Should I be using my insilin?

By lipsie Latest Reply 2009-05-16 12:09:06 -0500
Started 2009-05-15 07:02:28 -0500

Hiya all, I am about to tell on myself. I am on Metformin 750 once a day and have sliding scale inslin, to use prior to eatting…if high sugar…BUT (I feel ashamed about this) Okay, after meals I have issues most the time, like within a half hour my sugars will rise above 200…sometimes 300 OR just even 180…and I am so outta it…even at 180, I can not function…I don't understand, my fiance gives me my insilin, according the the sliding scale BUT afterwards rather. I am scared to tell the MD this, I dunno what's going on, IF this is normal for me to be so outta things after my 150 mark is when he'll give the 2 units, or 4 above the 200, etc. Sometimes, he has to continue a few times for a couple hours until I get normal. Any thoughts? I am sure some will scorn me, *sigh* I need help cuz I don't wanna be doing this wrong anymore. I am so scared of what ya all will think of me over this, It's not like you'll reach thru this computer screen but still. Ulgh Thanks! Sheila

10 replies

Debe Pendice
Debe Pendice 2009-05-15 19:51:28 -0500 Report

I hope you are keeping a journal daily of your BS and intake of food. Someting is off here. You need your MD to sit down with you and go over this. You sure don't want to get those BS extremely out of control, because just how you describe it would be something I would be worried about. Maybe a dietian can help you with carb intake and proper eating habits. If you have a dieabetic educator that would be a good option. She/He can help you with all…Debe

lipsie 2009-05-16 12:09:06 -0500 Report

Yeah, I am playing fone tag with a educator right now actually. I don't eat like I should…I know this is one of my problems. But my sugars go up even with something you would not expect…and like I said…even as little as 170-180 I am outta it…I can't handle that high even…its weird…I USE to be able to but now I can't. I prolly messed that up with what I have been doing? :/ I dunno. *sigh* But yeah, I see my doctor on the 6th and I can't see him sooner, tried so I am gonna be brave and talk to him…ulgh…but thanks to you all I feel strong enough to do this..I have to. Thank you all for your input btw. *hugs* Love yassssssss Sheila

Judimar 2009-05-15 12:09:26 -0500 Report

Hi Shelia,

Thank you for your frankness. I want you to know that I can understand why you may feel ashamed but coming forward and asking for help is nothing to be ashamed of. *hugs*

I know how frustrating it is dealing with a doctor who is short on time and rushes you through. Jocelyn and the others give you excellent advice. Oh and your home health aide/nurse gave you good advice as well. Ask for a referral.

Alot of people are intimidated about speaking to a doctor about their concerns or problems. I myself was one of them until I spoke to a friend of mine who helped open my eyes. She taught me to be my own advocate. No one knows me better or has my interests at heart more then me. No one can speak for me better then myself. Your relationship with your doctor is just that… a relationship. The best relationships are built on honesty and communication. Don't be afrad to speak up for yourself and to be open with your doctor. If he/she doesn't have time or refuses to work with you, you owe it to yourself to find another doctor.

I myself am not on insulin nor do I know anything about taking it other then what I have read here or observed watching my mom. So I apologize but I can not give you any advice about that other then speak to your doctor :)



Amy Tenderich
Amy Tenderich 2009-05-15 11:05:40 -0500 Report

Yipes, Lipsie! You NEED to talk to your doctor about this. Sounds like your insulin doses are not well matched with your carbohydrate intake.

Honestly, if you don't fix this immediately, things will only get worse. Please do!


LadyDi - 26259Miller
LadyDi - 26259Miller 2009-05-15 08:26:31 -0500 Report

When you take your insulin after the fact, you are chasing your tail. Your BS has already begun to spike after you've eaten. If you take it beforehand and eat what you should, and if you're abidng by the sliding scale you were given, I would think you would see a big difference. If you are still seeing those high numbers, definitely talk about it with your doctor. He can't help you if you don't let him in on what's taking place.

2009-05-15 20:05:56 -0500 Report

Ditto Diane. Sheila, I'm on insulin only and always take the shots 15 to 30 minutes prior to eating. You should talk with you're doctor ASAP because he needs to explain the way insulin works with your medications. Don't worry about what he thinks, it's your health, not his/hers. Take care girl, Angie

kdroberts 2009-05-15 07:51:06 -0500 Report

Sounds like either your sliding scale is wrong for you, you are not eating as well as you could or both. It's something that doctors are used to dealing with and is one of the reasons you go to see them, to get their advice and for them to help you find the treatment that works for you. 750mg of metformin is not a great deal and may or may not being doing anything significant so really the things that will affect your blood sugars the most are the timing and amount of insulin you take and what you eat.

lipsie 2009-05-15 08:28:01 -0500 Report

Hmmm, you're right, I will have to speak with my MD…and yes half the time I don't eat the right foods, this is true…I know I am not on the right track and have to get there, thanks for you input! Sheila

Dietbeeties 2009-05-15 07:08:04 -0500 Report

I would take the sliding scale before I ate, that way in a half hour it might be starting to work already and maybe you won't get as high or feel as bad. I have admitted some crazy things on here, and so far no one has kicked my booty. They seem to want to give useful advice rather than unuseful criticism. Good luck! And don't be afraid to tell your doc, I am always honest with mine, I feel its the best way to get the best treatment directed spefically to me and what I am doing.

lipsie 2009-05-15 07:49:07 -0500 Report

Thanks, well I usually don't need insilin before I eat is the thing…and well I just don't have a bond or anything with my doctor, and really around this area with our insurance we was limited w/ who we got, so I am going to look for someone else. He schedules you for TEN minutes ONLY for you visit, no matter what the visit is for,he NEVER looked at my feet, never done a physical since we been there almost erm…over six months. I dunno, for me its like he really don't care…he just recently gave me a slip for a AC1 ONLY because I got the wounds from Diabetes which I have not got done…gonna do on the 28th with some other tests, anyhow…I just need to get #### and say something or ask for a referral to a Endo like this home health lady just told me to do the other day..anyhow…imma just rammbling Thanks though for listening and advice. Love yasssssssss Sheila

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