Diabetes-- Help

S&W357

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I had Diabetes for 5 years - I'm taking Metformin 2x 1000. Dr. wants to put me on insulin. My A1C is now 8.5
I been real good with taking my numbers -only to find out it's high 180 to 200 all morning until i eat then is goes down to 120.
I worked the midnight shift for 40 years and now retired. I don't eat when i get up in the morn., until 2 pm. Today i had something to eat. When i took my blood is was 120 and when i took it before i eat is was 188.
I'm trying to not go on insulin. Today is my 2 nd. 4 hour class. Diabetes class. I should of went 5 years ago.
Can anyone tell me what they did to lower your numbers. I am going to the gym and i eat all what i am told. Maybe i'm not taking the meds right ? 7 am and 7 pm.
 
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I also take the Metformin 2x1000 and have to inject every day with insulin as well. Due to a severe back injury,most forms of exercise are impossible. I'm "pretty good" about what I eat and my glucose level is okay for the most part. The problem with diabetes is that it gets progressively worse,thus the more you have to do to combat it. If you are doing your part and your A1C continues to be 8.5 or above,TAKE the insulin! It ain't that bad. The biggest drawback is that it's EXPENSIVE and there ain't no such thing as generic insulin. :(
f.t.
 
A long acting, once a day insulin may be your best option. Levemir is such an insulin. You take it once a day, usually in the evening. It works to level out you blood sugar throughout the day. Available in pens and vial and syringe form. neither needs refrigeration for up to 28 days.
 
Slow acting or fast acting insulin. I went on slow acting last year or so. One shot in the evening. My fasting (7 AM) is about 120 and below. Mine hasn't been too good A1C about 7.5. I'm moving my evening shot up to about 3 PM. I also don't eat breakfast, a light lunch and a medium sized dinner. My doc also wants to put me on fast acting insulin. I currently take 3 metformin and 1 Glyburide (1 & 1 in AM, 2x in PM).

All I can do is commiserate with you.
 
I also take the Metformin 2x1000 and have to inject every day with insulin as well. Due to a severe back injury,most forms of exercise are impossible. I'm "pretty good" about what I eat and my glucose level is okay for the most part. The problem with diabetes is that it gets progressively worse,thus the more you have to do to combat it. If you are doing your part and your A1C continues to be 8.5 or above,TAKE the insulin! It ain't that bad. The biggest drawback is that it's EXPENSIVE and there ain't no such thing as generic insulin. :(
f.t.

Wow -that is my problem -2 lower back surg. and i need R/knee replacement and had 4 surg. on r/knee and one on left. I just started the gym -the last time i went-i hurt my back. I'm starting real slow at the gym. My wife is freaking out because of the insulin shots that i may have to take.
Looks like i have to eat 3 or 4x a day and i don't drink water. I'm going to have to do a few things. Please keep the info. coming.
 
I took Metformin and Lantus (a time release insulin) and could not get my A1C below 7.5. A few months ago I started Humalog before meals and it's down to 6.2 and falling. Thank goodness for a good Part D supplement. Back when I was using a gallon of Evan every week I never got sick so I went undiagnosed for years and was told then that everything was good if my blood sugar was 200 or better. Now they would have a fit. I have all the ill effects to my hands, feet, and eyes but I have no right to still be kicking. I hope you do well.
 
Follow whatever recommendations your doctor gives you. My pancreas quit working in 1988 due to an injury so I've been a diabetic ever since. There are a lot of different strategies out there and they have to be tailored to the individual situation. Mine have changed more times than I can remember. I check my sugars at least 3 times a day and my insulin doses are adjusted depending on the results of my checks. My A1C is great and I can't exercise as much as I would like (bunch of artificial joints) but my diet is controlled. If you take care to follow instructions diabetes almost becomes a non issue. Good luck
 
The following is hard for me to open up about because I have not publicly written or spoken about being diabetic before - - it's been one of my more closely-guarded secrets. Only some family, and a couple of close friends like my dive partners knew.

I was diagnosed with type II diabetes over ten years ago (on Sept 13th, 2001 - - what a horrid week that was) after a life insurance physical spotted extremely high blood glucose numbers, and had managed to stay on oral meds, though it was a struggle for most of that time. Dosages kept creeping up to keep things in check.

About a year ago, my doc was seriously looking toward insulin; I was on max does of metformin and glyburide, but my numbers had been creeping up for that year and were not improving. I was starting to feel the first signs of neuropathy in my feet, too.

