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Discussion Starter · #1 ·
I was diagnosed originally with diabetes about 5 years ago. I was on metformin for a few months, then had a significant weightloss and was able to control it by diet & exercise only. In December, my sugar levels jumped by about 200 points and was put on Metformin. I'd been sick now since late April with nausea/vomiting, etc and thought it was just my pancreas acting up (I had severe pancreatitis in 1995 & have had recurrent bouts with it ever since). Finally, last Friday my husband put his foot down & said I had to go to the dr. Went to the doctor, he said he thought it was diabetic gastroparesis, put me on some meds & said if it got worse to go to the ER. Went to the ER, my sugar levels were in the low 500's, they put some insulin through the IV, it dropped in an hour to 150, then an hour later back to 325 to 330. They let me go said if it got worse to come back. I was back in there the next day, sugar levels were in the upper 500's gave an insulin dose thru the IV again, as well as a dose in my abdomen, it dropped to the 300's again, they did a CT scan & bloodwork, pancreas & liver were fine and the CT was normal. They agreed with my dr that it was gastroparesis. Family doctor put me on Lantus SoloStar 15mg daily but said if the numbers didn't go down much to do another dose of 2 mg, take my sugars 2 hrs after that, if still high, another dose of 2mg until lowered. When I saw him today, it was at 429. Took the dose of Lantus SoloStar, it jumped UP to 637, did 2 mg, it dropped to 551, did another 2mg, it dropped to 497. I hate some chicken with seasonings and a salad with a bit of vinegar, oil & pepper on it and some fresh veggies. Been drinking water, unsweet tea & herbal tea. Have made sure I haven't touched anything with sugar or high carbs in it.

My questions are:

1. How high do the sugars need to go before I should consider going to the ER again? Obviously a different one than the one I was at last weekend, my dr can't believe they didn't admit me with my sugar levels so high.

2. What are the symptoms of diabetic ketoacidosis?

3. Is there anything I can eat/drink that will bring the sugars down?

4. Can Metformin safely be taken with the insulin?

Thanks!
 

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WOW what a ride You have a lot to learn

1) I dont know about the ER (Funny Ive been on insulin for 10 years and dont know the answer to that).

2) Again dont know

I know the next 2

3) No, but lots of things can raise BGL. All carbs raise BGL Pasta, potato, rice, most fruits all are high in carbs and will raise BGL

4) Yes metformin is safe with insulin. Lots of us are on both.

take your BGL before you eat then again 1 hour after you eat and 2 hours after you eat. It sounds like you need a diabetic educator and a dietitian. With BGL numbers like that that you need more insulin, so talk to your MD.
Usually with Lantis you start with a base dose in the AM or PM and add 2 units every other day till your BGL comes down. So day 1 you take 25 IU if the BGL is still high day 3 take 27 IU .... until BGL is where you want your fasting BGL to be usually under 100 (then you add a fast acting insulin to take care of carbs). So by the time your BGL numbers are lower you may be on, as I am 58 IU in the morning of Lantis.
 

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I was diagnosed originally with diabetes about 5 years ago. I was on metformin for a few months, then had a significant weightloss and was able to control it by diet & exercise only. In December, my sugar levels jumped by about 200 points and was put on Metformin. I'd been sick now since late April with nausea/vomiting, etc and thought it was just my pancreas acting up (I had severe pancreatitis in 1995 & have had recurrent bouts with it ever since). Finally, last Friday my husband put his foot down & said I had to go to the dr. Went to the doctor, he said he thought it was diabetic gastroparesis, put me on some meds & said if it got worse to go to the ER. Went to the ER, my sugar levels were in the low 500's, they put some insulin through the IV, it dropped in an hour to 150, then an hour later back to 325 to 330. They let me go said if it got worse to come back. I was back in there the next day, sugar levels were in the upper 500's gave an insulin dose thru the IV again, as well as a dose in my abdomen, it dropped to the 300's again, they did a CT scan & bloodwork, pancreas & liver were fine and the CT was normal. They agreed with my dr that it was gastroparesis. Family doctor put me on Lantus SoloStar 15mg daily but said if the numbers didn't go down much to do another dose of 2 mg, take my sugars 2 hrs after that, if still high, another dose of 2mg until lowered. When I saw him today, it was at 429. Took the dose of Lantus SoloStar, it jumped UP to 637, did 2 mg, it dropped to 551, did another 2mg, it dropped to 497. I hate some chicken with seasonings and a salad with a bit of vinegar, oil & pepper on it and some fresh veggies. Been drinking water, unsweet tea & herbal tea. Have made sure I haven't touched anything with sugar or high carbs in it.

