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Medical Forum / Diseases and Disorders / Diabetes / May 2008Insulin isn't working.
I called the nurse back today. Although I did have a few numbers in normal range, most were not, and most were higher than they were before I started using the insulin. She said she can not help me any further and I need to see the Dr. Now to see if I can get in. I think not. My next appointment is not until July and I believe that was the soonest he could see me, but we shall see. I can't call until tomorrow because I didn't hear back from the nurse until it was too late. http://groups.google.com/group/sci.med.cardiology/msg/76422208318c5817? > I called the nurse back today. Although I did have a few numbers in normal > range, most were not, and most were higher than they were before I started [quoted text clipped - 3 lines] > shall see. I can't call until tomorrow because I didn't hear back from the > nurse until it was too late. May GOD bless you in HIS mighty way, dear Julie, making you healthier (hungrier) than ever. Amen. Prayerfully in the awesome name of LORD Jesus Christ, Andrew <>< -- http://groups.google.com/group/sci.med.cardiology/msg/3558812d72ab4e17? >I called the nurse back today. Although I did have a few numbers in normal >range, most were not, and most were higher than they were before I started [quoted text clipped - 3 lines] >we shall see. I can't call until tomorrow because I didn't hear back from >the nurse until it was too late. I am very sorry Julie. I know I keep on keeping on about this, but I can't help believing that bg control with insulin also involves the right balance of exercise and diet for it to be successful. Carbs can negate the effect of insulin, making it necessary to substantially increase your dose. That, unfortunately, can increase chances of hypos. Although I read few of the posts, I realise you have some food restrictions, and this is out of my depth. You could try other insulins, but I am also not familliar with that aspect. It is unfortunate that you don't have a medical person - even a doctor - with whom you can work on this. Henry Mydlarz >>I called the nurse back today. Although I did have a few numbers in >>normal range, most were not, and most were higher than they were before I [quoted text clipped - 13 lines] > with that aspect. It is unfortunate that you don't have a medical person - > even a doctor - with whom you can work on this. My diet has not changed, aside from eating less snack at bedtime and adding lunch back in. Otherwise same amount of carbs. But with the insulin, my numbers went up! This is what doesn't make sense. Hopefully the Dr. can sort it all out. >>>I called the nurse back today. Although I did have a few numbers in >>>normal range, most were not, and most were higher than they were [quoted text clipped - 20 lines] > insulin, my numbers went up! This is what doesn't make sense. > Hopefully the Dr. can sort it all out. Funny, I had the same problem, Ended up on 2 types of insulin, and still couldn't get the levels under control. All i ended up with was hypo's (usually out on the paddock mid morning) Finally convinced the Dr. to go back to tablets and diet. While still not great , its a lot better than the fun of hypo's and my levels are at least in a constent range (now i just have to get them lower) Hope all goes well. > Funny, I had the same problem, Ended up on 2 types of insulin, and still > couldn't get the levels under control. All i ended up with was hypo's [quoted text clipped - 5 lines] > > Hope all goes well. No hypos here. Just high BG. >> Funny, I had the same problem, Ended up on 2 types of insulin, and >> still couldn't get the levels under control. All i ended up with was [quoted text clipped - 6 lines] > > No hypos here. Just high BG. How many units are you shooting? For what amount of carbs? What is an exmaple meal and how much do you shoot for that example. When are you testing. >>> Funny, I had the same problem, Ended up on 2 types of insulin, and >>> still couldn't get the levels under control. All i ended up with was [quoted text clipped - 10 lines] > exmaple meal and how much do you shoot for that example. When are you > testing. I explained all this before. Lantus is 46 units each night. I am supposed to test before meals only and when I do the Lantus. I am occasionally testing after I eat. The Novolog is to be 3 units for each 1 serving (15g) of carbs. Meals are supposed to be 2-3 servings of carb, but if I can't stomach that then just one serving. My BG range is supposed