My Older Sister And High Bg

HICHAM_T2

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Good Evening
My Older Sister suffers from diabetes type II
Today I test her blood sugar after meal it was 28.7mmol she on insulin and metformin
What I I'm Doing
 

Mike d

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That is way beyond normal. What was her last HbA1c level?
 

donnellysdogs

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Did she wash hands? Did she wash hands and test again after this result?
 

HICHAM_T2

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Did she wash hands? Did she wash hands and test again after this result?
I do not think it is a hygiene problem They do not stick to diet and eat almost everything bread couscous .....
 

AloeSvea

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Hi @HICHAM_T2. DonnellysDogs just meant that if you have something sweet leftover from food on your fingers when you BG test, it can throw the results way high. So your sister may have had honey or some such on the part of her finger where the test strip was touching...

Otherwise - yes! 28.7 is off the charts. I think you are supposed to ring for medical assistance when it gets that high aren't you? And the medical professionals will tell you what is the best thing to do and/or check for....

Tell us how it's going with your sister!
 

HICHAM_T2

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Hi @HICHAM_T2. DonnellysDogs just meant that if you have something sweet leftover from food on your fingers when you BG test, it can throw the results way high. So your sister may have had honey or some such on the part of her finger where the test strip was touching...

Otherwise - yes! 28.7 is off the charts. I think you are supposed to ring for medical assistance when it gets that high aren't you? And the medical professionals will tell you what is the best thing to do and/or check for....

Tell us how it's going with your sister!
No no I know she mean if hir hand sweet I know this not problem she's want to help me I thank she a lot
I appreciate it
 
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EllieM

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If she's already on insulin has she been given instructions on insulin correction doses?
 

HICHAM_T2

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If she's already on insulin has she been given instructions on insulin correction doses?
I think it's getting the biggest possible dose 20u morning and 25 evening her problem with food (diet)
 

donnellysdogs

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Do you know what insulin she is using? There are many types.... and it may be that she needs to have a different regime. 20 and 25 units isnt the highest dose... but your sister needs to see a specialist to help her get her levels down.

Without further details of type of insulin, how often she tests etc it is very hard to give advice.

Food also is a big factor...
 

HICHAM_T2

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Do you know what insulin she is using? There are many types.... and it may be that she needs to have a different regime. 20 and 25 units isnt the highest dose... but your sister needs to see a specialist to help her get her levels down.

Without further details of type of insulin, how often she tests etc it is very hard to give advice.

Food also is a big factor...
Thank you for your help
Actually I do not know the details because they live far away from me
But I think she prefers to eat what she wants not to stick to diet
 

KK123

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Thank you for your help
Actually I do not know the details because they live far away from me
But I think she prefers to eat what she wants not to stick to diet

Hi there, if she prefers to eat what she wants (which obviously is her choice) then it's her insulin that needs adjusting. If she is not able to make the adjustments herself, can she not discuss it with her Doctor? Her insulin may need to be raised but the main concern is that it is raised to a point that keeps her glucose levels in range, NOT how much is too much.
 
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EllieM

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Hi there, if she prefers to eat what she wants (which obviously is her choice) then it's her insulin that needs adjusting. If she is not able to make the adjustments herself, can she not discuss it with her Doctor? Her insulin may need to be raised but the main concern is that it is raised to a point that keeps her glucose levels in range, NOT how much is too much.

Yes, but as a T1 though I can theoretically eat what I want I still have to match my insulin to it. I can't just randomly eat and assume the insulin will cover it. I assume the situation is similar for T2s on insulin? So if she wants to keep her blood sugars in range she'll have to do some form of carb counting or at least guesstimating how much food she's had in relation to her insulin. (Unless she's eating the same thing every day.)
 

KK123

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Yes, but as a T1 though I can theoretically eat what I want I still have to match my insulin to it. I can't just randomly eat and assume the insulin will cover it. I assume the situation is similar for T2s on insulin? So if she wants to keep her blood sugars in range she'll have to do some form of carb counting or at least guesstimating how much food she's had in relation to her insulin. (Unless she's eating the same thing every day.)

I think we are saying the same thing and I made no mention of randomly eating anything. If she is going to eat the food that she likes she is going to need to match the insulin with it (as best as possible). That will obviously require carb counting.
 
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HICHAM_T2

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I think we are saying the same thing and I made no mention of randomly eating anything. If she is going to eat the food that she likes she is going to need to match the insulin with it (as best as possible). That will obviously require carb counting.
Thanks all
The problem is that she's takes the greatest possible dose
 

HICHAM_T2

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Hi there, would you be able to tell us why this is the 'greatest possible dose'?
Hi and welcome
In fact I'm not sure but I think up to 30 unit
I will ask she
 

EllieM

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My (limited, possibly incorrect) understanding is that insulin resistance means that some T2s are on exceptionally high doses of insulin, hundreds of units per day. It doesn't sound like she's anywhere near that.

On the other hand, if she has high numbers of carbs with the attendant high quantity of insulin then it's likely she'll gain weight and increase insulin resistance.... Does she want to reduce her blood sugars? Would she be willing to post in these forums for advice?
 

JMK1954

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Is the problem that the injection device she is using will only allow her to inject a maximum of 30 units ?
Is that what you mean, Hicham ?