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Old 10-22-2009, 10:35 AM   #1
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HELP!!!

I'm new here and I'm completely clueless. I was diagnosed last year, and basically I know nothing about diabetes. I read that there's a couple of books I need to check out from the library, and I'll do that asap (at work now) but I need to know if there's any emergency tips. My BG has been running in the high 200's and last Monday night it was 374! Please help! Any ideas would be appreciated. I'll check back off and on since I'm supposed to be working. Thanks everyone, you seem like a great group.
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Old 10-22-2009, 10:43 AM   #2
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What are you eating? What had you eaten two hours before you got that blood sugar reading? How often are you testing? We need answers to these questions before we can give you help.
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Old 10-22-2009, 10:51 AM   #3
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that particular reading was 2 hrs after a peanut butter and jelly on wheat sandwich. My doctor told me to test twice a day. For a long time I wasn't testing regularly, but then I started testing in the morning before I left for work. Usually that's an hr after I wake up but still haven't eaten, then I test again before I go to bed. Before yesterday I was watching my sugar and "white" intake somewhat, but not the best. Yesterday and today I'm starting a low carb diet from some recipies I found on this site.

I read that someone was keeping a spreadsheet of some kind? Is there one I can download somewhere? I'm sorry to be so needy, but I don't know ANYTHING!
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Old 10-22-2009, 12:03 PM   #4
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Stop eating all starches and sweets. See your doctor ASAP. It's nothing to play around with.

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Old 10-22-2009, 12:43 PM   #5
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I'm new here and I'm completely clueless. I was diagnosed last year, and basically I know nothing about diabetes.
I think you need a different doctor! You were diagnosed last year and your doctor didn't give you any information?? He/she should have immediately set you up with a nutritionist, and an endocrinologist, and possibly some meds.

And IMO, checking your blood sugar just twice a day isn't enough...at least until you have things under control.
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Old 10-22-2009, 12:45 PM   #6
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Thanks, I'll check it out this evening. I'm falling behind on my work because I keep reading the board
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Old 10-22-2009, 12:49 PM   #7
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Hi LovesDaisies,

First of all ... relax. There is a lot of good information on this site and Jenny's site [bloodsugar101.com] ... but if you're looking for a quick fix to your current problem, you're probably not going to find it.

There is a "learning curve" to this Diabetes thing that we share here. What works for one Diabetic doesn't work for another. Your best defenses against this disease are knowledge and your meter. With your meter, you can find out what foods affect you and how they affect your blood sugar. You want to take a reading as soon as you get up in the morning ... before you have a mouthful of coffee, tea or whatever.

You want to test prior to each meal ... and then 1 hour after ... and 2 hours after. Initially I also tested 3 hours after a meal and then 4 hours after.

Yes it's a lot of testing, but you learn a lot about how Diabetes affects you from that testing.

I don't know of a specific spreadsheet that you can download ... but if you know how to use a spreadsheet, there's no reason why you can't set one up for yourself. It's useful to see your readings spread out on paper ... just to see any trends etc. You want to have a column for the day/date ... one for the meal consumed [and what you ate] ... then column for the pre-meal reading ... one for 1 hour post-meal ... one for 2 hours post-meal etc. You can even have a column that figures out your average reading for the day.

Most of us here follow a low carb diet ... but low carb alone doesn't guarantee that your blood sugar will drop to within "normal" ranges. I'm on Metformin ... which helps. I also exercise for about 30 minutes, 5 days a week. That also helps.

Losing weight helps too ... and I've lost 24 pounds since May 2009.

This is a slow process, but you have to keep at it. This isn't something that you can follow "until" you reach some goal. Even if you lose all the weight you need to lose ... and get your blood sugar within the ranges you want to get to ... you will still be Diabetic. This doesn't go away ...

It's important to get your blood glucose to "near normal" ranges in order for you to avoid some of the dreadful side-effects of this condition ... like losing feet/legs ... going blind ... etc.

This is serious ... and while you should have been gathering information about it from the moment you were diagnosed, I understand the comfort in denial. It's good that your blood sugar readings have finally given you a wake-up call.

Good luck ... and this is a great forum for support and information.

