@UTF8 @Begin @Languages: eng @Participants: KRIS KRISTIN Speaker, ENV ENV Environment, PAIG PAIGE Speaker @Options: CA, caps, bullets @ID: eng|SBCSAE|KRIS|||||Speaker||| @ID: eng|SBCSAE|ENV|||||Environment||| @ID: eng|SBCSAE|PAIG|||||Speaker||| @Media: 41, audio @Comment: X Units of Insulin @Comment: Medical interaction recorded in Southern California. A patient (Paige) is consulting with her dietician (Kristen) regarding management of diabetes. *KRIS: (.) &=in Well let's (.) kind of figure out a cla:ssic 0_3844 u:m 3844_4449 ʔuh: diet 4449_5674 uh 5674_6139 (.) quota 6139_6930 ʔuh ʔuh for [% laugh] you [% laugh] . 6930_8047 *KRIS: &=in And 8047_8846 let me get a piece of paper 8846_10047 so that we can write that (.) down . 10047_12368 *ENV: &=DESK_DRAWER ⌈ &=lengthened ⌉ &=lengthened . 12368_15127 *PAIG: ⌊ &=SNIFF ⌋ . 14550_14936 *KRIS: (..) The ⌈2 way we ⌉2 do: this . 14936_17250 *PAIG: ⌊2 Yeah ⌋2 . 15847_16290 *KRIS: (..) is first of all 17250_18619 we make a 18619_19416 a guesstimate 19416_20324 (.) of how many calories 20324_21820 (.) typically 21820_22774 &=in that you would need . 22774_23961 *KRIS: D- we- we didn't do this last time did we . 23961_25975 *PAIG: Hm-m⌈: ⌉ . 25975_26603 *KRIS: ⌊ Ok⌋ay . 26395_26884 *KRIS: &=in Alright . 26884_27612 *KRIS: Yeah 27612_27818 I think (.) we were gonna wait 27818_28946 until we 28946_29522 (.) cause you were gonna change some things maybe 29522_31206 after you saw Doris . 31206_32349 *KRIS: So 32349_32729 &=in first of all we make a good guesstimate . 32729_34851 *KRIS: Of how many calories you need . 34851_36247 *KRIS: And that's always a tough one . 36247_37533 *KRIS: Um⌈: . 37533_37981 *PAIG: ⌊ Mhm: ⌋ . 37862_38420 *KRIS: (.) m:⌉ost women 38212_39595 &=in unless you work out a l:o:t . 39595_42283 *KRIS: (.) You probably &{l=@ aren't burning much more &}l=@ than like eighteen hundred 42283_45823 &=in &=lengthened to ⌈ maybe: ⌉ (.) two thousand calories . 45823_48656 *PAIG: ⌊ Mhm ⌋ . 46466_47059 *KRIS: &=in &=lengthened So &=ex 48656_50036 what we can do &=ex 50036_51038 um 51038_51623 (.) &=tsk I would say 51623_52453 I'm gonna go ahead and make it out about eighteen hundred . 52453_54845 *KRIS: (.) Just because 54845_55872 uh 55872_56268 you're at a good weight 56268_57554 you're about five fi:ve 57554_59363 (.) &=in &=lengthened u:m 59363_60907 (..) &=tsk (..) ʔI think that would be a prudent place to 60907_64184 (.) to start out from . 64184_65250 *KRIS: (.) I know I won't uh 65250_66483 (.) cause you to gain weight 66483_67682 and 67682_67880 (.) you probably won't lose any either . 67880_69398 *KRIS: ⌈ But uh . 69398_70034 *PAIG: ⌊ &=laugh &=laugh &=laugh &=laugh ⌋ . 69398_70441 *KRIS: &=in ⌋ Okay . 70034_70922 *KRIS: So we're gonna take ⌈2 eighteen ⌉2 hundred ca⌈3lories⌉3: . 70922_73197 *PAIG: ⌊2 &=SNIFF ⌋2 71562_72022 ⌊3 Uh h- ⌋3 +/. 72624_73000 *PAIG: How um 73197_73907 (.) how many calories do you think I'm eating now 73907_76350 or can you even tell: ⌈ that ⌉ . 76350_77963 *KRIS: ⌊ &=tsk &=in ⌋ . 77577_77943 *PAIG: from looking ? 77963_78663 *KRIS: I could do a calorie count 78383_80324 um 80440_80877 on that 80877_81719 ⌈ (.) but I'd actually need more (.) amounts: ⌉ . 81719_84429 *PAIG: ⌊ &=in Although 81719_82397 you wouldn't be able to tell 82397_83947 because ⌋ &=lengthened 83947_84638 there's no 84638_85208 ʔuh I don't write down 85208_86411 like the fa:ts 86411_87452 and things like that . 87452_88445 *KRIS: (.) Well 88445_89134 if 89134_89651 (.) if you gave me real specific amounts . 89651_92249 *KRIS: Like 92249_92574 I had 92574_93114 you know 93114_93386 one quarter cup of soy milk 93386_94902 half a ⌈ cup of cereal ⌉ . 94902_95918 *PAIG: ⌊ Yeah: ⌋ . 95169_95918 *KRIS: th⌈2en I could +... 95918_96561 *PAIG: ⌊2 Oh 96147_96501 okay- +... 96501_96873 *KRIS: (.) I could cou:nt your cal⌉2ories . 96561_98571 *PAIG: (.) I see . 96873_97592 *PAIG: &=SNIFF ⌋2 . 97592_98142 *KRIS: and and figure that out . 98571_99772 *KRIS: And run it through the computer . 99772_100928 *KRIS: (.) And get a ⌈ printout ⌉ . 100928_101938 *PAIG: ⌊ Mm: ⌋ . 101273_101938 *KRIS: &=in . 101938_102347 *PAIG: Hm⌈: ⌉ . 102347_102771 *KRIS: ⌊ O:⌋f (.) your nutrient ratio: 102574_105029 and everything . 105029_105972 *PAIG: (.) Wow . 105972_106822 *KRIS: For the day . 106822_107377 *KRIS: In fact if you wanna do that 107377_108995 I'd be glad to run it for you 108995_110766 But you'd have to take one day . 110766_112747 *PAIG: (..) Mhm⌈: . 112747_113519 *KRIS: ⌊ And re:ally: . 113302_114933 *PAIG: And write everything down . 113519_115141 *PAIG: Yeah . 115141_115644 *KRIS: (.) be: . 114933_115594 *PAIG: &=in ⌉ . 115644_116176 *KRIS: (.) like ⌋ 115644_116176 (.) precise . 116176_117012 *PAIG: ⌈ Okay ⌉ . 117012_117539 *KRIS: ⌊ &=in ⌋ U:m 117012_118030 &=in okay . 118030_118594 *KRIS: So eighteen hundred calories 118594_120109 ti:mes 120109_120949 (.) point four 120949_122181 (.) that's gonna be f:orty &=in calories 122181_125431 (.) or excuse me . 125431_126341 *KRIS: Um forty [% laugh] percent of your calories 126341_128876 coming from carbo (.) hydrate . 128876_131031 *KRIS: And that's Doris's standard &=in ⌈ protoc⌉ol really . 