The state of the art approach for all newly diagnosed type 2 people (you can look up joslin diabetes centre), is to start them on metformin to reduce the insulin resistance, and then to give them insulin. If you are early enough in the diagnosis, you will need only low doses of insulin to get excellent blood sugar. This is far safer and more effective than multi-oral therapy.
With the pattern described I would assume it to be a combination of an intermediate and long acting insulin. With altered blood sugar levels, either the timing of food intake or the dosage of the long acting insulin or the type of insulin would need to be adjusted. I would suggest consulting your endocrinologist for the same.
Hope this is helpful.
Take care!
You may wish to discuss premixed insulin, which is a combination of specific proportions of intermediate/long-acting and short acting insulin in one bottle or insulin pen. Btw, Lantus [not to be confused with Apridra] is a long acting insulin not short [fast].
The symptoms could be due to gastric reflux and/or hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into and a combination antibiotic tried.
Type 2 is most often associated with adult-onset and can be a combination of insulin resistance (most often in overweight folks) and also sluggish/impaired insulin production. Type 2s are sometimes treated with insulin, sometimes with oral meds, sometimes both, and always in combination with diet & exercise.
I am also a long-time type 1 diabetic, and I love the Lantus/Novalog combination. I find that tight control is very possible with this combination. I do adjust for high or low readings, and I even adjust the TIME that I take the Novalog according to glucose levels. By this, I mean that if my glucose levels are on the low side of normal I sometimes wait a half hour before injecting the Novalog if my meal carbohydrates are the type that are slower to be digested, such as fats mixed with carbs.
I have type 2 and take insulin. I recently had a battle with food poisoning and my glucose went way up(as high as 250) and I was passing ketones, something I haven't done since starting insulin three years ago. When I peed in a cup to test for ketones it smelled like honey. I wasn't eating much at all and what I ate didn't stay down, so -- why the high sugars?
Most endocrinologists will put a diabetic patient who uses insulin on a sliding scale of insulin, depending on what the blood glucose is when you test before a meal. The ideal is of course for glucose levels to be in the "normal" before meal range of between something like 70-126 (different doctors use slightly different numbers, but this is pretty typical). But we can't always have the ideal numbers -- if we DID, we wouldn't be diabetic!
Another thought is that he may need to temporarily go on a low-carb diet to help lower the blood sugar levels if for some reason the insulin alone is not doing the job. Most type 1 folks respond easily to insulin, so insulin resistance seems to be the first thing I would ask his doctor about. There are people who have a combination of true type 1 autoimmune issues plus insulin resistant type 2 issues.
Your blood sugar will start to stabilize, but you may need try a 24 hour insulin like Lantus in combination. You need to be careful, because the insulin and pills cause sudden blood sugar drops if you don't take them properly.
In type 2 diabetes, the body does not respond properly to insulin, a condition known as insulin resistance. Insulin is a hormone produced by the pancreas that regulates how the body converts sugar (glucose) into energy.
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In view of the multiple processes involved in causing NASH, it may well be that many different classes of medications, as well as weight loss, will have beneficial effects.
In my pump (Deltec Cozmo), the feature called Combination, I think, is the same thing as your dual-wave: I can program a certain percent to be delivered right away and the rest to be given over a period of time. If that's the feature you're asking about, read on.
If you test a few times after a specific meal and dual-wave combination, you'll quickly see if you need to take more "up front" by noting if you spike within an hour.
Hi again Jay! I am not a medical professional, so please verify any medical information I pass on to you with your daughter's healthcare team. I found out that there is a skin test to check for insulin allergy. I obtained this information on the American Academy of Allergy's website. They're at www.aaaai.org. You may want to seek an allergist's help to find out if this may be your daughter's problem. Please post again and let us know how you're both doing!
So here is the thing been diabetic for you a few months now and i have been through alot of pills and my doctor hasn't keeps upping them i seen him today and he gave me insulin to take.. but he still wants me to take all the pills is it to much it would be
1000mg metformin 2x a day
100mg januvia a day
4mg glilmapride 2x a day
20units of lantus
this seems like so much what do you all think?
I have been diabetic for ten years now and have been taking lantus and humalog this whole time. Well a new doctor Im seeing took me off lantus due to the fact that it could cause my twins to become insulin resistant. She has me taking more of the humalog but it doesn't seem to be helping me and now i have a harder time controlling my sugar where before i kept it pretty well controlled. Should i get a second opinion or does anyone have suggestions?
If you go without eating for a period of time, your blood sugar can drop, or if you exercise strenuously (especially if you do both in combination). If you are on insulin than taking too much insulin for the carbs you are eating can definitely cause low blood sugars and these can be the more dangerous kind because you can drop very rapidly. If you are getting frequent lows, talk to your doctor. If they are occasional try and see if there is a pattern like you are going too long without eating.
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