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The Doc Said....

4958 Views 20 Replies 9 Participants Last post by  jwags
That if my morning reading do not come down after increasing my metformin to 1000mg a day I may have to take a shot of insulin in the morning. I really dont do needles well. so would like to hear some realities of giving yourself a shot. I dont like the idea, and dont know if I can
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That's a pretty low threshhold, considering 1000mg isn't even half the maximum dosage of met. I take 2000mg per day, and I think the max is 2550mg. Wonder why he's setting the bar so low? Is met causing you gastric distress?

Early use of insulin isn't a bad thing . . . the most important thing is to get our numbers DOWN. The finger-prick for testing is worse than the actual injection - I know that much.

On the other hand, I have asked my doc for a few units of lantus at bedtime to head off the high morning readings, and he says "not yet."
That if my morning reading do not come down after increasing my metformin to 1000mg a day I may have to take a shot of insulin in the morning. I really dont do needles well. so would like to hear some realities of giving yourself a shot. I dont like the idea, and dont know if I can
It's all a calculated risk just like the rest of life.
if you are 40 years old and do not take your treatment they may be amputating your legs in maybe 15 years so do you really care if you have legs to walk on at age 55? Are you going to suffer the pain and inconvenience of giving yourself shots for 15 years just to still have usable legs at age 55? Many younger people may take the shots but if you are over 80 years old your attitude may change.

So i guess it depends on how old you are, how much crap are you willing to put up with to save your legs, eye sight, kidneys, and extend your life span. So how old are you?

As a cruel reality check try this:
just breathe in and breathe out normally, then pinch your nose and count the seconds you can hold your breath.
If you can hold your breath 20 seconds you may be worth the bother of extending your useful life.
If you can't hold your breath for 10 seconds and you want to live you better not wait too long to attempt recovery/stabilization.

Unknown Reference:

Declassified, the researched and developed breathing information has allowed remarkable cures for asthma, sleep apnea, heart conditions, cancer, diabetes, others and a great effect on overall health.

Tested and well documented in Russian hospitals for 20 years, before adopted by the Health Ministry in 1985. It is now taught in Russian Hospitals as large part of the treatment for many diseases and ailments.

This is a simple test and do not stress or exert your self to get a better score.

Inhale and exhale, and then exhale as usual. , pinch your nose, stop breathing and count how many seconds you can stress-free hold your breath while Keeping your nose pinched.

Note seconds expired until you have the strong urge to breathe. Likely with movement of the diaphragm or some throat swallowing body signal. Release nose and back to breathing normal.

Note seconds expired, You now have your CP as they call it, your Controlled Pause number in seconds.

Here Is The Usual Translation.

These are the general numbers Dr. Buteyko used and practitioners use today.

Number Figure is number of seconds comfortably holding your breath.
1-10 seconds of holding breath - Very sick often terminally ill, usually hospitalized patients,

10-20 seconds People with general health ailments, minor diseases, likely taking OTC or prescription drugs for various complaints.

20-40 seconds - People with poor health, but often without any serious identifiable ailments.

40-60 seconds - Considered in good overall health.

Over 60 seconds He Considered patients with this reading indicated "perfect health."

In 50 years Buteyko never found one patient with any illness, of any type, breath testing at this level.
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That if my morning reading do not come down after increasing my metformin to 1000mg a day I may have to take a shot of insulin in the morning. I really dont do needles well. so would like to hear some realities of giving yourself a shot. I dont like the idea, and dont know if I can
Don't worry, if you need to take insulin, most people use the pens and the needle called "Nano" by BD is the most thin and shortest pen needle available. I use a vial and syringe and I always use 8mm 31 gauge. Needles do not bother me. I didn't know if I could do it but I have been taking insulin since 2005. Good luck, it is amazing what we can do if we need to do something!
I've been D for 4 years and on different levels of metformin. I now take the maximum amount of metformin 2550 in 3 x 850 doses. This morning I was 86.
My doctor also told me I would need insulin at some point. I tightened up my diet, exercise and took all processed food out of my diet and added coconut oil and now by bgs are in a very healthy range.
I am on 2000 mg met and 6U levemir at night. The Lev really helps my DP -- as does exercising at night!

I used to have needle phobia, but when I became hypothyroid they had to go into my veins monthly to make sure my replacement dosage was correct. It became less of a big deal to me then.

