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  #16 (permalink)  
Old 01-02-2008, 04:57 PM
6angels's Avatar
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Quote:
Originally Posted by notme View Post
Hi Trinasangels. We have all been through this frustration when first diagnosed. Treatment for diabetes is pretty straightforward once you get the basics down. You need to steer clear of processed foods. Foods that are made with white flour for now should be off your diet plan. This means breads, crackers, cookies, chips, cereal or pasta. Stick with fresh veggies, whole grain breads, salads and proteins. Make sure you are careful about portion size.

Test your blood sugar before a meal and then test again two hours later. This will give you some valuable information.

Exercise is key. Try some moderate exercise like walking or bike riding to lower your blood sugar.
thanks I do walk everyday. and test before and 2 hours after a meal. I eat pretty good. ( except I dont like meat) so I eat a lot of veggies! I am staying away from bread and such.

The on call Dr called me back and upped my shots 8 more units and and had me to ahead and take 10 now since it was so high. I asked him about spliting it up morning and afternoon and he liked that idea, so starting tomorrow i'll do that.


It seems to me I cant eat ANYTHING no matter how good it is without causing my BS to go sky high. I am sure once we get the numbers down and on the right amount of shots this will get better.


I just hate the up and down feeling. When my bs is real high i feel really bad. face numb, headache reallly tired and thirsty. when its down I feel a lot better but can tell when its going up.
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  #17 (permalink)  
Old 01-02-2008, 05:05 PM
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While I normally believe in "lots" of exercise for diabetics, I think it is dangerous to exercise with glucose levels such as this newly diagnosed person is exhibiting. I've been told by two endo's that exercise when over 240 is a strain on the heart. That's why so many undiagnosed people end up in the hospital with heart problems...

You will be able to eat carbs once you are correctly medicated. For now (and I'm having a hard time understanding why your doctor's office is so relaxed about your high numbers) you should avoid all carbs.

I don't believe in avoiding carbs as a rule, but you seem to be in a rough spot this week/weekend. Is there some other doctor/endo you could see?

If you are Type 1 and not producing any insulin, you are in a serious spot here...even for a few days. I don't want to alarm you, but numbers in the 400's are extremely high. Please seek the assistance of another doctor while your doctor is away. I'm sure your doctor will understand.

Also, log all your glucose meter numbers...it will help make a faster decision.
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  #18 (permalink)  
Old 01-02-2008, 05:10 PM
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Sounds like you were posting an update as I was typing! Glad you reached an on-call doctor. Eight units is a big increase of Lantus, so keep glucose tabs handy. I don't want to go against your doc's advice, but you might up it 4 units then another 4 next day...just a thought.
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  #19 (permalink)  
Old 01-02-2008, 05:14 PM
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Gosh, me again. I'm concerned that the doc's are using Lantus for your meal coverage. Are they aware that a short-acting insulin was never prescribed? You were diagnosed as a Type 1 and only Metformin was prescribed? I'm very shocked over this, but what do I know (after 42 years of D?)....

I would go ahead and schedule a visit to an endocrinologist.
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  #20 (permalink)  
Old 01-02-2008, 05:49 PM
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Alice, I was on the same thinking process as you. If she is type 1, then why the Metformin. Why not rapid??
Hello trinasangels and welcome to the family. If possible, see about getting another doctor. It sounds like you should at least be on a rapid insulin. Did I misunderstand or did you say in a previous post that you have been a diabetic for a while? If so, then why weren't you on insulin before?
Sorry for all of the questions but I am concerned for your health and well being.
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  #21 (permalink)  
Old 01-02-2008, 06:08 PM
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Sounds like you need to take some fast acting insulin like Humalog to get those blood sugars down must faster... Someone mention exercise and that can definitely help improve the effectiveness of insulin and any medication you take for your diabetes.

Welcome to the forum and take care...
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  #22 (permalink)  
Old 01-02-2008, 06:10 PM
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Quote:
Originally Posted by trinasangels View Post
up to 436 now
Don't worry Trina, What dose is your Lantus at the moment?
At 436 is high but increase the Lantus again buy 2U and see how you go and test during the day as that will give you an idea.

Quote:
Originally Posted by notme View Post
Exercise is key. Try some moderate exercise like walking or bike riding to lower your blood sugar.
Yes Nancy, Exercise is a BG lowering tool too and wile you are out there doing your exercises take something sweet with you as this will get you out of trouble if you fall low.

Quote:
Originally Posted by trinasangels View Post
I asked him about spliting it up morning and afternoon and he liked that idea, so starting tomorrow i'll do that.
Yay, That's the go!! as this will grantee the continuous flow of the Basel.

Quote:
Originally Posted by Alice View Post
Gosh, me again. I'm concerned that the doc's are using Lantus for your meal coverage. Are they aware that a short-acting insulin was never prescribed? You were diagnosed as a Type 1 and only Metformin was prescribed? I'm very shocked over this, but what do I know (after 42 years of D?)....

