I need help

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I need help


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Old 06-20-2017, 03:03   #1
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Unhappy I need help

I could use some help and feedback from my fellow afflicted lol.

So after I was diagnosed, my doctor put me on long acting insulin. That didn't seem to help so he put me on Metformin and quick acting insulin (tried Humalog and Novolog). Well, as you can probably guess, I gained a ton of weight and became even more insulin resistant. I've gained 25 pounds and an so resistant that I'm up to 100-200 units of Novolog per day.

I've tried to eat right and exercise, but I still need to take insulin or my blood sugar will go up to 300-400 from eating even normal "healthy" foods. Because I keep having to take insulin I keep gaining weight or the weight I have won't go away because as we all know, insulin fuels weight gain. I tried low carb and the keto diet, which worked wonders for my numbers, but my lifestyle is such that its hard to maintain that diet. My wife and I work opposite shifts and we juggle our two kids (both under 7). Eating a strict low carb diet is very hard long term.

At the end of the day, I'm gaining more weight, can't lose the extra weight that I have, and I've lost motivation to keep working out because even after cutting calories and spending time in the gym I still can't get rid of any weight. I know I'm not losing fat because I've had my body composition done and the fat isn't going anywhere.

I'm at my wits end.

Any help would be appreciated, thanks.

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Old 06-20-2017, 05:02   #2
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I am sorry to hear that you are going through this challenge.

Although it sounds like you already know this, the one thing that can make the biggest difference for you is living a LCHF lifestyle, but it doesn't have to be complicated. It really comes down to being creative to find simple ways to work it into your lifestyle.

My first recommendation is to watch this video.


When you are done with that, watch it again, because for some reason, we seem to get more out of it the second time. (It took several times for me!)

My second recommendation is to start finding out how simple living the LCHF lifestyle can be, no matter how busy you are, there are ways to make it work.

http://www.diabetesforum.com/diabete...ed-boring.html

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Old 06-20-2017, 12:09   #3
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I highly recommend the video that Cricket posted. It will give you the real insight into this disease...

The enemy is carbohydrates.

You will need to try to cut the carbs out of your diet as much as possible. I have been ketotarian for over a year now and I havent looked back. I lost 95 pounds and in 5 weeks lowered my blood sugar from 396 to 75 without any medication. I am medication free.

it sounds like you need to plan ahead for your lifestyle to keep your carbs low. Make food for the week and refrigerate or freeze them. There are tons of choices in our recipe area for a VLC/HF lifestyle.

Low carb does not need to be that hard. Breakfast can be eggs, sausage, cheese, bacon, etc

Lunch can be salads with tuna fish (full fat mayo), Egg salad, spinach, bacon, Hard boiled eggs, grilled chicken , blue cheese or shredded cheese, etc. If you need to go to fast food you can eat the burgers without the buns (some of them give you a lettuce wrap), Jimmy Johns 'Unwich' is the BEST!!!

Dinner can be any protein like steak, hamburger, chicken, fish, turkey, etc with some veggies.

once you get a routine, its really not hard and all cravings eventually stop.

take a deep breath, please know that many of us have been where you are.

I wouldnt worry about the exercise right away but after a while you will want to exercise...

once day at a time... one meal at a time...

This is a chance to show your children how someone tackles a difficult situation and you will need their help and your wife's.

You can do this and we will be here to help you. You need to make the commitment in your head in order to do this. once you make the commitment, you will see how well it can be.


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Here are some good starting points to read

Blood Sugar 101 - VERY informative and accurate
http://www.diabetesforum.com/diabete...ng-method.html a tried and true testing method
https://www.dietdoctor.com/low-carb lists foods for LCHF

""You take the blue pill, the story ends. You wake up in your bed and believe whatever the doctors want you to believe. You take the red pill, you stay in Wonderland, and I show you how deep the rabbit hole goes." "
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Old 06-20-2017, 13:55   #4
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Welcome to the forum.

Many times when one goes on insulin one is still eating the same kind of diet. Insulin lowers blood sugar, but, as you already know, it also stores excess glucose into the fat cells. A good strategy would be to keep the excess glucose low by not providing much of the source of it - carbohydrates.

Have you read Dr. Bernstein's book, Diabetes Solutions? He has a lot of experience in treating patients on insulin (he himself is a T1). Much of his book is online at his website.

Read Online - Diabetes Solution - Dr. Bernstein's Diabetes Solution. A Complete Guide to Achieving Normal Blood Sugars. Official Web Site

If you scroll down to Chapter 7 you'll find his Laws of Small Numbers, which is very helpful for reducing the amount of insulin one needs - and in minimizing the ups and downs which call for corrections.

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Old 06-20-2017, 15:12   #5
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Thank you so much for your replies. I'll check out those resources.

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Old 06-21-2017, 01:05   #6
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Hi tacticaltimmy12, welcome to the forum. Sorry you have had such a rough go so far. But the good thing is that it can get better.

