i have type 2 diabetes and my dr put me on lantus insulin and i take metformin she keep telling me to increase

Question

my lantis 5 units and it still staying 250 450 is it not baqd to have your sugars that long

Answer 1

It's too high. Lantus is a good baseline insulin, but it does not work well for the highs and lows as you eat throughout the day. Perhaps your doctor should consider putting you on a short acting insulin. What you would then do is check your blood sugar prior to each meal. You would then have a scale to tell you how much insulin to give yourself based on the result you get for your blood sugar. This is called sliding scale insulin. You can have blood vessel and nerve damage if your blood sugar remains elevated for a long period of time. Could lead to kidney failure, infections leading to possible amputation, and blindness.

Answer 2

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Answer 3

Your doctor is trying to up your insulin a little at a time to keep you from setting your dose to high. Once insulin is injected, it's injected and there's no going back. Since Lantus is a long acting insulin it's in your system approximately 24 hours. You don't want to add to many units and then find you've gone past your effective dose. Although your glucose is high you and your doctor are actively working to get it down. Type 2's are insulin resistant and could take a lot of insulin to get past the threshold where you're getting enough insulin. You might also try using a longer needle or pen needle. Sometimes there's too much fat and the insulin doesn't penetrate deep enough to work well. Medication is a small part of treating type 2 diabetes. You should speak to your doctor about what types of exercise you can do. Exercise will help sensitize your cells to the insulin and cut down on how much insulin and medication you need...many people are able to even to get down to no medication at all. You should also work on losing excess weight and/or losing weight which will also greatly reduce your insulin resistance. Depending on medications and insulin alone to get your blood sugar under control will not work long term. In the meantime, if you're not seeing an endocrinologist you should. Do as your doctor instructs and add the insulin and you will get your numbers down. Many type 2's take a few hundred units a day. I'm sure you're anxious to get it down, don't worry, you'll be fine.

Answer 4

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Answer 5

Ideally, your sugar should be around 120 in the morning and not higher than 135-150 during the day. Lantus is a long-acting insulin that can help lower fasting glucose especially (which you measure when you take a fingerstick first thing in the morning). As for the level that's appropriate, I would have to know what your fingersticks are at multiple times during the day (preferably 4 times daily) and what meds you're taking to even guess. Talk to your doctor, but having glucose that high is usually a bad thing, unless you have a history of many hypoglycemic episodes, then sometimes doctors choose a less agressive strategy for safety's sake.

Answer 6

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Answer 7

Yes it is bad. Your target area should be between 70-140. You should call your Dr. Do you see a family doctor or do you go to an endocrinologist? You might need to see a specialist if your Dr. is not able to control your blood sugar. Are you following a diabetic diet? Eating right can make a big difference! Eat high protein and lots of veggies! Don't eat a lot of bread, fruit, juice or sweets. If you follow the right diet, take your medications and it is still high call or go see the endocrinologist.

Answer 8

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http://www.geocities.com/seabulls69/Type_II_Diabetes.html

Remarkable supplement improves circulation and can help prevent neuropathy and macular degeneration:
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Great calorie enlightenment:
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Sugar does not cause diabetes:
http://www.drmcdougall.com/misc/2006nl/sept/sugar.htm

Lots of information on diabetes:
http://www.endocrineweb.com/index.html

Type 1 diabetes info:
http://www.sciencenews.org/pages/sn_arc99/6_26_99/fob2.htm
http://articles.animalconcerns.org/ar-voices/archive/milk_problems.html
http://www.nealhendrickson.com/mcdougall/020700puthepancreas.htm

Recommended reading for anyone trying to control weight, especially diabetics:
http://rheumatic.org/insulin.htm

Some psychology behind overeating:
http://www.geocities.com/seabulls69/weightloss.html

Insulin and the brain:
http://www.boston.com/yourlife/health/diseases/articles/2006/01/30/insulin_in_the_brain/

Why the British are healthier than Americans:
http://www.geocities.com/seabulls69/UKvsUSAdocs.html

Some great health sites with all kinds of general health information:
http://www.chetday.com
http://www.drmcdougall.com
http://phifoundation.org

Answer 9

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Answer 10

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