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MRSCLASSICS's Photo MRSCLASSICS SparkPoints: (741)
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2/3/13 4:43 P

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Thanks for your input. My diabetic Educator Jacie said to try eating high protein before going to bed, and I did this for about 3 weeks, but it didn't seem to help. She always wants to up your medication, which I don't want to do as my A1C is fine. My Doctor just says go talk to Jackie. He has no opinion on anything to do with diabetes. I prefer not to eat after 7:30 pm, as I'm trying to lose 20 lbs, as all my extra fat is around my waist and I want to get my waist down to under 35"

Gail from Northwestern, Ontario, Canada

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BEABERT's Photo BEABERT Posts: 224
2/3/13 3:26 P

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My sugars are usually high in the morning too. My dr calls it the 'pre-dawn phenomenon'. I have to be really careful about what I eat at night and as much as I hate to admit it...exercise really does help. Good luck to you!

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MRSCLASSICS's Photo MRSCLASSICS SparkPoints: (741)
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2/3/13 12:37 P

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Hello everyone. I've been a Type 2 diabetic for about 8 years. I controlled it with Diet & Exercise for a few years but had to eventually go on oral medication. It's under control now, with medication my A1C is always under 7 mmol/L. I still have problems with Morning highs, and can't seem to get it under control (8-9 mmol/L) I'm trying to improve my Lifestyle (eating & exercise) so I don't have to go on more meds, I have a good handle on what I should eat, and I have improved my exercise routine, but I need to be more consistent & improve my Motivation. I hope by joining this team I can accomplish this. emoticon
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Edited by: MRSCLASSICS at: 2/3/2013 (14:02)
Gail from Northwestern, Ontario, Canada

Good Health Doesn't Cost.... It Pays!
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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/18/13 2:26 P

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I found this very interesting article from the Diabetes Association on how to calculate the effect of Sugar Alcohols on blood sugars......
www.diabetes.org/food-and-fitness/fo
od
/what-can-i-eat/sugar-alcohols.html


Linda

Leader: Living with Diabetes
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WENDIT's Photo WENDIT Posts: 312
1/18/13 2:09 P

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Thanks LittleWind, Russel and Valerie!

From my morning blood sugar, I will surmise they DO spike my sugars.

I'll give the rest of the bag to my girlfriend emoticon

Next goal: Break the 200 lb mark.


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/18/13 1:19 P

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If you do a google search on sugar alcohols, you will find lots of articles on them. I have only looked at a few of them but of those, some suggest they have minimal or no impact on blood sugars, others say they do impact it. They all seem to agree that they can result in gas, bloating, even diarrhea (sp) when "taken in excess"

Wikpedia says they do affect blood sugar levels
en.wikipedia.org/wiki/Sugar_alcohol

and here is one from about dot com
lowcarbdiets.about.com/od/whattoeat/
a/
sugaralcohols.htm


This was an interesting exercise for me because I had never thought of this as being part of my food before. True, I am trying to go more natural and whole food based by making my own meals, etc, but occasionally I have be offered a "sugar free treat" such as Russel Stovers. Now I will be extra diligent in declining them.....


Linda

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YOU can do it.
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VALERIE1619's Photo VALERIE1619 Posts: 956
1/18/13 12:09 P

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...and those sugar alcohols can be really nasty to your belly, as in hard to digest and causing stomach/bowel upset.

Valerie
type 1 diabetic,
showing this disease who's boss!

February 2013: NEW GOAL! I've lost 60 pounds to date, so it's time to kick these last few to the curb!


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RUSSELL_40's Photo RUSSELL_40 Posts: 16,826
1/18/13 11:54 A

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I saw something about counting them as 1/2 , so that would be 6 grams, because they are partially absorbed.

Personally, I do not eat ANY sugar alcohols. They stall me, and spike my blood sugars, same as sugar

"We can't solve our problems with the same thinking we used when we created them "

- Albert Einstein

“Whether you think you can, or you think you can't--you're right.”

