Okay, you let off some steam. We all did at one point. Turn it around and make it into a positive.
I see your point on the log thing. She could have been a lot more detailed and given you your money's worth. There are plenty of logs out there even ones that come with your meter. At least my meter had a log to track food intake.
I was given a log to keep the sort of details you have described. As I said, let's turn this into a positive thing. When you see these numbers in black and white it will make sense to you.
It is going to take some work and may seem to be busy work. It's not busy work. It is your health.
I do not know when you are supposed to take your blood sugar for this log. I had to do it eight times a day - the testing of my blood sugar levels. My endo wanted to see this in black and white.
For example, test upon waking if it has been eight hours or longer without eating. Test before you eat. Record your blood sugar. Write down the amount of carbs you eat in that meal. If you do not know, look it up. Invest in a carb counter such as Calorie King. My dietician gave me a copy. It is printed every year. It is also online.
Test two hours after you meal; after the first bite. Write it down. If it is above 140, evaluate what has made your blood sugar go up. Most likely too many carbs in that meal.
Your log should show:
AM fasting number
Blood sugar number before your meal
Carb amount in said meal(s) Record the carb amounts in all your meals. (I had to look these things up myself.)
Blood sugar number two hours after your meal
Blood sugar number before you go to sleep
My dietician gave me a calorie amount for the complete day. I had no weight to lose, so I was allowed 2,000 per day. Your doctor says to lose weight, so yours may be more restrictive. Yes, it hurts. It seems like so little food compared to what you are used to eating. If you replace many of your foods with loads of veggies (the good kind) your plate will look like you are eating lots of food.
All of our foods contain carbohydrates except for your proteins and fats. Look at all nutrition labels, particularly the TOTAL CARBOHYDRATE line. Carbs are a diabetic's worst nightmare causing our blood sugars to rise.
One very important fact: if you incorporate exercise and/or physical activity into your daily life along with dietary changes, the weight will come off. Exercise and/or physical activity will also normalize your blood sugars. I can attest to this personally. My first A1c was 13.2 and it had come down to 5.6. This was with the dietary changes, insulin and physical activity. It all goes hand in hand. You can't expect medication to work miracles unless you work to make the other changes in your lifestyle.
If you need more help, please don't hesitate to ask. It is overwhelming at first. You will feel better once your blood sugar numbers fall into line.View Thread
I have been on insulin since diagnosis, so I can't say anything about any oral meds. No one I know who takes metformin has complained about fatigue and/or extreme fatigue. They have complained about digestive issues in the beginning but it soon sorts itself out.
In the beginning after diagnosis, my doctors and I were playing around with dosaging of insulin, etc. As you know, in the beginning, things can get confusing and stressful trying to find the right balance. This comes in addition to learning about diabetes and how to do things right for you and your body. Paying attention and listening to your body's signs and reactions is important with any chronic disease.
Since my A1c was so high at diagnosis, I was labeled as an "uncontrolled" diabetic. I still see that in my chart when I investigate things online. I hate that. I am not uncontrolled any longer and haven't been in a long while.
I stray. I had the extreme fatigue when my numbers climbed too high. Extreme to the point of napping for hours during the day. Wasting my day away. My insulins had expired by one or two days and my numbers soared. One day, my 2-hour post-prandial was 435. I couldn't keep my eyes open for nothing.
As an aside, I did find out that the newer insulins such as Lantus, Humalog and Novolog do not last as long as Novolin N and R. NPR insulins. The product information that comes with the Lantus, Humalog, etc. do state that once opened, they last 28 days. Anything left over should be tossed. I found out the hard way by landing up in the ER with that 435 two hours after I ate 19 grams of carbs. It was my high blood sugar causing the extreme fatigue. Made me afraid to eat any carbs for a bit. LOL.
Eating too many carbs will raise one's blood sugar and then will drop dramatically. All the yo-yo'ing can cause this fatigue, too. As most of us know, it is important to watch the diet and be physically active as possible along with taking any medication as directed. It all goes hand in hand in keeping your numbers where they should be.View Thread
First off, is the metformin helping you keep your blood sugar numbers in control? You don't say what medication your doctor added to your regimen.
If you are not happy with your doctor, by all means inquire around. I am lucky enough to have a diabetic team that wants to see that I have things under control. I was hospitalized for something else when diagnosed with diabetes. The doctors immediately referred me to an endocrinologist, diabetes educator and registered dietician.