131031_134557 *PAIG: ⌊ Mm ⌋ . 133600_133981 *KRIS: (.) &=tsk Okay times point four 134557_136744 (.) &=in gives us seven hundred and twenty (..) carbo:hydrate (.) calorie⌈s ⌉ . 136744_142656 *PAIG: ⌊ &=in ⌋ Yeah . 142238_143265 *KRIS: (.) &=tsk Then we divide that (.) by ⌈2 four ⌉2 . 143265_145440 *PAIG: ⌊2 &=in ⌋2 . 145023_145440 *KRIS: (.) Calories per gram . 145440_146710 *KRIS: (..) ⌈ You've ⌉ +... 146710_149505 *PAIG: ⌊ &=in ⌋ . 149063_149505 *KRIS: I know you've seen this before . 149505_150844 *KRIS: &=in Which gives us a quota 150844_152489 of a hundred and eighty (.) gra:ms of carbohydrate (.) per day . 152489_156903 *KRIS: (..) Actually ⌈ I should've ⌉ done that . 156903_160936 *PAIG: ⌊ Mm ⌋ . 160095_160516 *KRIS: (.) &=in &=lengthened Okay . 160936_162273 *KRIS: Then we have to di⌈stribute it ⌉ . 162273_163551 *PAIG: ⌊ Wow: ⌋ . 162851_163551 *PAIG: (.) That's [% laugh] lo:w . 163551_164464 *PAIG: &=laugh &=laugh ⌈ &=laugh &=laugh . 164464_165360 *KRIS: ⌊ &=tsk &=tsk Yeah ⌋ . 164969_165841 *PAIG: &{l=@ That's not ⌉ that much⌈2: &}l=@ . 165360_166659 *KRIS: ⌊2 It is . 166543_167209 *PAIG: &=in (.) &=laugh &=laugh ⌉2 . 166659_167839 *KRIS: Then we have to ⌋2 distribute that 167209_168785 into a 168785_169783 an ideal ratio . 169783_170854 *KRIS: Now you always do have breakfast . 170854_172372 *KRIS: Really . 172372_172738 *KRIS: Unless you're running 172738_173636 &=in a bit ⌈ on the higher side ⌉ . 173636_175489 *PAIG: ⌊ Really high . 174400_175297 *PAIG: Yeah ⌋ . 175297_175726 *KRIS: (..) &=tsk And you always have some kinda lunch pretty much 175726_179360 (.) &=in and you al⌈ways (..) ⌉ have some kind of dinner . 179360_182584 *PAIG: ⌊ Well yeah ⌋ . 180528_181258 *KRIS: (..) Basical⌈ly . 182584_183626 *PAIG: ⌊ &=laugh &=laugh &=laugh &=laugh &=laugh &=laugh (.) &=laugh &=in ⌋ . 183412_185837 *KRIS: &=in (.) Now the mid-morning ⌉ snack 183626_186312 the snacks are hit and miss . 186312_187998 *KRIS: That's where 187998_188711 we maybe 188711_189370 (.) would h- (.) have to 189370_190620 (.) to look at things . 190620_191549 *KRIS: A little bit more closely . 191549_192752 *KRIS: &=in But u:sually 192752_194504 (..) lunch and dinner are your main: (.) meals . 194504_198033 *KRIS: &=in And we would give you about 198033_200147 (.) a thirty percent quota 200147_202414 (.) at both lunch (.) and dinner 202414_204551 (..) which is 204551_206373 (..) &=in about fifty (.) fou:r (.) grams 206373_210898 (..) at each of those places . 210898_213182 *PAIG: (..) Hm . 213182_215296 *KRIS: Would be sort of your (.) ballpark (..) quota . 215296_219019 *KRIS: &=in And 219019_219718 ʔuh (.) it's not outlandish . 219718_221291 *KRIS: Like here (.) you were sixty-four 221291_223220 (.) well 223220_223649 a little bit higher . 223649_224610 *KRIS: (.) U:m . 224610_226005 *PAIG: (..) Mm: . 226005_228236 *KRIS: (..) &=tsk &=in Here 228236_229636 well you were about uh forty fifty-ni:ne 229636_232465 s:ixty:-four . 232465_233921 *KRIS: &=in So sixty-four 233921_235492 fifty 235492_235825 that was seventy-four . 235825_237007 *KRIS: So it's (..) a little bit higher . 237007_239430 *KRIS: Is ⌈ what you're used to ⌉ doing . 239430_240918 *PAIG: ⌊ M:hm ⌋ . 239576_240463 *KRIS: &=in A:nd 240918_242490 u:m 242490_243117 (.) ⌈ &=tsk ⌉ . 243117_243753 *PAIG: ⌊ &=in ⌋ . 243336_243753 *KRIS: (.) ⌈2 Yes ⌉2 . 243753_244717 *PAIG: ⌊2 Yeah ⌋2 ʔuh 244260_244836 I remember &=ex . 244836_245945 *PAIG: Like &=laugh &=ex 245945_246792 &=laugh &=laugh a lo:ng long time ago . 246792_248672 *PAIG: Let's see uh 248672_249334 (.) it was 249334_250007 &=in &=lengthened I guess f:orty &=ex 250007_252373 maybe forty forty-five seventy . 252373_255083 *PAIG: (.) Or some⌈thing . 255083_255816 *KRIS: ⌊ &=tsk O:kay: ⌋ . 255586_257017 *PAIG: That's how they had it di⌉vided ⌈2 up . 255816_257797 *KRIS: ⌊2 &=in Okay ⌋2 . 257448_258586 *PAIG: (.) I think ⌉2 . 257797_258586 *PAIG: Although 258586_258954 &=in that's m- (.) mo:re . 258954_260406 *PAIG: (.) Right ? 260406_260944 *PAIG: (.) Let's see . 260944_261644 *PAIG: &=in . 261644_262160 *KRIS: (..) T_sounds ⌈ pretty high ⌉ . 262160_263978 *PAIG: ⌊ That's ⌋ +/. 263263_263978 *PAIG: (.) Yeah: . 263978_264513 *KRIS: Yeah . 264513_264847 *PAIG: That's: 264847_265372 what . 265372_265572 *PAIG: A total of a hun⌈dred and ⌉ +... 265572_267023 *KRIS: ⌊ It might've ⌋ been based 266440_267641 either on a ⌈ higher ⌉ (.) calorie level . 267641_270027 *PAIG: ⌊ &=SNIFF ⌋ . 268327_268889 *KRIS: (.) o:r 270027_270858 &=in a higher (.) percent 270858_273212 of your ⌈ calories coming from ⌉ carbos . 273212_275481 *PAIG: ⌊ Mhm . 273604_274217 *PAIG: (.) Mhm ⌋ . 274217_274856 *KRIS: Like if this were fifty percent ? 275481_277384 *PAIG: ⌈ Mhm ⌉ . 277384_277985 *KRIS: ⌊ &=in ⌋ Which is (..) probably more realistic 277384_280468 for ⌈2 how you eat ⌉2 . 280468_281331 *PAIG: ⌊2 Mhm ⌋2 . 280686_281331 *KRIS: Being a vegetarian 281331_282641 (.) you eat more +/. 282641_283321 *KRIS: ʔuh ʔAnd we can change it (.) up . 283321_285030 *KRIS: &=in But we'll use this as a ba:se . 285030_287223 *KRIS: And ⌈ then we wanna ⌉ compare it . 287223_288999 *PAIG: ⌊ Mhm ⌋ . 