Priorities?
 

I have been a type II for 15 years. Yesterday, I had a cardiac stent put
in due to a blockage and had to stay overnight. First, the hospital
delayed my Apidra until nearly 8 PM when my Lantus (85U) was due at 9
PM. I take 45U of Apidra to help at dinner time. I knew that was going
to cause a major crash being so close together so I skipped the Apidra.
On top of that, I was taken off metformin the day before for the stent
so my blood sugars have been on a major roller coaster.

This morning my sugar was 147 so I tried to order a low carb breakfast
-- a mushroom, onion and cheese omelet and an order of sausage. I was
told no sausage and no cheese because I was on a cardiac diet. I was
offered instead pancakes, waffles, French toast, bagels or cereal along
with the omelet. I pointed out that as a diabetic off my meds carbs was
the last thing I needed. She said since I was diabetic I could ONLY have
5 servings of carbs (pancakes or waffles were considered 2). Say what?
She wouldn't budge so I had the pancakes with the omelet. When I
complained to the nurse she said "you know better than to eat the
pancakes." She missed the entire point.

There is a major problem with diabetes management when you get placed
into one dietetic group or another. The disease is far too complicated
to make it one size fits all.

Anyway, I wanted to relay my experience.

Later,
Dave

Priorities?
 

Priorities?
 

"Janet Wilder" > wrote in message
...
> wrote:
>> I have been a type II for 15 years. Yesterday, I had a cardiac stent put
>> in due to a blockage and had to stay overnight. First, the hospital
>> delayed my Apidra until nearly 8 PM when my Lantus (85U) was due at 9
>> PM. I take 45U of Apidra to help at dinner time. I knew that was going
>> to cause a major crash being so close together so I skipped the Apidra.
>> On top of that, I was taken off metformin the day before for the stent
>> so my blood sugars have been on a major roller coaster.
>>
>> This morning my sugar was 147 so I tried to order a low carb breakfast
>> -- a mushroom, onion and cheese omelet and an order of sausage. I was
>> told no sausage and no cheese because I was on a cardiac diet. I was
>> offered instead pancakes, waffles, French toast, bagels or cereal along
>> with the omelet. I pointed out that as a diabetic off my meds carbs was
>> the last thing I needed. She said since I was diabetic I could ONLY have
>> 5 servings of carbs (pancakes or waffles were considered 2). Say what?
>> She wouldn't budge so I had the pancakes with the omelet. When I
>> complained to the nurse she said "you know better than to eat the
>> pancakes." She missed the entire point.
>>
>> There is a major problem with diabetes management when you get placed
>> into one dietetic group or another. The disease is far too complicated
>> to make it one size fits all.
>>
>> Anyway, I wanted to relay my experience.
>>
>> Later,
>> Dave
>
> Hope you heal quickly from the stent. My DH is going in for an
> implantation of a defibrillator on Thursday I am packing food for him so
> that as soon as they say he can eat, I'll have something healthy to feed
> him. They are taking him off his pump and will be doing finger sticks and
> insulin injections. There is no way he needs carby hospital food. I'll be
> his caterer.
>
> We have never come across a hospital that understands that diabetics,
> especially ones who are in a bed and not feeling well, don't need all of
> those carbs.
>
> --
> Janet Wilder
> Way-the-heck-south Texas
> Spelling doesn't count. Cooking does.
>

I was in the hospital for two days in January 2008 for removal of my gall
bladder and "pulverizing" a kidney stone. The hospital did not have *one
thing* that I know I should be eating as a diabetic. The doctor had listed
me for diabetic diet, but the hospital nutritionist seemed to think that
meant "lots of carbs." They did not even have sugar-free jello. In fact, I
asked and was told that they did not carry any "sugar free" products. I'm
just lucky I didn't have to be there more than two days. If I had, I think
I would have called some friends and asked them to bring in food.

MaryL

Priorities?
 

"MaryL" -OUT-THE-LITTER> wrote in message
...
|
| "Janet Wilder" > wrote in message
| ...
| > wrote:
| >> I have been a type II for 15 years. Yesterday, I had a cardiac stent put
| >> in due to a blockage and had to stay overnight. First, the hospital
| >> delayed my Apidra until nearly 8 PM when my Lantus (85U) was due at 9
| >> PM. I take 45U of Apidra to help at dinner time. I knew that was going
| >> to cause a major crash being so close together so I skipped the Apidra.
| >> On top of that, I was taken off metformin the day before for the stent
| >> so my blood sugars have been on a major roller coaster.