Mary
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Old 10-22-2009, 12:50 PM   #8
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Thanks Bill, I'm making the move to better eating, but it's going to be difficult for me. Someone suggested that I test more often so I called my doctor to have him increase my testing supply rx. His receptionist laughed at me and said "I've never heard of testing more than 2x a day on an oral medicine, but I'll put in the request." It made me feel really bad. I typically have had good service with this doctor, maybe I do need to go see him in person.
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Old 10-22-2009, 12:58 PM   #9
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Thanks Bill, I'm making the move to better eating, but it's going to be difficult for me. Someone suggested that I test more often so I called my doctor to have him increase my testing supply rx. His receptionist laughed at me and said "I've never heard of testing more than 2x a day on an oral medicine, but I'll put in the request." It made me feel really bad. I typically have had good service with this doctor, maybe I do need to go see him in person.
I'm not so sure that you have had "good service" from this doctor. You say that you were diagnosed with Diabetes "last year" ... and yet you know nothing of the disease.

My doctor made sure that I was very aware of what Diabetes was and could do. She put me in touch with resources in my area ... though the CDA diet really isn't the best for me. She made me want to research this condition on my own ... and as a result, she was encouraged when at my next appointment my levels had come down.

I've never heard of being restricted in terms of the number of times a day you test. I have an Rx for strips ... and since I see my doctor every 3 months, should that Rx need refilling, she complies. I have to pay for my strips [and claim it on Income Tax] because I don't have prescription insurance ... but the frequent testing results have helped me learn to deal with my Diabetes.

If your doctor isn't supportive of your learning and doing whatever you feel is necessary ... then get another doctor. Don't let either the doctor or the doctor's nurse belittle your attempts at getting better. Just remember, if your Diabetes goes uncontrolled, then it's YOU that loses your eyesight or a limb. Neither your doctor nor your doctor's nurse will suffer the consequences of your not getting control of your blood sugars. If they give you a hard time ... tell them that.

Mary
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Old 10-22-2009, 01:02 PM   #10
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Thanks for all the advice from everyone! I guess I was going into panic mode. Until recently (last couple of days) I didn't understand the seriousness of the disease, and still dont, but a friend told me that anything above 180 damages nerves and blood vessels. So of course I'm panicked. As I stated in a response to Bill, I do plan to test more, and called my doc for an increase on my test strips. His receptionist laughed out loud and said "Ive never heard of anyone testing more than twice a day on oral meds, but I'll put in the request". Maybe my doctor will call me. I did see a nutrionist once after diagnoses, and she basically said "keep your carbs under 63 per meal" I had a tough time tracking, or maybe I was just lazy (more likely), but I'm ready to pay attention now. I'm on metformin 2x day, maybe that will help more once I eat better. I plan to remain a part of the group here, so thanks for the warm welcome and show of concern.

I look forward to learning from you all
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Old 10-22-2009, 03:26 PM   #11
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Hi Mary,

I just heard back from my DR's assisant (not the receptionist) and she says all that he will recommend is 3X a day, but staggered at different times. I guess I'll test the way that I want to and hopefully my numbers will begin to see progress with more research and better eating. If not, I'll make a quick appt to see the dr, and if I don't get any response then I'll try to find another doctor.

Oh another question - My doctor suggested that I prick the inside of my forearm because it's less painful than a finger stick. Does that make any difference? I wouldn't think so, but I've received weird reactions from other diabetics that hear I do it that way.

Thanks,
Coreen
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Old 10-22-2009, 03:36 PM   #12
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your Dr seems to be practicing malpractice.

it is difficult for everyone to make a big diet change. but if you want to keep your vision, limbs, mind and life, you'll jump right in.

you need to start reading pronto so you'll understand....this should scare the hell out of you!! take it very seriously.
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Old 10-22-2009, 03:44 PM   #13
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Quote:
Originally Posted by LovesDaisies View Post
Hi Mary,

I just heard back from my DR's assisant (not the receptionist) and she says all that he will recommend is 3X a day, but staggered at different times. I guess I'll test the way that I want to and hopefully my numbers will begin to see progress with more research and better eating. If not, I'll make a quick appt to see the dr, and if I don't get any response then I'll try to find another doctor.

