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New to Insulin

Moo rakers

Member
Messages
7
Location
Dorset
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
I still work full time and I wish I could stop, but can't just yet.
Good afternoon.

I have started using insulin in the last week. Lantus 8 units for the first few days, then increased to 10 units on Friday evening.

I was diagnosed type 2 about 10 years ago and tablets were introduced 5 years ago and the quantities and extra medication slowly increased over those five years. I was started on Sitagliptin in Early December but this did not appear to work. I realise we did not give this much time by my readings were going up, I have in the last couple of months been under medical investigation for a non related (I think) problem and am due a minor investigatory operation under general anaesthetic in just over a week. The pro op check in nurse expressed concern at the BG levels I had recorded, so the decision made to introduce insulin.

I am trying to low carb, but probably avoiding too much until I build on my learning and information.

Today my results were 6.5 before breakfast, which I was delighted with, spinach omelette for breakfast then brisk 5 mile walk. I have been used to seeing BG go down directly after a walk but today it didn't. I am not sure why, can anyone suggest why this didn't happen?

Each day since taking insulin I have seen some reduction in my first in the morning readings. Yet yesterday morning after my first 10 unit dose the night before, my levels were 10.5, higher than the previous few days. I have checked what I ate, and did have one drink on Friday evening (advokat - it's left over from Christmas!) but that didn't seem too bad. BG stayed around 10 most of yesterday, with a walk of about an hour - not as brisk as usual as I felt shattered, and very few carbs yesterday. Why might they have been

I am trying very hard to get levels in normal range before my operation is due on the 30th. Is that a realistic hope? In the last couple of months since reintroducing testing my BG has mostly been top teens. I probably wasn't doing all I should have with reducing carbs over Christmas.

In the first year after diagnosis I lost over four stone on my own, mainly through fear of what it meant to have diabetes, and by significantly reducing carbs. Although I have gone up and down a bit since then, I am still almost four stone less than when first diagnosed. I ought to lose another stone but have found losing weight difficult in last year or so.

I have waffled I am sorry, but thank you for 'listening'. Any advice would be much appreciated.
 
Hi. Do give it just a few more days to settle. It may be that you need to increase the Lantus a bit more but a unit at a time over several days and measure to avoid hypos. If you still have some excess weight then trying to remove this may help remove the last bit of insulin resistance and smooth insulin absorption. The only way to do this as you probably realise is to move the carbs down a bit further and give it time. If necessary do discuss going onto a Basal/Bolus regime which my DN suggested after only a few weeks on just Basal. She could see that just Basal wasn't really enough and adding the rapid insulin has made a great difference despite an extra bit of hassle
 
Thank you for your reply. I will watch over next few days. My DN is due to call again soon and she is very aware of my need to get BG down in time for operation. One other complication is the medication I am taking to control the problem for which I am due the biopsy on 30th has a side effect of raising BG, but each medic I have seen don't seem to agree how much effect this would have.
Many thanks for your response.
 
Hi. I am now less than two days from my booked operation. My pre breakfast BG is regularly between 5 and 6 , and most either before dinner or before bed have been less than 8.

My DN advised increasing to 11 units after Monday morning was higher than I was used to. I have avoided al starchy carbs in the two weeks since starting insulin, to try to gain the full benefit to reducing my BGs before getting to hospital. I certainly hope I have done enough.

On two occasions when I have tested before dinner I have had results of 4, and this is immediately after I have driven home from work. I have a 45 minute to hour drive to and from work each day. Should I start the habit of testing before I drive?

I am pleased that two weeks on insulin and significant carb reduction has brought my BGs from regularly over 15 to now mostly in the accepted range, but am still a bit concerned about what the hospital will say when I get there on Thursday.

Regards

Debbie
 
4 BG is too low to be driving. I found that a near-accident fright dropped my BG from about 9 (apparently plenty for a 2-hour drive) to less than 3, about 15 minutes after setting off. Take care!

Sent from the Diabetes Forum App
 
4 BG is too low to be driving. I found that a near-accident fright dropped my BG from about 9 (apparently plenty for a 2-hour drive) to less than 3, about 15 minutes after setting off. Take care!

Sent from the Diabetes Forum App
Thank you for your message. Those two readings of 4 when I had just arrived home had concerned me so I am testing before driving home. I am starting to understand how I feel when approaching levels of 4.

It's a lot to learn but I am am getting there.

Regards

Debbie
 
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