losing control?

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losing control?


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Old 04-04-2016, 19:13   #1
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Default losing control?

I seem to be losing control
and not sure what my next step should be
here's what's happening

I use rapid and lantus
lantus 50u twice daily
and up to 50u rapid a day
ive been on them for nearly a year
and my numbers now range from 160-250 after meals
fasting over 144

ive been titrating the lantus since I began
and still wake up over 144 (rarely 126) despite trying
everything ive ever learned to make it better
I'm beginning to think I may as well just choose a dose and
just use it because it doesn't seem to making much difference yet

i tried the testing method described in blood sugar 101
but soon stopped because it seemed like i was getting such a short list of what i could eat and fall within the 140 that it was scary to continue

are there other basal insulins that can still be used with rapid
should i keep going up on my lantus dose
should i try testing a lot again and see if i have
anything that will keep me within 140
my goals are to wake up with 72-90
and never go any higher than the 140 at any time

a meal example
1 cup cottage cheese (14g carbs) put me at 161
using 4 u rapid

not sure where to go from here

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Old 04-04-2016, 19:32   #2
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Quote:
Originally Posted by pctm View Post
a meal example
1 cup cottage cheese (14g carbs) put me at 161
using 4 u rapid
You're using a lot of insulin, and my first question is: what is your diet like? How many carbs are you eating per day?

I used to love cottage cheese, but it's not something I can eat any longer. Your one cup delivered half the carbs many here eat in a day. What's important, is to view that cottage cheese in context with the rest of your diet.

What is a typical day's diet?

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Dx'ed Feb 2011 w/ BS > 600
A1C: . . . . . . . . . . . . . . . Other Stuff
2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds, No statin
2/24/16 .... basal/bolus insulin 2-3 days/wk due to steroids

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Old 04-04-2016, 19:53   #3
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Quote:
Originally Posted by moon View Post
You're using a lot of insulin, and my first question is: what is your diet like? How many carbs are you eating per day?

I used to love cottage cheese, but it's not something I can eat any longer. Your one cup delivered half the carbs many here eat in a day. What's important, is to view that cottage cheese in context with the rest of your diet.

What is a typical day's diet?
typical now is whatever i can buy for 1-3 dollars a meal
i tried lower carb but didn't have the funds for
a whole month to eat this way
so sadly now my meals are higher carb
pea soup, kd, oatmeal(recommended by the cde i saw)
some eggs and peameal bacon and bacon if all on sales
cottage cheese, nuts
but saying that i still needed rapid with just eggs

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Old 04-04-2016, 20:14   #4
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We have pinpointed the problem: carbs. The goal now is to figure out how to eat on your budget. What would you say your average daily food budget could be? $7 maybe?

You need rapid for just eggs because of the overall picture. Once you get your blood glucose under control, and those eggs are in context, you'll see your ratio change dramatically.

What is 'kd'? What your diabetes educator told you isn't working, and oatmeal does not work for diabetics. It doesn't. Pea soup would send my blood glucose soaring.

When you allow more healthy fat into your diet, it takes the place of a lot of other calories. The cheapest I ever ate was when I was keeping as much fat in my diet as possible, and expensive fats like coconut oil and macadamia nuts! Last week I made this Breakfast Casserole and cut it into 9 generous portions which I froze. Had one this morning! You can easily make it for <$25 and can vary the ingredients based on what you like, what's on sale, etc. to get it down to an average $2/meal.

Your success depends on shifting your focus to how to get your blood sugar down, and the way to do that is via reduced carbs not more insulin. It's time to get creative with the carbs/budget issue - and I'm sure other members will be along with more help and ideas.

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Dx'ed Feb 2011 w/ BS > 600
A1C: . . . . . . . . . . . . . . . Other Stuff
2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds, No statin
2/24/16 .... basal/bolus insulin 2-3 days/wk due to steroids

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Old 04-04-2016, 21:57   #5
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I found a couple old threads that discuss eating LCHF on a budget. You might find some of the suggestions helpful.

http://www.diabetesforum.com/diabete...ht-budget.html

http://www.diabetesforum.com/introdu...food-diet.html some helpful links here, also

Making a switch to a different way of eating doesn't happen overnight. But with some study and planning, you should be able to do it.

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Eat LCHF to control BG
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https://www.pinterest.com/VRStudio1/...light-recipes/
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Old 04-05-2016, 00:33   #6
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Quote:
Originally Posted by moon View Post
We have pinpointed the problem: carbs. The goal now is to figure out how to eat on your budget. What would you say your average daily food budget could be? $7 maybe?

You need rapid for just eggs because of the overall picture. Once you get your blood glucose under control, and those eggs are in context, you'll see your ratio change dramatically.

What is 'kd'? What your diabetes educator told you isn't working, and oatmeal does not work for diabetics. It doesn't. Pea soup would send my blood glucose soaring.

