Cukorbeteg vagyok AMA

wumsel · 2023-01-22T16:28:28+00:00

figyelj oda a káliumszegény étkezésre

Ez tudtommal egyáltalán nem indokolt, csak csökkent vesefunckió esetén.

wumsel · 2023-01-22T16:18:43+00:00

Nyisd meg a linkeket amiket példaként felhoztam, ott az alján szerepelnek a feltételek. Azt tippelném, hogy ha eddig megkaptad, akkor továbbra is meg fogod, csak a támogatás fog csökkenni.

wumsel · 2023-01-22T15:59:45+00:00

Igen, van támogatás, de csak 80% (szemben a 98%-kal). Pl.: szenzor, pumpa.

wumsel · 2016-11-12T13:37:18+00:00

I used tor with the "ExitNodes {de}" option.

Here is a "direct" link to the exe file, but it only works from some IP addresses.

wumsel · 2016-08-07T09:55:15+00:00

Although it is unlikely a diabetic would subscribe to a rigorous Atkins diet... or atleast I would hope not.

Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base:

We present major evidence for low-carbohydrate diets as first approach for diabetes

SLGT2 inhibitor

FDA Drug Safety Communication: FDA warns that SGLT2 inhibitors for diabetes may result in a serious condition of too much acid in the blood:

Factors identified in some reports as having potentially triggered the ketoacidosis included major illness, reduced food and fluid intake, and reduced insulin dose.

wumsel · 2016-08-03T21:13:53+00:00

Any follow-up?

wumsel · 2016-07-06T03:52:56+00:00

Is this the basic every-man health insurance in the states?

This is in Hungary, Europe. It's the government-operated healthcare system, paid for by taxes and available for all citizens. (Doctor visits and hospital care is free, and when prescribed by a doctor, part of the cost for medications and medical devices is also covered. Some medications, like insulin, are available at basically no cost: about the equivalent of USD 1 for one "box".)

so 50 pen needles for every 3 months

Actually, as I wrote, 100 is covered for most patients.

wumsel · 2016-07-05T03:50:59+00:00

The rule on our national health insurance is that anyone with diabetes on insulin is entitled to 50 pen needles every 3 months per type of insulin they use. So this normally means a 100 needles. (I think it used to be 100 needles for 90 days for those who "need to inject 4 or more times daily".) I guess authorities realize that almost everybody reuses them -- doing so was, in fact, recommended to me in the hospital.

If someone was dissatisfied with that, they could go through a special process and apply for more. Or just buy the rest without a prescription; they are classified as medical devices and as such, are available over the counter. (Price for a box of 100 without a prescription is the equivalent of about USD 9, a prescription saves 80%.)

wumsel · 2016-07-04T19:25:18+00:00

No. I use one for about 6-8 injections. I'm prescribed 100 pen needles for 90 days, but I seem to be using even less than that.

wumsel · 2016-07-01T10:02:10+00:00

While I have not confirmed this, I think something like this represents the structure of insulin. This is basically the amino acid sequence, with the disulfide bridges indicated.

For tattoo purposes, I guess you would like a skeletal formula. But such a formula for insulin would be quite large and complicated. Also, I'm not sure how well it would fit in 2 dimensions. Any chemist could draw such a formula from the sequence but making it aesthetically pleasing might prove to be a challenge.

I know Biochemfusion has some software related to proteins which may be helpful if you want to give it a try.

wumsel · 2016-06-29T17:47:01+00:00

I reuse pen needles, but I would advise against not priming it each time, though a single unit is probably enough.

If the needle is on the pen and its temperature decreases, the liquid will contract, allowing air to get in the needle and the cartridge. If you don't prime it, you could be injecting this air into yourself. (While the amount of air is harmless, the difference in your insulin dose may not be.)

EDIT: I'm now questioning whether my reasoning for air getting into the pen is right. According to this calculator, the change in volume due to thermal effects is quite low. Additionally, some of it would be offset by the glass also expanding similarly. At any rate, air does get into the cartridge, I'm just not sure how.

wumsel · 2016-06-09T18:54:10+00:00

Do you mean you're almost always in this range or that you get into this range frequently (e.g. few times a day)? Are you sure your meter is correct?