287458_288086 *KRIS: (.) to what you &=in typically do: 288999_292278 (.) and 292278_292863 (.) the thing is if you started [% laugh] doing this right now 292863_294960 you'd have low blood sugars . 294960_296470 *PAIG: (.) ⌈ Ri:ght ⌉ . 296470_297262 *KRIS: ⌊ &=in Cause ⌋ you've ⌈2 already ⌉2 adjusted your insulin . 296470_299786 *PAIG: ⌊2 Yeah ⌋2 . 297498_298099 *KRIS: (.) to another (.) level . 299786_301472 *PAIG: M⌈hm ⌉ . 301472_302174 *KRIS: ⌊ &=tsk &=in ⌋ &=lengthened But I think what you could learn from this 301843_304412 is tha:t 304412_305425 u:m 305425_306076 (..) at least 306076_307283 if you sort of cho:se a s:tandard ⌈ &=in ⌉ place for a while ? 307283_312581 *PAIG: ⌊ Mhm ⌋ . 310297_310952 *KRIS: Until you got things a little more stabilized 312581_314908 (.) it might be easier 314908_316451 (.) ⌈ to do your ⌉ insulin . 316572_317862 *PAIG: ⌊ Mhm ⌋ . 316701_317261 *PAIG: ⌈2 Mhm ⌉2 . 317862_318418 *KRIS: ⌊2 &=in ⌋2 And then 317862_319124 um 319124_319658 once you: 319658_320804 y- are a little more comfortable with that 320804_322546 the:n you can start doing this f:lux with⌈: ⌉ . 322546_325714 *PAIG: ⌊ R⌋:ight . 325551_326078 *KRIS: adding the unit for another ten grams . 326078_328655 *KRIS: Say if you usually have sixty-four 328655_330496 &=in and you find 330496_331680 you know 331680_332067 ex units of insulin ⌈ works for tha⌉:t . 332067_334067 *PAIG: ⌊ Mhm ⌋ . 333227_333871 *KRIS: (.) &=tsk well 334067_335141 ʔuh (.) then you can- jockey it from there . 335141_337484 *KRIS: &=in Now at breakfast 337484_339190 (.) we often keep that down around twe:lve 339190_341970 &=in be⌈cau:se ⌉ . 341970_343629 *PAIG: ⌊ Twe:lve ⌋ ? 342623_343629 *PAIG: Wow: . 343629_344329 *KRIS: Uh 344329_344760 percent . 344760_345390 *KRIS: Uh⌈: . 345390_345757 *PAIG: ⌊ Oh 345588_345868 &=laugh &=laugh &=laugh &=laugh &=in . 345868_347221 *KRIS: (.) point one two (.) ti:mes ⌉ . 345868_347682 *PAIG: &{l=@ I thought you ⌋ meant gra:ms &}l=@ . 347221_348710 *PAIG: I was gonna say h- 348710_349401 where do you find &=in foo:d 349401_351158 &{l=@ that's that low &}l=@ . 351158_352683 *KRIS: &=in ⌈ Well . 352683_353377 *PAIG: ⌊ &=laugh &=in &=laugh &=laugh &=in ⌋ . 353145_354535 *KRIS: some people actually &=ex ⌉ &{l=@ end up &}l=@ having to do that . 353377_355548 *KRIS: &=in ⌈2 That's only about twenty⌉2-two grams . 355548_358645 *PAIG: ⌊2 Zero: 355793_356488 or something &=SNIFF ⌋2 ? 356488_357379 *KRIS: &=in ⌈3 Because ⌉3 of that dawn phenomenon . 358645_361264 *PAIG: ⌊3 Mm: ⌋3 . 359006_359667 *PAIG: (..) ⌈4 Mm ⌉4 . 361264_363205 *KRIS: ⌊4 &=tsk So ⌋4 362669_363205 that's not much 363205_364298 at all . 364298_364927 *KRIS: &=in ⌈ The:n ⌉ . 364927_366202 *PAIG: ⌊ Yeah: ⌋ 365628_366202 like even an English muffin is too much . 366202_368864 *KRIS: (.) Unhunh . 368864_369638 *KRIS: ⌈ (.) Unhunh ⌉ . 369638_370282 *PAIG: ⌊ Even oat⌋meal . 369638_370764 *KRIS: (.) It's it's ʔuh really difficult . 370764_372853 *KRIS: you can either have 372853_373465 either or 373465_374231 sort of a thing . 374231_375136 *KRIS: &=in Let's see 375136_375949 sixty seventy-two: 375949_377643 (..) &=in okay . 377643_379808 *KRIS: So that gives us a twenty-eight 379808_381360 to: distribute (.) throughout (.) the rest of the day: . 381360_384262 *KRIS: &=in A:nd &=ex 384262_386126 um 386126_386724 (.) making a decision of how to do that 386724_389195 (.) really involves: (.) your insulins . 389195_391634 *KRIS: Now 391634_392002 (.) in the morning 392002_393147 (.) &=in you've got a good amount . 393147_395244 *KRIS: Of regular insulin that you take ? 395244_397064 *PAIG: ⌈ Mhm ⌉ . 397064_397889 *KRIS: ⌊ So I would wanna ⌋ put a little bit higher percentage 397064_400455 &=in for your snack there ? 400455_402319 *KRIS: ⌈ Like ⌉ . 402319_402637 *PAIG: ⌊ M⌋hm . 402319_402866 *KRIS: I would say maybe even (.) ten percent here ? 402866_405835 *KRIS: (..) U:m 405835_407271 &=in ⌈ &=lengthened ⌉ . 407271_407745 *PAIG: ⌊ &=tsk &=in ⌋ See 407412_408127 I ha:te that sna:ck . 408127_410104 *PAIG: ʔuh Having to eat snacks . 410104_412142 *KRIS: &=tsk ʔuh ⌈ ʔOh ⌉ . 412142_413270 *PAIG: ⌊ I just don't have ⌋ ti:me . 412547_414013 *KRIS: &=in &=lengthened . 414013_414705 *PAIG: You know . 414705_415206 *KRIS: (.) The on⌈ly &=ex t⌉rouble with that is . 415206_418314 *PAIG: ⌊ ʔuh ʔuh &=ex ⌋ . 415971_416761 *KRIS: (.) at breakfast 418314_419802 (.) you 419802_420572 (.) &{l=MRC just won't have &}l=MRC (.) your insulins there for you 420572_424831 &=in to eat the big carbo breakfast 424831_427683 ⌈ typically . 427683_428385 *PAIG: ⌊ Mm: ⌋ . 427961_428654 *KRIS: &=in ⌉ Unless 428385_429675 you (.) run hi:gh 429675_431556 (.) after breakfast . 431556_432808 *KRIS: And then it comes down 432808_434246 &=in when the insulins finally do get working . 434246_436840 *PAIG: ⌈ Mhm ⌉ . 436840_437734 *KRIS: ⌊ &=in But then you're run⌋ning high . 436840_438387 *PAIG: (.) ⌈2 Mhm ⌉2 . 438387_439278 *KRIS: ⌊2 And that's ⌋2 438573_439278 (..) you know 439278_440140 that's ⌈ the only way ⌉ to protect yourself . 440140_441930 *PAIG: ⌊ Right ⌋ . 440495_440866 *KRIS: is yeah 441930_442281 you eat a bunch of carbo 442281_443221 you take a bunch of insulin 443221_444468 &=in ⌈ &=lengthened you run ⌉ high for an hour and a half . 