Single, good for you for taking action. You are your own best advocate and coming here to ask questions is really a big deal.
Regarding your doctor, I truly don't now what to say other than (if you can) find an endocrinologist (specialist in glandular distors, including diabetes.) I have had the complete opposite experience than you have had with your doctor and office. My doctor wanted my fasting number to be in the normal range and that entailed all the recording of food and drink intake along with all my BS readings. All your reading and research idicate that you know your numbers are not yet within the normal range. Basal insulin at the proper dosage will get you within range. I know this from experience. It took many weeks of tweaking my dosaging of Lantus until my fasting number came down to 100 or below.
If you test 2 hours after a meal, your number should be under 140. If not, the carbs you ate have given you a higher BS reading. Make note of what you ate that may have given you a rise in blood sugar.
Fruit is good and nutritious. The thing I have discovered is that most fruit will raise my blood sugar. Many fruits are just naturally high in sugar. Take a look on the net at the glycemic index and you will see where foods fall on this index. Try and avoid those high on the index or eat very minimal amounts to avoid spiking your blood sugar. Eat plenty of protein and fiber with any carbs. This combo slows down the absorption of glucose into your bloodstream. Eating simple carbs will raise your blood sugar quickly; and just as quickly your BS tends to drop dramatically.
FYI, I have switched doctors when I have not been happy with the "services" rendered. There is no loss on either side. If you feel you are not being taken care of properly, make some phone calls.
BTW, I LOVE blueberries! LOL. Cherries are even better, but they are not in season here in the Midwest.
Activity is good. Very, very good. Anything to help your muscles utilize that glucose in your bloodstream. Glucose is used as fuel for your muscles, so the more movement the better!View Thread
MrsCora hit it on the head. I am a Type 2 insulin-dependent diabetic. I also take two insulins. This was the only way to get my sugars down. My first A1c was 13.2, so I was running high all the time. Very high. My a.m. fastings were between 250 and 300. My 2hr. post-prandial was 435.
When my BS got down below 200 I started feeling lousy just like you. Below 100 later on down the line, I got the shakes, dizziness, etc. I would keep testing at 99, 90, etc. and would just have to sit down and take a breath. Don't treat a low because in reality it is not a low.
It took me awhile to get things under control. Just be patient a little bit longer.View Thread
Single, the best thing I had ever done was to keep a record of foods and everything I have put into my mouth for a month. This record also included BS readings. The BS readings were taken in the a.m. (fasting), before a meal, two hours after a meal and at bedtime. That was eight times a day of testing. All of this was doctor's orders so that he could see what was going on. I didn't have to do it, but I did not want to have any more damage done to my body because of high BS readings.
You will see this over and over again; we are all different in what we can eat and how are bodies react to the carbs we eat.
Do you really "need" three snacks a day?
I am not a physician or any kind of medical professional. I only speak from experience. 16 units of Lantus did nothing for my blood glucose readings. As I said, keep track of your BS readings. Call your doctor and tell him/her that your BS is not coming down. It should immediately with the right insulin dosage. I started out at 15 units of Lantus. As I said, it did nothing for my BS. My doctor wanted me to call him every two days with my readings. I finally wound up going to 40 units of Lantus to get my BS readings in normal range.
Insulin needs change if one loses weight (if they need to), if their eating habits have changed, if their physical activity has changed, or if they are ill. My Lantus dosages go up and down because of physical activity or illness. Nothing remains static when it coms to diabetes.
I have a second insulin to go with meals. Carbs raise my blood sugar every time I eat.
"What else can I do?" Call your doctor. You may need a change in dosaging and/or regimen. Your doctor should be on your side. He/she wants to help get your numbers down.View Thread
Just FYI, a blood sugar reading below 70 is considered hypoglycemic. I experience it often because of insulin usage and physical activity.
I realize that everyone is different in regards to symptoms of hypoglycemia, but the most common are sweating, flushed face, rapid heartbeat, the shakes, dizziness and a feeling of being very hot.
Your readings are pretty level; there are no huge ups and downs. None of those numbers would be considered hypoclycemic. I was extremely fatigued when my numbers were high - in the 400's. Would take a four-hour nap.
This is only my opinion, but I would contact your doctor if this persists.View Thread
Single, there is no reason not to trust your doctor at this moment in time. As MrsCora stated, your average glucose is very high. Your A1c is an average of your blood glucose 24/7 for three months. Insulin helps keep your sugars in check and works almost immediately. You may have to adjust your dosage if your readings don't come down.
I don't know what type of regimen your doctor put you own. We are each different in how we manage our diabetes. There are no black and white areas when it comes to this disease.
