So, here's a question that's confusing me...

By HarmonyStarr Latest Reply 2010-06-30 10:21:40 -0500
Started 2010-06-30 06:01:28 -0500

When I was diagnosed, I was told my levels should be between 70 and 110. Makes sense, since that's the numbers you read pretty much everywhere. However, my doctor told me that that's too low and I should be keeping my levels between 100 and 150. Now, call me crazy, but that just sounds high to me. I haven't let my levels creep up, staying pretty much in the 80s and 90s, with a few 100 moments, but I'm just wondering if anyone else thinks that my doctor's recommendation is a little crazy? Don't get me wrong, I love my doctor. We have a great relationship, he listens to me and talks to me like an intelligent person, but that just seemed a little nuts to me.

3 replies

Kirla 2010-06-30 10:21:40 -0500 Report

When on insulin some doctors are afraid of you going low. They recommend the higher numbers so you don’t go below 50-60. Going low is a lot worse than going high. You make a mistake with the insulin and give yourself to much you risk going low.

It looks like your doing great with your insulin and have mastered given it to yourself. There are a lot of people who have trouble understanding how it works and either gives themselves too much or not enough.

As long as you’re not going below 70 and you have very tight control, you shouldn’t have a problem. If your numbers start to drop below 70 a lot you may have to adjust. Since your going to try and cut back or get off the insulin, you probley don’t have too much to worry about. If and when you do go off insulin you may see your numbers go up for a while. As long as they stay below 140-180 one hour after eating you should be ok.

It will probley take some time for you to learn what and how to eat, when you no longer take the insulin. Just remember to test your meals. Test before and after you eat and then try and figure out why you spiked if you did. Then make adjustments to the foods you eat. I found that high carb starchy foods like bread; pasta, potatoes and most foods with more than 5-6 net carbs per serving spiked my blood sugar a lot. So I either found a way to make them low carb or had to quite eating them.

Good luck

monkeymama 2010-06-30 10:19:18 -0500 Report

Depending on what BG goals guideline he is going by. Here is are the standards that are out there (Diabetes Living Summer 2010 magazine):

American Diabetes Association
*70-130 fasting/before meals
* less than 180 1-2hrs after start of meal

American Association of Clinical Endocrinologists
*less than 110 fasting/before meals
*less than 140 2hrs. after the meal

Each doctor is going to have their own theory and ways but they too MUST follow within these guidelines that are set forth by The American Diabetes Association. Everyones BG target goals are also going to be slightly different than others. Keep up the great relationship you have with your doctor. Doctors like this are very hard to find. They are like a dime a dozen.

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