444468_446588 *PAIG: ⌊ Right ⌋ . 444607_445177 *KRIS: &=in and then all of a sudden it comes s:kyrocketing ⌈2 down . 446588_449688 *PAIG: ⌊2 Mhm ⌋2 . 449191_450013 *KRIS: &=in ⌉2 When all the insulins &{l=% get on ⌈3 board ⌉3 &}l=% . 449688_452005 *PAIG: ⌊3 Mhm ⌋3 . 451426_452005 *KRIS: So: 452005_452707 um 452707_453265 (.) &=tsk &=in . 453265_454224 *PAIG: Righ⌈:t ⌉ . 454224_454871 *KRIS: ⌊ Any⌋way . 454568_455312 *KRIS: Uh: 455312_455840 point one 455840_457041 (..) &=tsk okay 457041_459009 that's just gonna be eighteen 459009_460385 &=in . 460385_460868 *PAIG: (.) &=in ⌈ (.) I wonder how ⌉ +... 460868_462798 *KRIS: ⌊ roughly there ⌋ . 461704_462798 *PAIG: (.) ʔuh &=ex How does Doris do that though . 462798_465045 *PAIG: Because she like 465045_465989 I don't think she eats lu:nch 465989_467664 or anything . 467664_468528 *PAIG: (.) ⌈ I mean ⌉ . 468528_469158 *KRIS: ⌊ &=tsk &=in ⌋ . 468793_469158 *PAIG: she just like &=ex 469158_470128 &=in has this really minimal (..) dose of NPH 470128_474185 (.) I think . 474185_475111 *KRIS: ⌈ &=tsk &=in You'd have to ask her . 475111_476841 *PAIG: ⌊ &=in &{l=% That's what uh &}l=% . 475274_476615 *KRIS: I do:n't know . 476841_478220 *PAIG: That's what I suspe:ct . 476615_478304 *PAIG: &=laugh &=in &=laugh &=in &=ex (.) &=laugh &=in &=laugh &=in &=laugh &=laugh &=in ⌋ . 478304_483097 *KRIS: &=laugh &=laugh &=laugh &=laugh &=in 478304_479524 I don't know the &{l=@ trade secrets there &}l=@ . 479524_481634 *KRIS: &=in Um 481634_482656 &=in ⌉ (..) bu:t uh: 482656_484777 h- ʔuh: you know I think 484777_486048 &=in (..) pro:bably: 486048_488261 (.) u:m 488261_488983 (.) &=tsk &=in keeping the carbo:s (.) a little on the lower side 488983_493438 enable +/. 493438_494121 *KRIS: (.) Of course then you'd need less insulin 494121_495853 which makes ⌈ life easi⌉er . 495853_497340 *PAIG: ⌊ M:hm ⌋ . 496323_497134 *PAIG: (.) ⌈2 Mhm ⌉2 . 497340_498236 *KRIS: ⌊2 It does make ⌋2 it easier 497593_498843 if you do eat less carbo . 498843_500249 *KRIS: Cause you don't have to take these big &=in amounts 500249_503102 and then wonder what they're gonna do and ⌈ when . 503102_505342 *PAIG: ⌊ M:hm ⌋ . 504865_505801 *KRIS: &=in ⌉ U:m 505342_506408 (.) this actually 506408_507168 sometimes makes it more complicated . 507168_509182 *KRIS: (..) &=tsk Now 509182_510330 &=in mid afternoo:n . 510330_512272 *KRIS: you are taking a touch of regular at lu:nch 512272_515299 (..) but you: do:n't really: (..) eat much of a snack . 515299_519666 *KRIS: (..) Usually . 519666_522267 *KRIS: (..) After lunch . 522267_523261 *KRIS: Cause you have a late lunch 523261_524497 (..) ⌈ might have some ⌉ Cheetos there I see . 524497_527726 *PAIG: ⌊ Mhm ⌋ . 525424_526112 *PAIG: (..) ʔOh 527726_528583 ⌈ that was just cause ⌉ I was like . 528583_530038 *KRIS: ⌊ U:m ⌋ . 528583_529104 *PAIG: (..) couldn't eat ⌈2 dinner &=ex . 530038_533109 *KRIS: ⌊2 Cashews . 532286_533264 *PAIG: Hm: . 533109_533734 *KRIS: &=in U:m ⌋2 . 533264_534655 *PAIG: &=laugh &=laugh &=laugh ⌉2 &=in &=ex . 533734_535249 *KRIS: ⌈3 &=tsk ⌉3 . 535249_535496 *PAIG: ⌊3 &=in ⌋3 I had to go to something 535249_536881 like right at 536881_537629 at six o'clo:ck 537629_538874 or seven o'clock 538874_539868 ⌈ or something . 539868_540534 *KRIS: ⌊ So that really ⌋ may be o:ne . 539984_542004 *PAIG: &=in ⌉ . 540534_541200 *KRIS: (.) whe:re 542004_542848 it's sort of debatable . 542848_544137 *KRIS: (.) You know 544137_544480 maybe at the most you'd have five percent there . 544480_547107 *KRIS: (..) U:m 547107_548577 and I'm just sort of guessing 548577_549928 (.) as a place to sta:rt 549928_551448 (..) ʔuh why'd I do that ? 551448_554099 *KRIS: I knew what it was ? 554099_554983 *KRIS: &=in (..) And that's just (.) hardly anything . 554983_558934 *KRIS: That's a f- +/. 558934_559302 *KRIS: Some 559302_559684 a few nuts . 559684_560527 *KRIS: Really . 560527_560851 *KRIS: And that's about it or 560851_561932 (.) ʔuh u:m 561932_562724 (..) &=in then later on 562724_564721 you do sometimes eat after dinner . 564721_566619 *KRIS: Cause you're (.) kind of a nightowl 566619_568287 (.) ⌈ a:nd u:m ⌉ . 568287_569684 *PAIG: ⌊ &=laugh &=laugh &=laugh &=laugh &=laugh ⌋ &=in . 568535_570036 *KRIS: (..) &=tsk let's see this'll go twenty-two 570036_572482 (.) plus 572482_573018 (..) &=in uh 573018_575861 so we're looking at 575861_576677 about 576677_577046 roughly 577046_577607 (..) thirteen fifteen percent there 577607_579854 &=in (..) so 579854_583166 (..) okay so 583166_589568 approximately well s- 589568_591259 (..) essentially like breakfast . 591259_593380 *KRIS: (..) &=THROAT 593380_596475 (..) &=tsk So 596475_598018 &=in those would just be places (.) to start from . 598018_601386 *KRIS: &=PAPER_TEAR (.) But I think 601386_603095 um 603095_603618 (.) ⌈ what's even more im⌉portant . 603618_605480 *PAIG: ⌊ O:kay ⌋ . 603914_604717 *KRIS: &=in (.) i:s 605480_606772 you've gotta tailor it 606772_607987 to what your insulin is . 607987_609390 *KRIS: And use these as a jumping off place . 