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Being Pro-active vs. Re-active

Dr. Ferrer's Words of Wisdom

Being Pro-active vs. Re-active
By: Aimeylux

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Dr. Ferrer's Words of Wisdom - Apr 13
I've managed my Type 1 Diabetes for the past seventeen years with countless insulin injections and blood testing machines. I've lived and worked all over the U.S. and have ...
Posted: Apr 13, 2009 17:34
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  • Dr. Ferrer's Words of Wisdom

    I've managed my Type 1 Diabetes for the past seventeen years with countless insulin injections and blood testing machines. I've lived and worked all over the U.S. and have been treated by many doctors and nurse practitioners, but it wasn't until I moved to Houston that I received some words of wisdom that completely changed the way I control my blood sugar: "Be PRO-active, rather than RE-active when it comes to your insulin," says Dr. Dennis Roy Ferrer of the Kelsey-Seybold Clinic in Northwest Houston, TX.

    And it all clicked. For years and years I had always approached my Diabetes with a completely different mindset. I had been right on top of RE-acting to my high blood sugar levels right away, (you know, taking 2-4 units of fast acting insulin after I ate or as soon as I found out my sugar was high) but I was never really thinking ahead. Dr. Ferrer taught me that I should take 2-4 units BEFORE I eat, that way the insulin is already working by the time the carbohydrates start kicking in. "But what if my blood sugar isn't even high to begin with? What if I crash?," I asked, worried that my blood sugar would get too low if I took insulin before eating. But Dr. Ferrer assured me that wouldn't happen... so I tried it!

    It works. If you "think ahead" and take your fast acting insulin before you eat a meal, your blood sugar will not peak as much (if at all!) as it does if you don't take any at all. Duh, right? Why didn't I think of it this way before? No more ups and downs, highs and lows for me! Now I'm right on track and being "PRO-active" with my insulin.


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  • By: FatCatAnna: Apr, 13, 2009 20:23 PM

    Hey Aimeylux - great blog and welcome to Diabetes1!  I like Dr. Ferrer's PRO-active statement! Wish I'd had an endo like that over the years.  I started doing what you do after many years of ups/downs with BG's with taking multiple doseage injections (MDI). Do you take any long lasting insulin like Lantus? 

    I started to learn how many points my BG went down when I injected 1 unit of fast acting insulin - and then BANG - I was off on a good course of controlling my BG's so I wasn't on a roller coaster ride (and I love roller coaster rides - but not with my body/brain so to speak).  What also has helped me understand how insulin/carbs work is by getting the book called  "Pumping Insulin" by John Walsh and Ruth Roberts.  I used this book for about 5 years before going onto the insulin pump.  BTW, the book doesn't have to be used just by insulin pumpers - it's good for all of us that are on insulin.

    Just curious - What do you do tho' - if you haven't been able to eat all the food that you've injected insulin to cover? Do you get ready to crash - or just keep on eating even if you don't want to? That's one thing I like about the pump - is I can do a combo bolus - and spread it out - and if I can't eat everything - I can stop delivering the rest of the bolus into my body. It's taken me a year to learn this with the pump (I am a slow learner <lol>). Before withMDI - I would sometimes inject afterwards - to cover just what I'd eaten - which is probably what you do as well.


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