To ALL diabetic out here

sam1376
By sam1376 Latest Reply 2011-04-12 14:02:07 -0500
Started 2011-04-10 11:19:31 -0500

I was just diagnosed this Month with type 1 , I am on 40 unit every morning of lantus and of course regularly measuring my blood sugar before and after meal for my other insulin shot before my meal for the balance. My doc went on vacation and I need help knowing if my numbers are good!! Would you guys tell me from experience what the bs should be to be in the safe side????? It will be greatly appreciated

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21 replies

WendyFR
WendyFR 2011-04-11 18:29:25 -0500 Report

Well, I see most of the posting show 75 to 130. My BS is normal when it is 80 to 120. 75 is low for me and I start to get symptoms of low BS when it is below 80. I was told 140 is too high and that is when complications starts, but I notice different people on here have different numbers. I'm assuming it really depends on your body. You may get with your doctor again to make sure what are your safe numbers. You can usually tell when you start to have the symptoms of low blood sugar.

sam1376
sam1376 2011-04-12 11:58:43 -0500 Report

i like those numbers, actually that's what i have been averaging. what do you take for insulin and when? if you don't mind me asking?

Harlen
Harlen 2011-04-10 14:35:37 -0500 Report

Hello and welcome
For me and all I can tell from huntting on the net as well as frends that have D
any thing over 145 hurts your bod so I like to keep my BS from 75 to 130 That dose not meen that I alway am able to keep it there but like you I test a lot to ajust my insulin to my needs .
75 is as low as I will let my BS get before I will eat some thing to bring it up
I will ajust my insulin at 110 I shoot for 95
I hope this helps
Best wishes
Harlen

sam1376
sam1376 2011-04-10 17:02:40 -0500 Report

It does help harlen, but do you know the safest number before bed to avoid to fall low to reach the 40' s?

Harlen
Harlen 2011-04-10 18:26:18 -0500 Report

For me I need to eat a HIGH in fiber low carb snak
And I shoot for 90 to 110
What are you taking at night for your Blood sugar??

sam1376
sam1376 2011-04-11 20:11:33 -0500 Report

I still don't know where mine should be before bedtime. I sleep while it's 90 and I get afraid I don't wake up second morning, if it drops low for a a coma!! I feel unlucky that my doctor left on vacation having all my record!!!!

sam1376
sam1376 2011-04-12 11:57:19 -0500 Report

i try to have a fruit cup before bed—but thank you for the numbers. i feel good after knowing that i managed my numbers well last week

RAYT721
RAYT721 2011-04-10 13:42:44 -0500 Report

I have absolutely no clue about medications and/or type 1 so I'm gonna stay out of the discussion but I do want to welcome you here to our site. This place, as you'll soon find, is like a family. I am sure you'll not only find the answers you are seeking but find motivation, inspiration, education and genuine friendships. Check out the recipes area, the book and product reviews, and check the archives for past discussions on topics of interest to you. Again, Welcome!!!

Type1Lou
Type1Lou 2011-04-10 11:59:02 -0500 Report

Dear Sam1376,
I was diagnosed Type 1 in 1976…a year before you were born. I'm on 14u of Lantus in the morning and pre-meal Novolog shots on a sliding scale based on the carbs I will be eating and what my pre-meal BG's are. Your doctor should have given you a carb to insulin ratio based on how your body reacts to the foods you eat, your activity level and how much you eat. My ratio of 15g carb/unit of Novolog might not be appropriate for you since I'm a 120 pound older woman and you're not. You and your doctor may still be working this out based on your charted blood sugar levels. (If the doctor isn't doing this, find another one pronto…preferably an endocrinologist who specializes in diabetes.) Generally, a BG between 80 and 110 is considered ideal although I'm happy if mine is anywhere between 70 and 130. Mine fluctuate widely with some scary lows (29) and some ugly highs (+300) although the extremes aren't all that frequent. My husband knows how to inject me with glucagon when my readings are too low and I'm out of it. One book that was a turning point for me was Dr Richard Bernstein's "Diabetes Solution". He, himself is a type 1 diabetic who returned to school and got his medical degree because he felt the accepted treatments were missing the mark. He advocated eliminating the carbs as a tool to better control long before this was accepted or considered by the medical community. His approach is extreme but IT WORKS! It's well worth reading. He also has a clinic on Long Island. Good luck on this new chapter in your life!

sam1376
sam1376 2011-04-10 17:00:12 -0500 Report

I am on the same plan but with 40u in the morning. I manage not to take any novolog and I think I am staying under control but you know, I am still fresh meat and I don't like surprises. I was just not lucky when my doc decided to go on vacation that time of the year. By the way how does it go that low to reach 29?? Plus I thought you don't take insulin when it's low! I should have some carbs?