My last hospitalization of any length was for my lung cancer operation.
At day two, when I really became coherent, it was apparent that the
"diabetic diet" I had requested was, as above, woefully problematic.
So I told the duty nurse of my concerns. Within the hour a person
appeared, identified herself as a dietician and asked what my problem
was and how she could help. I told her what I normally ate and
that the food I had been given was far too high in carbs. She told me
that I should be on a special low carb diabetic diet, then asked me
what I liked for breakfast, lunch and dinner. From then on, for the
next eight days, I had a wonderfully customized low carb menu, with
special peanut butter for breakfast, no big rolls or sandwiches, and
very decent high protein low carb meals. The food was within its
context great, and she came back twice to ensure that it was all right.

This was at the James A Haley VA hospital in Tampa. Everyone there
was amazingly good, intelligent, interested, involved and concerned.
I post this simply because of the current babble about government
health care and all of the garbage of how insensitive it can be. People
working in the VA structure are incredibly dedicated and competent,
I owe them huge debts of gratitude.

pavane

Priorities?
 

x-n-archive: yes

Janet Wilder wrote:

Janet, you may need to discuss Ringer's lactate vs. dextrose IV, too,
before he can eat. Are his electrolytes being closely monitored, too?

Hope everything goes smoothly!

Susan

Priorities?
 

MaryL -out-the-litter> wrote:

: "Janet Wilder" > wrote in message
: ...
: > wrote:
: >> I have been a type II for 15 years. Yesterday, I had a cardiac stent put
: >> in due to a blockage and had to stay overnight. First, the hospital
: >> delayed my Apidra until nearly 8 PM when my Lantus (85U) was due at 9
: >> PM. I take 45U of Apidra to help at dinner time. I knew that was going
: >> to cause a major crash being so close together so I skipped the Apidra.
: >> On top of that, I was taken off metformin the day before for the stent
: >> so my blood sugars have been on a major roller coaster.
: >>
: >> This morning my sugar was 147 so I tried to order a low carb breakfast
: >> -- a mushroom, onion and cheese omelet and an order of sausage. I was
: >> told no sausage and no cheese because I was on a cardiac diet. I was
: >> offered instead pancakes, waffles, French toast, bagels or cereal along
: >> with the omelet. I pointed out that as a diabetic off my meds carbs was
: >> the last thing I needed. She said since I was diabetic I could ONLY have
: >> 5 servings of carbs (pancakes or waffles were considered 2). Say what?
: >> She wouldn't budge so I had the pancakes with the omelet. When I
: >> complained to the nurse she said "you know better than to eat the
: >> pancakes." She missed the entire point.
: >>
: >> There is a major problem with diabetes management when you get placed
: >> into one dietetic group or another. The disease is far too complicated
: >> to make it one size fits all.
: >>
: >> Anyway, I wanted to relay my experience.
: >>
: >> Later,
: >> Dave
: >
: > Hope you heal quickly from the stent. My DH is going in for an
: > implantation of a defibrillator on Thursday I am packing food for him so
: > that as soon as they say he can eat, I'll have something healthy to feed
: > him. They are taking him off his pump and will be doing finger sticks and
: > insulin injections. There is no way he needs carby hospital food. I'll be
: > his caterer.
: >
: > We have never come across a hospital that understands that diabetics,
: > especially ones who are in a bed and not feeling well, don't need all of
: > those carbs.
: >
: > --
: > Janet Wilder
: > Way-the-heck-south Texas
: > Spelling doesn't count. Cooking does.
: >

: I was in the hospital for two days in January 2008 for removal of my gall
: bladder and "pulverizing" a kidney stone. The hospital did not have *one
: thing* that I know I should be eating as a diabetic. The doctor had listed
: me for diabetic diet, but the hospital nutritionist seemed to think that
: meant "lots of carbs." They did not even have sugar-free jello. In fact, I
: asked and was told that they did not carry any "sugar free" products. I'm
: just lucky I didn't have to be there more than two days. If I had, I think
: I would have called some friends and asked them to bring in food.

: MaryL

When I ws in the hospitaal followign an auto accident several years ago, I
was lucky to find that they had a few items I could order anytime in place
of the reguar menu. I had severl meals a day, including breakfast, of a
cottage cheese plate with lettuce and some tiney tomato halves. Better
than all that carby stuff.

Wendy

Priorities?
 

On Tue, 18 Aug 2009 20:03:20 -0500, wrote:

>Anyway, I wanted to relay my experience.

Good grief! Hope you're healing well, and are able to self-manage
again! High bg is such a barrier to healing.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 150ug thyroxine
Last A1c 5.2% BMI 26

Priorities?
 

Susan wrote:
> x-n-archive: yes
>
> Janet Wilder wrote:
>
> Janet, you may need to discuss Ringer's lactate vs. dextrose IV, too,
> before he can eat. Are his electrolytes being closely monitored, too?
>
> Hope everything goes smoothly!
>
> Susan

Doctor knows he is DM. Endo just told him to change his pump to a 50%
basal. We'll see what happens tomorrow. I have a few cans of sardines <g>

--
Janet Wilder
Way-the-heck-south Texas
Spelling doesn't count. Cooking does.