hi
i need some help or opinion. I was recently re-diagnosed as a type 2 diabetic after being type 1 for 19 years. i was previously on a bolus regime with 1g of metformin twice daily but have lost about 6 stones of weight over recent months and for the past 6 weeks have only being taking lantus and 1g metformin twice a day.
my pre weight loss insulin intake was 5 units/10 g of carbs am and 3 unit/10g of carbs at lunch and pm. along side that i was taking 50 units of lantus am and 80 units before bed. my bloods were target range of 5-7 pre meal and 7-9 before bed and 5-7 am after waking up. Ive always suffered with insulin resistance and suspected dawn phenomenon, hence the 5/10g am.
following the recent weight loss, my diabetes specialists have taken me on my homolog and have left me on just lantus. i started at 30 units once a day and I'm now at 44 units am. if i go up to 46 i hypo around 3am. Im finding that when i wake up my bloods are perfect at 5-7, occasionally 8. i tend to not have breakfast and 2 hours after taking my lantus and metformin, my bloods are up around 12.9. i have tried eating breakfast to counter act the suspected dawn phenomenon but that has done nothing at instead by eating a breakfast of 15-20 g of carbs my bloods are in and around 14/15 2 hours after breakfast. the strange thing is i stay high with or without breakfast until 6/7 pm at which point my bloods will be 7-9 and then before bed it is again target of 7-9, but i go through this same cycle every day.
my hba1c has come down from 110 to 74, to 66 and since only taking lantus and metformin and the high am bloods surprisingly down to 56 which i find amazing as i spend quite a but of the day 11+.
my specialists are reluctant to put me back on humalog as it will be counter productive for my weight loss potentially.
Any help if great appreciated.
i need some help or opinion. I was recently re-diagnosed as a type 2 diabetic after being type 1 for 19 years. i was previously on a bolus regime with 1g of metformin twice daily but have lost about 6 stones of weight over recent months and for the past 6 weeks have only being taking lantus and 1g metformin twice a day.
my pre weight loss insulin intake was 5 units/10 g of carbs am and 3 unit/10g of carbs at lunch and pm. along side that i was taking 50 units of lantus am and 80 units before bed. my bloods were target range of 5-7 pre meal and 7-9 before bed and 5-7 am after waking up. Ive always suffered with insulin resistance and suspected dawn phenomenon, hence the 5/10g am.
following the recent weight loss, my diabetes specialists have taken me on my homolog and have left me on just lantus. i started at 30 units once a day and I'm now at 44 units am. if i go up to 46 i hypo around 3am. Im finding that when i wake up my bloods are perfect at 5-7, occasionally 8. i tend to not have breakfast and 2 hours after taking my lantus and metformin, my bloods are up around 12.9. i have tried eating breakfast to counter act the suspected dawn phenomenon but that has done nothing at instead by eating a breakfast of 15-20 g of carbs my bloods are in and around 14/15 2 hours after breakfast. the strange thing is i stay high with or without breakfast until 6/7 pm at which point my bloods will be 7-9 and then before bed it is again target of 7-9, but i go through this same cycle every day.
my hba1c has come down from 110 to 74, to 66 and since only taking lantus and metformin and the high am bloods surprisingly down to 56 which i find amazing as i spend quite a but of the day 11+.
my specialists are reluctant to put me back on humalog as it will be counter productive for my weight loss potentially.
Any help if great appreciated.
