I need help

mommafish
By mommafish Latest Reply 2015-04-25 09:06:33 -0500
Started 2013-01-30 17:23:46 -0600

hello all i used to be on here about a year ago. for the past month my numbers have been in the 250-498 dr put me on lantus 25 units it brought my fasting reading to 175 but 2 hours after i eat im in the 300-400!!!! im only eating 25-35g of carbs lots of protein and fresh veggies. any idea what to ask her friday when we see each other? o yeah im also on 2000 of metformin. a friend told me to ask about fast acting insulin would that help?
thanks for all the help i know i will get


16 replies

lanykins
lanykins 2015-04-25 09:06:33 -0500 Report

Novolog before eating is a short-acting insulin and is good in handling what you eat when you eat it. Ask your doctor about that.

mommafish
mommafish 2013-02-15 20:58:26 -0600 Report

I want to thank everyone for their help… Im am now on 60 units of lantis and 10 units of novolog before each meal numbers have been pretty good 120 before a meal 143 two hours after a meal fasting is still at 124-135 but am working on that. I just wanted to give an update and say thanks

JSJB
JSJB 2013-02-01 04:37:35 -0600 Report

I think your daily carb intake is tooo low. Carbs help the pancreas. I keep mine between 60 and 100. Good luck with the dr visit

mary, the diabetes lady
mary, the diabetes lady 2013-02-23 14:04:05 -0600 Report

WRONG! Carbs do NOT help the pancreas. Carbs make the beta cells of the pancreas work - more carbs the harder the beta cells need to work. Insulin resistant - the beta cells need to work even harder to push out even more insulin even though it was making enough, the cells can't use the insulin. Why can't they use the insulin. Well, insulin is the key that open's the door (called the receptors) to the cells to enable the cell to accept the glucose it is bringing. They can't use the insulin because the receptors on each cell has been so inundated with insulin over the years they have become immune to the call of insulin. When insulin knocks, the receptors say, "go away" even though the cells need that glucose for energy. The more carbs you eat the more insulin is secreted the more your cells become immune to receiving the glucose. While glucose is used by the cells for energy, when it's present in the blood stream it becomes a dangerous visitor. The body must rid itself of the glucose. So insulin will take it to the fat cells - typically located in the abdominal region of the body. The fat cells will accept all the glucose you can throw them. Ergo we have so many what I call "pregnant" men walking around.

Read Dr. Richard Bernstein's book, "Diabetes Solution" or Gary Taubes, "Why We Get Fat" or Dr. Mark Hyman's, "Blood Sugar Solutions" or watch Dr. Robert Lustig's video on you tube - Sugar the Bitter Truth.

Carbs definitely do NOT help the pancreas.

JSJB
JSJB 2013-02-24 04:00:31 -0600 Report

Thank you I had mininterpeted what I was reading. You set me straight I still keep my carb count down to 60 a day unless I cheat, which I am doing lately, I only test once a day doctors orders and that is a fasting test. Some days when I cheat and overload with carbs I hate to test the next day but when I do the reading is low. Still new to this condition and have a lot of reading to do. Again thank you for your explanation of what carbs do.

mary, the diabetes lady
mary, the diabetes lady 2013-02-24 09:11:39 -0600 Report

Happy to help! Good for you that you are counting your carbs and sticking to a number that works for you.

I have a question — what did you mean when you said that you "only test once a day, doctors orders and thats a fasting test." ? Trying to understand. Did your doctor tell you to only test once a day? That makes no sense to me. A fasting blood can give you a good picture but if you want to see the whole screen (like you are watching a great movie that needs to be seen in letterbox format and you're watching it on a format for TV) you need to test 2, 3, or even 4 times a day. Taking your BS 2 hours after eating presents with a much more comprehensive view of how your blood sugars are doing.

So many people come to me during our seminars and tell me they don't understand why they get fasting bloods of 100 or 125 and when they go to their physicians and get their HA1c its 7.5 or even an 8.

Its because Your average daily blood sugars are going up and staying up longer than 2 hours after eating. Your HA1c is your average blood sugar reading for the past 3 months — it tells you exactly where you are and where you've been for the past 3 months. Theres no fooling the HA1c.

That is why I am wondering if you meant that the doctors orders were to take your blood sugars only in the morning (fasting blood) or did you mean the doctor wanted you to take your blood sugars in rhe morning at the very least because you hadn't been taking them.

