Hospital Management Protoco 1995. October 25, 2017

Sugar is good. all day it is around 100 mg/dl.
        I do not sleep at night. I sleep at day time. It is partly because of we wrap my legs, so at night it is severe pain and I prefer to sleep at day time, it is less painful. Even when it is pain I can take off wrap at day time and take good sleep. Then before night my man will wrap legs back, and it will let water to be reduced. It is very visible right now when water reduced on legs. It is also reduced in full body.
       Tonight my man wrapped my legs.As he started to put on one wrap over another, it is comfort, worm, satisfaction, pleasure. Looks like for now it is best way to live. My legs must be dressed all the time. It is very uncomfortable when they opened to the air. But toes must be opened. It is very uncomfortable when wrap cover the toes. I have no one idea why. I just feel it as it is, and this is why I have to let toe opened, no cover no wrap on the toes.
      My sugar is good, but I am almost do not eat today. I have no one idea why. I simple do not want to eat. It is complicated. I am very worry to get low sugar. I take regular dose of insulin, 307 units daily. Still, I do not want to eat. Sugar run around 100 mg/dl. Usually I feel it is as 'low'. Not today. I am good all day. I even done some house work. Not too much but it is already good. At least I am started to do something.
      I already posted I started to read some books I got on Amazon. I do have good Medical Library. Actually it is all about Diabetes. But there are other books too. I was looking to get some books published before 1980. It is important. After 1980 it started to be used as diabetics type 2 do not need insulin. I was looking, why this was adapted so widely and aggressively. So I try to read books published before 1980, and also Pathology books. Today as I said I done some housekeeping. I found book

Hospital Management Protocol by M.E.J.Lean.  published by Mark Allen 1995 Britain. ISBN 1 85642 021 3.

 At first very interesting point: "Adjust insulin dose ( it is understantable) or sulphonylurea in smal steps."
        Say me, how to do so? It is understandable with insulin. Unit is very small dose, and it is all in my diabetic's hands. What about SU? How to do it with oral type of medicine? We do have only one tablet, and it is not all active ingredients in it. It is only 2.5 mg in one tablet I have to take two times daily, and I still have low blood sugar. Very severe low, aggressive. So, say me, ho wto adjust the dose of SU?
      Actually, it is even more interesting. No one MD ever told me that SU is the reall treatment to reduce Blood Sugar level. I all time was given the idea that it is Metformin I have to take to control my level of sugar in blood, and Metformin never worked  in this direction. I was all the time on the swing, high in the eve before I took my eve medicine. Then low at day time after I took my morning medicine SU including and left to work. It always was low blood sugar, and I even did not know why did I feel so bad. No any info from my doctor. OK, it is past, and now it is better to let past  be forgotten. Probably. Just do not try to do same things and expect another. I do not take ether Metformin nether SU right now, and not going to take it back to my routine.
        Another important point. Treatment of newly diagnosed diabetes. At first it is presumed it is diabetes type 2, NIDD, not-insulin dependent diabetes. Interesting point. Patient is in hospital. There are blood sugar monitoring, urine test for glucosuria (sugar in urine) and all the staff to be done to diagnose diabetes. But at first it is already presumed, it it type 2 diabetes, not insulin dependent. So, according to diagnose, and because of it is non insulin dependent type of diabetes, treatment arranged:

• Weight loss and diet;
• SU, type of medicine which force diabetic's pancreas to increase insulin secretion;
• Metformin, to increas diabetic's sensitivity to insulin, so there are more insulin would be needed, and it is already in limited secretion, according to diagnose. Otherwise why SU must be taken?
• Acarbose, type of medicine wish work in colon and increase colon discharge, so diarrhea is side effect, and very often it is severe;
• Insulin. Well, usually never Rx due to increased risk of low sugar and decrease the level of complications, not good for medical care. There are some points in protocol when insulin must be initiated. But together with SU and Acosorbite it is too difficult to dose and avoid low blood sugar. They simple do not go together.
• Lastly, it is alcohol. It decrease level of sugar, this is why wed wine is highly recommended for good health.

         Good list of treatment and recommendations. Of cause, there are never Rx to alcohol. So sad. I would like to have this Rx. Regarding to the rest of the list, I would not recommend it. Well, there are some special thanks to other MD who helped with this book and author appreciate their advice. One of them some diabetic, 50 years on insulin therapy. 50 years on insulin. Still working, on two legs, and no heart attack or stroke. Difference with us, type 2 diabetics on SU, Metformin, and Acosorbite. WE die less then 10 yeas after being diagnosed with diabetes type 2. So, read it with own logic. Do you really so afrade of needle that you are ready to give up 40 years of your life? I am not. This is why in spite of all attempt to return me to Metformin and SU I still alive, on two legs, and no Metformin or Acosorbite. I do have good metabolize. I do not like Diarrhea.
        Now at last the drugs which interfere with diabetes.

• thinzide diuretics;
• chlorthailodine;
• metalazone;
• diaszodone;
• rormone replacement therapy;
• thiroxine;
• somatostantin;
• pentamidine;
• beta-adrenergic stimulants;
• rifampicin;
• cyclosporine.
•       Drugs that impare recovery:
• beta-blokers;
• alcohol.

        What is must interesting in this medicine that I did know I cannot tolerate this medicine or recommendations. As long as I do remember I never was good with alcohol. I simple could not tolerate it. Of cause I do have severe headaches from my childhood. Also I usually take some medicine, and I do not remember any day I am out of medicine. Often I am very sick, or recovery after surgery, and recovery takes long time. Then it is high blood pressure and migraine attacks.  It is easy to accept with alcohol.
       Still, I do not tolerate :

• Metformin, Poison effect.
• I do not tolerate Acosorbite. Poison effect.
• I do not tolerate diuretics. Rush. Poison effect. Blood sugar rising. Weight increasing. 
• I do not tolerate beta-blockers. Very severe headache. So severe that I am disfunctional and easy to pass out.

I am very sensitive to any medicine. If medicine is wrong I cannot take it. I trust in myself. Finally I got what I had to do in past, and I never did. I simple trusted in all people, but never in myself. It was wrong. It must be changed.

via Ravenvoron