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6angels

new and frustrated

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6angels

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

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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. ;)

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6angels

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

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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??

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silverfrost
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.

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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.

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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.

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6angels
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

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6angels
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!

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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!

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6angels
:( 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)

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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.

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6angels
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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Alice

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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Alice

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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Alice

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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gettingby

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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Maddogg

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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ant hill
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.

 

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. :)

 

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. :D

 

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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6angels
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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6angels
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. :D

 

 

 

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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ant hill
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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