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Dr Katharine Morrison

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Well exactly, it'd mess all yer ratios up!
 
Ellie Jones said:
You just run it through the bolus wizard, and it will tell you whether you need more insulin or not... And it will be keep tabs of the calculation as you go a long...

The expert meter and Combo remote are both the same with the exception the Combo has the software and bluetooth to communicate with and work the pump..
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Ellie I'm not on a pump, we're discussing the Abbot Insulinx meter and how it works which is a little different to the Expert.

I'm not sure why you'd want to be on more basal than bolus unless you are discussing pumping which I couldn't contribute to since I am on MDI. I find if I get my basal correct then I can do without meals etc but I can't quite get the feel of 75% basal as I'd be hypoing if I didn't eat.
 
Northerner said:
And me - hadn't noticed it earlier! Surely you need the amount of basal you need to cover what happens all day, whether you eat or not, and bolus is just for food? If I increased my basal to a 50/50 split I'd be constantly hypoing 😱
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100% Alan, you need what you need nothing more nothing less 🙂
 
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Am I right in thinking that your liver's output will increase if you skip a meal ?

Hence, basal needs are different from normal eating days ?

Rob
 
trophywench said:
That's puzzled me - why?
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This is just a preference as opposed to a widespread observation of the basal/bolus split.........

You can only give yourself the right amount of basal, any more and you would hypo.............

I was just stating that I would like to have my maximum basal dose possible, accompanied by bolus doses with small insulin/carb ratios.............

Some MDI users may find they are taking more bolus insulin without realizing its compensating for an inadequate background supply......

Yesterday I worked out my basal/bolus split to be 60/40...............:D
 
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Robster65 said:
Am I right in thinking that your liver's output will increase if you skip a meal ?

Hence, basal needs are different from normal eating days ?

Rob
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I would of thought that your body would use its stores of energy in the fat and muscle before getting the liver to pitch in................

I suppose if it was a regular thing, the livers output would change.....
 
novorapidboi26 said:
I would of thought that your body would use its stores of energy in the fat and muscle before getting the liver to pitch in................

I suppose if it was a regular thing, the livers output would change.....
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But it would still spill glucose into the bloodstream at a rate determined by what the liver thinks we need. Which is unlikely to match what we are randomly doing.

eg. If you skip a meal and go for a walk, the liver may decide you're going to continue walking all day and carry on pushing glucose for an hour after you sit down. Your BG could go up into the teens, overpowering your normal basal needs.
Because, if you have a recent meal in your stomach, your liver will just sit back with its feet up and let your stomach drip feed glucose (depending on GI of course!).
It's something of a grey area for me. I don't skip meals, and don't basal test. I just adjust until I get the BG i want before meals and at 1 or 2 hours.

Rob
 
AFAIK the 50:50 split for basal and bolus is suggested as it is what is seen in those lucky blighters still to have a functioning pancreas (how they worked this out I am not sure).

John (Pumping Insulin) Walsh suggests that most T1Ds will have between 40-60% split basal to bolus. If you notice that yours is outside this he recommends running basal tests to ensure that your needs are what you think they are. Similarly if corrections rise above 8% of TDD he says you should start testing again.

In somecases the recommendation is to begin again from TDD to re-set basal and bolus to 50:50, and reset i:c ratio and sensitivity using those 'rules of thumb' (eg 500 rule etc).

I think I'd have to be getting really dodgy numbers to go that far. As people are saying 'you need what you need'. On the other hand of course Patti would have said a few weeks ago that she 'needs' far more bolus than she is currently taking, and yet readings before/after the same meals seem to be behaving.

This D lark is enough to do your head in that's for sure!
 
I can see your logic, but I dont know if the liver responds on a short term basis like this.............

although I may be contradicting myself, as I need to fill my belly in the morning in order to stop the DP, but dont know if this is a totally different process from the usual secretion from the liver............

you dont basal test..............? How so.............?
 
novorapidboi26 said:
I can see your logic, but I dont know if the liver responds on a short term basis like this.............

although I may be contradicting myself, as I need to fill my belly in the morning in order to stop the DP, but dont know if this is a totally different process from the usual secretion from the liver............

you dont basal test..............? How so.............?
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Because I get the results I'm after (on a good day) by doing what I do. It's taken a long time to get there but we've tried to be analytical about the test results. Knowing about what the previous meal does is important and can throw a spanner in if, for example, you see a good BG before tea but it was pasta which could be propping up a high basal dose.

I think the liver does respond fairly rapidly. If you have an empty stomach and you need to ump up and run, it will respond to the stress hormones by squirting some glucose out and continuing to do so after a fairly complex sequence of events involving other hormones and depleting the muscle glycogen, etc.

But it doesn't always know when to stop, so basal needs could be very different for eating/non-eating. This is as I understand it. If I have it wrong, it would be helpful to have it explained in a simple way :D

Here, we tend to sit down for a bit, then go off wandering round for a bit and maybe lug stuff about. That would give the liver a good work out.

