Jim - I replied to your last 2 posts with a whack of info that I thought might point you in the right direction (to better manage your insulin & diet regimen). Did you read them? Find any of the info valuable? I ask because you didn't respond to them
Still don't know if you're type 1 or 2 (I assumed Type 1, which is why I gave you the "how to use insulin" links). Is your doctor an Endo or GP? That can make a big difference. Do you use Rapid with an I:C ratio?
You've had the 'D' a bit longer than I have but, one thing I learned very quickly.....
"I am the most important person in managing my diabetes".
I consider myself like the CEO of my own company and my Endo, GP, eye doctor, and diabetic nurse are like my VPs and executives. I rely on the information they can provide and value their suggestions and recommendations but, ultimately, I run the company and I make all the decisions. It's a tough job, especially to to well but, there is no one better suited to the position. I live in my company (body) 24/7 and my executive team provides updates on a quarterly basis. It's the day-to-day operations that determine success (which is why I continue to keep a daily log).
If you don't have a good team that works with you - find a new one. If you HAVE to work with the one you got - take the CEO's position and start making them work for you. It is unfortunate but true... most medical professionals (for various reasons) do not and will not know more about
your diabetes situation than you can, especially if you take an active role in learning all you can about
how diabetes works. Example: You're switching to Lantus from Levemir. Learn about
Lantus' action profile and match it to your personal rhythm - i.e. dose at night or morning or split? Most switchers find they need about
20% more Levemir than Lantus so, be aware that your basal dose will change.
Insurance can be tricky depending where you live. In Canada, ours differs from province to province plus whatever private insurance one has. One province may cover strips and insulin and another only needles and meters. Shop around is the name of the game here.
Most pharmacies often have an "unadvertised" continuous promotion that sees the meter given free with the purchase of 100-strips box. I've been using the One Touch for years and was told this by a Wal-M*rt pharmacist. Whichever meter strips your insurance allows, just make sure you go in with a script
for the strips, get the 100 box, ask about
the "meter free with purchase" and often it's free. This is a program that the meter manufacturers have with the pharmacies. It's in their best interests to give you the tool for free 'cause the money is in the strips
With the switch in insulin regimen you're about
to make, you may want to start a log to record the BGLs, insulin doses, and carbs consumed (if you're not already). It will help you and whomever it is you work on this with, to find the best regimen to suit you. Again, your basal dose and timing will be the first place to start with the new insulin. The link I posted in past replies will be helpful for that.
Keep us posted; let us know how you're making out.
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"
"It is impossible for a man to learn what he thinks he already knows"-Epictetus