Following initial diagnosis and partial response to pills I went to the Endo

He gave me Humulin H insulin and told me to have ten units in the morning and ten units at night. Initially I saw a great improvement in the day time readings but not much improvement in the night and first morning reading.

Reporting back my stats the doc increased to twenty units in the morning and twenty two in the evening.

Now I see no progress and my day time readings have got worse

First day the day time readings went as low as 140 and lunch time reading today was 295!! Eating well - salads and salmon, salads and meat, no carbs, etc

confusion and frustration!

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Hi Shea: I know this is a lot of information all at once. It is really tough when you are first diagnosed and it takes time to figure out insulin dosages. I have found books by John Walsh ("Using Insulin" and "Pumping Insulin") to be very helpful, and "Think Like a Pancreas" by Gary Scheiner is also good. Very few of us had an easy time figuring out insulin regimes, you are doing great, give yourself time.

I am going to check out these books, thank you. Patience is certainly the key - the encouragement is most welcomed! I hope to reach a good regime soon

If you ate 5 or more you had at least 40+ carbs. That is quite a few without being covered by any mealtime insulin. As a diabetic you must watch what you eat and how much you eat. Portion control is very important. The quantity of food you eat at every meal can effect your numbers as well as what you are eating.

Sticking to eggs in the morning from now on! That's for sure!

Not likely to be a problem, but there is the potential for lows by cutting carbs all together. I am not advocating that you actually eat carbs at breakfast I am just saying watch you blood sugar particularly around 10 or 11 am when doing this. The NPH insulin is know for gaining a little activity right around 4-8 hours after injection. Really I guess I am saying that ANY changes to your diabetes regimin you make, be sure that you test a whole bunch so you don't find yourself in trouble :-)

Try eating eggs w/cheese tomorrow and then see what your before lunch BG number is. I bet it will be lower then the 295.

Is there limit on # of eggs?

No. Eat them up. Protein can affect blood glucose especially when you are not eating many carbs but I would say this early on in the game feel free to eat as much protein as you want (so long as you have no kidney problems). Just know that the portion of protein CAN affect blood glucose- just not nearly so much as the carbs can.

Oh and a good book for carb counts of different foods is Calorie King. You can get it on Amazon or most book stores will also have them. You can get them for under $10.

so now the level is up so high, how can i bring it down?

Usually meal time insulin is also used for lowering high blood glucose. Since you do not have this option your best bet is to reduce your carbs until it does come down. Right around this time is when you NPH insulin should be most active so hang tight and it will probably kick in.

The other option is exercise. There are different recommendations as far as exercise and high blood glucose. Usually it is suggested that you NOT exercise if your blood glucose is >250 mg/dl. I have found I CAN if I am basically under 400 mg/dl. If I were you I would probably hold off on exercise as a strategy to lower blood glucose until you are under 250 mg/dl.

Also, remember when you do these things lows are a possibility.

LOL we must have posted at exactly the same time ;)

Eggs are protein, but then you have to consider your cholesterol level. As a diabetic all of your internal organs are affected by the BG level. You are probably safe w/ 2eggs.

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