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Hi everyone.. I am 23 yeras old and having diabetes fot the past one and half year..I am using pen.usually my sugar level lies between 250 and 350... sometime 400+.. :(also it become low (40 to 60) some days.once sugar level hits 600+.Now i am loosing body weight.I am always tired...

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Comment by garidan on April 21, 2012 at 1:40pm

What kinds of insulin are you using ? For example, humalog and lantus, or regular and NPH ?
How many times a day can you measure your sugar level ?
Do you know carbohydrates counting ?
Your numbers are way off and are the cause of your feeling tired and losing weight.
It seems you use too little insulin.

Comment by vishnu on April 21, 2012 at 3:03pm

insulin-> mixtard 30.
i am taking 20 units of insulin in the morning and 25 units in night.
use to check sugar level in the morning before breakfast. usual sugar level lies between 250 mg/dl -350 mg/dl

Comment by vishnu on April 21, 2012 at 3:17pm

250 mg/dl = 13.87 mmol/l
350 mg/dl 19.42 mmol/l

Comment by garidan on April 21, 2012 at 3:31pm

It's not a "good" insulin for a type 1 (link to mixtard 30): it has a lot (70%) of long acting insulin (NPH), and 30% of regular.
If you have no other choice, you should "work" on your diet.
Do you eat at lunch ? You should prefer meat and vegetables if you don't feel low, as you don't inject at noon.
Do you have "urine sticks" ? They are usefull and cheap to test between p***ing if you bg was over 180.
With only two measures a day I would use them at night for safety, and urine sticks and "my feelings" during the day.
If sometimes you spare a stick, you could spare enough to have a day when you check more (4-5 times) and see how and when you are doing.

Comment by acidrock23 on April 21, 2012 at 9:03pm

I agree the mixed insulins are not good. The big challenge with diabetes is balance and, to balance mixed, you have to be set up (your body has to work...) at exactly that ratio, which seems somewhat unlikely.

Comment by vishnu on April 22, 2012 at 2:54pm

thanks for the comments gardian and acidrock23 :)
keep in touch

Comment by Jacob's mom on April 24, 2012 at 12:05pm

Hi vishnu, thanks for the friend invite! do you have a good relationship with your doctor? i agree with others that another type of insulin would work better, in the US docs typically perscribe lantus for 24 hour coverage and humulog or novolog for meal coverage depending on the carbs you eat. you probably know this but if you can get these types of insulins i think your control would be much better, you need the right tools to be successful, i hope you can get the level of medical care that will help you with better control, joining tu was a great decision, you will learn new skills but more importantly you will feel heard and understood. best wishes, amy

Comment by vishnu on April 24, 2012 at 10:06pm

hiii... didn't consult my doctor for the past 6 months.... he usually used to raise insulin 4 units if sugar level seems high or lower if sugar level seems low. also he told me to check sugar level and do the the same thing... today my sugar level at morning before breakfast was 324 mg/dl.. planning to consult a new doc.
i am having wheat food all the time.

Comment by acidrock23 on April 25, 2012 at 6:36pm

Generally what's done in the US is what Jacob's mom suggests, using one insulin, long term for "balance" insulin and one for "food" insulin. If these are "mixed", you end up with a really challenging situation that is very hard to get any stability with? Eating less wheat and,well, more meat may also help, but this may be risky the other way with the split insulin. I hope you can get the medicaions adjusted quickly? I'd suggest a book, "Think Like a Pancreas" as a good primer. I don't know how readily available it is in India but it might help to have a "manual"

Comment by garidan on April 25, 2012 at 8:14pm

I think lantus and levemir and analog rapid are too expensive.
But there are other insulins which can be used, even if less perfect, as Lente and Ultralente (link).
The important is to have two kinds of insulin, one done for the whole day (basal) the other according to what and when you eat carbs.


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