Hi I'm Sigelopisan

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Hi I'm Sigelopisan


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Old 08-13-2012, 14:06   #1
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Join Date: Aug 2012
Location: Indonesia
Posts: 26

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Diagnosed in 2010

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Default Hi I'm Sigelopisan

Hi, I was diagnosed T2 on 2010. I lost almost 15 kgs during that time and then gain another 5 kgs.... until today.

I'm 182cm height and today I weight 69 kgs.

I tried so hard to gain weight and my A1C always hover at 8 - 9. I know this is not good.

I took metformin and Januvia but now I think I'm not T2.

This morning I start my Lantus, 5 unit and I still got spike at 200 after breakfast

I will increase my Lantus to 6 unit tomorrow morning and see what happen.

BTW, its difficult to find an endo in my city, so I think I need to take charge of myself since my Doctor asked me to stay away from insulin as long as I can. Well, I don't agree with this.

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Old 08-13-2012, 14:25   #2
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Hello & welcome, Sigel. You are still type 2 - you just need insulin now. You'll get better control this way.

But Lantus works in the background and it won't be helping your mealtime spikes. For that you need a fast-acting insulin. Are you still taking metformin? You may need to continue with met along with your insulin - met helps insulin resistance.

Others who are more familiar with insulin will be along soon to better explain this, but a good combination for good control is Lantus for your basal insulin, and a fast-acting which is called your bolus insulin, and is used at mealtime. If you haven't counted carbs before, it will be good to get started counting carbs.

And feel free to disagree with your doctor all you want - most of us do!




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Old 08-13-2012, 14:33   #3
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Quote:
Originally Posted by Shanny View Post
Hello & welcome, Sigel. You are still type 2 - you just need insulin now. You'll get better control this way.

But Lantus works in the background and it won't be helping your mealtime spikes. For that you need a fast-acting insulin. Are you still taking metformin? You may need to continue with met along with your insulin - met helps insulin resistance.

Others who are more familiar with insulin will be along soon to better explain this, but a good combination for good control is Lantus for your basal insulin, and a fast-acting which is called your bolus insulin, and is used at mealtime. If you haven't counted carbs before, it will be good to get started counting carbs.

And feel free to disagree with your doctor all you want - most of us do!
Hi Shanny,
Yes, I'm still taking my met and that's also the reason I put on Lantus instead of Apidra. I'll see within couple days whether my met still working so I don't need to bolus.

But if my PP still spike, then I will think to start on bolus.

I have been exposed with high BG and I think its enough. I'm joining 5% club.

I'm not trying to be a doctor on my own but I did learn a lot from a forum like this. I will keep discussing with my doc about any action I'm taking.

Only, now I'm in charge, not the Doctor.

Shanny likes this.
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Old 08-13-2012, 14:37   #4
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Met doesn't work like a bolus - it just keeps your liver from releasing so much glucose, and it helps the insulin receptors in your cells access the insulin in your blood. Since you've been managing this long, you are prob'ly insulin resistant and still need met, but I suspect you need bolus insulin too, unless you are eating a very low-carb diet. What kinds of food are you eating?




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Old 08-13-2012, 15:45   #5
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Join Date: Dec 2011
Location: Decatur, AL, USA
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I would suspect you are a type 1 also. You can get your Dr. to order a gad antibody and C-peptide test to verify or disprove. I was a misdiagnosed type 1 for 5 yrs. This is very common - most gp's jump straight to type 2, without a thought. As Shanny has stated, you need Lantus & a fast acting insulin to manage D with insulin. LCHF diet keeps dosage low so hypos do not become a problem.

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A1c=6.4, 11/15/2011; 5.5, 3/15/12; 5.2, 5/16/12; 5.2, 11/19/12
HDL = 39, 11/15/11; 46 5/16/12, 58, 11/19/12
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Old 08-14-2012, 02:35   #6
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I'll talk to my doctor and ask for GAD antibody and C-Peptide asap

I took 6 unit lantus this morning and had my met in the morning. I ate a full (square) sandwich with egg and my 2hrs is 210

I think I should do bolus. Problem is, my Dr is taking his long holiday. My schedule is next 2 weeks. its big holiday in my country now.

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Old 10-06-2012, 13:26   #7
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Hello friends,

Today I had my blood result. A1C at 7.5 (last result 26 May = 8.4).
The insulin works well. currently I'm taking Lantus 7+7 unit and bolusing at 15gr/1unit ratio. Gaining weight about 2 kgs. Doc said that my A1C could result at around 7 in the next 2 months (I just take insulin for 1 month)

I also did aggregation thrombosis and result hypo-aggregation.
My Doc said, this is OK because if its high can higher the risk of stroke.
I can't find any good explanation about this but I read something about how dangerous hypo-aggregation for it can cause an internal bleeding.

Oh ya, Cholesterol result:
Trigliseride : 78
Chol total : 224
HDL : 66
LDL : 142
Ratio : 3.4

Blood pressure at 110/80

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Old 10-06-2012, 14:54   #8
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Welcome back sig. Did you find out if T1 or did I miss seeing it?

Weren't you trying to go LCHF? Your lipid panel looks like mine but should get better with time. Curious if you doctor said anything?

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a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
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