Diabetes Community

Hi Mindy,

Welcome to the board. Are you type 1 or 2? For those of us type 2 sometimes you can have too few carbs, but you probably want to bring this issue to your doctor.

Have you met with a dietician? you may want to ask your doc for a recommendation. They may be able to give you tips on how to tweak your diet to work best for you or suggestions to ask your doc about adjusting your meds.

my best to you

Hi Diane,
I have met with a dietician in the way past when I was first diagnosed and was was just starting out, I never really thought I could not have enough carbs, is that because your pancreas doesn't know to release the insulin?

oh yeah i have reported my sugars and explained what i have been eating and i didn't get any changes to make. I do have an appointment in a couple weeks and will definately be bringing my meal plan to see if he thinks it is a good plan.

Understand completely your struggle with your numbers. I went through the same thing. You may want to contact your doctor regarding this.

I take the exact same insulins as you. At diagnosis, my diabetes was "uncontrolled." A1c of 13.2. The doctors always start patients out on the lowest doses of insulin to see how they affect the body. My Lantus was started at 15U. My fasting numbers in the a.m. were still around 250. They then upped the Lantus to 18U. My numbers came down a bit but certainly not enough.

It takes a little playing around to get the dosages right. That's why I think you should contact your doctor regarding your numbers. My Lantus was upped in increments of 2U every visit. Finally, he decided that it would be better for me to call him if I couldn't get my numbers under 200. I was doing the same as you; eating hardly any carbs and my numbers wouldn't budge.

My doctor finally upped the Lantus dosage to 40U every morning. Finally, finally, my fasting numbers were between 70-90. The Humalog dosage changed also depending on my BS reading before a meal. After two years, my ratio is now 1U to every 12 carbs I eat. With this insulin therapy, I've managed to bring my A1c down to 5.8.

The more physical activiy I do per day, I have been able to actually skip the Humalog dosage at lunch time. But, a big but, I am moving for three hours at a time. The more I move, the less insulin I need. I was also able to lower my Lantus dosage down to 36 from 40 because of constantly going low due to the physical activity. It's not formal exercise, but just moving around at a good clip.

Insulin dosages can constantly change due to weight, physical activity and what you eat. Talk with your doctor if you are unable to get your numbers down.

I wish you luck in your endeavor.

Thanks a bunch, we have done some adjusting i guess we will just have to keep working on it and i have to be patient (pun intended)