[trinasangels]

Hello. I am new here. I am type 1 diabetic. Growing up I was not on meds.

Last week I became very thirsty , face numb, tireddddd and well just didnt want to do or eat anything. tested BS after feeling this way for a couple weeks ( had not been having problems for a few years) and my bs was over 400 . Called Dr and was sent to the ER. Er put me on Metformin Hcl Er 500 and sent me HOME!

Later that night my BS went up to 575 , went to a diffrent Er , received a insulin shot and Glipzide Er 5 mg

Later that weekend ( it was Friday when I went to 1st two Er visits)

Later that weekend my BS stayed around 400-500.

Monday called Dr and she said why are you not admitted to the hospital? I called and told them to admitt you! Well needless to say she seen me right away.

I had fasted the night before incase she had wanted to do any test( I knew she would see me right away)

My Bs a hour after waking up and going in was 350 and i had ketones in urine and I believe she said calicuim also.

She started me on Lantus pen ( 30 units ) and keep taking the pills for this week. Call if it goes over 400 and she'll tell me how much more Lantus to take. ( this was all a rush since she was only open a couple hours due to holiday)


I have been taking the shots and pills and watching what I eat very close. My husband is a cop and has a bit of medical training so has been helping me.

waking up my Bs is around 300 still.

the lowest my Bs has been is 240 which was late last night but I woke up to it high again.

After I eat it seems no matter what I eat it stays between 300and 375.

I was VERY happy to see the 200's!!! and was very glad it was in the 300's and not 500's or 400's. BUT shouldn't it be in the 100's already? I've been taking shots for 3 days now and pills for 5 or 6 days now.

I know it takes time to level out and get lower but how long? It is dangrous being this high so I am a bit worried.


I am so greatful I am not in 400's or 500's but I am still a bit frustrated and I am still very tired and just wore out.


any help?

I go back to see her again Monday

[ant hill]

Hello Trinasangels, And welcome to DF.
Are you able to increse the Lantus say 2U and see that would help and is this insulin shot once a day as It would be an idea to split the dose and take it one in the morning and then another one befor you go to bed.

[trinasangels]

thanks for your reply

yes it is once a day . I will try spliting it. Monday I had to take 40 units( called dr and was told to take 10 more)

I guess I just feel my bs should be in 100's already

[SueM]

Sounds to me as if you need a rapid insulin too. IE inject before meals.

[mho357]

Hello trinasangels and welcome to the forum.

Mark

[ant hill]

Yeah take 10U and see what happens. However how much you weigh (Sorry for being so rude here) as the dose can be calculated to weight as I know that the Lantus is at 0.4U / Kg so say that you are 100Kg then you would use 0.4 * 100 = 40U
Do that make any sense??

[silverfrost]

Originally Posted by ant hill

Yeah take 10U and see what happens. However how much you weigh (Sorry for being so rude here) as the dose can be calculated to weight as I know that the Lantus is at 0.4U / Kg so say that you are 100Kg then you would use 0.4 * 100 = 40U
Do that make any sense??

That calculation works pretty well for me. It's only 1 unit off or so, but its about there.

I would also agree that you need the fast-acting insulin. That's really what brings you down to where you are supposed to be. Lantus certainly wouldn't do it for me- especially when I first started insulin therapy. Also, even when I did use Humalog (fast-acting) when I began shots, my BG stayed very high for a long time. It took me a WHILE to get good readings- as in a couple of months. (This was the time I was learning how Humalog worked and how carb-counting happens.) I would contact your doctor about taking insulin at meal times. Good luck, and let us know your progress.

[Olidus]

Hello Trinasangels,

Welcome to DF. Being frustrated is only normal, it sounds like you are on the right track to get control back. These forms were the best thing to ever happen to me, I learned more on here then any doctor specialist I have seen yet.

Be patient and if you have any question at all ask away on here. Just remember that a stupid question is a question not asked.
To help some of us get more familiar with your situation would mind sharing your A1C results? How long have your BGs been this high?
I agree with others on the rapid - if the Long Acting does not keep you under control.

[xMenace]

Welcome.

They'll wait a bit to see if the metformin kicks in. It can take a few weeks to take effect. They'll probably eventually max you our at 2000mg before trying all insulin.

[trinasangels]

Originally Posted by ant hill

Yeah take 10U and see what happens. However how much you weigh (Sorry for being so rude here) as the dose can be calculated to weight as I know that the Lantus is at 0.4U / Kg so say that you are 100Kg then you would use 0.4 * 100 = 40U
Do that make any sense??

it's not rude
I weigh 180 and I am 5 foot 8

[trinasangels]

Originally Posted by Olidus

Hello Trinasangels,

Welcome to DF. Being frustrated is only normal, it sounds like you are on the right track to get control back. These forms were the best thing to ever happen to me, I learned more on here then any doctor specialist I have seen yet.

Be patient and if you have any question at all ask away on here. Just remember that a stupid question is a question not asked.
To help some of us get more familiar with your situation would mind sharing your A1C results? How long have your BGs been this high?
I agree with others on the rapid - if the Long Acting does not keep you under control.

First thank you all for the warm welcome.

My Dr did not tell me what my A1 was but did say it had been high for over a month.

It is 265 today ( i slept in) I am fixing to eat lunch ( salad) I'll post what it is after.


my body feels so BLAH!

[Alice]

Welcome! The Lantus is working on only half the problem...that is your basal (baseline) insulin requirement for before food.

You will always run too high if food is not treated with a fast-acting insulin. The Metformin would only work (typically) if you were still producing insulin. Some use it to boost insulin, but that's jumping the gun for you.

Get back to doctor asap and see about taking a fast-acting insulin with your meals. This is adjusted by how many carbs you consume in a meal. You will learn to adjust that dose according to what type of carb later.

I might suggest visiting an endocrinologist as soon as possible, if you haven't already.

Good luck, it will be like brushing your teeth (standing upside down?) before you know it!

[trinasangels]

I went to take my shot and I forgot to dial the knob so had to reshoot. that SUCKED. I am testing again in a hour. I just called Dr to see if there was something i could take before meals for now on but she is out until Monday( which is when my appointment is)

[trinasangels]

up to 436 now

[notme]

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.