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This is a very valuable thread...
I have a couple of other things to add...
One is post-prandial sugar spikes. These may be the real culprit to PN. Newer control measures for diabetics contain ways to prevent huge spikes in blood sugar right after eating. Now that I am getting much older..I find I have to have a small bit of carb now and then. I keep them below 70 cal if I have a snack. The doctor wants me to have a very sour thing twice a day...so I sneak in a Jolly Rancher. (to keep my saliva flowing and the glands from swelling). Cinnamon is now available in capsule form. I am currently examining this for myself, even. http://altmedicine.about.com/od/cinnamon/a/cinnamon.htm |
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It's a shame about your other friend too. If she has gastroparesis and she's eating a lot close to bedtime, the food will be trapped in her stomach when she lies down to go to sleep and her glucose levels will be elevated for several hours afterward. She may even have elevated glucose levels when she first gets up as a result of food not being completely digested from the night before. This can lead to all sorts of complications. There was more I wanted to add, but I'm having a sudden attack of brain fog and exhaustion so must stop here. Thanks so much for your post. fanfaire :cool: |
Melody, I'm so sorry for your friend and the family. My heart goes out to them and you.
Great job on 11 days. I really can say I'm a sugar addict. Its such a cycle. My sugar levels though are fine but I feel yuck from it. I'm sure it contributes to my stomach issues and overall bad feeling. My nutritionist said its normal for people who have had long term starvation even after weight restoration to crave it. Something about the brain still being in that mode. My calorie needs are super high too still which I know many would love but is a chore especially when there are still the mental parts I battle. Anyhow I'm not into diet books but there are a lot of health books now focusing on food and pain. I do like that Dr oz on Oprah he seems great.Like I said on another post I encourage a good and that is the key nutritionist. I really can say without mine and the road map of a meal plan I would be sick still in that way. A good one can help with the mind and body connection. So much is mental when choosing foods. A ? my endocronolgist said hypoglycemia which I was told I had in the past is not a real issue that its just when you go too long without eating. Can someone explain? Also could an issue like that contribute to pain? I know it can contribute to dizzy. |
Hi Daniella;
As someone explained to me, when we have an episode of hypoglycemia (low blood sugar), that also, can inflame the neuropathy. I never knew this. I always thought, high blood sugar, bad day of neuropathy. It never occurred to me that if my sugar reading was like 60 (if it does that, I start to lose my vision), this rarely happens, but it has happened on two occasions. I was asking questions on this topic and someone on the boards explained that when your blood sugar readings are erratic, well, yes then, it can lead to the neuropathy flaring up. So, wonder of wonders, I got up this morning and my sugar reading was 100. I could not believe it. It is usually 123 to 135. Sometimes it's 117 but never, never has it been 100. I have been good in my eating habits. Don't cheat, I walk every day. I just do it, I don't think about it. I cut out all the refined carbs and sugars a long time ago. Made the decision, implemented it, never looked back. I guess that's how my mind works. I think there's a bit of OCD going on there. But who cares?? Now my Lantus intake is 30 in the morning. When I began the Cornell protocol it was 46 of the Lantus, along with metformin. As I began to lose my weight, they first took me off pills. Now I had been on various oral meds for 15 or 16 years at that time. I was amazed that they could take me off half my pills. So I began the 46 of the Lantus. Over a period of 2 years, they would lower it by 4 units at a time. They would go according to my A1c which kept lowering. I started Cornell with an A1c of 9.0 and now I'm 6.1. Not bad for a person with diabetes. A non diabetic would be about 5 (at least that is what I have been told). I go again in October. If my sugar continues to be controlled, I believe they will lower my Lantus to 26. Can you imagine?? From 46 to perhaps 26. They even believe I will someday be off all meds. That is if I can achieve a weight loss that is perfect for my body. Now I have no idea if this will occur. But they explained this to me. As you lower your Lantus, the fact that you are on less insulin, well this means your body will lose weight easier. I never really understood that diabetic meds are a double edge sword. They keep you from losing the weight you wish to lose. The only oral med that doesn't do this is metformin. But in my case, it didn't do a darn thing except keep me in the bathroom, but I didn't lose any weight on it. But as soon as I began the Cornell Protocol and I took this very seriously (and unfortunately I had to be the