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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,869
10/28/14 3:04 A

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LInda,
I remember hearing from several people that diabetics are often given glucose in their IV and then receive more insulin to deal with it. Supposedly the worry is greater that people will have severely low blood sugars than that they are running high. Probably good to find out before having to go to the hospital and making sure that your family physician/diabetes doctor gives care instructions to the hospital (or you can inform the hospital that you will handle your insulin regimen and diet yourself).
Birgit

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KSGAMMA's Photo KSGAMMA Posts: 2,460
10/27/14 3:16 P

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I'm on the 24 insulin at bed time I believe. In the am I take another injection of Victoza - this drug was developed for something else but has been effective in lowering bs levels and is now being prescribed here in Canada.

Interesting about the raw and cold potatoes.

Lin from Peterborough, ON., Canada

10 STEPS TO SELF-CARE - If it feels wrong, don't do it; Say "exactly" what you mean; Don't be a people pleaser; Trust your instincts; Never speak bad about yourself; Never give up on your dreams; Don't be afraid to say "No"; Don't be afraid to say "Yes"; Be kind to yourself; Let go of what you can't control; Stay away from drama and negativity as much as possible. (unknown)

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LITTLEWIND53's Photo LITTLEWIND53 Posts: 17,180
10/27/14 3:46 A

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KSGAMMA
There are different kinds of insulin. There is a rapid response, a medium, a long term and now a 24 hour one (Lantus is one of these)

I take 3 different kinds, including the Lantus at night before bed. And I take fast acting and longer term ones before each meals.....

If you are needing insulin before your meals as well as at bedtime, talk to your nurse practitioner. It may be that you need small amounts of a faster acting insulin before your meals, or if you are taking the 24 hour kind, some people split their dose half in the morning and half at night and find it works better than taking it all at once.... But you do need to consult your health care team before you try this....

Brigit:
I was in the hospital in 2010 and for 10 days on IV with NO food whatsoever, but I still had high blood sugars and still required insulin. Maybe there was glucose in that IV, I really don't know, but I asked the doctor and he said it was still possible to have elevated blood sugars even when not eating solid foods.

Linda

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FOXSTAR10's Photo FOXSTAR10 SparkPoints: (82,144)
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10/26/14 4:25 A

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I may have to try the raw potato. I do like crisp and crunchy things.

Joy S

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~ Nora Roberts ~

"Without hard work, nothing grows but weeds."

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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,869
10/25/14 11:16 P

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Joy,
I understand how tricky it can be if you don't do your own cooking. My daughter is an athlete (swimmer) and needs a lot more carbs so I now have to cook separate meals for each of us. We both have meat and veggies or eggs but I skip the rice/potatoes and add another veggies. Just occasionally I run out of time and eat a little of her food. I always have to pay for it.
I am experimenting with resistant starch (the kind that is in raw potatoes, cooled cooked potatoes, green bananas) etc. which seems to work to lower blood sugar.
Here is an article about it you may find interesting:
http://chriskresser.com/how-resistant-st
arch-will-help-to-make-you-healthier-a
nd-thinner

I would love to know if anyone else has experience with this. The cooled potato (home-ade potato salad) and green banana seems to work nicely for me so far. I'm trying to find out if it works for others for both blood sugar reduction and overall gut health.
Birgit

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FOXSTAR10's Photo FOXSTAR10 SparkPoints: (82,144)
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10/25/14 8:09 P

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I am type 2. I don't eat pasta, bread (although I do eat fried chicken) or potatoes. I have a number of low carb recipes that I use for bread, pancakes, protein bars that I use as dessert.

Joy S

Central Time Zone


"If you don't go after what you want, you'll never have it. If you don't ask, the answer is always no. If you don't step forward, you're always in the same place. "

~ Nora Roberts ~

"Without hard work, nothing grows but weeds."

~ Gordon B. Hinckley


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KSGAMMA's Photo KSGAMMA Posts: 2,460
10/25/14 5:44 P

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Birgit - thanks for the links!
Joy - I guess I'll find out about the ways of doing before meals if the fellow I'm to meet with in 2 weeks says that's the way to go.
Are you guys Type I or Type II?

When I'm being good tracking my nutrition etc. and watching what I eat, I still manage to eat more carbs than I probably should. Although we don't eat potatoes very often (a couple of times a year) we usually eat some form of pasta as a side dish once a week, and we have bread once or twice a week some weeks and go for several weeks with none. I also have Crohn's disease and there are few veggies I can/will eat but I love my fruit when I'm not in a flare. Yesterday there was an article e-mailed to me by SP that had a handy list of carbs and what constitutes a serving.