My questions are:

1. How high do the sugars need to go before I should consider going to the ER again? Obviously a different one than the one I was at last weekend, my dr can't believe they didn't admit me with my sugar levels so high.

2. What are the symptoms of diabetic ketoacidosis?

3. Is there anything I can eat/drink that will bring the sugars down?

4. Can Metformin safely be taken with the insulin?

Thanks!
Hello and welcome to diabetes forum! I have gastroparesis and take 250MG of erythromycin before meals to speed up the digestion process. I also take Zofran for the severe nausea. I have taken Reglan a couple of times, but I couldn't tolerate the side effects. I am doing OK on the meds that I am on. As far as going to the ER for high blood sugar, I would not let your blood glucose go above 400. I would think that your doctor would give you some direction on how to bring your blood sugar down without going to the ER. I would think that insulin is the best way to bring down your high blood sugar readings. Symptoms of ketoacidosis is nausea, increased thirst and dry mouth, excessive urination, increased hunger, excessive tiredness and weakness, confusion, fruity odor of the breath, abdominal pain, rapid breathing, shortness of breath and possible unconsciousness. When you test your blood glucose and it does not give you a reading but just a "hi" message, you need to contact your doctor. Most glucose meters will only read your blood glucose up to a certain reading. As far as Metformin, you can take it with insulin. I can't tolerate the side effects so I can't take that but I think that it would help me. I hope you are able to get some of these issues under control. Keep us posted on your progress and good luck! Take care. :)
 

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I was diagnosed originally with diabetes about 5 years ago. I was on metformin for a few months, then had a significant weightloss and was able to control it by diet & exercise only. In December, my sugar levels jumped by about 200 points and was put on Metformin. I'd been sick now since late April with nausea/vomiting, etc and thought it was just my pancreas acting up (I had severe pancreatitis in 1995 & have had recurrent bouts with it ever since). Finally, last Friday my husband put his foot down & said I had to go to the dr. Went to the doctor, he said he thought it was diabetic gastroparesis, put me on some meds & said if it got worse to go to the ER. Went to the ER, my sugar levels were in the low 500's, they put some insulin through the IV, it dropped in an hour to 150, then an hour later back to 325 to 330. They let me go said if it got worse to come back. I was back in there the next day, sugar levels were in the upper 500's gave an insulin dose thru the IV again, as well as a dose in my abdomen, it dropped to the 300's again, they did a CT scan & bloodwork, pancreas & liver were fine and the CT was normal. They agreed with my dr that it was gastroparesis. Family doctor put me on Lantus SoloStar 15mg daily but said if the numbers didn't go down much to do another dose of 2 mg, take my sugars 2 hrs after that, if still high, another dose of 2mg until lowered. When I saw him today, it was at 429. Took the dose of Lantus SoloStar, it jumped UP to 637, did 2 mg, it dropped to 551, did another 2mg, it dropped to 497. I hate some chicken with seasonings and a salad with a bit of vinegar, oil & pepper on it and some fresh veggies. Been drinking water, unsweet tea & herbal tea. Have made sure I haven't touched anything with sugar or high carbs in it.