I was personally strongly opposed to going on an insulin injection regimen, for two reasons: one, it makes weight control a lot more difficult (something I've fought all my life to begin with) and two, my grandmother was an insulin dependent diabetic and I have strongly negative childhood memories of her having to cope with it, as she lived with us for a number of years when I was a kid.

So I started looking for alternative info, and I happened across the work of Gary Taubes and Dr. Peter Attia. Taubes is a science journalist and statistic investigator, and Attia is a MD, surgeon, and fitness enthusiast. Both are proponents of very-low-carb, no-refined-sugar diets, like the Duke Lifestyle diet, coupled with whatever exercize a person can manage.

After having read a couple of Taubes' books, I switched to the Duke diet (as best as I can stick to it) and got more religious about exercize - mainly getting out to walk briskly for 30 minutes or so most days a week. It's not a real easy diet to stick to, but it has one saving grace - - it flat out works.

I dropped nearly 60 pounds in 9 months (from 275 to 215), was able to reduce my oral meds dramatically (metformin dose cut by half, & am now ready to drop gyburide completely as even the minimum possible daily dose tends to push me hypoglycemic), and my A1c's now hover around 6.9-7.2. If I can drop another 15 lbs or so I may be able to stop meds entirely.

My 30-day average glucose this morning was 92.

Interestingly, even though I eat 3 eggs every day for breakfast & a great deal of all kinds of meat, my cholesterol numbers also plummeted & are now excellent.

My doctor was bug-eyed. I actually saw him smile.

I see a lot of other type-II people in web forums who have had similar experiences; going very-low-carb, focusing instead on proteins, fats, and fiber in the diet, dodging refined sugars as far as possible, minor increases in exercize leading to weight losses that seem to be the key to reducing/reversing diabetic impact.

I don't know if it works for everyone the same way as there's still a lot of unknowns about diabetic triggers & metabolism, but it made a huge difference for me.

I miss some favorite foods and I've never really enjoyed salads, so I do 'cheat' once in a while, but I don't miss them so much I'm willing to go on insulin for them.
 
Sorry to hear about your Health issues,Hang in there.By Midnight shift do you mean third shift(12:00-8:00am)? If so I have a feeling that your work schedule contributed to your issues.I worked third shift for three years and I could tell that is was wreaking havok to my system.Humans are just not programmed to eat "lunch" at 3:00am.It probably took a solid year of working the day shift before I felt that my system had reset.
 
if possible get to an endocrinologist and get their opinion. that is what they do and are up all the latest treatments and meds.i have been on insulin for over 15yrs. now. it isn't the end of the world unless you ignore the drs. advice. the expense is a big deal. I take 2 different types,humalog and lantus and inject 4 times per day and check blood before each meal and at bedtime. if you want to talk about this more, send me a pm and will help all I can.
 
I do not have diabetes, but I have lost tons of weight, feel better than I ever did, and saw EVERY SINGLE blood test marker improve dramatically by sticking to a low carb Atkins style plan. Fats, cholesterol, FBS, BP, A1C, etc. Every single one got substantially better.
 
The following is hard for me to open up about because I have not publicly written or spoken about being diabetic before - - it's been one of my more closely-guarded secrets. Only some family, and a couple of close friends like my dive partners knew.

I was diagnosed with type II diabetes over ten years ago (on Sept 13th, 2001 - - what a horrid week that was) after a life insurance physical spotted extremely high blood glucose numbers, and had managed to stay on oral meds, though it was a struggle for most of that time. Dosages kept creeping up to keep things in check.

About a year ago, my doc was seriously looking toward insulin; I was on max does of metformin and glyburide, but my numbers had been creeping up for that year and were not improving. I was starting to feel the first signs of neuropathy in my feet, too.

I was personally strongly opposed to going on an insulin injection regimen, for two reasons: one, it makes weight control a lot more difficult (something I've fought all my life to begin with) and two, my grandmother was an insulin dependent diabetic and I have strongly negative childhood memories of her having to cope with it, as she lived with us for a number of years when I was a kid.

So I started looking for alternative info, and I happened across the work of Gary Taubes and Dr. Peter Attia. Taubes is a science journalist and statistic investigator, and Attia is a MD, surgeon, and fitness enthusiast. Both are proponents of very-low-carb, no-refined-sugar diets, like the Duke Lifestyle diet, coupled with whatever exercize a person can manage.