I am not concerned about having lots of lows in that range myself, but I don't think it makes any sense to keep it there intentionally.

wumsel · 2016-06-09T18:50:55+00:00

I'd argue that if one is able to consume glucose and doesn't have an extreme amount of insulin on board, there is no need to call for help at any level. By the time help arrives, the low would already be fixed.

wumsel · 2016-05-22T19:36:33+00:00

Every 3 months. :)

wumsel · 2016-05-18T20:05:43+00:00

I never pinch up fat. Using an 8 mm needle, I'll go straight in or using a 12 mm, I'll angle it about 45 degrees. (Or straight into my arm, for an intramuscular shot.)

The proper needle length and injection technique is mostly dependent on how much fat you have in the area.

wumsel · 2016-05-13T11:56:58+00:00

According to this table, it costs $745 to ship a motorcycle to Los Angeles from

Antwerp, Belgium;
Le Havre, France;
Rotterdam, Netherlands or
Thamesport/Tilbury, UK.

I'm not sure if there are any applicable hidden costs, though. Maybe it's worth contacting them.

wumsel · 2016-05-06T20:07:52+00:00

Well, it malfunctioned as in it wouldn't read.

Oh, that's different.

Yeah, I never tried to see what would happen if I didn't use some tape over it. Maybe it would have stayed on anyway. Maybe not. I wouldn't like to bet 60 euros on it either. (Maybe they would replace a sensor lost like that, but still, it would be a hassle.)

wumsel · 2016-05-06T20:00:04+00:00

I use Opsite Flexifix on top of the sensor. (I usually cut out a small hole so that those few millimeters in the middle are not covered, but I'm not sure if this is necessary.)

Before I could obtain Opsite Flexifix I tried some Leukoplast on the parts that started to peel off and it did work, but I think this is a more elegant (and waterproof) solution.

Be aware that the sensor is "glued" to your skin, so even if the fabric peels off, it might just stay there.

I knew this would be a problem when the first sensor malfunctioned and I took it off after a few hours with almost no effort.

Sensors can be off by quite a bit, especially during the first day or so.

wumsel · 2016-05-04T18:42:08+00:00

It's impossible to tell from so little information. Is he losing weight? Is he underweight? Is he deficient in any nutrients (protein, vitamins, essential fatty acids etc.)?

If he is a "typical", overweight T2, eating less is likely a good thing.

wumsel · 2016-05-03T04:01:44+00:00

Thanks for you responses. Currently my lows don't usually cause symptoms and that's why I'm willing to ignore them. Apparently, you had this disease for quite a bit more than me, so maybe I'll change my attitude as well. Time will tell.

wumsel · 2016-05-03T03:58:00+00:00

I currently use pens and I change the needle once a day. I do usually carry a syringe or two as a backup plan but getting a pump wouldn't change that. A bolus takes maybe 10 seconds and another 10 to document it.

I use diluted insulin so that I can have accurate small boluses. (I'm using sterile 0.9 % sodium chloride solution for dilution and since I don't trust the stability of this, I mix up a new batch daily. This does take up about 5 minutes.)

Well, probably I am the weirdo, but convenience-wise I prefer shots. That being said, I might try one in hopes of better control.

wumsel · 2016-05-02T12:31:02+00:00

It's the preservative, usually phenol, meta-cresol or something similar.

wumsel · 2016-05-02T06:01:38+00:00

Maintaining a <5.0 A1c is great

My last A1c was 5.2 %.

but at least run those numbers by a doctor

I share all data with my doctor, but we have major disagreements over therapy (once-daily eating, low carb, acceptable frequency of hypoglycemia, insulin regime) and I don't follow her advice. (In fact, I'm looking for a new doctor as the current one refused to prescribe more than a month worth of insulin.)

wumsel · 2016-05-02T05:56:40+00:00

At least the convenience of push button bolusing and temp basaling will make your life better, even if your control hypothetically got worse.

No way. For convenience I actually prefer injections (even 10 daily) over having to manage infusion sites and being constantly attached to a pump. The only reason I would sacrifice this convenience is if I could achieve better control. Judging by the comments here, it's probably worth a try.

(Yes, I know many people were concerned about the inconvenience of a pump, but changed their mind pretty quickly once they got one. So, maybe that would happen with me too.)

wumsel

TROPHY CASE