Jun
I don't sit around and eat candy bars and sweets like most people think diabetics do. I have type 2 diabetes, eat mostly salads and healthy foods and get some exercise. Last night I ate a salad around 6:30 and that was it. I woke up this morning and my blood sugar was 398. It's like this all of the time, and my physician, in my view, doesn't have a clue..but with my insurance..he's all I've got. I don't eat fried foods, sweets or bread products. Is anyone else having these kind of problems, or is it just me? I don't know what to do!!
Answer:
i don't have type 2 diabetes, but i have type 1, so i'll just put my 2 cents in on what i know. if you are checking your sugars at night before you go to sleep, and your blood sugar is still high in the morning you could be experiencing what's known as “dawn phenomenon” it's when your blood sugar spikes in the morning no matter what. this doesn't happen as often in type 2, but it's possible.
you might need to adjust how you take your insulin. are you taking insulin when your sugars are high to bring them down? your ratio may need to be adjusted. i know you state that with your insurance this doctor is all you've got. you should try as hard as you can to find another physician… maybe talk to your insurance company about what you can do. i would assume you've tried this all before seeing as this is a serious disease not to mess around with, but try again…it's the only way things might change. this is your life and he does not seem to be taking care of you properly.
i'm glad to hear that you eat healthy, that is a major thing in keeping your sugars in control, but like i stated…you seem like you might need more insulin or an adjust of your ratios. our bodies change over time, and we should adjust accordingly, which is partially why you should have a good relationship with your doctor…so they know what's going on.
good luck and i hope things get straightened out for you.
Answer:
I think all the above answers are very helpful. Might I suggest asking your doctor to refer you to diabetes education classes. They go by your eating habits amount of exercise and blood sugar levels and amount of medication to come up with an individual plan for you. I did this 8 years ago, lost 116 pounds which I've kept off, and my blood sugars are never above 110 premeal but mostly in the high 80's to low 90's.
Answer:
Hey there,
I don't know myself, but this site is a great resource. It's a complete guide to type-2 diabetes by Health Magazine and is written by people who suffer from it.
http://www.health.com/health/diabetes-ty…
Answer:
Most people don’t realize that we need insulin 24/7, not just when we're eating carbs. It's great that you're eating well, but that might not be enough. You might need to also supplement yourself with a long-acting insulin…your natural baseline insulin may not be working. Will your insurance cover seeing a diabetes educator? They’re much more knowledgable than the doctors, and they’ve time to work with you on identifying patterns and making adjustments. You might need higher insulin doses at mealtimes, too. Don't be afraid to take more insulin - you need what you need. Can you see an endocrinologist instead of a general doctor? GP's can be downright perilous for your health because their knowledge is so minimal, and diabetes is very complicated. Speak to your insurance company about making an exception…you might have to fill out some paperwork but it would be well worth it.
Answer:
You said you’re taking insulin right? What was your blood sugar when you went to bed? You should start checking right before you go to bed and make sure it is normal at that time. And then you need to get up at about 2am and check again. Some people have problems with “Dawn phenomenon” or . Basically your blood sugar goes low while you are sleeping and your liver kicks out glucose to raise it. This website explains it superior than I have the ability to though! Good luck http://www.diabetesselfmanagement.com/ar…
Answer:
Ask your doctor about taking Symlin. It can help with lowering blood sugars and can help you reduce the amount of insulin you take every day. It also makes you feel full after your meals longer. It takes a while to get everything adjusted right, and you may not notice a difference for several weeks. It has helped me.
Walking every day for about 45 minutes is also very helpful in keeping your blood sugars lower. Be wary of what you eat at night, too many carbs at night can cause a high reading in the morning. Try the South Beach diet. It is a really good diet for diabetics and will definitely bring down your blood sugars
Answer:
In the short term, increase your insulin. If your current unit of insulin to carb ratio is, say, 1:16, decrease it to 1:14, 1:12, so on, lowering the number more and more each two days until you get a good result. At the same time, each three days, increase your basal (nightly or twice-daily) insulin by 2 units each 3 days, until you begin achieving good results.
Your medication probably also needs higher doses, so, at your next dr's appointment, make sure that it gets adjusted.
You need to get your blood sugar under control- it's not through some 'fault' or 'failure' on your part- you simply don’t have the physical ability to cover all your energy needs with your body's own insulin any more.
Get it under 200 at least, and soon- if you keep running that high, it's time for a very urgent dr's appointment or a trip to your friendly neighborhood ER.