Semi OT - Huh?/Advice from a dietician

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Semi OT - Huh?/Advice from a dietician

Post by 49er » Tue Nov 24, 2015 5:41 am

Out of curiosity, I did a google search for good bedtime snacks for diabetics and came upon this site:

http://www.diabetesforecast.org/2009/de ... oogle.com/

In response to a poster who asked if having cheese is acceptable as an bedtime snack for her mother, the dietician said is high in cholesterol and may cause an increase in weight. Suggested the woman find cheese with a lower fat level.

But here is when I started shaking my head at the advice when the dietician said:

""For your mother's bedtime snack, she might also try having a piece of fruit, like a small apple, or half a cup of canned fruit in light syrup or juice. Combining the fruit with a half cup of cottage cheese or peanut butter will give her added protein. Protein may increase satiety, the feeling of being full when she is done.""

Even with protein, a can of fruit in light syrup can spike her BS big time. I was absolutely stunned at this advice and then I realized this site is run by the American Diabetes Association which is still living in the dark ages about what foods are best for diabetics.

User avatar
Julie
Posts: 19898
Joined: Tue Feb 28, 2006 12:58 pm

Re: Semi OT - Huh?/Advice from a dietician

Post by Julie » Tue Nov 24, 2015 6:06 am

Maybe even further off the wall was when I went once to see a supposedly senior dietician/nutritionist at a major teaching hospital in Toronto when I developed gastritis/GERD post-menopause. We talked and I mentioned something about there being eggs in real mayo (not Miracle Whip). She went crazy trying to tell me there were no eggs in it, and I was so appalled at the ignorance of someone in her position that I was tempted to tell someone else in charge. But you have to wonder!

User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Re: Semi OT - Huh?/Advice from a dietician

Post by 49er » Tue Nov 24, 2015 6:46 am

Julie wrote:Maybe even further off the wall was when I went once to see a supposedly senior dietician/nutritionist at a major teaching hospital in Toronto when I developed gastritis/GERD post-menopause. We talked and I mentioned something about there being eggs in real mayo (not Miracle Whip). She went crazy trying to tell me there were no eggs in it, and I was so appalled at the ignorance of someone in her position that I was tempted to tell someone else in charge. But you have to wonder!
That is pretty bad. It makes you really wonder how people achieve the positions that they do if they are so ignorant. I realize politics can play a big time role but still I wonder.

User avatar
Madalot
Posts: 4285
Joined: Sat Jan 30, 2010 7:47 am

Re: Semi OT - Huh?/Advice from a dietician

Post by Madalot » Tue Nov 24, 2015 7:06 am

It is scary, isn't it? When I was first diagnosed, I asked about seeing a nutritionist. My nurse blew me off. I realized I was on my own so I researched. I tried different things then tested my sugar, which was no easy task because the medical system is set up for Diabetics to fail because of they way they "manage" testing supplies. I was told to test once a day which is stupid because newly diagnosed Diabetics should test more often. Insurance companies allow you one strip per day PERIOD. If your doctor says test once a day and writes the prescription for a box of 50 testing strips, the pharmacy changes it to a 50-day prescription. This doesn't allow you the strip for the control and heaven forbid if a strip malfunctions - they don't allow you any extra.

I paid out of pocket for whatever extra I needed so that I could test after certain foods or based on how I felt. And that helped a lot. I found that certain foods that run other people's up was okay for me and vice versa. I have an app on my phone to check the nutritional information on foods. Even Diabetics need a balanced diet, including fruits. I found for me, and the nutritional information supports this, that strawberries & oranges (little ones) are okay for me, but apples and grapes run my sugar up. So, I eat strawberries (when you can get good ones) and those baby oranges. And sorry to the nutritionist who said it, but a little bit of cheese is NOT going to make you gain weight. The key is to vary your snacks so you're not always eating the same thing.

If I want something before bed, I have oranges, a piece of cheese, a cup of sugar free pudding (sweets!!), a cookie (sugar free), peanut butter crackers -- there are plenty of things that a Diabetic can eat. But each Diabetic is different and each needs to monitor their sugar regularly to see what foods are better than others.

