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skinnidippin posted:
I am 46 and have discovered that I have type 2 diabetes..I have doing all the right things, yet my morning blood sugar is 380..never below 350..I am open for suggestions. I have been overweight for 10 yrs. Never been an issue ride horses, go caving...very active but now I fee Blaa my Doc says give it a few weeks. He started me on metformin/500 any suggestions on getting my morning numbers down.
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DianeR01 responded:
Hi,

How long ago were you diagnosed? and how long have you been on meds? The metformin may take several weeks to make a significant difference. Have you worked with a dietician to review your eating habits and set up a meal plan? The dietician can be very helpful to find ways to cut your carb intake.

If you have been on the meds for more than 3 or 4 weeks, I would be calling the doc and getting more agressive with the treatment plan. If your doctor seems to discount your concern, it may be time to look for another doc. Fasting of 350 is way too high and will put you at high risk for complications.

my best to you
 
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skinnidippin replied to DianeR01's response:
Just diagnosed last Monday and the dietician said that my food choices were better than some she could have made and copied a few pages from my food diary My sugar was 380 today when I took it this morning. I consulted my pharmacist and he said the meds should start right away that it wasn't something that you work in to....go figure
 
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CandyTX0120 replied to skinnidippin's response:
I have recently been taken off of all my metformin. I can attribuite this to reducing my weight and an agressive exercise program.

Also, be sure you eat a snack before you go to bed...peanut butter and crackers or a handful of nuts always seemed to help bring down my morning numbers.
 
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davedsel57 responded:
Hello, and welcome.

There is an excellent WebMD Diabetes Health Center here: http://diabetes.webmd.com/default.htm

Read through that for some basic information on controlling Type 2 Diabetes. In my humble opinion, your doctor is being too lax in treating your condition. Those readings are very dangerous. You need to discuss this with your doctor asap and perhaps consider getting another opinion.

Seeing a Certified Diabetes Educator would be a good step, or even a registered Dietician or Nutritionist. A large part of controlling Type 2 Diabetes is proper diet and activity. Many people are successful with just doing this and no medication. In your case, however, you need medication to get your readings down.

I again emphasize discussing this with your doctor as these readings are dangerous and you could be facing some serious complications. If your current doctor will do no more for you, then you need to consider changing doctors.

I pray you can get your diabetes in control very soon.
Blessings,

Dave
 
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bobbydom responded:
I've had type 2 for 26 yrs now. Five years ago I went on a pump. Now my am numbers are around the 160 range. I am 74 yrs old.
 
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jrvlv responded:
Do you eat anything past 9pm? Also if you have a heavy dinner, like for me if I eat pasta my reading are higher than normal. Your readings are high for morning. What are your reading doing the day. Take a reading when you feel good and take a reading when you fell bad. Also just for few days take a reading before each meal and then take reading after about 2 hrs after your meal that is if you are not taking reading before every meal show your doctor your reading. If your reading are 380 every morning and doctor does not seem concern maybe it is time to see a specialist. What is your A1C below 7.0 is desirable the lower the better. Get your blood sugar under control because they effect your entire body (eyes-heart-feet-hands - kidneys- Diabetes will slowly effect your health if you do not take control. losing weigh will help you with your diabetes just losing 10-15 lbs. will help. If you don't fell good and doctor does not seem concern, I would look for another doctor.
 
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snakeytricker replied to davedsel57's response:
I don't know if you are seeing an endocrinologist or not. It sounds like you may be seeing your primary care doctor. In any event, he or she is not taking your numbers seriously enough. At your levels, you are at risk for heart, kidney and serious eye disease. You really must get your numbers done ASAP. So, my suggestion is to: First, see an endocrinologist; and, second, don't be afraid to change doctors to find one that will treat your serious illness with the respect you deserve.
I have been a type II diabetic since 1997 and insulin dependent since about 2004 or so. Don't be afraid of insulin. It is the best way to bring down your numbers and really, truly, is a painless way to medicate yourself. (No matter what you think now, take your diabetes shots in the belly. They are virtually painless.)
Good luck. Let us know how you are making out.
Respectfully,
 
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stevewri replied to bobbydom's response:
Tue. 9/6/11
I wasn't aware that a Insulin Pump was available for a patient
w/ type II Diabetes ? Are there special requirements to get a Pump ? Should I ask my Doctor ?
Did Medicare cover the Cost of the pump ?

