[lethal]

Well i think its coming to a end.It has lasted about 2yrs 5months being on metformin and with very good control of my bs's.I have been told i have lada with a positive test of the gad antibodies and also loosing weight.
Not long started on lantus 7 units at night and bs's were about 4.5 to 5.5 after 2hrs.But the last couple of days bs's have gone crazy like 8's and 10's after 2hrs.So i am very confused now in whats going on with my body.Going to see endo on monday and i think he will put me on novarapid to control these levels.I thought i would have stayed on lantus for a while but it looks like my pancreas is packing it in real fast.Anyway time for bed now and i'll keep yars informed.

[rzrbks]

Shucks, and I opened up this post to see if I could learn something about men and women, as I am but a young child trying to make a 27 years marriage continue on the smooth path we've been on all these years

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btw, I don't understanf why you'd be on Basal insulin, Lantus without being on Bolus as well. Seems that you're #s would be in orbit if you weren't bolussing.

[Funnygrl]

7 units of Lantus is honestly still nothing. Once you're on basal/bolus insulin and still having higher blood sugars, THEN the honeymoon has started to end.

[shockme]

first-rzrbks-you are too funny! 2nd-lethal-sorry-no idea!but please tell us what the endo says!3rd-i keep seeing posts on honeymooning-could some kind person explain it to me?as a type 2 dx'd in jan.-do i need to worry about this?trish

[shabbie6247]

any update there lethal? just wondered how you got on at the endo?

[dbc]

Originally Posted by rzrbks

btw, I don't understanf why you'd be on Basal insulin, Lantus without being on Bolus as well. Seems that you're #s would be in orbit if you weren't bolussing.

Seems to be the "standard method" used by the medical people - my honeymoon has 3 years on diet, then diet/metformin, then I started 6U/day Lantus 3 months ago.

I queried this approach with the endo, his view is that "you always get the basal right before doing the bolus" - his yardstick is the A1c. I'm due for an A1c test in the next few weeks, so will know shortly.

I still think that while my pancreas is partially working, I actually need help with phase1/2 insulin bolusing, & leave the basal to my partially working pancreas..... But then I'm only the guy with the diabetes, not the medical "expert"......

[Kimber]

I would appreciate some input here from those who know. It seems that the longer I have D, the less I get it. (5 months: 2 as type 2 then the last 3 months as type 1.5) I was put on metformin, then actos then Amyrl when they thought I was type 2. Then they discovered my almost nonexistent insulin level with high blood sugar and decided I was type 1.5 so pulled me off amryl and put me on insulin (lantus 6 units a day) So, my understanding was I was both type 1 (antibody positive) and type 2 (on oral meds for lack of appropriate insulin usage by my body). Now after seeing the endo again last week I think I am on a "honeymoon" period and that is why I am on lantus only (basal only, no bolus) Numbers have been good but slowly going higher. Avg for the last month was 89. I was told that I responded really well to the orals and so they keep me on them until my last 5 beta cells die off. Listening to this discusion it sounds odd that I am on both orals for type 2 and lantus for type 1 and odd that I am on basal but no bolus. I swear, the longer that I try to learn about D, the less I understand my case! Anyone else in my shoes?
Kimber

[lethal]

Yeah i seen endo couple of weeks ago.I'm on 14 units of lantus and also 2 x 500mg metformin.Levels are still going high for some reason.The only reason i went onto insulin was to put weight back on other then that my levels were good until i started on lantus.I think the insulin is killing the rest of what i have of my pancreas left.One good point tho i have started to gain weight.

[Kimber]

lethal,
Interesting that you would say you think the insulin is killing off the last of your beta cells. My endo tells me that the whole point of being put on insulin (such a minimal dose) is to give those last 5 beta cells a break, less pressure, less stress. This will let them do what they can do for as long as they possibly can with support. I am glad you are putting on weight tho. I will ask about the cpeptide test next time I go in. Endo tells me that now my last few cells are sometimes helping and sometimes not (depends on who knows what circumstance..) so my numbers tend to bounce a bit because I never know if this will be a day they want to cooperate or not. I guess that is why no bolus dose yet. Hard to know what to dose until we are sure what I inject is all there will be.

[shabbie6247]

my DE told me that whats left of my beta cells would probably kick in functioning again once i went onto insulin.
it didnt happen for me though, probably too far gone

[NoraWI]

LADA is tricky because it is a slow-progressing T1. I, too, was on metformin because my diagnosis was at age 62 and they automatically assume that means you are T2. But metformin (Glucophage) is a very helpful medication as it sensitizes your cells to insulin no matter what type you are.

My "honeymoon" was over after about 1 1/2 years when I opted to go on insulin... first the basal Lantus, then 3 months later, Novolog bolus for meals. But that does not mean that all my beta cells are dead. I have a "squirting" pancreas that works every-so-often. Yours may, too. Going on insulin helps the pancreas to recover a bit. It's a good thing.

As long as your numbers remain good on metformin and Lantus, don't worry about it. If your numbers start going wonky, then add the bolus for meals. If you drop metformin, expect a 1/3 rise in your insulin need. Don't worry about that, either. It's what metformin does...

[Kimber]

NoraWI,
Thanks for letting me know that I am not the only one out there who is on meds for both type 1 and type 2 at the same time. Endo says "If it is working, keep doing it - don't question it." I had to wonder about that strategy but I guess
1. she is not the only endo to treat both types in 1 body
2. that strategy IS in fact working, so.....
until it stops working for me, I will go with the flow...
kimber

[rzrbks]

Well, I was put on orals and insulin in order to "Rest" my pancreas as well.

But CDE felt that orals weren't doing anything for me and at near US $200.00 a month (I have no coverage for Meds), I went off them and haven't looked back since. Average A1c has been 5.5 with worst being 5.9.

[Kimber]

rzrbks,
How did you get such good A1C results after dropping the orals? Did you increase the insulin? Did you add short acting insulin? Good for you! I have been having a really tough time with my numbers very recently, although my most recent A1C was 5.7 I have discovered (through lots of testing) that if I only looked at the usual 3 readings a day my numbers look good but if I look at more frequent readings I actually go up to 140 or 150 daily!!! How on earth did I get an A1C of 5.7 doing this I wonder???
Kimber

[dbc]

Originally Posted by Kimber

rzrbks,
I have discovered (through lots of testing) that if I only looked at the usual 3 readings a day my numbers look good but if I look at more frequent readings I actually go up to 140 or 150 daily!!! How on earth did I get an A1C of 5.7 doing this I wonder???
Kimber

An A1c of 5.7% corresponds to an average of 126. If you go up to 140/150 or higher for only short periods (after meals), it is quite feasible to see the numbers you get. Seems to me you're doing pretty well!