_________________
Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand
Additional Comments: Trilogy 100. S/T AVAPS, IPAP 18-23, EPAP 10, BPM 7

User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Re: Semi OT - Huh?/Advice from a dietician

Post by 49er » Tue Nov 24, 2015 7:36 am

Madalot wrote:It is scary, isn't it? When I was first diagnosed, I asked about seeing a nutritionist. My nurse blew me off. I realized I was on my own so I researched. I tried different things then tested my sugar, which was no easy task because the medical system is set up for Diabetics to fail because of they way they "manage" testing supplies. I was told to test once a day which is stupid because newly diagnosed Diabetics should test more often. Insurance companies allow you one strip per day PERIOD. If your doctor says test once a day and writes the prescription for a box of 50 testing strips, the pharmacy changes it to a 50-day prescription. This doesn't allow you the strip for the control and heaven forbid if a strip malfunctions - they don't allow you any extra.

I paid out of pocket for whatever extra I needed so that I could test after certain foods or based on how I felt. And that helped a lot. I found that certain foods that run other people's up was okay for me and vice versa. I have an app on my phone to check the nutritional information on foods. Even Diabetics need a balanced diet, including fruits. I found for me, and the nutritional information supports this, that strawberries & oranges (little ones) are okay for me, but apples and grapes run my sugar up. So, I eat strawberries (when you can get good ones) and those baby oranges. And sorry to the nutritionist who said it, but a little bit of cheese is NOT going to make you gain weight. The key is to vary your snacks so you're not always eating the same thing.

If I want something before bed, I have oranges, a piece of cheese, a cup of sugar free pudding (sweets!!), a cookie (sugar free), peanut butter crackers -- there are plenty of things that a Diabetic can eat. But each Diabetic is different and each needs to monitor their sugar regularly to see what foods are better than others.
Thanks Madalot, your post is very helpful.

I have not officially been diagnosed with pre diabetes or diabetes since all the relevant blood work always comes back normal. However, after having near diabetic readings after eating hostess cupcakes in response to getting extremely hungry from taking a low dose of Provigil (long story), I emailed my PCP who requested that I do a two day food diary with two hour BS readings. We will be meeting today.

As I suspected, eating protein and just fat gave me stable levels while even eating carbs like oatmeal caused bit time spikes. Unfortunately, when I just stick to protein and fat with vegetables, my sleep greatly worsens from an already bad state. So I am definitely going to follow your advice about how to incorporate more carbs without severe BS spikes.

I do like my PCP alot but I suspect she is going to react like that dietician did when she sees I mostly ate protein and a high fat diet on Sunday. But she can't argue with the results.

Anyway, I suspect I will be doing alot of this work on my own which is fine. And the good news is by being forced to actively do a log, it has made me take this situation seriously. I should have done that previously but as this board knows, de-nile can be quite powerful.

49er

PS - Kudos to you for what you did to take control of your situation.

SewTired
Posts: 1737
Joined: Thu Apr 16, 2015 8:33 am
Location: Minneapolis area

Re: Semi OT - Huh?/Advice from a dietician

Post by SewTired » Tue Nov 24, 2015 9:33 am

Unfortunately, most dietitians spout the American Diabetes Association eating plan which is designed to make you fail. The dieticians at my clinic have pretty much ignored advice from ADA and adapted their recommendations closer to that of low carb. The advantage, I guess, is that two of the group developed diabetes themselves and discovered just how useless the ADA advise was.

I DO however agree that a piece of fruit combined with peanut butter does make a good bedtime snack for many diabetics. But keep in mind what a serving size is. Most apples at the grocery store are 2-3 servings because of their size. Cheese and a cracker are fine if she is watching her calories otherwise.

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: Sleepyhead
Diabetes 2, RLS & bradycardia
Airsense For Her; Settings: range 8-12, Airfit P10 (M)

User avatar
Madalot
Posts: 4285
Joined: Sat Jan 30, 2010 7:47 am

Re: Semi OT - Huh?/Advice from a dietician

Post by Madalot » Tue Nov 24, 2015 9:36 am

Carbs are the enemy, but you can't cut them out completely. You still need some. And beware things that are sugar free. Watch the carbs on those as well because sometimes, you're better off eating a small portion of the full sugar version than chowing down on the sugar free.