- Henry Ford


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WENDIT's Photo WENDIT Posts: 312
1/18/13 9:06 A

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10.7 this morning emoticon

The only difference was I had a serving of Russel Stover's chocolate. It was the sugar free one too!

Ok I checked the package again and there are 0 sugars, but 12 sugar alcohols. What are sugar alcohols? Do I count them like sugar? If so, these things are NOT sugar free

Next goal: Break the 200 lb mark.


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/17/13 5:30 P

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Wendi, looks like you are starting to go in the right direction. Let's see what tomorrow brings. If you can get your numbers down without increasing the insulin too much, that is the best way to go. Insulin is a fat storing hormone and too much of it can not on make it harder to loose weight, but also it can make one gain weight. I cannot go low carb because my kidneys cannot handle it. I need to keep them as healthy as I can for as long as I can, but it could definately be an option for you. If you try just protein tonight, please let us know your results tomorrow morning.....

For Russell and anyone else who does not know this......

Excess glucose is stored in the liver until it is needed. When the Blood Sugar level get's too low, the liver thinks it is not going to get any further fuel for awhile so pumps out that glucose as needed to raise the Blood Sugar levels. Then the next time you eat, it replaces and replenishes that reserve to have available for the next time it is needed.....

It is the body's coping mechanism..... I hope this makes sense to you.

Linda

Leader: Living with Diabetes
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ndividual.asp?gid=10080


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WENDIT's Photo WENDIT Posts: 312
1/17/13 2:10 P

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LittleWind,
Yes, I work outside the home. I get home at roughly 4:30 and do chores, then have supper at 5pm. Sometimes with hubby, sometimes he's not home from work until 10pm, so I have supper alone.

I'll try supper at 6-6:30 like you suggested!

I have cut out the 1am snack, since it didn't do anything significant to my morning sugars.

I was under 10 this morning on the blood sugar count! Last night I took one of my husband's 500mg Metformin pills. This is what my doctor first put me on years ago, but it gave me leg cramps so I had to stop. The doctor had me on two 500mg pills a day, and it felt like my bones were ACHING in my legs after a couple weeks of taking it, so I had to stop. I didn't have the leg cramps, and my blood sugars were down!

I'll be talking to the doctor about that too.

Next goal: Break the 200 lb mark.


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WENDIT's Photo WENDIT Posts: 312
1/17/13 2:04 P

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Russell,
Thanks for the info! I'll try that. What time were you going to bed?

Next goal: Break the 200 lb mark.


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RUSSELL_40's Photo RUSSELL_40 Posts: 16,826
1/16/13 7:57 P

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I used to have high morning blood sugars. I had no idea why, because I didn't eat after 7 p.m.

When I started low carb, I would eat 2 chicken thighs before bed, and it fixed the problem. Scientifically, I have no idea why eating before bed fixed it. It only worked when I ate no carbs though. Cheese was okay, but meat worked best. My morning blood sugars dropped from 160 to 75.

My doctor tried to explain it to me once. Something about the body producing glucose as I got low in the early morning, and I would test before Insulin could drop it. All I know is it would be the highest reading of the day, and was annoying.

Since you are already on Insulin, you have to be a bit more careful. You might try eating a lower carb snack before bed, and testing at 3 a.m., and see if it drops it significantly. My biggest problem at that point was low blood sugars.

Hope you figure out a way to get good numbers in the morning.

"We can't solve our problems with the same thinking we used when we created them "

- Albert Einstein

“Whether you think you can, or you think you can't--you're right.”

- Henry Ford


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/16/13 7:05 P

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How does the 5 pm supper fit into your husbands schedule? Or your own, for that matter. Do you work outside the home?

