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Medical Forum / Diseases and Disorders / Diabetes / January 2007increased bg readings
Originally I was diagnosed with gestational diabetes 2 years ago and since the birth have been diagnosed with type 1.5. Doc said my bgs were too high to be type 2!!!! but no signs of having antibodies that would indicate being type 1. Anyway, i was on one shot of 5 units slow acting at night (insulatard), and only use fast acting if im having increased carb intake, I try and stick to under 50gms of carbs a day. Since giving up my job 3 months ago (sitting in front of a computer) and my daily dose of caffeine my bgs have been getting out of control. Over the last few weeks I have been doing random tests and have been getting really out of control readings. Last week I done some tests before I went to bed it was up at 20 and I had just had one slice of wholegrain toasted bread. I was so worried I took 6 units of fast acting to try and bring it down and tested it an hour later and it was at 18, then 2 hours later it was at 13. Its like the insulin was having no effect at all, on waking it was over 10 in the morning and it used to be around 5.8/9. Im at my wits end and im so bl**dy obsessed with it its driving me nuts. Hubby bought me an espresso machine for xmas and after having regular cups of espresso over the last few days before and after lunch it seems to be going back down again. Is the caffeine masking a bigger problem? Is this coincidence? Is there something else going? Im pretty scared with those readings and the insulin not doing anything to get it under control, what do I do if it happens again, do I just keep putting in more insulin and risk going low. I normally just measure carb intake against insulin injected but that's not working for me now. HELP!!!! time to see your Doctor again you need a sliding scale to reduce high bg levels, and it sounds like you should be taking insulin for your carbs ALL of the time now good luck! kate  SignatureJoin us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ http://www.diabetic-talk.org/freeveggies.htm I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher. > Originally I was diagnosed with gestational diabetes 2 years ago and > since the birth have been diagnosed with type 1.5. Doc said my bgs [quoted text clipped - 28 lines] > > HELP!!!! mamacin@hotmail.co.uk wrote in message <1167346408.703367.186580@n51g2000cwc.googlegroups.com>... >Originally I was diagnosed with gestational diabetes 2 years ago and >since the birth have been diagnosed with type 1.5. Doc said my bgs [quoted text clipped - 28 lines] > >HELP!!!! ". . . . .I was so worried I took 6 units of fast acting to try and bring it down and tested it an hour later and it was at 18, then 2 hours later it was at 13. Its like the insulin was having no effect at all. . . ." Sounds like you are using one of the older "fast acting" insulins like Actarapid or Insulin R. They are barely starting to work after 2 hours. (see the Humulin R curve at: http://www.lillydiabetes.com/using_insulin/what_types_of_insulin.jsp?reqNavI d=3.3 ) I have seen data which suggest that about 25% of the dose of Insulin R (also known as Regular Insulin, Humulin R, ActaRapid) has absorbed after 2 hours. I wouldn't expect 25% of a 6 unit dose to really do much with a 20 mmol/L bG, especially with somebody likely to have some increased Insulin Resistance like a former G.D. lady. See TigerLily's post. It looks like it's time for you to go on a basal/bolus routine. That means larger doses of fast and slow insulins to cover your basal needs and before-meal needs. I need 18 units of slow insulin at bedtime to keep my FbG under control. You are only shooting 5 ! ! ! No wonder things aren't working out for you. It's time to get back to your doctor and get some authorization for full scale insulin use and insulin training. You need a good DSN to walk you through this. A really good one could normalize you in a week! It also would be great if you could switch to modern insulins while you're about it. Modern fast insulins like Humalog or NovoRapid coupled with modern slow insulins like Levemir or Lantus make control one heck of a lot easier. A thought for the future: How much insulin do I shoot each day? Ans: As much as I need that day. How many shots do I take each day? Ans: As many as I need that day. And I never know when I wake up how much or how many that will be. But I keep records