My Husband Is Not Managing His Diabetes Very Well

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Carolyn10
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Date Joined May 2006
Total Posts : 1
   Posted 5/25/2006 6:51 PM (GMT -7)   
Hi I'm Carolyn.  My husband has Type 1 Diabetes, he has had this condition since he was 12 he's now 65.  As of late his management is not going very well.  The family tells him al the time that he's taking too much insulin.  He was problems in the am about 9:30a has eaten about 7:30-8:00 sometimes he refuses to have a snack at 9:00 because he thinks his blood sugar will go too high consequently its too low.  This problem also happens at around 8:00p, has eaten dinner about 6-630 pm.  We know this problem is he's taking too much insulin.  This problem happens several times a week and we are at our wits end.  He's on a sliding scale management.  he takitakes 8 units of regular insulin with a blood sugar of 180 we all think that it is too much,  He also takes long acting insulin at nite about 8p. He has be a diabetic for so long he should be more in control .  It is totally driving our family crazy.  We are all at our wits end.  We are continuially telling him that a high blood sugar over the short haul is less harmful than continually going into insulin shock.  would appreciate any suggestions the group could offer.  Thank you so much.

1Steve
New Member


Date Joined May 2006
Total Posts : 7
   Posted 5/27/2006 2:57 PM (GMT -7)   
Ask his doctor about using an insulin pump instead. He won't be responsible for injecting himself as the pump will automaticly dispence his dose. This should prevent him from giving himself the wrong amount.

jenmag
New Member


Date Joined May 2006
Total Posts : 10
   Posted 5/27/2006 6:07 PM (GMT -7)   
my husband has been type one for ten years, three shots a day and the long acting at night, you are very wrong about the high readings, my husband is 45 , thin, non drinker and smoker, he has had several bouts with high numbers, and lo and behold he had a silent heart attack and open heart surgery right away, we have done tons of research, classes etc. the big thing is the damage to the organs by letting the blood sugar being to high, you need to see a specialist, low is awful, as my husband was so low last year , if my daughter had not come home, he would have died, and high is very damaging, i dont want to alarm you but i live the life as a wife to someone with blood sugar issues, he is going on the pump next to get it under control, after heart surgery we can take any chances, be informed, go to classes, contact his insurance company and go together and get a good doctor, also we are researching the pu,p it has a lot of pros and cons

Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 5/28/2006 11:33 AM (GMT -7)   
Hi Carolyn,
I hate to make assumptions so, I have to ask....when you say his management is not going very well...what are you basing that on? At 9:00am, is he testing to KNOW what his blood sugar is at? Same thing for after dinner - is it a guess or a confirmed blood test? Can't stress the importance of testing to confirm what sugars are doing (instead of trying to go by feel - it's just not reliable).

Being on a sliding scale myself - not for Regular, so I can't comment on the ratio you gave for it - I do know that the 2-hr post meal reading will give you the best indication if your sliding-scale calculations were correct. Sounds like he's going hypo, from what you suspect, so I might start with suggesting he take 1 less measure of insulin (on his sliding scale), to see if that keeps the blood sugars level without going hypo. Scale it back in small increments till the hypos lessen/stop. He should not be going hypo 1.5 - 2 hours after a meal....provided, of course, he is eating a well balanced meal with appropriate carbs, proteins, and fat.

Just curious but, what is his reply to your concerns that he is taking too much insulin and consequently going low? I'm wondering if he feels like he is still in control or if something has happened for him to believe he needs to stay low/not go high. Do you understand his regimen (insulin dosage or sliding scale, along with diet and exercise), enough to confidently point out where he may need to adjust his scale/calculations?

It's difficult to live with us Type 1's on the best of days sometimes but, since we're the ones jammin' the needles into ourselves - we're the ultimate ones responsible for our own well-being. As I say to my husband..."the only thing you can do to help me.. is to let me know how what I do or don't do to myself, affects you". Make sense????

Hope this helps some. Take care...
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"We do not see things as they are; we see things as we are." -- Talmud


Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 5/28/2006 2:35 PM (GMT -7)   
HI Carolyn,

Great advice above. I guess my take on this is...what does he gain from going low. He gets tons of attention. If he really wanted to keep it from happening he'd not take so much, but when he goes low or 'threatens' to the everyone fusses about him. It's a terrific way to get attention....or be the center of attention. I doubt he'd do this if there wasn't a payoff.

HE needs to be responsable for his diabetes, not you. I'm sorry if this sounds harsh, but it would be foolish of me to have my husband in charge of my blood sugars when it's MY job. My advice would be to walk away from it. Tell him he's in charge from now on. If he needs some meal planning help you are willing to help him, but his insulin is HIS problem, not yours. He knows far better than anyone how his body reacts. Also, tell him if he insists on going low and can't be revived that you'll be happy to call 911 for him.

Hugs,
Chutz
Co-Mod Fibromyalgia & Chronic Pain Forums
~~~
Fibromyalgia, Ulcerative Colitis, Insulin dependent diabetic, collapsed disk, dermatitis herpetiformus, osteo arthritis in spine and other locations.....sheesh, what a wreck!
***************

The only difference between genius and stupidity is that genius has it's limits.
Albert Einstein: (1879-1955)


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 5/28/2006 8:46 PM (GMT -7)   
Carolyn,

Just a thought here... It's possible that you don't think of 65 as 'old' but his body isn't brand new, either. Your husband may be displaying signs of diminished reasoning capacity because of occluded arteries in his brain, he could be having TIA's or 'mini-strokes' that would affect his personality and 'stubborness'. He could be having malabsorption issues in his small intestine so he isn't getting all he needs from his meals...

There could be a bunch of stuff going on here. Sounds like it's time for a hubby/wife trip to the doctor and some blood work, lab tests and a good discussion with the doc. Your husband obviously knows what he is doing if he's been managing his sugars for over 50 years so I think there may be something else going on. Possible?
~ 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

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