When you allow more healthy fat into your diet, it takes the place of a lot of other calories. The cheapest I ever ate was when I was keeping as much fat in my diet as possible, and expensive fats like coconut oil and macadamia nuts! Last week I made this Breakfast Casserole and cut it into 9 generous portions which I froze. Had one this morning! You can easily make it for <$25 and can vary the ingredients based on what you like, what's on sale, etc. to get it down to an average $2/meal.

Your success depends on shifting your focus to how to get your blood sugar down, and the way to do that is via reduced carbs not more insulin. It's time to get creative with the carbs/budget issue - and I'm sure other members will be along with more help and ideas.
yes 7 is a good guess
sometimes as high as $10/day for food
kd is kraft dinner- boxed macaroni and cheese

when the dietician knew I was eating low carb she recommended
more carbs and I was at an a1c of 6%
now I have seemingly lost complete control
not totally blaming her as budget comes into play too
but I shouldn't have tried to fix something that was already
working and I cant understand why they want to either
so it feels now as though i'm starting over again

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Old 04-05-2016, 00:44   #7
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If it makes you feel any better, the advice you were given is essentially what we all got.

When I brought my A1c down from 14.7 to 6.something very quickly, I saw a diabetes educator who said, 'How did you do that?!' I told her: slashed carbs. When I told her how many I was eating, she said had to eat more. 'Why would I want to do that?' I asked. She didn't have a good answer, beyond telling me I needed carbs. Well sure, and I get them from vegetables and nuts.

'Starting all over' implies a long process, but really, you will get very quick results if you cut the carbs. Boxed macaroni is a bit like main-lining ... not a good idea. I understand the CDE was trying to be sensitive to your budget and circumstances, but the reality is, they aren't in a position to offer very creative low-carb advice since they don't advocate that in general.

Are you getting your insulin for free? If you have any co-pay, the good news is, once you start bringing your bg down, your insulin needs will decrease significantly, and so will any financial outlay (which you can shift to food choices.)

As you reduce carbs, please keep a very close eye on your numbers because you will need to reduce your insulin to keep from going low.

Are you getting adequate test strips?

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Dx'ed Feb 2011 w/ BS > 600
A1C: . . . . . . . . . . . . . . . Other Stuff
2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds, No statin
2/24/16 .... basal/bolus insulin 2-3 days/wk due to steroids

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Old 04-05-2016, 00:58   #8
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Quote:
Originally Posted by moon View Post
If it makes you feel any better, the advice you were given is essentially what we all got.

When I brought my A1c down from 14.7 to 6.something very quickly, I saw a diabetes educator who said, 'How did you do that?!' I told her: slashed carbs. When I told her how many I was eating, she said had to eat more. 'Why would I want to do that?' I asked. She didn't have a good answer, beyond telling me I needed carbs. Well sure, and I get them from vegetables and nuts.

'Starting all over' implies a long process, but really, you will get very quick results if you cut the carbs. Boxed macaroni is a bit like main-lining ... not a good idea. I understand the CDE was trying to be sensitive to your budget and circumstances, but the reality is, they aren't in a position to offer very creative low-carb advice since they don't advocate that in general.

Are you getting your insulin for free? If you have any co-pay, the good news is, once you start bringing your bg down, your insulin needs will decrease significantly, and so will any financial outlay (which you can shift to food choices.)

As you reduce carbs, please keep a very close eye on your numbers because you will need to reduce your insulin to keep from going low.

Are you getting adequate test strips?
im very fortunate to get my insulin free with no limits so far

I can get 3000 test strips a year using insulin but
I have been questioned by the pharmacy for getting
2 boxes a month (200 strips) which doesn't make sense when
they can bill for 3000 (30 boxes) a year
so I just ignore them now and after the second time
of being questioned--who has you doing so many tests a day?
I told them who and said do I need a note to show you?
that shut them up lol
and 200 is only around 6 tests a day (pardon my math if that's incorrect)
the cde wants me to do 5 tests- when I get up, bedtime and before meals
which mean 5 because my breakfast is so far apart from when I get up
none after meals and when I asked why she said they weren't important
so if I wanted to do my own personal tests I may have a struggle
especially since the dr limits the strips to 2 boxes/month

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Old 04-05-2016, 01:02   #9
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Quote:
Originally Posted by VeeJay View Post
I found a couple old threads that discuss eating LCHF on a budget. You might find some of the suggestions helpful.

http://www.diabetesforum.com/diabete...ht-budget.html

http://www.diabetesforum.com/introdu...food-diet.html some helpful links here, also

Making a switch to a different way of eating doesn't happen overnight. But with some study and planning, you should be able to do it.
I got a few ideas thanks

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Old 04-05-2016, 01:10   #10
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maybe take it one meal at a time
it seems overwhelming

breakfast is done because a few eggs would work
maybe melt some cheese on top
snacks are easy too

its lunch and supper that are harder
I need to replace the kd and soup
something with sour cream or cream cheese?
its frequently on sale

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