Discussion of diabetes management in day to day life

blindness

Hello all,

I read in a newspaper that ANTHOCYAN (made from wild blueberrys) can avoid
diabetes-caused blindness. Anyone who knows more about this ?

Any suggestions welcome,

Gerrit.
———————–
telk…@eis.cs.tu-bs.de

Comments (25)




25 Responses to “blindness”

  1. admin says:

    >Date: 9 JAN 1996 17:54:28 GMT
    >From: Gerrit Telkamp <telk…@eis.cs.tu-bs.de>
    >Newsgroups: misc.health.diabetes
    >Subject: blindness

    >I read in a newspaper that ANTHOCYAN (made from wild blueberrys) can avoid
    >diabetes-caused blindness. Anyone who knows more about this ?

    Gerrit,

    It sounds like you are referring to a type blueberry known in the U.S. as
    Bilberry (Vacinium myrtillus).  The anthocyanosides from Bilberry have
    been shown to speed up the regeneration of rhodopsin (helpful for night
    vision), improve the operation of enzymes important in retinal cellular
    function, increase the resistance of blood capillaries.  Other chemicals
    in Bilberry may provide a synergistic action.  Animal experiments and
    studies on small numbers of humans have shown it to be useful for
    protecting against and treating macular degeneration.

    Bilberry fruit is commonly sold in Europe as concentrated, standardized
    extracts with anthocyanosides at levels of 25%.  Apparently, traditional
    dry bilberry extracts contain only 1-2% anthocyanosides.  My sense is
    that for treating macular degeneration, glaucoma, etc., the concentrated,
    standardized extract would be useful.  I’m not a big fan of *long-term*
    use of highly concentrated extracts as preventative measures.

    I have read that there are also standard herbal/vitamin preparations sold
    to diabetics in Europe that contain Bilberry as one of the ingredients.
    Bilberry leaves are used in herbal formulas to help treat hyperglycemia in
    diabetics.  I suggest visiting an experienced Herbalist for a more
    balanced herbal formula.

    If I read your address correctly (telk…@eis.cs.tu-bs.de) and you are
    writing from Germany, you can probably get more information from the
    Kommission E. (Commission E) created by the Bundesgesundheitsant (Federal
    Health Agency) to document the safety and efficacy of phytomedicines.  I
    don’t know their phone number, but I’m sure that local Herbalists can
    direct you to more information.

    You can read a short review with a number of older studies (1960s-1980s)
    in the book, "Next Generation Herbal Medicine" by Daniel B. Mowrey, Ph.D.
    Most herbal text would have more information on the subject; just look in
    the index under "Vacinium myrtillus."  If you are obsessively interested
    in anthocyanosides (chemistry, physiology, chemotaxonomy, pharmacology,
    biotechnology), you can purchase the book, "Anthocyanins in Fruits,
    Vegetables, and Grains," by G. Mazza and E.  Miniati from the American
    Botanical Council (800-373-7105, herbbo…@aol.com) for a price of U.S.
    $207.00.

    Having said all of this, I believe that Bilberry is just one useful tool
    in preventing/treating eye problems (fruit) and hyperglycemia (leaves).  
    There are a number of other things that can be done.  Hope this helps.

    Best Wishes,
                                 - Mark
                              mg…@tiac.net
                 http://www.tiac.net/users/mgold/health.html
        (Web articles on Food & Nutrition, Yoga, aspartame/NutraPoison,
         sweetener resources, stevia, toxic carpeting, rBGH, fluoride
         detoxification, mental health resources.  Much more to come.
             Lots of links to medical and holistic healing sites.
              Will email articles if you do not have WWW access.

  2. admin says:

    In article <30F2AB70.5…@sapien.com>,
       Shannon James <shann…@sapien.com> wrote:

    >Hi all,

    >I’m relatively new to this Diabetes business (adult onset type 1) and
    >just started taking insulin on Thanksgiving. One of the sypmtoms I had
    >was "sudden weight loss" which I was thrilled about since I’ve had a
    >weight problem most of my life. Unfortunately now that I’m taking
    >insulin I’m gaining weight (rapidly!). I’m tempted to cut down on my
    >insulin.  Has anyone out there experienced this same thing?
    >-Shannon

    Hi Shannon – Whew! my favorite topic continues………..       this group
    recently tossed around the question of weight gain on "intensive therapy".  It
    seems to me that there were more posts from people who HAD experienced a
    weight gain than posts from those who had not.  But, like everything else in
    life, diabetes seems to be as individual as the individuals who have been
    diagnosed with it.

            Yes, that initial weight loss is delicious, isn’t it (altho the
    fatigue that accompanied it wasn’t worth it to me)?  After two years on
    insulin, I have added 5 lbs to what was a life-long stable weight.  If I can’t
    reverse it, I’m determined to prevent it from increasing.  I’m doing all the
    right things like eating a healthy low fat diet and exercising daily and
    keeping my bs as close to "normal" as possible.  I personally think it was the
    introduction of insulin that is responsible for the extra 5 lbs because I have
    a previous lifetime track record of preventing weight gain, even during middle
    age.

            I did realize that I was eating my biggest meal as a late dinner,
    right before I got horizontal for the night.  That was a glaring mistake
    as I wasn’t burning those calories off with any kind of exercise
    post-meal.  I’ve corrected that as an attempt to lose those five pounds.  A
    kind member of this group e-mailed me a cute saying that makes a lot of sense
    to me and I’m following it now:

            Eat breakfast like a king, eat lunch like a prince, and eat dinner
    like a pauper.  This would seem to better address the fact that I am active
    and burning calories more in the morning and afternoon than at night.   Hope
    this helps.  I know how you feel, believe me!   cindy

    p.s.    guess we could switch to queen and princess in our cases        :=)

  3. admin says:

    In article <30F2AB70.5…@sapien.com> shann…@sapien.com "Shannon James" writes:
    > Hi all,

    > I’m relatively new to this Diabetes business (adult onset type 1) and
    > just started taking insulin on Thanksgiving. One of the sypmtoms I had
    > was "sudden weight loss" which I was thrilled about since I’ve had a
    > weight problem most of my life. Unfortunately now that I’m taking
    > insulin I’m gaining weight (rapidly!). I’m tempted to cut down on my
    > insulin.  Has anyone out there experienced this same thing?
    > -Shannon

    As I was diagnosed at 7, and am now 32, naturally, I’ve gained some
    weight!  

    I wouldn’t recommend that you cut your insulin: if you are currently
    balanced, then it will mean that some CHO you eat will not be metabolised,
    and will chug around your body and then be peed out of it.

    This may seem like a Good Thing in that it means you will loose weight,
    but is actually a Bad Thing, because it will elevate your blood glucose
    out of the ‘normal’ range, and this is more likely to lead to complications
    in the long-term, and generally feeling bad in the short term, than
    staying within the range.

    To reduce your weight, you need not only to reduce the insulin, but
    also reduce the carbohydrates.  So that the proportion of calories
    from carbohydrates and calories from other sources remain the same,
    you will need to cut down on fat and alcahol too.  Tell your doctor that
    you want to move to a lower cho/calorie diet, and they, or their
    dietician will be able to advise one.


    Patricia Reynolds
    Keeper of Social History, Buckinghamshire County Museum / Freelance Curator

    16 Gibsons Green
    Heelands
    Milton Keynes
    MK13 7NH
    ENGLAND

    p…@caerlas.demon.co.uk

  4. admin says:

    In a previous article, shann…@sapien.com (Shannon James) says:

    >Hi all,

    >I’m relatively new to this Diabetes business (adult onset type 1) and
    >just started taking insulin on Thanksgiving. One of the sypmtoms I had
    >was "sudden weight loss" which I was thrilled about since I’ve had a
    >weight problem most of my life. Unfortunately now that I’m taking
    >insulin I’m gaining weight (rapidly!). I’m tempted to cut down on my
    >insulin.  Has anyone out there experienced this same thing?

    Sudden weight loss is indeed one of the major symptoms of undiagnosed
    DM.  Now that you’re taking insulin and allowing your body to
    metabolize the food and energy it needs, it’s normal for your
    weight to go back up to "normal."  If you want to keep the weight off —
    or at least some of it — you will have to reduce your caloric intake.  
    This will probably decrease your need for insulin.  So there’s no
    substitute for close bg monitoring during this period of
    adjustment.  In other words, using insulin is merely restoring your
    ability to use diet as a means of weight control.  The burden is now yours.


    David Cohler, South Pasadena

  5. admin says:

    In article <30F2AB70.5…@sapien.com>, Shannon James <shann…@sapien.com> writes:

    =I’m relatively new to this Diabetes business (adult onset type 1) and
    =just started taking insulin on Thanksgiving. One of the sypmtoms I had
    =was "sudden weight loss" which I was thrilled about since I’ve had a
    =weight problem most of my life. Unfortunately now that I’m taking
    =insulin I’m gaining weight (rapidly!). I’m tempted to cut down on my
    =insulin.  Has anyone out there experienced this same thing?

