I had GB surgery 6/27 & have lost 45 lbs. I'm hard to control type 2 for 4 yrs. Before surgery I took 70u Lantus am/75u pm, 40U Novolog before meals. Now, I take 25u Lantus pm, 10-15u Nov. before three meals. Still having lows (lowest 39) & highs over 200. I eat 5-6 small meals, 70-80g protein, less than 50g carbs. Walk everyday. How do I adjust insulin & will I ever go into remission?

Amy Campbell


Congratulations on your weight loss. Your low blood glucose levels are related to both your weight loss and your increased physical activity, which is why you don’t need to take as much insulin. However, you’ll need to work with your healthcare provider or a diabetes educator to help you determine your insulin doses. Schedule an appointment and, for a week or so before your appointment, check your blood glucose levels several times a day, such as before and two hours after a meal, as well as before and after you walk. Keep track of all of your glucose readings in a log book and take this with you to your appointment. The more blood glucose information you can give your provider, the easier it will be to make appropriate changes to your insulin doses.

September 30, 2012 at 8:37 am