Diagnosed with type 2 diabetes

aggies1234
By aggies1234 Latest Reply 2011-04-05 19:09:06 -0500
Started 2011-04-03 13:07:54 -0500

I was diagnosed with type 2 diabetes on Wed the 3/30/2011. My doctor put me on lantus with the structure titration atarting at 18 then and 1 unit daily untill I reach 100. I take the shot at night since I got the pen on wed. night. On thursday morning I got a reading of 480 but went to HI the rest of the day and when i tested Thursday night before the pen it was HI on the meter. It has been that way since and this morning it was 485 at breakfast and two hours later was Hi again on the meter. I am concerned. Will it take time. I have changed my seating habits. I am male 6'2" 190 lbs.


31 replies

kdroberts
kdroberts 2011-04-05 08:47:09 -0500 Report

You need to go back to the doctor pretty soon. Numbers like that are not acceptable and it means you are not being treated correctly. Based on what you have said, you need a rapid acting insulin and probably a much higher dose of lantus. The lantus isn't going to really help much when you eat and if you had surgery on your pancreas you probably aren't producing enough, if any, insulin to cover food. What are you eating in general?

aggies1234
aggies1234 2011-04-05 19:05:41 -0500 Report

The doctor called and said that they had to run more test on the blood i gave Monday. he also told me to fast again tonight just in case they would need more blood. I asked why and he said they were checking my triglyceride and lipase again. I am checking my blood sugar now. I wonder why they are rechecking those again/

aggies1234
aggies1234 2011-04-05 10:08:36 -0500 Report

Whole grain bread, egg whites. turkery meat,vegs and fruit.I also eat weight watcher food as my wife is on that program.

kdroberts
kdroberts 2011-04-05 10:35:15 -0500 Report

OK. One thing about diabetes is you have to kind of relearn what foods are considered healthy and generally how to eat. While while grain bread and fruit are generally considered healthy, for diabetics they span a thin line between healthy and extremely unhealthy. Fruit is generally high in carb and most of that carb is usually sugar. That means you may only be able to eat very small amounts in one go and keep your blood sugar good. Similar thing with whole grain bread. It may be better for you than white bread but it's generally not terribly good for blood sugar.

Breakfast is normally hard for diabetics as insulin resistance is generally at it's highest then. Some find they can eat very little carb, some none at all. A 160 jump tells you that you ate too much carb based on your treatment. The options to fix that are take more medications or change what you eat. Exercise will also help but in your case since you have a damaged pancreas it's unlikely that it will help as much as if you just had insulin resistance to deal with. It really sounds like you need a mealtime insulin like humalog, apidra or novolog. I would call your doctor and ask for samples of each one and directions on how to use them. Even though they are similar, they work differently and sometimes one will work great and another will be nothing but problems so it's a good idea to test drive them all to see which works for you. In the meantime, try reducing the amount of carbohydrate in your meals. Based on your numbers you probably need to drop it to 30g or less at a meal and 5-10g as a snack. Examples of 30g would be roughly 1-2 slices of bread (depending on the bread) OR a small banana OR roughly 1/2 cup of rice. You also need to balance meals with protein, carb and fat. A rough starting guide is for each 15g of carb eat 7g of protein and 3-5g of fat. The biggest thing you can do is read labels and pay attention to the nutritional content and the serving size. Grenerally speaking weight watchers is about calories, for blood sugar you need to be watching carbohydrate.

You might want to read the book "Think Like a Pancreas" by Gary Scheiner. That will help you understand what your body should be doing and how to use insulin to replicate it.

aggies1234
aggies1234 2011-04-05 10:47:07 -0500 Report

Seems like to me I have a lot to learn and learn fast. I will check out that book and ask my doctor today. Damn I guess i will talk a small walk but I get so tired so quick..Thanks guys and gals. I am slowly learning,,,

kdroberts
kdroberts 2011-04-05 11:04:49 -0500 Report

It's a very steep learning curve. One thing I would urge you to do is go to the pharmacy and buy ketostix and use them when your blood sugar is over 250. With blood sugar that high it's possible for you to go into diabetic ketoacidosis (you don't want that to happen) but testing with ketostix will give you early warning signs. If you test for trace, no problem. If you test low-medium then call your doctor. If you test more than medium then go to an urgent care, ER or similar ASAP.

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0...

Nonna2Three
Nonna2Three 2011-04-05 07:48:44 -0500 Report

I was diagnosed Jan. 17, 2011. My BG was 612 in the Dr's office that day. My doctor started me off with 30 units of Lantus at bedtime with daytime injections of Humalog 30 minutes before each meal and the amount was based on a sliding scale dependent upon what my BG number. He also started me on 500mg of Metformin twice a day.

