Week 5 Day 32 Thursday 11th January. FBG 9.8 Weight 99.8kg
Another high FBG so I took 25 units of insulin this morning. After five days, I needed to take some action about it. There's an argument that says carrying on with no insulin and being patient will bring the numbers down but that rests on the idea of the pancreas recovering relatively quickly. Given that there's clearly some pancreatic response, that at least sounds plausible. But at the same time, the response so far is too weak even with the help of some vildagliptin. The other side of the argument is that as a long-standing diabetic, that recovery might be slow, weak, and in the end inadequate. Only sticking with the ND over a longer period will provide the data to decide.
In the meantime, it's clear that metformin and vildagliptin were not enough to bring the levels down so I still need some meds to control the BG. I was too quick to reduce the meds and certainly in eliminating all the insulin so I need to get the levels back under control, get the BG stabilised again and then assess what's happening. It's a minor set-back but only psychologically because I was too optimistic over too short a period of time. In a word, impatient. The liver is still recovering, there's some pancreatic function, and the weight has come down reasonably so, at the middle of week 5, it's showing some good progress. Now I just hang in there and once the BG level comes down, think about the meds again. So no change to the diet. Sticking to the plan. Still very positive.