looks like I'm going to have to go on insulin. I am able to use Metformin, 500 mgs in the morning and 1500 mgs in the evening, but that by itself no longer is enough - my 2 hour after meals readings are excellent but my fasting blood sugar readings are 130-140. What can I expect with insulin? I've heard that it makes you crave sugar - is that correct? Thank you!!
Insulin is a hormone made by the human body. Humulin Insulin is a form of human Insulin. I have been a nurse for 30 years. I have never had anyone who is allergic to Insulin. There are many types of Insulin. Likely you will be using Lantus Insulin which is a long acting Insulin that has a sustained release over 24 hours. It's dose is calculated on your basal or resting metabolic rate which is calculated by your doctor. The reason people complain of hunger with Insulin is because their bodies are use to having high levels of glucose circulating in the blood stream. As their blood sugar is reduced with the Insulin the body's response is to tell you to eat to try and increase the blood glucose level. Six small meals a day at 3 hour intervals works well for most people. A diet centered in complex fiber rich carbohydrates, lean proteins, low fat will help to stabilize blood glucose and reduce weight which is the best treatment for Type 2 diabetes.
The South Beach diet is an excellent reference for treating the Insulin resistance and helping to stabilize blood sugar and lose weight.
I don't remember what your allergy is, was it polyethylene glycol? Anyway, there are numerous meds that can be added to the metformin such as glipizide, glyburide, or Byetta that maybe possibilities before going to insulin. Your fasting blood sugars while higher than normal are not that high. I would investigate the options first.
So you guys think fasting blood sugars in the 130-140 range, with 2 hour after meals ranging 115-140 are not bad enough yet to go on insulin? I am on the compounded Metformin, but my doctor wants to add a dose of insulin before bedtime. This is because she can't add another oral medication because of the glycol allergy - there is no other oral med for me. Are these fasting blood sugar readings high enough to warrant a dose of insulin (and the resulting cravings for sugar). I have an addiction to sugar, and have been working in a 12-step group on this for 13 months now, but still have not overcome the addiction. Thank you!! ElizaJane
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