type 2 diabetes, high a1c

jedabolin
By jedabolin Latest Reply 2016-06-17 17:57:00 -0500
Started 2014-07-23 14:35:48 -0500

This is the first time I have posted to this sight. It has been several years since I was diagnosed. And I still can't get my bs under control. No matter what diet or exercise I do my bs still remains high. I have been diagnosed with stage three kidney disease and my bs was 202 fasting. It seems like every thing that goes in my mouth even water causes my sugar to go up. I have been on incillian for two years and that hasn't helped. I'm still on oral meds also.a1c is 8.6 if anyone has any ideas please forward them on to me.


14 replies

Type1Lou
Type1Lou 2014-07-24 19:18:44 -0500 Report

You say you use insulin…what kind? Long-acting? Fast-acting? If you are taking insulin at meal-time, how to you calculate the dosage? Do you count the carbs you are eating at each meal? Do you limit how many carbs you allow yourself to eat? For me, limiting carbs is the key to good control along with properly dosing mealtime insulin to cover those carbs and adjust if my pre-meal BG is above my target of 120 mg/dl.

jedabolin
jedabolin 2014-07-24 19:26:56 -0500 Report

Long lasting. I use my incillian at bedtime

Type1Lou
Type1Lou 2014-07-25 08:10:59 -0500 Report

OK, since you are not taking insulin at mealtime, my advice would be to start counting every carb that you eat, track what you eat to see how it affects your BG by testing 2 hours after each meal. If your BG is too high after those meals, it means you have to reduce the amount of carbs you are eating to get better BG's. Exercise combined with diet can also help you metabolize those carbs better. Exercise will help your body be more sensitive to the insulin you still produce.

jedabolin
jedabolin 2014-07-25 08:28:19 -0500 Report

Thank you for the advice. I am not able to exercise because of other health problems. But I will start watching my carbs more closely.

Glucerna
Glucerna 2014-07-23 17:28:19 -0500 Report

I know it's frustrating when you're trying hard to control your blood sugar and not seeing the success you want. I Ask your physician for a referral to a diabetes educator/registered dietitian who can help you figure out a healthy meal plan that takes into account kidney disease as well as diabetes. ~Lynn @Glucerna

jedabolin
jedabolin 2014-07-23 17:37:31 -0500 Report

I have a appointment with dietician next month earliest appt available. Also have a appt with a encrynologist.I hope he can help as he is a specialist. We will see.

jayabee52
jayabee52 2014-07-23 15:04:30 -0500 Report

Howdy Jed
WELCOME to DC!

What and how much have you been eating? I have learned that what one puts in the mouth is key to successful management of Diatetes, especially T2..

I have been eating a high protein, low carb meal plan for a little more than 3 yrs.

I had been struggling with my weight and my BG (Blood Glucose) levels up till then, but I was able to discontinue my twice daily insulin injections, keep my BG levels in the 100 to 130 mg/dl range, achieve an A1c of 5.5, lose and keep off 65 lbs for these 3 yrs.

If interested, you only need ask and I'll share how I did it.

God's Best to you and yours

James

Type1Lou
Type1Lou 2014-07-24 19:14:26 -0500 Report

James, I would add that carb control and reduction has also been the key for me and I am a Type 1. My last A1c was 6.8 and I'm expecting the next one in August to be lower. I've been able to maintain good glucose control and my weight at 120 lbs by limiting my carbs to 120 grams per day.

jedabolin
jedabolin 2014-07-23 15:15:29 -0500 Report

Thank you for your reply. I can eat nothing and just drink coffee with Splenda and still it's 202 or like fasting this morning was 250 what can you suggest.

MarioNurse
MarioNurse 2016-06-17 17:57:00 -0500 Report

Hi Jed, I know its late but I hope you are still fighting. Many of my patients are very insulin resistant, which it sounds like what you are. Regular calculations of insulin dosage vs carbs might not apply to you. This is due to the fact that you might need a higher than normal lantus/ glargine (long acting insulin) dosage starting before breakfast and a short acting insulin like novolog or humalog 5-15 minutes before each meal. Of course make sure to check your blood sugar frequently as sometimes the body appears to be a little bit more sensitive at times. This will help you to learn more about your dosage and the amount and type of foods you consume. Some of my patients are so insulin resistant that their short acting insulin ranges are 14 units and above and it works. I think at this point the langerhans or insulin producing cells have worn out. Go to an experienced endocrinologist vs a primary and indicate what you just learned and have it implemented. You'll see blood sugars that will make you feel less frustrated. Good luck

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