Newbie, considering U500 insulin

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Newbie, considering U500 insulin


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Old 02-19-2013, 02:51   #1
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Default Newbie, considering U500 insulin

Hi, I have diabetes type 2, and a severe case of it. When I was 20, I experience a traumatic amount of stress. The stress triggered a mental illness so severe that it required some meds such as Zyprexa and Seroquel. We noticed eventually I started to have elevated sugar levels because of the way those meds work.

About 18 years later I was using insulin to correct my numbers. Now I use about 285 units of Levemir daily, and about 100 units of Novolog (divided into each meal). My endocrinologist is recommending me make the change to U500 insulin.

This is a huge step for me, and I don't know if I'm ready for it. The management of diabetes when it is this severe is so difficult, it's overwhelming. It's stressful in itself.

So today I am struggling with accepting the severity of the illness and accepting the overwhelming feelings are not a part of me but of my illness.

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Old 02-19-2013, 02:58   #2
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Are you using anything besides insulin to lower your blood sugar levels? Metformin perhaps, and/or lowering your carb consumption?




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Old 02-19-2013, 03:01   #3
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Are you using anything besides insulin to lower your blood sugar levels? Metformin perhaps, and/or lowering your carb consumption?
Yep, I forgot to say I take 2000mg Metformin/day. My nutritionist is saying 60 carbs/meal right now. Eventually we want to work that down though.

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Old 02-19-2013, 03:13   #4
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You can work that down right this minute . . . you'll need less insulin when you stop eating so much food that raises your blood sugar. Doesn't that make sense? There's no excuse for a diabetic to eat 60g of carbs for every meal - but the doctors/nutritionists/dieticians of the world have been taught these things, and they are hidebound to follow what they've been taught. The trouble with that is it's all wrong. Carbs are not essential nutrients - we could theoretically live very long lives without ever eating another gram of carbohydrate. So whenever your nutritionist says you MUST have carbs, just nod and smile. That is the book learnin' talking, and the books are wrong.

Start cutting out all the high-carb foods and start increasing your fats intake so you still have a source of energy going for you. Others here who use insulin will be stopping by to add much better advice than I can give, but keep an open mind . . . you have options. U500 is one of them, but it isn't the only one.




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Old 02-19-2013, 03:15   #5
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My nutritionist is saying 60 carbs/meal right now. Eventually we want to work that down though.
And why 'eventually'? I went from a zillion carbs/day to about 75/day - overnight. Of course, that sort of slashing when you're taking insulin means an insulin adjustment so you won't go low, but what is your nutritionist waiting for?

I can tell you this - if I was eating 60 carbs/meal (plus snacks), I'd be having trouble managing my diabetes also. Currently I eat about 30-40/day.

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Old 02-19-2013, 03:20   #6
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You can work that down right this minute . . . you'll need less insulin when you stop eating so much food that raises your blood sugar. Doesn't that make sense? There's no excuse for a diabetic to eat 60g of carbs for every meal - but the doctors/nutritionists/dieticians of the world have been taught these things, and they are hidebound to follow what they've been taught. The trouble with that is it's all wrong. Carbs are not essential nutrients - we could theoretically live very long lives without ever eating another gram of carbohydrate. So whenever your nutritionist says you MUST have carbs, just nod and smile. That is the book learnin' talking, and the books are wrong.

Start cutting out all the high-carb foods and start increasing your fats intake so you still have a source of energy going for you. Others here who use insulin will be stopping by to add much better advice than I can give, but keep an open mind . . . you have options. U500 is one of them, but it isn't the only one.
I'm actually trying to cut carbs, like today I had a daily total of 56g of carbs. So I took less insulin.

About the fat.. my last A1C was 8.7. My mean average of sugar numbers have fallen about 80 points since then, so it's probably going to be about 7.9 or 8.0 next time. But these elevated sugar levels cause my triglycerides to skyrocket. Over 500.

Would you be able to say if I reduce my carbs, and eat the protiens and vegetables more, and use fats for energy, will my triglycerides fall too as my sugars get into control?

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Old 02-19-2013, 03:26   #7
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Yep - I could and WOULD say that! It's the carbs that are raising your triglycerides. Take it from me - I have the lab results to prove it. Three days' worth of high carb celebrating last spring raised my own triglyerides 127 points. Only three carby days!

Fats do not raise our cholesterol - not our triglycerides, not our LDL or any other components of our cholesterol. But carbs do.

There's an excellent book - there are many sources of this information - but the excellent book I refer to is by Ernest Curtis, and it's called The Cholesterol Delusion. Get hold of it and you can read it in about two hours. It is an incredibly illuminating discussion from a cardiologist who has seen the insides of peoples' arteries.




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Old 02-19-2013, 03:26   #8
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Y'all gals be careful, you'll have 'em off insulin before long too. How's the pharmaceutical industry going to make money?

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Old 02-19-2013, 03:29   #9
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And why 'eventually'? I went from a zillion carbs/day to about 75/day - overnight. Of course, that sort of slashing when you're taking insulin means an insulin adjustment so you won't go low, but what is your nutritionist waiting for?

I can tell you this - if I was eating 60 carbs/meal (plus snacks), I'd be having trouble managing my diabetes also. Currently I eat about 30-40/day.
I've been wondering what we're waiting for too. That's why I'm trying to reduce carbs on my own. But I wasn't sure, because two different nutritionists are saying the same thing. So I've been kind of confused.

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Old 02-19-2013, 03:33   #10
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Essentially ALL nutritionists say the same thing - 'eat more carbs'. You'd think they were employed by the carb industry itself. But it's just what they've been taught, and in some cases, the ADA pressures them and other medical professionals to conform to the ADA high-carb guidelines, or put their jobs in jeopardy. Sad but true.




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