I was diagnosed as Type 2. My endocrinologist put me on two insulins to help me get my A1c down from 13.2. Even though I am diagnosed as Type 2, my doctor believes my pancreas no longer makes insulin. I will be using insulin for the rest of my life. I use a basal insulin and a rapid-acting insulin. My A1c has come down to 5.6 using insulin and eating a much lower carb diet these days. I am also physically active which helps immensely. My dosages have been adjusted back and forth. My physical activity caused a lowering of my basal insulin from 40 units to 26U. It's important to keep moving as much as possible.
As the other posters stated, you may be able to get off of insulin. Keep your weight within the normal range for your frame and keep physically active along with lowering your carb intake. All of these things help bring your blood sugar levels down.View Thread
As MrsCora stated, there is no age limit on what your glucose levels should be. A person without diabetes averages an 85 blood glucose reading daily. Could be tested randomly and still come up with those readings.
As for feeling fine, I felt fine, too, before diagnosis. My blood glucose readings averaged 382 on a daily basis. THAT was not fine. There is damage I cannot see and some damage that I DO feel, such as numbness in my toes. My doctor thinks I probably had diabetes way before I was diagnosed.
Consider monitoring yourself daily. You can get a meter and strips over-the-counter at WalMart.
There are guidelines to follow:
A.M. fasting reading should be between 70-110.
Two hours after any meal should be under 140.
Before bed should be 70-110.
The numbers above are guidelines for a diagnosed diabetic. Again, keep in mind that a non-diabetic averages 85 at any given time of day. 120 is above normal.View Thread
Pamela, were they giving you some type of steroids for the pneumonia? Many times, they will give you an inhaler and/or breathing treatments to help you breathe and clear your lungs. Many contain steroids, which in turn will raise your blood sugar. Steroids are notorious for raising your blood sugar.View Thread
Leowat, if your insurance allows it (many restrict blood glucose strips per month), see if you can test as often as you can. I say this because of the amount of insulin you are using and the fact that you have had to increase the amount. I know it can be a pain, but it is worth it to get a picture of what is going on as Glucerna stated.
I had to do the food log along with my BS readings before meals and two hours after. My diabetic team was well aware of how out of control my diabetes was - through no fault of my own. My body kind of betrayed me. I had no weight to lose and was lean my whole life. I ate three meals a day which would be considered normal. Normal portions. Very rarely snacked. I was active before all of this, too.
Again, if you can, pick one meal and test your blood sugar before you start to eat. Then, after your first bite, test two hours later. You will see what food does to your blood sugar. All of our foods contain carbohydrates except for your proteins and fats. Yes, all of our veggies have carbs. Some more than others. Lean and green is the way to go. Invest in a carb counter or go online to see the carb count in your foods.
Your blood sugar should come down with healthier changes in your eating habits and physical activity. Believe me, I know about motivation to get started with any type of program. Thank goodness I have a job that keeps me moving; moving so much that I don't even have to take my rapid-acting insulin with lunch.
The more active you are, the more your body will use that glucose that is running around in your bloodstream. Your skeletal muscles use it wisely.View Thread
Do you think you would be able to get your PC to refer you to an endocrinologist? This is a specialist who deals in glandular disorders. Your pancreas is a gland.
Glad you are able to see a dietician. Each and every one of us is different in how many carbs we can handle per meal/per day. My dietician gave me a lower amount than most other diabetics because my diabetes was out of control. My numbers were higher than yours.
I don't know how active you are and for how long each day/per week. You are taking a lot of insulin. I had reached a basal dose of 40 units. I started a new job in which I am very physically active. Walking, lifting, bending for 3-4 hours straight. I had to decrease my basal insulin down to 26 units because I was going under 70 nearly every day. I also take a rapid-acting insulin to counter any carbs I eat at any given meal. This bolus prevents my blood sugar from rising when I eat. My endo gave me a ratio of 1 unit of insulin to every 12 grams of carbs.
Be very careful what you eat. It would be wise to journal the foods you eat; put it in black and white. Take your BS reading two hours after any given meal. If you are not under 140, the problem is probably the carbs you have eaten. My body reacts to carbs greatly, hence, the rapid-acting insulin.
Even though you are taking insulin, it is wise to keep your carb intake lower than you normally would.
Hopefully, your dietician can point you in the right direction. Take your meter with you and show her (him) what your readings have been. Tell her how many hours a week you are walking. Let her know what your A1c is. Give her your typical daily, weekly, etc. meal plans. Basically, what you normally eat and drink. All this put together can give her a good picture on her plan to go forward.
Most of us have noticed a decrease in BS readings when we eat less carbs and are very physically active. Some are able to tackle diabetes with a change in food choices and no meds. Others still need meds; others need insulin (and meds with the insulin.) No two of us are alike in how we are able to control our diabetes.
Let us know how you fare with your appointment.View Thread