To be Honest, I had "morning numbers" that were over 300 I would be Freaking Out & Worried. Mine are around 160.

Please reply If you have the time & Thank You

SPW in Alaska
 
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lfiller12 responded:
I was taking metformin 500 twice a day along with niacin and a statin drug. I ended up in icu with 60 over 40 bp and liver and kidney problems. They put me on glipizide which I could not tolerate(bad case of hives. Now Im back to metformin but no niacin and no statins. They said I would have to take insulin but my 14 day average was 79. I do check it 3 or 4 times a day and just have to watch that it doesn"t get too low. It has gotten as low as 40 and as high as 210.
I'm hoping to keep it will be able to be controlled without insulin. I need to get aggresive about losing 25 pounds.I also have heart conditions and hypothyroidism .
 
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krhudson responded:
Hi Skinnidippin,

For 2 weeks test your blood sugars fasting, before meals,
2 hours after the meals and before bedtime. Log them on
paper with date time and even add exactly what you ate
since everybody's body responds different to each food
they consume. Make sure and fax your information to the Dr.
and the Dr. may call you in for adjustments of meds or have
his/her nurse call you with the changes that you need to
make.

Be sure and stick to just lean proteins, veggies and fruit in
moderation. If you must have starches or carbs have
whole grain only and not whole wheat or white rice. Stick
to fresh food cooked (away from boxed frozen food if you
can) since those are loaded with sodium in many cases.
Load up on salads but careful of dressing types and get the dressing on the side.

Be sure to work out 1/2 hour minimum a day vigorously and
add weight lifting for 10 minutes if you can. This all helps
the sugar absorb into the cells to form energy correctly.

Once you have tested for 2 weeks how your body is reacting
to the food choices and the exercise you will really be able
to tell what is going on.

An example I can give is that I know my Dr. would like me
to eliminate most carbs except veggies and berries. I told him
I work out heavily and really need my morning oatmeal
(old fashion only). He frowns upon it and I agree with his thoughts on this but I am a type 1 on insulin. The oatmeal
does spike bad. I use milk for the calcuim benefit. In this case
this morning I decided to take half of my normal dose of
insulin and work out right after breakfast and yes, my sugar
was higher after the work out for a couple of hours but on the
third hour it was 118. This way I avoided the low I usually
get at 10:30. This is the only exception for me on that type
of carb. I must work it off immediatly or take more insulin and
go low. I am on a sliding scale of insulin so ok for me to
adjust my dose based on physical activity. My A1Cs are
6.3 to 6.7 which are remarkable for type 1.

Being a type 2 you also need like heck to monitor what you
eat because you are not on insulin on a sliding scale like
some type 1s are. Being a type 2 and able to take orals meds
is a good thing but you really have to stay on a plan. You
may lose weight which will help.

Be sure to call the Dr.'s nurse and tell her your concerns
and that you have had bad morning readings and need
adjustments. She will probably have you come in and
talk to the Dr. further. Give him/her a chance to correct the
situation with you but it is immediate adjustments you need
if you have been on the Metformin for a while.

You can also suggest to the Dr. that you see a specialist
for Diabetes called an Endocrinologist. You never know
once you get this down, you may not need meds so strive
for that moment but ask your Dr. if in your case that is
a possibility. Not everyone gets that chance since the oral
meds serve different purposes for your own metabolism.

I would also mention not to worry if you start on insulin. It
has it's pluses and is painless. I take one kind with each
meal after carb counting what I will be eating and using a
sliding scale formula just for me. I also take an overnight
24 hour insulin to set the daily baseline.

It is all a miracle how the body responds to treatment for Diabetes and you will see how what you do on a daily basis
will effect your blood sugar. It is a lifestyle change. I am sure
you will do fine. Just jump on it . Your blood sugars should
never go above 140 2 hours after the meal and best for most
of the day to be anywhere from 100 to 110 and if you can get the fasting in tha AM at 80 -90 that is great.

krhudson
 
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GeezerCB responded:
My blood sugar is always higher in the morning than the rest of the day also. The only explanation I can come up with is that my body gets a chance to digest all the food I consumed the day before so there is more sugar plus I have not yet had the chance to bring it down by exercise. I guess that means we have to change what we eat late in the day. Just a guess, but that's mine.
 