    It’s not at all uncommon.  And the temptation to cut down on your insulin is
    probably a good one, though you’ll also want to cut down on food.  Remember:
    Prior to getting your diabetes under control, you were literally pissing away
    much of the caloric content of what you were eating.  The insulin you’re
    injecting is allowing you to metabolize the sugar that was previously being
    eliminated through the urine.  That means in order to keep your weight stable,
    you’ve got to cut down your caloric intake.  Of course, as you reduce your
    caloric intake, the insulin required to metabolize the lower amount of
    carbohydrates is also less.  So you can’t simply stick with the amount of
    insulin that was required to normalize your blood sugar levels when you were
    eating what you were before beginning insulin therapy.  You’ve got to adjust
    your food intake and your insulin dosage together.  It can take a while to
    figure out what combination of insulin, diet, and exercise is necessary for you
    to maintain a stable weight.  But it IS possible to maintain a stable weight
    while maintaining tight control via insulin injections.
    —————————————————————————
    I  try  very  hard  to say exactly what I mean.  I’d appreciate it if you’d
    bear that in mind and not try to "interpret"  my  posts  to  fit  your  own
    preconceived notions if I’m posting in a serious thread.  Remember:  If you
    throw a strawman into a heated debate, flames are likely to be the result.

  6. admin says:

    Shannon James <shann…@sapien.com> wrote:
    >Hi all,
    >I’m relatively new to this Diabetes business (adult onset type 1) and
    >just started taking insulin on Thanksgiving. One of the sypmtoms I had
    >was "sudden weight loss" which I was thrilled about since I’ve had a
    >weight problem most of my life. Unfortunately now that I’m taking
    >insulin I’m gaining weight (rapidly!). I’m tempted to cut down on my
    >insulin.  Has anyone out there experienced this same thing?
    >-Shannon

    Hi Shannon,

          I’ve been on insulin for 6 years now.  If you’re gaining weight,
    you are eating too much, or not active enough. When you are on
    insulin, everything that you eat gets deposited on yourself. If you
    eat less, and get insulin attacks, shoot LESS insulin. Eventually, you
    will find the right combination.

                             RON…..r…@computer.net
    **********************************************************

                      RON GOLDSTEIN—KA2IIA
                              ******
             STAY YOUNG—DRIVE A VINTAGE 427 CORVETTE
     KEEP YOUR MIND ACTIVE–BECOME AN AMATEUR RADIO OPERATOR

  7. admin says:

    I have a rather detailed statement on peakless insulin that develops
    from a short discussion on "insulin and weight gain".

    On 9 Jan 1996 be…@primenet.com wrote:

    > In article <30F2AB70.5…@sapien.com>,
    >    Shannon James <shann…@sapien.com> wrote:
    > >Hi all,

    > >I’m relatively new to this Diabetes business (adult onset type 1) and
    > >just started taking insulin on Thanksgiving. One of the sypmtoms I had
    > >was "sudden weight loss" which I was thrilled about since I’ve had a
    > >weight problem most of my life. Unfortunately now that I’m taking
    > >insulin I’m gaining weight (rapidly!). I’m tempted to cut down on my
    > >insulin.  Has anyone out there experienced this same thing?
    > >-Shannon

    First of all, I would like to comment on the above.

    I too started out my Type I, insulin dependent diabetes with the classic
    "sudden weight loss".  However, there are other ways that weight can be lost
    besides the real burning of fat.  It is practically impossible to burn fat
    fast enough to account for a sudden weight loss, since burning fat
    requires the expenditure of about 3000 calories for every single pound of
    the stuff that is shed.  Well, yes, under the condition of the onset of
    Type I diabetes, a certain amount of fat IS burned, as evidenced by
    ketones in the urine.  But most of the weight loss under these
    circumstances is due to loss of fluids (water), and a newcomer to Type I
    diabetes can really get dehydrated.

    As I recall, my weight returned to near normal within 6 weeks.  I had
    lost about 15 lbs.  So what I think is happening to you is quite probably
    the same that happened to me: you have been rehydrating yourself, something
    that is quite normal under the circumstances, and which will aid greatly in
    controlling and stabilizing your blood sugar levels.  It is not a sign in
    itself to diminish your insulin dosage.

    > Hi Shannon – Whew! my favorite topic continues………..  this group
    > recently tossed around the question of weight gain on "intensive therapy".  It
    > seems to me that there were more posts from people who HAD experienced a
    > weight gain than posts from those who had not.  But, like everything else in
    > life, diabetes seems to be as individual as the individuals who have been
    > diagnosed with it.

    That is a different type of weight gain, the type that requires the
    *storing* of 3000 calories per pound.  This type of putting on weight
    takes many weeks and months to accomplish, but it can really sneak up on
    people.

    >    Yes, that initial weight loss is delicious, isn’t it (altho the
    > fatigue that accompanied it wasn’t worth it to me)?  After two years on
    > insulin, I have added 5 lbs to what was a life-long stable weight.  If I can’t
    > reverse it, I’m determined to prevent it from increasing.  I’m doing all the
    > right things like eating a healthy low fat diet and exercising daily and
    > keeping my bs as close to "normal" as possible.  I personally think it was the
    > introduction of insulin that is responsible for the extra 5 lbs because I have
    > a previous lifetime track record of preventing weight gain, even during middle
    > age.

    Two explanations of gaining 5 pounds in 2 years are possible:

    1) Most people do experience sooner or later some increase in their weight.

    2) Using multiple daily injections of insulin every day of varying doses
    can contribute to weight gain.  This is because every time a person raises
    their insulin level to make a surplus of blood glucose disappear, the body
    has the option of storing the extra calories (which it couldn’t use) as fat.
    True, most everyone thinks (a) the insulin just anihilates the glucose (it
    doesn’t and it can’t), OR (b) the insulin simply stores the glucose in the
    liver.  (Which it does, but there is a limit to what the liver can hold,
    and when that limit is reached, then the fat storage mechanism has to be
    triggered.  This is not true just of diabetics but of all people who
    habitually consume more food than they need, and this is just
    common knowledge of physiology.)

    How do people avoid putting on weight (I have weighed the same from
    17 to almost 49 now, and have been a severely insulin-dependent Type I
    diabetic all that time who has taken insulin every single day)?  It’s the
    old game as told by Moliere:  "One must eat to live, not live to eat".  

    And I have used my insulin management to my advantage in maintaining my
    stable weight.  By using PEAKLESS insulin, I have been able to find a
    dosage of same that takes care of my daily needs, and once the really
    correct amount is found, the dosage remains the same for *months*.  One of
    the reasons that people are always changing their daily dosage is the
    fact that they have never found their correct dose in the first place
    (and this takes study and practice to do).  Contrary to widely-held
    opinion, I and others like me have found that the insulin dosage does NOT
    have to be fine-tuned every day for varying conditions.  Like when I
    exercise hard, I eat more.  I need the food.  When I’m quieter than
    normal, I eat correspondingly less.  I need less food.  All the time,
    the insulin taken remains the same.  However, to follow this strategy,
    you have to be able to say NO to the temptation of either overeating
    or eating something that has too much sugar in it.

    However, if and when I get ahead on my food (easy to accomplish through
    either eating too much, OR being a little too quiet and not curtailing
    my food intake enough), I do NOT normally reach for the insulin syringe.  
    I have other means of adjusting my blood sugar.  The most usual one I
    utilize is that since I have my insulin activity level working quite well
    at all times, I simply delay or in the worst cases skip a meal.  By
    delaying my feeding, the insulin already there usually picks up and
    lowers my blood sugar *faster* than an injection of Regular insulin can
    do.  And that way, the extra calories lying around in my bloodstream
    actually get burned, not stored away some place where they could end up as
    body fat.

    However, I am NOT saying that the insulin management strategy of using
    peakless insulins is for everyone: it will only work for those who
    "eat to live".  Those who prefer or are obliged to "live to eat" can
    only survive with the fork in one hand and the insulin syringe in the
    other.  But the strategy we follow does have its advantages.  Every
    morning I load my syringe with a carefully determined and measured
    amount of long acting insulin (Ultralente) which gives me my
    round-the-clock basal level of insulin activity, followed in the same
    syringe by a much shorter acting insulin (amorphous precipitate
    rather than the crystals of Ultralente, equally carefully determined and
    measured) which provides the stronger additional insulin activity needed
    for dealing with the food I eat during the day (this insulin lasts 12-16
    hours).  This way, my colleagues and I normally take all of our insulin
    just once every day.  This is NOT solely for the sake of convenience
    (yet it certainly is an improvement over MI), but is actually necessary
    due to the nature of peakless insulin itself.  The shorter the acting an
    insulin is, the more injections per day are required, which results
    necessarily in the insulin activity going up and down, hence the peaks.  

    It goes without saying that the smoother action of peakless insulin
    contributes enormously to attaining much more stable levels of blood
    glucose.  And the actually observed results gleaned from
    MI people comparing notes with [U and S] people (those who run on
    one injection per day of Ultralente and Semilente) on how far
    their blood sugar swings, the MI people for all their efforts at
    intensive therapy (i.e. frequent injections of insulin) have far wider
    ranges in their blood sugar.  Even though the MIs can achieve great
    A1C tests, that test only gives an evaluation of what the *average*
    blood sugar is, not how far up and down it has been going.  The
    [U and S] people, on the other hand, can achieve much narrower
    blood sugar ranges, and it is a matter of common sense, if not the
    DCCT, that this is definitely to their advantage.  (I myself practically
    always run between 90 mg/dl out to 135 mg/dl or so after meals.  This
    is due solely to my insulin management, not to some physiological
    quirk of mine of having abnormally stable blood sugar.  The first
    couple of years of my diabetes really showed how labile and unmanageable
    my blood sugar was.  Doctors gave up.  I had to teach myself.  Last
    year, though, I learned that the Mayo Clinic in Minnesota has been
    teaching people now for many, many years on how to manage their
    insulin in this same manner using Ultralente and Semilente adjusted
    and mixed separately, all in exchange for a mountain of money!)

