Insulin Change

By dannyvawn Latest Reply 2010-08-28 12:15:50 -0500
Started 2010-08-25 07:39:06 -0500

I have been doing 2000 Mg Metformin, 15mg Actos and 8 shots per day. 2 Levimir, 3 Novolog and 3 byetta. I have been watching what I eat, moderate exercise and when I wake up my Glucose was anywhere from 120 to 150 and my day was like a roller coaster ride. My Dr. said I was pretty much maxed out and probably needed to go to the pump.
well. I have my meds delivered and forgot to order and was out of levimir so my Doctor gave me a few Lantus Solostar pens. He said it was essentially the same thing. Since I started using it , (2 weeks) my glucose has been in the 90's when I wake up and it doesn't fluctuate as much during the day. I feel better now than I have in months.

14 replies

sambo037 2010-08-26 07:55:23 -0500 Report

thats good i take 30 mg actos 2000 mg.of metformin and 2 shots of insulin and still cant reach 150

monkeymama 2010-08-25 23:01:35 -0500 Report

I agree with Gabby here! If it is working for you, let your doctor know. Go with what works the best for you. 3 months before I went on my insulin pump, I was using Lantus for my long acting and Novolin for meals and BG corrections. Sometimes, for some people, there comes a time when the orals just are not working as well as it should. It is great you are reevaluating your treatment plan. There came a point in my life when I got fed up with all of the orals medication issues and reevaluated things. That is when I went on injection only and 3 months later my pump. It is a great way to stay on top of things. Now, I use nothing but Novolog in my pump and I am doing GREAT. Don't be afraid to speak your mind about your diabetes. You are your best judgement of things. Good luck and great job getting your A1c down to 7.3.

GabbyPA 2010-08-25 13:21:16 -0500 Report

I say if you found something that works better, let your doctor know. That is great, and if you are on the pump with that (I am not sure it works that way) but you will be doing great. Sometimes a shake up is the best thing to shake out what our needs truly are.

monkeymama 2010-08-25 22:55:51 -0500 Report

Lantus actually can not be used in the insulin pumps. Being on the pump we have to use Novolog, Humalog, and there is one other one they use. I've been using Novolog for years now.

LKeplinger 2010-08-28 12:13:02 -0500 Report

Lantus has been referred to as the "poor man's pump" as it essentially works that way…drips basal insulin over a 24 hr period. Some use one injection a day. Others, such as my son, have found that splitting the dose (2/3 in the a.m., 1/3 @ night) works better. Just as others have said, you have to find what works for you. Diabetes is not band aid treatment…it is individualized.

Harlen 2010-08-25 10:22:08 -0500 Report

I love my pump, bs in the 80s to 120s and a poke every other day rather then 8 to 13 time a day .If they are willing to give you a pump jump on it lol
Best wishes

Mair 2010-08-25 08:54:50 -0500 Report

Hi Just an opinion: From my experience and by doing research I am perplexed at the coctail of meds your doc. has you on. One may be counteracting the other and believe me it has happened to me, this is most likely why your numbers are not where they should be. I was on all the above mentioned drugs sometimes two together but never to the degree you are on. Something important to ask your doc ASAP! Have I been tested for insulin resistance? I asked that question after 2 years of being a experiment for just about every oral and injected med on the market. After being tested it was found that I am extremly insulin resistant and there for was put on an insulin pump. Believe me much easier then all the shots. I found out regular doctors (GP) do not mention it much because they usually do not treat patients for diabetes on insulin pumps only endocrinologists' do .

I can relate to what you are going through and research some of the pumps. I am on omni pod.

newbie51 2010-08-25 07:52:23 -0500 Report

I am glad that the change really helped. I am just on Humalog before meals, Lantus am and pm and Januvia. I was on Metformin but about a year or so ago my doctor took me off because it ws messing with my kidneys. I am starting to really watch what I eat now. It is hard for me to find ways to exercise but I try when I can. Keep up the great work.

kdroberts 2010-08-25 07:51:51 -0500 Report

Lantus can often give a more stable pattern of blood sugar compared to levimir. The one questionable thing you could argue is that since you are already taking insulin, the Byetta, actos and metformin are kind of irrelevant. With the insulin you are taking you can adjust the dose of the novolog based on what you're eating. All the other things could be eliminated, as would be with the pump, and you would save money on pump supplies and the other medicine costs.

dannyvawn 2010-08-25 08:01:28 -0500 Report

I tried to get off of the pills but my doctor and endocrinologist want me on them for some reason. The Byetta is more for appetite suppression and it works for me. I quit smoking and put on some extra weight and have always been a BIG eater. I am actually getting ready to taper off of it because I feel that I now have my eating urges under control for the most part.

LKeplinger 2010-08-28 12:15:50 -0500 Report

Some Dr's have the opinion that T2's are more compliant on the oral meds than on insulin… and the oral meds are more predictable.

kdroberts 2010-08-25 08:22:51 -0500 Report

Why don't you ask them the reason for the pills? Maybe it's a good one, maybe it isn't but you are the one taking them, not your doctors.

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