I love sweets. So this has been extra hard for me. I have substituted Fiber One products (cinnamon cakes, brownies, chocolate chip cookies) for the regular ones. If a food has 5 or more grams of FIBER, you can subtract the number of Fiber grams from the Carbs to give you NET carbs. For example: If something has 20 grams of Carbs, but has 7 grams of Fiber, your NET Carbs is 13. Fiber One bars (some of them, so watch the labels) allow that treat without breaking the carb bank, so to speak.

But again, what might be fine for me and not cause a sugar spike might be opposite for you. My FIL cannot eat pizza. I can, as long as I eat one or two pieces max.

And you HAVE to cheat once in a while. As long as your diet is good on a regular basis, a cheat now and again isn't the end of the world. We had a family gathering a few weeks ago and had cheesecake. I didn't eat any then but we had 3 pieces left over. I hadn't planned on eating any but they looked SO good -- I ate one piece. Full, regular, sugar -- CHEESECAKE with strawberry syrup on top. It was heavenly!

But that's my BIG cheat for the month. I put on 1 pound doing it and my sugar was up, obviously. But man, did that make me happy.

We're having Thanksgiving here and the desserts that are coming -- O.M.G. It's going to be SO hard. But I'm making a "no sugar added" cheesecake for those Diabetics in our party (there are 3 of us).

_________________
Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand
Additional Comments: Trilogy 100. S/T AVAPS, IPAP 18-23, EPAP 10, BPM 7

Janknitz
Posts: 8410
Joined: Sat Mar 20, 2010 1:05 pm
Location: Northern California

Re: Semi OT - Huh?/Advice from a dietician

Post by Janknitz » Tue Nov 24, 2015 9:43 am

The ADA guidelines are a DISASTER, and they are still taught as gospel by dietitians, doctors, and diabetes educators. They recommend at least 45 grams of carbs per meal and carbs for snacks as well, while there is absolute fear of fat.

The carbohydrates they recommend cause blood sugar to soar which must be covered with ever increasing amounts of medication and eventually insulin (NOTE: I'm speaking specifically about type II diabetes). I'm sorry to say but it's no accident that diabetes drug companies have been the biggest donors to the American Diabetes Association and Academy of Nutrition and Dietetics (along with soda, candy, and junk food donors!).

The real problem with diabetes type II is that our bodies become resistant to insulin so that our cells are sluggish to respond to it and our bodies make too much while blood glucose levels soar. It takes more and more insulin to manage dietary sugars and those sugars cause organ damage slowly, bit by bit. It's the death of a million cuts, much like OSA.

But we have a secret weapon, which is what Madalot was describing, just like with CPAP. It's called DATA. The concept is called "eat to your meter". What it means is that you test your blood sugar 1 and 2 hours after a meal and try to keep blood glucose WELL BELOW 140 after 1 hour and 120 after 2 (counting time from the first bite). I try to keep my blood glucose in the 80's or 90's even after meals. If your insurance won't cover the cost of enough test strips they can be inexpensive to buy yourself. (Relion brand from Walmart, True Result from Amazon are inexpensive).

As you test, you will learn what foods have little or no effect on blood glucose and what foods send it soaring. A hint is that high carb foods will be the problem. This includes even so-called healthy whole grains, starchy vegetables, certain fruits, and of course most of the processed dreck we have come to call food. Meat, fish, eggs, most above ground vegetables, and low glycemic fruit like berries help keep your blood sugar in a good range. You can get plenty of fiber from vegetables and small amounts of low glycemic fruit. YOU can take charge of your health and optimize it with the meter just like CPAP data helps you keep your OSA under control.

