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10-29-2009, 06:30 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Nov 2007 Location: Dublin, Ireland
Posts: 5,908
| | Quote:
Originally Posted by Rob43 I alway have taken 16 units at night and sometime more if BG is high in the 300's. My doctor in Nashville wanted me to take only 16 units a shot and no more. I will telling my new doctor about the longer acting insulin and see what he says. I'm also eating raw almonds also which I love anyway. What about eating fish over any other meats? | Rob,
As I understand it, you are already taking long lasting insulin (basal), what I believe you need to discuss is fast acting (bolus) insulin.
Do get the book "Think like a pancreas" I suggested it to a friend and he said it really helped him.
__________________ Cosmo the Duck: is with Gretchen in Cambridge, MA. Ping the Duck: is with Nancy
Metformin 500mg twice daily, Enap 5mg
Diagnosed T2 on 26th Nov'07, with BG of 21mmol/L (378mg/dL) and A1c of 11.6%.
Most recent A1c 10/09/09: 6.1%
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10-29-2009, 06:40 AM
|  | Super Moderator
I am a: Type 2 | | Join Date: Dec 2006 Location: Knoxville, TN
Posts: 10,080
| | | Fish is always a good choice, provided it's not breaded and fried. More importantly, is to avoid bread, rice, potatoes, pasta, chips, sweets, that kind of thing.
__________________ T2, diagnosed 8/31/06.
Metformin 500 mg twice daily
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (after dealing with shingles & bronchiti)
2/09: 5.5 | 
10-29-2009, 06:49 AM
| | Senior Member
I am a: Type 2 | | Join Date: Aug 2003 Location: Tennessee
Posts: 2,001
| | | I try to eat whole wheat bread when I can like at Subway when you can choice which bread you want.
Rob | 
10-29-2009, 06:53 AM
| | Senior Member
I am a: Type 2 | | Join Date: Aug 2003 Location: Tennessee
Posts: 2,001
| | | One big reason I don't drink pop is my GERD problem. GERD helps me to not eat the foods like pop and potatoes, pasta, chips, sweets because it makes my GERD much more worse.
Rob | 
10-29-2009, 07:40 AM
|  | Senior Member
I am a: Pre-Diabetic | | Join Date: Jun 2008 Location: Greater San Diego area
Posts: 1,426
| | Quote:
Originally Posted by Rob43 I try to eat whole wheat bread when I can like at Subway when you can choice which bread you want.
Rob | You might try ditching the bread entirely, and getting your sandwich served as a salad. The Subways out here offer that as an option.
__________________
Dx prediabetic 02/08 (FBG 127 and 123)
A1c 02/08: 6.5; A1c 05/08: 6.0
A1c 11/08: 5.5; A1c 03/09: 5.3
A1c 09/09: 5.4
No meds
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10-29-2009, 07:46 AM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,277
| | | How many grams of carbohydrates in the whole-wheat bread at Subway?
Seems to me that much of what passes these days for "whole-wheat" is little more than white flour with some stuff added back for colour... rather than true whole-grains
__________________
Frank 51 year old male, Metabolic Syndrome Dx Mar. 2003 | 
10-29-2009, 07:59 AM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,277
| | Official SUBWAY Restaurants' Nutrition Information
This site shows that a 6" Nine grain wheat bread has 42g carbohydrates (including 4g fibre)... that's 84g carbs in a footlong 
__________________
Frank 51 year old male, Metabolic Syndrome Dx Mar. 2003 | 
10-30-2009, 10:35 PM
| | Senior Member
I am a: Type 2 | | Join Date: Aug 2003 Location: Tennessee
Posts: 2,001
| | Here is my lab work from my Diabetic doctor in Nashville. This was taken on 5/4/09. I know I'm way over due for more lab work.
A1c was 12.3 %
Cholesterol was 231
Triglycerides was 194
HDL was 55
Calculated LDL was 137
Microalbummin 18
Other tests was normal
Urinalysis
Kidney Function
Liver Function
Potassium and other minerals
Blood Protein
Calcium and other bone minerals
Rob | 
10-31-2009, 01:05 AM
|  | Ex-moderator
I am a: Type 1 | | Join Date: May 2003 Location: دولة الإمارات العربية المتحدة, دبيّ
Posts: 3,816
| | | Your A1C is very, very, very high. You'll need to completely overhaul your BG treatment regime. You are getting nowhere near enough insulin for what your body needs. | 
10-31-2009, 01:24 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Feb 2008 Location: Melbourne Australia
Posts: 4,470
| | | And there is so much to lose and so much to hold onto... now is a great time to come afresh at how you control this condition... most especially while you still don't have obvious damage to the kidneys.