609390_611381 *KRIS: You know 611381_611618 if you say 611618_612001 well this is (.) ridiculous 612001_613470 I always have (.) a seventy &=in carbo dinner . 613470_616803 *PAIG: Mhm . 616803_617473 *KRIS: well 617473_617950 (.) so what . 617950_618728 *KRIS: (.) You know 618728_619121 ʔuh there's nothing wrong with that 619121_620507 it just (.) means 620507_621856 &=in you: slightly (.) adjust (.) that insulin . 621856_625389 *KRIS: (.) Same thing if you: &=in do:n't like snacks 625389_629371 (.) what are you gonna do: (.) to: co:mpens⌈ate . 629371_632726 *PAIG: ⌊ M:hm ⌋ . 632479_633181 *KRIS: (.) for the ⌉ fact 632726_633874 &=in that 633874_634934 (.) there's (.) there's a lotta insulin there maybe . 634934_637438 *KRIS: (.) ⌈ A:nd um ⌉ . 637438_638558 *PAIG: ⌊ M:hm ⌋ . 637626_638558 *KRIS: (.) ʔuh how are you gonna get around that . 638558_640817 *KRIS: &=in Um 640817_642144 (..) &=tsk but that's the sole purpose of snacks 642144_645349 is to really prevent 645349_646903 &=in lows from happening 646903_648973 (.) and to (.) counteract 648973_650592 um 650592_651054 (.) the insulin (.) time (.) actions . 651054_653780 *KRIS: &=in U:m 653780_655367 (.) &=tsk &=in ⌈ So &=ex ⌉ . 655367_657585 *PAIG: ⌊ Hm ⌋ . 656821_657353 *KRIS: ʔM- +... 657585_657986 *PAIG: (.) &=tsk ⌈ &=in Oh +... 657986_658854 *KRIS: ⌊ Maybe we should compare- ⌋ +... 658315_659464 *PAIG: (.) ʔuh ⌉ +... 658854_659464 *KRIS: (.) Go ahead . 659464_659944 *KRIS: ⌈ &=laugh &=laugh &=laugh ⌉ . 659944_660492 *PAIG: ⌊ &=in Oh ⌋ 659944_660492 I just had one question 660492_661779 ⌈ s:⌉o for example . 661779_663491 *KRIS: ⌊ Unhunh ⌋ ? 661779_662178 *PAIG: say I (.) didn't eat lunch ? 663491_665870 *PAIG: (..) &=in Then what would happen . 665870_669974 *PAIG: (.) Like 669974_671096 (.) then I could not take (.) the insulin there . 671096_673970 *KRIS: (..) &=in . 673970_674936 *PAIG: (.) And then . 674936_675800 *KRIS: (..) &=in Well . 675800_677786 *PAIG: But the:n 677786_678510 I ⌈ don't know . 678510_679273 *KRIS: ⌊ you probably would need to eat (.) a little something ⌋ . 678704_682960 *PAIG: I wonder . 679273_679777 *PAIG: I would get high: then maybe 679777_681582 hunh ? 681582_681945 *PAIG: &=in &=ex ⌉ . 681945_682960 *KRIS: becau:se 682960_683915 of your NPH ⌈ (.) peaking . 683915_685883 *PAIG: ⌊ Mhm . 685144_685883 *PAIG: (.) Mhm ⌋ . 685883_686511 *KRIS: (.) although ⌉ 685883_686511 &=in you don't ta:ke (..) a lo:t of NPH . 686511_690353 *KRIS: (..) So . 690353_691055 *PAIG: (.) In the morning yeah . 691055_692432 *KRIS: (.) It may be debatable 692432_693805 if you really [% laugh] need to have something 693805_695802 (.) &=in later in the af- 695802_697489 uh: or 697489_698045 b- (.) to get you into dinner 698045_699902 okay . 699902_700661 *KRIS: (.) Um 700661_701269 (..) &=tsk . 701269_702121 *PAIG: Hmm: . 702121_702728 *KRIS: (..) You know 702728_704654 you might have to eat sort of an afternoon snack 704654_706856 if ⌈ you don't ⌉ . 706856_707926 *PAIG: ⌊ Mhm ⌋ . 707039_707926 *KRIS: (..) Um 707926_708990 o:r 708990_709451 yeah . 709451_709746 *KRIS: Take 709746_710169 look at 710169_710607 look at the NPH that you're taking 710607_712593 a:nd 712593_713047 y- ʔuh Doris could (.) help you with that . 713047_715119 *KRIS: &=in Did she give you a scale for a w- no lunch 715119_718075 (.) lunch ⌈ (.) scale ⌉ . 718075_719684 *PAIG: ⌊ &=in A w- ⌋ whi:le ago 718764_720491 but um 720491_721442 (..) it changed after that . 721442_725340 *PAIG: (.) See this was the original thing . 725340_727595 *PAIG: &=in (.) That I had . 727595_729262 *PAIG: (.) She said 729262_730402 but +/. 730402_730738 *PAIG: (..) Okay 730738_731964 this was &=ex 731964_732747 (.) hm . 732747_733459 *PAIG: (.) &=tsk &=in This was a while ago &=ex . 733459_735974 *PAIG: See 735974_736442 (..) three twenty-four ninety-four . 736442_738927 *PAIG: So 738927_739342 &=in um: 739342_740365 (..) &=tsk like 740365_742330 for example 742330_743265 she had these two: (.) things 743265_745394 so if I (.) wa:s gonna eat 745394_747183 (.) like say I 747183_748060 (.) &=in I decided ok- 748060_749368 in the morning . 749368_750327 *PAIG: I was gonna eat lunch ? 750327_751792 *PAIG: &=in Then 751792_752564 (.) I would (.) take fou:r 752564_754500 (..) units of NPH and then 754500_757343 (.) supplement it 757343_758629 (..) with the regular 758629_760300 &=in but if I knew: 760300_761587 (.) like say in the morning ? 761587_762982 *PAIG: (.) That I wasn't gonna eat lunch ? 762982_764768 *PAIG: (..) ⌈ Then ⌉ . 764768_765867 *KRIS: ⌊ Hm ⌋ . 765477_765867 *PAIG: she said take (.) ʔuh +/. 765867_766803 *PAIG: But this doesn't make any sense . 766803_768718 *PAIG: (..) To me . 768718_769846 *PAIG: Take six NPH 769846_771204 cause I would be low: 771204_772191 with thi:s then 772191_773291 definitely . 773291_774077 *KRIS: (.) &=tsk &=in . 774077_774709 *PAIG: (.) You know . 774709_775450 *KRIS: ⌈ Yeahʔ: . 775450_776304 *PAIG: ⌊ In in the (.) afternoon ⌋ . 775450_777586 *KRIS: hunh . 776304_776767 *KRIS: (.) Okay ⌉ . 776767_777586 *KRIS: &=in Yeah ʔuh . 777586_778524 *PAIG: &=THROAT ⌈ I think ⌉ this was kinda guessing . 778524_780605 *KRIS: ⌊ Well ⌋ . 778911_779349 *PAIG: too . 