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Elevated Glocose
leowat posted:
For the past several days my glucose level has been running 175 to 275 . I have made changes in diet and missed no medication. What are my best options to get it down?
glucerna responded:
There are several variables to consider: how high was your blood sugar previously, are you under any physical or emotional stress, have your sleep habits changed, are you taking any new medications? If you haven't met with a registered dietitian/diabetes educator, this is a good time to get a referral. ~Lynn @Glucerna
auriga1 responded:
There are so many factors involved in this. Number one would be what changes in your diet have you made? Are there any new additional medications your doctor has prescribed? Have you been able to keep physically active?

Glucerna has also asked the same.

Without knowing anything else, it is hard to answer your question. Wish we could help you out here.
leowat replied to glucerna's response:
The highest I've seen is 310. I've managed to get it down to 175 to 200 the last several days but it hasn't been easy. My Primary Doctor told me yesterday to increase insulin from 50 to 55 units. I've increase walking and very careful with diet. I have an appointment to see a dietition next week.
leowat replied to auriga1's response:
That's just it. I can't think of a thing that has changed. Except maybe the pace at work has picked up but other than that - nothing.
nutrijoy replied to leowat's response:
One of the things that HAS changed is "the pace at work (has picked up)" which may be increasing your stress levels. Stress will definitely impact/increase blood sugar levels. Your blood sugar levels are also high enough to cause ongoing beta cell erosion/damage/destruction . It is possible that your diabetes could be worsening in terms of a gradually decreasing amount of insulin your beta cells are capable of producing. Based on the amount of insulin you are taking, it is probably a basal insulin (Lantus or Levimir). It may be beneficial for you to talk to your doctor and explore the possibility of adding a bolus (meal time) insulin to your regimen to keep your BG levels from spiking after meals. However, that's a topic you must discuss with your physician to determine if it would be suitable option for you.
auriga1 replied to leowat's response:
Do you think you would be able to get your PC to refer you to an endocrinologist? This is a specialist who deals in glandular disorders. Your pancreas is a gland.

Glad you are able to see a dietician. Each and every one of us is different in how many carbs we can handle per meal/per day. My dietician gave me a lower amount than most other diabetics because my diabetes was out of control. My numbers were higher than yours.

I don't know how active you are and for how long each day/per week. You are taking a lot of insulin. I had reached a basal dose of 40 units. I started a new job in which I am very physically active. Walking, lifting, bending for 3-4 hours straight. I had to decrease my basal insulin down to 26 units because I was going under 70 nearly every day. I also take a rapid-acting insulin to counter any carbs I eat at any given meal. This bolus prevents my blood sugar from rising when I eat. My endo gave me a ratio of 1 unit of insulin to every 12 grams of carbs.

Be very careful what you eat. It would be wise to journal the foods you eat; put it in black and white. Take your BS reading two hours after any given meal. If you are not under 140, the problem is probably the carbs you have eaten. My body reacts to carbs greatly, hence, the rapid-acting insulin.

Even though you are taking insulin, it is wise to keep your carb intake lower than you normally would.

Hopefully, your dietician can point you in the right direction. Take your meter with you and show her (him) what your readings have been. Tell her how many hours a week you are walking. Let her know what your A1c is. Give her your typical daily, weekly, etc. meal plans. Basically, what you normally eat and drink. All this put together can give her a good picture on her plan to go forward.

Most of us have noticed a decrease in BS readings when we eat less carbs and are very physically active. Some are able to tackle diabetes with a change in food choices and no meds. Others still need meds; others need insulin (and meds with the insulin.) No two of us are alike in how we are able to control our diabetes.

Let us know how you fare with your appointment.
leowat replied to nutrijoy's response:
I talked to the doctor. He wanted me to add an additional 5 units of insulin and to keep my diet "Lean & Green" as much as possible and I have renewed my walking in the afternoon. The problem is the energy and will to walk after 10 hours at work.

For the last 2 days my fasting glucose has been at 157 and 145 this morning. So it's coming down slowly.
leowat replied to auriga1's response:
Good advice auriga1. Thank you very much.
I have considered a food log. I'll pursue it further.

I'll talk to my doctors about an appointment with an endoc. We can rule out these things as we go.

I'm looking forward to the appointment with the dietition.

I really don't know how my body reacts to insulin. I only check BS in the morning - fasting. That's something else I'm sure I need to do.

Thanks Again
glucerna replied to leowat's response:
It's great that you're adding in exercise leowat and auriga1's idea of a food log is excellent. You'll get even more information if you can test your blood sugar at other times during the day, such as before lunch or before dinner, or before and after walking. That will help you see what's happening with your blood sugar throughout the day, and how your body reacts to meals and exercise. You're putting all of the pieces of the puzzle together, and that will lead you to finding the combination of food, exercise and medication that works best for you. ~Lynn @Glucerna
auriga1 replied to leowat's response:
Leowat, if your insurance allows it (many restrict blood glucose strips per month), see if you can test as often as you can. I say this because of the amount of insulin you are using and the fact that you have had to increase the amount. I know it can be a pain, but it is worth it to get a picture of what is going on as Glucerna stated.

I had to do the food log along with my BS readings before meals and two hours after. My diabetic team was well aware of how out of control my diabetes was - through no fault of my own. My body kind of betrayed me. I had no weight to lose and was lean my whole life. I ate three meals a day which would be considered normal. Normal portions. Very rarely snacked. I was active before all of this, too.

Again, if you can, pick one meal and test your blood sugar before you start to eat. Then, after your first bite, test two hours later. You will see what food does to your blood sugar. All of our foods contain carbohydrates except for your proteins and fats. Yes, all of our veggies have carbs. Some more than others. Lean and green is the way to go. Invest in a carb counter or go online to see the carb count in your foods.

Your blood sugar should come down with healthier changes in your eating habits and physical activity. Believe me, I know about motivation to get started with any type of program. Thank goodness I have a job that keeps me moving; moving so much that I don't even have to take my rapid-acting insulin with lunch.

The more active you are, the more your body will use that glucose that is running around in your bloodstream. Your skeletal muscles use it wisely.
karen46203 replied to auriga1's response:
If your insurance does not allow a lot of strips, if you have a Walmart near you they have a cheap meter and test strips that are $9.00 for 50 strips.
irisheyesaresmiling replied to leowat's response:
If you're working 10 hours a day, are you eating late at night? For me, eating a meal after 8:00 pm will cause my fasting glucose reading to be elevated the next day. Also, with working extended hours are you eating more take-out or restaurant-prepared meals (even lean and green ones)? Restaurants often use hidden carbs as flavor enhancers, which can sabotage your diet.

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