    (I would like to comment here parenthetically that whether an insulin
    is peaky or peakless is NOT due to the source it comes from.  I know that
    there are many of you who are both surprised to hear this and are
    equally surprised hearing it from ME.  I have spent nearly a year
    both studying the pharmacology of insulin on a graduate level,
    AND doing my own laboratory research, as many of you may
    have already guessed from my previous and sporatic postings on this
    subject.  Human insulin, although it does last shorter periods of
    time than pork insulin, can be made to have a peakless pattern.
    Case in point is Lilly’s Humulin U (Ultralente) which they now
    manufacture with a time specification of up to *28* hours, a sufficient
    span that will enable its users to take it only once a day, thereby
    eliminating the gross overlaps caused by taking it twice a day, which
    themselves (the overlaps) greatly contribute to peaks and valleys in one’s
    insulin activity level.  On the other hand, while amorphous precipitate does
    NOT at present exist in the Lilly Humulin line (they should have
    one called Humulin S [for Semilente]), it is child’s play to make the
    insulin in a Humulin R vial turn into amorphous precipitate

    read more »

  8. admin says:

    On 28 Jan 1996, Speaker-to-Minerals wrote:

    > In article <4eegs0$…@detroit.freenet.org>, aa…@detroit.freenet.org (John F Davis) writes:
    > =
    > =In a previous article, m…@cts.com (Michel Martin Devine) says:
    > =
    > =>An acquaintance of mine who has now finished his doctorate in pharmacology
    > =>has told me that he can’t fathom why the world of insulin has moved back
    > =>to the shorter acting, peaky forms.  After all, he tells me, in every
    > =>other medication on this planet whose continuous presence and action
    > =>is strategic for the survival of the patient (insulin for Type I diabetics
    > =>certainly falls into this category), the whole idea is to make it in some
    > =>form of "time-release".  This they originally did with insulin starting back
    > =>as far as 1936.  
    > =

    The following is a reply by John F. Davis of Delightful Detroit, not
    me, Michel Martin Devine.  For me, still a little cryptic.

    > =That one is easy to answer Michael.   Sing this (Old Time Religion)
    > =
    > =   Though the love of it roots EVIL
    > =   Still there’s those who seem to feel though
    > =   That ALMIGHTY GOD’s A DOLLAR
    > =   And there’s not enough for me.

    Now here’s Lydik!

    > Or, if one has sufficient intelligence to understand that one need not come up
    > with a conspiracy theory for every event in the world, and if one abandon’s
    > Mickey’s thorougoing stupidity, one need simply make the observation:
    >    The body’s demand for insulin is, itself, peaky.

    How can two peaky patterns ever coincide:

    > Would Mickey recommend that oxygen be rationed in such a way as to be delivered
    > only at the average rate required, so that one gets exactly as much oxygen
    > while sleeping as one does while running?  If not, then why does Mickey insist
    > that insulin SHOULD be delivered in that way?

    Lydik didn’t read all my posting with comprehension, did he?  I can’t
    help it if he can’t read or won’t read, can I?

    Please just refer back, ladies and gentlemen, to this person’s previous
    remarks on other people’s postings.  This reply of his is just typical
    of many of the previous ones he has made.

    Bottom line: don’t pay any attention to him.  I used to, but now I no
    longer feel the urge.  I’m sure that I am not alone on this.

  9. admin says:

    In a previous article, m…@cts.com (Michel Martin Devine) says:

    >An acquaintance of mine who has now finished his doctorate in pharmacology
    >has told me that he can’t fathom why the world of insulin has moved back
    >to the shorter acting, peaky forms.  After all, he tells me, in every
    >other medication on this planet whose continuous presence and action
    >is strategic for the survival of the patient (insulin for Type I diabetics
    >certainly falls into this category), the whole idea is to make it in some
    >form of "time-release".  This they originally did with insulin starting back
    >as far as 1936.  

    That one is easy to answer Michael.   Sing this (Old Time Religion)

       Though the love of it roots EVIL
       Still there’s those who seem to feel though
       That ALMIGHTY GOD’s A DOLLAR
       And there’s not enough for me.

    PROFIT.  "Human" insulins are faster acting than animal source.  Where
    animal LENTE once acted 24-30 hours or more today HUMAN Ultra Lente
    (Ultra Tard) is stretching it to make 24 hrs and still be acting.
    (regular LENTE is 20-22 hrs MAX in all but a few patients).

    But even though it’s CHEEPER to produce the syntehic "HUMAN" they were
    able to get away with RAISING the price for it beacuse "Human Is Better"

    (Perhaps for Lilly and NOVO.  It’s not been proven better for over 90%
    of the diabetics who use it  (it has been for 6%, and worse for 6%) )

       John F Davis In Delightful Detroit, Mi.    aa…@detroit.freenet.org
             "Nothing adds excitement to your life like something
             that is clearly none of your business!"     Battista

  10. admin says:

    In article <4eegs0$…@detroit.freenet.org>, aa…@detroit.freenet.org (John F Davis) writes:
    =
    =In a previous article, m…@cts.com (Michel Martin Devine) says:
    =
    =>An acquaintance of mine who has now finished his doctorate in pharmacology
    =>has told me that he can’t fathom why the world of insulin has moved back
    =>to the shorter acting, peaky forms.  After all, he tells me, in every
    =>other medication on this planet whose continuous presence and action
    =>is strategic for the survival of the patient (insulin for Type I diabetics
    =>certainly falls into this category), the whole idea is to make it in some
    =>form of "time-release".  This they originally did with insulin starting back
    =>as far as 1936.  
    =
    =That one is easy to answer Michael.   Sing this (Old Time Religion)
    =
    =   Though the love of it roots EVIL
    =   Still there’s those who seem to feel though
    =   That ALMIGHTY GOD’s A DOLLAR
    =   And there’s not enough for me.

    Or, if one has sufficient intelligence to understand that one need not come up
    with a conspiracy theory for every event in the world, and if one abandon’s
    Mickey’s thorougoing stupidity, one need simply make the observation:
            The body’s demand for insulin is, itself, peaky.
    Would Mickey recommend that oxygen be rationed in such a way as to be delivered
    only at the average rate required, so that one gets exactly as much oxygen
    while sleeping as one does while running?  If not, then why does Mickey insist
    that insulin SHOULD be delivered in that way?
    —————————————————————————
    I  try  very  hard  to say exactly what I mean.  I’d appreciate it if you’d
    bear that in mind and not try to "interpret"  my  posts  to  fit  your  own
    preconceived notions if I’m posting in a serious thread.  Remember:  If you
    throw a strawman into a heated debate, flames are likely to be the result.

  11. admin says:

    Ok, Mickey, I’m not Carl, so maybe you can give my answer to this a pass
    through the critical thinking areas of your brain before throwing it out?

    In article <Pine.SCO.3.91.960127225510.22852A-100…@crash.cts.com>,
    Michel Martin Devine  <m…@cts.com> wrote:
    >On 28 Jan 1996, Speaker-to-Minerals wrote:

    >> =In a previous article, m…@cts.com (Michel Martin Devine) says:
    >> =
    >> =>An acquaintance of mine who has now finished his doctorate in pharmacology
    >> =>has told me that he can’t fathom why the world of insulin has moved back
    >> =>to the shorter acting, peaky forms.  After all, he tells me, in every
    >> =>other medication on this planet whose continuous presence and action
    >> =>is strategic for the survival of the patient (insulin for Type I diabetics
    >> =>certainly falls into this category), the whole idea is to make it in some
    >> =>form of "time-release".  This they originally did with insulin starting
    >> =>back as far as 1936.  
    >> =

    The problem with this strategy, where insulin is concerned, is that the
    body does *not* need a constant level of insulin — it needs more when
    there’s more sugar in the bloodstream, less when there’s less.  That’s
    why, when nothing’s broken, the pancreas releases insulin *in response to
    eating*.

    >Now here’s Lydik!

    >> Or, if one has sufficient intelligence to understand that one need not come
    >> up with a conspiracy theory for every event in the world, and if one
    >> abandon’s Mickey’s thorougoing stupidity, one need simply make the
    >> observation:
    >>        The body’s demand for insulin is, itself, peaky.

    >How can two peaky patterns ever coincide:

    Well, when someone doesn’t have diabetes, the peaks in insulin levels and
    blood sugar levels coincide quite nicely; it’s called a feedback loop.  
    Part of what glucometers are *for* is to make it possible for someone to
    simulate this feedback loop with injected/pumped insulin.  It ain’t
    perfect, but, imo, for someone with a moderately normal eating pattern, it’s
    much better than a flat insulin level.

    And it’s certainly *better* to have both short-acting and long-acting
    forms of insulin available than to have *only* longacting forms
    available, since that allows people to use what works best for them.  To
    the extent that people can’t get ahold of what would work best for
    them (whether it’s the long-acting animal stuff that Mickey uses or the
    new extra-short-acting stuff), we have a problem.

    >> Would Mickey recommend that oxygen be rationed in such a way as to be
    >> delivered only at the average rate required, so that one gets exactly
    >> as much oxygen while sleeping as one does while running?  If not, then
    >> why does Mickey insist that insulin SHOULD be delivered in that way?

    >Lydik didn’t read all my posting with comprehension, did he?  I can’t
    >help it if he can’t read or won’t read, can I?