After having read a couple of Taubes' books, I switched to the Duke diet (as best as I can stick to it) and got more religious about exercize - mainly getting out to walk briskly for 30 minutes or so most days a week. It's not a real easy diet to stick to, but it has one saving grace - - it flat out works.

I dropped nearly 60 pounds in 9 months (from 275 to 215), was able to reduce my oral meds dramatically (metformin dose cut by half, & am now ready to drop gyburide completely as even the minimum possible daily dose tends to push me hypoglycemic), and my A1c's now hover around 6.9-7.2. If I can drop another 15 lbs or so I may be able to stop meds entirely.

My 30-day average glucose this morning was 92.

Interestingly, even though I eat 3 eggs every day for breakfast & a great deal of all kinds of meat, my cholesterol numbers also plummeted & are now excellent.

My doctor was bug-eyed. I actually saw him smile.

I see a lot of other type-II people in web forums who have had similar experiences; going very-low-carb, focusing instead on proteins, fats, and fiber in the diet, dodging refined sugars as far as possible, minor increases in exercize leading to weight losses that seem to be the key to reducing/reversing diabetic impact.

I don't know if it works for everyone the same way as there's still a lot of unknowns about diabetic triggers & metabolism, but it made a huge difference for me.

I miss some favorite foods and I've never really enjoyed salads, so I do 'cheat' once in a while, but I don't miss them so much I'm willing to go on insulin for them.

I thank you ...... Came back from my 4 hour class. Looks like walking or gym every day and Low carbs will be a part of my life..
 
counting carbs is a big thing too. ask your dr. how many per day would work for you and do your best to keep to that number. I have to count everything I eat, so eating out can be an adventure.
 
Doc put me on Metformin about 2 months back and with giving up a ton of sugar and carbs in my diet, exercising 3 to 4 times a week (with the cold, I hit our local shoping mall and walk 3 to 4 laps) my glucose level came down to a weekly average of 98 to 106. No insulin and doc says I should not need it. It also helps I have dropped 30 ponds in the last 2 months!
 
Longtime Diabetic here..I take Kombyglize and am Insulin dependent. I am lucky enough to have insurance that is good and I am on a PUMP. I once thought Insulin was a terrible way to go as well. Although the preference would be no Meds. or Insulin I have a severe family tendency to Diabetes and my body just will not function properly without the Insulin. I have come to look at it as a blessing really though. Witht he PUMP and proper medicine and reasonable diet my A1C stays around 6 and my blood sugar numbers are almost always vey normalized. I decided Being on Isulin wasn't a death sentence to me but a way for me to live a fairly normal life and stay relatively healthy regardless.
 
Doc put me on Metformin about 2 months back and with giving up a ton of sugar and carbs in my diet, exercising 3 to 4 times a week (with the cold, I hit our local shoping mall and walk 3 to 4 laps) my glucose level came down to a weekly average of 98 to 106. No insulin and doc says I should not need it. It also helps I have dropped 30 ponds in the last 2 months!

That was me 5 years ago. Dr. said i was his best patients. Then comes time. I have to do what you are saying X 2 or 3
 
When I was diagnosed my blood sugar was 796. I started with insulin, Glipizide and Metformin. In a few months switched to Kombiglyze XR 2x daily. Within a few months I was down to 1 a day.

For me the meal and snack schedule is an important part of regulating my blood sugar. If I skip a meal or snack my blood sugar is going to go up.

3 meals a day plus 3 snacks. 220 carbs per day, I try to do 60 carbs per meal for 180, the other 40 for snacks.
 
I had Diabetes for 5 years - I'm taking Metformin 2x 1000. Dr. wants to put me on insulin. My A1C is now 8.5. . .
Can anyone tell me what they did to lower your numbers. I am going to the gym and i eat all what i am told. Maybe i'm not taking the meds right ? 7 am and 7 pm.

Sometimes, not all the time, chelation therapy helps take the stress off the pancreas to the point that folks are able to avoid insulin. However, this therapy, as all therapies, must be done under a doctor's supervision.
 
You need to eat smaller meals and more often. Don't go all day without eating. Remember that fruit juice can have even more sugar than a soda. Avoid all soda... especially the diet ones, they're even worse for you.

When I was diagnosed my A1C was almost 14, now it's under seven and I am totally controlled via diet.
 
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