Type1Lou
Type1Lou 2011-04-10 17:45:57 -0500 Report

During 2010, my HbA1c crept up over 7 and my GP kept on upping my Lantus (to 20u) which I was taking in the evening. I began to repeatedly have severe morning lows, sometimes not waking up and scaring the dickens out of my husband. When this happened while on vacation in Idaho, I wound up in the hospital for 1.5 days. (Ruined the vacation and never made it to Yellowstone, our destination.) After seeing my GP upon returning and his giving me 10 minutes of his time and telling me to follow the same instructions, that's when I decided I needed to see and endocrinologist. I had to ask the GP for the referral. It was the smartest thing I ever did. I saw the endocrinologist on 12/1/2010. Part of the problem was that I wasn't truly counting my carbs and adjusting my pre-meal insulin accordingly. The endo actually reduced my Lantus to 14u and changed the injection time from evening to morning. This has helped. Her office is also working with me to establish the correct carb ratio. I also went and got a refresher with a diabetes educator…never too old to learn and I had to overcome some not so healthy habits. There is also discussion about my going on the pump…still trying to figure out the best approach.

When I treat the lows, I have a tendency to over-treat and bounce up way high afterwards. It probably goes that low because I've increased my activity and didn't eat enough carbs to compensate for the insulin I took. I also think I'm at an age (62) where my body is changing and it's sometimes hard to predict what is going on. It's a constant balancing act. If I'm fighting an infection, my blood sugars are higher and I need more insulin to get them in the acceptable range. Stress and being upset can also cause your blood sugars to rise. Diabetes is your constant companion and you have to learn how it affects you specifically. I've learned (am learning) that it's up to me to control it or it will certainly control me.

Your HbA1c readings will tell you how well you're managing your diabetes. You want to be below 7.0, preferably in the low sixes or even lower. A reading of 5.8 is considered the highest acceptable reading for a non-diabetic. Readings in the 6's indicate a diabetic but in good control. Learn as much as you can. This site is a great resource. (Sorry this was sooooo lengthy.)

JACKIEROTHGEB08
JACKIEROTHGEB08 2011-04-10 18:22:02 -0500 Report

AS I WAS READING YOU THINK HERE I REMEMBER HAVING PROBLEM LIKE YOURS ..I WAS TAKING 20 AT NIGHT AND WAKING UP TOO LOW THEN IT WAS TOO HIGH OTHER TIMES. IT WAS TOO CRAZY AND COULDNT SEEM TO KEEP IT HAPPY SO I HAD SOME SURGERY AND THEY GAVE ME A GUY THAT CAME IN AND TOLD ME TO HALF IT. LIKE TEN IN AM AND 10 IN PM AND IT HAS HELLPED ME A GREAT DEAL …I KNOW ITS ONE MORE SHOT BUT IT SEEMS TO HAVE EVEN ITSELF OUT. SO GOOD LUCK AND TAKE CARE …JACKIE

Type1Lou
Type1Lou 2011-04-12 14:02:07 -0500 Report

Dear Jackie,
Changing the Lantus from evening to morning was a big help for me. I also take pre-meal Novolog, so a minimum of 4 injections a day is no big deal. In fact, I like the flexibility this regimen gives me…to be able to skip or delay a meal rather than being tied to the clock. I feel more "normal"…or as "normal" as I'm going to get. What I'm finding a challenge is to accurately calculate the meal carbs and appropriately dose the meal insulin along with any increased activity. Thanks for the HUG and words of encouragement.

Kirla
Kirla 2011-04-10 11:51:45 -0500 Report

If not taking insulin or maybe certain combinations of drugs, I read they should be around 70-90 fasting and before meals. Less that 140 1 hour after eating and less than 120 2 hours after eating. Not to many people can do this. If using insulin, a lot of doctors don’t want you going low, so they like you to stay above 90-100. You should be asking your doctor where he wants you to be before and after meals. I read somewhere that damage starts to occur when numbers get above 140 or I try and keep mine below that.

Good luck
Kevin