Ok, I guess I am hogging up the questions here as of late.
Here’s the background, my mom has been T2 for many years (maybe 15-20 years?)
I spent a lot of time with mom this AM, who is transitioning from taking 30 u of 70/30, twice a day, to taking 30 u of Lantus in the AM and 8-10 u of novolog with each meal.
She’s been on this new insulin program for about a month, and is not seeing any better results, and I had encouraged her to ask for a change in her treatment, because her blood sugars are running out of range, and I’m feeling bad because its more injections for her, but she is not seeing better results.
Her a1c is 7.6.
Her fastings are running about 140-150. Her post meals are typically 140 or so, with spikes up to 190-200 for larger meals (because she is not taking enough insulin to cover, my guess)
She is being very good about writing down the amount of carbs she is eating.
She is spotty about post-meals blood sugar checks and I have encouraged her to try doing more checks. Her doc tells her she only has to check twice a day, and she’s got stockpiles of strips, so I told her there would be no harm in her checking her BG more regularly, and she’d get a better idea of what her BG is doing throughout the day.
She doesn’t get in to see her CDE for another 3 weeks, and is not feeling well from her BG running higher.
For instance, before we went out to lunch today, her BG was 202.
I actually had her take a couple of units extra novolog before lunch to correct the BG and cover her food. They have not taught her to do that like they did me when I was using a pump during PG. They have not given her a carb to insulin ratio or taught her about correcting for out of range, so I’m worried maybe I shouldn’t have done this, but there is no doubt that her sugars are consistently high.
So long background. But my questions:
- Do Type 2s use insulin/carb ratios and corrections? If you do, how do you manage it?
- Would taking her lantus at NIGHT rather than in the AM, help with her high fastings? If you take Lantus, when do you take it? Would it be harmful for her to experiment with taking it at night? Her CDE had mentioned that to transition to taking it at night, she should transition by on day 1, still taking it in the am. on day 2, taking 15 u of lantus in the AM, and 15 u of lantus at night. Then on day 3, taking 30 u of lantus at night. Does that sound right?
Thanks in advance!