I would go ahead and schedule a visit to an endocrinologist.
Yes Alice, I would see an endocrinologist too as they have a better idea of diabetes than doctors do.
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  #23 (permalink)  
Old 01-02-2008, 06:14 PM
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Quote:
Originally Posted by gettingby View Post
Alice, I was on the same thinking process as you. If she is type 1, then why the Metformin. Why not rapid??
Hello trinasangels and welcome to the family. If possible, see about getting another doctor. It sounds like you should at least be on a rapid insulin. Did I misunderstand or did you say in a previous post that you have been a diabetic for a while? If so, then why weren't you on insulin before?
Sorry for all of the questions but I am concerned for your health and well being.
It's ok I am a bit confused why I am not on fast acting and why I am not in the hospital with them getting it down to a safer level.


I have been diabetic most my life but dont wanna go in a long drawn out post about my childhood and the reasson why I was not on meds.


I did try pills when I got married but they didnt work ( i didnt need pills I needed insulin)

I decided to try to control it by diet. I think I got so used to feeling so sick I didnt even notice when it was higher. but now i can REALLY notice when it goes over 400 +

I am going to call and try to get in to another Dr tomorrow.

not sure why they kept me on the pills ( that the Er put me on) she just to continue to take them until Monday
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  #24 (permalink)  
Old 01-02-2008, 06:19 PM
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Quote:
Originally Posted by ant hill View Post
Don't worry Trina, What dose is your Lantus at the moment?
At 436 is high but increase the Lantus again buy 2U and see how you go and test during the day as that will give you an idea.



Yes Nancy, Exercise is a BG lowering tool too and wile you are out there doing your exercises take something sweet with you as this will get you out of trouble if you fall low.



Yay, That's the go!! as this will grantee the continuous flow of the Basel.



Yes Alice, I would see an endocrinologist too as they have a better idea of diabetes than doctors do.
I am now on 38 units a day but had 40 today ( as directed by dr)


Alice I dont usually take it at meals but got up really late today and took it with lunch ( I woke up around lunch time LOL i am not lazy I promise I was just wore out! and couldnt sleep last night) Then Dr had me take more when it got over 400. which was a few hours after meal.
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  #25 (permalink)  
Old 01-02-2008, 06:21 PM
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Quote:
Originally Posted by trinasangels View Post
I am going to call and try to get in to another Dr tomorrow.
Trina, Please get a referal to a endo, Pritty please!!!!
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  #26 (permalink)  
Old 01-02-2008, 06:22 PM
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I think there is some major confusion here. When I posted about exercise, I assumed you were type 2. I think you may be confused also trinasangels. Type one diabetes can never be controlled by diet or even diet and pills. A person with type one diabetes will be on insulin or they will die. My guess is you have type two diabetes or possibly 1.5 and your pancreas is slowly shutting down. This could possibly account for the very long honeymoon period.

I think your best bet is to not take any advice here right now. You need to talk to a doctor you trust and if your blood sugar stays extremely high, go to the ER. Sounds like there is a lot of confusion to your diagnosis and treatment.
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  #27 (permalink)  
Old 01-02-2008, 06:51 PM
6angels's Avatar
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I am a: Type 1
 
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Quote:
Originally Posted by notme View Post
I think there is some major confusion here. When I posted about exercise, I assumed you were type 2. I think you may be confused also trinasangels. Type one diabetes can never be controlled by diet or even diet and pills. A person with type one diabetes will be on insulin or they will die. My guess is you have type two diabetes or possibly 1.5 and your pancreas is slowly shutting down. This could possibly account for the very long honeymoon period.

I think your best bet is to not take any advice here right now. You need to talk to a doctor you trust and if your blood sugar stays extremely high, go to the ER. Sounds like there is a lot of confusion to your diagnosis and treatment.
I was sick basically my whole childhood because of being diabetic . I wont go into detail but will say I was never given meds. I remember once fighting gangrene on my right foot when I was around 13

Once I got married ( at a young age) I told the Dr about being diabetic ( got a dumb dr! that only did a finger stick) and said take these pills. They of cource didnt work at all I stopped going to the Dr and couldnt at the time afforid to go to another one. I continued to be ill off and on sometimes very ill.

This year ( or uh last year) I had my overies removed . I thought how I had been feeling the last few months was due to the hormones and didnt know it was due blood sugar being high.

I have other health issues and I guess I was not the smartest and put being diabetic on the side burner
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  #28 (permalink)  
Old 01-03-2008, 12:32 AM
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I am headed to bed and took my Bs. it is at 270 now.
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  #29 (permalink)  
Old 01-03-2008, 12:55 PM
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We are here to help you. Is there any way you can see an endocrinologist asap? I fear you have been lumped into a Type 2 category for meds and misdiagnosed. You really need a fast-acting insulin asap...but only a doctor can make that determination, unfortunately for all the moral support we can provide...we can't know what is actually going on with your body. Sounds like you are worn out.

If you were diagnosed as a Type 1 years ago and not given the correct medications...then a lot of damage could/can occur. You really can't go on much further like this. Not to frighten you (you've already been through a lot) but I do want to stress the need to get to a doctor asap. I think a different doctor than the one you've been seeing.

Let us know how you are doing. Hugs.
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  #30 (permalink)  
Old 01-03-2008, 01:24 PM
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Note to Anthill (Peter): Your .4 U of Lantus per kg worked well for me...it came to exactly what I take each day...amazing I've never heard this before (in US)...my endo tried to get me to increase to 29-30 units and I never could handle it...the most I can take is 26 units but have morning lows. Thanks for the tip...it's at least a good way to see if we are in the "ballpark"...That also explains why I had to increase my Lantus when I gained 10-12 lbs.
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