Help

[2808myles]

I'm at a loss as help.long time since I posted, have just been in hospital for 3 day's with severe stomach pains and BM's running between 18 & 30 for the last
few months.I'm now on 1000mg of Metformin,morning and teatime, 160mg Gliclazide, morning and tea time, 15 mls of Humulin 1 in the morning. Iv'e been taking this since Tuesday this week and my BM's are between 15 in morning to 20 at bed time, can any one help, I was on Novomix and Metformin for about 8 years, then was told my BM's were to tight and took off Insulin, was on Metformin,and Gliclazide till last week, I'm at a loss as help.long time since I posted, have just been in hospital for 3 day's with severe stomach pains and BM's running between 18 & 30 for the last

 

[ickihun]

2808myles what did the hospital do for you? What was suggested whilst being an inpatient?

 

[ButtterflyLady]

I'm at a loss as help.long time since I posted, have just been in hospital for 3 day's with severe stomach pains and BM's running between 18 & 30 for the last
few months.I'm now on 1000mg of Metformin,morning and teatime, 160mg Gliclazide, morning and tea time, 15 mls of Humulin 1 in the morning. Iv'e been taking this since Tuesday this week and my BM's are between 15 in morning to 20 at bed time, can any one help, I was on Novomix and Metformin for about 8 years, then was told my BM's were to tight and took off Insulin, was on Metformin,and Gliclazide till last week, I'm at a loss as help.long time since I posted, have just been in hospital for 3 day's with severe stomach pains and BM's running between 18 & 30 for the last

From what I've read on the forums, insulin should start reducing BG levels within a few days. I suggest asking your doctor/nurse to adjust your insulin regime. You might might to read up on T1.5/LADA and ask about seeing a specialist and getting blood tests for it.

 

[2808myles]

Nothing, I was in the admission ward for 2 days as the Diabetic ward was full, they then sent a Diabetic nurse to see me and that's when they doubled my Gliclazide to 160mg morning and tea time,and put me on Humulin 1 kwick pen at 10ml in the morning,yesterday I phoned and they told me to up it to 20ml, iv'e to go and see her on Monday, I'm looking for advice on what I should be asking.As for the impatient care it was a joke, you need to be in the right ward to get the right treatment, it was like get home wee can sort this over the phone, I'm really angry and will be telling the nurse on Monday my opinion, my experience of these specialists is they hide things and I'm not playing their games now, when I was on Insulin before my BM's were spot on, they were okay when I came off it, but someone on here told me it was likely I would be back on it in 3/4 years and that's what has happened, I suppose I will need to wait till Monday to get some answers.

 

[ButtterflyLady]

Nothing, I was in the admission ward for 2 days as the Diabetic ward was full, they then sent a Diabetic nurse to see me and that's when they doubled my Gliclazide to 160mg morning and tea time,and put me on Humulin 1 kwick pen at 10ml in the morning,yesterday I phoned and they told me to up it to 20ml, iv'e to go and see her on Monday, I'm looking for advice on what I should be asking.As for the impatient care it was a joke, you need to be in the right ward to get the right treatment, it was like get home wee can sort this over the phone, I'm really angry and will be telling the nurse on Monday my opinion, my experience of these specialists is they hide things and I'm not playing their games now, when I was on Insulin before my BM's were spot on, they were okay when I came off it, but someone on here told me it was likely I would be back on it in 3/4 years and that's what has happened, I suppose I will need to wait till Monday to get some answers.

Did the hospital find out what was causing the stomach pains?

If you need insulin, then ask about a basal/bolus regime where you have a long acting insulin dose once or twice a day, and a variable short acting dose with each meal. This seem to be a better approach for most people than fixed doses or mixed insulins, and is what is now the standard treatment for T1s. Be politely assertive with your HCPs. Insist on knowing your blood test results, diagnoses and agreeing on treatment plans.

 

[2808myles]

From what I've read on the forums, insulin should start reducing BG levels within a few days. I suggest asking your doctor/nurse to adjust your insulin regime. You might might to read up on T1.5/LADA and ask about seeing a specialist and getting blood tests for it.

I asked about Lada and they looked at me and never answered, they changed the course of conversation, they did say they done a test not usually given, can't remember the name, but it showed my Pancreas was producing insulin again.

 

[ButtterflyLady]

I asked about Lada and they looked at me and never answered, they changed the course of conversation, they did say they done a test not usually given, can't remember the name, but it showed my Pancreas was producing insulin again.

Keep asking questions and insisting they give you printouts of blood tests. If they won't play ball, ask to see someone else. I think regardless of which type of diabetes you have, the proper insulin regime to reduce blood sugar is needed, asap, and there's no reason they can't provide that.

 

[2808myles]

Did the hospital find out what was causing the stomach pains?

If you need insulin, then ask about a basal/bolus regime where you have a long acting insulin dose once or twice a day, and a variable short acting dose with each meal. This seem to be a better approach for most people than fixed doses or mixed insulins, and is what is now the standard treatment for T1s. Be politely assertive with your HCPs. Insist on knowing your blood test results, diagnoses and agreeing on treatment plans.

No explanation for pains,, no explanation for anything, really shocking treatment. discharge letter says
Primary Diagnosis
High blood sugars
Type 2 Diabetes,NAFLD,peripheral neuropathy
Investigations and RESULTS (including those awaited)
BMs on admission-25.7, non acidotic or ketotic
Treated with insulin sliding scale
Medication-Changesto ECS
Metformin Gliclaide now increased to maximum dose
Follow up arranged with DSN.
Follow up was phone nurse.

 

[ButtterflyLady]

No explanation for pains,, no explanation for anything, really shocking treatment. discharge letter says
Primary Diagnosis
High blood sugars
Type 2 Diabetes,NAFLD,peripheral neuropathy
Investigations and RESULTS (including those awaited)
BMs on admission-25.7, non acidotic or ketotic
Treated with insulin sliding scale
Medication-Changesto ECS
Metformin Gliclaide now increased to maximum dose
Follow up arranged with DSN.
Follow up was phone nurse.

Ok well the glic is not at the max dose, that's 320 or 340 as far as I know. I'm not a huge fan of glic because I think its better to either low carb or low carb and use insulin if needed, but that's just my personal view.

What does ECS stand for?

Do you still have stomach pain? Where exactly is the pain, is it stabbing/burning/aching and does anything make it better or worse?

 

[2808myles]

Don't have the pains no more, seen Diabetic nurse today and she changed my Insulin to Humulin M3, 16 units morning,10 tea time.Took me of Glicazide completely,but still on Metformin 1000mg morning/tea time. My BMs are up at 24.6 just now,something is wrong.