Prescribed Toujeo, Ozempic (2mg/week), Metformin, etc. My dosage of Toujeo (54u+/-2) and when I take it influences my daily readings, but too often, my BG is high and I am hungry and eat, resulting in very high BG for hours. It seems I should have the option of a short term insulin to bring it down. My nephew is Type 1, on a pump, and he was shocked to see my highs, saying I should have short term as an option. Thank you for sharing your experiences, I am glad I found this users’ group. Please excuse my topic if redundant. Thanks.
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How high does your BG go? It does sound like you should be prescribed short-acting insulin if your BG goes way too high with all the meds you’re already taking.
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As a fellow T2DM currently on a pump I’ve been in your shoes. My first advice is to try and get 30 straight minutes of daily exercise. Having high BG and hunger are signs of extreme cellular insulin resistance. True rapid acting insulin will help by overcoming some of that resistance, but will lead to weight gain.
Insulin resistance is the dominant reason we have high BG unlike our T1DM sisters and brothers.
Now if you don’t have good management with carb restriction and exercise, then it may be time for MDI or a pump. Proper diet and regular exercise are always necessary for us.
The plus is not only does BG become more normal and stable, appetite and fatigue will lessen.
T2DM tends to progress The Beta cells just wear themselves out battling insulin resistance and die.
My 35 year history is 10 years perfect BG, then Metformin, next Lantus added and MDI. I wa sure Medicare wouldn’t approve a pump for me but I’ve been using one nearly 5 years. Oh I still carb restrict and bicycle daily.
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350 is not unusual per Dexcom G7. I don’t just eat without care, and my wife is an outstanding cook, focusing now on protein and a veggie for me. But above 180 at dinner time is going to create some increase. What scares me are the lows where I feel faint and am disoriented, usually early am, so I will lean towards higher range tp prvent the lows. Dexcom monitoring has been extremely helpful for morning readings before they go too low.
Great info on insulin resistance, thank you.
That’s definitely way too high. If you’re still going low during the night with post-dinner BGs of 350 mg/dl, I wonder if your Toujeo is doing the work a short-acting insulin should do. Perhaps you’d be better off with a lower dose of Toujeo and some short-acting insulin to cover meals. You should contact your doctor to discuss what treatment would be right for you to prevent these extremes.
Type 1 does run in families, just in case you are one you might get tested for being a type 1. 35% of us are still misdiagnosed before we are finally diagnosed right. When you become a type 1 as an adult it is slow progressing and meds, lifestyle changes etc will work at first because you still make some insulin for a while. I’m not saying you are, I have no idea, just that you might ask to be tested.
And yes if you have highs and lows, your basal dose if off. You don’t want to drop too low, so that means the basal needs to be adjusted lower. That means you will go even higher though. A quick acting insulin is what you should be using to bring highs with meals down. Exercise can really help, so try that first, but it will cause you to possibly drop more and have more lows. Not good and not a good pattern to develope. Keep OJ by the bed and keep a quick fix with you at all times that you carry on you. But some adjustments need to be made. With the lows you are having I would recommend a call to your doctor about basal adjustments, fast acting insulin, and testing.
Thank you for your experience, I do have a Dr’s appointment coming up.