Prandin + blood sugar lows

Sevenstars · May 23, 2008

I've been taking prandin for at least a few years and I've always had problems with lows (to the point where I often don't take it unless I'm eating a full meal that is very sugary...)

Anyway I took it yesterday before my enormous lunch, and STILL was extremely low a few hours afterwards - I nearly passed out. I'm not really very knowledgable about blood sugars and treatments to be honest and I don't see an endocrinologist despite having CFRD. Should I start seeing one to get better controls of my sugars? Why would I be having lows after a huge meal, when I only took .5 mg of prandin (I think that is the lowest possible dose of it). For reference, if I take nothing, my blood sugar generally doesn't go over 250, and I don't think I've ever had a sugar over 400 even with steroids.

Thanks for any help. <img src="i/expressions/face-icon-small-sad.gif" border="0">

Sevenstars · May 23, 2008

I've been taking prandin for at least a few years and I've always had problems with lows (to the point where I often don't take it unless I'm eating a full meal that is very sugary...)

Anyway I took it yesterday before my enormous lunch, and STILL was extremely low a few hours afterwards - I nearly passed out. I'm not really very knowledgable about blood sugars and treatments to be honest and I don't see an endocrinologist despite having CFRD. Should I start seeing one to get better controls of my sugars? Why would I be having lows after a huge meal, when I only took .5 mg of prandin (I think that is the lowest possible dose of it). For reference, if I take nothing, my blood sugar generally doesn't go over 250, and I don't think I've ever had a sugar over 400 even with steroids.

Thanks for any help. <img src="i/expressions/face-icon-small-sad.gif" border="0">

Sevenstars · May 23, 2008

I've been taking prandin for at least a few years and I've always had problems with lows (to the point where I often don't take it unless I'm eating a full meal that is very sugary...)

Anyway I took it yesterday before my enormous lunch, and STILL was extremely low a few hours afterwards - I nearly passed out. I'm not really very knowledgable about blood sugars and treatments to be honest and I don't see an endocrinologist despite having CFRD. Should I start seeing one to get better controls of my sugars? Why would I be having lows after a huge meal, when I only took .5 mg of prandin (I think that is the lowest possible dose of it). For reference, if I take nothing, my blood sugar generally doesn't go over 250, and I don't think I've ever had a sugar over 400 even with steroids.

Thanks for any help. <img src="i/expressions/face-icon-small-sad.gif" border="0">

Sevenstars · May 23, 2008

I've been taking prandin for at least a few years and I've always had problems with lows (to the point where I often don't take it unless I'm eating a full meal that is very sugary...)

Anyway I took it yesterday before my enormous lunch, and STILL was extremely low a few hours afterwards - I nearly passed out. I'm not really very knowledgable about blood sugars and treatments to be honest and I don't see an endocrinologist despite having CFRD. Should I start seeing one to get better controls of my sugars? Why would I be having lows after a huge meal, when I only took .5 mg of prandin (I think that is the lowest possible dose of it). For reference, if I take nothing, my blood sugar generally doesn't go over 250, and I don't think I've ever had a sugar over 400 even with steroids.

Thanks for any help. <img src="i/expressions/face-icon-small-sad.gif" border="0">

Sevenstars · May 23, 2008

I've been taking prandin for at least a few years and I've always had problems with lows (to the point where I often don't take it unless I'm eating a full meal that is very sugary...)
 
 Anyway I took it yesterday before my enormous lunch, and STILL was extremely low a few hours afterwards - I nearly passed out. I'm not really very knowledgable about blood sugars and treatments to be honest and I don't see an endocrinologist despite having CFRD. Should I start seeing one to get better controls of my sugars? Why would I be having lows after a huge meal, when I only took .5 mg of prandin (I think that is the lowest possible dose of it). For reference, if I take nothing, my blood sugar generally doesn't go over 250, and I don't think I've ever had a sugar over 400 even with steroids.
 
 Thanks for any help. <img src="i/expressions/face-icon-small-sad.gif" border="0">

JazzysMom · May 23, 2008

Prandon was very hard for me to use also. I thought it would be great not having to give myself a shot, but it didnt work.

I ended up using insulin on a sliding scale & shooting up anyway. It was way better then wondering what would happen with the Prandin.

Even if I ate something large etc. There was no rhyme or reason,...

JazzysMom · May 23, 2008

Prandon was very hard for me to use also. I thought it would be great not having to give myself a shot, but it didnt work.

I ended up using insulin on a sliding scale & shooting up anyway. It was way better then wondering what would happen with the Prandin.

Even if I ate something large etc. There was no rhyme or reason,...

JazzysMom · May 23, 2008

Prandon was very hard for me to use also. I thought it would be great not having to give myself a shot, but it didnt work.

I ended up using insulin on a sliding scale & shooting up anyway. It was way better then wondering what would happen with the Prandin.

