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Insulin doesn't seem to be helping
An_253411 posted:
My husband has had type 2 diabetes for about 10 years and has recently had an elevated a1-c level of 8.6. His doctor put him on insulin..Levimir at night , which was not helping even at 80 units. She then put him on Novalog before meals and we expected a reduction but it is no better. He has been counting carbs and eating well. We are just wondering what to do next! His readings are in the upper 200's - lower 300's every time he checks it.
auriga1 responded:
I had a very high A1C at diagnosis, 13.2.

I was put on Lantus in the a.m., another long-acting insulin and Humalog with meals. What works for one diabetic may not work for another.

Your husband has been diabetic longer than I have. Has he been stable before this or is this something new?

My dietician restricted my carbs more than other diabetics. I am to eat 35-45 per meal. I usually do less, so I don't have to use a lot of insulin.

Did your husband's doctor give your husband an insulin/carb ratio? For example, 1 unit to every 15 carbs. I currently use 1 unit of the fast-acting insulin to every 12 carbs. You don't say how many carbs he eats per meal. He may need to cut down.

My A1C currently is 5.6. This is mostly due to physical activity and restricting carb intake. I don't know if your husband is able to be physically active. My job entails a lot of physical activity, approximately four hours a day. I don't even need to take my mealtime insulin if I eat at work. The physical activity keeps my blood sugar within normal range. A blessing in disguise for me. If your husband can be active, he should be for an hour or more a day. Our skeletal muscles use the glucose in our bloodstream for fuel.

The Novolog is strictly for mealtime or any time your husband eats carbs. It prevents his blood sugar from rising when he eats.

I'm not a medical professional, so I can't say what regimen would be best for him.

Also, if he's not seeing an endocrinologist (specialist in glandular disorders) maybe he should try and find one.

The Levimir dosage his pretty high. Is it a possibility that something else is going on? Stress, infection, steroids?

He needs to contact his doctor once again shortly. His readings are too high as you well know. I wish you both luck in finding the right answer.
B5ls1w responded:
Insulin stopped working for me after 5 years. I insisted on knowing which foods aggravated my highs. It turns out that I have severe food sensitivities to wheat, potato, oatmeal. I am not gluten intolerant.
I have had to put together my new diet using the Ancient grains and by following a Mediterranean diet and by choosing a modified Paleo diet.
I also started eating smaller portions. I have lost 25 pounds, am no longer on insulin. This took a few months, but I've never felt better.
The new way of eating is very healthy with as many organic foods as I can find. There is an amazing growth in healthy eating and a lot of food available. Best of all, I do Not crave foods I cannot have.
An_253500 responded:
I also had this problem and have an insulin /carb ratio of 1-10, so I have a similar problem. Started out with gestational diabetes at age 24 in my first pregnancy and eventually, with over the last 12 years became more and more diabetic. Went through various pills, Januvia and Levimir and then multiple daily injections of both long and short acting insulin combinations without success. I didn't want to be tied to a pump, but that constant infusion of basal insulin has been what has finally put me in a better place. I suggest that you seek out another endocrinologist if the one you are seeing is not amenable to putting you on the insulin pump.My last C-peptide test showed that I was producing virtually no insulin whatsoever. I suggest that you get this test done to see what you are making for yourself and then begin talking about the pump.
eaglehawk responded:
See an Endocronologist . Sounds like your diabetes is under control but I sure wonder about your Doctor. I am type 2 diabetic for 30 years now. Past 4 years on Lantus, the 24 hour insulin and am doing fine with Diet (mostly the exchange diet) and Exercise. I also consult a Nurse Educator regularly. Good luck and dump the present Dr.

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