This was my roller coaster of emotions this morning. It started when Laura checked her BGL and it was 74, not a drastic low but the lowest she has ever been, and considering her dosage was just upped on Friday I was concerned. I sent her meter to school with her and told her to take it to the school nurse and to check her BGL 2 hrs after breakfast. The school nurse called me at 10:05am and said Laura's BGL was 57 and reported Laura had eaten all of her breakfast and taken her 1000mg of Metformin with the meal, this mortified me. I in turn called Laura's Ped Endo with my concerns of these low numbers only to find out they were moving to a new office and was given a 2nd phone # to call. Upon calling this # I was told the doctor was between offices as they were moving…ok knew that but how do I get ahold of her then. I was told they would have the doctor call me back as soon as she came into that office (the 2nd one I called). About 10min later she did call, I told her about Laura's numbers, how she hadn't had such low numbers before and that Laura had been battling the worst diarrhea she has had since starting this medication, all weekend long and that I had to give her immodium because it was so bad. The shock came when the Ped Endo told me these were GOOD numbers, BETTER numbers then the 80s and 90s and 100s Laura had been having. HUH??? She further told me it wasn't anything to worry about that these "lows" as I call them are not lows at all for someone who does NOT take insulin. She also said that since Laura did not "crash" but took a gradual downward turn on her numbers it was a good thing, this is where I felt some relief.
I asked her then, if this is NOT a low # what is a low number for Laura, and she said as long as she stayed above 40 she was doing well, however, if the diarrhea persisted she may drop her back to 1500mg of Metformin as the 2000mg may just be too much for her tummy to handle, but that these numbers were awesome and show that the 2000mg are doing their job. Confused as ever I asked her what would be Laura's idea range only to be told it would be 40-90. HUH??? Before I could ask any more questions she informed me that she had left a patient to call me and that she would call me this evening when she is finished seeing the days patients. So, here I sat confused as ever.
I cannot understand how a low for me, who takes insulin, is NOT a low for someone who only takes oral medications though we are both considered Type 2. I've searched the internet and cannot find anything to support this doctors statement that 40-90 is normal range, and I can't find anything that tells me the difference between insulin patients and oral med patients.
At a little after 1pm the school nurse again called me to report that Laura's BGL was 142 2 hrs after lunch, I packed Laura's lunch myself today she did not eat the school food (breakfast either), and she didn't even finish the food I did make for her which was 42g of carbs total counting the milk she got at school to go with it. So now I'm even more confused, 74-57 fasting to after breakfast to 142 after lunch, which according to her Ped Endo would be a high if she wants her between 40-90. Every time I think I have things figured out, it all changes again.
This is what I would like to know, if any of you Type 2 diabetics are only on oral medication and have never needed insulin is this a normal range, 40-90? I mean I realize the doctor's know more than we are supposed to but it just seems too low to me, I hit 68 and I get all shaky and weird, at 31 I'm unconscious, does oral vs. insulin therapy make that much difference in the so called "normal range"?
I should also add, when I told the school nurse what the doctor told me she was as confused as I was, of course, she has only dealt with Type 1 diabetic kids on the pumps and not a diabetic like Laura.
Confused As Ever,
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