Isn't diabetes a kick? Ugh. Not fun but at least you have an illness that can be controlled and even better it can be contolled by you! Ask someone with cancer if they feel in control.

JSJB
JSJB 2013-02-24 10:38:06 -0600 Report

He said I am not diabetic just prediabetic and to do a fasting test every morning before breakfast. My last dr. visit I had a A1c of 5.4. There were times when I did a test in the afternoon and the reading was in the normal range but that was just out of curiosity that I did the test. My morning tests usually range between 100 and 130. I take Metformin 2x a day 500mg and blood preassure meds. Still striving to get off meds. Now that I have read your posts I pretty sure I will do it. Thank you again and your last paragraph was right on.

mary, the diabetes lady
mary, the diabetes lady 2013-02-24 11:57:52 -0600 Report

JSJB
You are a dream! I love your proactive stance on your diabetes as well as your ability to face the truth instead of denying your condition. Good for you!!!

One thing though, when your doctor tells you that you are not diabetic just pre-diabetic —- ah, that's like telling a woman she is just a little pregnant. There is no such thing as pre-diabetes or borderline diabetes. Read Robert Lustig's book, "Sugar - the Bitter Truth" or my favorite doctor, Dr. Richard Bernstein's book, "Diabetes Solution".

What is great however, that even though your doctor believes in the pre-diabetes myth, he/she is still treating your diabetes. Good for your doc.

Your HA1c is so very close to coming into a normal range of 4.5 to 4.8 that with a little work and a bit more education (you are already off to a great start in knowing about carbs, etc.) you can achieve your goal.

Are you exercising on a regular, sustained basis? Now by exercise I don't mean running after kids, or cleaning the house, etc. I mean going outdoors or to a gym and walking at least 3 times a week for at least 30 minutes each time — of course, this is all with your doctors approval.

Why exercise? Not to lose weight because you don't lose weight through exercise. You exercise to enable your cells to more readily accept the glucose. That is, the receptors on your cells reduce their resistance to insulin and open more readily to allow the glucose in. Exercise is an extremely important component to every diabetic plan toward wellness. I wish doctors would actually write a prescription for their patients to exercise. Maybe they would take it more seriously. I have a sense that you are ready willing and able to exercise - if you're not already doing so.

Finding the right number of daily carbs and then setting up a plan to eat only that amount of carbs is also an important component.

If you read my bio, my husband was a T2D for over 20 years. He was on 43 units of insulin, had severe neuropathy in both his feet that limited his walking to 75 feet or less at any given time, was on pain medication, on metformin, on statin (ugh) drugs, diuretics. He was morbidly obese at 280 pounds for a man who stands 5'10".

In 2003, I put him on a program that I came up with after reading books like Dr. B's "Diabetes Solution". Within 3 months came off of all insulin and never looked back, within 9 months he lost 80 pounds and since has lost another 20 for a total weight loss of 100 pounds and never looked back. Within 1 year the horrible neuropathy pain in his feet was gone. He was in 2 5K races and finished. There's more but you get the picture.

We are married 52 years. We have 5 children, 5 children-in-laws and 13 grandchildren. My husband is 74 years old.

Being in charge of your diabetes instead of it being in charge of you is to live a full and happy life!

Keep up the good work. You are going in the right direction!!! Yay!

Mair
Mair 2013-02-01 01:21:55 -0600 Report

It is good you are seeing your doctor. A few years ago i was on that combination of drugs and my numbers were high caused by metformin. Lantus was not controlling it enough so i have been on insulin for three years now. i have come to find out that there were not enough studies done with metformin and lantus used together.

jayabee52
jayabee52 2013-01-30 18:49:16 -0600 Report

One thing you may want to ask is for a test to see if you are gluten intolerant to any degree? Often times the irritation from gluten intolerance in the intestinal tract can mess with the Blood Glucose (BG) levels. I know I had varying BG levels before I started eating and avoiding breads and grains of all kinds. I am doing well now with my BG levels (if I behave myself)

BTW glad to see you posting again!

James

old biker
old biker 2013-01-30 18:09:11 -0600 Report

Hi mommafish..I have been on lantus for about a year know with great results..I hope you are keeping a Blood sugar log with your daily numbers recorded..Your doctor needs to see this..Sounds like you are on a starting dose and that may need some adjusting..The doctor can tell by looking at your numbers..If you haven't been logging your numbers bring your meter..Most meters allow you to scroll through your past readings…Hang in there and good luck, sometimes it takes a little while to get your dosage dialed in

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