and tell the doc every 6 months. . . unless I tell him every 12 months. Regards Old Al Thanks guys, will do. Its just really weird why things have went back to normal again since getting the coffee machine(maybe coincidence). I was just worried in case the caffeine was masking a bigger problem. I have been reading a lot of material about caffeine and bg tonight but mostly it says that it makes the readings worse. I will keep testing over the next couple of days and if i see any highs will put in an appointment to see the doc, I have to wait 6 months to see him though. Thats the only draw back about the NHS, im not complaining though. Although he may see me before that in the ER if these high readings do continue. > Thanks guys, will do. Its just really weird why things have went back > to normal again since getting the coffee machine(maybe coincidence). I [quoted text clipped - 6 lines] > Although he may see me before that in the ER if these high readings do > continue. Just a thought, when I start going out of control for no apparent reason it's usually a health issue causing it. > I have to wait 6 months to see him though. Go and see your GP then - they will have access to insulin and probably a nurse trained in DAFNE (Dose Altered For Normal Eating) who can help you until you can get on a DAFNE course yourself. In my area (Suffolk) you have to get the course through the endo, but the GP handles daily supplies. Nicky. SignatureA1c 10.5/5.5/<6 T2 DX 05/2004 100ug Thyroxine 95/72/72Kg mamacin@hotmail.co.uk wrote in message <1167351684.397996.58870@s34g2000cwa.googlegroups.com>... >Thanks guys, will do. Its just really weird why things have went back >to normal again since getting the coffee machine(maybe coincidence). I [quoted text clipped - 6 lines] >Although he may see me before that in the ER if these high readings do >continue. Oops. . .see Gene's post about "other health problems". An oncoming cold or flu bug will send my sugars through the roof. I once calibrated the increases in my daily insulin needs caused by an incoming bug. It worked out to be enough insulin to handle a pound of table sugar during an 18-hour day. In other words, it was as if there was a pound of sugar in a bowl on the table and I ate a spoonful every time I walked past. I do my own insulin and sugar control when I have surgery. The last two times, the trauma of the surgery forced me to use twice as much insulin as I normally use yet I barely ate anything. At that, I came out of surgery at 14 mmol/L and spent all day knocking it down to 4.8 mmol/L. Regards Old Al mamacin@hotmail.co.uk wrote in message <1167351684.397996.58870@s34g2000cwa.googlegroups.com>... >Thanks guys, . . . . .. I will keep testing >over the next couple of days and if i see any highs will put >in an appointment to see the doc, I have to wait 6 months to see him though. . . ." Umm. . .bG of 20 but need to wait 6 months ? ? ? ? Anyway, when I was in a similar situation, my doc sent me to a CDE (a nurse similar to your DSN). She got me straightened out with insulin. I didn't see the doc until more than a month later. I suggest that you really need a good DSN in this situation, more so than a G.P. You already have the insulin in hand; you have to learn how to use it more effectively. I suggest that you would still need a G.P. later on to give you access to modern insulins to replace the old-fashioned insulins like Insulatard and Actarapid. Regards Old Al > Thanks guys, will do. Its just really weird why things have went back > to normal again since getting the coffee machine(maybe coincidence). I [quoted text clipped - 6 lines] > Although he may see me before that in the ER if these high readings do > continue. You really should see an endocrinologist. Good luck. : Originally I was diagnosed with gestational diabetes 2 years ago and : since the birth have been diagnosed with type 1.5. Doc said my bgs : were too high to be type 2!!!! but no signs of having antibodies that : would indicate being type 1. Scary!! Another UK doc that doesn't seem to know his arse from a hole in the ground. Saying your glucose is "too high for a T2" is pure BS and a utter incorrect statement. There are MANY T2's here that have had higher glucose then I had when I was diagnosed. That statement is as stupid as my doctor stating I was a T2 simply because of my age even though at diagnosis I was in DKA. : Anyway, i was on one shot of 5 units slow acting at night (insulatard), : and