Hello friends,

I am 39 years of age and got diagnosed with type 2 in 2007, now recently my blood sugar has been going up since june 2011, so i decided to ask my family doctor to see an Endocrinologist. I also noticed that i was losing weight. I was 200lbs right before getting diabetes, now i am 162 lbs and 5'11.

When i saw the endo, she said that i might have lada 1.5 because i am very thin and i am taking more insulin, bolus:18 units and basal:18 units
She also removed metformin, glyburide and crestor out of my prescription and kept Fluvoxamine for mild anxiety and Synthroid for my hypothyroidism which began in 2004.
My HA1C% is 11

My Blood sugar spikes a lot faster now, right after a meal and i get blurry vision and dizziness at times. The worst feeling i got so far was last saturday when i went to a dinner with friends and i had 2 pints of beer before my meal. I don't know if my sugar was high or low but i felt very dizzy and i had trouble maintaining the conversation, was like a feeling of confusion and then started to feel tremors in my chest.

Since i did not have my glucometer with me, i had a few slices of bread to see if that helped, but not much. i called 911 and told them the situation and an ambulance arrived shortly to measure my vital signs and blood sugar.
i was at 11.7 mmol/L

I have to go for a c peptide test in june and blood tests to see if this new insulin and diet will work or not.
so far i have not been able to bring it down below 10 mmol/L
I am worried.
Am i damaging my kidneys and other organs?

I also am trying to go back to school to learn web programming and on monday i had to leave the class because i was feeling weird, almost like a panick attack, was right after lunch, felt like my sugar was high and my face was very warm. I also felt dizzy from reading the text on my screen. Should i just forget about programming, is it a too stressful job for someone with diabetes? I been hearing about jobs that cause stress and can make your sugar go up a lot too.

As you can see, i have a lot of questions and little answers,I feel like i have no luck in life and this disease was the cherry on top of the sunday.

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Tags: adult-onset, lada, misdiagnosis, type1., type1.5

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For a Type 1, whole grain vs white flour doesn't make that much difference; carbs are carbs. The morning is when many of us have the least tolerance for carbs. I would suggest eating eggs for breakfast - you can add sausage or bacon, cheese, vegies, etc and have very few carbs.

some of us do eat bread and some don't. If you do, then I would stick to one piece, not two and fill up on other things.

For breakfast I usually have a green smoothie and a veggie omelette. I also take a digestive enzyme supplement as well as a potassium supplement because insulin depletes potassium.

In a nutshell, controlling DB begins with what you put in your mouth. I have benefited greatly from the teachings of Dr. Richard Bernstein, who is a 70+ y.o. type 1 diabetic, so his longevity speaks to the effectiveness of his recos . He shares that blood sugar control is virtually impossible on a high carb diet.

That said, I am no slave to a regimen. Yesterday I had a few M+M's and a small slice of ice cream cake at Easter dinner. That was my reward for behaving the rest of the time. I woke up at 150 this morning, but what the hell? I will get it back down with good diet.

Above all, please do not stress out, DW. DB will not kill you in a month or two. It generally takes a long time for the complications to develop. Begin educating yourself with the wonderful materials that are available for diabetes self management. As you begin to incorporate good diet and proper insulin dosing, you will see result. Not magically or quickly, but they will come. I can flat guarantee that if you begin cutting WAY back one the fast acting carbs like bread, pasta, etc, you will begin to see a decline in your numbers. You should also need less insulin.

It's a marathon, not a sprint. For now I will recommend the books of Dr. Richard Bernstein and Jenny Ruhl's web site bloodsugar101.com. Both have helped me immensely.
There is a lot to learn. At some point you may seem overwhelmed. That is normal! Take it one day at a time. As you see your numbers slowly decline, you'll get the picture.

Thanks Bob, i will do my best to learn slowly. Yes i am overwhelmed because i am also learning web programming. I am not sure 100% about what was happening in class, but i was getting dizzy spells and unable to concentrate and like a state of confusion, i had to get up and go walk and get air.

It felt like a panic attack but it can also be hyperglycemic seizures because my BG was in the 14 mmol/l (252mg/dl).

I will avoid high carbs in the morning from now on.

