Ok, let's start again:) It is confusing & will try to unconfuse you.
Endo started you on 1 unit of Humalog for every 15 grams of carbs. Now, it's been raised to 1 unit of Humalog for every 10 grams of carbs. If you eat 50 grams of carbs at a meal (which I don't recommend), you'll take 5 units of insulin (plus sliding scale correction dose). Total carbs divided by 10--very simple.
How many carbs do you now eat per meal?
I take a lot more insulin, but you're Type 2 (maybe). Type 2s need less insulin than Type 1. I eat low carb, but 58% of protein turns to glucose so you have to be careful about this part. Talk about confusing!
Didn't see the post below because you sent it to yourself, not me:) Now I'm reading it.
You don't want anything on your hands (like handling food) to effect your reading. See, I'm not the only who didn't know about the second drop of blood! Why don't they tell us these things! The first drop contains skin tissue, so when we wipe away the first drop, the second drop is just blood.
Glad you called the doc! Levemir takes about 2 hours to work & won't effect your immediate after meal numbers.
Yes , agree. I think you need increases in both insulins, esp. humalog.
Want you to have better readings also. Don't think you're being impatient at all! Insulin isn't like oral meds where you need to wait for them to work over weeks. You need to have the right dose & now. Honey, you're not rambling & I'm here for you. Is very, very frustrating & proud of you for being active & demanding results.
When I was diagnosed & just starting on insulin, I called my doctor every day for about 2 weeks. Lucky that I have a nice internist. This was when I was waiting for my endo appt.
Type 2 is being insulin resistant.
Did the endo do the C-peptide & GAD tests?
Diet soda isn't the best thing in the world for you, but depends how much you're drinking. If you need something sweet, better than eating something with sugar.
That diet is it just eggs, meat & cheese? No veggies?
Thanks I didnt know about the hand washing and the second drop I will
The doc told me to take the Humalog 10 to 15 min before eating.
The bad thing is even after an hour or 2 after the humalog its still 260 to 300
The reading this morning was 260 and after the levemir it was 330 It went up!
I called the doc and the nurse didnt call me back until an hr ago. Their busy and shes the only nurse today. She said she would leave a note for him and said he may call me tonight or tomorrow. She said hopefully tonight. I said I hope he does too.
I personally think the dosage for levemir isnt enough and the humalog isnt enough either.
What do you think?
Also can I be insulin resistant? Is that possible for Type 2?
I so much want to see a reading in the low 100's Then I know that I can be controlled. I guess I'm wanting results to happen quickly and I am not being patient enough. Is that such a bad thing? I know the doc said to come back in 2 weeks but I want him to increase the dosage so I can see results quicker than that. :O) Am I rambling on too much? Are you tired of me Rambling?
Am I getting aggravated? Am I too impatient...... Just tell me and i'll try to shut up a bit...
Got to get those numbers way down. When you're high like this, do you take a correction shot to bring it down? Wondering why you're going to bed with such high BG. Since your numbers are still high, your insulin doses need to be raised.
Call your endo & tell him what's going on.
Ok, don't be mad for me asking this, but do you wash your hands before testing? I forgot to do this a couple of times & had crazy numbers. Also, are you wiping away the first drop of blood & using the second drop to test? No one ever told me this until a nurse saw me testing. I had no idea.
Maybe it's your meter, but doubtful--sorry. You could get another meter. When you call your endo, ask them for another. They have tons of free meters from the pharm reps.
Need to know what your bedtime reading is to know how much your BG is going up overnight. Better to talk to your endo to see what you should take for a morning Lantus dose & an evening Lantus dose. Taking 20 units twice a day may be too much & splitting the dose in half (10 morning, 10 evening) is probably too little.
If he gives you the party line about how Lantus lasts 24 hours, tell him you've spoken to many diabetics who take 2 doses to get better control. My first endo gave me flack about this, so I did it on my own because I read here how many people did this. It helped me tremendously.
Perfectly fine to take your Lantus & Humolog at the same time. We all do.
What was your bedtime reading before the morning reading?
Sounds like you could have dawn phenonmenon. More common in Type 1's (I have this), but also possible in Type 2s. Did your endo determine that you are a Type 2 from C-peptide & GAD antibody tests?
Lots of info here about dawn phenon. Best thing for this is taking your basal insulin in two doses. Don't give a damn what the pharm literature & endos say, Levemir or Lantus do NOT last 24 hours. You need basal right before bed & another injection as soon as you wake up. Taking basal immediately before bed will keep your morning numbers from going sky high. Levemir & Lantus (basal insulins) take about 2 hours to start working. Also, no snacking before bed. After dinner, no more food so that you're done digesting when you go to sleep.
If you drink coffee with breakfast, caffeine can cause spikes for many people.
With dawn phenon, you need to take your rapid acting & eat right breakfast right away. Postponing eating causing your liver to dump even more glucagon (glucose) & so even higher numbers.
Rapid acting insulin (Humolog) takes about 15-20 minutes to start working.
The 40 unit basal shot doesn't control meal numbers much & takes about 2 hours to start working, so this wouldn't effect the reading you took soon after.
Try to keep meals 4 hours apart.
How are your other 2 hour post meal numbers for other meals?
Your fasting was 335? What was it before you went to bed? Did you eat before bed?
No panicking, ok, though I understand how you feel. Stressing just pushes the numbers up higher.
Ok, how many carbs (be honest) did you eat for breakfast? A couple of things could be going on. Your carb/insulin ratio is too low. Your dawn phenonmenon is pushing up your morning reading so that the dose isn't enough. Other factors could be you're ill or have an infection. These cause high numbers.
How long ago did you take your last shot? You can take a correction dose according to your sliding scale to get numbers in range.
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