My questions are:

1. How high do the sugars need to go before I should consider going to the ER again? Obviously a different one than the one I was at last weekend, my dr can't believe they didn't admit me with my sugar levels so high.

2. What are the symptoms of diabetic ketoacidosis?

3. Is there anything I can eat/drink that will bring the sugars down?

4. Can Metformin safely be taken with the insulin?

Thanks!
Wow, first off, let me welcome you to the forum :)

Second, you didnt say if your dr was an endocrinologist or not. If not, I would *highly recommend* that you seek one out ASAP. Your diabetes is completely out of control.

You are correct in your assumption that blood sugars that high put you in danger of ketoacidosis. Ketoacidosis is more in type 1's, but can also happen with type 2's that are spiralling out of control as you are. I am type 2 and have also experienced blood glucose levels over 500. You need to get some urine test strips and when your blood sugar is over 200 always check your urine. If you are spilling ketones, then you need to see someone about it to get it down. Some symptoms may include excessive thirst, frequent urination, vomiting, nausea, feelings of confusion, weakness and a telltale sign of a fruity odor to your breath.

Since you have been able to control your diabetes at some point with diet and exercis, I assuming you know about limiting your carb intake to help control blood sugar. Obviously you should be avoiding "white foods" rice, pasta, white bread, starchy veggies like potatoes, etc.

Lantus is a long acting basal insulin. You take generally in the morning or at night, once a day and it covers your need all day. The dose is increased incrementally daily (by usually 2 units) until you get your blood sugar to a good level. I don't really understand your dr's instruction to you to take 2 units every couple of hours to lower it....Lantus doesn't work that way. Only a fast acting insulin such as Novolog or Humalog will do that. If you are still consistently high using only the Lantus, you most likely need a fast acting insulin also to cover meals and snacks.

There is nothing really you can eat to bring them down that I know of. You can drink plenty of fluids to try and help flush your kidneys out some, but at that point only a fast acting insulin is going to really help. I dont even recommend exercise to lower it when it is that high because often it will make it higher at that point.

Metformin is perfectly safe to take with insulin. They dont work the same way. Metformin does not stimulate the pancreas to produce more insulin. It works to lower insulin resistance which type 2's all have. It helps your insulin work better.

I highly recommend that you get to an endocrinologist if at all possible. I would also recommend that your Dr not only do an A1c if you have not had one already, but also a C-peptide to check if your pancreas is producing enough insulin on its own. I am assuming you are a type 2 from what you have said about being able to control with diet and exercise previously, but there are cases of type 1 that develops slowly so they should also check you for the antibodies that show up in a type 1. Even if you are type 2, sometimes you do lose beta cell function as well. I have lost my beta cell function and must take insulin for the rest of my life and I am also type 2. The only way to know, is to get those those tests.

Please let us know how you are doing and ask any questions you need. We are all here for each other. Sorry about the long-winded reply...I will shut up now and let others talk :D
 

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Discussion Starter · #5 ·
Thanks for the response, Pam! Another couple quick questions for everyone:

1. What blood sugar numbers would you consider going to the ER? My husband has been on me all day to go, since my numbers continually jump up after I take the Lantus. They've settled for the night at 462, I'm going to see if they've gone down any since hubby went to bed.

2. What exactly is diabetic gastroparesis???

Pam, no the doctor I've been seeing is my regular family doctor. I can't afford the copay for a specialist right now since I'm unemployed. I'll mention to him about those 2 tests, I know they pulled blood Friday but I don't know what they were testing. I have a feeling I'll be talking to him Monday to get the fast acting insulin.

I just can't figure out why my numbers jump so badly right after the Lantus ....
 

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Thanks for the response, Pam! Another couple quick questions for everyone:

1. What blood sugar numbers would you consider going to the ER? My husband has been on me all day to go, since my numbers continually jump up after I take the Lantus. They've settled for the night at 462, I'm going to see if they've gone down any since hubby went to bed.