Oh another question - My doctor suggested that I prick the inside of my forearm because it's less painful than a finger stick. Does that make any difference? I wouldn't think so, but I've received weird reactions from other diabetics that hear I do it that way.

Thanks,
Coreen
Many on these boards have found pricking on the side of the fingertips, is relatively pain free. I just read today how the forearm results can be a delayed response on a post.
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Old 10-22-2009, 06:50 PM   #14
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Originally Posted by LovesDaisies View Post
that particular reading was 2 hrs after a peanut butter and jelly on wheat sandwich. My doctor told me to test twice a day. For a long time I wasn't testing regularly, but then I started testing in the morning before I left for work. Usually that's an hr after I wake up but still haven't eaten, then I test again before I go to bed. Before yesterday I was watching my sugar and "white" intake somewhat, but not the best. Yesterday and today I'm starting a low carb diet from some recipies I found on this site.

I read that someone was keeping a spreadsheet of some kind? Is there one I can download somewhere? I'm sorry to be so needy, but I don't know ANYTHING!
Get a new doctor. Your doctor does not know what he's talking about.

Test before and two hours after every meal. Test when you wake up and when you go to bed. Your health depends on it.

Do not eat anything made from any grain (corn is a grain), or the grains themselves. Do not eat potatoes or any starchy or sweet vegetable (carrots, beets, sweet potatoes). Do not eat anything sweetened with sugar, honey, sorghum, molasses, maple syrup, or anything that ends in "-ose" or "-ol." Do not eat fruit unless it's a berry, and then only small amounts - a quarter cup at a time. Do not eat legumes, beans, peas, peanuts. Absolutely do not eat rice, potatoes, or pasta.

Get the books by Dr. Atkins and the Drs. Eades. Get Dr. Bernstein's Diabetes Solution (another book).

Eat beef. Eat chicken with the skin and the fat. Take coconut oil and cod-liver oil. Add magnesium supplements to your diet. Eat fish - lots of fish.

Get yourself accounts (free) on Calorie Counter, Diet Tracking, Food Journal, Nutrition Facts at The Daily Plate and on glucosebuddy.com to track your food intake, carb intake, and blood glucose.

You will have to totally change your way of eating. It's okay. We've all been through it and we've survived the transition and you will, too.

Best of luck.
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Old 10-22-2009, 06:54 PM   #15
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I did see a nutrionist once after diagnoses, and she basically said "keep your carbs under 63 per meal"
Get a better nutritionist, too. I keep my carbs at 0 per meal whenever possible and under 20g per DAY, not per MEAL. Your nutritionist is an idiot.
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Old 10-22-2009, 07:01 PM   #16
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Well Crap! That knocks out every food I like. (I can see you all shaking your heads in agreement) hehe. Thanks so much for the general list and the direction in where to start my search for knowledge. I'm heading home from work now (10 hr day) and then after my homework tonight I'll start pouring over these websites and try to come up with a game plan for tomorrow.

Is there a thread where everyone posts their progress? I'd like to join the group as a whole, and not have a thread that so "me-centered" I don't want ya'll to grow tired of me yet

Thanks again,
Coreen
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Old 10-23-2009, 07:02 AM   #17
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Hi Coreen,

It only seems like the list includes everything you like. One of the things that I found astonishing when I began low carb eating was that one can actually be addicted to carbs. And, even if you aren't addicted to the wrong carbs, the truth is that we have become used to eating a certain way. A sandwich at lunch time seems an "easy" way to eat. Having toast with one's breakfast ... or a toasted bagel ... or cereal ... is something we have become used to having.

However, after a couple of days, you'll be amazed at how you really don't miss the bread/grains. You just have to alter your thinking a bit and before you know it, you will be thinking in terms of foods that aren't grain/flour based.

Once you have managed to gain some control over your bs readings ... and when you've begun to lose some weight [if that's something you need to do] ... you'll be able to make low carb treats that will help keep you on track.

For instance, I always keep almond flour [finely ground almonds] in the house. If we're having chicken, for instance, and I want to have a coating for them, I simply dredge them in some heavy cream and then in almond flour [with seasonings] and then brown them in some olive oil for a few minutes, finishing them up in the oven. The almond flour is a much tastier coating for them ... and the carb count is low.

