Dx insulin resistant…

By mcashmore Latest Reply 2013-04-11 11:15:16 -0500
Started 2013-04-07 21:42:56 -0500

Just Dx insulin resistant. My HbA1c was 5.2, non-fasting blood sugar was 93, but insulin was 44. My father was Dx with T2 DM recently at a level of over 500. Past 6 month S&S were classic insulin resistance once Dx: fatigue, lethargy, 20 lb weight gain, craving for sugar candy, depression, and decreased libido. MD started with metformin every night. Usual SE's so far: diarrhea, nausea, decreased appetite now it's back and weight fluctuations. I really want to try to control this with diet change and exercise. Just lacking that motivation to get going. MD gave me no info. Have done all research on my on up to now. I am an RN on a Vascular floor at a local hospital and see full blown DM pts every time I work. I am always educating them, yet now feel I know absolutely nothing!

9 replies

PetiePal 2013-04-11 09:16:08 -0500 Report

Luckily your A1c is still very well under control which is excellent. Look into keto and high protein diets, stick to low carb and you'll need less insulin. You'll lose weight too which will decrease your resistance levels.

mcashmore 2013-04-11 10:13:01 -0500 Report

Thanks PetiePal! That sounds like some pretty sound and useful info. This weight thing is a pesky little devil. I do feel though that if I can just get my momentum going in the right direction, then I can maybe not have to take met forever!

PetiePal 2013-04-11 10:23:49 -0500 Report

Look into higher protein meals. I don't fully support a FULL keto diet, but I have begun incorporating things from ketocook and cavemanketo into my diet, and I've been seeing some great weight loss. get a buddy to do it with you!

mcashmore 2013-04-11 11:15:16 -0500 Report

I've actually heard of the caveman kero. Also the paleo which doesn't seem too different. I discussed the paleo with my husband and who l need to get to eating better!

mcashmore 2013-04-09 08:58:05 -0500 Report

James, I really like the low carb/high protein diet idea. I could possibly stick to that. I say this as I polish of a cup of soy nuts which I researched and saw that 1/4 c is 130 cal, 9g carbs and 10g proteins. And, I also love almonds which are right up there with soy nuts at 24 whole nuts at 163 cal, 6.1g carbs and 6g protein. Sooo, guess I'll have to cut those out…The hardest part for me will be at work with lunches and breakfast. I usually eat oatmeal in the am to hold me over as long as possible. For example, yesterday I didn't eat lunch until around 4pm. I had breakfast at about 5am. And no snack in between, no time for that. Then for lunch a ham and cheese sandwich with a banana and some kettle cooked chips and a south beach bar for more protein, and my guilty pleasure…a Pepsi. Then by the time I got home around 10pm, all I wanted was a bowl of cereal, usually Fiber one with 2% milk. And that's a work day for me. Otherwise, I eat a lot of salads and I love all kinds of foods, that's part of my problem I think ;) But, I have to change this obviously because it isn't working. I will try to give it a go and start working out, with energy I will steal from someone and keep you all posted.
And Gabby, yes! The emotional roller coaster is the absolute worst part of the whole thing. That's what lead me to the MD to begin with. My husband kept saying I needed to go that something wasn't right because I was sleeping all the time and he was afraid it was my heart. Then, when I did go to the MD, the depression and sleeping part wasn't even addressed! I was simply given the results over the phone. I had at first thought it was hypothryoidism because of the symptoms. Never thought of it being insulin. I had a list of things I wanted him to check with my glucose and HbA1c being one of them also. Once I was told it was high and everything else was fine, I researched myself and found the rest out on my own. I don't know if they figured that because I was a RN then they didn't have to over it with me or what. But, like you are saying locarb, the feelings are what wreck you. I have never felt so alone. It was like being sucker punched and being told not to show it. And my husband, bless him, still doesn't quite get it. Hard time all the way around. Still trying to get my own head around it. I can't thank all of you enough and I'm so glad to have found DC!

GabbyPA 2013-04-08 08:59:35 -0500 Report

Don't you just wish your head would rule your heart and not the other way around? The emotions of the diagnosis are so often overlooked or just tossed aside by our doctors. But they are just as big a part of our success as our treatment plans.

tinkerbell54 2013-04-08 09:50:01 -0500 Report

U are right so many Drs. do not want to listen . Thee emotions do effect out diabetes as well . as do are hot flashes, night sweats. Tinkerbell54

jayabee52 2013-04-07 23:49:53 -0500 Report

Howdy MC! Welcome to DC!

You have a Certified Nurse Aide here who worked home health for 10 yrs and also did part time hospital fill in work on Med/Surg floors or in the ER. for the last 2 of those 10 yrs. I had worked before that in a profession which required a Masters Degree as entry level position, so you have some idea of who I am.

I was Dx'd in 1995. I knew little of diabetes, just what I was taught in CNA classes, which was precious little. So when I discovered that I had DM (initial reading approx 300 - by dipstick) I knew I was in trouble. But because of financial constraints I didn't go to the Dr until my wife's job got her insurance. (none was offered through my work) When officialy Dx'd I was put on Met, of course! I did go through a DM education course and lerned some about DM but it was like trying to take a drink out of a full on firehose. Too much too fast! After I found DC 4+ yrs ago I started learning a lot more about everything having to do with DM, emotional, physical and social.

I did eventually have an event where my kidneys shut down on me due to an infection and discontinued oral hypoglycemics and was placed on low doses of insulin (approx 15 U NPH x 2 day). But due to an accidental drop of my inslin vial and could not get a replacement for a day or so, I decided to try to manage my BG for the time without insulin by what I ate. And by that discovered that if I ate very carefully my pancreas produced enough insulin of its own that it could cover what I ate. As went along I developed a meal plan to help me keep my BG levels normalized without the use of DM medication. That plan may be read here ~ http://www.diabeticconnect.com/discussions/14...

Please do me the kindness of reading the plan carefully and then commenting on that discussion your thoughts on the plan. I did lose 65 lbs on the plan and as the weight came off, my insulin resistance camme down and made my own insulin even more effective. So give it a shot, it might be useful to you!

Praying for your improving health

James Baker

locarb 2013-04-07 21:46:07 -0500 Report

Interesting post. Fortunately, with your education and training, you will be able to understand the research that is out there. Unfortunately, none of that helps with the feelings associated with having a health condition.