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    type 2
    357oklahoma posted:
    I am a type 2 diabetic taking insulin three times per day..Was on medications but eventually did not control my blood sugar. it's been very hard to control readings. I eat right but still get high readings on occasion..when very high like 300 I take more insulin to get it down..I can have decent reading before bedtime but wake up in morning with readings like 190 to 200. Dr. just say sometimes body has changes etc. Any comments on my problem? Thank you for any help..
    mrscora01 responded:
    First off, what do you mean by "eating right"? If you are eating a lot of carbs, it can still be difficult to maintain good levels even with insulin. Do you have an insulin to carb ratio? Are you on a modern basal/bolus regime or on older style insulins like N? I would strongly suggest the books "Think Like a Pancreas" and "Using Insulin" to help you get good control of your glucose levels.

    T1 1966, Dialysis 2001, kidney transplant and pump 2002, pancreas transplant 2008
    glucerna responded:
    This sounds like a good time to ask your doctor for a referral to a diabetes educator, who can explain more about how to control blood sugar levels. Also, if you haven't worked with a dietitian, she can help you figure out the best type of meal plan that fits your life and helps manage blood sugar levels. ~Lynn @Glucerna
    357oklahoma replied to mrscora01's response:
    thank you for reply..will check out book..I am taking NovoLog and Levemir for insulin..I am watching carbs the best I can..still like a roller coaster..thanks again.
    357oklahoma replied to glucerna's response:
    thank you for reply..will definetly seek some diet help..I don't think I am doing good job on my diet...thank you...
    brunosbud responded:
    Let's see...assuming you're male, 82 yo, diagnosed since 1987, not obese, no previous family history, last A1C of 7.0 taking medications for arthritis, high blood pressure, high cholesterol and acid reflux...
    An_251837 replied to brunosbud's response:
    How and why would you assume all that?
    brunosbud replied to An_251837's response:
    Because at age 82, the GI tract, liver, kidneys, pancreas, heart, other words, all the things responsible for controlling blood sugar operate at 50% (or drastically less) efficiency than say someone, age 30 or less. For super seniors, it's not unusual, at all, to suddenly lose blood sugar control from insomnia, a new medication or catching the flu. If this person was that old, I'd absolutely agree with the doctor. At advanced age, all it takes is a "little change" to blow glucose control to kingdom come...

    Since there's insufficient information provided, all we can do is guess (which makes this whole exercise, pointless). If he/she was in fact 30, I'd report that doctor to a medical review board.

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