Good morning from Lahore, Pakistan.
At the first place I am surprised to find your great response which is far rather very far away from my own expectations.
I really have no words to praise your great & superlative remarks & comments. I am surprise in terms of the fact that can a person be so generous, kind and sincere like you to help out someone like me in such a brilliant way?
Though, I am more than 100% agree with your comments regarding healthcare advises which are too valid in a realistic world but believe me from your above response, if it doesn’t look like that you are more than that but, atleast, & based on the above marvelous response you are not too far behind from any regular healthcare professional. I am highly impressed & highly obliged.
The beauty of your response is that you have covered almost all the requested information brilliantly and also in concise way by giving some outstanding practically observed example from real daily diabetic life.
Your guesswork findings are almost true. For example, you have anticipated HYPO during & around 2AM, it is highly true as I have faced atleast 3- 4 HYPO episodes during the time 3AM & 4AM in the last 6 week. Suddenly, I woke up from sleep and feeling uncomfortable like weakness in legs, cold sweating, heart rate feeling like sinking & strange anxiety. I took at once chilled juice (about 50ml) every time and in all cases got better within 20 minutes.
From your highly informative content which is a blend of deep practical experience & knowledge, I understand, fixation of insulin daily doses as fixed units have no importance rather it may be changing everyday accordingly the situation on that specific day & time. For example, If i m taking 20 units routinely then I may adjust it as many times as needed. Right?
2nd thing I understand is, instead of premix insulin (like humulin 30/70), rapid acting insulin in combination with long acting give us more flexibility in terms of meal schedule & control on BG. Right?
It also provides freedom to eat to a certain level. Right?
I will try to find your recommended book from local market & will update you accordingly please.
If not get from local market then I will try to use few contacts to get one from UK.
Now few more questions please, if u don’t mind please:
1- From few crude testing (not too much accurate), I have seen that during morning & breakfast same amount of insulin ( 20 units of humulin 30/70) produce less good results in comparsion to the same amount as stated above in the afternoon & lunch. Let me put it in this way, If I consume 50g of carb in morning during breakfast then BG first went skyhigh (around 300 or 350) in about 75 minutes while premeal (breakfast) reading was 110 or 95, then after 3-4 hours it came down to 170 - 190 & after 6-7 hours of breakfast it came inside 100. Then before lunch I took another dose of 20 units & consume same 50g of carbs but this time found different result from morning, though BG went high enough but didn’t stay there too much and came down inside 170 in less than 3 hours. Can u help me please?
2 - Is it possible or there is some possibility exist to use rapid & long acting combination & go on to fast?
This would be your extra ordinary help as fasting month has been expected to start here in next 8 days. Fasting duration will be around 3: 15Am to 7:03 PM (almost 16 hours). I have been unable to keep fast since the year 2011 or 2012. I tried in the past but resulted in high BG after taking pre dawn meal, and after that too much urination resulted in severe dehyration within 4- 6 hours after pre-meal so I couldn’t go on. Then I tried different things like adjusting doses in terms of units but everytime ended up either too low or too high followed by too much urination within 5-6 hours. Then I decided to give up since then.
But after reading above specially rapid + long acting formula, I am thinking, may be there exist some hope? I mean, there may be a way there to apply to keep fast while keeping BG level nicely during entire fasting period?
May be there a possibility exist to take & adjust rapid in such a way that it may cover pre-dawn meal perfectly without too high BG spike for too long and then long acting keep the routine BG under check through out the day till sunset?
GOD BLESS you & stay healthy,
(Lahore 36C, 1150 Hours)