What is the current thought on going straight to insulin and skipping the oral meds only?

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Joan123
Regular Member


Date Joined Aug 2006
Total Posts : 191
   Posted 4/10/2010 11:06 AM (GMT -7)   
I was put on Lantus and metformine upon presenting with high bgl (300-360 fasting). Now I know I was put on insulin immediately because I am having surgery in a week and a half and I need to get my bgl down before surgery and quickly. I started at 10 units and am working up by 2 units a night until my fasting glucose is under 150. Last night was my third night (14 units and my fasting this morning was 217 so I have a bit to go), I am wondering, is there an advantage to starting with oral meds and then eventually insulin? Will starting insulin immediately cause problems later? What is the current thought on this?
Joan


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 4/10/2010 7:54 PM (GMT -7)   
Post surgery your doctors may take you off the insulin or leave you on... depending upon your numbers. Insulin is a natural Human cloned medication and will only do the job your body has been unable to do so you are in better shape for the surgery. In a perfect world we would all be able to eat exactly the correct foods and move around daily enough for our body secrete the right amount of insulin to maintain a correct blood sugar level and our insulin resistance would be at zero.

In THIS world we need insulin to move the glucose out of our bloodstream and into the cells so they may be fed. Metformin makes this job easier for the insulin (yours or the injectable). It facilitates the ability of the cells to utilize insulin. There is no real "right or wrong" way to go about this, only getting those numbers down. I've told people in the past, if you have to eat broccoli and do the hokey pokey, stand on your head and recite the preamble to the Constitution... WHATEVER it takes to get those numbers down... THAT'S the right thing to do. Every minute your blood sugar is above 150 two or more hours after a meal you are doing permanent damage to your eyes, liver, kidneys and the nerves in your feet and hands. Getting the numbers down is of utmost importance.

You follow your doctor's advice (which is very sound at this point, btw) and give yourself a month or so to heal up, carefully eating lean protein, lots of veggies and a moderate amount of starches. Then you come back and we will get you on track with this diabetes thing. You can do this and we will help.
~ Jeannie
Moderator for Fibromyalgia and Diabetes


Joan123
Regular Member


Date Joined Aug 2006
Total Posts : 191
   Posted 4/10/2010 8:42 PM (GMT -7)   
Thanks for the response. I am hoping this may resolve itself after surgery. I do find it suspicious that three weeks ago, a glucose test done had my glucose at 128 and that was an hour after I ate a huge cinnamon roll with frosting. The next day I am put on a hormone pill to stop my bleeding, then the next week I have a broken tooth that is infected and I get it pulled, then I needed blood transfusions for severe anemia and I am having fever's everynight with an elevated WBC. After all this, and I am feeling like crap, it is found out that my glucose is really high. I have a feeling, my problems may be more related to the hormone pill, infection, illness...who knows, that could have put me over the edge... This same thing happened two years ago but the numbers did not go so high but were elevated when I was dealing with cancer and surgeries. After that got resolved, my numbers went back to normal.


Joan

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