As far as your diagnosis, has your doctor tested to make sure you are not really type 1 and not type 2? Type 1.5 (LADA) is type 1 that just hits a little later in life. It is often early on misdiagnosed as type 2. There are several different tests that can be run that could confirm if you really are type 1.5.

I ask because, mainly out of my ignorance about using insulin, but it seems like you are using an awful lot of insulin. Did I understand right, you are using 100-200 units of Novolog per day? How does your doctor have you figuring out your dosages?

All of the links to resources already given by the others are well worth watching/reading, as well as the spending time researching the suggestions recommending a low carb diet. Actually it is not a diet, diets are typically thought of as temporary, but a way of living. For a diabetic, it is literally a better way of living. And so far, for me, it has been the only way to manage my diabetes. I tried managing with the ADA recommendations, I tried managing with low glycemic index eating, neither of which kept my BG in a safe range. LCHF has worked very well for 5 years now, maintaining this life style has been very sustainable since I decided I need to quit "trying" and "just do it". So I'm not going to ask you to try LCHF, I'm telling you to just do it. It will work.

I work rotating shifts, so I know how easy it can be to get off course, it took a while, but I finally figured out I can't stray far from what it takes to keep my BG in control. Like you I have kids (and grandkids now) that I want to be around for, for a long time. That is a big factor in keeping me on track.

This a great forum to learn what works for each of us in managing diabetes. What works for one may not necessarily work for others, but it may with a little tweaking and we don't mind sharing with others. If you have concerns or questions, don't hesitate to bring them out, someone here has "been there, done that".

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a1c 8.8 (8/2011) 5.2 (07/2019)
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Old 06-21-2017, 01:24   #7
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I cant say I know how you feel. I was lucky My MD gave me a meter and long insulin (Lantus) and humalog told me titrate the Lantis till my fasting was ~100.

I quickly found out by testing that it was carbohydrates that raise my BG ALL carbs even whole wheat bread raised my BG. I went low carb AND insulin and have not looked back... except for FF and potato chips. I miss them. So insulin is NOT a license to eat carbs. Carbs AND insulin = weight gain.

I eat under 50 GR of carbs a day AND use ~50 IU of insulin.

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Old 06-21-2017, 15:34   #8
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Welcome....my wife and I are now retired, but we raised three kids and I still remember how hard it was to keep body and mind together when the kids were growing up. Thank God, my diabetes did not hit me until after all the kids had grown and set out on their own.

I just wanted to welcome you and comment that following the protocols of living Low Carb High Fat saved my life. After years of struggling with my type 2 diabetes my blood sugars just kept climbing. I was starting to have problem with my feet burning and I could not stop the progression of my disease. Once you recognize that this disease will kill you if you do not get control of your Blood Sugars 24/7, changing gets easier! That motivation made my transition easy.

When I found this website forum and read through all the information and did lots of added research on line, I decided I had to try this. It saved my life....my A1c as not been over 6.2 since I started and has been as low as 5.8! I dropped 50lbs and all of my other health issue, like blood pressure have been really great. I have been able to cut way back on my Lantus and only take metformin on top of that.....

As far as being overwhelmed, I recall what that was like but if you really dig into our recipes you will find that many of them are something the whole family can eat and preparation on many items is easy.

You also can eat fast food too, e.g. any hamburger or hotdog with no catsup, I like mustard, and don't eat the buns. Kentucky Fried Chicken, has Baked Chicken order it with green beans, if you look most restaurants have food that easily can fit into a low carb high fat model....

It is more about developing a new set of menu items that work for your life style. That was the hard part for me.....but once I realized how many resources are out there it got a lot easier for us....

Good luck

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Last edited by div2live; 06-21-2017 at 15:38.
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Old 06-21-2017, 16:00   #9
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Quote:
Originally Posted by mbuster View Post
As far as your diagnosis, has your doctor tested to make sure you are not really type 1 and not type 2? Type 1.5 (LADA) is type 1 that just hits a little later in life. It is often early on misdiagnosed as type 2. There are several different tests that can be run that could confirm if you really are type 1.5.

I ask because, mainly out of my ignorance about using insulin, but it seems like you are using an awful lot of insulin. Did I understand right, you are using 100-200 units of Novolog per day? How does your doctor have you figuring out your dosages?
I was thinking the same thing about really being type 1, but my doctor did a blood test and determined that I'm still type 2. That was a year ago though so it may have changed. I'm going to request a new test on my next visit.
I am on a very high dosage of insulin. I feel it's way too high, but nothing lower can seem to get my blood glucose level to drop. Even with the crazy dosage of metformin that he has me on its still almost not enough. I'm worried because eventually I'm going to adapt and need more insulin.
As for now he has me figuring out my dosage, he doesn't have me on a sliding scale or anything. He just had me gradually increase my dosage until we found a dosage that causes my blood sugar to go down.

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Old 06-21-2017, 16:48   #10
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What timing did your doctor tell you to use when testing your blood sugars while taking fast acting insulin?

I do know that taking 'to much' insulin prior to a meal can put you into a dangerously low blood sugar, so testing and timing are important!

On the metformin it is 'slow' acting and many of us are on the max dosage....

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