to be 90-130. For every 30 points I am out of range that's another 1 unit of Novolog I should shoot. Example meals are 2 slices of sprouted wheat and flax bread, total of 26g carbs. Gluten free chicken nuggets, 42 g carbs. So, 2 servings and 3 servings respectively. I have been eating the same exact meals day after day for months now. Occasionally the numbers will be good after, but mostly not. Cutting the carbs does not help me either. I have tried that repeatedly to no avail, and often it seems if I eat more carbs I get better numbers. >>>> Funny, I had the same problem, Ended up on 2 types of insulin, and >>>> still couldn't get the levels under control. All i ended up with [quoted text clipped - 26 lines] > have tried that repeatedly to no avail, and often it seems if I eat > more carbs I get better numbers. So for arguments sake if you had 3 serves of carb (approx 45 gr carb) you would shoot 9 units of Novolog plus an extra unit if you were say, 30 points over the desired bg range pre meal? If you are not testing after the meal how are you knowing whether you are too high? Whether it be diet or insulin control one must check after the meal to see what needs adjusting. In your case you need to know so you can adjust the insulin ratio up or down. >>>>> Funny, I had the same problem, Ended up on 2 types of insulin, and >>>>> still couldn't get the levels under control. All i ended up with [quoted text clipped - 34 lines] > adjusting. In your case you need to know so you can adjust the insulin > ratio up or down. The nurse is presuming I am too high after eating because 2-3 hours later I am still too high. On the occasions I have checked after eating I am still too high. There is not a lot of variation in there. Sometimes I might be 20 or 30 points higher or lower than before eating, but still pretty much the same. I fail to see how checking after eating would tell me any more than I already know. I had been checking both before and after for weeks and it was always the same. >>>>>> Funny, I had the same problem, Ended up on 2 types of insulin, >>>>>> and still couldn't get the levels under control. All i ended up [quoted text clipped - 44 lines] > already know. I had been checking both before and after for weeks > and it was always the same. It is more than just knowing. If you know and don't act on what you know then you may as well not test at all. Also, insulin doses depends on the time of day. Breakfast will be different to dinner for example. >>>>>>> Funny, I had the same problem, Ended up on 2 types of insulin, >>>>>>> and still couldn't get the levels under control. All i ended up [quoted text clipped - 48 lines] > then you may as well not test at all. Also, insulin doses depends on the > time of day. Breakfast will be different to dinner for example. After dinner is usually my lowest number, but I do take more meds then. But I fail to see what it is I am to act on? I already know that the amount of carbs I eat doesn't matter very much, unless I am eating too little and then the numbers will go up even higher. >>>>>>>> Funny, I had the same problem, Ended up on 2 types of insulin, >>>>>>>> and still couldn't get the levels under control. All i ended up [quoted text clipped - 55 lines] > that the amount of carbs I eat doesn't matter very much, unless I am > eating too little and then the numbers will go up even higher. You act on your insulin doses. When I was pregnant I had to show my food and insulin log weekly to the endo. But I had to be more specific, he wanted to know everything I ate and the portions, not just the carb. Depending on eachtest, and I had to test before and after meals, at fasting and before bed, he would adjust both my long and short acting, all 3 main meals were different doses and he adjusted the long acting at least once a week. If your bg's after meals are still much the same as before meals but still too high, that would indicate that you are bolusing correctly for the food intake but not correctly for the correction. If you are 240 befoe a meal and you are going to eat 45 gr carb, what amount of insulin would you shoot? > If your bg's after meals are still much the same as before meals but still > too high, that would indicate that you are bolusing correctly for the food > intake but not correctly for the correction. If you are 240 befoe a meal > and you are going to eat 45 gr carb, what amount of insulin would you > shoot? I have to look it up... 13 units. > >> [quoted text clipped - 24 lines] > > No surprise there you obviously have an incompetent control freak as