High BSL

By Blujay804 Latest Reply 2012-06-04 12:22:16 -0500
Started 2012-06-02 14:31:12 -0500

I have been having a difficult time with my BSL. I am currently taking metformin 1000 mg a day plus 10 ml of insulin. My fasting glucose is 300's every morning. I am a social worker so I can get enough exercise in due to my schedule. I walk at 30 mins a day. I eat right and have appropriate portions. I drink only water all day every day. I've lost 6 pounds recently but still no changes in BSL levels. Any suggestions?

44 replies

fabmom3 2012-06-04 12:22:16 -0500 Report

have you told your dr what your fasting levels are in the morning? mine too run high 130-150 but are great the rest of the day so my dr says she is not worried about it. somewhere here in DC there is a artical about PRE DAWN PHENOMINON (my spelling is not the greatest). this might help you as well. hope things get better.

alesiafae 2012-06-03 13:42:12 -0500 Report

Sorry. Don't know what bsl means. I'm still new also.

Graylin Bee
Graylin Bee 2012-06-03 13:57:53 -0500 Report

Welcome to DC (Diabetic Conect).
BSL = blood sugar level.
Like figuring out how to live with diabetes, figuring out the shorthand PWD ( person with diabetes) uses gets easier. At first it can seem like you've suddenly entered an alternate universe. At least for me, it isn't as hard to live here as it was at first.

jayabee52 2012-06-03 18:52:58 -0500 Report

you've entered the "Twilight Zone" eh Graylin?

I still have to use Google to figure out some abbreviations, but those incidents are getting fewer and farther between.

jayabee52 2012-06-03 19:14:39 -0500 Report

I am getting frequent flier miles on Google, but not now for being on the urban dictionary sites. I am more on research sites now.

Graylin Bee
Graylin Bee 2012-06-03 19:22:32 -0500 Report

The reearch sites are good. At least until my head explodes because the words have way to many syllables for my feeble brain to comprehend.

Graylin Bee
Graylin Bee 2012-06-03 19:45:07 -0500 Report

Duct Tape - a trick I learned from Glen Beck years ago. Duct Tape your head in advance. Then the ER has all the pieces to work with.
Currently, the Hello Kitty pattern is my favorite.

Caroltoo 2012-06-03 13:56:20 -0500 Report

BSL: blood sugar levels, also denoted at BGs, blood glucose levels because that is what is actually measured.

jayabee52 2012-06-02 19:10:45 -0500 Report

Howdy Blujay, WELCOME to DiabeticConnect! Sorry you qualify for inclusion in this little "party" but since you do — IMHO you've come to the right place.

Fasting Blood Glucose (BG) readings in the 300s? That is serious! How are your BG readings the rest of the day?

I am not a Physician or medical professional of any kind, but I have had T2 Diabetes Mellitus (DM) since 1995, and I have just recently gotten it under much better control within time since Feb 2011. So don't necessarily take my word as a diagnosis (Dx) or law, but as sharing what I have learned about diabetes and what has worked for me recently. Of course one of the sayings here is that DM is a highly individualistic disease, and what works for me may not work for you (but then again, it may).

Without "getting into the weeds" of DM management I want to share with you my early days of being a Person With Diabetes (PWD).

I got the Dx of DM in 1995 and I really knew nothing about carbohydrates ("carbs") or portion control. I was under the impression that if I didn't eat things like cake or donuts I would be OK and have good BG levels. My Dr was less than impressed with my new eating plan, because I ate a lot of rice cakes. They were light and not heavy like cake or donuts, so I thought I was doing good. Not so as I found out!

So what I thought of as "healthy eating" was anything but.

Dr started me out on Metformin (Met) 1n 1995 and I continued on that and other oral meds until Nov 2006 when I developed kidney problems bad enough to need dialysis treatments. I was then put on insulin, because Met is contradindicated for those who have Kidney issues.

I finally discovered by accident, (dropped an insulin vial and it shattered) that I could manage my BG levels pretty well just by what insulin my pancreas produced IF I ate VERY carefully.

So in Feb 2011 I started an experement where I used no DM meds whatsoever and managed my BG levels simply by what I ate and didn't eat.

I was already on DC for about 2.5 yrs and had learned a lot here. That helped me to put together my meal plan. I wrote up what I did to manage my BG levels through my meal plans and you can read that here ~ http://www.diabeticconnect.com/discussions/14...

