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FIRELOG's Photo FIRELOG SparkPoints: (13,248)
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5/15/12 11:45 P

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Never mind - I deleted this. Too much information. :) Bottom line - I got rid of that doctor.

Edited by: FIRELOG at: 5/16/2012 (13:17)
I.M.MAGIC's Photo I.M.MAGIC Posts: 12,829
5/6/12 11:49 A

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Okay, here goes again... lol

Lantus and Levemeir are long-acting insulins, designed to provide a safe baseline. Some people do well with just this. Some (read MOST lol) do better with a combination. Quick- or medium-acting insulins, like Novalog and Humalog, are made specifically to adjust for sudden spikes in blood glucose levels, like those that occur with stress or with meals. Novalog comes in a combo as well, with medium and quick acting insulins combined, which works very well for a lot of folks (myself, I developed an allergy to it--but it was great while it lasted! LOL) You can use these insulins to "tweak" the numbers throughout the day with that bolus I mentioned, where a baseline isn't enough. Levemeir and Lantus, you can't do that. *sigh*

This is where the specialist comes in, actually. I'd ask for a referral, if at all possible, because, while it isn't rocket science--yet lol-- it can get tricky at times from here forward. GPs are great, and can work wonders in everything from setting bones to treating the 'flu' to stitching a wound--but because that's the case, and they have to cover a lot of knowledge territory... a specialist has more detailed knowledge in the area that you need it right now. Ask, and see what your GP says...

And do let us know how things are going, if you're getting good results. We care about our team members...
Kathy emoticon emoticon

"The real secret of success is enthusiasm..." thanks, Walter P. Chrysler. I believe it. That's what I want in my life--to give my imagination a chance, to live with energy and enthusiasm!

Ralph Waldo Emerson said 'Life belongs to the energetic.' But you don't have to be frenetic and hyper--some energy is quiet and steady, like a heartbeat... and that works too! LOL

Life comes in specific increments, which we receive as a gift of one moment at a time. That's why it's called


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IOEINC's Photo IOEINC SparkPoints: (35,077)
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5/5/12 7:42 A

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I think Kathy has given you great advice. I'm not on insulin but I do see an endocrinologist because I wanted an expert to guide and manage my diabetes care. I'm a nurse so I am partial to experts taking over the care in their specialty. I love my primary and he is great at overseeing my general health but it has been my experience that an expert gets better results. Good luck and keep us posted on how you are doing.
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FIRELOG's Photo FIRELOG SparkPoints: (13,248)
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5/5/12 12:25 A

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Thanks for the encouragement. To answer your questions: my doctor is a GP and the insulin he prescribed is Levemir.

I.M.MAGIC's Photo I.M.MAGIC Posts: 12,829
5/4/12 10:34 P

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Question: is he a GP or a specialist?

...my endocrinologist would be having fits! LOL Of course, I've been injecting for a while now, and it's way easier to adjust now that my system is used to it... I don't take insulin unless my blood sugar is really high, or I'm going to eat, and that means breakfast and dinner time for the long term stuff (approx. every 12 hours)... and my six mini-meals, including "bed time" (three hours after dinner) get the quick-acting insulin. I can stay up afterward if I want, and I usually do, I hit the hay around 11...

On the other hand, too high IS better than low, during dosage adjustments. It may do some long term damage when it's high, but the lows from a sudden drop can kill. NOW. So just hang in there and get through the next few weeks and try not to fret too much because that will cause the highs to stay up there.

The other thing--what kind of insulin does he have you on? Is it a slow-acting, like Lantus or Levemier, or is it a blended combo, like Novalog 70/30? That makes a difference too...

It will take that week or two to find the right dose for you... so keep your doctor informed of any changes, and just get through it, okay?

Be well...
Kathy emoticon

Edited by: I.M.MAGIC at: 5/4/2012 (22:36)
"The real secret of success is enthusiasm..." thanks, Walter P. Chrysler. I believe it. That's what I want in my life--to give my imagination a chance, to live with energy and enthusiasm!

Ralph Waldo Emerson said 'Life belongs to the energetic.' But you don't have to be frenetic and hyper--some energy is quiet and steady, like a heartbeat... and that works too! LOL

Life comes in specific increments, which we receive as a gift of one moment at a time. That's why it's called


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FIRELOG's Photo FIRELOG SparkPoints: (13,248)
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5/4/12 6:37 P

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Thanks for all the input, everybody. I appreciate it.

I went to my doctor today and he told me that the spike in my readings was not unusual or even unexpected. (It would have been nice if he'd warned me!) He said that 20 units of insulin (the amount he prescribed) was too small to be a therapeutic dose, but he didn't want to give me too much right away, in case my blood sugar dropped below 100.

He wants me to increase it by 2 units every three days. But he expects me to be in the same high range for the next 1-2 weeks. That concerns me, staying up there for so long. I don't want to get nerve damage or something. I think he's too worried about sudden drops and not worried enough about prolonged highs.