2. What exactly is diabetic gastroparesis???

Pam, no the doctor I've been seeing is my regular family doctor. I can't afford the copay for a specialist right now since I'm unemployed. I'll mention to him about those 2 tests, I know they pulled blood Friday but I don't know what they were testing. I have a feeling I'll be talking to him Monday to get the fast acting insulin.

I just can't figure out why my numbers jump so badly right after the Lantus ....
If you blood sugars are over 300, not going down..still going up *and* you checked your urine and you are spilling ketones...then your blood sugar needs to be brought down quickly. The urine strips can be bought over the counter at any pharmacy that sells diabetes supplies and they are pretty cheap if I remember correctly. I would go to the ER. You see, even if you don't really feel bad, blood sugar that high is doing all sorts of damage to your body. Its damaging your kidneys, your eyes, your nervous system, etc. If you can have a blood sugar that high and still function...then that means you have been high for a long time and you have gotten used to it. Thats not a good thing. If you are not able to get it under control in a reasonable amount of time the likelihood that you are going to start seeing complications is high. I spent a couple of years out of control, now I have some peripheral neuropathy in my right foot, I am scheduled to have my eyes lasered later this month due to macular edema brought on by out of control blood sugar and I still have issues with gastroparesis due to my diabetes. I am not trying to sound all doom and gloom here....but I do want to stress the importance of getting your blood sugar normalized.

Gastroparesis means that stomach contents become slow to empty into the small intestine after eating. This often leads to symptoms of fullness, bloating, nausea and epigastric pain. Sometimes the pain feels like you swear you are having a heart attack. Mine has improved since I am in good control now and I take Nexium everyday for it.

Be sure you ask about those tests and see what your dr says. At least you need an A1c....an A1c will give you an average of what your blood sugar has been running over the last 3 months. The c-peptide test would give some helpful information on your pancreatic function if he chooses to do it. I would definitely see him soon and ask about fast acting insulin to go along with your Lantus.

I can assume that your numbers climb after you take your Lantus because they were going up anyway or you ate something. Lantus is a slow acting insulin. What you inject is slowly absorbed over 24 hours. Even the absorption of Lantus can be a little unpredictable, depending on where you inject it. Thats why taking it to correct a high doesn't work. Only a fast acting insulin can cover meals, and correct a high. Fast acting insulins such as Novolog or Humalog start working in about 15 minutes after you inject it and the effects last about 4 hours. Most diabetics that require insulin *do* usually need both kinds. Its the best way to get good control of your blood sugar.

Good luck, and let us know how you are doing!
 

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Discussion Starter · #7 ·
Hello and welcome to diabetes forum! I have gastroparesis and take 250MG of erythromycin before meals to speed up the digestion process. I also take Zofran for the severe nausea. I have taken Reglan a couple of times, but I couldn't tolerate the side effects. I am doing OK on the meds that I am on. As far as going to the ER for high blood sugar, I would not let your blood glucose go above 400. I would think that your doctor would give you some direction on how to bring your blood sugar down without going to the ER. I would think that insulin is the best way to bring down your high blood sugar readings. Symptoms of ketoacidosis is nausea, increased thirst and dry mouth, excessive urination, increased hunger, excessive tiredness and weakness, confusion, fruity odor of the breath, abdominal pain, rapid breathing, shortness of breath and possible unconsciousness. When you test your blood glucose and it does not give you a reading but just a "hi" message, you need to contact your doctor. Most glucose meters will only read your blood glucose up to a certain reading. As far as Metformin, you can take it with insulin. I can't tolerate the side effects so I can't take that but I think that it would help me. I hope you are able to get some of these issues under control. Keep us posted on your progress and good luck! Take care. :)
Thanks for the advice! It's hard for me to tell about the ketoacidosis right now, because I have the increased thirst, the nausea, pretty much all of it, but I am on a muscle relaxer for my back that has caused excessive dry mouth in the past (to the point it felt like I swallowed the sahara desert). I don't know about the fruity breath smell, but every time I burp, it has a sweet, almost alcohol type taste to it. Should I be worried about that? I haven't drank anything, can't due to severe, almost life ending pancreatitis in the past plus the diabetes (pancreatitis caused the diabetes). My meter doesn't tell me 'hi' or not, just like it doesn't give me any input on if I need to check ketones. Plus, if the doctors are right, the gastroparesis could be causing the nausea, stomach pain, etc. If definitely is affecting my lack of appetite (don't want to eat if I'm going to get nausea and/or vomiting from it). I definitely do have confusion though, I've alarmed hubby a few times by being in the middle of doing something (quite literally) and standing there looking totally lost and confused as to what I was doing (ie. putting a votive candle into a holder, had the candle in my hand and completely lost what I was about to do). :confused:

