[alexg]

I am concerned now that my levels are sometimes down to 86 in range up to 130. My doctor now wants me to jump from 6 units of Novomix to 10 units. He however still wants me to take the Glimepiride 4mg tablets twice a day as well. Like someone said, that combination might bring my glucose level way to low. What do you think?

Alexg

[Lloyd]

Originally Posted by alexg

I have this problem which he doesn't understand, I get high readings if I take a blood test after I wake up before my first meal, though I get good readings before dinner. I can't figure out why though, if my meals consist of the same things, mainly of salmon and green salad. This is why my AIC is always bad. Maybe this new medication can help.



dja2k

High morning readings before eating is what is called Dawn Phenomenon. Fatty acids are released into the bloodstream, increasing insulin resistance. Sometimes eating certain foods before bed can help, that is a very iffy proposition.

I had bad dawn phenomenon, readings in the 160's to 180s, sometimes over 220 before breakfast An insulin pump cured this, by giving me about 4x as much insulin between 2 am and 10 am as the rest of the time. Now my readings are 80 to 115.


Many many type 1's and type 2's have DP, different causes but the same result. It's not your fault, but it is hard to treat except with insulin.

-Lloyd

[alexg]

My readings with Novomix Insulin Shot are much better now before breakfast, lunch, and dinner. For example, today:

Before Breakfast 119
Before Lunch 108
Before Dinner 86

I still need to ask about my concerned that my levels are sometimes down to 86 in range up to 130. My doctor now wants me to jump from 6 units of Novomix to 10 units. He however still wants me to take the Glimepiride 4mg tablets twice a day as well. Like someone said, that combination might bring my glucose level way to low. What do you think?

Alexg

[ladytaz]

I'll tell ya what I would do Alex. I'd stop taking the Glimepiride, and go ahead and increase the mix to the 10u he's asked you to. TEST TEST TEST!!! Keep a close watch on your numbers. Try this for a week or two.

If you see a significant rise in your numbers, well, then it's up to you what to do. Add the glimepiride back, or again increase your dose of the mix. by a unit or so, until you find the "right" dose for you. If you see that they are the same, or even better, again, it's still up to you.

If it were me, I would quit the glimepiride no matter! If you need to increase your insulin dose yet again, so be it. at least it's more predictable than the glimepiride!

Remember, it's YOUR body, and YOU are in charge of taking care of it! Do what YOU feel is best! He can't FORCE you to continue taking the glimepiride! If he wants to ***** you out for it, explain to him just how glimepiride works (stimulates the pancreas to produce more of it's own natural insulin, but that it's NOT regulated in any way, therefore you do not know how much insulin nor when it will be spit out!) and how that puts YOU in danger of going too low!

Personally, I'd be finding myself another doctor!

[alexg]

LOL Thanks for the reply and yeah I think I do need a new doctor, he is being a little .....

Alexg

[ladytaz]

Keep us updated!!

[alexg]

Well still on the pill and 10 U of Novomix now. Here are my results for today, something must be working....

Before Breakfast 113

Before Lunch 100

I thought of testing right after lunch....

2 Hours After Lunch 92

Before Dinner 98

Alexg