TuDiabetes

This morning I was 147.9:12 am waking/before Breakfast.
I didnt eat because I wasnt hungry.
Now, lunch time...I'm 155. 12:46 pm
My Dr gave me a book to read . ..." Am I hungry?" Supposed to help me gage when I need to eat.
I dont get this. When do I eat? How do I get my numbers down?
I'm on Humalog. 2 units if I'm over 120 before meals. 4 units between121-150 etc...
I cannot afford a dr appt to go ask questions. the copay is just money we dont have at this time. sigh..... Feeling like just not taking the insulin and not eating if I'm not hungry. this is just not getting better. My numbers are getting crappy because I just keep giving up.
fuss with me? give me your thoughts? I need some hugs and a kick to get something going at the same time.
MeadowLark

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Oh sweetie, what a drag. I can't help with advice on the meds, but hang in there a little bit because you know there are tons of good folks here who can help you a lot. It always sounds like it's a complex process to get it all in balance. But most folks do. I am not much of a kicker but I'm big on hugs---you'll be in my thoughts and you must let me know how it works out.....

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i see you're using humalog as a bolus, what are you using for a basal? levemir or lantus?

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It's not a bolus. Dr has me take it "Before a meal.Only at the following rate." test 4 times a day.
70-120 2 units
121- 150 4 units
151- 180 6 units
181 - 210 8 units
211 - 240 10 units
271 or up 12 units
he says,"you have insulin resistance, your sugars will never be normal unless you can lose some extra weight with diet/exercise. sorry that the answer is not sugar coated. your body cannot handle ANY excess carbs/sugar. insulin is only a bandaid, and has great potential to cause weight gain, meaning that eventually you'll need greater doses of insulin. you could kick/control this without medications if you can find a way to fit some aerobic activity in and shed 10-15 lbs. I know, easier said than done, but it's the truth. If you could do this, and maintain the diet and activity that it takes to get you there, you would probably never have to see a physician for a diabetic visit again...there's some incentive."
That is all the help I am gonna get. I'm no longer able to go in for a Dr visit because I can no longer afford the copay.
Of course, the copay goes bye-bye after the end of May when our "TriCare" ends.
I just feel kicked. I'm having a hard enough time trying to eat different than the rest of my family. I'm not succeeding.
MeadowLark

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MeadowLark Please don't give up!! Keep taking your insulin no matter what.Your body still needs it. The liver creates glucose in the morning upon rising.This is the dawn phenomenom.But upon taking insulin it will level out during the day.

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sigh...when the money runs out...so will the insulin. Even if it is cheaper than the Byetta pen.
I'm just not doing good fixing two different meals. Then, sitting in a corner to eat my meal so that I dont eat what my family eats. I'm not that strong. I ride my bike and chase after the kids. I'm not an "aerobic person..":(
MeadowLark

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"you could kick/control this without medications if you can find a way to fit some aerobic activity in and shed 10-15 lbs"
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA!!!

When will doctors learn to treat their patients better? Insulin resistance has nothing to do with how much you weigh, and unfortunately whether or not you lose the weight you will probably still be resistant. Diabetes has more basis in genetics than it does anything else. (Oddly enough, so does weight, though you will never get an MD to admit it).

So, before we give advice on how to control your blood sugar, did he tell you to take the above amount of insulin regardless of what you were about to eat?

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Yes,. Just take the insulin exactly as the number fits. I'm not gonna exercise more than I already am. It just does not fit our lifestyle. I'm Not a bouncy aerobic girl. I've a fused neck, rhuematoid artharitus,
had surgeries years ago to remove spurs from both feet.. I'm not into more than riding the bike.
My family? as far as I know ... all were diabetic both type 1 and type 2. Along with heart problems galore and cancer and , and , and etc....
I'm just wanting to make it long enough to see all my kids thru school and hopefully settled in life.
My political thoughts of this world stink, So I dont care about living past another 20 years. That's all.
MeadowLark

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Sorry all...I'm just depressed. I dont know how to get out of the funk,

Today:
09:12AM
Sugar
147 mg/dL (Morning) Before Breakfast Edit Glucose Entry Delete Glucose Entry
Comment Comments: not hungry
12:43PM
Sugar
155 mg/dL (Afternoon) Before Lunch Edit Glucose Entry Delete Glucose Entry
Comment Comments: Chickpea/mushroom hummus with carrots, blackbread with pb.
06:23PM
Sugar
106 mg/dL (Evening) N/A Edit Glucose Entry Delete Glucose Entry
Comment Comments: not ready for dinner yet... not hungry

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I have to wonder about the way some doctors prescribe insulin! Can you possible see a certified diabetes educator? It was a CDE who actaully worked out the exact amount of insulin to carb ratio I was at, and helped me determine how much insulin I needed to correct a high.

If you can get a copy of "Using Insulin" by John Walsh, I think you'll be pleased with the information he gives on how to adjust your dosages for what your needs are. Some of his info is also at www.diabetesnet.com/

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I'm not at a point where I can buy any books. I'm not able to afford switching dr's or seeing anyone new due to not being able to afford the copays. ( not that it will matter much in a couple of months.)
My problem started when I emailed dr asking if I could "take a bit more insulin after a meal if I hadnt counted my carbs incorrectly. ( At that time, I had been testing ok'd by him for 6 times a day. I got that email,.the one above... then discovered that I had been switched to 4 times a day.) I dont have the copay money to afford to go ask him why the changes.
My guess.... he thinks that I just want to try to "cheat the numbers,be lazy about exercise or what type of foods I"m eating."
MeadowLark..not really sure if I should take any insulin considering the circumstances. Just really not sure what to do. I feel left out. Like I dont fit in so many places because I'm basically on my own. The only difference is now I know after I eat that if I get sleepy it was too much of something.

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Hi Meadowlark
I am sorry, but I think what your doctor told you is a bunch of bull. For some of us who are insulin resistant, the insulin we make may not be available to us no matter what we do. That is why we have to use injectable insulin. And you can wait all day long without eating and your blood sugars may not come down. Shoot the insulin and also eat. My doctor tells me I only mess up my metabolism if I don't eat on a regular schedule. If you are not hungry, only eat a small amount and shoot. But keep up a regular schedule. If you are in a habit of skipping meals your body thinks it is going to starve so it will conserve energy. I really wish you could see a doctor who likes diabetics or at least is sensitive to a diabetics needs. I hope you can feel me hugging you. Many of us have been through this kind of garbage before we found a doctor who treated us well. I wish you good days with good blood sugar control. I wish you better insulin coverage and most of all I wish you lots of good loving care. Please come back and tell us how you are doing. And please take you insulin.

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Meadowlark...Wow....you are going through a tough time.
You know there are many people here rooting for you.....

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