Here is a suggestion.
Definately eliminate the 1 a.m. snack. Some of your meals are 3 hours apart, others are only 2 hours apart (like a snack only 2 hours after eating supper) I personally would try to move the supper to 5:30 or 6, then you could move the 7 pm snack to 9. and see what this does for your numbers. Of course this would give you one less snack for the day so you may have to adjust the calories you eat at other times during the day to get them all in..... But this would give you less food late in the evening but still give your system what it needs to get through the night. For your bedtime snack, make sure you have 7 grams of protein (1 protein choice) for every 15 grams of carb (1 carb choice.) You could try this for a day or two and see what happens. If it works, great! And you can tell you nutritionist how you adjusted your meals. If it does not work, then it's back to the drawing board......

Most doctors want to see numbers after 8 hours of fast because it is recommended that we try to get 8 hours sleep a night -- but if your doctor wants you to only go 7 hours you of course will have to adjust for that.... But even at that, eating a snack at 1 a.m. and breakfast at 6:30 only gives you 5 and a half hours which is not really what most docs like to see......

The main thing to remember is that what works for me may not necessarily work for you because we are all different and unique.... And even when you do get it all sorted out and working nicely, things may change and you may have to tweak it again.....

I hope this helps some. Let me know how you get along.....

Edited by: LITTLEWIND53 at: 1/16/2013 (19:06)
Linda

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WENDIT's Photo WENDIT Posts: 312
1/16/13 4:48 P

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LittleWind53,
Thanks for sticking with me through this!

I normally go to bed between 9:30 - 10:00 pm.

I was trying the snack at 1am when I work up to go to the bathroom. My husband suggested having a snack at that time, then seeing how the morning blood sugars were. But I don't think that was the point the doctor was trying to make. He wants to know my blood sugars in the morning, after that 7 hours of sleep you're supposed to get.

My meal times are (as suggested by my nutritionist):
6:30 am Breakfast (after I take my morning blood sugar)
9am-ish - a snack
noon - lunch
3pm-ish - a snack
5:00 pm - supper
7pm-ish - a snack
if still awake at 9pm-ish - a snack
She wanted me eating something every 2-3 hours.

Next goal: Break the 200 lb mark.


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/15/13 11:38 P

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You appear to need to have the snack before bed, but I am curious what time you go to bed normally? 1 a.m. seems kind of late to be having a snack. What time do you get up and test the next day? Do you have to wake up to take the reading and have the snack or is this your usual time to go to bed? How are the rest of your meals spaced throughout the day?

Also, wondering if the snack itself may be something to consider...... Maybe it is too much given the lateness of the hour, maybe the carb ratio is off. Definately check this out with your medical team/nutritionist when you go....

Edited by: LITTLEWIND53 at: 1/15/2013 (23:39)
Linda

Leader: Living with Diabetes
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ndividual.asp?gid=10080


YOU can do it.
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WENDIT's Photo WENDIT Posts: 312
1/15/13 9:57 A

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New blood monitor and fresh test strips.

Injected 34 units of insulin last night. Did 30 minutes on the treadmill.

Ate nothing in the middle of the night, I slept through to 5:30am

Tested at 6am and blood sugar was 13.5.

This time I think it was the Lindor dark chocolate I had at 8pm. So I'll try again tomorrow and NOT cheat on food!

Next goal: Break the 200 lb mark.


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WENDIT's Photo WENDIT Posts: 312
1/14/13 2:33 P

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32 units of insulin last night.

snack of 1 tomato and 4 water crackers at 1 am with a blood sugar count of 10.7

Then this morning at 6am a blood sugar count of 12.5 emoticon

At 11 am this morning, felt hypoglycemic and had to take some sugar to even out again.

I think my body is against me!

Next goal: Break the 200 lb mark.


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/12/13 12:07 P

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What a difference current strips can make!. Let us know how it goes......

Linda

Leader: Living with Diabetes
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ndividual.asp?gid=10080


YOU can do it.
You CAN do it.
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You can do IT.


 
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WENDIT's Photo WENDIT Posts: 312
1/12/13 9:32 A

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I talked to my pharmicist yesterday and he agreed that my test strips were old and gave me new ones. He's going to set me up with a new machine as well! emoticon he took my blood sugar last night just before I had supper and it was 7.5.

So I'm starting again. Last nigt I injected only 30 units, then when I got up at 1am I had a small apple and piece of cheese, then this morning took my blood sugar and it was 9.9!

I'll start increasing again tonight, slowly, and keep tabs on the numbers. emoticon

Next goal: Break the 200 lb mark.


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WINEMAKER491's Photo WINEMAKER491 SparkPoints: (1,667)
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1/11/13 6:26 P

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glad to here everything is going ok ...sorry for asuming you were not seeing the doctor, i did not see all your posts...try exercise again it will make a difference..I need to all three diet exercise and medication...and Then I can have near normal readings,but if I drop any one of the 3 I am totally out of wack...I too am On lantus at night and apedra morning noon and supper...It really sucks to have to be so perfect with everything...so far I am on track...Good Luck with it all and again sorry for assuming...

emoticon emoticon emoticon

Remember when one door closes another one always opens!!


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/11/13 3:10 P

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Ok, next question..... Do you take a reading at night before bed (or when you take your insulin?) Just wondering where you are starting at.....

It may not have anything to do with it, but....... It never hurts to know.

Linda

Leader: Living with Diabetes
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ndividual.asp?gid=10080


YOU can do it.
You CAN do it.
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WENDIT's Photo WENDIT Posts: 312
1/11/13 3:01 P

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LittleWind53,
The Levemir is also the long lasting type of insulin. I inject at night and the doctor said it reaches peak in 90 minutes then continues for another 22 hours. Therefore I'm to take it at the same time each night and my time is between 9:15 and 9:30 pm.

When I started this protocol I was at 16 units a night. Now I'm at 50. This has been over the last two months, increasing by 2 units per night. I see the doctor every three months. we're short of doctors here so that's as often as he can see me. I'm due in next month after my blood test at the hospital.

Today I'm taking my meter to my pharmacist to get it calibrated and checked out, then I'm going to get NEW strips and see where I'm at. Wouldn't it be nice if it were something as simple as outdated strips?

Next goal: Break the 200 lb mark.


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/11/13 2:39 P

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I live in Edmonton so should be similar to where you are..... I take Lantus which is a Long Acting insulin.... approximately 24 hours (some say 22) I also take Novo Rapid which is a faster acting one, and NPH which is inbetween...... (Lantus was recently accepted for coverage under Alberta Blue Cross ---- YEAH!!!!)

How much have you increased your insulin since you started this proticol? When is your next doc appt? If it has been awhile, it would be a good idea to call his office and discuss with him how much insulin you are now taking and the numbers you are still getting. He might be fine with it, or may decide that is not be the right one for you...... Whatever he decides, you do need to keep him in the loop.....

P.S. Your last post, about the outdated strips, a resounding YES. Expired strips often will give wrong results.... Call the service line for the meter you use and tell them you have outdated strips and ask if they will replace them. Lifescan told me to return some outdated strips and when they received them, then sent me a new box. Maybe your meter will do the same for you.

Linda

Leader: Living with Diabetes
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ndividual.asp?gid=10080


YOU can do it.
You CAN do it.
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WENDIT's Photo WENDIT Posts: 312
1/11/13 12:17 P

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I just checked the expiry date on my test strips. They expired May 2011.

Could this give a false reading?

Next goal: Break the 200 lb mark.


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WENDIT's Photo WENDIT Posts: 312
1/11/13 10:46 A

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Wednesday night injected 45 units.
Thursday morning blood sugar was 10.2

Thursday night injected 50 units.
This morning blood sugar was 12.3

I changed nothing in how I ate last night from any other night.
The only change was I didn't go on the treadmill for 30 minutes of walking.
Would that have made such a difference?

