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Old 04-12-2012, 19:45   #1
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Default Here We Go AGAIN!

All right gang, I am getting worn out from these ups and downs! Well, not so much downs lately. My bg's are back up, for no good reason, other than the hormonal imbalance and anxiety level again. I cannot figure out what else it can be. I've been diligent with staying away from the starchy carbs, even the carby veggies. I've been eating pecans and walnuts because they were showing kinder to my meter than almonds. But lately even the pecans and walnuts are now spiking me! My morning bg's are consistently over 200 again, and this with not eating past 9:00 p.m. It does not help if I take more basal at night. And of course the morning number just keeps rising, even after taking a basal shot of insulin upon rising, until I take a bolus to stop it and begin its decent down. Unfortunately the lowest it seems to be going is 160-170. And I've noticed when I get to the 170-180's I get shaky and trembly.

I just emailed the diabetologist to let her know what is going on and to tell her that I cannot get in to see her until June 12th! That was the soonest they had availability for her. I do have an appointment on the 26th of this month with my cardio doc, so she said she will see me then.

I'm so aggravated, frustrated, depressed, angry, confused...you name it. I'm there. I've been incorporating more CO, avacadoes, cheese, animal fat in my diet as well. Am I getting so resistant to insulin that my body just won't respond anymore to it?

I have no clue how to help insulin sensitivity. I hate perimenopause and being a woman right about now! I can handle the other stuff it throws at me, but messing with bg's and causing all this havoc isn't one of them.

HELP!

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Old 04-12-2012, 19:54   #2
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Something similar happened to me a few months after diagnosis. Had to bolus for everything, even scrambled eggs in butter!

After reading a whole lot of Forum posts, I decided to raise my basal insulin ... for me, 1u more made all the difference.

When winter came on, I had to add 1u more. But this time, I knew what to do right away. (If it seems you're already taking a lot ... I understand we Type 2s and insulin-resistant Type 1s often need a fairly large amount of basal, just to overcome that resistance.)

I was prepared to up my basal by 1u every 3 days or so until it worked.

Hope you can find answers ASAP!

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A1C 13.5 -> 6.7 ->5.4 (1/31/14)
MEDS:
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MAGIC POTIONS:
Biotin --10,000mcg (for hair health)
B-complex
One-A-Day Women's 50+ Advantage
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Old 04-12-2012, 21:59   #3
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I forgot do you take metformin for your insulin resistance? IR can play havoc with bgs as well as hormones. I wonder if there is some other type of inflammation going on that is signaling your liver to dump glucose. I know when I was on statins I had so much inflammation it shot my bgs up to low to mid 200's most of the day. Have you ever done and hour by hour basal test to see when you tend to spike most. Maybe you could borrow a CMG from the Endos office for a week or so to chart this. Something definitely is going on.

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Old 04-13-2012, 02:53   #4
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Well, Jeanne, I am going to ask the cardio doc about getting off the statin because my cholesterol is down to 136...I think that would be fair to try. I've been on statin drugs for many years, and I've had better control of bg's even on one...so I can't really say that it is that. But, I don't know.

Shalynne, I am willing to try upping the basal, and yes I seem to be bolusing for everything anymore! And my bolus amounts seem to be increasing and I'm not getting better results with lower bg's. That is what is so frustrating! I don't want to use too much because then I'll just gain more weight and that will help nothing. If I were getting better numbers then it would seem right now my body just requires it for whatever reason. But, as I said above, my numbers don't seem to be dropping any lower than 160-170's no matter how much insulin I'm using. I also need to be careful with how much basal I'm using until I see the endo doc because I'm up to 65 total units of basal a day (30 at night and 35 in the morning). I'm going through flexpens quicker than the 30 days for the prescription. I am going to have to ask her to rewrite the script so I have more on hand for the month. I certainly don't want to pay for that out of pocket! I'm also going to ask her to up the testing strips to 4-5 times a day rather than the 2-3 that are prescribed right now. The original prescription for test strips was through my PCP, so considering I'm on insulin now, I need to be able to test a few more times per day. At least before each meal, and in the morning and before bed.

