Hey..

I have been put on 5 shots a day starting out with 7 ml of Levimir in the morning and before bed and 5 units of Novalog before each meal. I did the boluses one week and crashed 3 times, wont be doing that no more. I decided to take the 5 units prescribed only before each meal. I have to then eat something every hour 1/5 or so because by two hours I am falling out again. I eat right and crash, < low sugar drops,I dont eat right and never crash. I'm to see about classes for diabetes and eating in the coming week here. So thats the new prescription for now. I have been to the endo over 6 times this year alone,its tiring. I dont see alot of change with my numbers as of yet and the meds are both flex pens. The day the endo put me on insulin was my A1C check. I was in a rush, BIG RUSH. I had a banana and thats it for breakfast and almost 3 hours later my sugar was 400. I'm thinking, its not looking good.

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Hey Shawnmarie,

Boy your right on this, its nuts, all of it. I am very physical but at this age in my life its not the best thing to be, I feel my bones to be brittle and if I went to the doctors everytime my heart stirred I would be living in the hospital period. I have a long ways to go to get this right but I'm going to do it. So glad of these forums, my goodness they make all the difference in the world. I'm thankful.

agreed, this is a very strange insulin regime. you don't have to figure out your eating habits, if you're a type 1 on insulin, both basal and bolus, you count the number of carbs you're eating (we can eat anything) and take insulin, in terms of units to match the carbs..it's not that difficult but does take adjustments and focus. if you eat a bowl of cherrios, you need to count the carbs in that 'meal' and then take insulin to match that food, including milk...anything WITH CARBS! It's not about your 'eating habits', it s about your insulin regime and protocol. you take your basal insulin to keep your fasting, inbetween blood sugars stable, they interact with each other, the basal should just keep you steady, without peaks or drops. this is very dangerous what you're doing. you need to get a class on I:CR.

Hey type 1Gal..

Well thats where I am going wrong, see I am type 2 diabetes insulin dependent. Even so, my sugars remain high, I cant figure it out. So this is why I am needing that balanced meal as I wrote bsc. Too much insulin and or not enough on account of still producing insulin from the pancreas. If you ask me its not much..but from my doctors angle its still happening. I dont understand that entire part of it or how they know that to be precise but I guess they do. So by eating out of the pyramid group I am actually helping the insulin from my pancreas to work properly instead of treating it as though no insulin is being used by totally counting the carb to ratio. Only because...I am diagnosed as type 2, but I am going to call him Monday and I am going to test this theory this weekend with my eating. I will eat half of a banana along with cereal to see what my numbers will be by lunch. By eating cereal only, I will fall out by noon easy. My daughter said to do that or eat a peice of toast with my cereal, she was really helping me to see whats going on. I am overwhelmed here but I'm going to get this down. And, I'm going to try my legs instead of thighs now, I get those bumps and little bruises all over and a pump I could never do. I sure admire the people in here who can pull this off without issues, they are my heroes and I can learn alot.

bananas and cereal w/milk are some of the toughest things to eat for a diabetic. i don't understand this at all, sorry. try low carbing...just count your carbs and match that with insulin. it doesn't matter if you're a type 1 or type 2 if you're using a fast acting (bolus) insulin, you still match the carbs. a doctor can indeed measure your insulin, it's called a cpeptide test (fasting, typically). have they done that? have you seen an endocrinologist? if you low carbed, maybe you wouldn't need to be on insulin. did anyone show you how and where to inject and to rotate? you're eating all carbs!

Hey 1Gal

Thanks for replying. I am home from church today, feeling poorly so I am resting. I have had a cpeptide and yes I see a endo regularly. Matter of fact 6 times this year alone trying to get this situation under control. He tried me on 4 glyaburide Metphormin again along with Cycloset for 6 weeks and that did not work. This comes after using Victoza for 6 months but that too stopped working. No, i'm not eating all carbs, not at all, only if I drop low. I considered eating half a peice of fruit per meal to keep from dropping out. I watched many You Tube videos on injections, no place is fun. My skin is very sensitive and well that works against me. Saturday night, I ate two pork chops and with the breading, along with string beans and about 8 brussel sprouts. 2 hours later I was getting shaky, I did not have to do a bolus before this meal so I only took 5 ml of the Novalog before I ate this meal. 2 hours later my sugar was 99, so instead of fruit I ate a left over buiscut and 1 bite of a banana, and I mean one tiny bite. The buiscut alone is 25 carbs I think so I over did that, 25 carbs and 3 sugars. Anyhow, I then later took my Levimir, 7 ml before bed, checked my sugar at 9:00 am this morning and it was 278. However, these are the numbers I woke up to on pills before insulin. I guess that buscuit tipped me but..I think I need more Levimir than what the endo prescribed. 7 ml per morning and night. Monday I am calling the insurance company to see if they cover a diabetic specialist because I know they dont dieticians and that is out of pocket. Then I am going to tell him I was not informed about carb to ratio anything. I will be out and about today, going to see about that book for insulin from John Walsh, probably at Barnes and Nobles but I may go online to find it. bsc left me links to check out. Also Zoe helped me out with starter infor and where I could try to start with this carb to ratio thing. I'm getting there, wouldnt be getting there if I wasnt in here, the forum has been a tremedous help to me, always has been. I appreciate you all and taking the time to inform me. I feel lost but now I have hope..in at least the right direction. I'm scared too but I want so much to get this thing right. I almost died in hospital 23 years ago, I'm all to familiar with that edge of death thing and havent forgot that experience so I dont want to go down early on here because of not taking these meds right. One more thing, I wasnt on top of my eating as much as I am now with my past and meds. I have 10 sheets of paper from a different doctor on what to eat and he did include carbs.

