diabetes advice

fondreflections · Feb 3, 2009

Well, I had been a 'borderline' diabetic for years and years. However, I recently learned that my diabetes has progressed, and that I most likely will require insulin shots.

I have failed the 2-hour glucose test for years; however, my A1C has always been around 5.6 or 5.7. Last week, my A1C was retested and came up at 6.3.

This Friday I see an endocrinologist who will be suggesting shots.

I decided to get out my diabetes kit and start taking sugars so he has something to look at during the visit. I did 6 bloodsugars and to my surprise post-lunch was 176. Post-dinner was worse at 188. The other four sugars were in the 90s. My fasting was 97.

I'm kind of nervous, really. My sister became diabetic at 9-years-old and always required shots so I know I'm fortunate to have made it this far. However, I'm nervous.

Will I require a high dose of insulin? I am normal except 2-hours post meals (lunch and dinner). Will I probably need to take shots before lunch and dinner or will they make me take shots in AM and PM? Is insulin conditional upon meals or what??? This is all new to me.

Thank you.

Jenny <img src="i/expressions/heart.gif" border="0">

fondreflections · Feb 3, 2009

Well, I had been a 'borderline' diabetic for years and years. However, I recently learned that my diabetes has progressed, and that I most likely will require insulin shots.

I have failed the 2-hour glucose test for years; however, my A1C has always been around 5.6 or 5.7. Last week, my A1C was retested and came up at 6.3.

This Friday I see an endocrinologist who will be suggesting shots.

I decided to get out my diabetes kit and start taking sugars so he has something to look at during the visit. I did 6 bloodsugars and to my surprise post-lunch was 176. Post-dinner was worse at 188. The other four sugars were in the 90s. My fasting was 97.

I'm kind of nervous, really. My sister became diabetic at 9-years-old and always required shots so I know I'm fortunate to have made it this far. However, I'm nervous.

Will I require a high dose of insulin? I am normal except 2-hours post meals (lunch and dinner). Will I probably need to take shots before lunch and dinner or will they make me take shots in AM and PM? Is insulin conditional upon meals or what??? This is all new to me.

Thank you.

Jenny <img src="i/expressions/heart.gif" border="0">

fondreflections · Feb 3, 2009

Well, I had been a 'borderline' diabetic for years and years. However, I recently learned that my diabetes has progressed, and that I most likely will require insulin shots.

I have failed the 2-hour glucose test for years; however, my A1C has always been around 5.6 or 5.7. Last week, my A1C was retested and came up at 6.3.

This Friday I see an endocrinologist who will be suggesting shots.

I decided to get out my diabetes kit and start taking sugars so he has something to look at during the visit. I did 6 bloodsugars and to my surprise post-lunch was 176. Post-dinner was worse at 188. The other four sugars were in the 90s. My fasting was 97.

I'm kind of nervous, really. My sister became diabetic at 9-years-old and always required shots so I know I'm fortunate to have made it this far. However, I'm nervous.

Will I require a high dose of insulin? I am normal except 2-hours post meals (lunch and dinner). Will I probably need to take shots before lunch and dinner or will they make me take shots in AM and PM? Is insulin conditional upon meals or what??? This is all new to me.

Thank you.

Jenny <img src="i/expressions/heart.gif" border="0">

fondreflections · Feb 3, 2009

Well, I had been a 'borderline' diabetic for years and years. However, I recently learned that my diabetes has progressed, and that I most likely will require insulin shots.

I have failed the 2-hour glucose test for years; however, my A1C has always been around 5.6 or 5.7. Last week, my A1C was retested and came up at 6.3.

This Friday I see an endocrinologist who will be suggesting shots.

I decided to get out my diabetes kit and start taking sugars so he has something to look at during the visit. I did 6 bloodsugars and to my surprise post-lunch was 176. Post-dinner was worse at 188. The other four sugars were in the 90s. My fasting was 97.

I'm kind of nervous, really. My sister became diabetic at 9-years-old and always required shots so I know I'm fortunate to have made it this far. However, I'm nervous.

Will I require a high dose of insulin? I am normal except 2-hours post meals (lunch and dinner). Will I probably need to take shots before lunch and dinner or will they make me take shots in AM and PM? Is insulin conditional upon meals or what??? This is all new to me.

Thank you.