Rob
 
Not much on this thread about Katherine Morrison any more! Is splitting a split thread a little OTT?
 
Robster65 said:
Because I get the results I'm after (on a good day) by doing what I do.
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LOL, very vague, each to their own..............

The basal requirement is the foundation of any insulin regime, how will you know its working without testing......?

I always go Off Topic Mike!,......:D
 
novorapidboi26 said:
LOL, very vague, each to their own..............

The basal requirement is the foundation of any insulin regime, how will you know its working without testing......?

I always go Off Topic Mike!,......:D
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Seems to be working for me (also HbA1c 🙄) :D

I don't suffer DP or wild swings without explanation normally.

As for Dr Morrison, just reading what's been said about her, she seems to be obsessive. But obv I don't know her. I read it as she was experimenting on her son with a very intensive regime. Have I misunderstood ?

Rob
 
Robster65 said:
Seems to be working for me (also HbA1c 🙄) :D

I don't suffer DP or wild swings without explanation normally.

As for Dr Morrison, just reading what's been said about her, she seems to be obsessive. But obv I don't know her. I read it as she was experimenting on her son with a very intensive regime. Have I misunderstood ?

Rob
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I'm afraid that's pretty much how I read it - I can't imagine he came up with that on his own - we've all read stories of how teens/youngsters are reluctant to test/inject at school, can you imagine how 'different' you would feel if you were doing it at the start of every lesson? (In my days, lessons lasted 45 mins, which I believe is the frequency we estimated for the number of jabs/waking hours)

As for basal, I went to bed on 5.6 last night and woke to 5.0 which is pretty much what happens every night, so I know my basal to be spot on.

As far as I know the liver responds to various stimulants to release glucose, things like glucagon, cortisol etc. - all parts of the wonderful chemical jigsaw of the endocrine system. 🙂
 
Northerner said:
I'm afraid that's pretty much how I read it - I can't imagine he came up with that on his own - we've all read stories of how teens/youngsters are reluctant to test/inject at school, can you imagine how 'different' you would feel if you were doing it at the start of every lesson? (In my days, lessons lasted 45 mins, which I believe is the frequency we estimated for the number of jabs/waking hours)

As for basal, I went to bed on 5.6 last night and woke to 5.0 which is pretty much what happens every night, so I know my basal to be spot on.

As far as I know the liver responds to various stimulants to release glucose, things like glucagon, cortisol etc. - all parts of the wonderful chemical jigsaw of the endocrine system. 🙂
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I think the basal question may come down to lifestyle choices. I've never really subscribed to the "diabetes needn't change your life" ethic.

I see it as a compromise. Ideally, we should all be eating snacks every couple of hours and injecting small amounts to cover them, alongside a 'pottering' style of exercise. We'd have perfect A1c's.

But real life complicates it by demanding 3 main meals a day and erratic exercise patterns with a lot fo sitting around. So I try to pander to the diabetes as much as I can (be bothered 🙄) but don't expect to be able to do exactly what I want all the time without a few swings high and low.

Like you, my overnight is dropping about 1mmol normally at the mo. That's fine for me. As long as I keep active-ish, my premeals are mainly 4s or 5s and I don't tend to get spikes in between, so I'm happy what I'm doing is working until it all changes again.🙂

Rob
 
Dont get the gun out yet Trophy ! Thanks every bod for a good read !! I love my pump takes a lot of stress out of things ! 🙂🙂
 
I would direct you to her site so you could read more about her beliefs but my virus checker says it is unsafe containing
2 Drive-by Downloads
A drive-by download is computer code that takes advantage of a software bug in a Web browser to make it do something that the attacker wants?such as run malicious code, crash the browser, or read data from the computer. Software bugs that are open to browser attacks are also known as vulnerabilities.
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If anyone here is able to contact Dr Morrison it might be a good idea to tell her!
 
Robster65 said:
Seems to be working for me (also HbA1c 🙄) :D

I don't suffer DP or wild swings without explanation normally.

As for Dr Morrison, just reading what's been said about her, she seems to be obsessive. But obv I don't know her. I read it as she was experimenting on her son with a very intensive regime. Have I misunderstood ?

Rob
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I've been aware of Dr. K for 4 or 5 years and her son. And I have always thought that the doodah will probably hit the fan when the boy is old enough to take care of his diabetes for himself.

As for a Doctor haunting the support groups and trading on the Dr. in front of their name, the BMA should look into the professional ethics of that. We dont want Doctors in diabetic support groups do we ??? Doesnt it defeat the object of diabetics supporting each other.

Isn't this Dr. K the doc associated with the saying, "Its you leg or the bread" ?
 
Just google Katharine Morrison and she appears on low carb diabetes blogs and forums as a staunch low carb/high fat supporter and has even used the Atkins diet for herself. Note the spelling...Katharine as opposed to Katherine in the topic title.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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