New mom's on insulin?
Now that I've had the baby, my family doc put me on 2 doses of NPH. One at night and one in the morning. The trouble is it seems to kick in about 2 hours after I take it and I can't always control what I'm doing when it does.
I finally figured out that I needed to take the morning dose around 10 a.m. so that I wouldn't crash mid-morning (mid-child chasing at the grocery store). I've still had some low bg incidents during the day but I've gotten pretty good control of it.
Now that I'm starting to exercise, I'm scared to take it because I don't know how much I need. I went really low the first time I took my regular dose. I'm slowly trying to work up to exercising regularly again and honestly I'd rather not take insluin then have a scarey low again.
Last night I woke up to feed the baby (he's 4 months) and I had the worst hypo I've ever had -- 3 (54) according to my meter! I get up every night with the baby all time and I've never felt low before.
Does anyone have any advice on how to better use NPH to control bg? How do you adjust for exercise? How do you manage your bg when you're up during the day and night?
Any advice is appreciated. I don't see the endo for another two weeks.
Replies to This Discussion
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Permalink Reply by Laurie L'Heureux on -
I wouldn't see a family doc for diabetes. I would advise seeing an endocrinologist with a log of what's happening with your sugars. They specialize in diabetes and are better able to help you.
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Permalink Reply by Ann Bartlett on -
I agree with Laurie, you need to see an endo. I think you need a comprehensive check up by an endocrinologist. For type 2 this sounds like really aggressive approach and if you are requiring injections, there are insulin options but I'm not sure why he hasn't offered them but there may be a good reason. Insulin like lantus or levemir may help with those spikes.
If you continue to have lows, you need to decrease your NPH.
Hang in there, two weeks is not that far away!
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Permalink Reply by Lisa La Nasa on -
Like you don't have enough going on with a 4 month old and a toddler!!
I disagree and think that two weeks is a hell of a long time when you're feeling so unsure of your insulin and bg levels. Call the endo, tell them what is going on and ask to see the doctor before your scheduled appointment. There are often cancellations and it's possible that you could have this resolved sooner than later- putting your mind at ease. If you can't get in sooner, they may be able to have a phone consult with you to adjust your insulin so that you can get by until the appt.
I agree that Lantus/Humalog combo may be better. That seems to be the most popular insulin combo out there. Best of luck!!
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Permalink Reply by Kelly on -
Thanks for all the advice. I don't know what it's like in other places but in Calgary, you just can't see an endo if you want to. The best I can get is my family doc apparently. I thought the appt I had was with an endo, but it was actually just a diabetes education nurse.
Nonetheless I saw her today and talked about what was happening. She wrote a note to my doc to instead prescribe short-acting insulin before meals and long-acting at night. I'm much more comfortable with that. I think that low that I had in the middle of the night might be related to the sore throat I have. I seem to go low when I have a virus.
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