Hi everyone. I’ve been off line for a while dealing with family issues, work, fighting with Uncle Arthur (RA flares) and contemplating on how I am going to deal with Cousin Beetus (Diabetes).
I have a follow-up doctor’s appointment with my second opinion endocrinologist to discuss the next step in treatment. I am riding a rollercoaster of swings due to my RA medications (prednisone/Remicade), subclinical hyperthyroidism, my hormonal cycle, and stress (work/life balance).
Diet and exercise is no longer controlling the beast. I used to just have elevations after eating but now swing high/low throughout the day. I really want my BGs to be under tight control and I am doing the low carb dieting and being as active as possible.
At my initial visit the endo stated that insulin should be implemented and/or possiblyVictoza. My A1C is 6.5.(~140), my meter is averaging 150, even though the non-fasting BG for the labs show 86 (which I think is an error) based on researching some articles stating how long it took the blood to be processed after the draw.
My questions are as follows -
I don’t mind taking insulin–I had to take multiple injections for years for my RA before I started monthly infusions.
However, I do have a huge fear of hypos–especially since now I am unable to discern highs from lows like I could in the past—when I check now and I think I’m low, I’m high and vice versa.
I am also concerned about the fact that my schedule is very hectic and not set in stone depending on how busy and how many meetings (scheduled or unscheduled) may pop up on my calendar;
My monthly RA infusions drastically affect (spike) my BGs for at least 1-2 weeks–because I am receiving prednisone infusions (125 mg/monthly) + Remicade + I continue to take my prednisone pills (15 mgs/daily).
Currently living alone while Mom is in rehab. If I have a serious hypo emergency (i.e., unconsciousness), I’m in deep trouble.
To those who are on insulin or use Victoza or both what are your thoughts about the items I have listed above.
Will the endo give me a sliding scale for the insulin to work with so I don’t have hypos? Mom would adjust her insulin even though her endo would tell her to eat to the set amount of insulin he prescribed. I have seen directly how damaging hypos can be (my mom’s coma, a cousin’s death). Mom never had a problem with critical hypos (below 40s) until she was in rehab and the doctor had the insulin set too high and the staff didn’t provide her with her night snack or check her sugar until she was already in the coma. That’s my only apprehension, other than that I’ve been around insulin all my life.
What would be the best insulin delivery? My family members were all “old” school syringe and vial. My mom was offered pens and a pump by her favorite endo (who retired–not the strict one she has now) but she refused–using Lantus and Novolog vials instead. I think her youngest brother did use pens.
Would the endo just tell me what to use or give me options and/or choice in the matter of pens, syringe/vial, or pump–I would want whatever delivery system that would give me the most control to live normally–my job calls for business breakfasts, lunches/luncheons, dinners, conferences, etc.
All help is greatly appreciated.