I am T1 diabetic close to 30 years and drop your Lantus by 2 units until u get normal readings again. I went down on my Lantus by 5 units at first that made it more manageable. Feel free to ask any questions to me. My name is Samantha and I'm in Alaska.....:)
Final weight goal of 140 pounds & maintain my fitness with excellent blood sugar management.
hi, type 1's! how is everyone doing? has anyone noticed lower blood sugars and insulin need with weight loss? i've only lost about 20 lbs and i've already noticed that i need less lantus and humalog. i started on metformin due to insulin resistance about 6 months (?) ago. there are some days that when i have lunch or a snack i don't even have to do a shot because of the metformin.
current weight: 225.0
Fitness Minutes: (18,354) Posts: 1,299 7/27/09 12:53 P
I had been more active this summer and having too many bs crashes and having cookies with each meal to keep bs up and putting on wt. so I had to do something so only taking 1-2 units per meal seemed silly, I know it's not but b/s of the crashes had to change it so I exercised more upped my Lantis at night with a snack cut back to one cookie per day and have my fruit before my walk. This seems to be working really well for me and when I have a really active week getting ready for a yard sale for example only had to have the one shot of lantis a day yippie!
My target range for my bs is 85-150, I've been doing well with that except for one week a mo. or if I'm fighting a cold I'll have a 200 reading which is high for me.
Getting some type of physical activity for 30 min. after each meal seems to be helping me! Today I have laundry down stairs, gardening, a walk, bike ride, yesterday I had berry picking at the park while hubby was fishing, and bike ride, hoping to get to the beach or pool later on in the week. Bike riding is a new activity so I was pleased to see how good my blood sugar was after that 1.5-2 mi.[apx.] ride was. I've added a hill on my walk and walk earlier in the a.m. because of the summer temps.
An A1c of 10 means that your average blood sugar is between 251 and 282 (which matches your description of "rarely over 300"). Your blood-sugar is way too high! There are things that you can do to help: 1 Take more insulin. By recalculating how much insulin you need for the food you are eating, you're blood sugar will go down. The downside of this is the probable weight-gain that will surely occur. Synthetic insulin promotes weight-gain! 2 Not as easy, but you can eat less or make better choices. Some diabetics I know are affected by complex and non-complex carbohydrates (meaning very sweet carbs like candy or jelly). Others seem to not be able to differentiate. 3 You can exercise more. Exercise not only keeps you in shape by building muscle-tone, will aid in weight-loss, and will also decrease your need for insulin (exercise burns up calories, but never exercise if your bloodsugar is over 200 or eat something if your bloodsugar is less than 90.
A really good A1c of 6 or 7 means that your average bloodsugar is between 124 and 170.
Bloodsugar levels should be your first concern--the idea of having it so high should scare you. Blindness, kidney failure and need for 3 x weekly dialysis, tingling sensations or lack of feeling in your hands and a myriad of other problems (my wife has experienced them all). Also loss of sexual appitite or ability (that one really scares me!). I met my wife when we were both in-patients at the Joslin Diabetes Clinic in Boston, 21 years ago.
sorry i haven't been on here for such a long time! i had a baby back in july so i've been on the babyfit site.
as for the high A1c, try to make sure you're eating right, ask your doctor if you can have more test strips prescribed to you and track your sugars more closely. check your meter with another one (maybe at the doctors office if you don't have a spare) and make sure they are reading within 15 points of each other. at one point my doctor (when i was a teen) had accidentally changed how the meter was reading and so when it read as 150 it was really in the 400's. at that point i had an A1c of 11. that's really all i can think of. maybe check with your your doctor for more recommendations.
