Hi All. Just joined Tudiabetes a few days ago.
Brief history: I was diagnosed with T2 15 years ago. I've taken Metformin much of the time since (Doc would let me discontinue it when I was maintaining 5s and 6s). Most of that time I was able to keep my A1C at 5, 6, or 7. When I would stray higher my Doctor would suggest adding one of the additional oral medications. I'd read all the potential side effects and elect not to take them. I'd buckle down and get them back in range.
For the last three years that has become increasingly more difficult to do. At my Doctors appt last week, we spoke about my BG Levels, and she once again wanted to add another oral medication. I told her my concerns and asked if she thought Insulin would be a better choice. If I wasn't scared to do it, she agreed.
So we have started with Levemir. 10 units before bed. That didn't do anything but swap my high and lows. My out of bed numbers were always the highest and before meal numbers throughout the day would always be lower. The first week on Levemir, my morning numbers were lower, and it would go up during the day. I read a lot of Discussion on this site about Levemir and the general opinion was that it didn't last 24 hours and 2x a day was better. Started that yesterday so we'll see where that lands. On Friday she also had me increase to 15 units a day.
There are 2 Diabetic Specialist in the area, and was told that the waiting list to get a first appointment was about 6 months, so I'm sorta on my own with learning in-depth about this new phase of my treatment. Which I'm fine with, I'm feeling empowered right now.
Can anyone suggest a good book about maintaining your BG with insulin?
I've seen the term "sliding scale" in many discussions? What does that mean and what is the alternative? Seems other members don't like it. IDK does it even apply to me, just being on Basil Insulin. (Thank you - Although I knew there was short, med, and long acting, I didn't know what was meant when members referred to Basil vs Bolus. I do know).
Is it common to be just on a long acting? Doc and I didn't discuss future plans, she is probably just waiting to see where the long acting gets me. Just guessing, I didn't really know what questions to ask at that appt.
Neuropathy: Doc looks at me like I'm crazy when I tell her this. But I can use it as a measure of how well I'm controlling my BG. When I'm out of control for a while the numbness spreads to all my toes, and when I stay in control a while all feeling returns to normal with the exception of a small area on the medial side of each big toe. Does anyone else experience this?
I'm sure I'll have more question as I learn more.
Thanks for listening,