780605_781111 *PAIG: ʔuh Cause 781111_781666 &=in it was before . 781666_782760 *KRIS: Hm . 782760_783371 *PAIG: (.) ʔuh I had real⌈ly ⌉ +... 783371_784917 *KRIS: ⌊ Yeah⌋: . 784720_785317 *KRIS: (..) &=in Definitely: 785317_787583 um: 787583_788190 (.) ʔuh you know 788190_789008 ch:eck with her: 789008_790532 (.) on your insulins . 790532_791872 *KRIS: Cause 791872_792165 ʔuh you know 792165_792795 she: 792795_793496 is the only one that can really (..) clarify them . 793496_797684 *KRIS: U:m 797684_798398 (.) &=tsk ʔuh you know 798398_799373 just 799373_800002 (.) &=in it's tough . 800002_801487 *KRIS: To 801487_801813 &=laugh &=laugh &=laugh &=in 801813_802735 to do &=in the jockeying of of the food 802735_805915 and the insulin . 805915_806535 *KRIS: It really 806535_807191 um 807191_807743 (.) &=tsk &=in (.) ʔuh . 807743_809008 *PAIG: Mm . 809008_809458 *KRIS: It it just 809458_810016 it makes it really 810016_811179 um 811179_811685 (.) a a challenge there ⌈ to ⌉ . 811685_813363 *PAIG: ⌊ &=in ⌋ Well 813038_813752 this is where I got the idea that she d- ʔuh +/. 813752_816210 *PAIG: Probably doesn't eat lunch . 816210_817496 *PAIG: Well &=ex 817496_817894 ʔuh I don't know how she would have ti:me 817894_819585 &{l=@ anyway . 819585_820194 *PAIG: Every time you see her 820194_821764 it's like &}l=@ 821764_822263 &=in &=lengthened you know five minutes here 822263_824429 five minutes there 824429_825332 but um 825332_825904 &=in then 825904_826648 (.) also 826648_827471 just like um 827471_828610 (..) I don't know . 828610_829930 *PAIG: She sort of 829930_830622 like 830622_830863 knew what I mea:nt 830863_831828 when I was ⌈ saying . 831828_832615 *KRIS: ⌊ Unhunh . 832345_832752 *KRIS: (.) Unhunh ⌋ . 832752_833185 *PAIG: oh 832752_832838 it's such a ⌉ pain to have to &=in ⌈2 &{l=@ stop ⌉2 and eat lunch . 832838_836025 *KRIS: ⌊2 Mhm ⌋2 . 834529_834936 *PAIG: You know &}l=@ . 836025_836560 *PAIG: &=in &=lengthened (.) And 836560_837668 so 837668_838238 um 838238_838767 (..) that's where I got that idea . 838767_841112 *PAIG: (.) But . 841112_841361 *KRIS: Mm . 841361_841504 *KRIS: &=in Mhm . 841504_842216 *KRIS: &=in (..) Well 842216_843775 it's 843775_844409 (.) ʔuh +/. 844409_845078 *KRIS: (.) Yeah . 845078_845514 *KRIS: Let's see . 845514_845922 *KRIS: And so (.) four of N 845922_847921 (.) six of N 847921_849834 (..) and then zero regular there . 849834_852907 *PAIG: (..) &=tsk (.) ⌈ Yeah⌉: . 852907_856188 *KRIS: ⌊ Hm ⌋ . 855457_855742 *KRIS: &=in That's where just monitoring 856188_858008 monitoring 858008_858756 monitoring . 858756_859599 *KRIS: ⌈ Um . 859599_860146 *PAIG: ⌊ M:hm ⌋ . 859599_860539 *KRIS: lets ⌉ you know 860146_861046 if if it's gonna: work for you 861046_863266 or not . 863266_863843 *KRIS: If it's too strong 863843_864854 or 864854_865100 not str⌈ong enough ⌉ . 865100_866199 *PAIG: ⌊ Mhm ⌋ . 865619_866199 *KRIS: U:m 866199_866705 (.) &=tsk &=in (.) yeah . 866705_868337 *KRIS: (..) ʔYeah . 868337_869744 *PAIG: (..) R⌈igh:t ⌉ . 869744_870832 *KRIS: ⌊ So⌋: it's 870514_871453 &=in &=lengthened Well anyway 871453_872559 how can I +/. 872559_873131 *KRIS: How can I help you &{l=@ with all ⌈ this &}l=@ . 873131_874644 *PAIG: ⌊ &=laugh &=laugh &=ex &=lengthened ⌋ . 874417_875049 *KRIS: I feel ⌉ like uh 874644_875592 we're ʔuh (.) still in a pickle 875592_877339 &=in in that um 877339_878820 (.) it's just 878820_879412 every day 879412_880191 is so different⌈: . 880191_881472 *PAIG: ⌊ &=laugh &=laugh &=laugh ⌋ . 881345_882321 *KRIS: a:nd ⌉ 881472_882321 &=in . 882321_882763 *PAIG: ⌈ &=in (.) &=laugh ⌉ . 882763_883516 *KRIS: ⌊ you know you're ⌋ you're ad⌈2justing ⌉2 your insulins . 882763_885748 *PAIG: ⌊2 Ri:ght ⌋2 . 883964_884499 *KRIS: uh 885748_886088 per your 886088_886779 (.) uh 886779_887550 protocols that you have there 887550_889582 &=in and the carbos: (.) are varying (.) arou:nd that 889582_893884 um 893884_894550 (.) &=tsk but 894550_895433 ʔuh: you know 895433_895850 I think it's important we 895850_897054 (.) ʔuh: make some kind of a: a goal 897054_899378 to ʔuh (.) prevent these low:s from happening . 899378_902210 *PAIG: ⌈ (.) Mhm ⌉ . 902210_903012 *KRIS: ⌊ &=in a⌋:nd uh 902210_903885 try and prevent the ones that are creeping up a little bit too high . 903885_907370 *KRIS: &=in And 907370_908388 you know 908388_908732 wh:at do you: th:ink 908732_910464 u:m 910464_911120 (.) &=tsk that uh (.) &=in you could do 911120_914102 to ⌈ h- &=laugh &=laugh &{l=@ clarify this a little bit &}l=@ ⌉ more and . 914102_917525 *PAIG: ⌊ &=laugh &=laugh &=laugh 914558_915456 &=in (.) Oh: ⌋ . 915456_916945 *KRIS: make it a little easier . 917525_918640 *KRIS: &=in &=lengthened . 918640_919405 *PAIG: (..) &=tsk &=in Well 919405_921042 I guess maybe if I try thi:s . 921042_923239 *PAIG: (.) M- (.) maybe that's the only way . 923239_925218 *PAIG: (..) &=in Cause it seems like to me that um 925218_928972 (..) &=tsk &=in (.) &{l=P I don't know &}l=P . 928972_932028 *PAIG: (.) I don't know . 932028_932790 *PAIG: It's +/. 932790_933137 *PAIG: Maybe it's ea:sier 933137_934519 (.) if I have like some kind of set thing 934519_937147 cause then 937147_937629 ⌈ &=in ⌉ . 