bad daily blood sugar levels but good A1C...?????

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 7/17/2009 1:45 PM (GMT -7)   
 
 
I have been on the medication rollercoaster since I was DX'ed in March with T2 Diabetes.  I started out on the old standby...Metformin. Then went to Metformin ER, Glipizide, and now added Lantus 35 units at night.  My daily Blood Sugar levels are Horrific... I know that my diet isn't helping much...I swear I am trying.  The Lantus is making me gain weight,(the Dr. told me this would happen)...Here's the strange thing.
 
I started out with my A1C being 12.5!!!  That was only a few short months ago.  Now it is 7.8!!  I don't get it.  My daily's are soooo freakin bad but my A1C is actually good.  How does that happen?
 
Me.

 I hate Boats!!!!
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/15 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 35 units at bedtime with Solostar Pen                                                                   

 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5404
   Posted 7/17/2009 2:32 PM (GMT -7)   
A few things might be happening.  If you changed your diet and started meds between your two A1c tests, your blood sugar average may have really come down, so you can imagine what it was before meds and the diet change.  7.8 is certainly better than 12.5 but it's not in the good range.  You need it to be lower.  Also, you might not be a type 2 after all.  You might be type 1 or 1.5 or in a transition stage.  In that case the metformin and glipizide might not be able to control the blood sugar because you need to be only on insulin.  Your doctor should order tests to confirm if you are really type 2.  Being on the meds you list, your blood sugar should be well-controlled.  Finally, you say that your diet isn't helping.  Why not?  If you're eating bread, potatoes, cereals, etc., then you can expect high blood sugar and you'll need more meds to bring it down.  If you truly go low-carb, your blood sugar will not spike and your meds should be reduced.  So, if I were you, I'd be true to myself and follow a healthy diet to control the blood sugar and go back to the doctor and question him/her about being tested to see if you have LADA (type 1.5) or if you are really type 1 - and I would ask to get off the BP medicine that has HCTZ.  This also causes high blood sugar as I've told you.  There are many BP meds available.  I know your doctor says it doesn't raise it a lot?  Raising it only a little is still too much in my opinion.  The bottom line is I suggest going back to the doctor because your blood sugar is all over the place.  I hope you are keeping a daily log of your blood sugar and what you're eating.  You need to show this to the doctor.

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds
                                                                 


Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 7/18/2009 8:14 PM (GMT -7)   
If you have not done so, I would suggest taking your meter and test strips into your next doctor's appointment and ask them to do a blood sugar test on you with their meter and then you also do one at the same time with the same finger poke. Your results should be within 10% of each other.

Also if you have not done so I really strongly suggest talking with a dietitian and also a diabetes educator. Both can really help you gain a better understanding of how things will effect you and how to control it better.

Another suggestion I have for you is to mix around your daily testings a bit. I don't know when you are testing or how often, but do tests before meals and then vary between 2-4 hours after meals, as well as before and after exercise. This will help you gain a better understanding about how food and activity effects you.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 7/19/2009 4:15 PM (GMT -7)   
Thanks...you both have given me some great advice. I have asked my Dr. if he was sure that I was Type 2...He looked at me like I was nuts. How should I go about finding out? The only time my levels are decent is after I do a shot of Lantus. The meds don't seem to do much. The lowest I have been recently is 145...and I felt so BAD...I feel better when it's around 190. Is that crazy? My diet isn't as good as it should be, I do like my carbs... But I have turned over a new leaf. I'm hoping that when my levels go down...and stay down that my body will get used to it and react a little better. I can't handle it right now...I sweat, feel just yucky when it goes down. I need to get used to it because I cannot handle my feet being numb every morning...That isn't good!!! Plus with my back problems....Man I just don't know what to do.....I wish I just had one single problem to deal with...that would be great!!!