Next goal: Break the 200 lb mark.


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WENDIT's Photo WENDIT Posts: 312
1/11/13 10:43 A

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Winemaker491,

I am not increasing my doseage because I want to, I'm increasing it because last November my doctor didn't like my A1C and told me to increase my nightly insulin by 2 units every night, then take my blood sugar in the morning. If my morning blood sugar wasn't under 10, then increase the insulin that evening by another 2 units.

Next goal: Break the 200 lb mark.


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WENDIT's Photo WENDIT Posts: 312
1/11/13 10:38 A

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LittleWind53,

I'm on Levemir penfill. I live in Canada so I'm not sure if the insulin brands are the same where you are.

Next goal: Break the 200 lb mark.


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WINEMAKER491's Photo WINEMAKER491 SparkPoints: (1,667)
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1/10/13 5:39 P

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your not going ahead and changing your dose by yourself ,are you? You really should talk to your doctor and your nutritionist before changing your doses..it could do more harm than good...please talk to your doctor and let them advise you as to how many units to take... emoticon

please be carefull

winemaker

Remember when one door closes another one always opens!!


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/10/13 2:51 P

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What kind of insulin are you on?

Linda

Leader: Living with Diabetes
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ndividual.asp?gid=10080


YOU can do it.
You CAN do it.
You can DO it.
You can do IT.


 
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WENDIT's Photo WENDIT Posts: 312
1/10/13 12:03 P

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Injected 45 units last night and this morning my blood sugar was 10.2.

So tonight I'm going up to 50 units and we'll see what happens tomorrow!

Next goal: Break the 200 lb mark.


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60NLOVINIT2's Photo 60NLOVINIT2 SparkPoints: (34,144)
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1/9/13 8:58 P

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my A1c use to run 11-12.. i have it down to 7.6 i take lantus 50 u at bedtime and 10+ humalog at meal time... i am now on janumet xr twice day.. for years i had a doctor that really didn't care.... i now have one that cares about your progress... sent me to diabetes education classes... explains thing to you... and i have a supportive boyfriend.. my eye doctor wants me to be less than 6.. i am working on that right now..

betsy
in north carolina

its all about giving and receiving friendship and well deserved help.


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WENDIT's Photo WENDIT Posts: 312
1/9/13 12:04 P

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60NLovinIt2,

My morning numbers vary from 10 to 12. This morning, at 3am (see I take advice!) was 12.9, then when I did my regular morning BS at 6am it was 11.3.

Last A1C was around 11 - 11.5, that was in November. I'll get another one done this February.

When I went on the insulin (10 units nightly, starting Jan 2011), I was also on two different diabetic pills. 80 mg Gliclazide (once a day) and 45mg of Pioglitazone (twice a day). I was experiencing hypoglycemia a couple of times a week on that combination. The doctor and I talked and he took me off the Pioglitazone and reduced the Glicazide to 30 mg. I'm thinking we're still adjusting dosages? Perhaps I should still be on those pills as well?

I'm going to ask the doctor if I should resume the Pioglitazone. I'm hoping to get this regulated soon!

Thank you so much for all the advice.

Next goal: Break the 200 lb mark.


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60NLOVINIT2's Photo 60NLOVINIT2 SparkPoints: (34,144)
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1/8/13 7:31 P

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and what are your numbers?? A1c??

betsy
in north carolina

its all about giving and receiving friendship and well deserved help.


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WENDIT's Photo WENDIT Posts: 312
1/8/13 7:25 P

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LittleWind,

I've seen two different Diabetes Nutritionists, but thanks for suggesting it! Someone else might have this problem, read this, and be helped emoticon

I've thought about what I'm eating and when, and tried having a nutritious snack at 9pm before going to bed at 9:30 pm. I've tried not eating anything after 6pm as well. it didn't change the numbers.