I had my A1C blood test yesterday and after a 12 hr. fast, my sugar was 10 point something which is way too high for fasting. This morning after a fast of only 8 hours or so, it was 7 point something - still a bit too high but much better. Those would be around 190 and 130 in the US. Before this last weight gain, my normal morning readings were between 5 and 7 (90-126) with the occasional low.


Lin from Peterborough, ON., Canada

10 STEPS TO SELF-CARE - If it feels wrong, don't do it; Say "exactly" what you mean; Don't be a people pleaser; Trust your instincts; Never speak bad about yourself; Never give up on your dreams; Don't be afraid to say "No"; Don't be afraid to say "Yes"; Be kind to yourself; Let go of what you can't control; Stay away from drama and negativity as much as possible. (unknown)

Lost 48 lbs. in 2012 & 13 but gained 30 back!


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FOXSTAR10's Photo FOXSTAR10 SparkPoints: (82,144)
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10/25/14 1:00 P

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Birgit

At the present time my sugars are not under very good control. That happened when I had problems with my kidneys and I was taken off two of my meds. I have been diabetic for over 20 years, and as a result, I will probably never get off all meds. I don't do the cooking in the house. My sister does that and although she is diabetic also, she does not want to be in strict control. I am retiring next year and then will take over the cooking and hopefully will be able to reduce the amount of insulin I take.

Joy S

Central Time Zone


"If you don't go after what you want, you'll never have it. If you don't ask, the answer is always no. If you don't step forward, you're always in the same place. "

~ Nora Roberts ~

"Without hard work, nothing grows but weeds."

~ Gordon B. Hinckley


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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,869
10/25/14 10:38 A

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Joy,
Hope you don't mind my asking. If you don't eat a lot of carbs why do you have to inject so much insulin before meals? Since it's mostly carbs that require insulin, protein should require very little and fat requires none. I eat less than 30 grams of carbs/day and that means for me that I don't need insulin at all to keep my blood sugar in the normal range.
I did find out the other day when I experimented with white rice that one cup of it can get my blood sugar up to 180. I won't try that again for sure. emoticon
Birgit

Edited by: HOUNDLOVER1 at: 10/25/2014 (10:39)
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FOXSTAR10's Photo FOXSTAR10 SparkPoints: (82,144)
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10/25/14 10:19 A

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I just started on insulin about a month ago. This was due to kidney issues. I take it both before meals and at night.

There are 2 ways to do the before meals injection. One is to use a sliding scale based on your blood sugar before the meal and the other is to base the dose on the amount of carbs you are eating at that meal. I use the first one because I don't eat a lot of carbs. At the present time I take 15 units at bedtime and 12 to 15 before meals. I know this will be adjusted up further as I still am not where I want to be.

Joy S

Central Time Zone


"If you don't go after what you want, you'll never have it. If you don't ask, the answer is always no. If you don't step forward, you're always in the same place. "

~ Nora Roberts ~

"Without hard work, nothing grows but weeds."

~ Gordon B. Hinckley


 current weight: 184.7 
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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,869
10/25/14 1:05 A

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It would make sense to me to use insulin before meals and smaller quantities more often as well as lowering the carb level of your diet so you need less insulin to begin with.
The best resource I know of to help you with this, apart from talking to a physician in person is the Bernstein forum and Dr. Bernstein's book.
Here are the links:
www.diabetesforum.com/diabetes/5015-
dr
-bernstein.html



www.amazon.com/Dr-Bernsteins-Diabete
s-
Solution-Achieving/dp/0316182699


Edited by: HOUNDLOVER1 at: 10/25/2014 (01:06)
BE THE CHANGE YOU WANT TO SEE IN OTHERS.

