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I am also new to this board and see your situation similar to mine. It has been 4 years since I started insulin(after 10 years on oral meds) and I am still not where I want to be. I find it has actually been harder to control my sugar being on insulin than when I was on just oral meds. A guy in my diabetes education class had told me to stay off of insulin as long as I could and I believe him now. I wasn't on insulin at the time yet.
You are tired because your sugar hasn't come down yet. It will come down and you will feel better. You can increase your Novolog dose 5 units every three days(sounds like your doctor is increasing by 4 units, which is okay). When I first started a 70/30, I balance out around 30 units twice a day and I was taking taking metformin 1000 mg 2x/day. Two years later I am on Humulin 70/30 50 units, twice a day and metformin extended release 750mg 2x/day and need to go back to diet and more exercise to bring sugars down. I wish I could go off of insulin - it does make you gain weight.
Other than diet and exercise to keep in check is the amount of caffeine you consume in a day. Caffeine raises cortisol levels which in turn raises blood sugar levels. Cut out all caffeine and you will see a difference. Your chloesterol will come down too once your sugar comes down.View Thread
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