I cannot wait to get through this bull**** called perimenopause/menopause or whatever it is! I just want to be able to control my blood sugar and have a healthy long life! I really don't think I'm asking all that much, or am I?

Thanks for suggestions though. I know that when I was taking more than 30 units of basal at night my numbers were no better in the morning. Once I lowered to 30 units, it seemed to be getting better and then boom! There you go again!

Well, for now I will have to put up with whatever is going on in this aging body of mine until I see the docs. And trust me, they are not getting away from me until I get some answers ! I need help and they better get on board. Even though I know they will. I'm just mad right now! So mad I thought about eating a roll, but then thought twice and left it alone. Had a salad instead.

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**Renee***

Metformin - 2000 mg daily
Humulog - on a PING Pump now...
Zoloft - 100 mg
Milk Thistle
Alpha Lipoic Acid
Biotin
GTF Chromium
Fish Oil - 4 grams a day
Vitamin D3 - 5000 iu daily
81 mg aspirin daily
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Old 04-13-2012, 03:03   #5
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Quote:
Originally Posted by Shalynne View Post
Something similar happened to me a few months after diagnosis. Had to bolus for everything, even scrambled eggs in butter!

After reading a whole lot of Forum posts, I decided to raise my basal insulin ... for me, 1u more made all the difference.

When winter came on, I had to add 1u more. But this time, I knew what to do right away. (If it seems you're already taking a lot ... I understand we Type 2s and insulin-resistant Type 1s often need a fairly large amount of basal, just to overcome that resistance.)

I was prepared to up my basal by 1u every 3 days or so until it worked.

Hope you can find answers ASAP!
Shalynne, do you take your basal insulin once a day, or do you split it into two shots, one in AM and one in PM? Just curious. I found that one shot at night was not keeping me level throughout the day. That is why I split. It was working out much better, and my daytime numbers were in much better control. Not so much right now, but it was. Hoping to get back there soon.

__________________
**Renee***

Metformin - 2000 mg daily
Humulog - on a PING Pump now...
Zoloft - 100 mg
Milk Thistle
Alpha Lipoic Acid
Biotin
GTF Chromium
Fish Oil - 4 grams a day
Vitamin D3 - 5000 iu daily
81 mg aspirin daily
Probiotic
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Old 04-13-2012, 03:08   #6
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Quote:
Originally Posted by jwags View Post
I forgot do you take metformin for your insulin resistance? IR can play havoc with bgs as well as hormones. I wonder if there is some other type of inflammation going on that is signaling your liver to dump glucose. I know when I was on statins I had so much inflammation it shot my bgs up to low to mid 200's most of the day. Have you ever done and hour by hour basal test to see when you tend to spike most. Maybe you could borrow a CMG from the Endos office for a week or so to chart this. Something definitely is going on.
Yes Jeanne, I do take metformin, 2000 mg a day. I typically take it with my evening meal, or around 9:00 p.m. in hopes it would help lower the liver response in the early hours of the morning. I am also going to ask the doc to up that to 2550. At the time I was put on 2000, again with PCP and not specialist, I was told it was the highest dose. Then I saw many here, including you, that take higher dose. So I plan on discussing this as well. I've been on Metformin for a long time as well. Perhaps an upped dose will help at this point. Maybe my body is becoming immune to it. I was also going to discuss the CGM with the endo to see when I am spiking. I also have on my list to ask about insulin pump to see if that helps. I'll do what it takes at this point because I can't believe that what I am eating is causing these higher numbers. I am not in denial about my eating either. I basically have been eating very little lately because I don't know what else to do. I'm to the point where I am afraid to eat anything, and yet I know that causes its own set of problems for a diabetic.

Hoping to get answers soon. I'll just stick to the plan for now, and grimace every time I have to test my bg's.