Mandatory reading if you think you might have blood sugar issues is http://www.phlaunt.com/diabetes/

And 49er, don't be suprised if you aren't officially diagnosed with diabetes...yet. The diagnostic criteria don't officially diagnose until there is ALREADY severe organ damage. That doesn't mean you should not take action NOW as most people are "on the diabetes spectrum" for one or two decades before diagnosis with all the cardiovascular harm accruing during this time. For a good explanation, see this series: http://www.tuitnutrition.com/2015/09/it ... lin-1.html

Use the data. Beware of the diabetes "industry" because if you think the CPAP system is screwy wait till you see what your meter teaches you about the diabetes industry!
What you need to know before you meet your DME http://tinyurl.com/2arffqx
Taming the Mirage Quattro http://tinyurl.com/2ft3lh8
Swift FX Fitting Guide http://tinyurl.com/22ur9ts
Don't Pay that Upcharge! http://tinyurl.com/2ck48rm

User avatar
Madalot
Posts: 4285
Joined: Sat Jan 30, 2010 7:47 am

Re: Semi OT - Huh?/Advice from a dietician

Post by Madalot » Tue Nov 24, 2015 10:00 am

Janknitz wrote: Use the data. Beware of the diabetes "industry" because if you think the CPAP system is screwy wait till you see what your meter teaches you about the diabetes industry!
You are so right, Janknitz! I was flabbergasted when my doctors office told me that "Medicare only allows testing once per day for Type 2 Diabetes!!" My sister told me that was B.S. and after a TON of arguing and going back and forth, I got my doctor to write it for testing TWICE a day and my insurance covered it. I have a friend that was diagnosed a month after me and her instructions were to test AT LEAST 3 times a day to monitor ALL her food intake.

There is no way to control this without checking sugar levels. Because of my doctor/pharmacy/insurance giving me crap, I ended up buying my own meter (True Result as you suggested) -- my doctors office gave me 2 One Touch VERIO meters, which of course, my insurance doesn't pay for THOSE strips. They sent me a One Touch ULTRA and strips for that. I have a VERIO meter I don't even use now.

At this point, I have 5 meters!! But one of them is a mini which I carry in my purse in case we are out and I need to check. I've had incidents where I felt weird and a sugar check showed LOW blood sugar. I like having the smaller meter in my purse just in case.

I've been doing this since March and have a pretty good handle on things now. I've been successful not because of my doctor, nurses, insurance, etc -- in spite of them.

_________________
Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand
Additional Comments: Trilogy 100. S/T AVAPS, IPAP 18-23, EPAP 10, BPM 7

User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Re: Semi OT - Huh?/Advice from a dietician

Post by 49er » Tue Nov 24, 2015 10:12 am

Janknitz wrote:The ADA guidelines are a DISASTER, and they are still taught as gospel by dietitians, doctors, and diabetes educators. They recommend at least 45 grams of carbs per meal and carbs for snacks as well, while there is absolute fear of fat.

The carbohydrates they recommend cause blood sugar to soar which must be covered with ever increasing amounts of medication and eventually insulin (NOTE: I'm speaking specifically about type II diabetes). I'm sorry to say but it's no accident that diabetes drug companies have been the biggest donors to the American Diabetes Association and Academy of Nutrition and Dietetics (along with soda, candy, and junk food donors!).

The real problem with diabetes type II is that our bodies become resistant to insulin so that our cells are sluggish to respond to it and our bodies make too much while blood glucose levels soar. It takes more and more insulin to manage dietary sugars and those sugars cause organ damage slowly, bit by bit. It's the death of a million cuts, much like OSA.

But we have a secret weapon, which is what Madalot was describing, just like with CPAP. It's called DATA. The concept is called "eat to your meter". What it means is that you test your blood sugar 1 and 2 hours after a meal and try to keep blood glucose WELL BELOW 140 after 1 hour and 120 after 2 (counting time from the first bite). I try to keep my blood glucose in the 80's or 90's even after meals. If your insurance won't cover the cost of enough test strips they can be inexpensive to buy yourself. (Relion brand from Walmart, True Result from Amazon are inexpensive).

