Hi all, first post here but not new to diabetes unfortunately.
I've been type 2 diagnosed for about 16 years now, I controlled at first with metformin twice a day, then gliclizide and metformine that I really didnt get on with, skirting hypo's permanently, and settled on a regime of eucreas twice a day and a metformine midday, and had good control.
However I was recently involved in a serious car accident, and badly steam burnt during it, 44% of body burnt, lost all the skin from a hand/arm and significant amounts from leg and minor burns all over body, 4 large skin grafts and 5 weeks in a hdu then a week in general to stabilize me.
During the burns treatment, I was fed a very specialist diet and insulin was pumped into me, because it helps the body's healing process and to grow new skin, I just let them get on with it as they are the experts. Ive now mostly healed courtesy of their fantastic treatment, Ive grown skin on my hands and arms and the grafts have all taken and sealed up well and just recovering lost motion in hands and leg with physio, but the diabetes specialist Ive been referred to while on the general ward being stabilized is insisting I stay on insulin injections as the only option.
Now, I have some history with this specialist, previously I saw him about 4 years ago, and he demanded I moved to injecting insulin as after 12 years my pancreas would not be capable of being controlled with tablets as it was too scarred and refused to entertain me continuing to use eucreas and metformin to control my sugar. I actually changed specialist and the new specialist got me on my pre-accident regime of just tablets and good control. However my replacement specialist consultant has now retired through ill health, and he is the only option apparently available in my area.
I exited two weeks ago the general ward and was on 10u novarapid + 40u levimir + 1000mg metformin morning, 14u novorapid midday, and 1000mg metformine + 12u novarapid + 26 levimir in the night with instructions to reduce when I thought needed. Quite scary as I'd only been injecting myself for 3 days total when punted out and left to adjust my own dosage.
I've had to progressively cut that to 28u levimir in the morning, nothing midday, and 10u levimir in the night and no novorapid at all at any time, still taking 1000mg metformine morning and evening, I presume as my skin continues to heal up finally the insulin requirements are still falling. My bg is averaging around the 1Mg/dl or 5.5mmol's the past four days with these latest numbers with good control and in a normal person bg range at the 2hr after eating control points.
While in hospital I lost 16kg and Ive kept that off despite building lost muscles as Ive been on a 1500cal/day diet as prescribed for me. I weigh in at 102kg and measure 6'3 with a heavy build, so overweight still.
What I want to know, without resorting to quietly experimenting on myself with eucreas and stopping insulin if possible is how would that map to my previous treatment of eucreas 1000mg morning and evening, and 1000mg of metformin midday, and if people think thats clinically a option before I walk into the office of mr fixed ideas, he's already told me its impossible to get control with my condition using tablets and I've proved him wrong and I weighed 16kg more then, I cant imagine he's going to back down this time so want to be forearmed.
I personally want to get back on tablets only, my lifestyle doesnt suit at all making regular injections and it vastly affects some things I do (interferes with race + other licenses and insurances etc wheras tablets only don't), and Ive been too close to a hypo far too many times for my own liking the past 14 days already. I'm going to loose some more weight to achieve this but want to gather a feel for what is possible.
So thoughts please...
I've been type 2 diagnosed for about 16 years now, I controlled at first with metformin twice a day, then gliclizide and metformine that I really didnt get on with, skirting hypo's permanently, and settled on a regime of eucreas twice a day and a metformine midday, and had good control.
However I was recently involved in a serious car accident, and badly steam burnt during it, 44% of body burnt, lost all the skin from a hand/arm and significant amounts from leg and minor burns all over body, 4 large skin grafts and 5 weeks in a hdu then a week in general to stabilize me.
During the burns treatment, I was fed a very specialist diet and insulin was pumped into me, because it helps the body's healing process and to grow new skin, I just let them get on with it as they are the experts. Ive now mostly healed courtesy of their fantastic treatment, Ive grown skin on my hands and arms and the grafts have all taken and sealed up well and just recovering lost motion in hands and leg with physio, but the diabetes specialist Ive been referred to while on the general ward being stabilized is insisting I stay on insulin injections as the only option.
Now, I have some history with this specialist, previously I saw him about 4 years ago, and he demanded I moved to injecting insulin as after 12 years my pancreas would not be capable of being controlled with tablets as it was too scarred and refused to entertain me continuing to use eucreas and metformin to control my sugar. I actually changed specialist and the new specialist got me on my pre-accident regime of just tablets and good control. However my replacement specialist consultant has now retired through ill health, and he is the only option apparently available in my area.
I exited two weeks ago the general ward and was on 10u novarapid + 40u levimir + 1000mg metformin morning, 14u novorapid midday, and 1000mg metformine + 12u novarapid + 26 levimir in the night with instructions to reduce when I thought needed. Quite scary as I'd only been injecting myself for 3 days total when punted out and left to adjust my own dosage.
I've had to progressively cut that to 28u levimir in the morning, nothing midday, and 10u levimir in the night and no novorapid at all at any time, still taking 1000mg metformine morning and evening, I presume as my skin continues to heal up finally the insulin requirements are still falling. My bg is averaging around the 1Mg/dl or 5.5mmol's the past four days with these latest numbers with good control and in a normal person bg range at the 2hr after eating control points.
While in hospital I lost 16kg and Ive kept that off despite building lost muscles as Ive been on a 1500cal/day diet as prescribed for me. I weigh in at 102kg and measure 6'3 with a heavy build, so overweight still.
What I want to know, without resorting to quietly experimenting on myself with eucreas and stopping insulin if possible is how would that map to my previous treatment of eucreas 1000mg morning and evening, and 1000mg of metformin midday, and if people think thats clinically a option before I walk into the office of mr fixed ideas, he's already told me its impossible to get control with my condition using tablets and I've proved him wrong and I weighed 16kg more then, I cant imagine he's going to back down this time so want to be forearmed.
I personally want to get back on tablets only, my lifestyle doesnt suit at all making regular injections and it vastly affects some things I do (interferes with race + other licenses and insurances etc wheras tablets only don't), and Ive been too close to a hypo far too many times for my own liking the past 14 days already. I'm going to loose some more weight to achieve this but want to gather a feel for what is possible.
So thoughts please...