Because you have Diabetes, you have to alter your thinking a little ... and before you know it, you'll be eating better and your blood sugars will begin to drop ... and you'll feel much better.

I know that if I "give in" to the urge to eat something that's definitely wrong for me ... and spikes my blood sugar, I find that I feel awful as a result ... not from guilt ... but because of the rise in blood sugars. It's astonishing to me actually. Things that I used to think were "comfort foods" aren't any more. They make me feel lethargic and slightly nauseous now.

This is a process ... you learn as you go ... and as you test, you'll become aware of how you actually "feel" when your blood sugars spike. You'll even be able to predict whether or not your sugars are higher than they should be.

Reading Dr. Richard Bernstein's book Diabetes Solution is a must. It's worth every penny it costs ...

Jenny's bloodsugar101.com is another absolute must for reference. I go back and re-read her articles often.

We're here for you

Mary
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Old 10-23-2009, 07:25 AM   #18
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Shoot! I tried to order it but the website does accept my healthcare expense debit card (FSA). thanks for the link, I guess I'll have to wait until payday to get one. Maybe there will be another coupon by then
Register with Walgreens and opt "in" for their newsletters and bulletins, this is how you receive the discounts.
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Old 10-23-2009, 07:28 AM   #19
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Quote:
Originally Posted by LovesDaisies View Post
Well Crap! That knocks out every food I like. (I can see you all shaking your heads in agreement) hehe. Thanks so much for the general list and the direction in where to start my search for knowledge. I'm heading home from work now (10 hr day) and then after my homework tonight I'll start pouring over these websites and try to come up with a game plan for tomorrow.

Is there a thread where everyone posts their progress? I'd like to join the group as a whole, and not have a thread that so "me-centered" I don't want ya'll to grow tired of me yet

Thanks again,
Coreen
This main thread may fit the bill for progress:

Diabetics Progress Reports
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Old 10-23-2009, 07:44 AM   #20
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Hi there. I second, third, and fourth what the others have said about cutting way back on carbs and testing but want to add this: every body is different. Not every diabetic can or will eat a very low carb way. It takes a lot of commitment and work to eat that way and not everyone wants to. In addition, not every diabetic needs to eat that way. I think the first thing you need to do is implement a testing schedule that will show you what the food does to you. Your insurance more than likely won't pay for the amount of test strips you're going to need for awhile. That's where an inexpensive meter that uses inexpensive strips is extremely helpful. I use the Easy Pro Plus but have also used the Reli-On brands from Wal-Mart and they work fine with the least expensive strips.

Here's the one I use and I recommend it to those who are newly diagnosed or struggling. It's also great for those with prediabetes who want to know just whats going on with the food and body.

First thing in the morning before eating or drinking anything

Right before the first bite of a meal
One hour after the first bite of a meal
Two hours after the first bite of a meal

Right before bed

When you're sick or feeling "weird" or a previous test result seems off, such as way too high or too low

Whenever you eat a new to you or untested for you food

In addition, throwing a 3 hour postprandial test in the mix is good if you eat a meal that has untested for you food or is heavy in fat or protein.

You need to read some of Dr Bernstein's books and check out the Dr B thread perhaps, do some research on low/moderate carb eating and plans then pick a plan, read the book, and implement it. I use a modified version of Dr B's plan. As long as I stick to it it works well for me.

As for a progress sort of thread, you can join us in the "Biting the bull by the horns" thread - it's a daily or semi-daily thread for those with diabetes/prediabetes.

Welcome and read, learn, and test, test, test!!!
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Old 10-23-2009, 08:27 AM   #21
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Griffen,

Those two websites are pretty cool!! Thanks for the tip. I wish that glucosebuddy had a blackberry application, but I can still access it on the mobile internet, it's just not as easy. I'm feeling good today and off to a brand new start!

Coreen
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Old 10-23-2009, 08:54 AM   #22
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hpjrt (Mary) & CookinsForMe - thanks for the encouragement. I feel good today, I'm off to a fresh start. It's really nice to have an educated support team to talk with. Thank you to EVERYONE for that!! I can't imagine the day that I don't crave carbs, but I have faith it'll come. Dr. B's book is stocked in my public library but I've ordered it and it should arrive next week.
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Old 10-23-2009, 10:22 AM   #23
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Bernstein's book was the primary inspiration and route I took. I didn't follow his recommendations completely and DIDN'T weigh my self for months, rather let my BS levels and HbA1C results report my progress. This is a good plan to follow but adjust it accordingly.