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DavidHueben replied to GeezerCB's response:
Geezer:

Some diabetics exhibit the dawn phenomenon. In the overnight hours, you liver converts stored glycogen into glucose and releases it into the blood stream in preparation for the day ahead.

I try not to eat much past 6:00PM - 7:00PM. When, and if I test, in the morning it is 12 hours later.

DMH
We sleep soundly in our beds because rough men stand ready in the night to visit violence on those who would do us harm.

- Winston S. Churchill




 
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YumaMamaLama responded:
Hi there --

First of all, congratulations on facing this problem and starting to learn about how to handle it. Be comforted in knowing that, yes, there's a steep learning curve, but after a while, everything will settle down: you'll understand how your blood sugars are affected by the different things you eat, by your exercise, your sleep, etc. Always keep in mind that what works for one person may not for another: we each have our metabolic quirks, and we can only offer suggestions for what has worked and not worked for each of us. The steep learning curve is to read tons of info online and to learn what works for YOU.

Second, let yourself relax about how long it takes metformin to start working. It's what I was put on -- and am still on -- metformin 11 years ago. Nobody mentioned to me that it would take a few weeks to be doing a really good job, and the first day after I started, when I saw no change in my blood sugar level, I got terribly depressed and thought I must have a really terrible "case" of type 2. Needless to say, things got better. I've been on varying amounts over the years, and I trust it implicitly.

Third, there is very good advice in what someone else suggested about testing your blood sugar. It's THE thing that helped me learn what foods were more and less helpful with my blood sugar levels. I didn't use the little book that comes with the meter, but made up my own chart that included: fasting (very first thing in the morning -- right after you pee and before putting on the coffee, taking a shower, or anything else); just before each meal started; two hours after each meal started; and at bedtime.

Fourth, the comment about dawn phenomenon was on the mark. It sounds anti-intuitive until you look at the mechanics of it. Here's a reliable site where you can read about it: http://www.mayoclinic.com/health/dawn-effect/AN01213 . The first suggestion given in it about not eating a carbohydrate snack at bedtime does not mean NO snack - it means one that is mostly protein with a bit of fat. You might think about your sleep: do you have totally weird or bad dreams in the night? These can be caused by low or quickly dropping blood sugar levels.

Fifth, about the "diet" issue. There is no actual "diabetic diet." There are recommendations for what seems to work for a lot of people, but each person has to learn his own body's reactions. Some people have very good results with a very low carbohydrate diet -- you've heard, probably, of "counting carbs." Some people do quite well on the South Beach diet, which is somewhat similar to using the Glycemic Index. Using the GI, and learning about Glycemic Load -- and a bedtime snack -- is what has helped me the most. The one thing that you have to KNOW is that there is no forbidden food. You can have just about anything you like: you just have to learn how you can eat it. Yes, it will probably involve a lot less than you like (especially now) but you will start feeling better and being healthier, and that will seem like a pretty good trade-off for smaller portions.

Last, yes, your readings are extremely high right now. When I was first diagnosed, my readings were in the same range as yours, and my A1c was 10.4. Within about four months my readings were all in a very good range, including an A1c of less than 6.0. So, have faith in your body and your ability to learn how to work with it. The changes won't come overnight -- very few good things in Life do. You can make these changes. It probably won't be very easy at first, but you can if you just keep at it. There will come times when you'll get tired of it all. Be kind to yourself and just keep trying as much as you can.
 
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Cottentop replied to YumaMamaLama's response:
My wife just started to take Metformin, one tablet in morning, one at night. She was told to take two tablets by her doctor but is scared of the drug hurting her kidneys and wants to only take the meds for a month before increasing the dosage.
Has anyone suffered any great adverse effects from taking this drug. I know it is an old line drug that has been given for years to Type II Diabetics like my wife. But it is scary reading all the side effects.


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