Should I be concerned about the burp taste??? It's about to drive me nuts. I'll get the strips to test the ketones in a little bit from Wal-Mart and see what they show. Just very very frustrated, confused & getting aggravated that my sugars won't come down.
 

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Discussion Starter · #8 ·
Symptoms of ketoacidosis is nausea, increased thirst and dry mouth, excessive urination, increased hunger, excessive tiredness and weakness, confusion, fruity odor of the breath, abdominal pain, rapid breathing, shortness of breath and possible unconsciousness.
I just tested my ketones & the tests show that it is small to moderate levels. Should I mention this to my doctor today or can it wait until tomorrow? Sorry for so many questions, just very new to having to worry about & test this aspect of diabetes.
 

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Thanks for the advice! It's hard for me to tell about the ketoacidosis right now, because I have the increased thirst, the nausea, pretty much all of it, but I am on a muscle relaxer for my back that has caused excessive dry mouth in the past (to the point it felt like I swallowed the sahara desert). I don't know about the fruity breath smell, but every time I burp, it has a sweet, almost alcohol type taste to it. Should I be worried about that? I haven't drank anything, can't due to severe, almost life ending pancreatitis in the past plus the diabetes (pancreatitis caused the diabetes). My meter doesn't tell me 'hi' or not, just like it doesn't give me any input on if I need to check ketones. Plus, if the doctors are right, the gastroparesis could be causing the nausea, stomach pain, etc. If definitely is affecting my lack of appetite (don't want to eat if I'm going to get nausea and/or vomiting from it). I definitely do have confusion though, I've alarmed hubby a few times by being in the middle of doing something (quite literally) and standing there looking totally lost and confused as to what I was doing (ie. putting a votive candle into a holder, had the candle in my hand and completely lost what I was about to do). :confused:

Should I be concerned about the burp taste??? It's about to drive me nuts. I'll get the strips to test the ketones in a little bit from Wal-Mart and see what they show. Just very very frustrated, confused & getting aggravated that my sugars won't come down.
There are a couple of tests that can be done to see how severe the gastroparesis is. I have had a gastric emptying scan done several times. My nausea is so severe from the gastroparesis that I have to take Zofran, which is usually used by people under going chemotherapy. I am too nauseated to eat without the Zofran. You may want to ask your doctor for some anti-nausea medication. Do you have any problems with GERD? That could be causing the unpleasant taste you are experiencing. I would test for ketones if your blood glucose is over 300. Better be safe than sorry.
 

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I just tested my ketones & the tests show that it is small to moderate levels. Should I mention this to my doctor today or can it wait until tomorrow? Sorry for so many questions, just very new to having to worry about & test this aspect of diabetes.
I would call my doctor today and let them decide what else you need to do about the ketones. This is why they have a doctor on call. Since I have never had DKA, I don't know exactly what they will tell you to do. DKA is serious and I wouldn't take any chances. Be sure to drink alot of fluids so that you do not get dehydrated. Do you have a fever? When you have an infection, this can make your blood glucose high. I would also try to sit down with your doctor and get a sick day plan. This way you will know when to call the doctor or go to the ER.
 

