The Badger


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?

Patty Bonsignore


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.

March 9, 2013 at 7:19 pm

2 replies

Edie 2013-04-21 10:35:09 -0500 Report

If it is the size of the portions for you like it was with me I got Salad plates at Good Will and use them for all of my meals has helped me to cut down on my meals and the weight is coming off with walking we do it every day if you have a step counter use it to keep track of your distance it all adds up and counts. I am up to 1-2 miles a day sometimes I even walk a 3 mile round trip from our home down the highway to the first road to the South of us then up to the walking trial, North to State Road 18 just North of us then back home. When I do that one my legs feel like rubber but I feel so much better the next day.