I also asked if i can be in another group that begins in may for programming because i want to take this month to control my BG and avoid stress. I also missed a lot of classes because of this and i have 2 dr appointments coming.

I will ask the Endo for a CGM monitor and closely monitor my BG.

When I first started on insulin I got dizzy spells. When your BS has been high, bringing it down can cause symptoms very similar to hypoglycemia. I would recommend speaking with your endo or diabetes educator about the dizzy spells. BS should be brought down gradually as your body will need to adjust to more normal BS. Do some research on the subject.

The delay in the C-peptide test is really no reason to stress either. It will either show you are producing insulin, or not. Either way, learning how to eat to control DB is essential for your long term benefit. If the C-peptide does show you are still making insulin, then all the more reason to focus on preserving your remaining beta cells. High BS is toxic to beta cells, so keeping it controlled is good for your beta cell preservation. If it shows you are no longer producing insulin, then BS control is still very important. And never lose sight of the fact that insulin is a great gift, for without it we type 1's would all be doomed.

How many grams of carbs or sugar do we need to counter a hypo?

i got a 4.0 or 72mg/dl 2 hours and a half after lunch. i took 10u of novorapid, maybe was too much.

i took a glucose tablet of 4g of carbs and a small piece of chocolat (1 square)

Did you count the carbs for the lunch and bolus according to your I:C ratio? DW, you are posting almost every day that you are too high or too low, yet you seem to continue using set doses. Do get yourself a list of carb contents, read labels, and figure out your I:C ratio. It's not good for your body to continue going high and dropping low.

72 is not considered a hypo. Some of us treat under 70 and some treat under 60. You really don't need to treat a 72.

It's better to stick with glucose tabs. Chocolate has fat in it which slows it's action. Glucose tabs are the most rapid fix for a hypo and they come in measured doses. We are all different in how much it takes to raise our blood sugar. I use 2 glucose tabs (8 grams) if I am in the 50s, and 3 (12 grams) if I'm lower.

Have you been keeping good records of what you eat and the insulin you use? The only way to determine your I:C ratios, Correction factor and hypo treatment amount are by keeping records and seeing what works.

I know you want there to be, but there are no rules for how much insulin we need for bolus and basal and for corrections, or how many carbs to treat a hypo. The only rule is what works for you. And the only way to find this out is trial and error and keeping good records. Otherwise you will continue to be frustrated.

thanks, i will experiment more. i measured an hour later and i am 7.9

yes i write down in a book every time i measure my BG.
I am eating healthier foods, avoiding high carbs.

i think my ratio is 1:5

As Zoe says, it's really about figuring out your own body and how it reacts. That being said, I'll share a specific example regarding my body and how things have generally been working. Maybe this will help illustrate the I:C ratio idea at least a little.

My pancreas covers my basal needs on its own right now, so I only bolus. This morning, I used an I:C ratio of 1 unit insulin to 25 carbs. I ate only 25 carbs, so I used only one unit of insulin. At two hours, I was at 95. For my body and the way my pancreas is working right now, I knew I would keep going down for at least another hour and would likely go hypo if I did nothing, so I ate a piece of candy with 5g of carb. I usually go up about 5 points per g of carb. The candy carried me through and three hours later, when I was ready for lunch, my BG was 89 after having probably gone up to about 120 after the candy.

If I'm in a situation where I'm not hypo, but based on experience I know I'm trending downward, instead of hard candy or a glucose tab, I might eat a piece of chocolate because (1) I love chocolate and (2) the carbs will take longer to metabolize than a glucose tab and I actually want that extra time because I'm not hypo, I'm simply heading one off.

You really do have to experiment and figure out what your body needs. The I:C ratio is a very valuable tool. After some experimentation and keeping track of how many carbs you are eating for each unit of insulin, you can then adjust your insulin at each meal.

I know it's frustrating, but I have a feeling it will soon click for you and things will start to feel easier.

yes it's harder for me because i feel like my pancreas has shutdown.

i am slowly understanding carbs and insulin ratios.

