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Fasting Hyperglycemia In Type 2 Dm

A

arifkarim

Newbie
Messages
3
Type of diabetes
HCP
My wife,type 2 diabetic,52 yrs of age weighing 79 kg is currently receiving Inj Apidra 39 units 8 hourly. In addition a shot of Inj Lantus 50 units in the evening.Her last HbA1c was 10%.Her fasting blood glucose levels are around 200 mg/dl.She observes strict dieatry precautions and goes through a work out of about an hour before lunch.
Pl suggest the best insulin regimen to control her glycemic status.
 
arifkarim said:
She observes strict dieatry precautions
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Just out of curiosity what are those 'dietary precautions'? I'm sure if you specify what her typical diet is then people can help - many T2's find going low-carb (low carb is not the same as low cal) helps a lot, though given your wife is using insulin then any change in carbs would need to be done carefully.
 
Hi @arifkarim, Welcome to this forum !
We are not doctors or nurses so cannot advise you on insulin doses and the like.
What you may wish to do though is avail yourself with information on this site such as about low carbohydrate diets so that this, for example, could be discussed with her nurse and doctor.
As someone who has been injecting myself with insulin for 51 years I know how important it is that insulin, diet, exercise balance out with blood sugars and weight. So that we are not having to eat more to prevent low blood sugars or take more insulin to cope with the diet. A dietitian who is aware of all forms of diet suitable for type 1 and 2 diabetes is best to help here.
There is also information about the Dawn Phenomenon as it is called where the body's hormone systems prepare us for waking up, sometimes leading to a rise in blood sugars from 4 am onwards. It would take perhaps doing blood sugar tests in the early morning to see if this is happening BUT should be discussed with doctor and nurse first.
 
kitedoc said:
Hi @arifkarim, Welcome to this forum !
We are not doctors or nurses so cannot advise you on insulin doses and the like.
What you may wish to do though is avail yourself with information on this site such as about low carbohydrate diets so that this, for example, could be discussed with her nurse and doctor.
As someone who has been injecting myself with insulin for 51 years I know how important it is that insulin, diet, exercise balance out with blood sugars and weight. So that we are not having to eat more to prevent low blood sugars or take more insulin to cope with the diet. A dietitian who is aware of all forms of diet suitable for type 1 and 2 diabetes is best to help here.
There is also information about the Dawn Phenomenon as it is called where the body's hormone systems prepare us for waking up, sometimes leading to a rise in blood sugars from 4 am onwards. It would take perhaps doing blood sugar tests in the early morning to see if this is happening BUT should be discussed with doctor and nurse first.
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Oh,I understand.Pl forgive me for my querie.
 
arifkarim said:
As I said she observes strict dietry precautions.
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If you could let us know a typical days diet then it would help as we do not know what 'strict dietary precautions' actually involves - she may still be having quite a lot of carbs.
 
kitedoc said:
Hi @arifkarim, Welcome to this forum !
We are not doctors or nurses so cannot advise you on insulin doses and the like.
What you may wish to do though is avail yourself with information on this site such as about low carbohydrate diets so that this, for example, could be discussed with her nurse and doctor.
As someone who has been injecting myself with insulin for 51 years I know how important it is that insulin, diet, exercise balance out with blood sugars and weight. So that we are not having to eat more to prevent low blood sugars or take more insulin to cope with the diet. A dietitian who is aware of all forms of diet suitable for type 1 and 2 diabetes is best to help here.
There is also information about the Dawn Phenomenon as it is called where the body's hormone systems prepare us for waking up, sometimes leading to a rise in blood sugars from 4 am onwards. It would take perhaps doing blood sugar tests in the early morning to see if this is happening BUT should be discussed with doctor and nurse first.
Click to expand...
@kitedoc Hi just curious and no your not a doctor but do you think Dawn Phenomenon can last say until the afternoon. Early afternoons?
 
May I ask what kind of HCP you are, please?
 
arifkarim said:
As I said she observes strict dietry precautions.
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Hi Arifkarim,

Please don't be offended, 'strict dietary precautions' mean so many things to so many people. If for example your wife is eating pasta or rice or bread or fruit, that may well come under a strict diet but it will NOT be good for a person who is a type 2 diabetic (ie their bodies cannot cope with carbs properly). That is why people ask specifically what she eats.
 
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