Jenny <img src="i/expressions/heart.gif" border="0">

fondreflections · Feb 3, 2009

Well, I had been a 'borderline' diabetic for years and years. However, I recently learned that my diabetes has progressed, and that I most likely will require insulin shots.
 
 I have failed the 2-hour glucose test for years; however, my A1C has always been around 5.6 or 5.7. Last week, my A1C was retested and came up at 6.3.
 
 This Friday I see an endocrinologist who will be suggesting shots.
 
 I decided to get out my diabetes kit and start taking sugars so he has something to look at during the visit. I did 6 bloodsugars and to my surprise post-lunch was 176. Post-dinner was worse at 188. The other four sugars were in the 90s. My fasting was 97.
 
 I'm kind of nervous, really. My sister became diabetic at 9-years-old and always required shots so I know I'm fortunate to have made it this far. However, I'm nervous.
 
 Will I require a high dose of insulin? I am normal except 2-hours post meals (lunch and dinner). Will I probably need to take shots before lunch and dinner or will they make me take shots in AM and PM? Is insulin conditional upon meals or what??? This is all new to me.
 
 Thank you.
 
 Jenny <img src="i/expressions/heart.gif" border="0">

JazzysMom · Feb 3, 2009

One thing about throwing the CF into the mix regarding sugars is the standard care doesnt apply so whatever doctor you see.....keep that in mind.

The closest I have gotten to an Endocrinologist that gets the needs of CF versus the requirements of diabetes is a doctor our CF clinic refers to, but we didnt "click" so I am not actually being followed by an Endo at this time.

I know my triggers (certain carbs more then others, infections, lack of sleep etc) & with the help of the fabulous Nutritionist/Dietician at our clinic have been able to control things just using short term insulin.

I have done long acting & short acting when pregnant with Gestational as well as the oral meds & none of it works as well as the short term for me. Carb counting before a meal works well also.

I use the Novalog Pen which can go unrefridergated for up to 30 (28 actually) days once opened. So I carry one in my purse along with a testing kit & I have another pen for home along with another testing kit.

The pen is a bit pricey compared to the other insulins available, but worth every cent IMHO.

I am not sure if you could benefit from this type of control, but it gives you an idea.

I will say that when on steroids it is much harder to control sugars so if you encounter those times dont get too upset. The meds just do what they want & all you can do is get through that time as best as you can.

When things are "quiet" then you should find out quick enough what influences your sugars (like I said for me are certain carbs....lack of sleep etc). Originally when on steroids the concentrated sugars were the worst, but that has calmed down now.

IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different.

There are tons of us who deal with this so we are here for any & all ??? you have.....

Good Luck!

JazzysMom · Feb 3, 2009

One thing about throwing the CF into the mix regarding sugars is the standard care doesnt apply so whatever doctor you see.....keep that in mind.

The closest I have gotten to an Endocrinologist that gets the needs of CF versus the requirements of diabetes is a doctor our CF clinic refers to, but we didnt "click" so I am not actually being followed by an Endo at this time.

I know my triggers (certain carbs more then others, infections, lack of sleep etc) & with the help of the fabulous Nutritionist/Dietician at our clinic have been able to control things just using short term insulin.

I have done long acting & short acting when pregnant with Gestational as well as the oral meds & none of it works as well as the short term for me. Carb counting before a meal works well also.

I use the Novalog Pen which can go unrefridergated for up to 30 (28 actually) days once opened. So I carry one in my purse along with a testing kit & I have another pen for home along with another testing kit.

The pen is a bit pricey compared to the other insulins available, but worth every cent IMHO.

I am not sure if you could benefit from this type of control, but it gives you an idea.

I will say that when on steroids it is much harder to control sugars so if you encounter those times dont get too upset. The meds just do what they want & all you can do is get through that time as best as you can.

When things are "quiet" then you should find out quick enough what influences your sugars (like I said for me are certain carbs....lack of sleep etc). Originally when on steroids the concentrated sugars were the worst, but that has calmed down now.

IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different.

There are tons of us who deal with this so we are here for any & all ??? you have.....

Good Luck!

JazzysMom · Feb 3, 2009

One thing about throwing the CF into the mix regarding sugars is the standard care doesnt apply so whatever doctor you see.....keep that in mind.

The closest I have gotten to an Endocrinologist that gets the needs of CF versus the requirements of diabetes is a doctor our CF clinic refers to, but we didnt "click" so I am not actually being followed by an Endo at this time.

