still high glucose readings with oral glyburide med

sssnowmasss
By sssnowmasss Latest Reply 2009-07-11 16:13:27 -0500
Started 2009-07-06 15:55:04 -0500

Hi, I am concerned about my friend's diabetics. His readings often range from 250 ~ 350 (fasting or 2 hours after meal) which is still very high. He takes 2 tablets of glyburide pills with lunch and with dinner twice a day. He refuses to go see the doctor so I think he is burned out being diabetic for over 10 years. Any suggestion on how to help him? Thanks in advance.


25 replies

centrider
centrider 2009-07-11 16:13:27 -0500 Report

I checked on the medication, but decided that changes should be done in conference with his Dr. I understand he doesn't want to see his dr. So what to do?

Encourage him to go. (How to do that without acting the nag). I would also suggest he write down his food consumption daily.

Finally, what has worked wonders for me is physical activity. So encourage your friend to find a physical activity which is enjoyable, else he will do it sporadically and finally give it up.

Pat Roth
Pat Roth 2009-07-11 10:02:07 -0500 Report

How is you friend's BS now? Has he pursued help? It sure sounds like he should—-Best of Luck! PR

BeckyJ
BeckyJ 2009-07-09 16:49:59 -0500 Report

Sounds like a med change is in order. I too started out just with oral medications. They worked great while I was loosing weight and starting my new diet. Once I had been on them for about a year they just stopped working. That's when we added insulin to the mix. Now it looks like I'm going to have to change the type of insulin as well as I am having the same type of swings. My advice as both a caregiver and patient is that it is up to your friend to take control. We can talk, plead, push but in the end if they are not willing to control this now it will only get worse. My mother refused for over a year to admit that she was diabetic. Unfortunatley she was diagnosed 3mo after her brother passed away from complications of diabetes (renal failure) Once she accepted it and took control she was able to keep it under control. She is down to 1 Metformin a day and controlled diet and excercise.She has not been above 145 in 6mos! I admit that I am a diabetic but in many of my actions I don't act like it and I'm sure that is what is causing my most recent problems. Not that I eat a lot of carbs and sugar…just the opposite. I am stressed and not eating enough. Even with all the information at my fingertips it's up to me to get on track. It's very hard sometimes too so if your friend does slip on occasion, just remind him GENTLY, that you care and if he needs help you're there…and so are we now. :)

Pat Roth
Pat Roth 2009-07-09 19:04:23 -0500 Report

Boy, Becky, you are so right, to admit and take charge for yourself. That was one of my porblems with this depression, did NOT want to admit it, no matter the pain, as to me, it was a sign that I had failed and no one would like me—-that is another story! But acceptance is NOT easy for all kinds of reasons our human hearts resist! I finally told my husband that I did NOT know how he felt,(he is not diabetic, but some other something that only God knows what—-) only he did, and I would try and help him what I could, but I was not making his Dr appts as he so RESENTED IT!! Did I explain that he is a stubborn German, both sides of his family! BUT I am also a bit stubborn (ha)maybe it is the Scottish in me! hmmm, food for thought again, Patricia Ann!

cyncyn
cyncyn 2009-07-09 21:02:46 -0500 Report

Pat,
Talk about stubborn. How about trying, Irish and German. Yep, that's me!! Quick tempered and long lived!! ha ha

Pat Roth
Pat Roth 2009-07-10 15:10:25 -0500 Report

Hey, that is reasurring! I wonder if our ancesters came over on the same boat? ha-Our town, and I, are doing better, both having simmered down and just smoldering! ha—PR

cyncyn
cyncyn 2009-07-08 09:14:13 -0500 Report

I can relate with you, totally!!! My mother-in-law has not accepted her Dx, yet. She has been a Type 2 for years. She also thinks, because she is on meds, she can eat anything in sight. We hit brick walls in every turn with her. Her dr. told us to just let her go, but we cant!!!
Has your friend been to a Registered Dietitian? They can really help with meal planning. Breaking down the carbs, calories, fats, meats, protein, and etc. They explain portion sizes and everything! Your friends, dr. can refer him to one, and most insurance company's will pay for it. Worth a try!! Good luck.
From someone in your shoes,
Cyndi

Pat Roth
Pat Roth 2009-07-09 10:25:42 -0500 Report

Oh, cyncyn, now I know why I have a headache! It is all of the brick walls I have hit in my life time of TRYING to help others, when they were dragging their feet! haha—but we are still smiling, aren't we?! Love it! hugs PR

cyncyn
cyncyn 2009-07-09 13:04:21 -0500 Report

Pat,
I have hit so many brick walls, in my life time, my nose and tips of my toes, should be square! or flat !!!! ha ha
But yet, I am still smiling!!

