It has been a struggle to keep my A1cs in check; I am not winning. I am at 9.3. I was diagnosed with type two diabetes 6 years ago. I work out and I am wondering what supplements to take and which ones to stay clear of? I am on metformin, glipizide, lanyus and novolog. Doesn't that seem like a lot of medicine?
Diabetes is an unusual disease in that a person can’t just take medicine and/or supplements and expect good results. Diabetes self-management involves taking medications, adjusting those medications (particularly insulin), physical activity, monitoring and, very important, carb counting. There may be a few things causing your high blood glucose levels. First, you may not be on enough insulin (either Lantus or Novolog). It takes, on average, 12 adjustments to get to the correct insulin dose. . Only by keeping detailed logs and reviewing them with an endocrinologist or very experienced general practice provider will they be able to adjust the doses correctly. Second, in addition to being under-dosed on your insulin, you may be skipping insulin doses. People sometimes think it doesn’t matter if they skip insulin, given the particular food they are eating, especially if they are exercising, but research has shown that missing even as few as two injections a week of mealtime insulin (including snacks) can greatly affect the A1C level. The third most common issue that can make the A1C high is not knowing how to carb count and adjust the insulin dose according to the carbs being eaten . Many times, in an effort to avoid lows, people will undercount their carbs and take less insulin than they should. Focusing on making sure your insulin doses are correct, not missing boluses, ensuring that you are counting carbs correctly and taking the right amount of insulin for your carbs are the four most important steps to getting your A1C under better control.