Endo appointment for Tresiba

Thank you for the tip!! :hugs:

Bob now that I have more one to respond…

Kat, may I ask what your most recent A1C number was? 7.5
How long have you had T1? Going in 16 years
What are you normal morning fastings? 180-250 (been waking up at 3 taking humolog about 5 units and then waking up at 5 with sugars at 130)
Are you taking a fast acting insulin? Humolog
Do you count carbs and do you do correction injections. Yes I count my carbs & correction is: 1 unit is suppose to drop me 25 points
What is you BG target range? I00
Do you current know you insulin to carb ratio? 1 unit for 7grams at dinner and 1 unit for 5 grams of carbs
When was the last time you changed you basal dose ? A month ago (Lantus 35units) from 32
I know you said you have a Dexcom, but are you using it and do you dose from it? Yea I have one but ideally I double check.

I currently picked up Levemir and want to try it. Had Lantus always… Trying a strict Paleo plan than has me now taking less insulin. Been reading Dr. Bernstein’s book and trying to learn more each day about how I process food. Walking now daily about 40 minutes l. Constantly TRYING but sometimes it doesn’t feel like I’m doing good enough. I’m so hard on myself :sweat:

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I realize you’re trying hard to do everything you can to tighten up your control and I want to commend you on that!

But I’d be very concerned if my daughter ever had an A1c in the sevens, much less a 7.5. That’s a clear sign that you need more insulin (especially in light of your carb-restricted diet) whether it be a higher basal, correction, and/or bolus dose.

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My husband and I have been working towards figuring it out… My Endo had me on a 1 unit to 10 carbs and I take double of that and still have highs. It was much worst before. I’m pretty upset that no one has tried to correct my dose or look into it. I feel that my medical SUPPORT doesn’t give a sh** what happens to me as long as I stay in a certain "safe zone"
So I’m reaching out to people like yourself who share and provide some kind of feed back…
Honestly I’ve been pretty depressed about my current sugars :disappointed_relieved:

I’ve only been Paleo about one month and so far it’s a big help!

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Don’t wait for their support. Get Think Like a Pancreas; this excellent book will enable you to figure it out for yourself.

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I’m sorry to hear you didn’t get Tresiba like you wanted. I found splitting Lantus made a dramatic difference in my readings (so much so that, when I saw my endo after making the switch, he said, “These don’t even look like your numbers!”). I also had to do the routine you outline of getting up at 3 AM to take a few units of Humalog, otherwise I’d wake up a few hours later at 200+ due to the dawn phenomenon. Lantus, in the end, did not work to cover that dawn phenomenon, even with a split dose, so I switched to the pump. I’ve had issues with allergic reactions to sites, but have solved them for the most part. I hope that Lantus/Levemir work for you and that you’re able to achieve the control you want! (I’m in the same boat, trying to lower my A1c from 7.1 back down to the 6.2 or lower, where it was last year.)

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Thanks…I am venting also lol. I still continue to try each and everyday.

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Thanks Jen & good luck with your sugars as well :blush:

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Boy I wish I had your ratios, but I am T2. My BG ratio is 1 unit to drop 7
and my carb ratio is 1 unit for 3 grams of carbs. I feel like I should be
drinking my insulin. My daily food intake is low carb, low fat and medium
to high protein. Of course I have stage 3 CKD need to watch the protein.
I have been T2 since 1989. I didn’t start regular use of fast acting
insulin until October of 2012, when my kidneys started going south and I had
to stop taking Metformin. I did start taking Lantus several years ago and
it works great for me and still does, but I don’t care for the sting and I
may try Tresiba. I started using the Dexcom G4 in January 2013. Since
starting the fast acting insulin (novolog) my A!C’s have average 5.3%.
Of course, up and until I started using insulin to control my sugar I
followed my provider’s advice and kept my A1C under 7%, which is the
standard for the diabetics My typical average was between 6.5 to 7 percent.
The only thing standard to me now is keep my BG level as closed to
non-diabetic normal levels as possible and avoid sugar levels above 140 for
long periods of time. This wasn’t possible when I was take pills and
overate. This was a big mistake for me health wise. So much about me, now
it’s your turn.

There is no doubt that you have all the tools you need to get your sugar
totally under control, but I think most diabetics will admit this is easier
said then done sometime. Don’t know what your age is, but since T1
normally starts earlier in life and your picture appears to reflect a
younger T1 person, lol you have time to do a better job with your BG levels
then I did. First you need to develop a plan to take control of your sugar.
You need to get your fasting between 80mg and 110mg every day, and bolus and
do corrections every day to keep your sugar in a target range of 80 to 120
other then after meals. Your numbers tell me that you are eating way too
many carbs or not taking enough insulin to cover the meal carbs that you are
consuming each day. I am going to ask that you to eat three meals a day and
a snack no later then 7:30 each night. ONLY consume sweets as a treat and
limit the daily amount and may sure you cover the treat with insulin. I
use my Dexcom G4 to monitor my sugar 24/7 and like you I will only dose for
highs after I double check with a blood stick if I am uncertain about the
CGM reading, especially at night. If you are not doing so use glucose
tablets to correct lows and stabilize with other food if necessary. Your
have better control because each tablet contains 4 carbs and you will know
how much one will typically raise your surgar levels after using them for
awhile. The only solution to your unwanted highs is control, control and
more control and self-discipline. Please don’t take my comments the wrong
way or get upset with me. I just don’t want you or any other diabetic to
develop health issues like me. Believe me it is no fun.

Take care,

Bob

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Thank you so much for your advice Bob