And get this: he had told me to give myself the insulin shot "before bedtime." I stay up late, so I've been doing it around midnight, which is not when I go to bed. I asked him if that was okay.

He said, "No, that's way too late. Do it around 6 or 7 pm."

I said, "6 or 7 pm? You said bedtime! Who goes to bed at 6 or 7 pm?"

"Well, everyone has a different schedule. Farmers used to go to bed as soon as it got dark..."

I couldn't believe it.



Edited by: FIRELOG at: 5/4/2012 (20:16)
CROYLE55 Posts: 1,369
5/3/12 4:49 P

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You should call your DR. let him know what is goint on. I am on metaformin and insulin, Lantus and Nololog sliding scale. It might just take time for your body to adjust. Kathy gave you great advice. Hope it gets easier for you soon. Carol

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I.M.MAGIC's Photo I.M.MAGIC Posts: 12,829
5/3/12 4:00 P

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The others are right--There is an adjustment period for ANY new regimen... and why should insulin be any different?

And insulin is for everyone. Your body MAKES it--just not enough, or your body resists using it... LOL the oral meds do three things: they FORCE your pancreas to produce more INSULIN, or they address the resistance... and they wear out your body, so eventually neither thing works any more, but taking more will only cause damage-- and voila`. The only thing left is injections. Doctors now are realizing that it's better for the body to switch over to the injections sooner... but it's not like a pill, where one size fits all with a blanket dose. It's very individual. It takes time to get it down to where it works for you--and then, of course, like everything in life, it changes! LOL

Test and test some more. Experiment. Talk to your doctor. Post questions here...

You may be just getting stressed and that's driving your numbers up, or it may just be that you need a different dose or a combination of insulins-- but either way, you're right, those numbers are WAY too high.

For myself, I have strict orders from my doctor, if I hit 300, I'm supposed to call him immediately--and he may tell me to adjust the dosage, but he may also tell me to get to the Emergency Room! So yes, I agree, you need to call your doctor. It's imperative at this point, to keep your doctor informed.

Meanwhile, it may be helpful to review how to handle highs and lows.

High, MILD exercise if any, and DRINK EXTRA WATER to help flush out the excess. Talk to your doctor about how to do a bolus when it's high...

Low, eat or drink real sugar--you should have glucose tablets or juice on hand at all times, as well as your testing supplies. You'll be more sensitive to small changes with the insulin now, so you will probably have a few more swings, especially during this adjustment period--so be prepared.

On the other hand, highs are a lot easier, and you can adjust things according to the circumstances... something you can't do with a pill!

Keep posting, ask questions... we're eager to hear from you!

Kathy




emoticon emoticon

"The real secret of success is enthusiasm..." thanks, Walter P. Chrysler. I believe it. That's what I want in my life--to give my imagination a chance, to live with energy and enthusiasm!

Ralph Waldo Emerson said 'Life belongs to the energetic.' But you don't have to be frenetic and hyper--some energy is quiet and steady, like a heartbeat... and that works too! LOL

Life comes in specific increments, which we receive as a gift of one moment at a time. That's why it's called


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LIFEWALK's Photo LIFEWALK Posts: 2,791
5/3/12 2:57 P

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try not to fret & test a lot b4 & after meals, waking, b4 & after exercise & injections to help the doc understand your patterns... so you can work to get your numbers in the right range. Your very high numbers should be addressed sooner perhaps than your next scheduled visit... it may be a simple next increase/dose to add or add another insulin...

there is an adjustment period where you may need to experiment with doc to find the right combo of short & long acting insulins... once mom found hers, her #'s have been so much better and more stable!

Hang in! this will be worth it when you get a handle on this :)

1CRAZYDOG's Photo 1CRAZYDOG Posts: 51,438
5/3/12 1:59 P

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Well, everyone is different for sure in how they react to meds. I would be calling the Dr. to tell him/her what' going on so you can get advice about that. You're right . . . the 300 and 400 range is not good for you!

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FIRELOG's Photo FIRELOG SparkPoints: (13,248)
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5/3/12 1:31 P

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I've been taking metformin and glipizide for 6 years and prandin for 1. My blood sugar readings were pretty good, although a bit higher than we would like. Since December I've found that my blood sugar spikes in the afternoon, with no change in my diet or activity.

My doctor said that it was time to switch from the pills to insulin. Pills aren't getting the job done, and insulin will control my blood sugar a lot better, he said. It sounded scary, but if that's what it takes, so be it.

I've been giving myself insulin shots for two days now, and my numbers are a lot higher. Crazy high, like 300s and 400s. They've never been high like that. I'm giving myself the shots just like the doctor showed me, and I did some reading and verified that I'm doing it right.

I hate to be a wimp and give up on the insulin after only 2 days, but I feel that I should start taking the pills again, because it can't be good for me to have super high readings like this.

Is there a sort of shakedown period when you switch from pills to insulin where it takes a while for your numbers to stabilize, or do these high numbers mean that insulin isn't for me?

Edited by: FIRELOG at: 5/3/2012 (13:40)
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