Hey 1Gal..

I have 2 emails in regards to questions you asked but each time I try to respond the replies are deleted, is something up? not sure if its something I am doing or something you are doing. I am able to reply to the others and was just curious because the mail has tails applied, < meaning questions that disappear.

Hi -

I don't know what your financial and health insurance situation is but if you can swing it the Joslin Cliniic in Boston has a very good 3-4 day out patient program called "DOIT". You meet with an endo, nurses, nutritionists and exercise physiologists who all help you develop your skills. I took the program and besides straightening out my insulin program, I learned an enormous amount.

Maurie

Hey Young..

Wow, ya I dont think I will have that advantage but you never know. It reminds me of how some insurance co covers alcoholics to be able to stay a week or two at centers around the country to help them.. Ya my husbands insurance company use to be the very best, not now. Even when you call the office they act like your such a pain. I think, geez, sorry your so miserable in life but dont make everyone else life miserable. My husband called and spoke with them and now their so nice to me, go figure. They were rude to him and he let them have it and talked to the CEO. Makes a person hesitant to call at all and get info, but I digress. You know, they might have something like that here, dont know. They have the alcoholic center. I bet something like this could make all the difference in the world. I will know something Monday, I am bugging them until something comes about that can help me utilize all the necessities possible for this venture in my life.

Wow. That is a weird regime. Fixed doses are one thing, but taking 7 units of basal and 4 x 5 units of bolus? That is like a 25/75 basal/bolus ratio. I found the books "Using Insulin" by Walsh and "Think Like a Pancreas" by Schiener really helpful.

As others have pointed out, your bolus insulin should be matched to what you eat and how high or low your blood sugars is. Just taking a bolus of insulin and not eating the appropriate number of carbs can lead to a bad hypo. Sometimes, doctors will give you an "easy" routine for using insulin without taking the time to explain the "proper" method.

I think everyone who uses insulin should learn the basics. You need to count the carbs in what you eat. Then you need to choose the right dose of insulin based on those carbs. The books I gave you can explain everything, but a good set of diabetes classes also can really help. Get into a class as soon as possible and get those books, they should be on everyone's shelf.

ps. What your doctor did to you is like giving a 16 year old the keys to the car, not bothering with teaching them to drive and wishing them good luck with that driving thing. This is not your fault, it is your endo's (and medical teams) fault for not helping you properly.

Hey bsc..

Thank you for your help and reply. My daughter was over last night, I realized I am still type 2 and yet need to take insulin. We did some research online about both. She said I am to eat out of the basic 5 food pyramind with my diabetes as I am still secreting from pancreas what is need to keep sugars down. Although my sugar is high as of yet unless I'm starving so it seems. I decided to wait till tomorrow, eat right by starting out with the pyramid before I can actually trust my numbers to be in a safe range. She beleives thats why I am falling out and to eat a true balanced meal with the 5 food group and I would more than likely not fall out. Including half of a peice of fruit per meal, between that and the starch it should hold me over in between times, if not then pop a glucose tablet. I tend to lean towards meat and veggies and stear away from starch. I do the carbs though and well, not right I am sure. I love fruit. You know, I a bit overwhelmed here, the needles have my thighs sore and it bruises my stomach terribley. I am using the Victoza needles on my insulin shot, they dont fit right but they work. The other needles are longer and they terrify me. I'm going to get this thing right, its going to happen. Its just one thing after another these days in my life and then this. Oh well, I will make it happen. I like your analogies bsc, they are very interesting.

I am thinking your right on the doctor number, I may hit him up on Monday to see whats up.

what do you mean "you realized you're a type 2"...what did the doctors tell you? if you're a type 2 and lowered your carbs, maybe lost weight (if that's an issue) exercised, etc...maybe you could get your numbers down. type 1's don't have this option. the pyramid...that's all carbs and old school, think they recommend like tons of carbs per serving. a diabetic cannot process CARBS without a medication (either oral or insulin). fruit is A CARB, milk is a CARB, vegetables have CARBS....do you look at any of the labels you're eating? use insulin needles, and have someone get you the right size!

Heyy

Well, I have been on oral meds for years, I am just not going over into insulin which means my pancreas is still producing insulin but not enough being I am diagnosed as type 2 not 1. I was diagnosed type 2, I dont see how that could change and apparently I am dosing to much insulin. I was confused until my daughter helped me out. She said, Mom, you were diagnosed type 2 not 1, just because your taking insulin, that does not change your diagnosis. We then researched on line about type 2 taking insulin, in which is my present situation. I just was confused. The pyramid for me would establish the sugar properly in my body and it has the amount of carbs needed so my insulin can depend on it. So to speak. I am fluctuate between 127 and 134 in weight. I have been down to 121 lb, I was on a exercise regiment but when I come home from cleaning houses, beleive me, I just cant do it. Cleaning houses is about all I can handle at almost 50 years old, been doing it for 25 years and my body is shot, arms legs and all. I do try to kick in something, leg exercises or Palates. Yes, I am aware of the labels and read them often, I am aware of the foods which are carbs and those that are not. I have done some research on needles, these are pre-filled pens, you cant miss. The needles are working, The elongated needles over the shorter ones are the ones that terrify me. I have number {5} 32G tips x 5 mm and number {6} 32Gx6 mm needles to use. I preferr the 5.

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