I know my triggers (certain carbs more then others, infections, lack of sleep etc) & with the help of the fabulous Nutritionist/Dietician at our clinic have been able to control things just using short term insulin.

I have done long acting & short acting when pregnant with Gestational as well as the oral meds & none of it works as well as the short term for me. Carb counting before a meal works well also.

I use the Novalog Pen which can go unrefridergated for up to 30 (28 actually) days once opened. So I carry one in my purse along with a testing kit & I have another pen for home along with another testing kit.

The pen is a bit pricey compared to the other insulins available, but worth every cent IMHO.

I am not sure if you could benefit from this type of control, but it gives you an idea.

I will say that when on steroids it is much harder to control sugars so if you encounter those times dont get too upset. The meds just do what they want & all you can do is get through that time as best as you can.

When things are "quiet" then you should find out quick enough what influences your sugars (like I said for me are certain carbs....lack of sleep etc). Originally when on steroids the concentrated sugars were the worst, but that has calmed down now.

IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different.

There are tons of us who deal with this so we are here for any & all ??? you have.....

Good Luck!

JazzysMom · Feb 3, 2009

One thing about throwing the CF into the mix regarding sugars is the standard care doesnt apply so whatever doctor you see.....keep that in mind.

The closest I have gotten to an Endocrinologist that gets the needs of CF versus the requirements of diabetes is a doctor our CF clinic refers to, but we didnt "click" so I am not actually being followed by an Endo at this time.

I know my triggers (certain carbs more then others, infections, lack of sleep etc) & with the help of the fabulous Nutritionist/Dietician at our clinic have been able to control things just using short term insulin.

I have done long acting & short acting when pregnant with Gestational as well as the oral meds & none of it works as well as the short term for me. Carb counting before a meal works well also.

I use the Novalog Pen which can go unrefridergated for up to 30 (28 actually) days once opened. So I carry one in my purse along with a testing kit & I have another pen for home along with another testing kit.

The pen is a bit pricey compared to the other insulins available, but worth every cent IMHO.

I am not sure if you could benefit from this type of control, but it gives you an idea.

I will say that when on steroids it is much harder to control sugars so if you encounter those times dont get too upset. The meds just do what they want & all you can do is get through that time as best as you can.

When things are "quiet" then you should find out quick enough what influences your sugars (like I said for me are certain carbs....lack of sleep etc). Originally when on steroids the concentrated sugars were the worst, but that has calmed down now.

IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different.

There are tons of us who deal with this so we are here for any & all ??? you have.....

Good Luck!

JazzysMom · Feb 3, 2009

One thing about throwing the CF into the mix regarding sugars is the standard care doesnt apply so whatever doctor you see.....keep that in mind.
 
 The closest I have gotten to an Endocrinologist that gets the needs of CF versus the requirements of diabetes is a doctor our CF clinic refers to, but we didnt "click" so I am not actually being followed by an Endo at this time.
 
 I know my triggers (certain carbs more then others, infections, lack of sleep etc) & with the help of the fabulous Nutritionist/Dietician at our clinic have been able to control things just using short term insulin.
 
 I have done long acting & short acting when pregnant with Gestational as well as the oral meds & none of it works as well as the short term for me. Carb counting before a meal works well also.
 
 I use the Novalog Pen which can go unrefridergated for up to 30 (28 actually) days once opened. So I carry one in my purse along with a testing kit & I have another pen for home along with another testing kit.
 
 The pen is a bit pricey compared to the other insulins available, but worth every cent IMHO.
 
 I am not sure if you could benefit from this type of control, but it gives you an idea.
 
 I will say that when on steroids it is much harder to control sugars so if you encounter those times dont get too upset. The meds just do what they want & all you can do is get through that time as best as you can.
 
 When things are "quiet" then you should find out quick enough what influences your sugars (like I said for me are certain carbs....lack of sleep etc). Originally when on steroids the concentrated sugars were the worst, but that has calmed down now.
 
 IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different.
 
 There are tons of us who deal with this so we are here for any & all ??? you have.....
 
 Good Luck!

dswilson67 · Feb 3, 2009

<div class="FTQUOTE"><begin quote>Originally posted by: JazzysMom

IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different. </end quote></div>

This is exactly how Dan's doctor wants it. He does take two types of insulin, Lantis which is a long acting insulin, and Humalog, which he takes 15 per carb unit.