I'll try taking my BS when I take my insulin, then do what Valerie suggested and take it again at 1am or 3am. I'm usually up at that time to head to the bathroom anyway LOL!

I'll bring this up to my doctor again when I see him in another month. I was hoping to get some advice in between as well, so thank you so much for replying!

Next goal: Break the 200 lb mark.


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WENDIT's Photo WENDIT Posts: 312
1/8/13 7:20 P

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Valerie,

I'll try rotating the time I'm testing. Would I still test in the morning at 6am if I'm testing at 1am or 3am?

The insulin I'm using is Levemir. It's in the pen form and I inject in different sites. Since it's 40 units, I'm doing my injection in 2 x 20 units, injecting slowly and in two separate sites. Because of my obesity, I can't reach my buttocks, so all injections are into my stomach, but in different places each time. yes, I'm type 2.

thanks for the tips!

Next goal: Break the 200 lb mark.


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LITTLEWIND53's Photo LITTLEWIND53 Posts: 15,108
1/8/13 4:34 P

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Perhaps it is time to see a Diabetes Nutritionist..... Maybe you need a snack before bed, or perhaps adjust you foods through out the day so you have less carbs in the evening. Maybe you are eating too much or maybe too little.

There could be lots of reasons for the high morning numbers. Have you tried taking your BS in the evening when you take your insulin? Try that a couple of nights and compare morning to evening. If your numbers are going UP overnight, there is also a possibility of the Dawn Phenomenon

This is such a complicated disease and there could be so many reasons so it is best to get the help of a professional trained specifically in this area...... Call your doctors office to get a referral.

Good luck to you....

Linda

Leader: Living with Diabetes
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ndividual.asp?gid=10080


YOU can do it.
You CAN do it.
You can DO it.
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VALERIE1619's Photo VALERIE1619 Posts: 956
1/8/13 4:28 P

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What you absolutely MUST do is some nighttime testing. Oftentimes, your blood sugar can actually drop in the middle of the night, which spurs your liver to dump glucose into your system, resulting in higher morning numbers.

I'd start with testing a few nights in a row around 1 am, then a few nights around 3 am, and a few at 5 am, to make sure you're not dropping. If you are, you can eat a small protein snack at bedtime (but discuss the numbers with your doctor, of course!).

I'm assuming you're using Lantus? For some people, instead of a larger dose at bedtime, they'll inject half in the morning and half at bed. Sounds to me like you're a type 2, which is what my husband is.

As for bruising; are you making sure to rotate your sites? You can inject insulin almost anywhere you can reach, so make sure you don't inject in the same areas every time. Also, I seem to recall (I've been pumping for about 10 years, so it's been a long time since I've injected) that if you allow the syringe to stay in place for a few moments after injecting, you can minimize bruises.

Good luck!
Valerie


Valerie
type 1 diabetic,
showing this disease who's boss!

February 2013: NEW GOAL! I've lost 60 pounds to date, so it's time to kick these last few to the curb!


 Pounds lost: 6.0 
 
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WENDIT's Photo WENDIT Posts: 312
1/8/13 4:04 P

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I had started at 10 units of injectable insulin in Jan 2012. I had to increase to 16 units per night by summer, and was good. I get bloodwork every 3 months. Something must have changed because at the last appointment in November, my doctor didn't like my A1C and said to increase my insulin at night by 2 units and take a morning blood sugar count. If it wasn't under 10, increase by another 2 units (and so on).

I'm up to 40 a night and there is NO change in my morning blood sugars! They hover between 10.5 and 12.5 in the morning.

I'm frustrated and discouraged. Is there nothing I can do to decrease these morning blood sugar counts? I just keep pumping more insulin into me and I'm getting bruised. Is 40 units high? emoticon

Edited by: WENDIT at: 1/8/2013 (16:06)
Next goal: Break the 200 lb mark.


 current weight: 200.0 
 
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