How to regulate my blood sugars better so I'm not on this rollercoaster ride

By funnygirl98 Latest Reply 2014-05-30 23:41:09 -0500
Started 2014-05-30 10:34:59 -0500

I'm a type 2 hypoglycemic and I've been having a hard time keeping my bloodsugars from fluctuating low to high all the time. Also any suggestions on how to heal a foot ulcer right now I'm doing wet to dry dressings and am taking Baxtrim antibiotics. Any ideas would be greatful;-)

23 replies

Karen Weidner
Karen Weidner 2014-05-30 16:45:08 -0500 Report

Please, please, please keep an eye on your feet at all times. I let what I thought was a callous go on my big toe and ended up with a bone infection and lost half of my big toe in August last year. Then I got a blister at Christmas time and ended up with a blood infection from it within a matter of a few weeks and had the remainder of the toe removed. Us diabetics cannot play with our feet as I am learning the hard way. What I found, and the podiatrist has told me is to not keep it wet. Always do dry dressings.
As far as the ups and downs go, it could have to do with the infection. Keep a good log of your readings. Antibiotics can cause you to roller coaster.
Do you have Neuropathy in your feet or is the feeling still good in your feet?
That does make a big difference. I have no feeling in mine.
Good luck to you and hope your foot heals well.

Glucerna 2014-05-30 15:21:55 -0500 Report

Are you keeping a written log to help figure out what is causing the low and high blood sugar numbers? Write down not only what you eat, when you eat, and the grams of carbohydrate when you eat; but also any activity (I know it's limited as the foot ulcer heals), stress, and even how you're sleeping. All of those play a role in blood sugar numbers. Writing everything down makes it easier to spot trends, and you can show the log to your doctor to get his input. ~Lynn @Glucerna

4mouseketeers 2014-05-30 12:30:44 -0500 Report

I agree with Just Joyce about seeing a wound doctor. If you can find a good one. I currently take Metformin & Glipizide but I still have high spikes & too low lows. I can't seem to keep it under any kind of control. Maybe seeing a dietician is a good idea for both of us. I have no idea how many carbs per day I should be having. It is frustrating & scary.

Just Joyce
Just Joyce 2014-05-30 15:24:19 -0500 Report

You should call your doctor immediately to find out how many carbs per meal you can have and ask to see a registered dietitian. Thankfully my doctor made my appointment the day he diagnosed me. I had to wait 2 weeks but i got to see one. A dietitian can help you with lows and spikes. You have to eat properly and include snacks to keep your blood sugar on a more even level. Good luck.

4mouseketeers 2014-05-30 16:04:53 -0500 Report

Yes, I am writing myself a note to call him Monday to see how many carbs & ask to see a dietitian. It is really not going well on my own. Thank you!

Just Joyce
Just Joyce 2014-05-30 21:07:18 -0500 Report

A lot of what I have learned about diabetes I learned on my own. You have to self educate and find something that works for you. Once you find it, things will become easier. Managing diabetes for me is so routine I don't have to think about doing it.

Once you find out the amount of carbs you can have, you can plan your meals based on the carbs you can have. Mine is 120 which breaks down to 30 per meal and 15 for each snack. I rarely eat 30 carbs for every meal depending on what I eat. Good luck to you.

funnygirl98 2014-05-30 13:29:17 -0500 Report

i know and the scary part is when ur away from home and a low comes on. Thank you for ur input it will help;-)

Just Joyce
Just Joyce 2014-05-30 15:22:18 -0500 Report

Scary is not in my vocabulary. A diabetic should never leave home without snacks. You never know when you will need them. I always carry a carb with me. It is either a real candy bar or hard candy. Depending on where I am going I might have a fruit cup, crackers, a small tangerine etc.. There may be times when you are not near a store where you can run in and get something to eat. I try never to eat at fast food places.

Just Joyce
Just Joyce 2014-05-30 14:44:43 -0500 Report

Diabetics always should carry snacks with them when they leave the house. I never walk out my front door without a snack. You can carry unsalted nuts, string cheese, a container of yogurt, crackers and even some real hard candy. I carry both real and sugar free candy with me. I can always feel when I am low so I eat my snack. I keep real Hershey bars or kisses in the freezer all the time for lows. I also carry level life fast acting glucose with me.

Tammy Sexton
Tammy Sexton 2014-05-30 11:44:48 -0500 Report

Have you talked with your doctor about a specific diet that would help you with this?

funnygirl98 2014-05-30 13:30:50 -0500 Report

yes I have and I do what my dietician tells me to do and they still go up and down. Thank you for ur input;-)

jayabee52 2014-05-30 11:53:38 -0500 Report

Probably the Dr might not be the best professional to ask for nutritional info. But have the Dr refer you to a Registered Dietician (RD) with which the Dr works. (Often Medical school is long on medicine and proceedures but I understand that nutrition is given only one quarter's coursework for a MD. That is why most of them have RDs attached to their practices.)

