MY FB using runany where from 125-291 range before meals am a type 2 diabetic and take mediform 2x aday 1000mg and levermir at night 40 units
There's no real need to include carbs in snacks or meals just because you use insulin. In fact, smaller carb loads lead to less insulin use. By carb counting instead of using the exchange concept, you match your insulin use to what you're eating - you make your meds match your lifestyle instead of the other way around. I find that my own blood sugar is best managed by eating under 20 grams of carb with meals; I concentrate on protein and fat. Do I still have lots of carbs sometimes? Yes - the Holiday gods will attest to that! But in general I choose non-starchy carbs, avoid most fruits and grains, and enjoy big salads and things like butternut or spaghetti squash or cauli-rice regularly.maybe just review the amount of carbs you eat... there should be at least one low GI choice with every meal & snack especially if you're on insulin. It's 1-2 exchanges for snacks (15g is 1 exchange) and 2-4 exchanges for main meals... maybe try the lower exchange first and see if you notice any improvement with your BGLs throughout the day. The other option is to discuss your med dosages, including insulin with your doctor as it may need adjusting.
Whoops!The problem with cutting carbs from a diet when you've been used to lots, is that it does take several days (perhaps up to ten) for the body to adjust to a fat burning system. Until that point you suffer from what my wife describes as "carb flu".
Exercise is more difficult and you do get tired quickly.
Once that period is past however, you'll (generally) find you feel more energetic that you have for years. However if you don't work it through and quit too soon, you go back to square one.
Currently, I get about 90 grams of carbs per day in a diet of 2,200 calories with all necessary vitamins and minerals and have lost 30 lbs in weight over the four months since August this year. I don't currently take any medication at all.
It does work for me but as has been said, this disease is most certainly not a "one size fits all" system (despite what the doctors say!)
My opinion too, John . . . absolutely!My own view is that the current food pyramid is designed to support American grain producers and let them sell what they produce - grain - not give us a healthy diet.
FASTING 80-100
PP 110-130
RANDOM BELOW 150
HB AI c Below 6 %
To diabetes, I am no ajnabee (stranger, foreigner) but to exogenous insulin I think I am. So, I may not be able to offer any knowledgeable advice on insulin dosage. However, I think I can comment on desirable blood sugar levels; I whole heartedly second Balaraman-ji's recommendations on blood sugar levels. Personally I try to keep my fasting BG levels below 5.5 mmol/L (99 mg/dL) and post prandial readings below 7.8 mmol/L (140 mg/dL) 1 hour after and below 6.6 mmol/L (120 mg/dL) 2 hours after major meals. I also believe it would be best for diabetics to keep their A1c below 5.5% if possible.U should use bolus insulin as well to cover your meals....i think your levels go up very high after a meal and never come down thats why u have high levels....levemir alone will not give u tight control.....
add a good fast acting insulin and get good control of your diebetes..
i had the same problem but learned from this forum and took care of this problem
Good luck
Ajnabee