    His analogy was fairly good actually.  Oxygen, like insulin, is something
    that the body needs all the time, but at different levels at different
    times.  It would clearly be a bad idea to somehow level out the amount of
    oxygen getting to someone’s bloodstream so that it did not correspond to
    demand.  Why is making insulin levels correspond to demand a bad thing?

                                                            Rachel

    "That leaves: shit piss fuck cunt cocksucker mother-fucker and tits (you
    have to say it with *rhythm*).  We could all just add these to our .sigs."
            – Marco Simons on net censorship

  12. admin says:

    On 28 Jan 1996, Rachel Meredith Kadel wrote:

    - Hide quoted text — Show quoted text -

    > Ok, Mickey, I’m not Carl, so maybe you can give my answer to this a pass
    > through the critical thinking areas of your brain before throwing it out?

    > In article <Pine.SCO.3.91.960127225510.22852A-100…@crash.cts.com>,
    > Michel Martin Devine  <m…@cts.com> wrote:
    > >On 28 Jan 1996, Speaker-to-Minerals wrote:

    > >> =In a previous article, m…@cts.com (Michel Martin Devine) says:
    > >> =
    > >> =>An acquaintance of mine who has now finished his doctorate in pharmacology
    > >> =>has told me that he can’t fathom why the world of insulin has moved back
    > >> =>to the shorter acting, peaky forms.  After all, he tells me, in every
    > >> =>other medication on this planet whose continuous presence and action
    > >> =>is strategic for the survival of the patient (insulin for Type I diabetics
    > >> =>certainly falls into this category), the whole idea is to make it in some
    > >> =>form of "time-release".  This they originally did with insulin starting
    > >> =>back as far as 1936.  
    > >> =
    > The problem with this strategy, where insulin is concerned, is that the
    > body does *not* need a constant level of insulin — it needs more when
    > there’s more sugar in the bloodstream, less when there’s less.  That’s
    > why, when nothing’s broken, the pancreas releases insulin *in response to
    > eating*.

    I tried my best to make it clear that those people (like yourself) who
    purposely raise their blood sugar by means of their eating habits are
    NOT eligible for using peakless insulin, and thus there is no real
    disagreement here.

    One thing that I notice about you people who seem to think that peaky
    insulin is the only way to go:  Notice the last sentence in your paragraph
    above.  It says that when nothing’s broken, the pancreas releases insulin
    *in response to eating*.  Very true.  And when the pancreas does this,
    it secretes insulin directly into the bloodstream, in monomer form, such
    that its half life is only *4* minutes.  Think of the response time
    that implies.  Yes, when nothing is broken, the body can do a tremendous
    job at regulating blood sugar.  And non-diabetic humans have on average
    the narrowest range of blood sugar of all the order of mammalia.

    Now the error in the thinking of the users and believers in peaky
    insulin is that through "intensive therapy", they can approximate
    this degree of control.  However, even if a person uses an insulin
    pump, which only drips insulin into the body just under the *skin*,
    never into the bloodstream, the time to get extra insulin into a person’s
    bloodstream is on the order of *30* minutes.

    So, what peaky insulin ends up doing is making the blood sugar more
    peaky (because with the peaks come the valleys) which in turn requires more
    insulin, which of course is peaky again.  And round and round it goes.  (I
    was on this trip with intensive therapy with peaky insulin many months
    last year.  And when you are on it, you certainly take more insulin, and
    far more bG readings.)  People thinking that their insulin requirement
    is constantly changing are actually *causing* the roller coastering of
    their blood sugar and insulin needs by the very fact that they are using
    peaky insulin. There are many of us Type I diabetics whose blood sugar
    can never really stabilize with peaky insulin.  But those who have never
    experienced the comparatively calm serenity of peakless insulin (provided
    that you don’t stretch your luck and eat too many calories at a time), will
    never realize that their life is one of perpetual high seas.

    > >Now here’s Lydik!

    > >> Or, if one has sufficient intelligence to understand that one need not come
    > >> up with a conspiracy theory for every event in the world, and if one
    > >> abandon’s Mickey’s thorougoing stupidity, one need simply make the
    > >> observation:
    > >>   The body’s demand for insulin is, itself, peaky.

    It doesn’t have to be.  A person can, with a modicum of effort, regulate his
    diet and exercise within rather broad limits in such a way that his demands
    for insulin can be quite constant.  That, connected with a constant source
    of insulin activity, results in a blood sugar that is just about as *stable*
    as a non-diabetic.  After several years of study and practice (no one was
    there to teach me how), I finally cornered my blood sugar into the
    range of 90 mg/dl to 135 mg/dl.  I am not naturally that stable, and I
    certainly cannot do anywhere near that well on peaky insulin.  Lydik himself
    reports proudly that his upper post prandial reading is typically 175
    mg/dl.  For me, when that happens, I consider myself out of control.

    Also, please notice that I shun *low* blood sugar as much as I do the
    high.  This is so as not to impair my ability to recognize hypoglycemia.
    This I have learned from people here on m.h.d.: that if your blood
    sugar runs consistently low, it gets harder and harder to sense its low
    state.

    > Well, when someone doesn’t have diabetes, the peaks in insulin levels and
    > blood sugar levels coincide quite nicely; it’s called a feedback loop.  
    > Part of what glucometers are *for* is to make it possible for someone to
    > simulate this feedback loop with injected/pumped insulin.  It ain’t
    > perfect, but, imo, for someone with a moderately normal eating pattern, it’s
    > much better than a flat insulin level.

    To run a feedback loop with anything near the proficiency of a person
    without diabetes would require having a *closed* feedback loop.  Such a
    loop would require means for automatic and continuous reading of blood
    sugar reading (something technologically not possible as of yet),
    together with some means of dribbling out insulin in micro-unit
    quantities directly into the bloodsteam, not just under the skin (not
    available yet either).  To think that this can be anywhere nearly
    approximated or replicated with the current state of technology (i.e.
    blood glucometers, insulin syringes and/or pumps) is totally naive.  It’s
    just the result of the hype created by the manufacturers of these products.

    Furthermore, there is a false belief held by many that a "flat" insulin
    level implies a very narrow band of other parameters.  But to those
    who live on peakless insulin can testify to the fact that how much they
    can exercise or not exercise is really a broad range.  And the amount of
    food they eat is in response to this variable: how much they NEED.
    It’s sort of like keeping a battery charged without overcharging it.
    There is one variable in the control of Type I diabetes that I never
    see discussed here on m.h.d.  And that is "getting ahead on your
    food".  There is no clinical indicator system for this variable, which
    would be like the fuel level in your gas tank.  The blood glucometer
    is more like the air-to-fuel mixture in the venturis of the carburetor.
    Important, true.  But something altogether different than the level
    of fuel in the tank.  Running out of fuel is like getting a severe
    attack of hypoglycemia; overfilling the tank and having it run out
    on the ground is like high blood sugar spilling into the urine.
    If and when people can recognize and pay attention to this variable, rather
    than just shoot in some more insulin whenever they get high blood sugar
    (which is analogous to simply stretching the fuel tank to make room for the
    excess supply), they would be much farther ahead.  For one thing,
    they wouldn’t have anything near the same tendency to put on weight,
    which is the physical result of enlarging the fuel storage system.

    > And it’s certainly *better* to have both short-acting and long-acting
    > forms of insulin available than to have *only* longacting forms
    > available, since that allows people to use what works best for them.  To
    > the extent that people can’t get ahold of what would work best for
    > them (whether it’s the long-acting animal stuff that Mickey uses or the
    > new extra-short-acting stuff), we have a problem.

    Now I will admit that I probably didn’t get my point across on this.
    It has come to light in my studies of insulin, its action, and its
    manufacture (not to mention my own lab research) over the past 11 months,
    that while human insulin lasts a *bit* less than pork, which in turn lasts
    less than beef, it turned out that the peakiness of HUMAN insulin
    is due to its *elaboration*, NOT its essential characteristics.  

    Just recently, Eli Lilly has extended the duration of action of their
    Humulin U (Ultralente) from "up to 24 hours" to presently "up to 28 hours"
    (they increased the zinc concentration a little).  If you don’t believe
    this, buy a new vial of it yourself and read the specs on the printed
    sheet that comes with it.  This up-to-28-hour action now makes it possible
    to use it with only one injection per day.  The *single* injection aside,
    this eliminates the old Ultralente overlap people used to get by taking
    the stuff twice a day, which caused a very noticeable PEAK in their
    insulin activity.  So this is the very first time a human insulin of a
    NON-PEAKY type has every been seen.

    Add to this the fact that Humulin R can be readily converted to a
    shorter acting, non-peaky insulin (they used to call Semilente, but
    whose full generic name is "insulin zinc suspension, amorphous
    precipitate) by the judicious addition of some 1.1 mg of zinc per
    full vial in a pure and sterile solution.

