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The Question
06/30/09 08:18 PM

"I am really new to diabeties[ diag. on 4/1/09] but my bg level will go from 107 then 2 hrs after i eat to 250 + sometimes. why is this?"
Asked By: lhoig  
Category: Type 2

Background Info Hide
I am on an oral pill metaphormin 1000mg 2x per day i take my meds as instructed and it makes no sence to me why my levels are all over the place it is very discuraging to me and even though i am new to this i cant understand why my levels are like this. my dr. says it is normal to have fluxuations when just staring out but i am 3 months into it and. when diagnosed my a1c level was i believe 12 [ the dr. wanted to put me in the hospital but i refussed] then yesterday it was down to a 7 so ther is progress but i feel frustated with my high levels after meals

Expert Answers (1)

07/02/09 06:22 PM

Dear lhoig, Your questions indicate to me that you have not been given enough opportunity to learn about and understand your new health care disease, e.g. Type 2 diabetes. For someone who started out with a hemoglobin A1C of 12, and has reduced it down to around 7, that is amazing success. Especially if you have only been treated with metformin. First of all, I would make the recommendation that you enroll in a diabetes self management education/training program. You really need to learn more about your disease and how to control you blood sugars. Your fluctuating blood sugars may indicate that you have not been instructed on how to count carbohydrates. Having a high blood sugar after eating reflects the amount of carbohydrates you ate and how well the medication you use for your diabetes have been matched. The effects of the medication is best if it matches up to the time that you are digesting your food. Metformin is a medication that reduced absorption of carbohdyrates from your intestines, helps you liver not store so much sugar, and helps your insulin bring in sugar at the cell level. Many people with high blood sugars use a combination of medications. You may need to add a medicine such as glyburide or glipizide twice a day to help bring down meal time blood sugars faster. I encourage you to ask your physician about the need to add a second drug. Another helpful thing you can do is to be sure that you check your blood sugars and share these records with your physician so your medication dose can be adjusted. I think you are actually doing quite well, but still can see improvement in blood sugars with some attention to what you are eating and your medications/doses and timing of medications. Don't get discouraged, just work with your doctor and diabetes educators to work on improving your glucose control.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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Community Answers (3)

07/05/09 01:20 PM

As others have said you need to get those numbers down. That would be through exercise, reduced carbs or more meds. You are more than lucky with an a1c over 12 that damage was not severe. I am also amazed they did not put you on insulin because lower numbers is of upmost importance I am living proof of it. Diabetes can creep up on you one day at a time so getting those numbers down is a prime goal. I also think reducing carbs or adding glipizide can do wonders for you.
Answered By: furball64801
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07/05/09 01:20 PM

As others have said you need to get those numbers down. That would be through exercise, reduced carbs or more meds. You are more than lucky with an a1c over 12 that damage was not severe. I am also amazed they did not put you on insulin because lower numbers is of upmost importance I am living proof of it. Diabetes can creep up on you one day at a time so getting those numbers down is a prime goal. I also think reducing carbs or adding glipizide can do wonders for you.
Answered By: furball64801
FLAG
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07/02/09 07:37 PM

Your postprandial high is enormous and causing cellular damage and increased insulin resistance. Meaning your own insulin is decreasingly effective. Oral meds can only do so much -- your A1C will rise if you don't attack postprandial highs. Eat fewer carbs, get your muscles to eat up some sugar -- climb stairs or incline walk right before eating, clean up high with muscle training after, within 30-45 minutes of meal. As you train your muscles to eat sugar from your blood, you'll see drop, takes few days, works better the longer you do it. Highs like that will create nerve damage. Eat less carbs! twitter: goodbloodsugars best of luck!
Answered By: goodbloodsugars
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