Me.
 I hate Boats!!!!
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/15 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 35 units at bedtime with Solostar Pen                                                                   

 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5404
   Posted 7/19/2009 7:49 PM (GMT -7)   
Rhonda, there are specific lab tests to see if you are type 2 or not.  Type 2s still manufacture insulin to some degree.  Other diabetes meds (not insulin) help your own insulin work better in controlling your blood sugar. If you're not producing insulin naturally, those meds will not control the blood sugar, and you would need only insulin.  It seems from what you're saying that your blood sugar is haywire.  Blood sugar levels at constantly higher levels over 140 can damage internal organs including your heart and kidneys, your vision and cause neuropathy.  Feet seem to be affected first.  Your body is so used to high blood sugar that of course you feel strange when it falls to near normal levels.  That will cease as you get used to normal blood sugar.  Your levels will not go down that way you're living right now.  And you also have to get serious about controlling your diet, too.  No one can do that for you.  I would find another doctor if he doesn't have a clue to what you're telling him.  LADA or type 1.5 is not rare and if he doesn't know what this is or doesn't know what lab tests to order, please find another doctor.    

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds
                                                                 


Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 7/20/2009 7:00 AM (GMT -7)   
In case you do not know what your various diabetes medications are for:

Metformin: This drug works by reducing the amount of sugar created in your body.

Glipizide: This drug helps your pancreas create more insulin.

Lantus: This is one of the long acting insulins. Often called a basal insulin in the medical community. This type of insulin stays in the "background" and helps "level" your blood sugar throughout the day.

=============================================================================================================
Medications like Actos and Avandia work by reducing insulin resistance.....help your body use insulin better.

Then you have medium and fast acting insulins. The fast acting ones go to work quick and are done. These are typically used before every meal. Medium acting ones work fairly quickly but also keep working for a good part of the day. Sort of a combo effect between the fast and long, but not quite as fast or as long acting as the others.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 7/23/2009 4:25 PM (GMT -7)   
 
 
Thanks Jim...I thought I knew what I was taking but I really didn't.  If I was anything other then Type 2 wouldn't I have known it years ago?  I haven't been to
endocronologist yet...just my primary.  Should I ask a little more forcefully about other Types? 
 
Me.

 I hate Boats!!!!
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/15 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 35 units at bedtime with Solostar Pen                                                                   

 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5404
   Posted 7/23/2009 7:24 PM (GMT -7)   
Rhonda, do you read any of the answers to your posts? confused    Your blood sugar is haywire.  It goes dangerously high.  The meds are not controlling it.  You could possibly have LADA or be type 1.5.  You need to get another doctor if the present one doesn't know what to do to control your blood sugar.  Yes, an endocrinologist would be the specialist to see.  A family doctor would be fine, too, if he/she knew what to do and what tests to order for you.  The longer your blood sugar is uncontrolled, the more possibility you could suffer some damage to some internal organs.  The meds you're taking are not doing the job.  Only you can help yourself by 1) getting a doctor to treat your diabetes appropriately, and 2) making a drastic change in your diet.
Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds
                                                                 


Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 7/24/2009 12:20 AM (GMT -7)   
I would strongly suggest you see the following people ASAP and get them on your care team:

Endocrinologist

Diabetes educator

Nutritionist/Dietitian

Tell your PCP flat out you want referrals to these people and you want them now. You do not want to end up with all the problems I have because of screwed up blood sugar readings. I can tell you flat out that your other issues are going to make controlling this all the harder and you are going to need all the extra help you can get. I wouldn't bother making an appointment or waiting for your next one to talk it over. Call your doctor in the morning, or 1st thing Monday at the latest and leave a message saying you need to get better control over this and you want to see those professionals I listed.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, December 07, 2016 1:19 PM (GMT -7)
There are a total of 2,734,211 posts in 301,194 threads.
View Active Threads


Who's Online
This forum has 151319 registered members. Please welcome our newest member, Geezer Jock.
366 Guest(s), 17 Registered Member(s) are currently online.  Details
Chask, DBwithUC, JayMot, Chanymom, KAR90, dismissed, Mpac1, mpost, biker90, Mad Martha, U B Tough, jrpsf, ChickenArise, catti, kcsmith72, straydog, iPoop


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer