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The Question
Sat Nov 28 08:03:42 EST 2009

My boyfriend was diagnosed with type 2 about 6 months ago, hes on metoformin, gemifibrozil, glucophage, humalog and lantus. Sugar still in 300 range!
Asked By: charitysisco  
Category: Type 2

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He has multiple conditions going on. Which make him not able to exercise. His sugar has been as high as 581. Now down in the 300 range, but still is not good. We are at a loss on what to do!
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Expert Answers (1)
2009-11-30 00:13:19.0

It can take a while to bring blood sugar into an acceptable range, especially if you are only visiting with your clinician every two to three months. Has he met with a diabetes educator for diabetes self management training? Hopefully he has, but if not, have him ask his health care provider to send a referral to the local diabetes education office. A diabetes educator can help identify blood glucose patterns and provide guidance and suggestions for insulin adjustment. It looks like he is using both a basal insulin and a meal time insulin; has he been counting carbohydrates at meal times and adjusting his medication accordingly? This is the best way to achieve good blood sugar control. How often does he test his blood sugar? While he is actively trying to lower blood sugar and adjust insulin doses it is helpful to test blood sugars frequently, first thing in the morning and then also before and two hours after meals. Keeping records will help to identify patterns in blood sugar and allow the health care provider to help make decisions on insulin adjustment. Encourage your boyfriend to keep trying and his blood sugars should improve.
Accreditations: MEd, CNS, BC-ADM, CDE
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Community Answers (1)
2009-11-30 07:47:00.0

I see you noted he is on glucophauge and metformin they are the same medicine. Is he taking a dose of both because if he is then he would be more than maxing out that particular med. If your boyfriend is eat more than 45 gr of carbs per meal or if they are from refined carbs they WILL raise bs its a given. He needs to eat fresh homemade meals with little bread or pasta involved until he gets his bs down. Those high numbers are not good at all and will do damage if not now in the future. You dont state the amount of insulin he is on and what he eats all this plays into bs control along with exercise which you stated he can not do now. Is he on steroids at all they shoot bs to the moon I know. I suggest you bring up your question in the type 2 forum board we might be able to help.
Answered By: furball64801

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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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