Thinking about Insulin

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Thinking about Insulin


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Old 03-08-2017, 18:11   #1
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Default Thinking about Insulin

Can someone help me on how high fasting blood glucose numbers should be before a basal insulin comes into the picture? My fasting number averages out to 130. How high does it have to be to cause damage. Jenny Ruhl if I am correct on this that anything below a 140 is fine.

Please help,
Thanks,
Sal

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Old 03-08-2017, 18:45   #2
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Look at it this way: You get up in the morning after a 12-hour fast and your FBG is 139mg/dL. You have a shower, get dressed, go downstairs and make breakfast. Breakfast consists of a glass of water and lick off a piece of celery.

You don't wanna go over 140mg/dL, right? Jenny would be proud.

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Old 03-08-2017, 19:52   #3
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A person has to make the decision to use basal insulin based on the best information they can obtain, and the knowledge of their own body.

You could do a trial period, which might ease your mind about it.

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Old 03-09-2017, 01:18   #4
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Several things to look at. Are you already taking metformin? Is that giving you problems? If it is giving you problems, have you tried the extended release? How are your numbers at other times of the day? What is your overall A1c?

Insulin is great if metformin isn't working for you, but it is also frustrating as heck and expensive as heck and inconvenient as heck. But, about 1/3 of people who take metformin develop intolerable side effects, so it's good that insulin is a good alternative.

My suggestion is to first do a trial by meter where you list exact quantities of food and test before and 2 hours later all day long for a couple of days. See if you can tease out what could be causing your number to be high in the morning. For about 2 years, just having a small, high fiber cracker with cheese before bed worked for me. While my morning number wasn't normal (non-diabetic), it stayed in the 97-115 range for 2 years.

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Old 03-09-2017, 13:32   #5
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Thank you, Some clarification my a1c is 5.9 and my 2 hour post meal numbers are 130's on average. My morning numbers range from 120 to 140. so I would say on average 130's. I am on 2000 mg metformin with not complications. So I think I am fine except for my morning numbers.

Thank you again for the help.
Sal

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Old 03-09-2017, 15:11   #6
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Default Levemir Dosing Help

I realize that it is impossible to determine how much a unit of levemir will lower your bg because we are all different but what is a good average to go by. I read in Bersteins book one unit of levemir will lower bg 40 mg/dl. Is this a good estimate? Those of you who use levemir can you please help. Would you know what the average drop is?

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Old 03-09-2017, 15:53   #7
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Have you considered taking Lantus or other slow acting insulin? This is a once a day injection and you can adjust the number of units yourself, provided you do it slowly over a period of weeks. My doctor moved me to Lantus before considering any fast acting insulin. That was over 5 years ago, and I still do not need any added help.

I think many diabetics think they can eat carbs, as long as they take the proper amount of insulin to offset it before the meal. I think this is not a healthy approach. For me learning to eat low carb to manage my disease, coupled with Metformin and Lantus (which I can adjust if need be)....it so much safer. Taking Lantus has a very low possibility of dropping your BS to low or to fast, as long as you follow protocol when increasing dosage.

With fast acting insulin, you can easily make and error and cause a crash in you BS....can be dangerous! I am sure at some point I may need to use this insulin, but I will avoid that as long as I can.....

That's my $0.02 worth....

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Old 03-09-2017, 16:06   #8
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I love my insulin. I fought against using it for too long, and did a bunch of things to avoid taking it. Now that I'm on it, I wish I had just tried it as soon as I wondered if insulin would help.

It makes me feel better knowing that I never need to suffer through high blood sugar without anything to do about it. Having access to insulin doesn't mean you have to use it forever, at at the same amount. It just means that you have one more tool in your toolbelt to deal with your diabetes.

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Old 03-09-2017, 16:19   #9
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Levemir (and all basal insulins) don't work like that. They aren't intended to lower your blood sugar at all in fact. Basal insulin works by preventing your blood sugar from rising in-between meals and overnight. When blood sugar is already high, fast acting insulin (bolus) is used to correct it, and is also used before meals.

Instead of jumping into insulin dosing instructions (which we cannot do here!), let's step back and figure out what it is you are trying to accomplish? Seems like you have a couple threads open about basically the same topic. I'm going to merge them together so it's less confusing.

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Old 03-10-2017, 04:00   #10
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Another unknown is what is your blood sugar doing at night and at what time? What are you going to bed with? What is it at about 2 a.m. ? Do you often wake up at night? If so, have you tried a small snack at that time and then tested in the a.m.? Long fasts are a real problem for a lot of diabetics because the liver just starts dumping sugar. Shortening that to 6-8 hours may help.

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