only use fast acting if im having increased carb intake, I try and [quoted text clipped - 23 lines] : : HELP!!!! I've seen it many times before from others on here and myself included, that when you take too much insulin at times it will drive your glucose up further. For whatever reason, who knows could be a dozen in one reasons. The only thing needed is to know how to fix it. I would suggest that you get back with your doctor immediately, or find a new one with a bit more understanding of how DM actually works. You don't mention that you're on Metformin or simular at all. You also really need a C-Peptide test to show you aren't producing enough insulin, otherwise if you're on Insulin only, you're doing yourself more harm then good in the long run without a anti-insulin resistance medication like Metformin or simular. Good luck. RK, T1 pumper Animas IR1250 Thanks for your post rk. Thats really interesting about the insulin and the bg rise. I cant put my finger on what is going on. Im taking 5 units of slow acting insulatard at night before bed, then if i decide to have carbs i try and match what im taking to insulin, but i dont eat many carbs so that way i dont need to take much fast acting insulin. If i stick to my 50gm of carbs a day then i normally only need to take the 5 units of slow acting and that normally keeps me right. But for some reason about 10 days ago now, my bg just kept on rising, for what ever reason. It could either be a monthly hormonal thing or when i take the coffee its keeping it ok. My readings are back to normal now, staying below the 7 in the morning and during the day the highest im having is about 6.8. Not sure at this stage what is causing the rise... > Originally I was diagnosed with gestational diabetes 2 years ago and > since the birth have been diagnosed with type 1.5. Doc said my bgs [quoted text clipped - 28 lines] > > HELP!!!! May the following usenet article posted to ASD last year help you: http://HeartMDPhD.com/HolySpirit/overweight.asp The solution now comes with a million dollar guarantee: http://HeartMDPhD.com/wtloss.asp Details about the guarantee will be available at the next Foundation health fair: http://TheHealthFair.com May GOD continue to heal our hearts with HIS living water curing our diabetes, depression, anxiety or panic so that we can love our neighbors a little more and LORD Jesus Christ a whole lot more, dear neighbor whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love Meanwhile, HIS brethren have been blessed: http://MabletonGA.OurLittle.net/DreadNought ... and continue to be blessed: http://MabletonGA.OurLittle.net/Guarantee (note: Only those who are blessed by GOD will have access to these OurLittle.net articles per a secure IP database. All others will have to make charitable $30.00 donations to TheWellnessFoundation.com first to gain access.) Give it up already chunk. No one wants to hear about any bullshit you have to say regardless of what the voices in your head direct or compell you to type. It seems you are still suffering from delusions of grandeur (falsely believing that you are IMPORTANT). If you are currently taking prescription medications, it is likely that your doctor(s) will either have them adjusted or changed upon being informed about your having such delusions of grandeur: Convicted neighbor Jaguar wrote: > Andrew, in the Holy Spirit, boldly wrote: http://groups.google.com/group/sci.med.cardiology/msg/312bd8f9ed6b3172? > Give it up already chunk. No one wants to hear about any bullshit you > have to say regardless of what the voices in your head direct or > compell you to type. It seems you are still suffering from delusions of > grandeur (falsely > believing that you are IMPORTANT). It seems that you now suffer from the delusion that you have had psychiatric training to recognize delusions. Again, would continue to suggest that you inform your doctor(s) about your deteriorating condition. Again, if you are currently taking psychotropic medications, it is likely you will need to have them either adjusted or changed. Such is the behavior of those who are reacting terribly adversely to the awesome power of intercessory prayers by the brethren of LORD Jesus Christ made to our heavenly Father lifting up those like you who have been convicted by the Holy Spirit: http://HeartMDPhD.com/Convicts May GOD continue to heal our hearts with HIS living water curing our diabetes, depression, anxiety or panic so that we can love