Even if I ate something large etc. There was no rhyme or reason,...

JazzysMom · May 23, 2008

Prandon was very hard for me to use also. I thought it would be great not having to give myself a shot, but it didnt work.

I ended up using insulin on a sliding scale & shooting up anyway. It was way better then wondering what would happen with the Prandin.

Even if I ate something large etc. There was no rhyme or reason,...

JazzysMom · May 23, 2008

Prandon was very hard for me to use also. I thought it would be great not having to give myself a shot, but it didnt work.
 
 I ended up using insulin on a sliding scale & shooting up anyway. It was way better then wondering what would happen with the Prandin.
 
 Even if I ate something large etc. There was no rhyme or reason,...

SaltyAndSweet · May 23, 2008

I would highly suggest going to an endo. I started seeing one at my CF clinic in December who is really helping me out. I was dx'd with CFRD many years before and only saw an endo once a year. I had horrible control over my bg levels. But I really like my new one and she has taught me soooo much in the past few months my A1C levels are quickly moving towards the normal range. She is teaching me not only about insulin and glucose, but nutrition too.

Diabetes REALLY affects our CF health. I wrote a bit about it to my insurance company while trying to get coverage for an insulin pump and continuous glucose monitor system. Check out how my letter here:
<a target=_blank class=ftalternatingbarlinklarge href="http://saltyandsweet.wordpress.com/2008/05/08/final-appeal-personal-letter/">Final Appeal Letter</a>
There are sooo many more things that CFRD affects that I didn't cover in the letter because of length.

Maybe go and see an endo for an appointment or two to see if they can help. (BTW, I am really confused why you would be on a pill. I don't think that is standard treatment for CFRD).

I hope that you find my advice helpful! Seeing an endo the first few times can be overwhelming, but hang in there, it will be really helpful in the long run.

SaltyAndSweet · May 23, 2008

I would highly suggest going to an endo. I started seeing one at my CF clinic in December who is really helping me out. I was dx'd with CFRD many years before and only saw an endo once a year. I had horrible control over my bg levels. But I really like my new one and she has taught me soooo much in the past few months my A1C levels are quickly moving towards the normal range. She is teaching me not only about insulin and glucose, but nutrition too.

Diabetes REALLY affects our CF health. I wrote a bit about it to my insurance company while trying to get coverage for an insulin pump and continuous glucose monitor system. Check out how my letter here:
<a target=_blank class=ftalternatingbarlinklarge href="http://saltyandsweet.wordpress.com/2008/05/08/final-appeal-personal-letter/">Final Appeal Letter</a>
There are sooo many more things that CFRD affects that I didn't cover in the letter because of length.

Maybe go and see an endo for an appointment or two to see if they can help. (BTW, I am really confused why you would be on a pill. I don't think that is standard treatment for CFRD).

I hope that you find my advice helpful! Seeing an endo the first few times can be overwhelming, but hang in there, it will be really helpful in the long run.

SaltyAndSweet · May 23, 2008

I would highly suggest going to an endo. I started seeing one at my CF clinic in December who is really helping me out. I was dx'd with CFRD many years before and only saw an endo once a year. I had horrible control over my bg levels. But I really like my new one and she has taught me soooo much in the past few months my A1C levels are quickly moving towards the normal range. She is teaching me not only about insulin and glucose, but nutrition too.

Diabetes REALLY affects our CF health. I wrote a bit about it to my insurance company while trying to get coverage for an insulin pump and continuous glucose monitor system. Check out how my letter here:
<a target=_blank class=ftalternatingbarlinklarge href="http://saltyandsweet.wordpress.com/2008/05/08/final-appeal-personal-letter/">Final Appeal Letter</a>
There are sooo many more things that CFRD affects that I didn't cover in the letter because of length.

Maybe go and see an endo for an appointment or two to see if they can help. (BTW, I am really confused why you would be on a pill. I don't think that is standard treatment for CFRD).

I hope that you find my advice helpful! Seeing an endo the first few times can be overwhelming, but hang in there, it will be really helpful in the long run.

SaltyAndSweet · May 23, 2008

I would highly suggest going to an endo. I started seeing one at my CF clinic in December who is really helping me out. I was dx'd with CFRD many years before and only saw an endo once a year. I had horrible control over my bg levels. But I really like my new one and she has taught me soooo much in the past few months my A1C levels are quickly moving towards the normal range. She is teaching me not only about insulin and glucose, but nutrition too.

Diabetes REALLY affects our CF health. I wrote a bit about it to my insurance company while trying to get coverage for an insulin pump and continuous glucose monitor system. Check out how my letter here:
<a target=_blank class=ftalternatingbarlinklarge href="http://saltyandsweet.wordpress.com/2008/05/08/final-appeal-personal-letter/">Final Appeal Letter</a>
There are sooo many more things that CFRD affects that I didn't cover in the letter because of length.