I felt like "crap" for much of the beginning with all the "fat" burning and lack of energy on my rides. With time and adaptation, things fell in line. I distinctly recall seeing what a can of Coke would do for me during the return of a 50 mile ride wondering if the spike in BS would help....alas there was NO difference and I pedaled on tired....

Good luck with whatever regimen you choose!
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Old 10-23-2009, 10:28 AM   #24
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You guys all seem to be so athletic, and to read what some of you eat just blows me away! I can't imagine a 3 year old living on that small amount of food. I've got a looooong way to go but I know I can do it!
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Old 10-23-2009, 11:59 AM   #25
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I'm not the least bit athletic ... but Wii Fit has been a godsend to me in terms of getting me moving and helping to lower my bs levels ... along with diet and Metformin.

I think that the Metformin helped me with my portion control. I also found that as I progressed with this plan, I was less hungry too. Consuming the wrong carbs seemed to make me more hungry ... so once they were out of my system, I found myself more satisfied with less food. The weight has been dropping ... although not as quickly as I'd like. Since May I've lost 24 pounds ... and I'm happy with that. [I'd like to have lost more than that ... but I'm content with my progress.]

Some of the members here are truly remarkable in their exercise routines and their strict diet control ...

You do what you can in the manner that you can ... and you do it because your health/life depends upon it.

At least ... that's my take on it ...

Mary

Last edited by hpjrt; 10-23-2009 at 12:00 PM.. Reason: grammar
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Old 10-23-2009, 03:53 PM   #26
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I am horribly NOT athletic! lol But I do go to the gym and use the treadmills and I partake in a Zumba class twice a week. I like it but truly, I'm a sloth! However, I want to get and keep the BG and weight under control and exercise makes an amazing difference for me in both of those areas. Honestly, I'd rather be sitting in front of the computer eating cake. Meh.
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Old 10-23-2009, 04:30 PM   #27
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Hi Mary,

I just heard back from my DR's assisant (not the receptionist) and she says all that he will recommend is 3X a day, but staggered at different times. I guess I'll test the way that I want to and hopefully my numbers will begin to see progress with more research and better eating. If not, I'll make a quick appt to see the dr, and if I don't get any response then I'll try to find another doctor.

Oh another question - My doctor suggested that I prick the inside of my forearm because it's less painful than a finger stick. Does that make any difference? I wouldn't think so, but I've received weird reactions from other diabetics that hear I do it that way.

Thanks,
Coreen
Hi Coreen,

I missed this post of yours earlier.

I was told that while you can test from your arm ... the reading will be two hours behind the testing from your finger. I'm not quite sure how that works given that one would think that the blood in one's fingers would first have to travel down one's forearm ... but that's how it was explained to me.

It was also explained to me that the finger prick shouldn't hurt. If it does, then the pressure of the lancet holder is too high. You need such a small amount of blood for testing, and I haven't had a problem using either my baby finger or my ring finger.

Hope that helps ...

Mary
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Old 10-23-2009, 04:57 PM   #28
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Thanks, yes it does. Someone suggested yesterday to try the side of my finger instead of the tip. I've done that all day today and it seems to be better. BTW numbers are better today! 199, 197, 147, 142, 135, 205 - that last one was after about 8 pieces of candy corn. I was doing soooo good until then! I'm back on track now.
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Old 10-23-2009, 05:01 PM   #29
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wow that spreadsheet is pretty cool!! I'll have to start using that also. I was shown glucosebuddy.com yesterday, that's helpful to me because I can access that anywhere, either home pc, work pc, or my phone. I think I'll xfer over my numbers to the other sheet each night though so I'll have the est. ac1. very cool!
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Old 10-23-2009, 05:03 PM   #30
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I'm not athletic at all! So its good for me to see that some others aren't either. I talked w/ my husband and we're going to go for a walk tomorrow morning. He doesnt get off work until 10pm so we cant go tonight. We're planning to get a treadmill as soon as we can.
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