As you test, you will learn what foods have little or no effect on blood glucose and what foods send it soaring. A hint is that high carb foods will be the problem. This includes even so-called healthy whole grains, starchy vegetables, certain fruits, and of course most of the processed dreck we have come to call food. Meat, fish, eggs, most above ground vegetables, and low glycemic fruit like berries help keep your blood sugar in a good range. You can get plenty of fiber from vegetables and small amounts of low glycemic fruit. YOU can take charge of your health and optimize it with the meter just like CPAP data helps you keep your OSA under control.

Mandatory reading if you think you might have blood sugar issues is http://www.phlaunt.com/diabetes/

And 49er, don't be suprised if you aren't officially diagnosed with diabetes...yet. The diagnostic criteria don't officially diagnose until there is ALREADY severe organ damage. That doesn't mean you should not take action NOW as most people are "on the diabetes spectrum" for one or two decades before diagnosis with all the cardiovascular harm accruing during this time. For a good explanation, see this series: http://www.tuitnutrition.com/2015/09/it ... lin-1.html

Use the data. Beware of the diabetes "industry" because if you think the CPAP system is screwy wait till you see what your meter teaches you about the diabetes industry!
Thanks Jan, I don't expect to be diagnosed. But the advantage is I have had a wakeup call. And just so you know this isn't all talk, yesterday, I desperately wanted junk food as I had slept horribly the night before. However, the memory of the diabetic reading of the hostess cupcakes dissuaded me.

49er

User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Re: Semi OT - Huh?/Advice from a dietician

Post by 49er » Tue Nov 24, 2015 10:16 am

Madalot wrote:
Janknitz wrote: Use the data. Beware of the diabetes "industry" because if you think the CPAP system is screwy wait till you see what your meter teaches you about the diabetes industry!
You are so right, Janknitz! I was flabbergasted when my doctors office told me that "Medicare only allows testing once per day for Type 2 Diabetes!!" My sister told me that was B.S. and after a TON of arguing and going back and forth, I got my doctor to write it for testing TWICE a day and my insurance covered it. I have a friend that was diagnosed a month after me and her instructions were to test AT LEAST 3 times a day to monitor ALL her food intake.

There is no way to control this without checking sugar levels. Because of my doctor/pharmacy/insurance giving me crap, I ended up buying my own meter (True Result as you suggested) -- my doctors office gave me 2 One Touch VERIO meters, which of course, my insurance doesn't pay for THOSE strips. They sent me a One Touch ULTRA and strips for that. I have a VERIO meter I don't even use now.

At this point, I have 5 meters!! But one of them is a mini which I carry in my purse in case we are out and I need to check. I've had incidents where I felt weird and a sugar check showed LOW blood sugar. I like having the smaller meter in my purse just in case.

I've been doing this since March and have a pretty good handle on things now. I've been successful not because of my doctor, nurses, insurance, etc -- in spite of them.
I have tried to explain to a friend who has diabetes that she needs to test to the meter. Time to renew my efforts as her situation is quite serious and she is getting what I call BS congratulations for good readings that are horrible.

Pretty sad Madalot you were successful in spite of your medical team and not because of them. But again, kudos to you for your persistance and taking control.

User avatar
Madalot
Posts: 4285
Joined: Sat Jan 30, 2010 7:47 am

Re: Semi OT - Huh?/Advice from a dietician

Post by Madalot » Tue Nov 24, 2015 10:26 am

49er wrote:I have tried to explain to a friend who has diabetes that she needs to test to the meter. Time to renew my efforts as her situation is quite serious and she is getting what I call BS congratulations for good readings that are horrible.
Type 2 Diabetes runs in my family and both my sisters have it. Neither of them takes it very seriously. One of my sisters drinks regularly, eats whatever she wants and doesn't check her sugar but a couple times a week.

The last time we were all together someone bought individual, mini cakes for dessert (like 2-3 bites per cake). I was astounded when BOTH my sisters dug in and ate 2 of the cakes. I ate half of one and ONLY because it was all they had for dessert and I didn't want to be rude.