If you do end up taking insulin, it will just be kinda of a trail and error until the dr can figure out exactly how much you need. Also when Dan has an infection it effects his blood sugars so he has to adjust a bit for that in the correction factor.

HTH

dswilson67 · Feb 3, 2009

<div class="FTQUOTE"><begin quote>Originally posted by: JazzysMom

IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different. </end quote></div>

This is exactly how Dan's doctor wants it. He does take two types of insulin, Lantis which is a long acting insulin, and Humalog, which he takes 15 per carb unit.

If you do end up taking insulin, it will just be kinda of a trail and error until the dr can figure out exactly how much you need. Also when Dan has an infection it effects his blood sugars so he has to adjust a bit for that in the correction factor.

HTH

dswilson67 · Feb 3, 2009

<div class="FTQUOTE"><begin quote>Originally posted by: JazzysMom

IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different. </end quote></div>

This is exactly how Dan's doctor wants it. He does take two types of insulin, Lantis which is a long acting insulin, and Humalog, which he takes 15 per carb unit.

If you do end up taking insulin, it will just be kinda of a trail and error until the dr can figure out exactly how much you need. Also when Dan has an infection it effects his blood sugars so he has to adjust a bit for that in the correction factor.

HTH

dswilson67 · Feb 3, 2009

<div class="FTQUOTE"><begin quote>Originally posted by: JazzysMom

IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different. </end quote>

This is exactly how Dan's doctor wants it. He does take two types of insulin, Lantis which is a long acting insulin, and Humalog, which he takes 15 per carb unit.

If you do end up taking insulin, it will just be kinda of a trail and error until the dr can figure out exactly how much you need. Also when Dan has an infection it effects his blood sugars so he has to adjust a bit for that in the correction factor.

HTH

dswilson67 · Feb 3, 2009

<div class="FTQUOTE"><begin quote>Originally posted by: JazzysMom
 
 IMHO the hardest thing for me would have been to control my sugars with just diet. Most of my calories come from everything a diabetic shouldnt have at all or a lot of. Most CF doctors prefer a CFer eat as they want & cover with insulin, but each patient is different. </end quote>
 
 This is exactly how Dan's doctor wants it. He does take two types of insulin, Lantis which is a long acting insulin, and Humalog, which he takes 15 per carb unit.
 
 If you do end up taking insulin, it will just be kinda of a trail and error until the dr can figure out exactly how much you need. Also when Dan has an infection it effects his blood sugars so he has to adjust a bit for that in the correction factor.
 
 HTH

Havoc · Feb 4, 2009

Every doc is different but with moderate BSG's like you have I would expect a sliding scale of Humalog, if they put you on insulin at all. They might try some of the oral hyperglycemics 1st.

When I was insulin resistant from steroids, I was on 10 units of Lantus in the AM and a sliding scale of Humalog. Good luck, being a diabetic is a pain in the ass sometimes.

Havoc · Feb 4, 2009

Every doc is different but with moderate BSG's like you have I would expect a sliding scale of Humalog, if they put you on insulin at all. They might try some of the oral hyperglycemics 1st.

When I was insulin resistant from steroids, I was on 10 units of Lantus in the AM and a sliding scale of Humalog. Good luck, being a diabetic is a pain in the ass sometimes.

Havoc · Feb 4, 2009

Every doc is different but with moderate BSG's like you have I would expect a sliding scale of Humalog, if they put you on insulin at all. They might try some of the oral hyperglycemics 1st.

When I was insulin resistant from steroids, I was on 10 units of Lantus in the AM and a sliding scale of Humalog. Good luck, being a diabetic is a pain in the ass sometimes.

Havoc · Feb 4, 2009

Every doc is different but with moderate BSG's like you have I would expect a sliding scale of Humalog, if they put you on insulin at all. They might try some of the oral hyperglycemics 1st.

When I was insulin resistant from steroids, I was on 10 units of Lantus in the AM and a sliding scale of Humalog. Good luck, being a diabetic is a pain in the ass sometimes.

Havoc · Feb 4, 2009

Every doc is different but with moderate BSG's like you have I would expect a sliding scale of Humalog, if they put you on insulin at all. They might try some of the oral hyperglycemics 1st.
 
 When I was insulin resistant from steroids, I was on 10 units of Lantus in the AM and a sliding scale of Humalog. Good luck, being a diabetic is a pain in the ass sometimes.

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