Transition to Insulin

Can I ask a question? I’ve transitioned to lantus on 84 units a day but blood readings are still not really coming down in the mornings still in double figures I just find that it’s not working does this mean that instead of t2 I maybe going into t1? Thoughts would be cool x

 

If you have concerns about type1 rather than type2 ask your specialist for a c-peptide and GAD test to determined type1.

However type2s can have raging high bgs but still be type2. Seek assistance with your insulin and diet management.
I have great reduced insulin units on low carb diet. This is ideal time for you to try low carb eating as you may find those units more effective on that diet. You may still need more insulin even on low carbing but I'd see if any on coming hypos by testing vigorously before increasing units on low carb diet.
Keep me posted.

 

I'm in the same boat I have had T2 since 2001 and have taken tablets since then until a couple of weeks ago, was on Janumet XR 50 mg and Gliclazide for about two years, I had to stop taking the Janumet as it was making sick, and am now on insulin Novomix 30, I started on 10 units in the morning and 10 units at night before tea, but my readings were to high 10 to 21mmol/L, I am now on 30 units in the morning and 40 at night and my readings are good before breakfast but in the teens throughout the day

 

If you have severe or even moderate insulin resistance then you may need more, take your DN's advice. I eat low carb which half my insulin at times. Only good bgs thou help me lose weight not less insulin but I do have other hormone problems and severe pain at times.
I take triple strength basal (toujeo300) 3x72units approx. and 60-90 bolus (novarapid) and avoid sugar and most wholegrain carbs. Potato as a treat but no rice, except cauliflower rice nor pasta. Substitute pasta is too rubbery for me. Leeks as lazanya sheets work thou.

 

Only weight loss helps with my diabetes management it til then I have to take huge amounts of insulin.

 

Good luck you are going on the right direction I'm on humilyn3 and slow release metphormin the only problem I find is having dinner lunchtime because I inject morning and evening meal time put on weight at first because of lows but have now lost some keep going

 

We are told to take the all day release insulin anytime but the same time each day. Is there a view about when this should be last thing after dinner or first thing in the morning?

 

I was guided to take my long acting insulin in the morning 30 mins pre breakfast. The short acting just before eating

 

Colin, have patience nd don´t get disheartened. In my case, cardiac problems and reduced physical strength led into diabetes, rather than the other way about. A rheumatic fever at age10 led to mitral sthenosis, which required a valvotomy in 1982, and to change to mechanical valve 3 years ago. Diabetes was diagnosed in 2005, and have been on Risidon ever since, till a repeat of cardiac insufficiency last January. That is when the doctors decided to stop metmorphin and put me on insulin, basal (Levemir) 14u in the morning and 4u at night before going to bed. Also bolus (Humalog) 2-8 u, depending upon the BG check before lunch and what meal would follow. Usually I did not have to go beyond 2-4 (120/240 mg).
It was hard during the first month to get used to finger pricks 4-5 times a day, but now it is ok. Regular bg checks have helped me to keep control of any surges. Over these months I had to raise the basal /detemir dose to 18 on doctor's advice, and that seems to be fairly effective. I have lost 12 kgs of weight, but that was before starting on insulin. It came down from 70 kgs during past several years to 58 kgs last January. It has been largely a result of controlled diet of low carbs, and daily Lasix 40 mg for reducing liquid retention. Prolonged used of metmorphin was affecting my thyroid, and now I am on daily Levotiroxina.
I hope these bits of my experience help. But each individual case is unique.