4 week wild ride - help!

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4 week wild ride - help!


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Old 12-22-2011, 14:30   #1
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Default 4 week wild ride - help!

My husband was diagnosed just a short time ago, not told whether 1 or 2, was in 400+ - 500+ range, put on 2 shots a day, didn't do much altho increasing units regularly. Then increased to 3 shots a day and upped units. Now it's down between 200+ and 150+ but ALL over the place. We have tried reducing fruits and grains and increasing turkey/chicken/fish proteins and TONS of veggies but can't seem to get a handle on what causes these numbers and how to control them. Any body with suggestions?

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Old 12-22-2011, 14:45   #2
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you need to find out if he is a T1 or a T2 different and different ways of treating them.

what insulin is he on? Is it insulin?

for a T2 carbs raise BG ALL carbs raise BG
for a T1 food raises BG all food raises BG

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Old 12-22-2011, 15:43   #3
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Welcome to DF. Many times it takes us quite awhile to get near normal bgs. So don't freak out if they don't happen overnight. Since he is on insulin it is important to work with your medical professionals to get bgs where they need to be. Usually with the long acting basal insulins like Lantus or Levimer you slowly increase the dose with your doctors permission until the fasting bg fall in line. For the Fast Acting Insulin at meals you need to be counting your carbs at each meal and try to figure what your insulin to carb ratio is. This may be different form everyone and takes trial and error. Generally the lower carb you eat the less insulin you may need. With type 2's, there is also something called Insulin Resistance which sometimes interferes with our own insulin or injected insulin. This is why most Type 2's take a drug called Metformin which makes us more sensitive to our own insulin or injected insulin. Also he needs to experiment with the balance of carbs, proteins and fat at each meal. Again, each one of us may need a different balance to get good bgs. For me I need a high level of fat, moderate level of protein and a very low level of carbs at each meal. I find the fat helps even out my bgs. So if I have a low fat meat like chicken, I always try to add extra butter, olive oil or coconut oil to compensate. I get better bgs with things like bacon, sausage and beef. As you see it requires lots of trial and error. Welcome to our great support group and feel free to ask lots of questions. We all started out dazed and confused and try to help each other.

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Old 12-22-2011, 15:44   #4
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Quote:
Originally Posted by lef89015 View Post
My husband was diagnosed just a short time ago, not told whether 1 or 2, was in 400+ - 500+ range, put on 2 shots a day, didn't do much altho increasing units regularly. Then increased to 3 shots a day and upped units. Now it's down between 200+ and 150+ but ALL over the place. We have tried reducing fruits and grains and increasing turkey/chicken/fish proteins and TONS of veggies but can't seem to get a handle on what causes these numbers and how to control them. Any body with suggestions?
Yes it will be a good idea to find out if he is type one or type 2. They can do it by checking for antibodies and also doing a C-Peptide test. With what you are describing it sounds like your husband is type one but that is just conjecture at this point. It sounds like your husband is just dosing for his bloodsugar and not covering carbs at this point. Two good books that I can recommend are Think Like a Pancreas by Gary Scheiner and Using Insulin by John Walsh. I do wish your husband the best and let him know that he is certainly welcome to join us. We would be glad to have him here. Of course you are welcome as well.

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Old 12-22-2011, 16:44   #5
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Default Thank you!

I appreciate all your responses tremendously; I sometimes think I'm losing my mind trying to assimilate all this information and then trying to put it into practice.

We have always treated meals in a 'seat-of-ur-pants' kind of way without any formal mental measure of what or when we eat other than trying to eat a healthy, mostly veggie and grain, little protein, and cheese and yoghurt, foods. I'm totally out of my league to know how to address this new situation: do we have to have set meals, measure everything, cut out foods, if so I'm scared we won't be able to do it - we're just not geared that way - - please tell me what I'm supposed to do.

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Old 12-22-2011, 18:13   #6
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It's a lot to take in if you try to take it all in with a single gulp - but as they say, the only way to eat an elephant is one bite at a time.

Yes, there are changes you need to make, otherwise how could anything change? Eliminating certain foods isn't as difficult as it sounds as there are work-arounds for many favorites (see the recipe section, and ask when particularly desperate!) and we add so many new foods we hadn't been eating before. For me, it was high-fat foods (bacon, butter, full-fat sour cream, yummy cheeses, sausage) that I had avoided for decades.

Please resist defeatist thoughts that you can't do it - you can. This forum is filled with people who do and did, and by nature of the beast most of us were carb addicts of at least some degree.

