Uncontrollable Type 2

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Smurf580

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Relationship to Diabetes
Type 2
I was diagnosed with type 2 diabetes 2 years ago after being in denial for a few years before that.
I was initially given Metformin to control it, but it was quickly learned that this wasn't enough and I was given Glicazide and Dapagliflozin to go with the Metformin.
After a diabetic review and my sugars still in the high teens/low twenties, it was decided that I should start injecting Humulin twice a day and they took the Glicazide off me.
Then, after me having a heart attack I was told that I need to go on Novo Rapid three times a day and Semglee at night. I started with 9ml of Novo Rapid I'm now up to 25ml - With Semglee, I started on 40ml and I'm now on 65ml. My diabetes is still in the high teens/low twenties. My doctors are almost impossible to get hold of and I'm running out of ideas.
Anyone here know what I should be doing?
 
Hi and welcome.

Sorry to hear that you are still struggling to manage your diabetes well and that your body is not responding to increased doses of insulin. It sounds like you are quite insulin resistant. Do you have much/any weight to lose? Are you still taking Metformin which is supposed to help with insulin resistance?

Have you modified your diet at all since diagnosis? Reducing your carbohydrate intake can be the biggest single factor in reducing BG levels and in fact in doing so, you would likely need to reduce your insulin doses to prevet your levels dropping too low.

What sort of things do you typically eat for breakfast, lunch and evening meal?

Have you spoken to your health care professionals about the lack of response to the insulin. There is often a nurse at the practice who has more knowledge of managing diabetes than a GP and they are often more easily accessible for support than trying to get a doctor's appointment.
 
Just to note. Insulin is not described in ml, and it could be dangerous to do so if a professional misunderstood. Insulin is described in units, eg 25u not 25ml.
 
rebrascora said:
Hi and welcome.

Sorry to hear that you are still struggling to manage your diabetes well and that your body is not responding to increased doses of insulin. It sounds like you are quite insulin resistant. Do you have much/any weight to lose? Are you still taking Metformin which is supposed to help with insulin resistance?

Have you modified your diet at all since diagnosis? Reducing your carbohydrate intake can be the biggest single factor in reducing BG levels and in fact in doing so, you would likely need to reduce your insulin doses to prevet your levels dropping too low.

What sort of things do you typically eat for breakfast, lunch and evening meal?

Have you spoken to your health care professionals about the lack of response to the insulin. There is often a nurse at the practice who has more knowledge of managing diabetes than a GP and they are often more easily accessible for support than trying to get a doctor's appointment.
Click to expand...
Hello, thanks for replying.
I could do with losing 20lbs, I’m still taking metformin and dapaglaflozin.
I don’t eat white bread or potato’s any longer and I’ve cut down on cake (I love the cake).
For breakfast I usually have weetabix or brown toast.
Lunch is salad or a sandwich.
And for evening meal I usually have fish with salad or some rice.
I’m in touch, periodically, with my diabetic nurse. She has, in the past told me to increase my insulin every three days until it balances out, but it never does.
I’m at a loss as to what else I can do.
 
Any cereal or bread for breakfast will probably be causing a substantial rise. Mornings are always the worst as that when insulin resistance is at its highest. I tend to have a cup of tea with cream and maybe an hour later some kind of eggs, bacon mushrooms cheese concoction. I buy keto rolls (expensive though) soft cheese spinach and smoked salmon and have that for lunch with some salt and vinegar nuts (feels like your eating crisps lol) and for tea any meat and salad, boiled egg and cheese coleslaw. Just some ideas and I have plenty more where that came from 😉
 
Just a warning not to drastically change your carb intake if you’re on insulin @Smurf580 It could potentially lead to hypos.

Have you been given mealtime ratios for your Novorapid? Eg 1 unit covers 8g carbs or whatever?
 
Inka said:
Just a warning not to drastically change your carb intake if you’re on insulin @Smurf580 It could potentially lead to hypos.

Have you been given mealtime ratios for your Novorapid? Eg 1 unit covers 8g carbs or whatever?
Click to expand...
Yes, please follow this advice. I apologise.. I missed the part where you said you were taking insulin which changes things slightly
 
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