he's asleep if I have to have them I still think that he's missing out...never felt that way with jelly babies as nobody really wanted them!!!
 
CarbsRok said:
Cheapest way to get the equivalent of glocogel/hypo stop is to go to the cake dept of any super market and buy a tube of liquid glucose. It also tastes better and just over £1 a tube where as glucogel costs about 10 times that amount to the NHS.
Click to expand...

Only problem with that is Glucogel or Hypostop comes in a plastic bottle with a long red thin twist up nozzle making it ideal to squeeeze into the mouth of a little one or to squeeze small beads into the corner of someones mouth who wasnt the full shilling and needed help. I have never asked for it to be prescribed and have purchased it privately through pharmacy. Of course, when the Glucogel bottle has been emptied, it could be re filled with glucose liquid which can be bought fairly cheaply at a lot of supermarkets.
 
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