I do not know how often you test. Testing when you become so sleepy might see where you stand. Personally, when my numbers climb, sleepiness hits me. It hasn't happened in a long time since I have my diabetes under control. Test when you get very tired. Many times when one eats a meal heavy in carbs, sleepiness may set in. Test two hours after one of your meals. This number should be under 140. If it is higher than that, you may have to take a closer look at what you are eating.
Take a close look at your diet and physical activity. Controlling diabetes has a lot to do with diet and physical activity; not just medication and/or insulin. As Dave said, a lifestyle change is in order in helping you control your diabetes.View Thread
Let me say I am so sorry for your loss. It is difficult for anyone.
I do not know what "hulium" is.
I use Humalog, which is a rapid-acting insulin, used right before meals to prevent your blood sugar from rising when you eat carbs. My doctor told me to dose this on a sliding scale. I also have a insulin to carb ratio using the Humalog.
I also use Lantus, a long-acting insulin as a basal to keep my blood sugars steady for a 24-hour period. A basal insulin is used once a day, mostly before bed. I take mine in the a.m. because my doctor felt that was better for me.
Nutrijoy is right about constantly monitoring your BS levels while using insulin.
I am just as confused as Nutrijoy regarding your statement using Humalog before bed. I hope you just typed that in wrong. As I said earlier, it is to be used with your meals. Humalog acts within 10 minutes after injecting to lower your blood sugars.
Read all the inserts carefully before using your insulins.
As regards to miscarrying, there is no answer that I can give. Again, I am truly sorry for your loss. Stay well.View Thread
Every diabetic who uses insulin is given a prescription from their doctor regarding the amount of insulin they should dose. There is no set chart for every diabetic to use. No one is the same regarding their insulin needs.
Call your doctor's office as soon as you can.View Thread
Take the pens back to the pharmacy. Show the pharmacist or the tech exactly what is happening. You shouldn't have to waste your insulin. Gets quite expensive.
Recently, I had one pen that was a little difficult in pushing the button down. It didn't jam, so I continued using it.
It does not matter what needle one uses. The needle only goes through the rubber stopper at the top and is not involved in the mechanism dosaging the insulin at the bottom. There is the spring within to help with the "push." I've used three different needles with no problem at all. I have two different insulins from two different manufacturers. Both pens are slightly different, very slightly. Dial up the dosage and push the button at the bottom of the pen.
Take any malfunctioning pens back or if you mail-order, call the company.View Thread
Hi Illinois. I am not Flute but if I could put my two cents in.
Many endos (do not know the reason) are very happy with a diabetic being at 6 and below 7. There is no concurrence with a "correct" number. My last A1c was 6.4. My endo was very happy. This was due to a change in insulins, dosaging, etc. My previous A1c was 5.6, but that included too many lows according to my endo. My insulin dosaging was changed accordingly. My FBS is now higher (I hate it because it is usually between 130 and 153) but I do not go low during my work hours. My doctor said going low is just as bad for the body as being high in the blood sugar department. My BS had actually dropped to 26 one time. Took it twice to make sure I wasn't seeing things. The second one read 25. Felt pretty bad and was thisclose to calling 911.
I personally prefer my A1c to be below 6 or even closer to non-diabetic range. I also would prefer not to fall low but have not figured out how to coordinate the ingestion of carbs, physical activity and insulin dosaging. My doctor and I have played with insulin dosaging and even splitting the daily dose of my basal. He has changed things on me for 8 years now. Splitting the dose has not worked because my FBS is way too high and then I need to take more rapid-acting insulin. It's a conundrum.
Many of us here would prefer our A1c's to be lower and closer to the non-diabetic range. Hopefully, you would not have to encounter any lows along the way. This is only my opinion, but the lower the better on the body.
Most of the doctors out there are going to go along with what the ADA has established. The ADA says that an A1c of 5.7 to 6.4% is the range for pre-diabetes. So what your doctor is saying is that your A1c is "good" according to the ADA. A non-diabetic's A1c ranges from 4.0-5.6%.
I have randomly tested my family. LOL. Yes, they let me. They always come in at 82. While in school, we had to test each other during lab hours. Every single student (all ages) came in between 82 and 83. Falling in the 80's seems to be the norm for a non-diabetic.
Do what you believe is best for you. That is what I try to do. Listen to your body.View Thread