Not everyone with DM (even t2s) can follow what I did, but you may want to consider it for yourself.

There are a lot of people "pulling" for you now and want you to succeed in managing your BG levels. I'm one of them.

I note from your profile that you are a social worker. My 2nd wife "Jem" (now disceased) was a social worker too, so I feel a connection to you in that regard.

I am praying for better health for you in the future and God's richest blessings to you and yours.

James Baker

Blujay804 2012-06-02 19:16:41 -0500 Report

Thank you for such kind words… I take this serious… I must incorporate more exercise and get connected to a nutritionist … I was told by physician that she is transitioning me to a different insulin two be administered twice a day… Got my fingers crossed

jayabee52 2012-06-02 19:24:16 -0500 Report

I was on NPH insulin twice a day, only about 17 U per injection when I was on insulin.

The nutritionist should do you some good — if s/he knows about diabetes. If you could find one who HAS DM it would be even better, cause those who don't have DM sometimes just don't understand what it is like having it. They just don't "get it".

You might just want to run my meal plan by the nutritionist to see what their comment might be. I know it has worked well for me: BG levels in the normal range, A1c was 5.5, and I had lost 65 lbs since Feb 2011.

For me it is no longer experemental, it is a way of life for me now.

old biker
old biker 2012-06-02 17:41:06 -0500 Report

Hi Blujay welcome aboard..There was a time like you my numbers were high upper 300's my oral meds were not working..I thought I was eating right..fresh food lot's of salads, made my own dressing with virgin olive oil and ate lots of veggie's..I was put on lantus insulin and 1000mg of metformin twice daily.
They started me out on 10 units insulin once a day..Told me to increase by 2 units every other day till my numbers were between 90 and 140..When I hit 20 units daily and my numbers were still in 300's I ordered the book Dr.Bernstein's diabetes solution..It arrived when I hit the 30 unit mark. What an eye opener it was..I was so wrong about what I thought I should eat..What I got from that book was 2 lists..What I should never eat and what I could..I worked out my own meal plan, and my numbers came down over night..For me the cost of that book was worth twice the price. I know look back and laugh about what I thought was OK to eat..Good luck with your journey of life

Just Joyce
Just Joyce 2012-06-02 16:48:07 -0500 Report

hi Blue welcome to the DC family. Could what you are eating cause your B/S to spike? Like gabby, I tested foods to see what they will do to my levels. I was diagnosed T2 in 2008 in April. By September I had lost over 40lbs. For breakfast I had Tuscan Herb Crackers with Cream Cheese and coffee, mid morning sack was a cup of Red Grapefruit no sugar added. Lunch was chicken salad on wheat crackers, afternoon snack was a handful of baby carrots and dinner was a serving of meat meat and veggies and snack was either sugar free pudding or sugar free jello. I ate these foods everyday but switched around the snacks. I also bake, broil or grill all of my meats. This includes bacon and sausage.

Stress can play a role in how high your blood sugars can be. The key to reducing stress for me was not letting anything I can't control bother me. I also took time out to do something I enjoy doing. Thankfully, I don't have any friends who are drama queens because they not only are stressful to be around they also drain all the energy around you and from you.

You said you eat right. Many of us say that only to find out that we could be eating better. Meet with a nutrionist and find out how you can eat better than you are. I also downloaded a great carb/calorie counter to help me along the way. Sign up for Dlife they have tons of helpful information that is sent to your inbox. Good luck to you.

Caroltoo 2012-06-02 16:04:01 -0500 Report

Another thought: you are concerned about high fasting numbers, so do you have a protein snack before bed?

Blujay804 2012-06-02 16:06:18 -0500 Report

No I don't … I usually go to bed and that's it..

Caroltoo 2012-06-02 19:25:54 -0500 Report

Might try the protein before bed. Helps bring mine down and stabilizes. Give it a try!

Caroltoo 2012-06-02 19:51:38 -0500 Report

I like to snack on thinly sliced rare roast beef or turkey breast. I buy these at Safeway from their fresh deli section where the thin slices are cut directly from a cooked piece of meat. I avoid anything prepacked in chemicals.

Another favorite is mozarella cheese sticks. I don't use salt when I cook, so the cheese stick is ok for my salt count.

