First of all, Lizz, so sorry about your loss. Devastating for anyone.
Lizz, there is a learning curve when it comes to managing diabetes. As alcf stated, carbs are the thing to watch carefully. It is not just sugar. Any foods you buy that have a nutrition label, look at the TOTAL CARBOHYDRATE line. Any sugar(s) in that food will be INCLUDED in the TOTAL CARBOHYDRATE line. In the absence of nutrition labels, find a carb counter, i.e., THE CALORIE KING. This is just one example.
When I was diagnosed, my doctor referred me to a registered dietician. If your insurance permits, ask your doctor for a referral. I had a few appointments with her. I was diagnosed as an "uncontrolled diabetic." This is not a friendly label, I assure you.
Getting your numbers into the "normal" zone takes a lot of hard work and determination. It is an actual lifestyle change. Changing your eating habits, losing weight if you need to and maintaining physical activity every day, if possible. I see that you have physical pain. I don't know what this entails, but if you can manage any physical activity (does not have to be formal exercise), this is a huge bonus in getting your numbers down to normal. Being active will burn that glucose running around in your bloodstream. Our skeletal muscles need glucose to function properly.
If you have enough test strips, take your BS reading before you eat, then two hours after you eat. Record this along with what you eat. It would also be helpful if you recorded the amount of carbohydrates you ate at that meal.
Eventually, this will be become "old hat" to you. It takes a bit of time and lots of patience. We all started at the same point you are at. Do not lose sight of the fact that eating better will make you feel better and give you more energy.
Incorporate as many veggies and lean proteins into your diet as you can. All of our foods have carbs in them except for your proteins and fats.
The lunch you gave as an example was probably chock-full of carbs. I don't what kind of bread you had or if it was a roll/bun, but the nutrition label of the bread I have says that one serving is one slice of bread. That one slice of bread is 21 grams of carbs. Make a sandwich = 2 slices. Right there, just the two slices is 42 grams of carbs. The fries, well, was it a small serving, medium serving, large serving? Can you tell where I am going here? Then the soda - more carbs.
Your a.m. fasting should be between 70-110. Two hours after a meal your BS should be below 140. Before bed: 70-110
When you test two hours after a meal and your reading is above 140, it's a good indication that you ate too many carbs at one sitting.
The glyburide you are taking is one of the most potent sulfonylrea drugs on the market. It works by sensitizing functioning pancreatic beta cells to release insulin if presence of high blood sugar is detected. This is the natural work of a pancreas; release insulin if high blood sugar is detected.
Each and every one of us is different when it comes to diabetes. Since diagnosis, I have been on two insulins. I was never overweight and ate normally. I was and am active. My first A1c was 13.2 - through no fault of my own. I hear you on working hard and being dedicated to bringing this disease under control. I have too. I've brought my A1c down to 5.6. Very hard work. Watch the carb intake, stay active and, of course, take the insulin.
My doctor believes my pancreatic cells just pooped out meaning I do not make insulin naturally any longer. He believes that I had had diabetes for many many years before being formally diagnosed...and, yes, it runs in my family with my mother also being an insulin-dependent diabetic.
No, you have not failed. Best of luck with your doctor appointment. Let us know how things turned out.View Thread
Anon is right. Is your diabetes under control with the insulin usage? Did you start off using insulin at diagnosis?
It is likely you may have had diabetes many long years prior to diagnosis. This happens with many diabetics. Blood sugar readings above the norm slowly do damage to nearly everything in our bodies.
It will be soon nine years that I have been using insulin. I have had no changes at all in my teeth or my mouth. As I said, BS readings above the norm can do a lot of damage before diagnosis.
One thing that I would change ASAP is your ingestion of diet soda. These drinks contain phosphorus and carbonation which will wear away the enamel on your teeth. Foods with lots of acids in them will do the same thing. Switch to water. If you do drink the soda, try chewing sugar free gum to help free your teeth of the acids from the soda.View Thread
Ms, hopefully, he will be able to get into the doctor sooner rather than later.
One suggestion: when your husband needs to take in sugar, try OJ at just 15 grams of carbs. Might be just 4 oz. He needs to be careful of the amount of sugar he takes in, otherwise the weight will come back on, as you two have noticed. There are glucose tabs available in the drug store. These are 4 grams each of carbs. Have him stay away from candies and anything with fat in it to raise his blood sugar. Even a packet of sugar is helpful in raising his BS. It, too, only has 4 grams of carbs, but no fat.
Have him experiment with the OJ and glucose tabs. He may need only 4 grams of carbs to raise his BS if it drops to 60. My A1c was 13.2, so my sugars were running high daily. When they started coming down, I would get the sweats and racing heart, etc., even when my BS would be 90-120. The body needs to get accustomed to the lower blood sugars even though they do not read as low.
Again, stay away from the candy bars. Anything with fat in it will slow the absorption of glucose in the bloodstream. If he gets hungry, try and stay away from the carbs. All of our foods contain carbs except for proteins and fats.
Does he exercise? Any activity will be helpful in keeping the weight off. Walking, bicycling, etc.
I repeat; when he goes low, have him take in only 4 grams of carbs to see how high this will raise his BS. He can test a little bit after he takes it in. Any BS under 70 would be considered low.View Thread
I am not a Type 1, but do use insulin. Two insulins. Going low during the night is a fear all insulin users have.
Unfortunately, the product you mention is not one I have heard of. I don't know, but maybe call his doctor's office and see if this is something worth keeping. I understand reviewer feedback on all products we think of purchasing, be it the one you mentioned or a simple microwave.
We are all different in how we physically manifest symptoms of hypoglycemia. Again, unfortunately, I am already low when I start to sweat. Maybe this is the sign to immediately take in some sugar. I also start trembling and my heart starts to race.
The blood sugar range you mention, 90-120, is normal. This is not at all on the low side. Unless, his doctor wants his BS to be a little bit higher. My doctor told me any blood sugar reading below 70 is considered to be low.
This is the weekend so you may not get any "reviews" until the start of next week. Hang in there. I now how you feel and how he feels. I scared myself silly when my BS dropped to 26. Had to test twice to see if there was something wrong with my meter.View Thread
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