I have been a Diabetic for 9 years now, but I havent actually taken it seriously. I dont check my sugar and I sometimes forget to take my insulin. I went to my family doctor and then he sent me to an Diabetes Specialist. I have always wanted a pump but didnt know if it was affordable or even the right thing for me. I asked him if I could get one and he told me it would be pointless for me to have it. My A1C is 12 and I really do want to lower it. Im newly married and want to start a family but not till im healthy. I figure if I cant take care of this for myself i'll do it for my husband. Im looking into the Minimed Pump, but right about now anyone with suggestions about which Pump would be the best or just even if its good for me would be helpful.
well, we all have stuff to go through, this disease is tough on all of us and no one likes it. you have to care, that's the point and i'm glad you care 'now'. also, it's my belief, just from what you've posted, you may be a type 2 with insulin resistance. type 1's do not take 120 units of lantus nor do a correction of 20 units. maybe you should look into that? good luck!
if a type 1 had continued blood sugars this high we'd go DKA. This, apparently, is not happening to you.
I took some pretty whopping doses during my "guesstimating" era although 20U (of R...) was about the max? I didn't have a clue about carb counting or what ratios were, it was totally guesstimated. I think it sounds like the doctor is clueless and probably guilty of malpractice as the 20/60 plan seems like a "shot in the dark" guessing how to blindly fix higher levels in someone who's not reporting enough data to actually identify the problem?
well, no type 1 takes 120 units of lantus - basal, that's a type 2 dose.
I've been in the hospital a few times for DKA but it doesn't happen that much. The only times I go is when I cant keep any foods or fluids down. I have bad days where I go to the bathroom consistently but other than that and being thirsty i'm fine. When I was diagnosed they told me I was type 1.5 but after all these years my body has completely stopped making Insulin. When they first found out my sugar was to high to read. That's all I know....
all of us, type 1's bodies have stopped making insulin. i don't know kaytea...all i'm saying is that most type 1's do not take that much insulin. So, you may want to have this checked? For instance, I take 8 - 8.5 units of basal (levemir) and 1 unit of novolog drops me 100 points. Now, i'm very small, petitie and am insulin 'sensitive', but there is a big difference between the doses of insulins for type 1's and type 2's.
An Endo can check your cpeptide and test you for antibodies.
U can be a Type 1 and have some insulin resistance. Ask me I know
Hi Kaytea. LADA (or type 1.5) simply means late (adult) onset of Type 1. Any correct diagnosis of 1.5 means that the person will indeed stop making insulin. (Some Type 1s do continue to make a small amount; after almost 20 years, a make a small amount in the afternoon.)
I agree with all those who've suggested that you keep a journal. If you test at key times (as Acidrock laid out) and show your results to your doctor, he/she would then have the info necessary to make suggestions to help you manage your diabetes. You will feel so much better with better management. Best wishes.
of course there are. ALL of us who take the time to respond have the best interest of the 'poster' in mind and, i would imagine, are 'good' people. so, some may take offense to that comment. whether it's sending a personal friend invite or not. it's not always about being nice sometimes, it's providing a poster with accurate information so she/he can help him - herself, know what to ask the doctor, etc... none of us are doctors, we speak from our own experiences and hopefully provide facts.
I agree with Alan here. I've been a Type 1 for 38 years and really know nothing about Type 2 The only things I know about Type 2 are from here and also with the fact that some of my family has had Type 2. I was one of those "guestaments" that AR talks about up til I really joined here. Please don't think that TuD isn't trying to help u out. We try to not judge ppl here b/c at one point almost all of us have been where ur at.
I use a MM insulin pump myself and have used one for 24 years. I also have 2 kids (daughters) 23 & @2 and 3 g-kids.
I'd wonder too if maybe the Lantus "runs out" in the middle of the night, causing an AM high? A lot of people split it into 2 (I think some people may do 3?) to get a smoother, flatter curve? It's hard to guess without knowing more about what happened before the 466. When I was on MDI, I had a lot of AM highs too, I never really bothered fixing them until I got a pump but getting precise info to deal with the AM and the smoother delivery of dripped Novolog basal has been great.
I did exactly the same thing, big shot, wait to crash and then eat. It's a hard way to start the day but I did it for *years*!!
When I go to see my new Endocrinologist should I ask him to go on a Continuous Glucose Monitor to see if that helps?
I did the pump in 2008 and the CGM in 2010, after I had the pump "figured out". The pump made things fall into place really quickly for me but, at the same time, I also got "organized" about carb counting and generally "cleaned up" what had been a rather messy "act" beforehand? I guess I did something like carb counting but really just guessed at it 100% of the time, which is not nearly as effective as more educated guessing.
The first and most important thing I would do is start testing a ton to get data. You would need to do that to get a pump anyway and it's not a bad idea to see where your "problem areas" are?
I started many days running high and knocking it down (I'd do IV R shots though, as I was in a hurry...) and then bouncing up and down and I know that it's 1) not fun and 2) hard to fix. A bad breakfast can spill over into lunch, dinner, etc. which sucks. Once I got breakfast "fixed", within a few days of pumping and generally behaving myself, things really fell into place. I don't know your whole scenario but it may be the case for you too?
The downside of a CGM is that I think that they sort of work better if your BG are stable? I find that when my BG gets crazy, the CGM doesn't work as well and is sort of fidgety and the data isn't as reliable. It's sort of a "loop" in that my inclination now is to make my BG "behave" so that the CGM will work, just the opposite of it being an amazing gizmo that helps you fix your BG but, in the end, it's sort of the same result?