a physician You are not adjusting the insulin properly Take to little, or the wrong type and timing, and you will either go up, or go hypo > No surprise there > you obviously have an incompetent control freak as a physician No. He sent me to the nurse to work out the insulin. > You are not adjusting the insulin properly > Take to little, or the wrong type and timing, and you will either go up, > or go hypo Or maybe I don't need to be on it. Doesn't make sense that my numbers would go UP when I started on insulin and would get worse, the more I take. >> No surprise there >> you obviously have an incompetent control freak as a physician [quoted text clipped - 6 lines] > Or maybe I don't need to be on it. Doesn't make sense that my numbers would > go UP when I started on insulin and would get worse, the more I take. while counter-intuitive, if you take too large of a dose of insulin, it can cause your bg to go high and remain high RK was on huge doses of insulin and nothing she did worked to lower her bg levels........ on a 'hunch' i asked her if she would be willing to cut her insulin in 1/2 for that night, telling her what do you have to lose? your bg are already too high her bg dropped dramatically overnight, and when she went to the new endo a couple of days later, he said that '1/2 his work had been done, and now they could fine tune her insulin doses'  Signaturekate type 1 since 1987 www.diabetic-talk.org http://www.diabetes-support.org.uk/newly%20diagnosed.html >>> No surprise there >>> you obviously have an incompetent control freak as a physician [quoted text clipped - 19 lines] > couple of days later, he said that '1/2 his work had been done, and now > they could fine tune her insulin doses'. Yes. I have heard that too. I started on 10 units of Lantus. I suppose the Dr. would have to do more tests to see how much I am producing? Cutting my insulin in 1/2 isn't going to do anything because I was already on 1/2 what I am now, and 1/2 again of that. >>>> No surprise there >>>> you obviously have an incompetent control freak as a physician [quoted text clipped - 21 lines] > my insulin in 1/2 isn't going to do anything because I was already on 1/2 > what I am now, and 1/2 again of that. ya, i know...... that's why i didn't suggest it for you but i do want you to know it can be counter-intuitive at times Signaturekate type 1 since 1987 www.diabetic-talk.org http://www.diabetes-support.org.uk/newly%20diagnosed.html > ya, i know...... that's why i didn't suggest it for you > > but i do want you to know it can be counter-intuitive at times Yes, thanks. That was already suggested to me, but I can't remember by whom now. >> ya, i know...... that's why i didn't suggest it for you >> >> but i do want you to know it can be counter-intuitive at times > > Yes, thanks. That was already suggested to me, but I can't remember by whom > now. Tim Shoppa (and i forget the rest of his name) Signaturekate type 1 since 1987 www.diabetic-talk.org http://www.diabetes-support.org.uk/newly%20diagnosed.html >>> ya, i know...... that's why i didn't suggest it for you >>> [quoted text clipped - 3 lines] >> whom now. > Tim Shoppa (and i forget the rest of his name) Oh yes. Thanks! > Or maybe I don't need to be on it. Doesn't make sense that my numbers would > go UP when I started on insulin and would get worse, the more I take. It could make sense if it were forcing your body to produce excess cortisol, to overcome the rise in inactivating binding globulin caused by excess insulin and inhibition in the adrenals of cortisol production. Drives your pituitary crazy trying to get more cortisol in play. Cortisol raises bg. Susan > x-no-archive: yes > [quoted text clipped - 8 lines] > Drives your pituitary crazy trying to get more cortisol in play. Cortisol > raises bg. That could be. I don't think there is anything I can really do right now without further testing. > >> No surprise there [quoted text clipped - 3 lines] > No. He sent me to the nurse to work out the insulin. > sane thing - >> You are not adjusting the insulin properly >> Take to little, or the wrong type and timing, and you will either go up, [quoted text clipped - 4 lines] > go UP when I started on insulin and would get worse, the more I take. > AH, gets worse when you take more. sounds like a timing problem >>> No surprise there >>> you obviously have an incompetent control freak as a physician [quoted text clipped - 10 lines] >> take. > AH, gets worse when you take more. sounds like a timing problem Could be. |
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