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alisonz

Well-Known Member
Relationship to Diabetes
Type 2
Can anyone give me some information please? My mum is a T2 on insulin and to be honest I'm not sure on how this works. She has very little to no control at all. Yesterday I noticed she just injected her insulin without checking her bg, she had nothing to eat either before or after her jab. Is this right or normal? When I speak to her and ask how she's doing she says her doctor tells her they need to "sort out" her diabetes. The other thing she was doing that horrified me, she had a bottle of Lucozade with her and just kept drinking it, now I don't know how right or wrong this is but I always thought that Lucozade was for hypo's. I'm completely confused about all this so any info would be appreciated.
 
What insulin is she taking Alison? If it's just a long-acting insulin like lantus or levemir then it wouldn't be necessary to eat afterwards as it's supposed to deal just with the glucose trickled out by the liver. If it's fast acting though, like novorapid, then she should be eating after injecting (and testing beforehand). It sounds as though perhaps she doesn't understand about how insulin helps control blood sugar levels. Also, lucozade is a very fast-acting glucose drink that people use to treat hypos, so it must be spiking up your Mum's levels constantly :(

Can you get her to start testing and keep a food diary so that you can look for areas where improvements can be made (and also get an idea of how bad the situation is)?
 
Mum is impossible to talk to. She believes she can eat and drink what she likes. The last time I was round there I asked for a cold drink, my brother (who supposedly "looks after" mum) made it and I'm sure he just put neat squash in a glass, I couldn't drink it. If I speak to my brother then he gets all defensive and says mum is allowed what ever she wants, so it's a losing battle on both fronts. What is really worrying me now is that yesterday she told my dad she can't feel anything from her feet to her knees, but she was managing to walk with a frame. I am now convinced that she will lose her legs, but you just can't get this through to her.
 
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Oh yes and as to the type of insulin she is on Alan I really don't know. I'll have to give her a call later and find out lol
 
Alison can you call her gp direct, explain your concerned about your mum etc. I had to do this for granny until she went into a home. She would eat and drink what she liked etc and got her carers to buy stuff she shouldn't really have x
 
It's such a shame when people just won't listen to things that would make life so much easier for them :( She probably doesn't realise how much better she would feel generally if she just took better control of things. Sounds like your brother is not much help, and it is very worrying about her lack of feeling in her legs :( Keep trying!
 
If it was long-acting insulin as opposed to fast-acting, no you wouldn't necessarily test beforehand. And you definitely wouldn't have to eat or drink anything as mega sugary as Lucozade, yes lots of us use it for hypos. 10 ml of it is 17g or carbs, which would increase my BG by almost 6.0. So a whole bottle of it would kill me, without insulin. I would have to inject 6 units of fast-acting insulin to 'get rid' of 10ml of Lucozade, if I just drank it willy nilly and not just when hypo.

For a T1, slow insulin is injected once or twice a day, and takes care of our background needs - ie to keep our hearts beating, our lungs breathing, our instestines working, our brain funstioning - all the things nobody ever thinks about needing insulin. Then if we eat something with carbs in it, we have to take fast insulin to 'cover' that.

There is also a 'mixed' insulin which some people (more T2s than T1s) which as the name suggests has a mixture of fast, slow and even intermediate!

With regard to insulin, many T2s have some or a lot of Insulin Resistance, which you probably know about? - that means any insulin wherever you get it from whether it's your own body or out of a jab of it, takes longer to work in your body to lower the BG. Many T2s therefore have to take a lot more insulin than your average T1 to have the same effect. eg my total daily dose of both sorts was around 30 units whereas a T2 with IR might have to take a LOT more to do the same job - often well over 100 units a day.

Although the slow and the fast have different jobs to do - the fact is that all insulin wherever it comes from will act on whatever glucose is in your blood at the time wherever it came from and injected insulin cannot differentiate and 'save itself' to just do its own job. It just carries on acting for as long as it happens to work. It can't detect if you are hypo or high, it can't act quicker or slower. If your BG drops to 1.8 it can't turn itself off, if your BG is 20 it can't work a bit quicker.