    So will you now try to comprehend where I stand on the subject of
    insulin?  It’s whether or not it’s PEAKY that counts, not so much
    its source.  True, down through history, there was ample supply
    of animal insulin that was NOT peaky, while up until recently ALL
    of the human insulins WERE peaky.  But that was merely coincidence.
    (There were plenty of animal insulins that were elaborated to be
    peaky.  Can anyone remember Novo’s Rapitard, which lasted only
    18-22 hours, consisting of 75% beef insulin crystals without enough
    zinc to get them to last their normal 30-36 hours, mixed with 25%
    regular pork insulin?  That was a forerunner in action to

    read more »

  13. admin says:

    In article <Pine.SCO.3.91.960128180943.17235A-100…@crash.cts.com> Michel Martin Devine <m…@cts.com> writes:

    > [ ... ]

    >It doesn’t have to be.  A person can, with a modicum of effort, regulate his
    >diet and exercise within rather broad limits in such a way that his demands
    >for insulin can be quite constant.  That, connected with a constant source
    >of insulin activity, results in a blood sugar that is just about as *stable*
    >as a non-diabetic.  After several years of study and practice (no one was
    >there to teach me how), I finally cornered my blood sugar into the
    >range of 90 mg/dl to 135 mg/dl.  I am not naturally that stable, and I
    >certainly cannot do anywhere near that well on peaky insulin.  Lydik himself
    >reports proudly that his upper post prandial reading is typically 175
    >mg/dl.  For me, when that happens, I consider myself out of control.

    Mickey,

    I tought I should warn you that some unlucky newcomer to this group might read
    one your post and think that what you write is true!

    Have you ever considered what you might be responsible for if any unlucky soul
    were to follow your advice?

    - Hide quoted text — Show quoted text -

    > [ ... ]

    >***************************************************************************
    >* The bottom line is this: People’s apparent fluctuating needs for        *
    >* insulin are largely the result of the very insulin management strategy  *
    >* they are following.  Peaky insulin begets peaky blood sugar, and        *
    >* peaky blood sugar triggers the need for more of their peaky insulin.    *
    >* It’s a viscious circle that goes round and round.  And they call it     *
    >* "intensive therapy".  Sure, they can score a great H1Ac, but that is    *
    >* only how they average.  Seldom do they take into account how far their  *
    >* blood glucose varies from highs to lows (standard deviation).  In my    *
    >* opinion, stability of blood glucose is just as important as "averages". *
    >* And I also feel that my outstanding blood sugar stability has played an *
    >* instrumental role in my avoiding complications for nearly 31 years now. *
    >***************************************************************************

    The bottom line is THIS:

    Your milage may vary! What is best for you is not neccessarily best for me!
    And vice versa.

    It is also statistically proved that tight control gives a lower probability
    of developing complications, still some of the diabetics with excellent
    control experience complications. Just as some of the diabetics with
    apparently no control at all does never experience any complications!

    Bjørn BL.

    ______________________________________________________________________
                   s-mail:                         e-mail:
    |   |   |      Bjorn B. Larsen, Ph. D.         bjoe…@iet.hist.no
    |__ |__ |      Sor-Trondelag College
    |  \|  \|      Gunnerus gate 1
    |__/|__/|_     N-7005 TRONDHEIM                tel: +47 – 7389 6288
                   NORWAY                          fax: +47 – 7389 6286
    ______________________________________________________________________

  14. admin says:

    8=FE=EFYOn Tue, 30 Jan 1996, Bjorn B. Larsen wrote:

    > In article <Pine.SCO.3.91.960128180943.17235A-100…@crash.cts.com> Miche=

    l Martin Devine <m…@cts.com> writes:

    - Hide quoted text — Show quoted text -

    >=20

    > > [ ... ]

    >=20
    > >It doesn’t have to be.  A person can, with a modicum of effort, regulate=
     his=20
    > >diet and exercise within rather broad limits in such a way that his dema=
    nds
    > >for insulin can be quite constant.  That, connected with a constant sour=
    ce
    > >of insulin activity, results in a blood sugar that is just about as *sta=
    ble*
    > >as a non-diabetic.  After several years of study and practice (no one wa=
    s
    > >there to teach me how), I finally cornered my blood sugar into the
    > >range of 90 mg/dl to 135 mg/dl.  I am not naturally that stable, and I
    > >certainly cannot do anywhere near that well on peaky insulin.  Lydik him=
    self=20
    > >reports proudly that his upper post prandial reading is typically 175=20
    > >mg/dl.  For me, when that happens, I consider myself out of control.
    >=20
    > Mickey,
    >=20
    > I tought I should warn you that some unlucky newcomer to this group might
    > read one your post and think that what you write is true!

    I welcome all sensible and rational discussion.  But your saying simply tha=
    t
    the above paragraph is not true is not much help, not to me or to any
    newcomer.  I have had Type I, insulin dependent diabetes for nearly
    31 years now, and when I started out, I was pretty much on my own as
    to how to cope with this condition.  It was very difficult for me the
    first year, until I learned how to use two peakless insulins
    (pork Semilente and beef Ultralente) and adjust the two independently
    to make possible the narrow limits of blood glucose that I gave in the
    above paragraph.  The medical profession was utterly amazed at what
    I had accomplished and how I did it.

    But I was not the last person to do this.  Later on, the Mayo Clinic
    in Rochester, Minnesota (USA) started a high tech program that taught
    Type I diabetics how to do exactly the same as I did.  And they have
    been doing this for years.  If you think that what I am *saying* is "untrue=
    ",
    why don’t you tell them that what they are *doing* is "untrue" as well?

    >=20
    > Have you ever considered what you might be responsible for if any unlucky
    > soul were to follow your advice?
    >=20

    Have you ever considered coming clean and specifying exactly what is=20
    supposed to happen to a diabetic who ends up stabilizing his blood
    sugar?

    - Hide quoted text — Show quoted text -

    > > [ ... ]

    >=20
    > >************************************************************************=
    ***
    > >* The bottom line is this: People’s apparent fluctuating needs for      =
      *
    > >* insulin are largely the result of the very insulin management strategy=
      *
    > >* they are following.  Peaky insulin begets peaky blood sugar, and      =
      *
    > >* peaky blood sugar triggers the need for more of their peaky insulin.  =
      *
    > >* It’s a viscious circle that goes round and round.  And they call it   =
      *
    > >* "intensive therapy".  Sure, they can score a great H1Ac, but that is  =
      *
    > >* only how they average.  Seldom do they take into account how far their=
      *
    > >* blood glucose varies from highs to lows (standard deviation).  In my  =
      *
    > >* opinion, stability of blood glucose is just as important as "averages"=
    . *
    > >* And I also feel that my outstanding blood sugar stability has played a=
    n *
    > >* instrumental role in my avoiding complications for nearly 31 years now=
    . *
    > >************************************************************************=
    ***
    > >=20
    >=20
    > The bottom line is THIS:
    > Your milage may vary! What is best for you is not neccessarily best for m=
    e!=20
    > And vice versa.

    If you recall my original posting, I said very clearly that not all diabeti=
    cs
    are qualified for this program of insulin management.  There I tried to
    show as politely as possible that diabetics who live to eat, rather than ea=
    t
    to live, have to hold a fork in one hand and their syringe loaded with peak=
    y
    insulin in the other.  While this may seem like hyperbole, it is pretty
    much what the users of Lyspro do.

    >=20
    > It is also statistically proved that tight control gives a lower probabil=
    ity=20
    > of developing complications

    This is true and I believe it completely.

    >, still some of the diabetics with excellent=20
    > control experience complications.

    There was a study cited here on m.h.d. last summer by a Canadian that=20
    showed that the U and S group (the one I belong to, the diabetics who=20
    run on the two peakless insulins Ultralente and Semilente) had *70%*=20
    fewer complications than did those on "intensive therapy" with peaky
    insulins.

    As for the DCCT study, there happened to be a certain number of the
    participants who were U and S people.  Which goes to show that since not
    everyone in the study was using peaky insulins, the result of the DDCT does=
    =20
    not "prove" that it is necessary to use peaky insulins to survive.
    All that it showed was that narrower ranges of blood sugar at reasonable
    levels definitely improved people’s chances of avoiding complications.

    Before that study, there was a school of thought led by one Dr. Tolstoy
    that believed that all that was required to manage diabetes was to
    take only enough insulin to "stay out of trouble" (avoiding ketosis).
    The opposing belief, one which I adopted, was that the closer a diabetic
    could come to having their blood sugar running in the range of non-diabetic=
    s,
    the better.  (Which is something that my colleagues and I have been
    able to accomplish, much to the amazement of the users of peaky insulins.
    But why do you think we have a discussion group called misc.health.
    diabetes?  Just so everyone with the same ideas can sit here and nod
    their heads in unison?  No, it’s a place where people can come and=20
    share what they know, and not everyone knows everything.)=20

    Yet until the DCCT, the question of what degree of control was just an=20
    endless debate.  But who can now remember Dr. Tolstoy?

    > Just as some of the diabetics with=20
    > apparently no control at all does never experience any complications!

    As there are ordinary people in the world who completely neglect their
    own health, and end up living as long as anyone else.  So what does
    that prove?  Only that Lady Luck smiled on them.

    Michel Martin Devine

  15. admin says:

    In article <Pine.SCO.3.91.960128180943.17235A-100…@crash.cts.com>
               m…@cts.com "Michel Martin Devine" writes:

    > On 28 Jan 1996, Rachel Meredith Kadel wrote:
    > …
    > > The problem with this strategy, where insulin is concerned, is that the
    > > body does *not* need a constant level of insulin — it needs more when
    > > there’s more sugar in the bloodstream, less when there’s less.  That’s
    > > why, when nothing’s broken, the pancreas releases insulin *in response to
    > > eating*.

    > I tried my best to make it clear that those people (like yourself) who
    > purposely raise their blood sugar by means of their eating habits are
    > NOT eligible for using peakless insulin, and thus there is no real
    > disagreement here.

    What foods do not cause peaking?  I find that all carbohydrates,
    cause my blood glucose to rise.  The carbohydrates in oats, sugar,
    wheat, rice, milk, fruits and so on all cause my bg to rise.  
    Do these (or similar) foods not have this effect on you?  Or do
    you exclude them from your diet?  Or is the timing of consumption
    that removes the peaks?  Or something else?