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Discussion Starter · #11 ·
I would call my doctor today and let them decide what else you need to do about the ketones. This is why they have a doctor on call. Since I have never had DKA, I don't know exactly what they will tell you to do. DKA is serious and I wouldn't take any chances. Be sure to drink alot of fluids so that you do not get dehydrated. Do you have a fever? When you have an infection, this can make your blood glucose high. I would also try to sit down with your doctor and get a sick day plan. This way you will know when to call the doctor or go to the ER.
I talked to my dr today and am going in tomorrow to see him. Took my sugars a little while ago and they finally went under 300, down to 245 and I was *finally* able to eat a full meal without getting violently ill from it (although a phenergan was needed to help out). Haven't had a fever, but I've been feeling like I'm on fire, so not sure what that's about. It was weird, I took my sugars when I did, a bit earlier than usual, because my heart just up and started racing and it startled me enough that I was worried about it. I mean I was curled up reading a book with my cat asleep beside me and it just took off, so I wasn't doing anything stressful or strenous.

Ok, on a side note, when I went to Wal-Mart today to get the ketone testing strips, since when can you get insulin OTC??? Or syringes or pen needles???? If I'd known I could've gotten my pen needles at Walmart for about $30 less than I paid with insurance, you can bet I would've! Is the OTC insulin safe???
 

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I talked to my dr today and am going in tomorrow to see him. Took my sugars a little while ago and they finally went under 300, down to 245 and I was *finally* able to eat a full meal without getting violently ill from it (although a phenergan was needed to help out). Haven't had a fever, but I've been feeling like I'm on fire, so not sure what that's about. It was weird, I took my sugars when I did, a bit earlier than usual, because my heart just up and started racing and it startled me enough that I was worried about it. I mean I was curled up reading a book with my cat asleep beside me and it just took off, so I wasn't doing anything stressful or strenous.

Ok, on a side note, when I went to Wal-Mart today to get the ketone testing strips, since when can you get insulin OTC??? Or syringes or pen needles???? If I'd known I could've gotten my pen needles at Walmart for about $30 less than I paid with insurance, you can bet I would've! Is the OTC insulin safe???
Walmart has sold the Reli-on brand of insulin for years. They only carry Novolin N & Novolin R and I have used both and they are safe. You can also get syringes and pen needles at Walmart for cheap. Some stores will require you to show proof that you are taking insulin, so I usually carry an empty insulin vial box in my purse just in case I want to purchase some extra syringes. I am glad that you called your doctor and will see him tomorrow. I was worried about you!
 

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Hello, Dallasrechelle . . . since I know little to nothing about DKA or gastroparesis, I'm staying quiet on this thread, but just want you to know my thoughts are with you & I hope you & your doc can figure out how to handle this.

Take care & keep us posted!

 

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Discussion Starter · #14 ·
Hello, Dallasrechelle . . . since I know little to nothing about DKA or gastroparesis, I'm staying quiet on this thread, but just want you to know my thoughts are with you & I hope you & your doc can figure out how to handle this.

Take care & keep us posted!

Thanks, Shanny! I'm trying to learn as quick as I can about this stuff, since it's been a dominant part of my life these past couple of weeks! My dr. actually thinks I may have had gastroparesis off & on since Thanksgiving, but because I have problems with my pancreas anyways (chronic pancreatitis) I didn't go in, thinking that it was a flareup from that. My last sugar numbers were good though, comparitively, down to 218. :)

I did go to the bookstore today & picked up some books on diabetes & also a cookbook, to help me learn how to cope with it better than I have been (been extremely stressed, which I'm sure doesn't help) and also to reinforce what I can and cannot eat. Little does hubby know, but he's about to be put on a diet with me. LOL

