My BG is lost and confused.

By Jim1954 Latest Reply 2015-02-10 18:58:31 -0600
Started 2015-02-07 17:09:13 -0600

I've been seeing an endo with 2 visit so far. Before seeing him I would say my average BG was around 150-160 and the last time I had my A1c checked was in September last year at 6.2. He has cut my fast acting from 5 before every meal to 2 before every meal. I have not changed anything in my diet and my sugar is rising. Today I had 2 eggs with 2 sausage patties at breakfast, bowl of soup and a 2 slice ham and cheese roll up (used 2 slices of ham and 1 slice provolone), 1 small chicken breast and green beans. In between lunch and supper I had about 20, in the shell peanuts. My BG went from 165 before breakfast to 187 before lunch and 228 before supper. I had 2 cups of coffee this morning then 2 glasses of water, a glass of tea with lunch and supper, and 2 more glasses of water in the afternoon. AND 1000 mg of metformin at breakfast and supper, 100 mg invokana in the morning.
SO, what the heck am I doing wrong?

12 replies

GabbyPA 2015-02-10 09:21:17 -0600 Report

Why did your endo reduce your fast acting insulin if you were not having ideal numbers already? It seems that you may have really needed what you were taking before. I would call him and have a talk.

sweetslover 2015-02-07 17:59:12 -0600 Report

I have absolutely no idea. Thankfully, I am only on metformin and it seems to be working just fine for me. I'll know for sure when I get the results of my lab work in about a week. Are you exercising regularly? That really helps me to pull down my BG numbers. Hope you get it figured out. Keep us informed.

Jim1954 2015-02-07 21:51:24 -0600 Report

I get what exercise I can with all the back problems I have and having COPD w/o2 tanks, 2Lt, 24/7.

sweetslover 2015-02-08 13:20:49 -0600 Report

I understand the mobility issues. I also have back problems but I am able to go to the pool to exercise. I don't know if that is an option for you since you are on oxygen. On days when I cannot go to the pool, when I am sitting down I jiggle my feet, drum my hands, , swing my arms, march while sitting—anything I can do to move. It drives my husband nuts, but I have found that this even helps to lower my BG. Best of luck to you.

Type1Lou 2015-02-07 17:56:34 -0600 Report

Have you communicated this to your endocrinologist? It sounds like he may have cut the fast-acting insulin back too far and it may need to go back up a bit. Did he cut it back because you were experiencing too many low BG's? Usually, fast-acting insulin is dosed based upon the number of carbohydrates you will be eating rather than a set amount at each meal. Has he given you a carb to insulin ratio to use for this? (for example, my carb to insulin ratio is 25 grams of carb to 1 unit of insulin which means that for every 25 grams of carb that I eat, I need 1 unit of fast-acting insulin to stay in my target range.) Every person's carb to insulin ratio may be different and factors in individual insulin sensitivity. You seem to be eating very low carb which should not cause the high BG's you've been getting. Peanuts, although a good snack, do have a bit of carbohydrate. The only other thing I can think of is insulin absorption. Are you rotating the sites of your insulin injections? If you inject in the same area every time, you'll develop scar tissue that prevents the proper absorption of the insulin. Hoping you find the answers you need to regain control.

Jim1954 2015-02-07 21:54:58 -0600 Report

I have an appointment for more blood work on the 18th and my next appointment with my endo is one week later.

Type1Lou 2015-02-08 11:14:37 -0600 Report

If I were in your shoes, I would call the endo's office tomorrow (Monday) and explain what you've been experiencing (offer to fax your readings to them) and ask if it would be OK for you to increase your fast-acting meal-time by 1 unit to see if you get better control before your appointment. Your HbA1c won't be affected much by this late change since it tracks the past 2 to 3 months of BG's.

jayabee52 2015-02-07 17:47:38 -0600 Report

Howdy Jim
Have you talked to the Registered Dietician (RD) which is usually attached to the Endo's office. Get a referral to the RD and talk over your meal plan. Even too much protein may have a negative effect on your BG levels. If you have gained weight recently you could also be facing increased insulin resistance as well.

Praying you find out what is wrong and correct it.


JackieCMT 2015-02-08 18:24:27 -0600 Report

I agree. This may sound crazy, but maybe you need to add some carbs into your diet. Whole grains such as whole wheat pastas, brown rice, bran flakes, oatmeal, grits (I live in the south), popcorn, beans. Most times if I eat these, especially for breakfast, my blood sugar actually goes down. You absolutely need to meet with a nutritionist or diabetes educator.
Good luck!

jayabee52 2015-02-09 03:23:13 -0600 Report

Howdy Jackie
Yes it does sound crazy, to me at least. I eat a low carb, high protein meal plan which avoids grain products altogether. I do eat a lot of eggs for breakfast and meat products. That is how I've been manging my T 2.

God's best to you

Sopies Grandma
Sopies Grandma 2015-02-10 18:58:31 -0600 Report

Hi James, You told me all I had to do was ask, so I'm asking. would you take the time to tell me what you eat, the carbs and calories. and just how that works for you. I have decided to stop eating the 60 carbs for each meal. but I just don't know how to do that. Do you think 40 carbs per meal would be ok, or should I cut back more. I would like to know how many carbs you eat every day.

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