Hi Diane. Vent all you want. To my mind the previous post was a bit inappropriate. You are not a newbie! The bottom line is that in some cases, due to genetic causes and not your behavior, diabetes can progress. You do the best you can and then in some cases, more or different medication is needed.
It appears that you have fought the good fight for quite some time now. What comes next is up to you and your doc. But know this....more meds (of any sort including a bit of insulin) is absolutely not a failure on your part. It is part and parcel of what can be an insidious and sly disease. Sometimes no matter what you do, more meds are required.
As a type 1 pumper I found that what worked for me was gradual changes. I know you have a time schedule, but if you start changing diet, insulin, and then adding exercise all at once, things are going to go haywire. I would start by cutting carbs somewhat (and thereby cutting back insulin as well). Then, gently, add some exercise. You will have to lower basals most likely and maybe change I:C ratios a bit as well. Again, if you dive in like crazy, the response of your body may be crazy too. Maybe start by adding a bit of a walk every day?
Sorry I can't be more help. How much weight do you want to lose? Best of luck.
Oh Deb. So sorry to hear you've been through so much. I had issues similar a number of years ago. I had a vac dressing which was not a lot of fun. Wishing you all the best for a speedy, comfortable recovery.
Here's my take. I'm not a doc,, so take it with a grain of salt. Your A1C is higher because your blood sugars have been out of the purely normal range. Yes, it may be caused by those meds, but many people who take the meds do not have blood sugar issues. So for all practical purposes, the a1c is not "artificial", you have pre-diabetic (or diabetic, with the 6.2 a1c) numbers triggered by drugs. This may (emphasis on the "may") go away if and when the drugs stop. But it may not. In the meantime you need to work accordingly. This means fewer carbs and more exercise. Luckily for you, your numbers aren't that high, but you need to take preventative measures to ensure that it won't happen.
Sorry, but it's not like a false pregnancy test. You have diabetic numbers. The cause is kind of irrelevant unless you can stop the steroids and everything may go back to normal. The closer to normal blood sugars you can get the better. How you get there is up to you.
It really depends on what state they are in. Both CHF, and kidney failure are subjective terms. I've been told I was in "failure" with my kidney by a know-nothing resident when in fact my levels were slightly elevated and my kidney transplant was just a bit stressed due to other medical issues.. The same can be true of congestive heart failure.
The only way to know for sure what the future holds is to talk to the doctors and have things put into relative perspective for you. Sorry I cna't be more help.
I'm allergic to dietitians. They are just so often full of male-cow-excrement. They don't know anywhere as much as they think they do. The drop in a1c and in weight was extremely well done on your part. Keep up the good work. As for the threats she gave you about "all the damage", at your a1c, you are pretty much as safe as you can be (given that you have diabetes). Try not to be negative and don't let nay-sayers discourage you.View Thread
Sorry, but comparing meters to each other is a waste of good money (ie test strips). When you have lab work done, take the meters along and test when the blood is drawn and compare the results. Do this a few times and then you will know how steady and close the meter is to an actual lab value. There is always variability in a single meter, but what you want is consistency. And each meter is different. My oldest Freestyle light (the best one I've had) used to always read 2 - 3% higher than the lab. My "worst" one (which was a pain sometimes for dosing my insulin) ready about 12% high. My current one reads 6 - 7% higher than the lab but it has been consistent the last 5 times I compared it to the lab.
There is always some variability in meters, so it's important to figure out how good the one you are currently using is.
While I have no experience with this precise product, I think that most of us can tell you that supplements targeted towards diabetics are pretty much always a fraud successful only in emptying your wallet. I'd invest the money in some good books on diabetes - Dr. Bernstein has helped many T1s and T2s. Lower carb is the key for many along with exercise, not seaweed.
In addition to calling the doc, my response would be for you to do a bit more research. Adjusting insulin doses is not rocket science. You need to be observant (testing) and need some grade school math. I would suggest the books "Think Like a Pancreas" and "Using Insulin".