Sincerely,
Rechelle
Dallas, TX
 

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Discussion Starter · #15 ·
Walmart has sold the Reli-on brand of insulin for years. They only carry Novolin N & Novolin R and I have used both and they are safe. You can also get syringes and pen needles at Walmart for cheap. Some stores will require you to show proof that you are taking insulin, so I usually carry an empty insulin vial box in my purse just in case I want to purchase some extra syringes. I am glad that you called your doctor and will see him tomorrow. I was worried about you!
If I decide to get that insulin, if it's cheaper than my copay, I'll take the prescription or take my Lantus to show proof of insulin. Man I wish I'd known about the pen needles though, I paid $40 for 100 of them, whereas I could've paid $18 for 100 at Walmart. Of course, for the insulin, my preference will be getting a sample from my doctor tomorrow. Are there any generic versions of insulin or is it all brand name? I know the long acting insulin is all brand name, but I'm hoping that regular insulin will have a generic.

Of course, after I talked to my doctor today, my sugar levels started going down from 436 this afternoon after lunch, to 218 now. No appetite though, but at least it's coming down.

I'll let you know what my doctor says tomorrow!

Thanks,
Rechelle
Dallas, TX
 

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If I decide to get that insulin, if it's cheaper than my copay, I'll take the prescription or take my Lantus to show proof of insulin. Man I wish I'd known about the pen needles though, I paid $40 for 100 of them, whereas I could've paid $18 for 100 at Walmart. Of course, for the insulin, my preference will be getting a sample from my doctor tomorrow. Are there any generic versions of insulin or is it all brand name? I know the long acting insulin is all brand name, but I'm hoping that regular insulin will have a generic.

Of course, after I talked to my doctor today, my sugar levels started going down from 436 this afternoon after lunch, to 218 now. No appetite though, but at least it's coming down.

I'll let you know what my doctor says tomorrow!

Thanks,
Rechelle
Dallas, TX
Rechelle-the insulin that Walmart sells (Reli-on) comes in Novolin N also known as NPH and it is an intermediate acting insulin. It is usually taken twice a day, before lunch and before dinner. It starts in 1-3 hours and peaks at 4-10 hours and ends after 14-20 hours. Some people who have high morning blood glucose move their dinner dose to bedtime. The other insulin that Walmart sells is Novolin R also known as short acting insulin. It starts in 30-45 minutes, peaks at 3-4 hours and ends after 5-7 hours. There is no generic rapid acting insulin. From what I know the insulin at Walmart is only sold in a vial. You might want to check out a few online diabetes suppliers and you may be able to get syringes for less than what Walmart sells them for. You just have to be careful and make sure that you select the right needle gauge, the higher the gauge, the more expensive.
 

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Discussion Starter · #17 ·
Rechelle-the insulin that Walmart sells (Reli-on) comes in Novolin N also known as NPH and it is an intermediate acting insulin. It is usually taken twice a day, before lunch and before dinner. It starts in 1-3 hours and peaks at 4-10 hours and ends after 14-20 hours. Some people who have high morning blood glucose move their dinner dose to bedtime. The other insulin that Walmart sells is Novolin R also known as short acting insulin. It starts in 30-45 minutes, peaks at 3-4 hours and ends after 5-7 hours. There is no generic rapid acting insulin. From what I know the insulin at Walmart is only sold in a vial. You might want to check out a few online diabetes suppliers and you may be able to get syringes for less than what Walmart sells them for. You just have to be careful and make sure that you select the right needle gauge, the higher the gauge, the more expensive.
Well, last night, my sugars went down to 218, but they rebounded today. We're going to increase the Lantus (he started me off very low and has increased me up 10mg and more if needed) before going to the regular insulin. I think most likely if I do go onto regular insulin, it'll be the fast acting, since almost everything seems to cause my sugars to go nuts. We're keeping an eye on my A1c results (still waiting for the lab) and I got an IV of fluid today & will have another one tomorrow (they are a full service office, with xray, can do IV's for medicine and draw blood & take urine samples, plus they can do stress tests in office. So nice!). My ketones were down today as well. Now if only I could get some sleep, I'd be set. LOL

Today my numbers have been back over 300, lowest at 301, highest 439. Better than the 500's & 600's I was at before, but nowhere near where I need to be & want to be.
 

