Blog Entries With Tag: John Walsh


Posted: Jul 7, 2013
Image of high 5 cat from reallyfunnypictures.co.uk

I had attempted an overnight basal test on Friday - but that was a failure with going low (3.2/57) - but last night - with having tweaked basal rates abit was SUCCESSFUL!!  I went to bed at 6.2/112 and woke up to 5.4/97.  During the night around 5 AM I had gone to 4.2/75 - but according to Gary Scheiner's book 'Think Like a Pancreas' - he says staying within a 1.7/30 up/down range from your original starting BG (blood sugar) - I was in the good zone. 


I have to admit - I'd like to be abit higher overnight with my BG - more in the 6-7/108-126- - so will tweak basals eventually - but am so looking forward to having a solid sleep tonight - as last few nights have been very broken with getting up every hour.

I guess this would be where a Continuous Glucose Monitoring System (CGMS) would come in handy - I know of some US health centers loaning them out to patients - but when I asked my endo about whether this was possible here in Montreal - he said no.  Anyway, the good "old fashioned" way of testing with the blood meter went well.

So much more precise than the urine testing in my earlier days of diabets control as I'm sure many of you will agree on!

Curious - how often do you test your basal rates (pumper or MDI)?  I have to admit - I blog about it "how to do it" - but have never really done a full night one before until having had difficulties the past month with low BG's since starting back on the pump after my break from George Michael.

I know that due to not having a Certified Diabetic Educator (CDE) or endocrinologist (endo)  to show/tell me how to do these sort of tests - I've pretty well had to go with what I read in books that others have recommended within the DOC (diabeties online community).  I have to admit - this time I was using Gary Scheiner's book I mentioned above instead of the John Walsh book - 'Pumping Insulin'.  I actually found Gary's book abit easier to understand - he writes more from the heart with being a Type 1 diabetic (T1D) like myself - and a pumper as well.  Both books though are very good - so they have many dog earred pages!

Picture courtesy of Fiction Writers Review
                                                 Picture courtesy of Fiction Writers Review

There's a few more tests I'm going to be doing over the next few months - to get more use out of my pumps programming (e.g. I have a feeling due to my sensitivity to my insulin - that perhaps my carb ratio is set too low - there are tests in both books that talk you thru' how to perform this).  The pump as some people think doesn't mean you'll have better control of your diabetes if you DON'T use it properly.  The same applies to multiple dosage injections (MDI).  You are the brains behind these devices we use - they can only help - if you know how to use them - along with help from your health care team (provided they are up on all the latest and greatest).

I know some of you may think it's dangerous for me to be doing this on my own - but sadly - not all of us have the resources / services available to us - and this is the only route we can go.  I would LOVE to be able to have a CDE or endo that understood the fine tuning of the pump - but alas - I've not lucked in as of yet.  A few years ago my GP had referred me to an endo here in Montreal that does research in the diabetes field and works with pump patients.  Sadly, when I saw her (Dr. Natasha Garfield) - she told me that my A1C of 5.9% at the time was dangerouosly low if she was to take me on as a patient.  I had hoped due to her having a team of CDE's trained in the pump area - that I'd be able to go to them for help when I needed it.  So, I walked away with my tail inbetween my legs and carried on the way I always do.

The Cat that Walked by Himself - by Rudyard Kipling
The Cat That Walked By Himself - by Rudyard Kipling - picture courtesy of  -http://www.mainlesson.com

So, this is why I do my own thing - and again - some of you maybe in the same boat as I am.  So far though, I seem to be on the right track - despite the little roller coaster ride from time to time that we all have with this disease!
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Posted: Oct 4, 2010

B/W photo of mouth biting bullet


I've been back on the pump for 3 weeks now - and starting to experience the same problems as I did when I decided to go off the pump back in April for my "MDI experiment".  Having issues with F-d up BG's in the morning (high) - and it's almost like I'm injecting water into my body with the BG readings I've been getting.

Pumping Insulin by John WalshI've pulled out my trusty Pumping Insulin book by John Walsh - and of course - right there it says "Always seek the advise and guidance of your physician and health care team.  No book can ever help you as much as they will".  Easy phrase to type out, but to find an endo with pump experience or CDE is like looking for a needle in a haystack here in the part of Canada that I live in (let alone find one that I can converse with in English). I've blogged about this a few times and I'm beginning to sound like a broken record, but it's starting to get somewhat annoying when all my American friends in D-OC beat their chests about their CDE's , etc.  It makes me feel like a real whinner when I continually Tweet about the lack of finding someone!

So, I'm going to try to understand this book as much as I can (technical books aren't as interesting as the romance books I read ) and I've put in a plea for help to Animas Canada to see if they can find someone I can talk to and understand how to use this expensive piece of technology better.  I have to admit, I did find my BG's better on MDI, but I found it a chore to constantly remember to jab and this is what I like about the insulin pump, if only I didn't have this roller coaster ride with my BG's!  I just would like to learn how to use my insulin pump as best as I can!

Back to reading / highlighting and patiently waiting to hear from someone who can help me  (I would sell my soul to be able to have an endo that completely understands pumping)!


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Tags: endocrinologist (1) CDE (1) John Walsh (1) Animas (1) pump (1) endocronlogist (1) MDI (1) insulin (1)
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Related posts:

Type 1 vs. Type 2  |  In a slump and scared  |  Surviving the Holocaust with Type 1 diabetes  |  My first month with Bowie my Dexcom G4 CGMS  |  Edmonton man denied insulin for 20 hours  |  Crack Free #ShowMeYourPump  |  Jenna and The Hypo Fairy  |  Welcome Ziggy Stardust  |  Wearing a dress with medical gadgets  |  Pre-op visit with endo at hospital
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