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New Member Introductions Please start by introducing yourself to the rest of our community. We would be grateful if you could tell us a little bit about yourself and your experiences with Diabetes. The main aim of our community is to share experiences, knowledge and help increase the understanding and awareness of Diabetes. The introductions forum is a great place to start with the community. ■ RulesGetting Started With DiabetesForum.com


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Old 03-03-2014, 00:26   #11
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Wow torontodiabeticguy...some ordeal you have been through. Heres hoping that you get the help you need. You can start by reading some of the links given to you. Again welcome to the forum and help is on the way.

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Old 03-03-2014, 04:36   #12
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Please let us know how you want the title changed. Only a mod can do it. Anyway ...

Welcome to the Forum, Toronto!

You have definitely been through the wars. Very glad you found us!

I do note that you're on Lantus alone. As others have said, most folks end up splitting doses to get the best effect, and they take a rapid insulin (e.g., Humalog or Novolog) as well, so they can "cover" carbs ... to some degree ... and correct spikes.

At some point, we must all learn the ins-and-outs of insulin dosing. It's not an easy skill for most docs to teach (not their fault). Perhaps your doc can refer you to a Diabetes Educator so you can get on a better footing. Educators can usually recommend prescriptions as well.

Metformin is helpful for the insulin resistance that plagues most Type 2s. It can be taken safely along with insulin (in fact, it may help you keep insulin doses low), so it may be worth reconsidering.

That said, my guess is that you may want to talk to the doc about getting some rapid insulin as your first priority.

Vegetarian control can actually be somewhat difficult; there's a tendency toward lots of grain, legumes and zero-to-low fat. We do, however, have vegetarian diabetics on board who've got all of that figured out! Hopefully, some will come along soon.

In the mean time, please post a lot, ask lots of questions and ... most of all ... please keep us posted!

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Old 03-03-2014, 16:43   #13
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Thank you.

I went vegetarian for a few months for heart health and weight loss. Worked great but wife could not do it. One must be in the mindset. Lots of veggies and legumes (I make a mean slow cooked legume stew in the crock pot). Lots of fruits (my MD had a seizure when I told him I was eating 3 navel oranges daily plus lots of other fruit... at least 6 - 8 a day). No processed food of any sort, no sugar, no milk products, nothing that is not fresh or fresh frozen). My sugars were almost normal without using even Metformin. Then the doctors started messing around with my medications and whammo, BG out of control. I am presently working with a normal diet, watching my carbs and using LANTUS alone. Am at 38IU on awakening and 38 IU exactly 12 hours later. BG this morning was 10.8 (aiming for 5 - 7 right now) so I am probably at the point where I really need to be aware of my body talking to me and what I am eating and when.

Thanks for the article references; I will get to them asap (perhaps tomorrow) as today is a FULL day and uninterruptable. Until midnight more than likely.

Curious to find out, as at today's date, what folks that use LANTUS are using in addition to LANTUS. And what amount of LANTUS they are using AM and PM. Would make a very interesting study indeed.

I am thinking that I will likely titrate to about 46 IU b.i.d. without any other diabetes meds. Will have to watch what and when I eat. I created a logsheet to keep track of all except the "what I eat" and am trying to figure out a way to add in that information. Presently the sheet covers 3 weeks. Think I will change that to a weekly form and add in a box under each meal time/BGB4 to record what I eat.

I want to present the MD a daily graph at my next visit. Feeling a whole lot better with my BG down...way down. Last night we made the error of eating out at East Side Mario's and I was okay until I chose the pasta... and then the desert (small). Had I gone with the fish, veggies and salad galore as I had planned I think I would have been fine. Instead my BG spiked waaaaaay up. And then magically came back down to the 11 range. So the insulin is indeed working, one just needs to be cognizant of what one is ingesting and not do a Homer (DOH!) on oneself. Is not worth it. I AM INDEED MOTIVATED.

Have had close friends pass away as an indirect result of uncontrolled diabetes. Bad enough that even controlled diabetes presents serious health risks.... leave it uncontrolled and you will indeed die early. Lost one at about 75ish when gangrene set in for the umpteenth time (he had already lost his toes, then his feet, then one leg at the knee). Same thing happened to an even closer friend of ours - at about 63. His dinner the night before? Pastrami sandwich on double rye, fries, 2 beers, desert. He had lost his son in a car accident a few years back and I believe he did not care any longer and just wanted to enjoy life - whatever he had left. And he did. His grandchildren and other children and friends and family all miss him deeply. Think of him often. Diabetes out of control and no attempt to control it whatsoever.