Tammy Sexton
Tammy Sexton 2014-05-30 12:21:37 -0500 Report

I've been through several diabetic education courses and was totally confused by them. The nutritionist here is obese and I didn't feel like she could give me the right answers.

It wasn't until my doctor said, ok let's try a three meal a day with only one snack before bed time did my diet change. Plus I call in my blood sugar every week. He has helped me more than anyone else. No, he didn't tell me what kind of food to eat, but I know that if I can only have 45 carbs per each meal and 15 carbs for the snack I could easily figure out what I can and cannot have.

I've had some really low days, but he adjusts my insulin and now I am doing much better. I wasn't suggesting to ask your doctor about what to eat, just ask about what he recommends for how many carbs you should have per day, so the nutritionist can help you figure out what your meal and snack structure should be to help level you out.

Karen Weidner
Karen Weidner 2014-05-30 16:51:50 -0500 Report

Tammy, my dietician was obese too and I had a really hard time taking advice from her also. I feel if they cannot follow their own advice then how am I ever going to do it? I did find that my insulin pump specialist, from Medtronic, taught me more than anyone. She is a diabetic also and is always available to call regarding my blood sugars and diet.
I am overweight so I have nothing against being overweight I just dont think that I can take advice from someone that is my size teaching how to eat properly.

Just Joyce
Just Joyce 2014-05-30 14:41:41 -0500 Report

My dietitian was so obese she had to bring in her own chair into the room so she could sit down. She then proceeded to screw up my doctors health plan. I never went back to her. My neighbor and friend is a registered dietitian who did my meal plan for me.

I went to a diabetes education class 5 years after I was diagnosed. It was a total waste of my time. I self educated myself and with the help of my doctor I lowered my blood sugar.

My doctor told me how many carbs per meal I could have. I didn't need him to tell me how many meals to eat or to include snacks. That was common sense for me. Medical doctors are never the best source when it comes to nutrition. They are not trained for that. This is why as James said many have a registered dietitian attached to their practices.

I can understand being confused with a diabetes education class. There is a lot to learn in a short time. You can go on You Tube and learn a lot from videos. I used it to learn how to read food labels and about simple and complex carbs.

Once you know how many carbs you can have it makes meal planning much easier. You can base your meals on that amount. I almost never eat the full amount of carbs per meal and I do not have spikes. I have lows now and then. The key to being diabetic is maintaining control which can be hard at first. Good luck to you.

Just Joyce
Just Joyce 2014-05-30 11:18:30 -0500 Report

Your doctor is the best person to treat your foot ulcer. We are not doctors and taking medical advice from non professionals could cause more harm than do you good. I don't know where you live but you might want to have your doctor refer you to a wound specialists or wound center. We have several in my city and they are good when it comes to wounds.

You didn't say what your numbers were. However, to stabilize your blood sugar takes hard work. It is not going to happen overnight. You need to eat properly and add exercise. If you have not done so, talk to a registered dietitian who can help with a meal plan that will work for you. Sometimes even with a meal plan, it may need to be adjusted.. Eating at least 3 meals per day with snacks between each meal will help your blood glucose to level off. A diabetic education class would be a good place to go. You can ask the educator all kinds of questions.

My lows are caused because I have not eaten enough or I was active and didn't eat a snack. I rarely have spikes in blood sugar. When it does spike it is because I ate 4 cookies instead of two or I ate too much of something I know I should not eat.

I know you have a foot ulcer so walking may be difficult for you. Look on You Tube for chair or floor exercises you can do. I hope your foot heals soon and that you get back on track with your diabetes. Very good luck to you.

amyc321 2014-05-30 11:18:11 -0500 Report

Foot care is essential to me. I am always checking the bottom of my feet with a mirror. Diabetes can affect circulation to the feet. Furthermore, this poor circulation to the feet can bring on neuropathy. With this, your feet begin to feel numb. A lot of things can happen. Based on my experience, keeping blood sugars within a range (determined by your doctor), can lower the risk of such foot problems. I once had a friend who was unable to regulate her blood sugars due to frequent use of alcohol. Her toes had to be removed because of poor circulation. This friend really motivated me to regulate my blood sugars and take good care of my feet. Having diabetes, I know that I am at high risk for foot ulcers. Funnygirl, hang in their and keep in touch with your doctor. And, continue asking questions. :-)

funnygirl98 2014-05-30 11:38:41 -0500 Report

Thank you so much for ur impact;-) I have appointments made for every monday to have my ulcer checked to make sure its healing properly.