Take one non-carb bite at a time, and you'll be amazed what you can accomplish and =enjoy=!

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2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds, No statin
2/24/16 .... basal/bolus insulin 2-3 days/wk due to steroids

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Old 12-22-2011, 18:22   #7
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Originally Posted by moon View Post
It's a lot to take in if you try to take it all in with a single gulp - but as they say, the only way to eat an elephant is one bite at a time.

Yes, there are changes you need to make, otherwise how could anything change? Eliminating certain foods isn't as difficult as it sounds as there are work-arounds for many favorites (see the recipe section, and ask when particularly desperate!) and we add so many new foods we hadn't been eating before. For me, it was high-fat foods (bacon, butter, full-fat sour cream, yummy cheeses, sausage) that I had avoided for decades.

Please resist defeatist thoughts that you can't do it - you can. This forum is filled with people who do and did, and by nature of the beast most of us were carb addicts of at least some degree.

Take one non-carb bite at a time, and you'll be amazed what you can accomplish and =enjoy=!
You're making me cry; I'm hanging on by a thread, and SO thankful for someone who understands and cares.
Laurie

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Old 12-22-2011, 18:40   #8
 
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do we have to have set meals, measure everything, cut out foods, if so I'm scared we won't be able to do it - we're just not geared that way - - please tell me what I'm supposed to do.
My husband and I are both type 2. We don't have meals at set times, just when we get hungry, except for in the morning, eating something low carb like sausage and eggs or eggs with cheese melted on top helps bring down those morning highs. I'm not one who feels like eating (or cooking) until a couple of hours after I wake up, so one or two ounces of cheese first thing in the morning works for me.

I don't measure anything, we usually have unbreaded meat and buttered veggies for most meals. I emptied the fridge and cabinets of everything we can't eat and replaced it with what we can. Many of the recipes you normally use can be converted to low carb and still taste just as good if not better. There are many good recipes in the recipe section here. It does seem overwhelming at first, but it will get easier.

Welcome to the forum.

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Old 12-23-2011, 10:26   #9
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Hello Laurie - "seat-of-your-pants" is as good a way as any, as long as there aren't any carbs in the house to grab onto. Gizmo explained it well & this is a lot the way I eat too . . . whatever and whenever, just as long as it isn't carbs. There are great filling foods you can keep at hand - things like hard-cooked eggs or deviled eggs in the fridge, hot wings (no breading of course - just bake or fry the wings until the skin is crisp & then douse 'em with hot sauce of your choice; mix the hot sauce with melted butter to make it easier to apply). String cheese & slim jims are great, nuts of all kinds are terrific - especially almonds - just watch out for peanuts which are really a legume instead of a nut. Full fat cream cheese is one of the things that gets me through a LOT of munchies - stuff big ribs of celery with a bunch of cream cheese & I'm a happy camper. There are many cream cheese spreads that I use for variety . . . http://www.diabetesforum.com/diabete...html#post46023, http://www.diabetesforum.com/diabete....html#post7547, Olive Nut Spread, http://www.diabetesforum.com/diabete...html#post63456, etc.

By testing before meals, and then testing at one & two-hour intervals after the first bite, you'll be able to find the foods he can tolerate and weed out the ones that send his blood sugar too high. After a few weeks of this intensive testing, you'll have developed a list of foods that don't raise his blood sugar, and those foods can be used to combine however he likes for his meals.

I'm so happy you found us . . . it's hard to assimilate all this when you're new to it, and especially when medical professionals often take the attitude that this way of eating is not even sustainable - little do they know! It's wonderfully sustainable! What other plan lets you eat unlimited BLTs as long as you ditch the bread & wrap the bacon & tomato in the lettuce leaf?! Add a big slice of avocado to it and you have a heavenly meal.

You can make it & we're here to help you along the way. Some of us were such dyed-in-the-wool carboholics, that if we could make it, everyone can.

Take care and visit often!




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Old 12-23-2011, 14:05   #10
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Quote:
Originally Posted by lef89015 View Post
You're making me cry; I'm hanging on by a thread, and SO thankful for someone who understands and cares.
Laurie
Laurie,

Welcome to the forum. Diabetes is no fun, but it can be managed. The only thing I can add to what the others have already said is a link to an excellent site which explains a lot about the issues we all have to address : it's Blood Sugar 101
It's well worth an hour or two of your time.
John

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