I think for my situation a CGM will really help me understand what makes my BG go up or down and not try to guess all the time what will be my next reading.

thanks SM

I'd say that 72 may be a hypo, particularly if you took too much insulin? The "prescribed" process is not to "take chances" and carefully measure everything and end up close. I spent *years* just guessing and probably missed as often as I hit the target. If you are at 72, it's very important to consider "how much food did I have?" vs. "how much insulin" and the timing of everything before just saying "72 is not a hypo" because, by the time you think about that, it could turn into a hypo? Unless you can get your BG to behave very consistently, it rarely "is" a number, it's a number AND a direction? No direction is the direction we're looking for but sometimes it can be hard to find!

Hello Diabetic Warrior,

I like your name! You are a newly diagnosed diabetic and already you know that you are a warrior. Do you have a power song? My friend taught me a power song, she would sing it to my pancreas, my islet cells, my kidneys, my heart. I am singing a power song for you, for me, for all of us who suffer diabetes. I know the roller coaster ride, the highs the lows, the ups the downs, the frustration. Diabetes sucks, it just sucks! I made it a friend, I called it an enemy, I pretended I didn't have it, I tried to hide from it. I have lived with diabetes type 1 for 29 years. How often do you see your Endo, do you also see a diabetic educator, or a dietician? How come your doctor did not send you to Diabetes School 101 to learn carb counting and ratios? Has your doctor spoke with you about an insulin pump? I also have a CGM, it is a pain in the ... I liked it at first, excited about a new gadget, but the dang thing always got plugged up with blood, was never accurate, I tested my bg way more with it. If you try it, I hope you have better luck. For me, I learned there is way more to counting carbs and learning ratios. Food is medicine. Maybe you are lucky and have some insulin production and that is why your bg is swinging so much. Maybe you can learn some dietary medicine to help you. I can suggest some good books if you like. Alcohol has thermal heat, it will really mess up your bg, for me, the first beer lowers bg, the second counts as 15carbs,so if I do have beer, which is rare, I have two and no insulin, and I am sure to have a meal with it. I like to have a small glass of red wine every night, I do it every night, consistently, I take no insulin for it. Yet, if I don't have this, I notice that my bg is a bit higher in the am, or I will have a low at 3 am. Everybody is different and responds different, so like the others said, test test test, and record, and pay attention to your body. Bagels are killer for me, I avoid them, and bread for the most part. I eat lots of veggies, and brown rice, and hard boiled eggs. Have some kale and brown rice, seriously, eat only that for 2 days, and tell me if it helps balance your bg. Kale is good to calm the heart, helps with anxiety. Read, "You Are All Sanpaku" and tell me what you think. A very good book, for a Warrior. Spinach and eggs are delicious. I also love squash, all kinds, they say high in carb, but very nourishing, gives lots of energy, and I have better bg balance. Brown rice also high in carb, same thing tho, gives me energy, makes me feel good, I take insulin for it and use a dual wave on my pump. It calms my heart, helps my memory, focus and concentration. I avoid cheeze, milk, yogurt, ice cream and all dairy, it messes up my bg, makes me feel yucky, nauseous and dizzy. I just graduated from a 4 year master program in Chinese Medicine, school is not easy when bg is crazy up and down. I passed out my second trimester of grad school, was rushed to hospital, my bg was over 800. I had an exam that day, and was so nervous, I stayed up all night studying, and skipped breakfast, so I took no insulin... lack of sleep, lack of nutrition... raises my bg. To get through school, I had to learn to eat, rest, stick to a schedule, and stay calm. I am new to this forum, and this is the first post I read, and already I am just so touched by this group,the kindness and encouragement. Thank you all. I like the last post acidrock23, No direction. Find Balance. Bg will go up, Bg will go down, not too high, not too low. Let your body find balance, let your mind rest. I am singing a song for you my Warrior friend. Warriors don't guess, they are precise and calculative. Sometimes use controlled folly. Sometimes the more exact we are, the more frustrating it gets. Timing is very important, we have to predict, calculate, and the direction we have to look is In. Bg of 70 feels low to me too. Anything over 180 feels too high. I like to range 120-140. This morning at 9am, I was 300, I had skipped breakfast,,, why do I do that? And why does my bg go high if I skip a meal? Maybe my basal rate is off, I play with this. It is not my basal, my diabetic educator does not believe me. Yet, I know... it is backwards, my bg goes high if I do not eat regular nutritious food. Thank you for letting me share, I look forward to more discussion.

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