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Old 04-22-2010, 05:07   #1
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Hi everyone....Greetings from Alabama. I hope someone can offer some advice. I started on Lantus Solostar about 3 months ago ( in addition to Metformin 1000 mg twice daily). I started on a very low dose, 10 units at night. Now I am up to 10 units in the a.m. and 16 units in the p.m.. My concern is that my daily readings have done nothing but go up. None of my readings are under 200 now, they range anywhere from 200 to 300. Am I right to be concerned? Thanks in advance for any advice.

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Old 04-22-2010, 05:46   #2
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Hi everyone....Greetings from Alabama. I hope someone can offer some advice. I started on Lantus Solostar about 3 months ago ( in addition to Metformin 1000 mg twice daily). I started on a very low dose, 10 units at night. Now I am up to 10 units in the a.m. and 16 units in the p.m.. My concern is that my daily readings have done nothing but go up. None of my readings are under 200 now, they range anywhere from 200 to 300. Am I right to be concerned? Thanks in advance for any advice.
Yes, you are right to be concerned. Do you see an endocrinologist? What is your medical team telling you to do in terms of managing your diabetes? Have you seen a diabetes educator for advice on diet and carb counting? What kind of diet are you following? Low carb is going to be the best way for you to go. Give us a few more details and I am sure you will get lots of good advice! When do you see your doctor again? You may need more insulin also.

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Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
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Old 04-22-2010, 18:53   #3
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Originally Posted by MinisMom View Post
Hi everyone....Greetings from Alabama. I hope someone can offer some advice. I started on Lantus Solostar about 3 months ago ( in addition to Metformin 1000 mg twice daily). I started on a very low dose, 10 units at night. Now I am up to 10 units in the a.m. and 16 units in the p.m.. My concern is that my daily readings have done nothing but go up. None of my readings are under 200 now, they range anywhere from 200 to 300. Am I right to be concerned? Thanks in advance for any advice.
Yes, you have the right to be concerned. When my numbers didn't change, I asked my doctor to add more insulin or another pill. He added another pill and gave me the go ahead to increase my Lantus 2 units every 3 nights until my fasting blood sugar was 120. It took a few months but I did reach my goal. I would make an appointment to see your doctor, your readings are too high and I can't imagine a doctor wanting you to continue this way. I am not sure what your carb range goal is, but you might want to stay at about 35 grams per meal. I can't eat any carbs without my blood sugar going high, so I take Novolog at meal time, this helps.

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Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
A1C/5.5% June 1, 2010
A1C/5.2% October 6, 2010
A1C/5.0% February 7, 2011
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