... Insulin has been mentioned by my dr, however I was wondering if we should give XL a try first. Also on Metformin. I really don't want to do insulin
Are you watching your carb intake? Especially in the evening? With diabetes, oral meds like these only work if the pancreas is still producing insulin-they help stimulate this production and help reduce insulin resistance by the body. If the pancreas has stopped producing insulin, they (the pills) no longer work so insulin has to be given since the pancreas no longer produces it and at this point, pills are no longer an option. Insulin is much better at controlling blood sugar than oral meds, but people are often afraid to go on insulin even though it is much more effective. This question can really only be answered by your Dr. He is the one who would know if oral anti-diabetic drugs are still a treatment option. Be sure that you really closely monitor those carbs! Have you been to a dietitian to learn about diet and how to count carbs? If not, you should! It can really help a lot. Many Drs will tell you "just dont eat sweets" and this may work in the beginning but everything you eat is broken down into sugar (or glucose) to be used by the body as energy. Things like white bread, potatoes, white rice, pasta, corn, starchy foods are just steps away from being sugar! Highly starched foods can almost be looked at in the same light as a dessert-pure sugar! One of the most important things you can do when diabetic is learn how to eat properly. Adult onset diabetes is a result of years of not eating right. So watch your carbohydrate intake, think of foods in the sense of how much sugar/starch they have verses how much nutrition is in them. If it is a case of say, choosing white bread or whole grain bread, the whole grain bread has a better nutritive value and would be the one to choose. As I said, all foods will break down into glucose so the ones to look for and choose are the ones that have the most nutrients packed into those calories. Avoid empty calorie foods that have high calories and low nutritional value. If you are active, you can consume more calories than if you are not so active. If your Dr says it is okay, take an evening or afternoon walk when you can. Be sure that you also drink lots of pure water. Dehydration can make your blood sugar seem higher because their is less water in your blood. So try to drink 8-8oz glasses of water per day. Tea and coffee do not count! They pull off more fluid than they replace. I have had patients who come in and they drink lots of iced tea throughout the day and so they think they are well hydrated then are surprised to learn that they are really dehydrated! Tea and coffee are diuretics-they remove water from your body. Water is really best but you can drink a little lemon juice in the water if you need a bit of flavor. So watch your diet, monitor your carb intake, drink water, get some exercise and talk to your Dr about what your options are.
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