age of 56 to do this), well, slowly, very slowly, the weight is coming off. And it's coming off faster now, because I'm on less insulin. I cannot wait until the day I go there and I weigh what a 5'7 inch person is supposed to weigh. I will probably start hooting and hollering. I never knew a person of 59 could do this. And yeah, there is some lose skin on my tummy but who the heck cares. A good SPANX product (ever here of this), well, it holds you in and who knows you are wearing this. You have no idea how it feels to walk into any store and buy something off the rack and if that something happens to be a size medium (a big size medium) but it did happen to me. I bought a skirt and it was size medium. I got it home and it fit. It kind of makes you want to continue on the program. I don't know what I weigh. Only Alan and my docs at Cornell know what I weight. Alan knows that when I hit a certain number, he can tell me. If that day happens, well that's great. If it doesn't, well, I will have at least done my darndest to be healthy. That's about all we can do right?? So you all stay fit and fine. love, Melody P.S. And about my friend with the diabetic stomach. I am determined to keep any opinions on her diabetes to myself. I mean, if she can tell a doctor "what the hell do you know", what would she tell me? Even if she asks me my opinion, I will say "go and see an endocinologist, that would be your best bet". I don't want her jumping down my throat. I'm just waiting for her to blurt out "I bet you think you are hot shi* because you lost the weight". I can't wait for that to happen. People do that, you know, because if they are obese, well they are not comfortable being around people who have been able to lose the weight. Happens to me all the time. I just smile and say nothing, because you can't win in a conversation when that happens. I just say "now why would you say such a hurtful thing to me". Then they sit back and realize what came out of their mouth. Happens all the time now. Never happens with the thin people though. Isn't that interesting? |
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That's not what I wanted to say, though. I wanted to say that since I've been adding the Jarrow whey amino acids to my coffee, with a generous dash of cinnamon, that I've had a lot of pain reduction, and I think it relates to my body needing the anino acids to regrow the nerves. I found an article about that, and it does seem that my back pain decreases after I begin to include more protein in my diet. I say that because I've experienced that more than once. This time, I happened to stop having the desserts I could have with my evening meal every day, and somewhat after that the pain decreased, so I have to believe that may have been a contributing factor. Point? that cinnamon is great in coffee with added amino acids, I guess. Didn't sleep much, may not be making sense. |
A follow-up to MrsD's
comments I've included some links to the apparently increasing importance of post-prandial glucose levels from Novo-nordisk and the ADA.
Novo Nordisk http://press.novonordisk-us.com/internal.aspx?bid=119 American Diabetes Association http://care.diabetesjournals.org/cgi/reprint/24/4/775 http://clinical.diabetesjournals.org...print/22/4/169 http://clinical.diabetesjournals.org...eprint/20/2/71 I also found this link to an abstract which certainly supports MrsD's comments re: cinnamon http://www.ajcn.org/cgi/content/abstract/85/6/1552 (abstract only) Here are a couple of unrelated (to this specific thread's topic) links that I found interesting too. One describes how a nerve regeneration model was developed using capsaicin - also concludes, as we know, that small-fiber abnormalities are evident long before the frank presentation of symptoms or signs of diabetes are manifested. nerve fiber regeneration model http://brain.oxfordjournals.org/cgi/reprint/127/7/1606 The other is a comparison of patients with polyneuropathies, both small-fiber and large fibers and concludes that small diameter fiber loss and the corresponding sensory symptoms (pain, etc) can be more dramatic in patenits with mixed neuropathies, i.e small and large fiber involvement rather than small-fiber alone. The paper also gives a nice description of the compelemtarity of NCS (nerve conduction studies), IENFD (intraepidermal nerve fiber density, and QST (quantitative sudomotor testing) since the tests reflect different nerve fiber involvement, i.e. no one test can determine all neuropathies. http://www.blackwellpublishing.com/p...mcqs/feb06.pdf hopefully this may prove useful to the forum. Alkymst |
Very nice catches, Alkymst--
--especially that last one, which I'm adding to my database. Interesting paper, and the list of references alone (most of which I've read and are in the database) is a great primer for people who need to learn about sensory neuropathies and how they are detected.
It bears reiterating--the power of this community lies in our collective "snooping" skills--and together our resources overmatch those of most university medical depertments. (And doctors ignore this at their peril. :D) |
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