That first week I had a lot of numbers in the 300 & 400 ranges, but by about 10 days I was seeing mostly numbers in the high 100's. And I was happy with that since the sliding scale for the supplemental Humalog injections started at 201.

I immediately cut out all sugars and reduced my carbs to as few as I could manage. I started making one meal per day be a salad (a BIG salad so I could feel fed). I also added breakfast to my lineup (I have never been big on breakfast - always just wanted a couple of cups of coffee or a hot chocolate (which, BTW, the Hot Chocolate is all but eliminated since I have tried the sugar free versions and just can't much abide them). I also started exercising 4 days a wee (started out small - just 10 minutes a day the first week and added 10 more minutes each successive week until I reach 60 minutes four times a week.

With this I was able to slowly reduce the injections and on day 40 my doctor took me off insulin completely. Now I only take the 500mg of Metformin twice a day.

I'd ask the doctor about adding Humalog since it is a fast acting insulin where Lantus is a slow acting insulin. Also ask about possibly adding Metformin.

aggies1234
aggies1234 2011-04-05 08:18:59 -0500 Report

Thanks for al this great info. What did you eat for breakfast? What did you add to your salad? dressing ect. What kind of suppers were you cooking? I am a big guy and get hungry alot. I should have the blood results by 930 am. I will post cause I cant understand them. Thanks

Nonna2Three
Nonna2Three 2011-04-05 08:57:52 -0500 Report

Because I am a slow starter I had to keep breakfast quick & easy so I eat Jimmy Dean Breakfast Bowls - one has eggs, sausage, potatoes and cheese the other has eggs, bacon, potatoes and cheese. I have more recently started working on adding oatmeal, so it is the instant variety (but that has only been in the last 2-3 weeks.) I tried Special K cereal but I have found that pasta and cereals are two of my greatest enemies. This may not be the case for you since Diabetes is almost as individual as our fingerprints. What hits my BG hard may not hit yours as hard.

Salads are either:
(1) Spinach Strawberry Salad
2-3 c. Baby Spinach leaves -I remove the stems as much as possible so that I get more leaf in my dish. Depending on how hungry I feel I go with either 2 cups or 3 cups
1 c. fresh strawberries
.25 cup pecan halves
.5 cup Manchego Cheese (shredded)
(about) 3 Tbls. Light Raspberry Vinaigrette dressing
*and . . . when I have real bacon left-over from BLT sandwiches I will crumble it up and save it to add to this salad - usually about the equivalent of 1.5 strips of bacon per salad)

(2) Basic Iceberg Salad
2 c. shredded iceberg lettuce
3 slices of sandwich ham (chopped up small)
.5 c. shredded cheese (four cheese blend)
1 Tbls. sliced olives (black or green - whaichever is open in my fridge)
(about) 2 Tbls Light Sweet & Spicy french dressing
*and . . . if I have pineapple tidbits already open in the fridge I will throw in .33 c for more flavor.

The other meal (because some days salad is my lunch and some days salad is my supper so whichever meal my salad falls to the other meals is referred to here) will vary. Sometimes BLT sandwiches (I found Arnolds Premium Italian Bread to be good and it is a denser texture so it is more filling), sometimes grilled steak or grilled chicken with a couple of side items. Maybe:
- Sweet Niblet Corn
- Carrots (I cook my carrots in a skillet - I slice them in rounds and add half an onion (chopped large so I can get carrots without the onion on my plate) sprinkle with 1 tsp. Truvia and about 1 cup water - bring to a boil and reduce to med-low and cook about 30 minutes. Makes really great tasting carrots)
- Broccoli with Cheese Sauce (frozen stuff)
- Green Beans (I cook these with a Beef Bouillon cube and some Garlic flakes for better flavor)
- sometimes I will treat myself to half a baked potato with a little Smart Choice butter and some Manchego Cheese (shredded)
- Baked Beans

You will probably find a lot of other sides to add to your list (I'm a picky eater).

The best thing to do is to track what you eat and keep tabs on which foods spike your sugar and which are BG friendly. I started tracking everything I eat for two reasons (1) easier to identify what spiked my sugar (2) to keep track of calorie and carb intake (it's too easy to forget you ate a handful of cashews if you don't note it. You can log it in a notebook or log it online - but it is a great check-double check habit to develop. If you want to do online tracking check out the Calorie Counter at http://www.everydayhealth.com/food-fitness/jo...

Also, if you want to, you are more than welcome to read my thoughts and experiences on my blog. Here is a link to the first post - you can start at the beginning or just jump around and see what I have learned and experienced so far. Here is a link to the first post - the beginning of my journey:

http://awalkwithdiabetes.blogspot.com/2011/01...