937629_937866 *KRIS: ⌊ Yeah ⌋ . 937629_937866 *KRIS: Something ⌈2 to shoot for . 937866_939041 *PAIG: ⌊2 ʔuh: Yeah: ⌋2 . 938338_939710 *KRIS: (.) Kinda ⌉2 . 939041_939710 *PAIG: ʔuh: Cause otherwise 939710_940728 I'll just do whatever I &{l=@ feel like ⌈ doing ⌉ . 940728_942973 *KRIS: ⌊ Right ⌋ . 942386_942973 *PAIG: you know &}l=@ . 942973_943551 *PAIG: ⌈ &=in ⌉ . 943551_943969 *KRIS: ⌊ Right ⌋ . 943551_943969 *PAIG: ⌈2 &=laugh &=in &=laugh &=in ⌉2 . 943969_945744 *KRIS: ⌊2 &=in &=lengthened (.) Uh ⌋2 . 943969_945744 *PAIG: Obviously . 945744_946469 *PAIG: &=laugh &=laugh ⌈ &=laugh &=laugh ⌉ &=laugh &=in &=laugh ⌈2 &=in &=lengthened ⌉2 . 946469_948587 *KRIS: ⌊ X ⌋ 946771_947153 ⌊2 &=tsk &=in ⌋2 Well 948158_948986 ʔuh (.) you you could give this a try: 948986_951125 as far as the levels 951125_952468 but what I would do 952468_953660 is 953660_954261 (.) is u:se 954261_955331 (.) what you're currently doing as sort of a backup (.) guide . 955331_959720 *KRIS: &=in Because 959720_960864 (.) obviously 960864_961954 if you're having 961954_962917 and and this has cha:nged . 962917_964165 *KRIS: A lot . 964165_964816 *KRIS: Uh over the past few days . 964816_966203 *KRIS: But um 966203_967030 (.) &=tsk &=in well one day you have thirty-eight at breakfast . 967030_970414 *KRIS: (.) The next day (.) you have (.) none . 970414_972948 *KRIS: &=in ⌈ Um ⌉ . 972948_974290 *PAIG: ⌊ &=tsk &=in ⌋ ʔuh Yeah but that's like ⌈2 if it⌉2:'s hi:gh . 973736_977088 *KRIS: ⌊2 &=tsk ⌋2 975772_976092 For⌈3ty ⌉3 . 977088_977776 *PAIG: ⌊3 &=in And ⌋3 it also 977481_978537 like sometimes I just write em in different columns . 978537_981439 *PAIG: ⌈ Cause ⌉ . 981439_981765 *KRIS: ⌊ O⌋kay . 981439_982013 *PAIG: Cause uh 982013_982703 depending on what time it was . 982703_984487 *KRIS: (.) &=in But 984487_985460 if you're having only 985460_986670 (.) you know . 986670_987193 *KRIS: Around 987193_988106 and what you could do is sort of (.) rou:nd these . 988106_990484 *KRIS: A little bit . 990484_991150 *KRIS: Like shoot for say (.) twenty-five 991150_993510 ⌈ or . 993510_993856 *PAIG: ⌊ Mhm ⌋ . 993510_994233 *KRIS: &=in ⌉ (.) just say every morning 993856_995350 you're gonna have a thirty . 995350_996580 *PAIG: ⌈ Mhm ⌉ . 996580_997388 *KRIS: ⌊ like a thirty ⌋ gram carbohydrate brekfast . 996580_999623 *KRIS: Per⌈2iod . 999623_1000148 *PAIG: ⌊2 Mhm ⌋2 . 999888_1000573 *KRIS: &=in ⌉2 That's um 1000148_1001575 (.) ʔuh it it would work . 1001575_1003380 *KRIS: And then you just start learning from that⌈: . 1003380_1005831 *PAIG: ⌊ Mhm ⌋ . 1005611_1006156 *KRIS: You kn⌉ow 1006002_1006245 you know that a thirty (.) gram carbohydrate breakfast would be an improvement 1006245_1010751 &=in on what you w:ere doing 1010751_1012735 as far as 1012735_1013660 (.) ʔuh dropping it ⌈ down a little bit . 1013660_1015608 *PAIG: ⌊ Mhm . 1014552_1015304 *PAIG: Mhm ⌋ . 1015304_1015777 *KRIS: &=in ⌉ &=lengthened and yet 1015608_1017124 it would be 1017124_1017895 (.) s- it would also be something kind of easy to do with toast 1017895_1020857 (.) or br⌈ea:d . 1020857_1021830 *PAIG: ⌊ Ri:ght . 1021384_1022018 *PAIG: (.) Right ⌋ . 1022134_1022785 *KRIS: or English muf⌉fins 1021830_1023244 &=in so you could just l:ock into that . 1023244_1025489 *KRIS: (.) And uh 1025489_1026714 (.) see see how that goes . 1026714_1028606 *KRIS: Um 1028606_1029114 &=in uh: 1029114_1030447 (..) mid morning 1030447_1032037 well 1032037_1032469 that's kind of a debatable one 1032469_1034231 cause you don't really l:ike to have the sn⌈ack . 1034231_1036914 *PAIG: ⌊ Mhm ⌋ . 1036564_1037421 *KRIS: &=in ⌉ (.) bu:t 1036914_1038374 (.) try it . 1038374_1039092 *KRIS: And see . 1039092_1039557 *KRIS: Maybe carry something with you . 1039557_1040967 *KRIS: And it could be something simple . 1040967_1042415 *KRIS: You might make this just sort of a 1042415_1044298 &=in a plastic baggie full of crackers . 1044298_1047620 *KRIS: (.) ⌈ That you ⌉ (.) take wi⌈2th you wherev⌉2er you go . 1047620_1050189 *PAIG: ⌊ Mhm ⌋ . 1047712_1048366 *PAIG: ⌊2 Right ⌋2 . 1048852_1049348 *KRIS: &=in and just make it a standard h:abit . 1050189_1052959 *PAIG: (.) M⌈:hm ⌉ . 1052959_1053779 *KRIS: ⌊ Or ⌋ 1053266_1053779 it could be (.) a piece of fruit . 1053779_1055588 *KRIS: &=in That is gonna be: approximately: in that ballpark . 1055588_1059545 *KRIS: (..) &=tsk And 1059545_1060852 &=in lunchtime ? 1060852_1062165 *KRIS: (.) I I would say maybe rounding it 1062165_1064550 (.) I might round it to sixty . 1064550_1066465 *KRIS: (.) &=in So 1066465_1067360 (.) so what if we increase your (.) quota up to about (.) forty-five per⌈cent . 1067360_1071242 *PAIG: ⌊ Mhm ⌋ . 1070926_1071452 *KRIS: It's ⌉ not a big deal . 1071242_1072310 *KRIS: (.) That that's not the most important thing . 1072310_1073912 *KRIS: The main thing is that you're trying to hit those quota:s (.) cons:istently . 1073912_1077979 *PAIG: ⌈ Mhm ⌉ . 1077979_1078670 *KRIS: ⌊ &=in &=lengthened ⌋ U:m 1077979_1079518 (.) &=tsk he:re 1079518_1080739 I don't think you'll have any problem eating something [% laugh] later [% laugh] ⌈ on after dinner . 1080739_1083852 *PAIG: ⌊ &=laugh &=laugh &=laugh &=laugh (.) &=laugh &=laugh &=in ⌋ . 