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The Question
10/18/09 04:38 PM

"I have T2 and I am on two different oral meds and about three weeks ago my doctor put me on insulin and my numbers are still over 200, what do I do?"
Asked By: juliesouza  
Category: Blood Glucose Monitoring

Background Info Hide
I am taking glyburide twice a day. januvia once a day, 20 mg crestor, thyroid meds, med for a liver problem ( was too low) medroxypr 10 mg. , and levimier insulin I also take Vitamin C and Centrum Sometimes I feel like my stomach is being eaten up by all this

Expert Answers (1)

10/21/09 04:39 PM

Hello JuileSouza: Thanks for asking dLife, and I would suggest that your doctor is still trying to adjust the dosing. Report this testing results 'immediately" to your doctor as to help identify the adequate dose to get the blood glucose readings to within the normal ranges, (70-180mg/dl per ADA, AACE).

When it is TY2 blood glucose readings should be done 2-4 times a day, especially when adjusting with medications, varying the times you check. A check before breakfast and then select a different time during the day, 1-2 hours after a meal are the key indicators for keeping the A1c<7%. Compile a log book of readings, dates, times, and other circumstances, (amounts eating, activities, other stressors), are all important things to share with your PCP/Endocrinologist, seen as pattern management. Eventually you can quickly evaluate the BS readings and make adjustments with insulin as to maintain smooth transition levels.

The medication regimen needs to be tailored to your lifestyle and can take several months to get all working together smoothly. Unfortunately, just when this happens and all is going well, something like the flu, slight cold or some other irritation to impact the blood glucose results.

As a side note additional factors that impact the blood glucose readings

  • illness, injury, stressors (good or bad), surgery
  • if you miss a meal or snack,
  • alcohol intake
  • activity/exercises
  • how you treat a low/high BS reading
  • and hormonal fluctuations.
    Share with you health care team, they can help with making it easier for you to care for your diabetes. Be your best, regards Sue
    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

    Community Answers (2)

    10/23/09 09:15 AM

    You might also want to take a look at your food intake. Are you taking in too many carbs? Have you seen a dietician to discuss the amount of carbohydrate intake you should have? Are you testing and recording along with recording what you are eating? This should help you and your doctor pinpoint problem areas for you.
    Answered By: fiercekitten
    FLAG
    SourcesShow


    10/23/09 09:15 AM

    You might also want to take a look at your food intake. Are you taking in too many carbs? Have you seen a dietician to discuss the amount of carbohydrate intake you should have? Are you testing and recording along with recording what you are eating? This should help you and your doctor pinpoint problem areas for you.
    Answered By: fiercekitten
    FLAG
    SourcesShow



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