Frustrated with Diabetes Management - Page 3

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Frustrated with Diabetes Management - Page 3


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Old 09-19-2014, 13:33   #21
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Originally Posted by Toni View Post
Its possible you many need a morning dose of lantus and a nite time dose. I've seen some protocols like this. Don't throw in the towel Roxanne. I too know how frustrating it is not to know what to do. I don't really have much in the way of medical care so much of my insulin regime I've had to figure out on my own. Still learning everyday. Hugs and what ever you do don't give up!
I know to figure the Insulin Sentivity Factor and that was pretty close to the doctor's scale. I can also figure how the carb ratio from the number of units I give each day. So some things concerning giving the insulin I can do on my own. (Statiscian here in my last life). A lot of this I researched. I also know how to figure out the the correction bolus by doing the math, and not using the scale. All that being said, I still want the advice of my doctor. He is sort anal and it's 7 months wait for an Endocrinologist appt and he does get back with you and seems to care, so I would rather have my dosing problems under the advice of him.

I took half the amt of lantus that he recommended, and half at 9:30 am this am, cause I do believe my lantus in one dose only lasts about 12 hours. So we will see how this goes.

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Old 09-19-2014, 19:00   #22
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My doctor is going to love this email.

Ingredients in levothyroxine:

Inactive Ingredients: acacia, confectioner's sugar (contains corn starch), lactose monohydrate, magnesium stearate, povidone, and talc. The following are the color additives by tablet strength:

i recognize at least two sugars.
Yep, my doctor is right. Second ingredient "confectioner's SUGAR" and of course the lactose monohydrate. No wonder your blood sugar is rising in the morning. Good luck and start taking it at night like I do. Try to get Synthroid which has fewer "fillers."

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Other meds: synthroid (no thyroid due to cancer); verapamil, losartan, water pill, standard eye drops for glaucoma.
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Old 09-19-2014, 23:15   #23
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Yep, my doctor is right. Second ingredient "confectioner's SUGAR" and of course the lactose monohydrate. No wonder your blood sugar is rising in the morning. Good luck and start taking it at night like I do. Try to get Synthroid which has fewer "fillers."

So taking it at night is better?

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Old 09-20-2014, 17:02   #24
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Okay 3 days in from making changes to the insulin regimen. This surely is a roller coaster for sure. Blood sugar ranges anywhere from 113 to 180. No lows, not where I want to me, but it beats 300.

No diabetes meds but insulin.

So most of the high numbers are in the am, between when I wake up and when I eat lunch. No amt of humalog brings down the am before breakfast. If it works it's going to come down after 4 hours, just for eggs and bacon, and coffee. I bought decaf this am, will try that tommorrow.

I have divided the doses of Lantus between 8U at 9:30 pm, and 8U at 9:30 am. I did go around the block this am, and that brought my blood sugars down 20 points. So before lunch it's at 113. Gave myself 10U of humalog which makes no sense for the amt of carbs I'm eating.

So my guess it the basal dosing needs upping, will that at 9U in 9:30 pm, and maybe keep the am dose the same. Been 3 months in and every little change in meds or whatever brings on the high sugars. LOL when the need to prick your fingers and test stop.

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Old 09-20-2014, 18:05   #25
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So taking it at night is better?
It is worth a try. At night, alone, on an empty stomach. Drink a full glass of water with it.

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A1c 12/30/12 6.0
A1c 6/24/13 5.5 !!
A1c 6/18/15 6.0
A1C 2/25/16 5.8

Meds: Metformin 1000mm/2 times a day
71 years old
Other meds: synthroid (no thyroid due to cancer); verapamil, losartan, water pill, standard eye drops for glaucoma.
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