But I don't want to be judgmental of them because I was warned for years that I was borderline and I didn't take it seriously either. I didn't care. And for two days after being told I'd crossed over, I was angry and in denial. But on the third day, I stood up, brushed myself off and dug in researching and figuring it all out. I don't even mind the finger sticks anymore.

Some people will take it seriously and others won't.

_________________
Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand
Additional Comments: Trilogy 100. S/T AVAPS, IPAP 18-23, EPAP 10, BPM 7

User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Re: Semi OT - Huh?/Advice from a dietician

Post by 49er » Tue Nov 24, 2015 10:44 am

Madalot wrote:
49er wrote:I have tried to explain to a friend who has diabetes that she needs to test to the meter. Time to renew my efforts as her situation is quite serious and she is getting what I call BS congratulations for good readings that are horrible.
Type 2 Diabetes runs in my family and both my sisters have it. Neither of them takes it very seriously. One of my sisters drinks regularly, eats whatever she wants and doesn't check her sugar but a couple times a week.

The last time we were all together someone bought individual, mini cakes for dessert (like 2-3 bites per cake). I was astounded when BOTH my sisters dug in and ate 2 of the cakes. I ate half of one and ONLY because it was all they had for dessert and I didn't want to be rude.

But I don't want to be judgmental of them because I was warned for years that I was borderline and I didn't take it seriously either. I didn't care. And for two days after being told I'd crossed over, I was angry and in denial. But on the third day, I stood up, brushed myself off and dug in researching and figuring it all out. I don't even mind the finger sticks anymore.

Some people will take it seriously and others won't.
Great points Madalot. I knew I had warning signs but all my blood work related to metabolic issues kept coming back normal. Also a few people told me I was too worried about the issue which I should have shaken off but I didn't.

User avatar
Madalot
Posts: 4285
Joined: Sat Jan 30, 2010 7:47 am

Re: Semi OT - Huh?/Advice from a dietician

Post by Madalot » Tue Nov 24, 2015 11:41 am

I should have taken it seriously years ago, but I'm not focusing on that. I'm focusing on NOW and I am doing the best I can on any given day. Do I sometimes eat something or shouldn't or overindulge in something? Of course. It's going to happen and I don't beat myself up over it.

But I must be doing something right because my sugar is under control and if I get a high reading, I can say "I did/ate this or that" and explain it. And learn from it.

And I've lost 67+ pounds at this point. The weight loss is MUCH slower and harder now, but as long as I am careful, I continue to lose weight, which also helps overall.

But -- when someone tells me something, be it my doctor, nurse, nutritionist, fellow diabetic -- I listen politely and continue doing what I'm doing. A fellow diabetic told me that I wouldn't be able to tell anything if I felt badly and checked my sugar -- ridiculed me for doing it. But there are times that my feeling badly is directly related to my sugar. Ridicule me all you want (not you but that other diabetic) but I check my sugar and fix the problem if I can. One afternoon I felt horrible. Checked my sugar and it was 65. I knew right then and there I needed to eat something and I did. And I felt better. Another time I felt a little funky and checked and my sugar was high. So, I modified my meal plan for the rest of the day to ensure I didn't do anything to make it go any higher.

You want to think that your sugar doesn't affect how you feel, knock yourself out. But I know differently for ME.

_________________
Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand
Additional Comments: Trilogy 100. S/T AVAPS, IPAP 18-23, EPAP 10, BPM 7

User avatar
chunkyfrog
Posts: 34377
Joined: Mon Jul 12, 2010 5:10 pm
Location: Nebraska--I am sworn to keep the secret of this paradise.

Re: Semi OT - Huh?/Advice from a dietician

Post by chunkyfrog » Tue Nov 24, 2015 1:36 pm

The ADA is run by Big Pharma. If you are only a Type 2, their objective is to make you a Type 1.
--preferably on a PUMP.
Ignore them. They have become little more than a PIMP!
Journaling makes more sense, since we are all different.
The scary thing is if you are in the hospital; because then you have no control.
And they have it all. {{{if you let them}}}
I pushed all my carbs to the side, and my family brought me healthy food the hospital would not.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Airsense 10 Autoset for Her