    Patricia Reynolds
    p…@caerlas.demon.co.uk

  16. admin says:

    - Hide quoted text — Show quoted text -

    On Wed, 31 Jan 1996, Patricia Reynolds wrote:
    > In article <Pine.SCO.3.91.960128180943.17235A-100…@crash.cts.com>
    >            m…@cts.com "Michel Martin Devine" writes:

    > > On 28 Jan 1996, Rachel Meredith Kadel wrote:
    > > …
    > > > The problem with this strategy, where insulin is concerned, is that the
    > > > body does *not* need a constant level of insulin — it needs more when
    > > > there’s more sugar in the bloodstream, less when there’s less.  That’s
    > > > why, when nothing’s broken, the pancreas releases insulin *in response to
    > > > eating*.

    > > I tried my best to make it clear that those people (like yourself) who
    > > purposely raise their blood sugar by means of their eating habits are
    > > NOT eligible for using peakless insulin, and thus there is no real
    > > disagreement here.

    > What foods do not cause peaking?  I find that all carbohydrates,
    > cause my blood glucose to rise.  The carbohydrates in oats, sugar,
    > wheat, rice, milk, fruits and so on all cause my bg to rise.  

    This is true.  However, when you are taking peakless insulins, you
    need the slower acting carbohydrates.  Carbohydrates vary along
    a continuum in their speed of being enzymatically reduced to glucose.

    I hope I didn’t give the impression that sugars were to be avoided
    completely.  It just that they have to be limited in their quantity.
    For example, I drink a quart and a half of non-fat milk every day,
    and I take enough of the daytime-only insulin (Semilente) to make
    its sugars go through my bloodstream and into my body cells properly
    in order to get nourishment from the milk.  However, I do not
    indulge myself in things like ice cream, as this is beyond the
    reach of my insulin to handle.  I am not interested in adding a
    peak to my insulin with an additional injection, inasmuch as the
    arrival of the peak and my need for it would not coincide closely
    enough to keep my blood sugar from peaking.  In cases like this,
    minutes and even fractions of minutes count.  I’ll leave the
    ice cream for the non-diabetics to enjoy.

    The bread I eat is for the most part free of sugar.  That is not
    to say that I cannot eat breads that have a moderate amount of
    honey in them, especially when I’m hungry.  The worst form of
    bread is the kind that Americans eat the most of: their
    so-called white bread.  Somehow, it is very fast acting even for
    a starch.  My Type II diabetic friends have even remarked on this.

    The pastas are slow acting and good for a diabetic, provided
    two things:  You can stop eating the stuff in time AND you
    can get a sauce for it that is not over sugared.  The other
    day I was in the market looking at a display of a brand of
    spaghetti sauce that was tauting itself as "healthy".  Here
    in the USA, the government has forced food makers to give a
    very concise dietetic summary of what’s in the food.  This
    sauce had 0 fat, true.  But the amount of sugar per serving
    was 16 grams!  A bit high for a diabetic to handle, except those
    who think they can get away with it with their peaky insulin.
    So when I eat pasta, I make my own sauce.  Why?  For one
    thing, to a Latin’s taste excessive sugar simply covers up all the
    other good flavors of the seasoning.  In the Mediterranean
    world, sugary stuff is normally eaten for dessert.  The main course
    foods are conspicuously low on sugars.  However, whenever I’m out and have
    to eat with Americans, their food really has the sugar poured on as
    what must be for them a seasoning.  Which is why I avoid eating
    with them like the plague.

    Another aspect to the diet is one’s fat intake.  It is well known
    that a certain amount of fat in the diet is a great aid in slowing
    down the digestion process, which itself helps avoid the peaking
    of blood sugar.  Americans here typically eat 40% of their daily
    caloric intake as fats, with dieticians trying to get them down
    to only 30%.  As for myself, the fat content of my diet is from 10 to 15%
    I would not recommend a 30-40% person making a sudden shift to my level,
    inasmuch as their body is probably already dependent on their
    present high fat intake.  I grew up on my level, even before I
    got diabetes (Type I) when I was 17.

    As for the proteins, I use animal protein for body building and
    repair, since I do a lot of heavy exercise, though not for its
    own sake but as a necessity in my avocation.  Those proteins are
    not part of the calories a person burns and should not be counted
    as such, even though protein is often measured that way (it should be
    counted by the gram).  If more protein is eaten than is needed for body
    building and repair, it does get metabolised for energy.  (For this
    reason, for a person to say that they eat X calories per day is
    somewhat inaccurate, even if they weigh out everything to the gram.
    This is because they cannot tell very closely how much of the
    protein they eat is catabolised for energy rather than used for
    body repair.)

    The problem is if you use much protein for energy, it takes
    nearly 4 hours for it to get thoroughly catabolised to raise
    the blood sugar.  And if a gross error is made in eating an
    excessive amount of protein, four hours later the blood sugar can really
    soar.  The answer?  Eat this stuff carefully, and know how many grams of
    it you are injesting.  I never take in more than what they call 4 meat
    exchanges at a time, roughly equivalent to a 1/4 pound piece of uncooked
    meat.  When they offer those 1/2 lb. "steer burgers", I simply
    pass.

    Still another aspect of keeping your food from peaking your blood
    sugar is how many times a day you eat.  If a Type I diabetic, especially
    a young and active one, were to try to take in all their food in
    a day with only one or two meals, they would be in trouble.
    When I started out with my diabetes at 17, I would eat 3 lighter
    meals a day plus 3 scheduled snacks, including one before bedtime.
    Other snacks were taken as needed.  At age 48, I no longer need
    as much food, although I am more physically active than I was at that time.
    However, the 3 and 3 pattern is still viable.

    Michel Martin Devine

    [Patricia Reynolds lives in the UK, and so I took a more international
    perspective in writing my reply.]

  17. admin says:

    In article <Pine.SCO.3.91.960127225510.22852A-100…@crash.cts.com>, Michel Martin Devine <m…@cts.com> writes:
    => Or, if one has sufficient intelligence to understand that one need not come up
    => with a conspiracy theory for every event in the world, and if one abandon’s
    => Mickey’s thorougoing stupidity, one need simply make the observation:
    =>   The body’s demand for insulin is, itself, peaky.
    =
    =How can two peaky patterns ever coincide:

    Easy, Mickey, if one of those patterns has a single peak:  You simply time the
    beginning of that pattern so that its peak coincides with one of the peaks of
    the other pattern.  Much more interesting, though, is the question:
            How can a peakless pattern coincide with a peaky pattern?
    —————————————————————————
    I  try  very  hard  to say exactly what I mean.  I’d appreciate it if you’d
    bear that in mind and not try to "interpret"  my  posts  to  fit  your  own
    preconceived notions if I’m posting in a serious thread.  Remember:  If you
    throw a strawman into a heated debate, flames are likely to be the result.

  18. admin says:

    In article <Pine.SCO.3.91.960128180943.17235A-100…@crash.cts.com>, Michel Martin Devine <m…@cts.com> writes:
    =I tried my best to make it clear that those people (like yourself) who
    =purposely raise their blood sugar by means of their eating habits are
    =NOT eligible for using peakless insulin, and thus there is no real
    =disagreement here.

    Let’s see.  In Mickey-speak, "purposely raise their blood sugar by means of
    their eating habits" means "aren’t willing to compulsively nibble food 16 hours
    a day in order to avoid actually eating a meal."
    —————————————————————————
    I  try  very  hard  to say exactly what I mean.  I’d appreciate it if you’d
    bear that in mind and not try to "interpret"  my  posts  to  fit  your  own
    preconceived notions if I’m posting in a serious thread.  Remember:  If you
    throw a strawman into a heated debate, flames are likely to be the result.

  19. admin says:

    In article <Pine.SCO.3.91.960128180943.17235A-100…@crash.cts.com>, Michel Martin Devine <m…@cts.com> writes:
    =One thing that I notice about you people who seem to think that peaky
    =insulin is the only way to go:  Notice the last sentence in your paragraph
    =above.  It says that when nothing’s broken, the pancreas releases insulin
    =*in response to eating*.  Very true.  And when the pancreas does this,
    =it secretes insulin directly into the bloodstream, in monomer form, such
    =that its half life is only *4* minutes.  Think of the response time
    =that implies.  Yes, when nothing is broken, the body can do a tremendous
    =job at regulating blood sugar.  And non-diabetic humans have on average
    =the narrowest range of blood sugar of all the order of mammalia.
    =
    =Now the error in the thinking of the users and believers in peaky
    =insulin is that through "intensive therapy", they can approximate
    =this degree of control.  However, even if a person uses an insulin
    =pump, which only drips insulin into the body just under the *skin*,
    =never into the bloodstream, the time to get extra insulin into a person’s
    =bloodstream is on the order of *30* minutes.

    So what?  Mickey, not everybody’s as stupid as you are:  Some folks can
    actually take the delay into account, and inject insulin a while before eating.

    =So, what peaky insulin ends up doing is making the blood sugar more
    =peaky

    Oh?

    =(because with the peaks come the valleys) which in turn requires more
    =insulin, which of course is peaky again.

    Please, Mickey, tell us just what pathetic excuse for logic you used to come up
    with the above claim.  It ought to be hilarious.

    =And round and round it goes.  (I was on this trip with intensive therapy with
    =peaky insulin many months last year.