Okay, exercise time for me,. Hope this has helped :)

Akhtar_Khan
Akhtar_Khan 2011-04-04 12:17:13 -0500 Report

Hi Aggies,
I have never had that high a count since I was diagnosed in August 1995. I have been on meds since. Recently, I came across a book on http://30daydiabetescure.com/, that I bought and have experienced excellent results. I eat what is good for me, and totally avoid what is not. I have started exercising, lost fat, and built some muscle, and feel much better.
Try to get this book asap and start on it. Insulin injections are bad, they supply the insulin, but not do what the body needs.

aggies1234
aggies1234 2011-04-04 20:00:20 -0500 Report

Thanks everyone. I had more blood work done today. This morning my blood sugar was 338 at 730 am. I ate good I thought and just tested and the meter said HI again. Just took my shot of 23 units lantus. I use to be so active untill that surgery,now I can't do much without getting tired. Today they took blood to check acidosis and fatigue plus lipase. I will know Tuesday.

Graylin Bee
Graylin Bee 2011-04-04 20:19:02 -0500 Report

Hope you get some answers Tuesday about what to do. Having a major surgery can take awhile for the body to bounce back. The anesthesia causes stress to all your body systems. Seems I'm still fighting fatigue from surgeries last year. Since your pancreas was directly involved in the surgery that could explain the troubles adjusting the insulin and BG levels. On of my surgeons said sometimes an organ may go into a sort of shock and take awhile to start working like normal again.

EJMac
EJMac 2011-04-03 22:52:21 -0500 Report

Don't be shy about calling in your BS numbers to the doctor's office to see if they want to adjust the meds any. It takes awhile to get what is gonna work for you. Portion control is important. I found out "lots" isn't a portion. LOL Also daily exercise is very important even if you start out at 10 min walk per day and increase with time.
Good luck. Keep in touch & let us know how you are doing. Elaine

nanaellen
nanaellen 2011-04-03 21:04:04 -0500 Report

Hi there and welcome to the best site you could find for diabetes!! When I first found out I had diabetes I had to have a shot of humalog insulin before each meal and a shot of lantus at bedtime. It took me almost 4 months to level off my BS #'s. Yes it will definitely take some time! But you are very well advised to be concerned because if it stays to high you are at risk of doing damage to your other organs! That's what I'm going through now. I first found out 5 or 6 years ago. Started getting things back to "normal" so I didn't pay as much attention to testing and such. Got myself all the way down to JUST a shot of lantus at night. But here it is 5 years later and I've had pancreatitus 4 times since Nov. Had my gall bladder out. And still going for tests on my pancreas because there is something wrong! So keep on top of it! And really if your sugar goes over 400 you should go to the hospital ,at least they can get you back to a normal reading!! Not trying to scare you but you could have a stroke!! Please take care of yourself! Anything I can do to help, all you gotta do is ask!! There are great people on this site with alot of great ideas so come back often!! Wishing you the best, Ellen

RAYT721
RAYT721 2011-04-03 17:55:54 -0500 Report

Welcome to our site! I cannot offer any advice on medications/insulin but surely others here will be of great service in that area. Your question: will it take time? I give a definite YES. There's so much to learn… about diabetes, about your body, about your medication and how it affects you. We are a community (family if you will) of people who genuinely care. I cannot tell you how much support I have found here from others who have been where I was, are where I am, and who are going where I'm going. Knowledge is power!!! Ask away and get to know us and give us the chance to get to know you. We will all have stories of successes and failures to share with each other. You are not alone!!!

Harlen
Harlen 2011-04-03 14:25:09 -0500 Report

Hello and welcome
You may wish to call your doc and get on a lot more insulin anything over 145 is doing harm to your bod.I like to keep my BS 80 to 110 I dont always get that but it is what I shoot for .Feel free to ask any Q you may have there are a lot of frends here that know a lot
Best wishes
Harlen

aggies1234
aggies1234 2011-04-03 14:37:23 -0500 Report

I am having more blood test on Monday. I will ask him if I should take my insulie in am or pm or dose it matter. Tonight I will be up to 22 units.

realsis77
realsis77 2011-04-03 14:17:14 -0500 Report

Hi. I take lantus and humulinR . It does take some time to get the dose correct but one you get it right you should be feeling much better and your levels should be good. For me it took a few adjustments and a second insulin for meals. I take lantus in the morning then I take the humulin to cover my meals. Its been working out wonderfully. I did have to get an increase of my lantus but once I did I'm now running close to perfect! I never thought id be able to say that, but now I can! Its a process and it does take awhile. Keep in close contact with your doctor so he's aware of what's going on. Good luck and God bless!

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