I was diagnosed Type 2 20 years ago. I was not terribly overweight and very active. I couldn’t be diet controlled so was put on 1000 mg of metformin, watched what I ate and continued to exercise. This worked for years but the dose of metformin made it to 2000 mg. Then glimeperide was added. 1mg and moderate diet and exercise worked for a few years. Then I got cancer. BG wasn’t good during 2 surgeries and radiation and a couple years after. Lantus crept up from 10 units to it’s current 16.
During this time endo determined I’m not insulin resistant but don’t make enough insulin. My anti-bodies are normal so I’m not Type 1 or Lada but my pancreas is failing and will continue to do so until I’m fully insulin dependent. I’m still technically a type 2.
Anyway, over the last few months I have been feeling more and more tired. My BG has crept up to 200-300 after even a low carb meal. My fasting went from 125-150 to 135 to 175. If I eat a piece of cheese, an egg or other protein for breakfast I can end up at 300. My lunch of lettuce, lunchmeat and basalmic vinegar and a medium apple will send me over 200. Dinner is generally better, low carb will only get me to 175, higher carb will range from 175 to 300.
I have been increasing my dose of lantus, I doubled glimeperide from 1 mg at breakfast and dinner to 2mg. This has made me feel better but I still battle the after meal spikes.
Is it time for short acting insulin? How do I convince my doctors. I generally don’t see the endo anymore but he is available. My regular doctor and he keep saying my A1C isn’t over 7 so I don’t need anything else although they didn’t argue when I just asked to have my glimeperide doubled.
I generally take my lantus right before bed, if I took more and earlier would that get my fasting level down some? When I start the morning high I don’t feel well the rest of the day. I also don’t like to drive if I’m rising toward 300, I get so tired I’m not very attentive. I have had to call in to work and tell them I will be late. I’m lucky I have a job that is pretty flexible.