By the time I developed D, it was no biggie to do sub-Q injections, with a little tiny needle. If you are worried, try it a couple times, maybe with saline, and you will see, it is nothing! And the added control is WONDERFUL.
I used to shoot byetta it isn't the end of the world. uncontrolled blood sugar is the end of the world ;)

have you tried eating a protien snack before bedtime? that sometimes helps fool your body and prevents the dawn phenomenon. good luck
I get so frustrated when Drs seem to use insulin as some kind of punishment for you Type 2s. They hold it out there, in my opinion, as a "if you aren't good I'm going to make you take this insulin." This is just a tragedy. Insulin has been proven as a very effective method of helping Type 2 control their diabetes.
The needles are not as bad as you might think. When I first got diagnosed I thought, "There is no way I can give my self 4 or more shots a day for the rest of my life!" I hardly feel the needles and I have great control of my diabetes. As Jim said, it just depends on how much you are willing to do for your health. I really hope you don't need to go on insulin if it is something you are not in favor of, but it will not be the end of the world.
We are here to support you and provide encouragement. Good luck!
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I get so frustrated when Drs seem to use insulin as some kind of punishment for you Type 2s.
On the other hand, I get told I will "someday" need rapid, but not just yet. Based on only my A1c. I peak > 180 sometimes after dinner. And I eat pretty low-carb. I WANT insulin. So I feel as if it is being withheld in a punitive manner.
On the other hand, I get told I will "someday" need rapid, but not just yet. Based on only my A1c. I peak > 180 sometimes after dinner. And I eat pretty low-carb. I WANT insulin. So I feel as if it is being withheld in a punitive manner.
That's exactly what I mean. If you want it, why won't they allow you to take it?!
That's exactly what I mean. If you want it, why won't they allow you to take it?!
I think they just get in a mindset ... especially those who have pts who have frequent hypos. Very frustrating to fight with this condition AND with the people who are supposed to help you.

If this were not my SECOND Endo -- and in fact, third if you count the guy I saw in the hospital -- I would switch. I like this guy, too. Of the 3 he is best, personality-wise.
On the other hand, I get told I will "someday" need rapid, but not just yet. Based on only my A1c. I peak > 180 sometimes after dinner. And I eat pretty low-carb. I WANT insulin. So I feel as if it is being withheld in a punitive manner.
Yes, I think docs tend to withhold insulin from T2's for far too long. I still wonder if I had been started on insulin at a young age,would I still have some pancreatic function left today? Maybe so. I think my pancreas was going to fail me anyway, but those poor little beta cells might have held out a little longer if they had not been so overworked so early.

The needles are really not big of a deal. It looks like it must be painful to inject yourself, especially in the abdomen, but I rarely even felt the needle. The finger poke hurts more sometimes. Although I have to say, after all these years, sometimes I dont even feel that anymore.
Thanks for the input again. I did misquote on the original thread. I take 1000mg of metformin twice per day. So 2000mg per day.
BTW- Here is an example. Yesterday before dinner I was 106. After dinner 118. This morning 189. Oh and I am 50 so yes I would like the use of my legs, eyes and kidneys for a while yet:D. At he store I work at we have a grinder to make peanut butter. I have been grinding honey roasted peanuts and having some of that before bed. I know a few carbs but not much. I have also had bad cravings for milk. Maybe that is doing it also.
It isn't the peanuts that are hurting you, spud, but the honey-roasted processing. Just use plain dry-roasted peanuts in that grinder. Honey will spike you as quickly as sugar and starch. (and milk too, btw. There are reasonable substitutions for milk if you're a real milk lover. I use unsweetened natural almond milk, and there's an even better one, according to others I've heard (I haven't been able to get it myself), the Hood® Calorie Countdown® dairy beverages. But yeah, regular cows milk is loaded with lactose, another one of those cussed sugars! :(
Well, I dunno, Shanny ... peanuts alone will spike ME! I have pretty much given them up for the time being!

So I'd say, Spud, test. Without the honey-roasting, too!
Yep, you're right . . . peanuts are a legume - not a nut. Spud? Listen to foxl, she's been fighting these wars longer than have I! :D

Well, I dunno, Shanny ... peanuts alone will spike ME! I have pretty much given them up for the time being!

So I'd say, Spud, test. Without the honey-roasting, too!
Well ... I have been fighting a more difficult battle, apparently!
When do you take your metformin? Switching one of the doses to right before bed really helped me. I tried the late night snack and it really didn't work. I don't do regular milk but we do light coconut milk that is only 1 carb per cup. I have switched from peanut butter to raw almond butter. The only other thing I would suggest is to wake up several times during the night and test bg. Many people get cortisol or adrenaline spikes. Try doing something calming before bed like yoga. I have started to take melatonin at night and it also helps relax me and avoid those hormone spikes
When do you take your metformin? Switching one of the doses to right before bed really helped me. I tried the late night snack and it really didn't work. I don't do regular milk but we do light coconut milk that is only 1 carb per cup. I have switched from peanut butter to raw almond butter. The only other thing I would suggest is to wake up several times during the night and test bg. Many people get cortisol or adrenaline spikes. Try doing something calming before bed like yoga. I have started to take melatonin at night and it also helps relax me and avoid those hormone spikes
I take it before dinner, so I will take it later in the evening. Will also cut out the peanuts and milk. If that works I will switch to almond butter
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