Maybe go and see an endo for an appointment or two to see if they can help. (BTW, I am really confused why you would be on a pill. I don't think that is standard treatment for CFRD).

I hope that you find my advice helpful! Seeing an endo the first few times can be overwhelming, but hang in there, it will be really helpful in the long run.

SaltyAndSweet · May 23, 2008

I would highly suggest going to an endo. I started seeing one at my CF clinic in December who is really helping me out. I was dx'd with CFRD many years before and only saw an endo once a year. I had horrible control over my bg levels. But I really like my new one and she has taught me soooo much in the past few months my A1C levels are quickly moving towards the normal range. She is teaching me not only about insulin and glucose, but nutrition too.
 
 Diabetes REALLY affects our CF health. I wrote a bit about it to my insurance company while trying to get coverage for an insulin pump and continuous glucose monitor system. Check out how my letter here:
 <a target=_blank class=ftalternatingbarlinklarge href="http://saltyandsweet.wordpress.com/2008/05/08/final-appeal-personal-letter/">Final Appeal Letter</a>
 There are sooo many more things that CFRD affects that I didn't cover in the letter because of length.
 
 Maybe go and see an endo for an appointment or two to see if they can help. (BTW, I am really confused why you would be on a pill. I don't think that is standard treatment for CFRD).
 
 I hope that you find my advice helpful! Seeing an endo the first few times can be overwhelming, but hang in there, it will be really helpful in the long run.

Sevenstars · May 24, 2008

Thanks guys for your replies.

As for seeing an endo... well let me tell you a quick story. I was first diagnosed with CFRD when I was 18 and they did a routine finger stick in the hospital. They told me to eat what I normally do, and they'd monitor my blood sugars and get further testing (A1C etc). I had a cup of hot chocolate before bed so of course my blood sugar was 300 something. The next day the bi&$# endo came in and hollered at me (literally) saying "what were you thinking, you shouldnt drink that much sugar" blah blah and was really mean to me and made me feel like an idiot. I had no idea how much sugar it had in it, and they told me to eat what I wanted!!

Anyway that has pretty much turned me off to seeing any endocrinologist since then. I have seen one since then, when I was in the hospital and I was kind of a captive audience and had no choice. He wrote out all these plans for me but never followed up with me the whole time I was in, and I never received further teaching about insulin/meals/etc so I just said F the whole thing. I did my shots off and on for a few years, and finally some doc (can't remember who) put me on prandin since my CFRD was so mild, and my sugars seemed to be in good control... at least that's the reasoning that I recall.

The prandin did seem to work ok for a while, but I was always prone to lows after eating. I just posted this now because I'm trying to get in better control of things I've been neglecting, and this is definitely one of them. Also, nearly passing out at the store yesterday wasn't really fun. I actually did pass out at the grocery store a long time ago, hit my head on the cash register, but that is a whole other story! <img src="i/expressions/face-icon-small-blush.gif" border="0">

Thanks again, I'll see if I can find a nice/competent endo around here. <img src="i/expressions/face-icon-small-smile.gif" border="0">

Sevenstars · May 24, 2008

Thanks guys for your replies.

As for seeing an endo... well let me tell you a quick story. I was first diagnosed with CFRD when I was 18 and they did a routine finger stick in the hospital. They told me to eat what I normally do, and they'd monitor my blood sugars and get further testing (A1C etc). I had a cup of hot chocolate before bed so of course my blood sugar was 300 something. The next day the bi&$# endo came in and hollered at me (literally) saying "what were you thinking, you shouldnt drink that much sugar" blah blah and was really mean to me and made me feel like an idiot. I had no idea how much sugar it had in it, and they told me to eat what I wanted!!

Anyway that has pretty much turned me off to seeing any endocrinologist since then. I have seen one since then, when I was in the hospital and I was kind of a captive audience and had no choice. He wrote out all these plans for me but never followed up with me the whole time I was in, and I never received further teaching about insulin/meals/etc so I just said F the whole thing. I did my shots off and on for a few years, and finally some doc (can't remember who) put me on prandin since my CFRD was so mild, and my sugars seemed to be in good control... at least that's the reasoning that I recall.

The prandin did seem to work ok for a while, but I was always prone to lows after eating. I just posted this now because I'm trying to get in better control of things I've been neglecting, and this is definitely one of them. Also, nearly passing out at the store yesterday wasn't really fun. I actually did pass out at the grocery store a long time ago, hit my head on the cash register, but that is a whole other story! <img src="i/expressions/face-icon-small-blush.gif" border="0">

Thanks again, I'll see if I can find a nice/competent endo around here. <img src="i/expressions/face-icon-small-smile.gif" border="0">

Sevenstars · May 24, 2008

Thanks guys for your replies.