__________________
**Renee***

Metformin - 2000 mg daily
Humulog - on a PING Pump now...
Zoloft - 100 mg
Milk Thistle
Alpha Lipoic Acid
Biotin
GTF Chromium
Fish Oil - 4 grams a day
Vitamin D3 - 5000 iu daily
81 mg aspirin daily
Probiotic
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Old 04-13-2012, 03:32   #7
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Quote:
Originally Posted by naynay View Post
Shalynne, do you take your basal insulin once a day, or do you split it into two shots, one in AM and one in PM? Just curious. I found that one shot at night was not keeping me level throughout the day. That is why I split. It was working out much better, and my daytime numbers were in much better control. Not so much right now, but it was. Hoping to get back there soon.
I split it in 2 doses, approximately 12 hours apart. Right now, it's the same amount per dose -- in my case 16u each, for a total of 32u. My first problem was sharp midday spikes, so I raised the morning dose. When I started to get high fastings again, I raised the evening dose.

(So far, it's always spikes, not lows.)

__________________
DX'd April Fool's Day, 2011 - T2
Female, 58, 5'7", 150 lbs.
A1C 13.5 -> 6.7 ->5.4 (1/31/14)
MEDS:
Humulin-N (basal) - Humalog (rapid bolus)
MAGIC POTIONS:
Biotin --10,000mcg (for hair health)
B-complex
One-A-Day Women's 50+ Advantage
KyoDophilus (pro-biotic)
LIFE SUPPORT:
Black Coffee - Unsweetened Iced Tea
Low-Carb, High-Fat Convert
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Old 04-13-2012, 03:38   #8
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naynay -

When you split your basal insulin, do you split it 50/50 or some other percentage? When I was on MDI, I had to split my basal insulin 30/70 as I was much more insulin resistant in the evening.

My other question - have you ever considered getting an insulin pump? It is much easier to adjust basal and bolus rates on a pump rather than a syringe or pen. Just a thought....

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Old 04-13-2012, 03:49   #9
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Quote:
Originally Posted by Shalynne

I split it in 2 doses, approximately 12 hours apart. Right now, it's the same amount per dose -- in my case 16u each, for a total of 32u. My first problem was sharp midday spikes, so I raised the morning dose. When I started to get high fastings again, I raised the evening dose.

(So far, it's always spikes, not lows.)
Here's an idea that works for me. I use Lantus as my basal insulin split into two doses. My large dose, 25u, at bedtime and what I call the "top off" of 10u with breakfast. Probably similar to your dosing times. But instead of equal times apart, the time between my night and morning injections is 8-9 hours depending on when I go to bed. Until I did my mixup a couple weeks ago my FBG was steadily 80-95 with occasional higher and higher.

I did this at the suggestion of my PCP and it seemed to balance me out for the day as well.

Just something to consider if you haven't tried it yet.

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Old 04-13-2012, 04:28   #10
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Thanks David, that is about how I take my 2 doses now. I usually take my evening dose around midnight or so. I then take my morning dose around 9:00-9:30 a.m. This was working better for me, but again, just having a difficult time right now. I saw on another thread some other insulin users having a difficult time right now. Perhaps it is just mother nature causing havoc with us diabetics.

Strawberry, yes I am going to address the insulin pump thing with the diabetologist when I see her later this month. I also want to try a CGM to see what is going on with my numbers throughout the day.

Well gang, my eyes are getting tired and I need to get ready for bed. Thank God tomorrow is Friday! Leaving Saturday to go see my daughter at college and see her perform in their Orchestra. She plays the violin and has been playing since she was 8 or 9 years old. Always a pleasure going to the Orchestra Concerts. Looking forward to just getting away for a day or two and doing nothing!

Hugs...talk to you guys later.

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Metformin - 2000 mg daily
Humulog - on a PING Pump now...
Zoloft - 100 mg
Milk Thistle
Alpha Lipoic Acid
Biotin
GTF Chromium
Fish Oil - 4 grams a day
Vitamin D3 - 5000 iu daily
81 mg aspirin daily
Probiotic
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