Quote:
Originally Posted by Hammer  ... xMenace....I had asked about this before. By taking insulin, does my body produce less on it's own. You're saying that it does, so what I'm wondering is, if I keep increasing the dose, will it eventually lower my numbers, or will increasing the dose just cause my body to resist it more?.... |
Hammer,
Logically, the production of insulin would only be reduced if blood glucose drops below normal. This being the case, one would expect raising the Lantus dose to reduce blood glucose. And beta cell production of insulin would start declining only when BG gets down to about 85. As this isn't happening, there must be another explanation.
All that insulin must be going somewhere. And it looks like increasing the Lantus dose is aggravating insulin resistance. The more you inject, the more insulin receptors on the cell surface get closed down. An insulin level test will probably show lots of the stuff is coursing through your veins. High insulin levels are a major cause of macro-vascular complications, so you should look for ways to reduce insulin resistance. The only way I know of improving insulin sensitivity is to get lots of exercise. I have found the results to be quite dramatic. Are you working out?
On the peanut butter issue, having a high protein snack is often suggested for T2s because it reduces the amount of glucose produced by the liver during the night. The liver gets busy when it has been a long time since the last meal, and a before bed snack stops this. But you want to avoid carby foods because they push BG up. With some people, a high protein snack seems to work very well.
When are you taking your metformin? Taking it before bed should also weaken that DP effect.
