Endo Visit

[babs2000]

I saw my Endo today. My A1C went from 7.9-7.8. Not good but better than going up. I gained 3 pounds in 4 months-not good. I am a stress induced eater-so I have been baaaad. She thought about putting me on Byetta but I know have gastroparesis. My blood sugars are from one extreme to another. She mentioned the pump but I don't feel that I can afford it. Now she wants me to count carbs and try that. By the way I'm on Apidra and Lantus. Thanks for letting me vent. Beth

[xMenace]

Counting carbs is definately worth trying. There's lots you can do without pumping. Work at it and ask bunches of questions on how you can improve.

[am1977]

Hang in there~ we are rooting for you and know that you can improve it even further! :)

[shockme]

i am also a stress related eater!especially sugary carbs!funny-when i'm stressed-carrots and broccoli just don't cut it...:D so i can relate.i wish i had a remedy for it...try counting carbs-and write down everything you eat-it makes you a bit more aware of what you're eating...good luck beth!take care,trish

[ladytaz]

keep hangin in there Beth, we're all here for you, rootin ya on!!!

[Gary_W]

Are you 100% sure that your basal rate is correct? It will do no harm to test your fasting bg at various times pf the day over the next couple of weeks. If that is not correct, you can count as many carbs as you like and your bg will still not be predictable. Been there ;) If it is out, your endo should be interested in the results and advise if change is needed.

Also, gastroparesis. I know little about this, but isn't it the case that it makes food absorb more slowly? If that is the case then I would have a chat with your endo about the Apidra. I'm now on Apidra and, whilst I love it, it comes on like a charging rhino with no mercy. I have a really fast digestion, and for some foods it is too fast for me even with my fast digestion. On some occasions, I've had to hit the orange juice 45 mins after a big meal. The carb count has been correct, but the insulin has a race with the food and as this stuff likes to pretend it's Carl Lewis you need to be aware of that.

There are two 'rapid' insulins on the market that are billed as being slower (Novorapid or Humalog) and there are obviously some of the older style insulins such as Actrapid. I was on Novorapid for years and it is a lot gentler than Apidra (at least in me it was ;) ) If your basal IS correct, then discussing with your endo as to why Apidra is best for you considering your stomach problems may be beneficial.

Good luck and hang in there :)

Gary