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UKNOWITNOW SparkPoints: (64,560)
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10/25/14 12:17 A

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Sorry I can't be of any help. I hope you get it all straightened out soon. emoticon

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KSGAMMA's Photo KSGAMMA Posts: 2,460
10/24/14 2:08 P

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I have been a Type II Diabetic since 2005. I have been insulin dependent since the fall of 2012. I lost 18 lbs. in 2012 which didn't seem to affect the dose of my medications. I quickly lost another 30 in 2013. I was able to drop my insulin dose from 100 units before bedtime to 50. The end of June in 2014 I tore the Miniscus ligament in my right knee and for 17 weeks I was unable to do much of anything. I still went to the pool and did some stretching exercises for the hour and a half I usually spend 4 days a week but didn't get much out of it exercise wise. I was depressed and my poor ability to sleep was made worse. The more hours I was up in the night, the later I went to bed and the earlier I got up in the morning (often 3 am) I was eating an extra meal each day. I was also snacking being bored sitting around. Consequently, I gained the 30 lbs. back that I lost the year before. Now, my sugar levels are too high in the morning 7-13 (126-227 in the US) instead of 5-7 (90-126 in the US). I've upped my dose of nightly insulin to 65 units but it was still 12.5 (225 in the US) this morning. When I saw my nurse practitioner (don't have a family dr.) the other day she said that it was maybe time for me to start taking insulin before meals instead of just at night. I thought this was only for Type I Diabetics. I went to the blood lab the day after seeing the nurse to have my A1C taken for the 3 month average glucose reading and should get the results of that in a few days. That reading has gone from 5.6 to 5.9, and 6.6 in the last year so it will be interesting to learn the latest results since gaining the weight. The hospital I had a heart procedure done in in Jan of 2014 said they want the A1C to be in the 6's as lows aren't good for the heart. The goal of A1Cs in both the US and Canada is to be less than 7%. This was taken from an on-line site that has a conversion chart from US glucose readings for I'm assuming the A1C is the same in the US as in Canada since we too do percentages below 7%.

Are there any other Type IIs out there who take insulin prior to meals based on what their glucose levels are?

I'm to meet in a couple of weeks with a pharmacist who comes once a month into the offices where my nurse works to discuss my readings and my insulin. I'm also on a morning needle of Victoza but it's not insulin although it does help regulate sugars. I'm also on 2 Metformin tablets a day and a tablet once a day for cholesterol. Prior to initially losing the 30 lbs. I was also on 6 Glicizide every morning but they were discontinued when I lost the 30 lbs. I lost the weight in a matter of 6 weeks and had kidney issues when the doses of my medications weren't lowered quickly enough to match the weight loss. The Glicizide was discontinued completely, the Metformin dropped from 3/day to 2, and one of my heart medications was cut in half as well. I have to lose this weight again and I'm afraid that more insulin will cause more weight gain. I have an issue with the shots as it is. I was taking them in my upper abdomen but was getting lumps about the size of a Robin's egg, bruises, and redness and soreness. I've changed the site of the injections to my lower belly and so far there have been no lumps and only a bit of soreness. The original sight is still lumpy several weeks after the last injection there and distended. I'm an apple shape so this is very noticeable and uncomfortable. A nurse at the Diabetes Education Centre in our local hospital told me that the distended belly and the lumps are a build up of the fluid from the insulin - that it isn't dissipating. My glucose levels were fine until gaining the weight back again so I must have gotten from it what was needed but what is left is just sitting there. Hopefully it will dissipate and soon. When I was in with my nurse, she also took my Blood Pressure. At home it is usually around 90 something over 60 something and when I'm out and it's taken in a dr's office, it's usually about 110 over 70. The other day, it was 136 over 70 something. While I know this is low for many people, it is very high for me. My heart only works at 24% as I'm in Stage 4 Congestive Heart Failure with Dilated Cardiomyopathy. It's very important for my blood pressure to stay low. Before the heart mediation was cut in half after losing the 30 lbs. it would go as low as 80 over 50 but up to the 90 over 60 when the medication was cut. That medication may have to be upped again until I can lose the weight again for the protection of my heart. I'll be monitoring that for a couple of weeks at home before meeting with the pharmacist as well as taking extra glucose readings so he can have a record to review for our discussion.

Can anyone tell me how taking insulin works before meals and if Type IIs often have to do this? If done before meals, would you also take at bedtime?

Lin from Peterborough, ON., Canada

10 STEPS TO SELF-CARE - If it feels wrong, don't do it; Say "exactly" what you mean; Don't be a people pleaser; Trust your instincts; Never speak bad about yourself; Never give up on your dreams; Don't be afraid to say "No"; Don't be afraid to say "Yes"; Be kind to yourself; Let go of what you can't control; Stay away from drama and negativity as much as possible. (unknown)

Lost 48 lbs. in 2012 & 13 but gained 30 back!


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