    So since you’re incapable of understanding how to use intensive therapy,
    everybody else must be incapable of it, eh?  This despite the fact that quite a
    few folks have reported excellent results with intensive therapy.

    => And it’s certainly *better* to have both short-acting and long-acting
    => forms of insulin available than to have *only* longacting forms
    => available, since that allows people to use what works best for them.  To
    => the extent that people can’t get ahold of what would work best for
    => them (whether it’s the long-acting animal stuff that Mickey uses or the
    => new extra-short-acting stuff), we have a problem.
    =
    =
    =Now I will admit that I probably didn’t get my point across on this.
    =It has come to light in my studies of insulin, its action, and its
    =manufacture (not to mention my own lab research) over the past 11 months,

    Please note that these "studies" were made by a soi-disant "chemist" who
    doesn’t even understand how one can successively dilute a solution.  Mickey’s
    just blowing smoke here, folks.
    —————————————————————————
    I  try  very  hard  to say exactly what I mean.  I’d appreciate it if you’d
    bear that in mind and not try to "interpret"  my  posts  to  fit  your  own
    preconceived notions if I’m posting in a serious thread.  Remember:  If you
    throw a strawman into a heated debate, flames are likely to be the result.

  20. admin says:

    In article <Pine.SCO.3.91.960123113646.24832A-100…@crash.cts.com>, Michel Martin Devine <m…@cts.com> writes:
    =I too started out my Type I, insulin dependent diabetes with the classic
    ="sudden weight loss".  However, there are other ways that weight can be lost
    =besides the real burning of fat.  It is practically impossible to burn fat
    =fast enough to account for a sudden weight loss, since burning fat
    =requires the expenditure of about 3000 calories for every single pound of
    =the stuff that is shed.

    =Well, yes, under the condition of the onset of
    =Type I diabetes, a certain amount of fat IS burned, as evidenced by
    =ketones in the urine.  But most of the weight loss under these
    =circumstances is due to loss of fluids (water), and a newcomer to Type I
    =diabetes can really get dehydrated.

    30-40 pounds dehydrated?  Mickey, you’re pathetic.

    =As I recall, my weight returned to near normal within 6 weeks.  I had
    =lost about 15 lbs.

    Here Mickey is claiming that he suffered from substantial dehydration for
    nearly 6 weeks.  After all, that 15-pound weight loss had, according to Mickey,
    to be mostly dehydration.  Rather a remarkable claim, don’t you think?  Or
    maybe Mickey *IS* stupid enough that he didn’t think to rehydrate himself for
    that long.

    =2) Using multiple daily injections of insulin every day of varying doses
    =can contribute to weight gain.  This is because every time a person raises
    =their insulin level to make a surplus of blood glucose disappear, the body
    =has the option of storing the extra calories (which it couldn’t use) as fat.

    Of coruse, if you’re not as stupid as Mickey, you’ll be using an insulin
    regimen that won’t require you to continue eating continuously all day long, so
    a few hours after you’ve eaten, your body will then begin converting glycogen
    to glucose.  Next time you eat, the excess glucose will be converted to
    glycogen.  And you get a stable pattern without weight gain.

    =True, most everyone thinks (a) the insulin just anihilates the glucose (it
    =doesn’t and it can’t),

    No, Mickey, I’ve never met ANYBODY who believed that.  This is a strawman of
    your own devising.  Funny how the only arguments for intensive therapy Mickey
    can successfully argue against are those he comes up with himself, isn’t it?

    =OR (b) the insulin simply stores the glucose in the
    =liver.  (Which it does, but there is a limit to what the liver can hold,
    =and when that limit is reached, then the fat storage mechanism has to be
    =triggered.

    Don’t forget that glycogen is also stored in the muscles.  But that aside, only
    an idiot (e.g., Mickey) would be unaware of the above when starting intensive
    therapy.  Most folks have enough intelligence to be able to, once they
    understand the mechanism, adjust their insulin regimes to account for it.
    Alas, since Mickey’s too stupid to manage that, he concludes that everybody’s
    incapable of managing it.
    —————————————————————————
    I  try  very  hard  to say exactly what I mean.  I’d appreciate it if you’d
    bear that in mind and not try to "interpret"  my  posts  to  fit  your  own
    preconceived notions if I’m posting in a serious thread.  Remember:  If you
    throw a strawman into a heated debate, flames are likely to be the result.

  21. admin says:

    On 1 Feb 1996, Speaker-to-Minerals wrote:

    > In article <Pine.SCO.3.91.960128180943.17235A-100…@crash.cts.com>, Michel Martin Devine <m…@cts.com> writes:
    > =I tried my best to make it clear that those people (like yourself) who
    > =purposely raise their blood sugar by means of their eating habits are
    > =NOT eligible for using peakless insulin, and thus there is no real
    > =disagreement here.

    > Let’s see.  In Mickey-speak, "purposely raise their blood sugar by means of
    > their eating habits" means "aren’t willing to compulsively nibble food 16 hours
    > a day in order to avoid actually eating a meal."

    I used the word "purposely" so as to avoid giving people the impression that
    they were doing so out of lack of self-control.

    I eat three good-sized meals a day.  I space in three snacks.  How does
    that possibly mean "compulsively nibble food 16 hours a day in order to
    avoid actually eating a meal?"  I stated the facts in the first two sentences
    all through my original postings, and Lydik knows this perfectly well.

    Ladies and gentlemen: Again we have a prefect example of what I mean by
    Lydik deliberatly distorting and misrepresenting what other people say.
    He does this to mislead you as to what the original person had to say.
    Surely, this person’s only following are people dumber than himself to
    fall for such tactics.

    Maybe I should start doing the same to him…

  22. admin says:

    On 1 Feb 1996, Speaker-to-Minerals wrote:

    - Hide quoted text — Show quoted text -

    > In article <Pine.SCO.3.91.960128180943.17235A-100…@crash.cts.com>, Michel Martin Devine <m…@cts.com> writes:
    > =One thing that I notice about you people who seem to think that peaky
    > =insulin is the only way to go:  Notice the last sentence in your paragraph
    > =above.  It says that when nothing’s broken, the pancreas releases insulin
    > =*in response to eating*.  Very true.  And when the pancreas does this,
    > =it secretes insulin directly into the bloodstream, in monomer form, such
    > =that its half life is only *4* minutes.  Think of the response time
    > =that implies.  Yes, when nothing is broken, the body can do a tremendous
    > =job at regulating blood sugar.  And non-diabetic humans have on average
    > =the narrowest range of blood sugar of all the order of mammalia.
    > =
    > =Now the error in the thinking of the users and believers in peaky
    > =insulin is that through "intensive therapy", they can approximate
    > =this degree of control.  However, even if a person uses an insulin
    > =pump, which only drips insulin into the body just under the *skin*,
    > =never into the bloodstream, the time to get extra insulin into a person’s
    > =bloodstream is on the order of *30* minutes.

    > So what?  Mickey, not everybody’s as stupid as you are:  Some folks can
    > actually take the delay into account, and inject insulin a while before eating.

    My position is that no human could possibly be prescient enough to
    be able to predict the *exact* timing and impact of what they eat
    will have on their blood sugar BEFORE they eat.  If you think YOU can,
    you are deluded.  You try to do this, and you miss the mark far
    more often than not.  From whence the need for your "intensive therapy"
    in order to rectify your original errors of judgment.

    > =So, what peaky insulin ends up doing is making the blood sugar more
    > =peaky

    > Oh?

    > =(because with the peaks come the valleys) which in turn requires more
    > =insulin, which of course is peaky again.

    > Please, Mickey, tell us just what pathetic excuse for logic you used to come up
    > with the above claim.  It ought to be hilarious.

    Just look a graph that has peaks.  A graph with peaks ALWAYS has places
    with lower values, which can colloquially be called valleys.  If you find
    that hilarious, then you are a very easy person to make laugh.

    > =And round and round it goes.  (I was on this trip with intensive therapy with
    > =peaky insulin many months last year.

    > So since you’re incapable of understanding how to use intensive therapy,
    > everybody else must be incapable of it, eh?  This despite the fact that quite a
    > few folks have reported excellent results with intensive therapy.

    "Excellent results"?  Well, if you compare their efforts (and yours) with
    the outcome of no therapy at all, then you guys look good.  However,
    since none of you insulin junkies have ever lived on peakless insulin,
    you are NOT in a position to comment on it.  Just one more example of
    people talking through their hats.

    - Hide quoted text — Show quoted text -

    > => And it’s certainly *better* to have both short-acting and long-acting
    > => forms of insulin available than to have *only* longacting forms
    > => available, since that allows people to use what works best for them.  To
    > => the extent that people can’t get ahold of what would work best for
    > => them (whether it’s the long-acting animal stuff that Mickey uses or the
    > => new extra-short-acting stuff), we have a problem.
    > =
    > =
    > =Now I will admit that I probably didn’t get my point across on this.
    > =It has come to light in my studies of insulin, its action, and its
    > =manufacture (not to mention my own lab research) over the past 11 months,

    > Please note that these "studies" were made by a soi-disant "chemist" who
    > doesn’t even understand how one can successively dilute a solution.  Mickey’s
    > just blowing smoke here, folks.

    There you go again, Lydik!  Obfuscating, as usual.  You know that
    "successively diluting a solution" was never at issue.  As for you, Lydik,
    you wouldn’t know one chemical component inside your vial of insulin from
    another.