HUGS,
Cyndi

Fresnan
Fresnan 2009-07-08 01:39:34 -0500 Report

When I was first diagnosed with diabetes 2, my doctor put me on meds. At first my sugar was still coming in high, until I started walking in the morning and evening and changed my diet completely. Now my readings are normal. I believe we need to watch what we eat and excersise. This is a very important part of our lives.

PAT L
PAT L 2009-07-07 16:37:09 -0500 Report

I WAS STARTED ON THE SAME ORAL MEDS AN WE FOUND OUT THAT OVER A SHORT TIME, THAT THEY WERE NOT DOING THE JOB.. SO THEY TRYED SOMETHING ELSE, AN THEY DIDNT WORK EITHER. SO HE PUT ME ON NOVOLIN N AN R. 20 TO 30UNITS ON THE N AN 10 TO 12 UNITS OF THE R BEFORE MEALS. THAT WAS 2 YEARS AGO AN NOW I TAKE 20 UNITS OF THE N WHEN NEEDED AN VERY LITTLE OF THE R WHEN NEEDED.
SO IF HE IS LIKE ME, HE NEEDS TO TALK TO HIS DOC BEFORE THE LEGS AN FEET HAVE BIG PROBLEMS… THATS WHAT I HAVE DONE AN ITS WORKING…FOR I HAVE NOT HAD THE FEET TURNING BLACK AN GOING TOTALLY NUMB… HOPE HE GETS BETTER BEFORE THE BIG PROBLEMS SET IN…

sssnowmasss
sssnowmasss 2009-07-08 00:59:55 -0500 Report

Thank you! It's good to hear about a story of another person who has gone thru the same medications. I think I will share your story with my friend. BTW, how did you come to reduce the units on your medication?

Pat Roth
Pat Roth 2009-07-07 13:53:45 -0500 Report

Your kind comments on my snorty response, really have helped ME in accepting myself as a sometimes cranky woman who is almost too tired to care, but I still do. You are right in that this is the best place to come to vent, get rid of frustrations in trying to care for loved ones who can pull against you sometimes, till you about, or do—go under! Through no fault of theirs or yours, just one of the lessons of life in how much to try and help someone else, when they haven't accepted their own condition to begin with! I compare it to trying to save a drowning person, sometimes have to slap them to get their attention, but I am sure that you can find a kind, but firmer way to help him than what I relied on! But my BEST WISHES are with you, he may mellow and comply with reasonable facts, sooner than later! PR

sssnowmasss
sssnowmasss 2009-07-08 00:35:45 -0500 Report

Thank you Pat. You must be very caring and sounds like you have gone thru alot to have many "lessons learned" you are so kindly sharing with me. I will try to remember them as I have my ups and downs.

Pat Roth
Pat Roth 2009-07-08 09:26:28 -0500 Report

Thank you so much! I have been too caring of others in the past, hence, I ended up sleep deprived and a nervous, cranky mess, it was HELL! That is one reason I feel so led to warn others, BE CAREFUL, don't get overly involved, of course that varies for each person! I just would hate for another caring person, to GO UNDER! But follow your own heart, not my skeptical, scared—feelings. Good Luck with you and yours! Yes, I am 77 yrs. cared for my mom, from the time I was 8 yrs, (felt like 98yrs.—thought I was 'going first'—-then working in a hospital for 30 years, and in peoples' homes for 15 yrs, had 4 children, 2 whom had severe colon troubles with no support from Drs or family—-( they would scream and scream—having 15 to 20 BM's day and night, mucousy, pneumonia frequently)—got so TIRED, too tired to even sleep when I got the chance, Just a warning, my Dear! hugs, Pat Roth

lipsie
lipsie 2009-07-07 01:27:13 -0500 Report

I really don't have the answer here but just want to say that you must be a great friend to be looking for the right way for your friend and that's great…but if your friend gave up/or won't try himself you really can not do much for them but be there…I mean, you can't force someone to change is all…and I think you are a great support is all…did any of this make sense cuz I think I am sounding a mess, lol sorry. Good luck!!! *HugS* Sheila

sssnowmasss
sssnowmasss 2009-07-08 00:48:27 -0500 Report

I agree with you and everyone that only he can really make the changes happen. And I also try not to draw too much attention to the things he needs to watch out for since it can lead to adverse results instead. Thank you for your support.

