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Hello all. New to the forum but not diabetes. I was diagnosed type 2 about 4 years ago. Meds have, until recently, kept things in check. But now, fasting blood glucose is in upper 200s even with Actos/Met and glimeripride. Looks like insulin therapy is just around the corner which I will welcome if it correlates to better control.

46 yr old male, 5'10" 175 pounds, down from 205 at time of diagnosis. Exercise and diet, I hope, have contributed to weight loss, but higher recent BG levels have my body dumping more fat and weight.

No family history of which I am aware, so was pretty surprised when all of this began. Glad to find this group of forums for discussions and answers. Thanks.
 

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Hello Lenny, welcome to our support group! It does seem that you may need to start insulin. I assume you are using a very low carb diet now to help fight those high blood sugar levels. I am on a 130g carb per day diet and I walk 2.5-3 miles per day. That keeps me from gaining weight. You are probably very tired due to the high blood sugar. I hope you will see your doctor very soon. He may try increasing the dosages of your meds but he may put you on insulin immediately. You should make a chart showing your test results for a month or so if possible. Keep up your low carb diet, even less than 100 carbs per day if possible. Exercise if you have enough energy. Keep taking your meds. Let your doctor know this is a serious matter if you have trouble seeing him soon. I hope your doctor is an endocrinologist (diabetes specialist). Good luck!

Richard
 

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Welcome Lenny,

Yes it would sound like insulin is your next step. I can tell you this... when I was first diagnosed I was misdiagnosed and was told I was type II.. put on oral meds which didn't offer me much help, obviously since it was wrongly diagnosed... once put on insulin I felt 100 times better. Good luck to you .. Keep us informed.
 

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Discussion Starter #5
Thanks

Thanks for the kind welcomes. Endocrinologist wants to up my dosages of glimepiride and Actosplus Met first to see what effect, if any, that has. Guess you can only coax so much out of the pancreas.

I keep the carbs pretty low and do exercise (even yesterday despite BGs in the 300 range).

I'll give this new dosage routine a few days to work. I just wonder what's better: Increasing the meds to try to squeeze more insulin or taking insulin and reducing the meds?
 

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Both!

I'll give this new dosage routine a few days to work. I just wonder what's better: Increasing the meds to try to squeeze more insulin or taking insulin and reducing the meds?
I would take the insulin up slowly and test often! As you started with T2 which means that you have insulin naturally but the insulin cannot be accepted to the mussel tissue as this is the typical route of T2.
Now we see that you are maxing out of your Metaformin dose and Blood Glucose is in the high fasting tests as this is a sign that the pancreas is not producing insulin any more. So look at introducing insulin slowly. I would also make a diary with tests and notes of what you have experienced.
You can print this out and tke this to your endo. You can also do a C-Peptide test as this will see if the pancreas is stop producing insulin if that's the case then a T1
 
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