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Soozie
New Member


Date Joined Feb 2004
Total Posts : 6
   Posted 3/13/2006 8:21 AM (GMT -7)   
I have been reading here for quite some time, but never posted. I figured it was time to join in .
I have a question about insulin. First a condensed version of what led to this. 3 yrs ago was told i was type 2. I am tiny, and not the least overweight. Then a yr later after more bloodwork, was told i wasnt diabetic at all. To toss all meters, and medication. A yr later I am again told I am type 2. After a yr of not responding to meds and waiting to see an endo doc... my sugars were high teens and sometimes 20. Needless to say the last batch of blood work was pretty bad. I ate very little carb, and tried to keep it from going any farther. Now I am told type 1. Sent home with pens and told I am taking 4 shots a day. Thats not bothering me, because I want to get my life back and feel like myself. The dietian/nurse told me the carb amounts to eat and dosage amounts... At this time there is no sense to the blood readings. 2 hrs after eating breakfast I am low and need to eat. It seems I am eating every two hrs to keep from going to low. DOc said I take small dosoge to get my ont ract before we wrent to full amount. I take 4 uniits of rapid acting, before each meal, and 10 units at bedtime of slow acting. I find I am eating to make the meds work... plus have to eat way more protein with breakfast to try and stop the lows . How long does this take to balance out? I dont see a nurse or dietian until Friday. I am low after breakfast and lunch but every high two hrs after supper. I hit 20 last night, with insulin. I find it very frustrating , and would welcome any stories .

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 3/13/2006 10:32 AM (GMT -7)   
Soozie,
I only take Lantus at night so I'm no help to you but I'm sure more experienced diabetics will be along soon with help. I'll be thinking of you.
~ Jeannie

"People are like stained glass windows: they sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."

- Elizabeth Kubler-Ross


Claire-Bear
Regular Member


Date Joined Oct 2005
Total Posts : 242
   Posted 3/14/2006 2:24 AM (GMT -7)   

Hi Soozie,

Diabetes is really complicated and I really feel for you.

Basically, with diabetes I think there is a honeymoon period where your body still makes insulin even though it isn't enough.  Also, some t1s make a little insulin and some t1s don't make any at all.  As a general rule, you should be doing about 1 unit of insulin per 10g carb that you eat and to add to make it even more complicated (this is how it works for me) it depends on how the carb affects you (i.e. whether it makes your blood sugar rise really quickly or is absorbed by your body a lot more slowly - please look up glycemic index on the net.  This is really helpful, and I'm sure your dietician will advise you to try to stick to low to medium GI foods).  I sometimes find that 1 unit is too much for 10g carb and with the breakfast I eat in the morning 4 units is too much for me, too.  Lower your dosage - this disease is about you learning to alter your medication yourself.  Go down to 3 units and see if your blood sugars are better.  Then go down to 2 if you need to.  You obviously need to discuss this with your care team, but it sounds like you are just taking too much insulin before breakfast and lunch, and then not enough with your evening meal.  This is exactly what I was doing.  Try counting exactly how much carbs you are eating for your evening meal and adjusting the insulin accordingly.  Let us know how you go on, and please ask us for more advice is you need it!!  You really shouldn't be eating to suit your meds, you should be altering your meds to suit you!!  That's the whole point of you being on the basal bolus routine (which is basically taking 1 shot of long acting to last 24 hours and then 'topping up' with quick acting when you eat).

Claire x


Soozie
New Member


Date Joined Feb 2004
Total Posts : 6
   Posted 3/14/2006 7:07 AM (GMT -7)   
Thnaks for the info claire. I talked to the diabetic nurse yesterday and my breakfast unit has changed to 3, lunch is the same, but they upped my supper unit by one. Last nigght my sugar was in range 2 hrs after. My overnite one has been fine. Normal readings in the am.
As for my carbs. I have researched good verses bad carbs and have been following that for over a year. WHole wheat , etc. CArbs that break down slower. Thats been part of my diet for awhile. Right now, they want me to put on some weight. I lost 20 lbs rather fast.
I am sure once I am used to this insulin it wont be an issue , but right now I am not able to adjust my dosages. I did suggest lowering it and they nurse was fine with it, but I am to new to do this on my own. I dont have the confidence yet. I want to learn about the slide scale etc. Thats all new to me.
Once again , Thank you . I find when I hear other peoples story its easier to absorb than impersonal information! yeah

Claire-Bear
Regular Member


Date Joined Oct 2005
Total Posts : 242
   Posted 3/14/2006 9:12 AM (GMT -7)   

Hi Soozie,

It sounds like you know what you are doing already, it's just a case of you gaining the confidence to adjust your insulin yourself.  It sounds like a great idea for you to suggest to the nurse what changes you want to make and get the reassurance from her that it's correct.  It can be quite scary to make changes yourself.  I'm really glad your readings are a lot better!

Claire x

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