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Well, last night, my sugars went down to 218, but they rebounded today. We're going to increase the Lantus (he started me off very low and has increased me up 10mg and more if needed) before going to the regular insulin. I think most likely if I do go onto regular insulin, it'll be the fast acting, since almost everything seems to cause my sugars to go nuts. We're keeping an eye on my A1c results (still waiting for the lab) and I got an IV of fluid today & will have another one tomorrow (they are a full service office, with xray, can do IV's for medicine and draw blood & take urine samples, plus they can do stress tests in office. So nice!). My ketones were down today as well. Now if only I could get some sleep, I'd be set. LOL

Today my numbers have been back over 300, lowest at 301, highest 439. Better than the 500's & 600's I was at before, but nowhere near where I need to be & want to be.
But its progress...and thats what counts :) Sometimes its better not to bring yourself down to "normal" too fast. Since your body has become sort of accustomed to higher blood sugars, you are likely to feel hypo when technically you are not. I know when I started bring my blood sugars back down to normal I felt very hypo at 150. Then I felt hypo around 100. Now I dont start to feel bad until below 70. My eyesight gets really crazy below 90....but I am keeping my fingers crossed that the lasering I need to have done this month is going to alleviate that. Of course, if it does my "tell" for getting low will be gone...but oh well...the spotty vision is really getting on my nerves!
 

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ReliOn details

Rechelle-the insulin that Walmart sells (Reli-on) comes in Novolin N also known as NPH and it is an intermediate acting insulin. It is usually taken twice a day, before lunch and before dinner. It starts in 1-3 hours and peaks at 4-10 hours and ends after 14-20 hours. Some people who have high morning blood glucose move their dinner dose to bedtime. The other insulin that Walmart sells is Novolin R also known as short acting insulin. It starts in 30-45 minutes, peaks at 3-4 hours and ends after 5-7 hours. There is no generic rapid acting insulin. From what I know the insulin at Walmart is only sold in a vial. You might want to check out a few online diabetes suppliers and you may be able to get syringes for less than what Walmart sells them for. You just have to be careful and make sure that you select the right needle gauge, the higher the gauge, the more expensive.
Hello. I work with ReliOn and saw this back and forth and thought I might be able to help provide a bit of clarification. Most of the information here is correct and well stated. In addition to ReliOn/Novolin NPH and R, we also provide 70/30. They are all available for the same price, likely below your co-pay. On both the syringes and pen needles, the pricing is consistent ($12.58 for 100 syringes or $9 for 50 pen needles) across all of the gauges. Picking the length and gauge of the needles is simply personal preference, there is no need to take price into consideration.

Anyway, best of luck with managing your diabetes. You seem to be on top of it and checking out all of the different options/brands/etc. That is certainly a great start! Please feel free to email me directly (jack at arcadiagp dot com) if you should have any further questions.
 

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Hello. I work with ReliOn and saw this back and forth and thought I might be able to help provide a bit of clarification. Most of the information here is correct and well stated. In addition to ReliOn/Novolin NPH and R, we also provide 70/30. They are all available for the same price, likely below your co-pay. On both the syringes and pen needles, the pricing is consistent ($12.58 for 100 syringes or $9 for 50 pen needles) across all of the gauges. Picking the length and gauge of the needles is simply personal preference, there is no need to take price into consideration.

Anyway, best of luck with managing your diabetes. You seem to be on top of it and checking out all of the different options/brands/etc. That is certainly a great start! Please feel free to email me directly (jack at arcadiagp dot com) if you should have any further questions.
The Walmart brand syringes do cost the same regardless of the gauge. Other well known brands, DO cost more when you buy a higher gauge. I buy Monoject online and the 29 gauge is less expensive than the 31 gauge. I don't know why, but there is a price difference.
 
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