As for seeing an endo... well let me tell you a quick story. I was first diagnosed with CFRD when I was 18 and they did a routine finger stick in the hospital. They told me to eat what I normally do, and they'd monitor my blood sugars and get further testing (A1C etc). I had a cup of hot chocolate before bed so of course my blood sugar was 300 something. The next day the bi&$# endo came in and hollered at me (literally) saying "what were you thinking, you shouldnt drink that much sugar" blah blah and was really mean to me and made me feel like an idiot. I had no idea how much sugar it had in it, and they told me to eat what I wanted!!

Anyway that has pretty much turned me off to seeing any endocrinologist since then. I have seen one since then, when I was in the hospital and I was kind of a captive audience and had no choice. He wrote out all these plans for me but never followed up with me the whole time I was in, and I never received further teaching about insulin/meals/etc so I just said F the whole thing. I did my shots off and on for a few years, and finally some doc (can't remember who) put me on prandin since my CFRD was so mild, and my sugars seemed to be in good control... at least that's the reasoning that I recall.

The prandin did seem to work ok for a while, but I was always prone to lows after eating. I just posted this now because I'm trying to get in better control of things I've been neglecting, and this is definitely one of them. Also, nearly passing out at the store yesterday wasn't really fun. I actually did pass out at the grocery store a long time ago, hit my head on the cash register, but that is a whole other story! <img src="i/expressions/face-icon-small-blush.gif" border="0">

Thanks again, I'll see if I can find a nice/competent endo around here. <img src="i/expressions/face-icon-small-smile.gif" border="0">

Sevenstars · May 24, 2008

Thanks guys for your replies.

As for seeing an endo... well let me tell you a quick story. I was first diagnosed with CFRD when I was 18 and they did a routine finger stick in the hospital. They told me to eat what I normally do, and they'd monitor my blood sugars and get further testing (A1C etc). I had a cup of hot chocolate before bed so of course my blood sugar was 300 something. The next day the bi&$# endo came in and hollered at me (literally) saying "what were you thinking, you shouldnt drink that much sugar" blah blah and was really mean to me and made me feel like an idiot. I had no idea how much sugar it had in it, and they told me to eat what I wanted!!

Anyway that has pretty much turned me off to seeing any endocrinologist since then. I have seen one since then, when I was in the hospital and I was kind of a captive audience and had no choice. He wrote out all these plans for me but never followed up with me the whole time I was in, and I never received further teaching about insulin/meals/etc so I just said F the whole thing. I did my shots off and on for a few years, and finally some doc (can't remember who) put me on prandin since my CFRD was so mild, and my sugars seemed to be in good control... at least that's the reasoning that I recall.

The prandin did seem to work ok for a while, but I was always prone to lows after eating. I just posted this now because I'm trying to get in better control of things I've been neglecting, and this is definitely one of them. Also, nearly passing out at the store yesterday wasn't really fun. I actually did pass out at the grocery store a long time ago, hit my head on the cash register, but that is a whole other story! <img src="i/expressions/face-icon-small-blush.gif" border="0">

Thanks again, I'll see if I can find a nice/competent endo around here. <img src="i/expressions/face-icon-small-smile.gif" border="0">

Sevenstars · May 24, 2008

Thanks guys for your replies.
 
 As for seeing an endo... well let me tell you a quick story. I was first diagnosed with CFRD when I was 18 and they did a routine finger stick in the hospital. They told me to eat what I normally do, and they'd monitor my blood sugars and get further testing (A1C etc). I had a cup of hot chocolate before bed so of course my blood sugar was 300 something. The next day the bi&$# endo came in and hollered at me (literally) saying "what were you thinking, you shouldnt drink that much sugar" blah blah and was really mean to me and made me feel like an idiot. I had no idea how much sugar it had in it, and they told me to eat what I wanted!!
 
 Anyway that has pretty much turned me off to seeing any endocrinologist since then. I have seen one since then, when I was in the hospital and I was kind of a captive audience and had no choice. He wrote out all these plans for me but never followed up with me the whole time I was in, and I never received further teaching about insulin/meals/etc so I just said F the whole thing. I did my shots off and on for a few years, and finally some doc (can't remember who) put me on prandin since my CFRD was so mild, and my sugars seemed to be in good control... at least that's the reasoning that I recall.
 
 The prandin did seem to work ok for a while, but I was always prone to lows after eating. I just posted this now because I'm trying to get in better control of things I've been neglecting, and this is definitely one of them. Also, nearly passing out at the store yesterday wasn't really fun. I actually did pass out at the grocery store a long time ago, hit my head on the cash register, but that is a whole other story! <img src="i/expressions/face-icon-small-blush.gif" border="0">
 
 Thanks again, I'll see if I can find a nice/competent endo around here. <img src="i/expressions/face-icon-small-smile.gif" border="0">

Prandin + blood sugar lows

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