When is it ER time?

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When is it ER time?


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Old 11-11-2011, 19:49   #1
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Default When is it ER time?

I was telling my sister that my glucose level was at 445 the other night. She said I should have went to the hospital. What do you think? She works at a group home for older women and when her consumers get that high they have to take them to the hospital for treatment. I was just a little tired and my vision was blurry. I laid down and when I woke up for work the next morning it had went down to 225. Im not sure what level I should step back and let the ER bring my levels down. What do you think is the appropriate level is to go the ER? I have no insurance at my job so Im very cautious about making a trip for something I could have done at home. I am already seeing a low income doctor that adjust payments for people with diabetes. Im type 2 and am on Metformin 500mg twice a day.

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Old 11-11-2011, 20:00   #2
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I am not a health professional and I am type 1, so the guidelines may be different. However with a BG of 445 I would have gone to the ER. I can respect the fact that you have no insurance, but this is your life we're discussing. The high BG numbers can have a significant impact on your future life with diabetes. The higher BG can increase your chances of having diabetic complications with your heart, kidneys, liver etc.

Have you contacted your doctor about your high BG? When you have high BG numbers and are undecided what to do about it - at least drink a lot of water. This link may help explain it: Drinking Water May Cut Risk of High Blood Sugar

Please don't ignore this problem as it can become very serious.

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Old 11-11-2011, 20:11   #3
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as a fellow Type 2, i have to ask "what are you eating?" 445 is about four times as high as it should be at any time

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A1C: 1/2010: 7.8 ; 6/2010: 4.7 ; 9/2010: 5.1 ; 12/2010: 5.2 ; 4/2011: 5.3 ; 9/2011: 5.3

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I am sometimes too "harsh". I feel that sometimes one must be "harsh" to get the point across.
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Old 11-11-2011, 20:41   #4
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MY doc had me admitted when mine was that high, but I showed "large ketones" in my urine.

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Old 11-11-2011, 20:48   #5
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I think you need to ask your doctor that question. I would also ask him about adding insulin to your management. 1000 mg of metformin is nothing. I have to take twice that amount to manage my bgs. Even then I will get an occassional spike above 140 and I freak out. My son went to the ER last year with the Swine Flu. His 15 minute visit cost them almost $2000. Since they have $2500 deductible insurance they had to pay the entire bill. So cost is an issue. If your bgs are routinely above 200 you need different meds or insulin ASAP. Also what is your diet like?

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Old 11-11-2011, 21:15   #6
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I eat out the machine at work. My levels have been over 200 for the longest. My doctor said she will evaluate my med when I go back the week of Thanksgiving and see if it needs changing. The metformin is making me sick.

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Old 11-11-2011, 21:20   #7
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i think it's time for you to reduce your carb intake to zero and see if that helps your numbers

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SWM/42/NY
DxT2: 1/26/2010: 6'2" 268lbs. A1C 7.8, FBG 266
A1C: 1/2010: 7.8 ; 6/2010: 4.7 ; 9/2010: 5.1 ; 12/2010: 5.2 ; 4/2011: 5.3 ; 9/2011: 5.3

Completely Off Medication December, 2010.

9/2011 Lab Work Results (4/2011 in parenthesis)
A1C: 5.3 (5.3)
Cholesterol: HDL 134 (133) LDL: 53 (53)
Triglycerides: 29 (30)
Current Weight: 195

I am sometimes too "harsh". I feel that sometimes one must be "harsh" to get the point across.
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Old 11-11-2011, 21:42   #8
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Okay. I also think it is time I research the Internet for the right cookbook for diabetics. If anyone has tried any of these books let me know if they really work for diabetics.

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Old 11-11-2011, 22:10   #9
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Dana Carpender's books are terrific.

Diabetic cookbooks, not so much.

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Old 11-11-2011, 22:13   #10
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In my first year of diabetes I made the mistake of buying "Diabetic Cookbooks". My advice is Don't. You don't need a special cookbook, you just need to read labels. Do you have a carb counting book. Mine is a small paperback that gives the carb count of every food on earth. It will also give you the carb count of a number of chain fast food restaurants. I always take it with me when I travel. You also need to figure out how carbs affect your bgs. For me I know that 1 carb raises my bgs 1-3 points. So a 30 carb meal would raise me 30-90 points. So from tons of testing I figure the foods that spike me on the low side and rarely eat more than 15 carbs at a time. As a diabetic eating out of a vending machine is probably not a great idea. Bringing your own lunch is probably the best idea. Any meat, cheeses, hard boiled eggs, raw veggies, salads, dill pickles, leftovers from dinner or low carb soups are good ideas. You can find lower carb bread and wraps to make sandwiches. I would start cutting the carbs right now, and don't wait until your doctors visit. Are you on the Extended version of metformin, it is gentler on the stomach. Also you probably need a much larger dose. I take 2550 mg. But you may need some additional meds or a long acting insulin.

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low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
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