So what about the idea of doing our own little poll online here regarding LANTUS use? Might be quite valuable.

Interestingly, I live in Ontario and I get my LANTUS free of charge in pen form. I get my BG meter (computerized if I wish) and little test drums and pokers free of charge. THE NEEDLES that go on the end of the LANTUS pens I have to pay for but they are cheap enough. QUESTION: what length needle are folks using? It matters not to me if I use a 6mm or a 12mm needle, but what is the difference in efficacy of LANTUS injected with each - is there any difference? Should I post this in a separate thread?

Sweden Becomes First Western Nation to Reject Low-fat Diet Dogma in Favor of Low-carb High-fat Nutrition

In a revolutionary reversal, more cardiologists now say unprocessed saturated fat is healthy and has been wrongly blamed for causing heart disease, obesity and other degenerative illnesses.

This item is from the U.S. National Library of Medicine, National Institutes of Health.

Welcome aboard.[/QUOTE]

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Old 03-04-2014, 17:26   #14
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Torontoguy, along with Lantus (a basal insulin), you could ask to use something like Novolog or Humalog (a bolus insulin/fast acting) to cover your carbs at meals, or for corrections of bg's. The combination allows you to really gain tighter control of your blood sugars.

Many medications can cause high blood sugars. Therefore, some of it was not necessarily how you were eating. You had other issues going on that required those meds to get you to better health, so now you are left with straightening out the highs of your diabetes.

A vegetarian diet is all well and good, but you need to be sure you are ingesting good saturated fats and lower your carb consumption. Things like avacadoes, olives, almonds, walnuts, pecans, real sour cream, real cream cheese, heavy cream. These things will actually help with your heart health (contrary to what we've been brainwashed to believe). Eggs are a good choice (unless you do not eat them as a vegan). If you are experiencing lows, then your Lantus is not working properly, or you are using too much. You should never be low if the correct amount is used. I would nix the fruit; fruit has quite a bit of natural sugar and many diabetics are unable to handle that amount of sweetness in their system; especially with a pancreas that cannot keep up with the insulin required to counteract it.

Please read all the reference material others have suggested here. You will learn quite a bit of sound researched information regarding diabetes and low carb/high fat way of eating.

You've been through the ringer for sure. Hoping this forum/site helps you understand your diabetes a bit better, and for continued improved health!

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Old 03-04-2014, 18:28   #15
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Thanks very much for that abundance of good information. I was eating several fruits a day as well as eating steel cut oatmeal with berries and bananas for breakfast daily (The Eat to Live Diet) and with the assistance of a small amount of Metformin my BG was well controlled incredibly. That went on for three or four months - I had trouble handling the methane being produced in my gut; heck, it even scared the dog at night. But it worked, even with several fruits a day!

How the heck I wound up on LANTUS is beyond me. But nevertheless, here I am taking 40ml morning and 40 ml night and am around 10 mmol/L in the mornings. I am on nothing else (?!). I am thinking that a wee it of Metformin would level me right out, good to go. I am going to discuss it with the doc next week. We WILL get this back under control - I have no doubt. But I also have no doubt that I am going to have to educate myself and stand up and advocate for myself. Funny how things tend to improve when one advocates or has a dedicated advocate.

Thank you again. I think I will be around for a while and hope to be contributing before too long.

Murray

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Old 03-04-2014, 20:22   #16
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Quote:
Originally Posted by torontodiabeticguy View Post
We WILL get this back under control - I have no doubt. But I also have no doubt that I am going to have to educate myself and stand up and advocate for myself. Funny how things tend to improve when one advocates or has a dedicated advocate.
This is so true. For some, this very thing is the stumbling block for a while as they learn to stand up for themselves and take charge of their own health. For many, what the doctor says is gospel, and it's a great shock to them to find that the doctor doesn't know "squat" about diabetes management.

Attitude is so important.

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Old 03-05-2014, 17:54   #17
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Doc just told me to cut back a bit on the Lantus and restart the Met for min 50th X 4-5 times daily just before eating. Let's see how this works. He pretty much had a #### when told I was 46 units b.i.d.

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