I know this is kinda dumb..... but I've been "thinking" lastnight. I've been not using my insulin
because /well.... The dr said my diabetes was my fault. If I would lose weight and exercise I wouldnt
be diabetic at all. I was on Byetta and we switched to Humalog because we knew
that when the insurance ended; I wouldn't be able to afford it. So, I got put on a sliding scale.
The actual problem of being high every morning and able to basically get tight control
all day long after that was never addressed. ( the one thing that I constantly asked about.)
ok. Now, with all the crud going on... yeah..blush... I'm in alot less control. I'm sitting at 160-180
every morning. I'm not eating breakfast; cuz I'm really not hungry. So, I generally eat a piece of fruit around 10 or 11 am instead. Then, we eat lunch around 12:30 to 1:00pm. I normally grab a
flatbread that is high in flax etc and fill it with romaine lettuce, other veggies and sometimes
a bit of turkey or ham.(if we have that.) or the flatbread spread with peanutbutter.
What can I say? I love peanutbutter!:) My number before dinner around 6pm is around 120-150 depending on how late I eat lunch.
Ok so Should I use that insulin? 121-150 2 units,151-180 4 units 181-210 is 6 units etc.. only I haven't seen higher numbers... snicker,probably cuz I don't test at the right time to catch it.
I'm still in the rebellious stage of being diabetic... instead of being mature about this like you all are.

Views: 6

Comment by Kristy on July 31, 2008 at 11:01am
Do you count carbs at all? I'm not sure if I would want to do the sliding scale..I was started on that in the beginning until an insulin/carb ratio was determined and adjusted 4 times before getting it right.. but I find that by counting carbs and eating fewer carbs I need less insulin. You should discuss an insulin/carb ratio with your doctor. This is the problem I see with the sliding scale; for example, if your BG is 151-180 so you take 4 units and eat 30 grams of carbs and your BG reacts to a ratio of 1unit/15carbs, 2 units would cover the carbs and the other 2 would probably make you go hypo. This scenario would depend on how sensitive or resistant you are to insulin. To answer your question; if you can't get good numbers from exercise and lower carbs and you NEED the insulin, yes you should take it.
I was wondering if your Dr. ever put you on oral meds such as Metformin? It seems to be the first line of treatment for T2's.

Good luck and do take care of yourself..
Comment by MeadowLark on July 31, 2008 at 1:08pm
We did oral meds about 3 or 4 of them... without success. Byetta was
great but too expensive. Now, without insurance.
The doc won't talk with me. Even before the insurance died, he was
not open to dealing with me as an individual. Just an overweight person
that needs to lose weight. He didnt deal with "when" I had my high number in the morning.
As for carb count ... the only way I can eat is veggies only to have complete control. That is personally not for me. It is miserable.
I am not going to sit and eat 12 carbs three times a day just to
be in "compliance and be non-diabetic." I need to be able to live
within a food budget that fits our financial budget.
More pasta,potatoes and rice or other grains for my kids and myself since it is what we can afford.It fills the tummy. No one is starving; just not
eating the rich life. I have planted tomatoes and lettuce in the yard.
We are now harvesting that for meals which helps alot.
Sorry, I really do not understand the math of how insulin ratios work.
I'm very insulin resistant. LOL! I can look at a slice of bread and go high!
On the other side... I graduated from highschool weighing 178... today.
I weigh 180. I am 5feet 5 inches. Therefore, I'm considered obese.
Like I've said... I am still a rebellious diabetic. I try... then I keep getting
emotionally and mentally knocked down. It's just another rough rocky
road. I'll do for my family first and me next. I look for my miracles and I
keep trying. I do have "Angels" that look out for me in my times of need.
I'm just really struggling alot right now. It takes alot to admit this... I'm
just so much not wanting to just eat veggies only for the rest of my life.
I want to eat some bread somtimes. I want to eat some other no-no foods sometimes too. It's just so depressing sometimes. Sometimes, I can
just let it go and do what I'm supposed to.
Thankyou for caring and talking to me. I do appreciate you and my family here on Tudiabetes so much for caring about me. Sometimes just
typing out my rebellious " I want some bread!" helps me thru the day.
Comment by MeadowLark on July 31, 2008 at 4:05pm
Well, it's dinner time and I made down to 142:) then dear hubby walks
in the door with 3 pounds of salt water taffy and 5 pounds of Strawberry
Twisters. sigh.... I'm doing so well. :( I told the kids to put it back in the car for him. He said "No"
I'm hanging here. This is depressing.
Comment by Kristy on July 31, 2008 at 9:30pm
I can relate!! I'm a carbo junkie.. I love my pasta and won't go without.. I love my pizza..bread..you name it! I just try to look for low carb versions of the foods I love.. Sara Lee has a wheat bread that is 45 cals and 9grams of carbs per slice LOL so now I don't feel guilty eating a sandwich with 2 slices..
It would help if you could see a CDE or even a nutritionist (possibily through your county Health Dept??) to learn how to count carbs. Your numbers are not so bad but they can be better; it seems even if you took only one unit of insulin with your meal you would see an improvement. Are you on ANY meds now? I'm just very concerned about you and wish I could do more to helpI can't imagine not having insurance and I get upset every time my husband talks about leaving his job..he hates it but the insurance is great..
Comment by MeadowLark on August 1, 2008 at 5:26am
sigh.... Kristi, I've just been stuck in this mode for so long. Maybe if Stephen would get activated again..I'd be back in the dr office. As for the health dept etc... We fall between the cracks alot. The sliding scales for finances stinks too. I just need to gripe sometimes....
Comment by debb on August 1, 2008 at 5:57am
i know what you mean about falling in between the cracks. my husband wants his divorce so bad he willing to throw me to the lions. he knows i won't give him one as long as there is an issue with the insurance. he just changed jobs so right now i have no insurance and it's taking forever to go into effect. he told me that once we are divorced i can go on state insurance. what he doesn't realize is that now i'm on s.s.d. and getting a $605.00 a month check along with what he's giving me, i don't meet the criteria for state insurance. i make too much money. my lawyer says if it comes down to a divorce he can have included in the divorce that steve will pay out of pocket for insurance. he can barely afford insurance through his employer. there is no way he can afford outside insurance. and of course once there is a divorce i can't be on his work policy. the insurance is so important that there is no way i could give him his divorce. so he's stuck. poor baby. my doctor gave me a sample of byetta from his office for the month, but come the 25th i'm out of it. i don't know if he will give me another sample or not, at (i think) $360.00 a month there is no way i can afford that. i also can't take my lyrica for my nuropathy. my feet are killing me and there is nothing i can do about it for right now. my doctor doesn't have samples for that.
i know how hard it is when someone brings in something we can't or shouldn't eat. i just try to tell myself that just because i can't have it, i shouldn't deny my family from having it, as my hand slowly tries to sneak a taste. fortunately for me, i don't like most candies. it's the cakes and apple pies i have a problem with. then again i only like homemade, so just how often do i really see those, unless i make them? my biggest problem food is strawberry shortcake and ice cream/chocolate sauce. and bread. i am not all that fond of veggies, so when i'm being really cantankerous i just eat meat.

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