    You’re just a big fake.  A know-it-all who cannot control himself from
    running off at the mouth on ANY subject.  It really gives you a lift,
    doesn’t it?  Yeah, I know.  Being just a computer jock who goes around
    re-booting people’s computers when they crash isn’t much of a life, is
    it?  So you come here as the soi-disant expert on everything, and because
    you work for a bunch of incompenents (the Hubble telescope WAS a fiasco,
    and you know it) you think you know more than anyone else in the world.

    No sale, Lydik!

  23. admin says:

    Michel Martin Devine wrote:

    > The analogy falls apart when you consider one *big* difference between
    > oxygen and insulin.  Oxygen is consumed stoichiometrically, that is,
    > in direct proportion to the amount of calories of energy burned with
    > the oxygen.  Insulin, on the other hand, is analogous to an enzyme that
    > is used over and over again, and whose presence is needed in order to
    > transport glucose past the cell membranes of the body.  It lasts for
    > a certain amount of time regardless of how many trips across the cell
    > membranes it takes.

    Not true.
    After binding to the insulin receptor on the cell membranes and eliciting
    an increase in the rate of glucose transport, the insulin gets
    internalized into the cell and degraded. Only a few percent actually get
    recycled as intact insulin.
    The reason why the duration of action is fairly constant is because the
    rate-limiting step is absorption from the injection site rather than the
    rate of consumption.

    Lauge Schaffer

  24. admin says:

    In article <4eqmpm$…@gap.cco.caltech.edu> lyd…@SOL1.GPS.CALTECH.EDU (Speaker-to-Minerals) writes:
    >(replying to article
    >     <Pine.SCO.3.91.960123113646.24832A-100…@crash.cts.com>,
    >     Michel Martin Devine:
    >30-40 pounds dehydrated?  Mickey, you’re pathetic.
    >=As I recall, my weight returned to near normal within 6 weeks.  I had
    >=lost about 15 lbs.
    >Here Mickey is claiming that he suffered from substantial dehydration for
    >nearly 6 weeks.  After all, that 15-pound weight loss had, according to Mickey,
    >to be mostly dehydration.  Rather a remarkable claim, don’t you think?  Or
    >maybe Mickey *IS* stupid enough that he didn’t think to rehydrate himself for
    >that long.

    Why is that stupid?

    I am not a medical doctor, nor am I working in a medical environment, but
    maybe you can tell me why this is so ridiculous?

    When I got my diabetes I lost 15 kg (30 lbs) in 2 weeks. I drank like a camel,
    but every drop of it, plus some more, ended up in the toilet! At the hospital
    they told me that most of my wieght loss was just water.

    Bjørn BL

    ______________________________________________________________________
                   s-mail:                         e-mail:
    |   |   |      Bjorn B. Larsen, Ph. D.         bjoe…@iet.hist.no
    |__ |__ |      Sor-Trondelag College
    |  \|  \|      Gunnerus gate 1
    |__/|__/|_     N-7005 TRONDHEIM                tel: +47 – 7389 6288
                   NORWAY                          fax: +47 – 7389 6286
    ______________________________________________________________________

  25. admin says:

    On 1 Feb 1996, Speaker-to-Minerals wrote:

    > In article <Pine.SCO.3.91.960123113646.24832A-100…@crash.cts.com>, Michel Martin Devine <m…@cts.com> writes:
    > =I too started out my Type I, insulin dependent diabetes with the classic
    > ="sudden weight loss".  However, there are other ways that weight can be lost
    > =besides the real burning of fat.  It is practically impossible to burn fat
    > =fast enough to account for a sudden weight loss, since burning fat
    > =requires the expenditure of about 3000 calories for every single pound of
    > =the stuff that is shed.

    > =Well, yes, under the condition of the onset of
    > =Type I diabetes, a certain amount of fat IS burned, as evidenced by
    > =ketones in the urine.  But most of the weight loss under these
    > =circumstances is due to loss of fluids (water), and a newcomer to Type I
    > =diabetes can really get dehydrated.

    > 30-40 pounds dehydrated?  Mickey, you’re pathetic.

    Do you think, Lydik, that at the rate of 3000 calories per pound that
    a person’s weight can go up and down 30-40 pounds solely by fat burning
    in such a limited time?  Get out your calculator.  That would require
    burning fat far in excess of 10000 calories per day!  You must believe
    in those magic diets that they tell about in the tabloids at the supermarket
    checkouts.

    > =As I recall, my weight returned to near normal within 6 weeks.  I had
    > =lost about 15 lbs.

    > Here Mickey is claiming that he suffered from substantial dehydration for
    > nearly 6 weeks.

    Lydik logic:  Just because it took me 6 weeks to regain my weight loss, that
    I suffered from the weight loss for the same length of time.

    How does he come to such erroneous conclusions?   FACT:  It took me
    from near the end of March 1965 all the way to July 1965 to lose the
    15 pounds.  How long is that?  3-1/2 months.  If anyone thinks that
    Lydik is "smart", then they are as stupid as he is.

    > After all, that 15-pound weight loss had, according to Mickey,
    > to be mostly dehydration.  Rather a remarkable claim, don’t you think?  Or
    > maybe Mickey *IS* stupid enough that he didn’t think to rehydrate himself for
    > that long.

    Here is another reason why I DONT BELIEVE that Lydik himself is diabetic.

    When I was an uncontrolled Type I diabetic, I was urinating copiously
    (polyuria).  Under such circumstances, there was no chance of my
    rehydrating myself.

    When Lydik goes around calling people STUPID, *he* is the one who comes
    out looking really stupid.  And his stupidity is largely derived from
    the fact that most of the time, he is talking through his hat.

    Like the time he tried to discredit my knowledge of chemistry.  He really
    tried hard.  But to no avail.  He was really in over his head that time,
    and he knows it.  Yet everytime he makes a horse’s ass of himself, he
    retreats hoping that no one will notice.  Then whenever someone reminds
    him of his asininity at a later date, he merely screams "liar".  Oh well.

    > =2) Using multiple daily injections of insulin every day of varying doses
    > =can contribute to weight gain.  This is because every time a person raises
    > =their insulin level to make a surplus of blood glucose disappear, the body
    > =has the option of storing the extra calories (which it couldn’t use) as fat.

    > Of coruse, if you’re not as stupid as Mickey, you’ll be using an insulin
    > regimen that won’t require you to continue eating continuously all day long,
    > so a few hours after you’ve eaten, your body will then begin converting
    > glycogen to glucose.  Next time you eat, the excess glucose will be converted to
    > glycogen.  And you get a stable pattern without weight gain.

    1)  Just like Lydik again, who deliberately distorts and misrepresents what
    the other person says.  I never implied that I eat continuously all day long.
    All I said was that I distribute my food more evenly throughout the day.
    There’s a big difference.  

    2)  Here again, Lydik, who himself is physically nothing more than
    a weasened rat who can’t put on a pound if his life depended on it, cannot
    appreciate how easy it is for many if not most people to put on weight.  
    Most people find that excess glucagon in the liver can easily end up in
    their adipose.  Another example of Lydik, the coldest and most
    non-understanding person on the Internet.

    > =True, most everyone thinks (a) the insulin just anihilates the glucose (it
    > =doesn’t and it can’t),

    > No, Mickey, I’ve never met ANYBODY who believed that.  This is a strawman of
    > your own devising.  Funny how the only arguments for intensive therapy Mickey
    > can successfully argue against are those he comes up with himself, isn’t it?

    Not a strawman.  I am just relating what I have read here on m.h.d. from
    some people.  Where were YOU to straighten them out?  Writing nasty-grams
    to nice women so that they wouldn’t feel so nice, I’ll bet.

    > =OR (b) the insulin simply stores the glucose in the
    > =liver.  (Which it does, but there is a limit to what the liver can hold,
    > =and when that limit is reached, then the fat storage mechanism has to be
    > =triggered.

    > Don’t forget that glycogen is also stored in the muscles.  But that aside, only
    > an idiot (e.g., Mickey) would be unaware of the above when starting intensive
    > therapy.  Most folks have enough intelligence to be able to, once they
    > understand the mechanism, adjust their insulin regimes to account for it.
    > Alas, since Mickey’s too stupid to manage that, he concludes that everybody’s
    > incapable of managing it.

    This last remark is both irrelevant AND totally off the wall.  What else
    could one expect from a mental patient?

    The glygogen stored in the muscles is 1) limited in amount and no way
    compares to the storage capacity of glycogen in the liver, and 2) once
    glycogen is actually stored in the muscle cells, it is readily available for
    use without the need for insulin or glucacon.  Hence, it need not even
    be mentioned in this discussion.  It is not part of the problem of regulating
    blood sugar, aside from being a factor in the overall storage of fuel
    contributing to the condition of a person "getting ahead on their food".
    But Lydik himself (last year) scoffed, sneered at, and ridiculed this
    concept.

    Oh, and this again (below).  Why don’t you edit and revise this drivel?

    It could very well read:

    I am the sole, self-appointed judge of everything posted here at
    misc.health.diabetes.  If you dare contribute anything that I didn’t know
    already, flames are likely to be the result.

    - Hide quoted text — Show quoted text -

    > —————————————————————————
    > I  try  very  hard  to say exactly what I mean.  I’d appreciate it if you’d
    > bear that in mind and not try to "interpret"  my  posts  to  fit  your  own
    > preconceived notions if I’m posting in a serious thread.  Remember:  If you
    > throw a strawman into a heated debate, flames are likely to be the result.

Place your comment

You must be logged in to post a comment.