Then there are always leftovers: chicken tender (from chicken not MacDonalds), piece of fish from dinner, whatever's there. I just try to think ahead and make sure something is there.

Almonds are another snack that helps to keep your BGs down.

Often I'll sip a glass of iced water with the juice of one lemon. It also helps with lowering BGs.

GabbyPA 2012-06-02 15:23:33 -0500 Report

How long have you been diagnosed? Perhaps time is what you need and maybe drastic cut in something for a short time to see what is going on? When I was first diagnosed, I tested on all kinds of foods to see what they did. Sometimes you find that something that "shouldn't" bother your levels really does.

The other thing could be stress or sleep habits. It could also be when you are taking your meds. If you wake up that high, how is your number before going to bed? That can tell you a lot about what your body is doing at night.

Also, exercising at a different time might help. I used to exercise in the mornings, but found that my levels do better when I exercise after my last meal of the day. It takes so figuring things out. What you might want to do is also start a journal to see what you are "actually" doing instead of what you think you re doing. Sometimes that is a shock and a wake up call.

Blujay804 2012-06-02 16:07:28 -0500 Report

My numbers before bed are around 300's too… I really think it may be stress and I don't think I am but the demand my job has may play a factor

GabbyPA 2012-06-04 11:29:23 -0500 Report

There is a low level continuous stress that affects is often more than the high level occasional stress. We don't feel it so much and so we just get used to it. That is why we can't sleep, we don't eat right and we get so worn out.

Blujay804 2012-06-02 14:50:28 -0500 Report

I usually have oatmeal plain at 9 am… 12:30 lunch sandwich or salad fruit or yogurt dinner 8 meat veggie … I eat appropriate portions I know the plate rule. I am not hungry and snacking alot but when I do it's blueberries… Or cucumbers and tomatoes… I love veggies so it's not a problem… I take my mess cut out breads past 12 and I get as much exercise as possible about 30 mins a day

Caroltoo 2012-06-02 16:02:46 -0500 Report

For me, oatmeal, as Graylin said also, is a source of real spikes. So is bread. I haven't eaten a sandwich in years. I use some bread, but it would be more like a 1/2 slice of bread with lots of goodies — turkey, beef, cheese, lettuce, tomatoes, etc., that I would have put on the sandwich. Not as easy to carry to work, but helps me keep the BGs down. Just a thought you might experiment with for yourself.

Just Joyce
Just Joyce 2012-06-02 16:31:35 -0500 Report

Carol I have a friend who can't touch oatmeal because of spikes but I just read something about steel cut oats being better for diabetics.

Caroltoo 2012-06-02 19:28:05 -0500 Report

Tried that too, Joyce. Didn't work for me and I just gave the bag to my neighbor. It may have been cross contamination because of the gluten intolerance, but I thought I bought some that indicated the environment was also whet/rye/barley free. Don't know, just didn't work for me.

Graylin Bee
Graylin Bee 2012-06-02 15:06:30 -0500 Report

Have you tested to see how oatmeal affects your levels. If you test before eating, then every 1/2 hour for 2 to 3 hours after eating a food you can learn how much of a spike it causes. For me, oats make a spike. Even if I add protein to it I still get too high of a reading. Other people here have posted that if the add some protein, or berries to their meal when they eat oatmeal it doesn't cause a spike for them.

Bluegill88 2012-06-02 14:45:58 -0500 Report

Youe meds are the same as mind, only I am only taking metformin 1000 mg a day. I hve been testing all of my food and I am very well aware of what food I should eat and what food I should not eat. I stay with my diet plan and I have had great success.
Do you have a diet plan? If you don't you should start one as soon as you can and stay with it for several days until you can see some success.
Test , test and test your food .

Caroltoo 2012-06-02 14:38:18 -0500 Report

Many of us think we are eating in a healthy manner, but eventually find it may not be as healthy as we think it is. It's something to consider. The exercise, water, and weight loss are indicators that some things are going well.

Can you give us an idea of what a typical day's meals and snacks for you would look like (include approx. times of the meals and snacks also)? It may be a starting point to finding small changes that could be helpful.

If you haven't seen a dietician, that would also be a good thought. Most of us have found that while the initial dietician's visit is very helpful to get us started, we still have to take the responsibility for tweaking our diet's in ways that make it work for us. We are all a little bit different from each other in how our bodies utilize food.