Hello! Does anyone know how to get an A1c level of 10.2 down? I don't understand how it could be so high. I've been doing pretty well, (or so I thought) My sugar is rarely past the 300's. I'm not sure what to do. Thanks, Nikki
current weight: 140.0
Fitness Minutes: (7,665) Posts: 1,060 9/18/08 10:49 P
Hi Susan here have been on several meds started on NPH the was on Humalog. Now I take Byetta and Humalog 75/25, my last ALC 6.3 which is good for me. In the last 2yrs have lost 75 lbs which has helped everything. Still have a lot of wt to lose but just take it one day at the time.
current weight: 283.0
Fitness Minutes: (18,354) Posts: 1,299 8/20/08 10:32 P
Katejstone I"m newly diag. with type one when I got home from the hospital I kept having blood sugar [bs] crashes in the night we talked with the dr. reduced my Lantis a few units; but it still happened; so decressed a couple more and I"m good at night now.
But at the day time I"m still having crashes; I'm taking bs before and after meals 2 hrs. and take a snack with me when I go for my walks. Or have it before if I get a low reading.
Hi all.. I am a type 1 diabetic since 1995. I have always had good control of my sugars until 2003 when I had my son (after my sugars were excellent during my pregnancy). When he was 3 weeks old, I was sleep deprived and took my insulin for dinner and when my husband got home I went to sleep without eating and wound up in a coma. Luckily my husband called 911 and the paramedic had to inject me with glucose. It was VERY scary and since then I would rather have my sugar high than low. The doctor at the hospital that night told me that it is better to go to bed with a higher sugar just in case. It stuck with me. Since then I am petrified of taking too much insulin and thus have had high sugars since. My latest HGA1C was 9.6. This is totally unacceptable and I want to change it. I just feel so overwhelmed. My son has autism and I worry every day about not seeing him grow up. My doctor keeps telling me to increase my lantus but I refuse. Sometimes I go to bed and my sugar is at 325 and when I wake up it is 159. Doesn't that mean I am taking too much Lantus? I think my problem is the food I eat and the doses I take of Humalog during the day. I do not check my sugar 7 times a day like I should and I really need to start taking care of me. I just lost myself in being a mother of a child with special needs that I forgot about me. How do you balance it. I am about 80lbs overweight and my self esteem is out the window. I just want to feel better. I really need the support. Thanks for reading my post and hugs hugs to you all. Have a great day.
Hi... I am a type 1 diabetic. Ever since I have started eating within my recommended calorie range and exercising more I have had a lot of low BG. This is difficult to manage, of course, because I then have to eat extra things when I'm not hungry.
I am currently taking lantus, humalog, and metformin (because of insulin insensitivity). I have tried decreasing my lantus, but this has resulted in some really high BG. Sooo, some questions:
Does decreasing my lantus affect my humalog to carb ratio?
Should I try taking less metformin?
And last... is it ok that, in general, I eat less than the recommended carbs on a regular basis?
I realize that I need to talk to my endocrinologist about all this, but I was curious if any of you had any opinions or similar experiences. I would really appreciate a response (or three).
Jaynemae, Right before I got your note, a nurse from my insurance company's helpline called back. She said to ride it out and not increase my insulin. So I didn't last night.
This morning, my doctor's office nurse called (apologetic that she hadn't received the message until this morning). She spoke to my doc who AGREED with YOU! They're having me increase both my rapid and Lantus by 20% today. Tomorrow I'm supposed to incease the rapid by 20%, but the Lantus only by 10%.
Sure wish I paid attention to you (and my instincts) yesterday! Thanks! Alice
If your fast acting insulin is on a sliding scale, I would say to go ahead and do a couple more units, but to monitor your bg very closely. Try to keep up on your water too because that can dilute your blood a little bit and make it so your bg's are a little lower. Good luck!
Has anyone out there had a cortisone shot? I had one this morning. My sugar has shot up from 85 this morning to pushing 300 tonight. I haven't seen numbers like this in a couple of years. I put a call into the advice nurse, but since it's late, don't expect she'll get back to me tonight.
Anybody have advice - increase fast acting insulin? Lantus? Or just ride it out for a couple of days? Alice
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