Pat Roth
Pat Roth 2009-07-06 22:18:59 -0500 Report

Guess I sounded very cranky, didn't I, sorry, but I have been a caregiver for 40 years and the resistance of my family and patients to follow Drs orders or to use common sense, drove me over the edge, so guess I don't have much tolerance for someone who won't try, or cooperate. But I am not you and I shouldn't have come off so strong—because of my nerves I can now see— if they try, I will try and help! Best of Luck in a sticky situation. Being Asian does probably make it more difficult, and we all give up at times. Pat roth

sssnowmasss
sssnowmasss 2009-07-07 00:44:34 -0500 Report

Pat, I appreciate your feedback and everyone elses. I also understand your view point and that's partially why I am here. But I have no experience of being diabetic or/and for a long time so all I could do is try to be understanding and hope to be helpful as much as I can. Thanks for being the first to give me a feedback! :)

Pat Roth
Pat Roth 2009-07-07 08:24:20 -0500 Report

Lisie said it more kindly than I—I let my hurt emotions get in the way. I, too, used to be a very, caring person, so trying to help my mom and the many others with their health problems, only to have my efforts sabotaged, too much to go into, but I JUST HATE to see another very caring person go down because of someone else not trying. Like Lipsie said, they have to see for themselves the need to try ,for they are the only ones to make the changes and learn to live with them! Personally I bent over backwards in trying to UNDERSTAND and sympathize with the other person, —I do admire you for your caring attitude, BUT my warning bells are going off, "Be careful!"
As for my own husband and his health, he had me reeling too, I finally told him kindly, "I don't know how you feel, YOU are the only one who does, and you are the only one that can comply with your Drs. instructions< i love you and will support you, but YOU have to make the changes." So many times it is the caregiver that goes under—-"Been there, Done That" I so hope this helps you as you sound like a sweet person, but that is what scares me, frankly! Best of Wishes! Pat Roth

SkipT
SkipT 2009-07-06 18:11:46 -0500 Report

What is your friend's diet like? I am always amazed that people think that because they take medication they can eat anything they want. Even on meds you still have to watch your diet.

sssnowmasss
sssnowmasss 2009-07-06 19:02:02 -0500 Report

His daily diet starts with Quaker-Instant Oatmeal Variety Pack from Costco at about 8.30am with coffee with splenda sugar.
Lunch varies from Thai food, Vietnamese Pho noodle soup, Japanese noodle soup, Chinese lunch specials with small bowl of rice, Soup Plantation salad with chicken soup and corn bread or In&Out Double Double protein style with usually no fries. Dinner varies from Beef Shabu Shabu, Beef Sukiyaki with lots of vege(spinach, tofu, mushroom, cabbage) and no rice, simple ham sandwich with lettuce and onion with light vege soup. There are occasional dinner outings still limiting intake of rice or other forms of carb. He's been trying to watch his intakes now but in the past, had not been very good to himself. I think in his early years of being diabetic, he used to eat only salad but became burned out. Being asian, it's hard to avoid carbs in general but he likes soups so that's good. I am not sure if his meds are still working for him, only lowering 50 or so.

kdroberts
kdroberts 2009-07-07 11:44:52 -0500 Report

That's not really limiting carbs, it seems to be heavily stacked towards carbs. Carbs need to be eaten with fat an protein which doesn't seem to be happening - breakfast for instance is almost 100% carb. If he is testing and getting the numbers he is getting then it's clear that the food is not working for him and he needs to change. Also, exercise plays an important part. How's he doing with that?

sssnowmasss
sssnowmasss 2009-07-08 00:54:54 -0500 Report

That's another weak area in his case. It's not consistent but some weeks he squeezes in walking on the treadmill for about 2 miles/45 min per day for 4 days out of a week. What kind of breakfast and exercise do you have in your daily plans?

Pat Roth
Pat Roth 2009-07-06 16:44:01 -0500 Report

ASK HIM if he would rather take the chance of losing a leg or two—Is he aware of the possible affects if he doesn't get on top of this, NOW?! Have someone neutral visit with him that can advise without sounding bossy! So many people do NOT want to be told what to do, or don't like to hear "what is good for them!" Just simply tell him of the dangers, then let him make his own decisions, and if he doesn't come up with doing something, I am not sure that I would even be involved with someone so HARD HEADED! In my many years, that attitude applies to many things and to me, is not worth the worry!! Best of Wishes! Pat Roth