Increased BS readings..

iVillage Member
Registered: 09-15-2003
Increased BS readings..
5
Wed, 10-27-2004 - 12:52pm

Ok, recently my numbers have skyrocketed.  They're still technically within the acceptable range, for the most part, but they are no where near where they used to be - they're probably, on average, 25-40 points higher most of the time.


Now, I just got married on the 10th.   From the 10-15 I was very low on one of my medicines, so I made it stretch by "forgetting" one every few days.  On the 15th, I got a refill and went back to normal.  The days preceding and immediately following the wedding I was very very bad.  Forgetting medicine, eating poorly, not testing when I was supposed to.  We were out of town, coordinating families and it was insane.


However, upon coming home, I finally started walking.  And excepting the weekend, have walked for an hour every day (at least 2 miles, maybe more).  Still, my numbers are high.   This morning I was 119 where I'm usually in the low nineties.


I don't want to go back to the doctor.  I know he'll try to put me on insulin.  He's psycho, I swear he is.  And I want to find a new doc, and go to an endocrinologist, but money is still insanely tight post-wedding.  Could I just still be adjusting to  getting back to my normal routine?  Could stress have messed me up that much?  Not even the walking seems to be bringing it down at all.  Any ideas?

Please tune in later for a new signature. :)
~Christie

iVillage Member
Registered: 03-25-2003
Wed, 10-27-2004 - 2:10pm


Christie,

When I have taken some time "off" (several days and with doctor's approval) I have found that it takes me awhile to get back to where I was before. And I'm somewhere between pre-diabetic and diabetic (it depends on which definition you use). I am diet and exercise controlled - so I have not had an experience with stopping medication, but I suspect that the medication may take a bit more time to kick back in again too.

In my humble opinion (as my kids say - I'm a doc, but not one that heals - I have a Ph.D. in statistics) I'd keep a close eye on your sugars - as long as they are in the acceptable range, just try to be really good about your diet and medication and you will probably be back on track within a couple of weeks. If your sugars go out of range regularly (or go out drastically more than once), I'd see your doctor.

Congrats on your wedding!

Ann

Avatar for cl_maryfrances40
iVillage Member
Registered: 03-25-2003
Sat, 10-30-2004 - 1:59am

Christie,


Yes the stress of all that you have happily been through could change your blood sugar readings. But I want to say in my humble opinion that there is no reason to put you on insulin when your blood sugar is 119. Yes, the goal is for your fasting sugar to be 110 or less but you are actually really close to that. Just watch closely what you are eating and when you are eating it. Also is blood sugar at bedtime lower than your blood sugar when you get up in the morning? If this is the case you are experiencing insulin resistance. The easiest treatment for that is exercise. Also how long has it been since your medication doseages were adjusted? And what medications are you on.


Don't fear being put on insulin. Really it took me 15 years before I needed insulin to help me control my diabetes.


Have a great weekend.

Mary Frances


cl-maryfrances40

Co-CL Diabetes Board


iVillage Member
Registered: 09-15-2003
Sat, 10-30-2004 - 12:43pm

Its not so much a fear of insulin as it just that, like you, I see no good reason to be put on it.

Please tune in later for a new signature. :)
~Christie

Avatar for cl_maryfrances40
iVillage Member
Registered: 03-25-2003
Sat, 10-30-2004 - 1:31pm

Christie,


The amaryl manages your post eating blood sugars so try checking your blood sugar 2 hours after eating. The goal is that it be no more than 40 points higher than before you ate and hopefully under 140 as would be normal for a non-diabetic.


You are showing typical reading for insulin resistance. Your liver is getting busy around 4am and making lots of glucose and your pancreas is trying to produce enough insulin to bring your blood sugar down to normal. Exercise is one way of breaking down the insulin resistance and so is increasing your Avandamet.


But I saw something else in your reply and that was that your bedtime blood sugars are too low. In the diabetic they need to be between 110 and 140. You are at risk of going hypoglycemic while you sleep and that may be the real cause of your blood sugar being too high in the morning. You are rebounding from the middle of the night low of probably 70 or 80. I suggest that you rearrange your food intake so that you have a bedtime snack of 15 grams of carbs or 1 Carb exchange and 1 protein exchange. This can be for example 1/2 banana and 1 tbsp peanut butter or a carton of low fat yogurt.


I don't think threatening patients is a way to gain their trust. Education and patience works much better in my opinion.


iVillage Member
Registered: 09-15-2003
Sat, 10-30-2004 - 5:02pm

Thank you so much!!


I'll give the snack a shot tonight and see how it goes in the morning.

Please tune in later for a new signature. :)
~Christie