Well, finally had my visit with an endocrinologist. I came away from it quite impressed with the level of care. She spent a good hour with me, and I gained a lot of useful information as well as a diet/exercise plan I can live with. Also got my Lantus decreased and a tighter sliding scale that increased my Novolog, as they want to bring the two in balance with eachother more.
My a1C is still 10.2, but so far I am sticking like glue to this diet plan so I expect it will drop by the next check. They've also made me appointments with a nephrologist, neurologist, and gastroenterologist. My liver enzymes are elevated, my kidney function is falling more, and I've developed neuropathy in my legs. I think that getting my diabetes under control will have a positive influence on all these other matters...if not improving them, then at least slowing the progression.
I am already seeing better numbers. I am hovering around 130 fasting when it used to run around 180 to 200, and running about 150 to 200 at mealtimes when it used to run 250 or higher all the time. I also have a glucagon kit now, as they expect I may have a few lows in the process of adjusting my insulins. I hope not...but it's a just in case sort of thing. I have it if I need it and I've taught those closest to me how to use it...even my 7 year old grandson. I babysit him a lot, it is often just me and him here, and I think he's old enough to know. He already knows how to check my blood sugar...knows what is high and what is low and what is ok....knows how to inject my insulin and we are working on learning to draw the proper dose. He also knows my address and knows how to call 911...another just in case thing.
Anyway...just wanted to post and let everyone know how things are. I hope all of you are doing well and feeling good.View Thread
Finally, a bit of progress. My A1c, which had jumped from 6.9 to 10.8, is back down to 8.6. Still not where it needs to be, but at least a step in the right direction. I just have to keep working to get it down even more. My doctor has also finally decided to send me to an endo, since I seem to be so hard to get under proper control.
I have been monitoring sugars and carb intake closely to get this measure of success. She still has yet to give me firm guidelines on carb intake, though I have asked...all I get is "keep cutting back". Maybe I'll get some more definite goals with an endo, I don't know. At any rate, I have made some progress to feel good about.View Thread
You are right, I did learn a valuable lesson...one I knew but had become lax about. No more multitasking at medication time.
I have made some lifestyle changes though, as you can see in my reply above. I no longer snack...at all...other than a low carb snack with my evening Lantus. No eating between meals and very rarely now do I indulge in seconds at mealtime. I've cut enough out of my meals to be starting to slowly lose some weight and bring my sugars where they need to be for the most part.
Now I am focusing on continuing to lose weight, and hopefully decrease the amount of insulin I need, in addition to being more careful not to make medication mistakes like that again.View Thread
I'm not having to take stronger and stronger meds lately...I have been at 100 units of Lantus in the evenings for some time now and my sugars are running normal in the mornings finally...100 to 110, just like my doctor wants I've increased my exercise and cut back still more on carbs to achieve this. I am down 15 pounds from what I was 2 months ago...not a huge weight loss, but a place to start.
Mealtime Novolog is decreasing, its down to 2-4 units from 8-10 and my sugars are staying within range most of the time. I have not yet had another A1c to see if it has come down, that is due in a month. Last one was 10.8....I would be willing to bet this next one will be lower.
This wasn't a necessary increase in insulin dosage, this was mistaking one for the other and taking more than 10 times what I needed by mistake. I am just glad I didn't wind up with a serioiusly low bs that would have caused me to pass out or whatever. Thanks to the ER staff, that was avoided. And I am not multitasking at medication time anymore...not with insulin, not with anything.View Thread
Well, call me dumbass or whatever...( I already have, so it's ok, lol), but I made a big mistake last night that could have been really dangerous. I was taking my nighttime meds...and fixing a snack, and talking on facebook, and playing a video game, and making coffee...all at the same time. Lo and behold, I didn't check the label before injecting my nsulin and injected the wrong kind. 100 units of Novolog instead of Lantus. I realized what I had done and my chin hit the floor. Didn't take but a minute to realize I belonged in the ER for at the least some monitoring of my blood sugar. 100 units is a lt...I usually take small amounts of 2 to 8 units or so based on a sliding scale. I usually take 100 units of Lantus in the evenings.
Went to the ER and they countered the lows by feeding me basically. They said it was just a matter of keeping up with the lows until my body metabolized the Novolog, which took about 5 hours.
Anyway....lesson learned....one thing at time, especially when it comes to taking meds. I am not so complacent about dosing myself with insulin now. Just wanted to share my dumbass moment with everyone. Anyone else ever made a similar mistake?View Thread
Just another update...I am now at 100 units of Lantus at bedtime, and sliding scale Novolog during the day for mealtime highs. Without the Novolog, my 2 hour sugars run about 180 to 250. With it, I can usually stay under 150. My a1C jumped from 6.9 to 10.8, so thats no good...got to get that back down. I've also had 3 ER visits for sugars over 500, two of them within the same 24 hour period. Still haven't identified a reason for such a drastic change in such a short time, but getting it back in comtrol is what matters, so that is what I am focusing on.View Thread
I emailed about the absence of the moderators as well...I know many have been missing them and wondering where they went. This is the answer I got:
WebMD has decided to shift the focus of the communities from being WebMD-managed to now being more member-managed — allowing members to shape their conversations and their communities in the direction that suits their needs. We have seen this as a growing trend among other social networking sites/message boards and feel it will better facilitate interaction among our members. Even with this change, we will continue to invite experts to keep answering member questions as they have been in the past. Along with this, we have also recently made some significant updates to our Answers tool (answers.webmd.com ) and we hope you will make use of this resource as well.