our neighbors a little more and LORD Jesus Christ a lot more, dear neighbor Jaguar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love Meanwhile, HIS brethren have been blessed: http://MabletonGA.OurLittle.net/DreadNought ... and continue to be blessed: http://MabletonGA.OurLittle.net/Guarantee (note: Only those who are blessed by GOD will have access to these and other related OurLittle.net articles per a secure IP database. All others will have to make charitable $30.00 donations to TheWellnessFoundation.com first to gain access.) GOD aka Jaguar and sometime's referred to as THE HOLY SPIRIT or the voices in Andy B. Chumps head - 02 Jan 2007 22:42 GMT > (note: Only those who are blessed by GOD will have access to these and > other related OurLittle.net articles per a secure IP database. All > others will have to make charitable $30.00 donations to > TheWellnessFoundation.com first to gain access.) C'mon Chunk we both no damn well NO ONE is going to give you any charity throught that pathetic thing you call a website. The only charity you will ever get is by some passerby who feels sorry for you, see's you on the street and tosses a few coins at you. It seems you are still suffering from delusions of grandeur (falsely believing that you are IMPORTANT). If you are currently taking prescription medications, it is likely that your doctor(s) will either have them adjusted or changed upon being informed about your having such delusions of grandeur: GOD aka Jaguar and sometime's referred to as THE HOLY SPIRIT or the voices in Andy B. Chumps head - 02 Jan 2007 22:51 GMT Convicted, schitzophrenic and all around poor excuse for a christian neighbor Andrew B. Chung, wrote: > It seems that you now suffer from the delusion that you have had > psychiatric training to recognize delusions. Sorry to break it to you chunks but anyone with a brain cell can recognize that you suffer from delusions believing that the holy spirit compells you to sell some quack diet. PS. I am the holy spirit and no matter what the voices in your head tell you, you are still a 2 bit quack doctor and it's just wrong that you use MY name to sell your fraud you call a career. Convicted neighbor Jaguar wrote: > Andrew, in the Holy Spirit, boldly wrote: > > [quoted text clipped - 4 lines] > recognize that you suffer from delusions believing that the holy spirit > compells you to sell some quack diet. Actually, the 2PD-OMER Approach is neither a diet nor is it for sale: http://HeartMDPhD.com/wtloss.asp Clearly you remain convicted by the Holy Spirit: http://HeartMDPhD.com/Convicts May GOD continue to heal our hearts with HIS living water curing our diabetes, depression, anxiety or panic so that we can love our neighbors a little more and LORD Jesus Christ a lot more, dear neighbor Jaguar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love Meanwhile, HIS brethren have been blessed: http://MabletonGA.OurLittle.net/DreadNought ... and continue to be blessed: http://MabletonGA.OurLittle.net/Guarantee (note: Only those who are blessed by GOD will have access to these and other related OurLittle.net articles per a secure IP database. All others will have to make charitable $30.00 donations to TheWellnessFoundation.com first to gain access.) GOD aka Jaguar and sometime's referred to as THE HOLY SPIRIT or the voices in Andy B. Chumps head - 02 Jan 2007 23:03 GMT Whatever. It doesn't change the fact that you are a certifide schitzo. It seems you are still suffering from delusions of grandeur (falsely believing that you are IMPORTANT). If you are currently taking prescription medications, it is likely that your doctor(s) will either have them adjusted or changed upon being informed about your having such delusions of grandeur: False prophet Andrew B. Chung spammed: >Convicted neighbor Jaguar wrote: >> Andrew, in the Holy Spirit, boldly wrote: [quoted text clipped - 15 lines] >Again, if you are currently taking psychotropic medications, it is >likely you will need to have them either adjusted or changed. When cornered, double-doc chung always falls back on the drug and psycho lames. False prophet Andrew B. Chung spammed: >May the following usenet article posted to ASD last year help you: > [quoted text clipped - 8 lines] > >http://TheHealthFair.com Spamming your two-pound fat diet again, double-doctor? You forgot the plea for the $30 "donation". "Andrew B. Chung, http://www.evilbible.com/ |
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