Whereas I generally have lowish BG (in the 6's ish) and no IR so a very small amount of insulin will send me hypo very quickly - 1 unit reduces my BG by 3.0 within a few minutes - if your mum has high IR and needs a lot more insulin to have any effect she most likely wouldn't notice any difference to her BG whatsoever from 1 unit.

I personally would NEVER take a jab of any sort of insulin without testing first unless there were very extenuating circumstances for it.

I think you ought to ask her why she's drinking the Lucozade, does she just not realise how much sugar (or carbs, does she understand about carbs raising BG?) is in the stuff?

It could be you know that she feels hypo after injecting and that's why she drinks it. because if your BG is used to being too high, when you do reduce it by any means, then you do feel hypo - so say it was 10 and had been that high for quite a while, if you reduced it to 9 then you could feel hypo. But you know that isn't really hypo, it's called a 'false hypo' but feels exatly like a real one! but it won't actually kill you - and so to do it gently you could stay at 9ish for a bit and let your body get used to that before reducing it to 8ish and then 7ish etc etc over a period of time.

Sounds to me as if mum hasn't been educated properly about diabetes or insulin. Which is really really pants.
 
Dizzy am I allowed to contact her gp? Would he even speak to me about this? I have to say that if mum ever found out I had spoken to him she would never forgive me.
Trophy mum has T2 diabetes and has had this for around 5 years now. She has never been on a course and has been in and out of hospital over it many times. The hospital are very good with her get her sorted then send her home where she goes straight back to her old ways. She eats sweets, cakes and all sorts. Now I'm not the perfect diabetic myself but even so I "stray" in moderation, but mothers way of life is if I want it then I'll have it. She drinks Lucozade like squash and you can't tell her anything. Sooooooo frustrating 😡
 
others answered whilst I was writing my book.

You need to tell your Mum and your Bro yes she can eat what the hell she likes, as long as she wants to die a slow, miserable death! - but you'd prefer her not to because you love her.

And walk away.

(I don't mean forever and don't mean say it angrily. Just make a VERY firm statement and then leave her/him to think about it)

My sis, who I rarely argue with after 60 years (waste of time, she won't argue, most unfulfilling from my POV LOL) dropped such a 'casual' comment to me when we were staying with them a few years ago as she picked the plates up one evening and walked from the dining table - 'It strikes me, Jen, that you just aren't ..... ' (doing what I should be doing at the time) We both ignored that overnight and carried on just as if the comment hadn't been made. She was of course 100% correct, and I said so next day and said I'd have to try a bit harder to do this thing. Which I did and succeeded. That was also a health issue. Just not diabetes.
 
I know what you mean Trophy about the not arguing my ex used to be the same lol
As for telling mother she will kill herself both myself and 2 sisters have said it, she takes no notice.
I'm going to call both sisters and express my concerns as we all worry about her. I have to be honest here, i don't have a very good relationship with my mum, too many lies told and discovered, but even so I can see what she is doing to herself.
 
Hi Alison,
what you can do is write a letter to her GP and state on the top in confidence. This way the info will not be passed on to your mother.
It sounds to me as she just does not understand neither does your brother. Perhaps suggest this to the GP and also ask if it was possible for a diet sheet to be written up for your MUm so she can follow this. Some people do better having a set diet
Perhaps also suggest to her GP an education course for both your Mum and brother as her carer.
Hope things work out ok for your Mum.
 
I'm so glad I have you peeps there for me you are a god send xx
Ok just spoken to mother and told her off over the lucozade business, i told her if she carries on as she is she is going to lose her legs! Can't get much blunter really. I also asked her about what insulin she is on, said she has Humilin (sp?) at night and Luxura? in the day. She also said she has had no breakfast this morning as she feels sick. Asked about her testing and got "I only test through the night as I go very high then" So again I said thats the Lucozade lol I will get through to her if it kills me (and it probably will!!)
Thanks all for the help and support xx
 
Alison,
does your Mum read books? If so how about the diabetes for dummies book?
If it's anything like the computer ones then it will help no end to just delv into it.
 
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Thats a good idea Sue I might get her one as a "joke" present for christmas lol She might take notice but I doubt it. thanks for the idea though xx
 
Sue you are amazing I've just looked at that book and not only will I get one for mother I'm going to get myself one too, might give me a few tips lol
 
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