was insulin needed ?

By Latest Reply 2014-03-24 10:24:57 -0500
Started 2014-03-22 22:26:01 -0500

Hello all. Something getting my puzzler.
About 2 months ago the Dr put my mom
On lantus. She was taking 8 mg of glimipride. Her blood sugars were
Running in the upper 200's and lower
300's. She was not watching her diet,
Making pies, cookies, cakes, and eating
Some of them.
so 2 months in and slightly better
Numbers, nothing in the 300's. She is
On 14 units of lantus, and continues with
Her metformin er as when taking before
Lantus.
Her daytime numbers are still somewhat
High. I contend taking 4 mg of glinipride
In the morning, but the cde went nuts.
Oh no you can't do that, you would
Need to use a fast acting insulin. She
Claims she no longer produces insulin,
But I disagree. If so her blood sugar
Would have been much higher, plus
no blood work was done to confirm
The lack of insulin production.


5 replies

Gabby
GabbyPA 2014-03-24 10:24:57 -0500 Report

Lantus is insulin. It is a long lasting insulin. I agree that to see if there is any production of insulin a test should be done. But she is already on one insulin.

Glucerna
Glucerna 2014-03-23 15:39:37 -0500 Report

Your mom is lucky to have you helping her and advocating for her. Has she changed her eating habits, or is that something she's willing to do? There are usually a few options to consider when looking at medications and/or insulin for PWD2, and perhaps you can have another conversation with the CDE or the physician to discuss all of these options and decide what is best for your mom. ~Lynn @Glucerna

Type1Lou
Type1Lou 2014-03-23 11:20:40 -0500 Report

The sad truth is that if your mother does not control what she eats, her need for medication, whether oral or insulin, will not go away. This is true whether she is a Type 2 or a Type 1 diabetic. She needs to take responsibility for her condition by becoming carb aware and reducing the carbs in her diet to obtain better control and ultimately, reduce the amount of meds she takes. Until she does that, (and you can't control what she puts in her mouth) she will have to take her medicine.

JaredLahti
JaredLahti 2014-03-23 06:40:06 -0500 Report

I know that the doctor that filled in while my dr was fulfilling his military duties put me on insulin because my sugars were high and I was not taking my diabetes seriously enough. While I hated taking insulin I understand why she did it to me. It was a good wake up call for me.

jayabee52
jayabee52 2014-03-23 02:54:59 -0500 Report

Howdy Accordionman

What would be best is if the Dr would do a test which determined her pancreatic insulin output. Then you'd have some information with which you and your mom (if she is invested in her own care) and her diabetes team could work with. Her Dr should know what tests she needs to take to determine insulin output.

When you say:"Her daytime numbers are still somewhat High" perhaps some specificity might be in order. What do her numbers say during the day? Are they still in the 200s or are they now lower? And what are her fasting Blood Glucose (BG) numbers and the numbers just before bed?

God's best to you and yours

James

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