Carbs - don't get it

By Armourer Latest Reply 2010-03-19 22:01:09 -0500
Started 2010-03-09 21:08:29 -0600

Went to doc last week for checkup. In Nov fainted from low blood pressure and hospitalized for 4 days. Docs reduced my Lantus by 30 units. Took away one BP pill. Ate hospital diet for diabetic (many stuff I wouldn't eat at home including carbs) and had good numbers. Went home and tried to do the same diet but numbers continue to climb, especially if carbs are added. A carb for me is adding a 100% wheat bread slice. Spike 170 points! Went for a year trying to cut out carbs because of spikes. But hospital diet ate carbs and did ok. The other day tested before diner - 279. Ate salad of Romanine lettuce, onion, carrot, green pepper, fat free dressing. Test 2 hours later, 276. Don't get it? Last A1c - 9.6.

8 replies

veggie1962 2010-03-10 09:54:43 -0600 Report

I'm not sure why you did better in the hsopital eating carbs and not as well as home (it would be helpful to know exactly what you were eating while hospitalized and back at home to give an answer on that).

One thing is coming to mind. If you are only on Lantus, it's possible that you need mealtime insulin, especially with an A1C of 9.4. I was misdiagnosed as type 2 for several years and kept telling the doctor I couldn't eat anything because my sugar skyrocketed from the smallest amt of good carbs, like oatmeal. what you are saying reminds me of what I was going through (and that was because I needed mealtime insulin).

Armourer 2010-03-19 21:50:57 -0500 Report

I take Humalog with meals at 20 + sliding scale. Just by introducing good carbs into a meal I'm constantly around 250-300 every time I test. My Lantus has been increased to 100 units a day.

Crashnot 2010-03-09 21:16:46 -0600 Report

No idea how you can eat a salad and not be lower, but here are a few random thoughts that pop up.

First, your liver is capable of producing sugar on its own. Messes me up every night while I'm sleeping. If your body has insulin bumping around in it, i.e. Lantus, and not enough carbs, it could be the liver is responding by producing some glucose to keep your energy up. I came across an amazing site last week that went into detail on this and will post as a second note or this one will get deleted!

I guess my second question would be, how did your glucose get up to 279 before dinner? It seems to have held steady after the no-carb food, and Lantus will take longer than a mealtime to bring the sugars down, so it looks like it was doing its work at that time. The trick will be to keep it down before the meals!

Crashnot 2010-03-09 21:18:14 -0600 Report

here's the site:

Do NOT read this if you're tired or distracted! It's pretty heavy going if you want to absorb what he's saying, but it's in simple language. Just a LOT of details on insulin in your body.

Armourer 2010-03-19 22:01:09 -0500 Report

I don't understand it either. Use to lower my count. It has been over a month now that I haven't seen under 200. With low carbs, without carbs, nothing seems to work. And I'm getting to the point again of not caring.

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