Have you been to an opthamologist to have your checked your eyes for retinopathy? So much can be done for that... if detected early. Let is go = partial or significant blindness. I think your A1c definitely suggests you are at higher risk and need to just do what needs to be done to be checked up and to get better BGs.
As part of reassessing how you are going to deal with your diabetes, along with taking dietary control and modification very serously, and type 2 meds, full blown MDI correctly administered, or a pump, strikes me as potentially offering life changing improvement for you.
__________________ −− Type 1 since 1991 ≈≈ Minimed Paradigm 722 since 2007 ~~ Metformin ER since Sep 2009 | 
10-31-2009, 05:20 AM
| | Senior Member
I am a: Type 2 | | Join Date: Aug 2003 Location: Tennessee
Posts: 2,001
| | I wonder if the pump would be good for me? I go the a eye doctor once a year at St. Thomas hospital in Nashville. Been going to a eye doctor for 7 years now. Doctor hasn't found any problems yet.
Thanks, Rob | 
10-31-2009, 06:39 AM
|  | Senior Member | | Join Date: Jul 2007 Location: Mt. Dandenong, Victoria, Australia
Posts: 1,721
| | My advice based on my experiences and my opinions: - DON'T EAT ANY BREAD EVER. (also don't eat rice, potatos, cereals, fruit, pasta or any other SUPER-CARB food). Try to eat a max of 50-80 grams of carb per day.
- USE RAPID ACTING INSULIN at meal times matched to your carb intake (Novolog).
- USE a LONG ACTING INSULIN (e.g. Lantus) as a basal
-- Joel.
__________________ ___________________________
"Infinity isn't such a big deal. After all, it is only a point in the Seventh Dimension..."
___________________________
A1c's
-------
early July 2007: 16.2%; early Sept 2007: 8.0%; early Dec 2007: 5.9%; early Jun 2008: 6.4%; early Apr 2009: 6.4%
triglycerides: 89 (1.0); HDL chol: 50 (1.2); LDL chol: 19.5 (0.5); total cholesterol 87.5
Lantus before bed - 14u; Novorapid for meals (averaging 10-16u per day); Lowish carb diet | 
10-31-2009, 06:48 AM
| | Member
I am a: Type 1 | | Join Date: Dec 2008 Location: Texas
Posts: 311
| |
I'm coming up on my first year since dx., and I have yet to have a slice of bread, grain of rice, one french fry, or any type of fruit. At first I thought "what can I eat?", but now have realized there is PLENTY of good food out there, and I am never hungry. | 
10-31-2009, 06:57 AM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,277
| | | I'd also echo Joel (matingara's) suggestions plus keeping a log of food, BG, activity AND frequent BG testing.
An A1c of 12.3% is (according to the converter on DF) equivalent to an average blood glucose of 361 mg/dl... that's an "average" (mean)... so either you are constantly at 361, or spend an equal amount of time below and above that dangerously high BG level.
You need to take action and take charge Rob. This health risk goes beyond being polite to the people you are living with.
__________________
Frank 51 year old male, Metabolic Syndrome Dx Mar. 2003 | 
10-31-2009, 08:49 AM
|  | Junior Member
I am a: Type 2 | | Join Date: Oct 2009 Location: Lostant, LaSalle Cnty, IL
Posts: 4
| | Quote:
Originally Posted by DannyK
I'm coming up on my first year since dx., and I have yet to have a slice of bread, grain of rice, one french fry, or any type of fruit. At first I thought "what can I eat?", but now have realized there is PLENTY of good food out there, and I am never hungry. | Ok, I'm brand new here, but I'd like to know what you consider "plenty of good food out there" when you gave up all bread, potatoes, rice, etc? I was just put on insulin after 6 years of just pills did not do the trick. I'm struggling. Kathie
__________________  Kathie, Havanese Lover
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