1082797_1085130 *KRIS: &=in if anything it's ⌉ 1083852_1085130 it's gonna be: 1085130_1086070 (.) trying to maybe keep this: dow:n . 1086070_1088441 *PAIG: (.) ⌈ Mhm ⌉ . 1088441_1089145 *KRIS: ⌊ Aroun⌋d (.) fifteen to thirty 1088516_1091099 or ⌈2 something in ⌉2 that ballpark . 1091099_1092648 *PAIG: ⌊2 Mhm ⌋2 . 1091251_1091797 *KRIS: &=in &=lengthened But 1092648_1093893 (..) I agree 1093893_1095308 that if you can make it a l:ittle mo:re (.) rock steady 1095308_1099353 &=in you should (.) be able to smooth some of these things out a bit more 1099353_1104016 if you have a ⌈ schedule ⌉ that you're trying . 1104016_1106259 *PAIG: ⌊ Mhm ⌋ . 1104410_1105052 *KRIS: &=in to (.) to go for . 1106259_1108147 *KRIS: (..) &=tsk ⌈ But these are ⌉ a little bit more scientifically &=in ⌈2 &=lengthened derived . 1108147_1112710 *PAIG: ⌊ Yeah ⌋ . 1108797_1109338 *PAIG: ⌊2 Mhm . 1111804_1112304 *PAIG: (.) Mhm ⌋2 . 1112304_1113095 *KRIS: based ⌉2 on 1112710_1113523 ʔuh: what insulins are doing 1113523_1115284 (.) a- ⌈ a- and ⌉ when . 1115284_1116725 *PAIG: ⌊ Right ⌋ . 1115656_1116144 *KRIS: (..) ⌈2 So ⌉2 . 1116725_1118396 *PAIG: ⌊2 &=tsk &=in ⌋2 (.) Yeah . 1117675_1119127 *PAIG: (..) ⌈3 Hm ⌉3 . 1119127_1121286 *KRIS: ⌊3 Ques⌋3tions . 1120965_1121763 *KRIS: ʔUh: 1121763_1122133 &=ex &=laugh ⌈ &=laugh &=laugh &=laugh ⌉ . 1122133_1123301 *PAIG: ⌊ No 1122647_1122884 I'm just ⌋ 1122884_1123301 I was just looking at this number 1123301_1125156 and thinking 1125156_1125824 &=in (..) &{l=BR Oh &}l=BR 1125824_1127615 if I only eat that 1127615_1128829 &=ex ⌈ amount of carbohydrate at ⌉ dinner . 1128829_1131421 *KRIS: ⌊ &=laugh &=laugh &=laugh &=laugh &=laugh &=laugh ⌋ . 1129422_1131065 *PAIG: I'll be just like dro:pping: . 1131421_1133487 *KRIS: &=in . 1133145_1133524 *PAIG: ʔuh: You know . 1133524_1134328 *PAIG: ⌈ A:ll night ⌉ lo:ng . 1134328_1135906 *KRIS: ⌊ With your ⌋ +... 1134328_1135263 *PAIG: And and 1135906_1136501 that is so: annoy:ing . 1136501_1138173 *PAIG: It's like you have to keep eating 1138173_1139845 and keep eating . 1139845_1140862 *PAIG: Cause I've had that happen . 1140862_1142135 *PAIG: ⌈ &=in &=lengthened &=laugh &=laugh &=laugh &=laugh &=laugh ⌉ . 1142135_1144240 *KRIS: ⌊ Well 1142135_1142682 maybe realistically what ⌋ you wanna do 1142682_1145322 (.) is keep (..) this one 1145322_1148268 (..) ʔuh because lunch 1148268_1150019 (.) well what are you gonna have really . 1150019_1151613 *KRIS: You're gonna have 1151613_1152447 yeah . 1152447_1152673 *KRIS: A couple tortillas 1152673_1153777 or maybe a sandwich 1153777_1154837 or some⌈thing along that ⌉ line . 1154837_1156242 *PAIG: ⌊ Yeah ⌋ . 1155203_1155859 *KRIS: &=in Maybe realistically 1156242_1158060 this is only (.) abou:t 1158060_1160330 (.) forty 1160330_1161503 or ⌈ fiftyi⌉sh . 1161503_1162507 *PAIG: ⌊ Yeah ⌋ . 1161738_1162225 *KRIS: (.) &=in Okay . 1162507_1163569 *KRIS: So that's fine . 1163569_1164526 *KRIS: (.) ʔuh I would just (..) adjust this 1164526_1166942 to: 1166942_1167611 (.) fifty 1167611_1168287 or forty-five 1168287_1169040 or whatever you see ⌈ fit . 1169040_1170186 *PAIG: ⌊ Mhm ⌋ . 1169843_1170590 *KRIS: &=in ⌉ But dinner 1170186_1171230 you're right . 1171230_1171707 *KRIS: You have control 1171707_1172967 (.) in that you: have a regular sliding scale 1172967_1175700 that you can use 1175700_1176894 (..) &=tsk and 1176894_1178147 maybe b- 1178147_1178697 (.) realistically you should make this &=in (.) seventy . 1178697_1182643 *PAIG: (.) Mhm . 1182643_1183621 *PAIG: ⌈ Mhm ⌉ . 1183621_1184449 *KRIS: ⌊ And just ⌋ 1183621_1184449 (.) but 1184449_1184893 (.) but call it seventy 1184893_1186635 and then r:eally try: &=in to stand by that . 1186635_1190590 *KRIS: (.) And l:ook at the insulin 1190590_1191930 look at your numbers before and after 1191930_1193805 &=in and what does happen over the course of the evening . 1193805_1196660 *KRIS: &=in Um 1196660_1197511 do you have to go ahead and have this within two hours ? 1197511_1200168 *KRIS: ⌈ Or . 1200168_1200650 *PAIG: ⌊ Mhm ⌋ . 1200168_1201000 *KRIS: &=in ⌉ uh: 1201000_1202088 (.) ʔuh or what . 1202088_1203171 *KRIS: &=laugh &=laugh ⌈ &=laugh &=in ⌉ . 1203171_1204180 *PAIG: ⌊ Mhm ⌋ . 1203611_1204180 *KRIS: But (.) but look at it and see 1204180_1205719 but stand by it . 1205719_1206788 *KRIS: Make it like (.) seventy 1206788_1208433 and then just (..) ⌈ stick to it ⌉ . 1208433_1210346 *PAIG: ⌊ ʔuh ʔuh Mhm ⌋ . 1209611_1210819 *KRIS: &=tsk U:m . 1210819_1211505 *PAIG: (..) &=SNIFF O⌈kay ⌉ . 1211505_1212968 *KRIS: ⌊ S⌋:o 1212627_1213372 &=in . 1213372_1214149 *PAIG: (..) Okay . 1214149_1215845 *PAIG: ⌈ &=in ⌉ . 1215845_1216316 *KRIS: ⌊ So 1215845_1216180 a⌋nyway . 1216316_1216569 *KRIS: That's something you could (..) play with for uh a little while 1216569_1220224 and see if if it um (.) helps 1220224_1222640 (.) &=in in: (.) getting rid of some of the outliers . 1222640_1225802 *KRIS: That we're (.) trying to (.) fix up . 1225802_1227698 *KRIS: (..) So: 1227698_1229485 &=in u:m 1229485_1231121 (..) other questions: . 1231121_1232757 *KRIS: Uh: . 1232757_1233357 *PAIG: &=tsk &=in . 1233357_1233599 @End