I need advice

By ksermer Latest Reply 2010-09-08 09:38:13 -0500
Started 2010-08-01 17:17:15 -0500

I was diagnosed in September 2008. My Dr didn't find it necessary to put me on any meds. Last week, my A1C was 9.2. She has now put me on Januvia. I am testing my blood sugar twice a day, once when I get up and before dinner. My levels are always too high. What do I need to do to get them lower? I am watching what I eat, but I still have high levels. I need help!

8 replies

Lakeland 2010-08-01 18:55:08 -0500 Report

If possible, try to walk, today I had oreos my blood sugar went to 165 I walked about 3/4 mile & it's down to 119. Amazing what a short walk can do.

Watch your carbs, I was told to eat around my carb choice, so If I want the oreo's then I need to skip breads, fruits things, dairy products things that spike sugars, I would need more protein & veggies like squash, cucumbers salads, ect.

If I wanted breads, I'm to choose breads that are high fiber 4 or more the high fiber won't let the breads turn into sugar so fast, I.e arnolds sandwich rolls, I use them in the mornings for my toast.

I was also told to take my sugar 2 hours after a meal and take my pills before the meals. while I was trying to get my numbers down I did record everything , what I ate, portions, and my sugar numbers. I was doing it before & 2 hours after, I enjoyed checking it really gave me a good idea of what foods worked with me and the ones that didn't,

Also, a portion prior to being diabetic was much larger than now. Tonight my husband & I split a sweet potato, we normally would have 1 each, I now use chicken thighs just to keep portions low.

Good luck & do write things down, try to make it fun like an experiment.


RAYT721 2010-08-01 17:47:16 -0500 Report

The two times you're testing are probably the highest times of your day so it's hard to give insight. Try little snacks/food choices in between meals to keep blood sugars consistent and see how that affects the readings. I don't know anyone whose morning readings aren't higher than other times. It's called the Dawn Phenomenon. Being a phenomenon it's something that I can't explain like why you park on a driveway and drive on a parkway. Do you have access to a personal dietitian or diabetes classes??? That's one great thing about this board is that there are so many people with so many opinions. Welcome to our community!!!

Sharon-LV 2010-08-01 18:03:22 -0500 Report

I find that corn, white potatoes, white rice, regular pasta, and a few other starches are not good for me. When I stick to smaller portions and eat whole grains my counts are better. I check 2x a day and take Metformin twice a day (1,000 mg), Januvia (50 mg); and Lantus SoloStar insulin 12 units in the evening. My last A1C was 6.0 which is pretty good. Wish my health insurance plan covered a dietician or diabetic counselor…

Pynetree 2010-09-08 09:15:29 -0500 Report

Sharon..I too find those things up my BG…and that if I stick to smaller portions, more whole grains and veggies that it works. Also same age as you, with a chubby, lovable, non-diabetic husband who loves to eat..and eat out! My health plan covered a diabetic counselor when I was first diognosed over 10 yrs. ago. Would love to see one now that I am doing better, A1C was 6.2.,but sort of in a boring food place when I'm being good. Theresa

Kirla 2010-08-01 17:38:32 -0500 Report

This is what I found worked great for me.

I found that drinking lots of water and eating lots of low carb vegetables helped lower my blood sugar fast. After being diagnosed I started to test before and 2 hours after each meal to determine how the foods I ate affected my blood sugar. After my numbers came down a lot I started testing 1 hour after eating and was able to fine-tune my diet even more. My A1C went from 14.1 to 5.9 in just a few months. My last 4 were all below 6.

By testing what I ate, I found that I had to give up all bread and grain products, potatoes, pasta, rice and most foods that contained more than 5-6 net carbs per serving.

Good luck

Pynetree 2010-09-08 09:20:41 -0500 Report

I just find it so hard to be good about what I eat…you make it sound so effortless. Wish I could just do everything right…it's not that I don't know…it's that it is so hard to do!

nascarnurse68 2010-09-08 09:38:13 -0500 Report

It is not effortless. In fact it takes a lot of focus as far as reading labels and keeping track. But it is doable. Buy a book about carb counting and if possible meet with a dietitian. Meeting with the dietitian was probably the single best thing I did when I was diagnosed. Knowledge is the key to good control and changing your eating habits. Also get a good physician who will help you and not judge you. If you don't like your docor, change doctors. We shop for everything else and just stick with a crappy doctor. It is perfectly ok to not like your doctor and change. Even patients who recieve state aid have the right to request a different doctor. Good luck.