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Diabetes - Type 2 Community
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Avatar universal

Diabetes 2

Does anyone know if there is a dosage chart for how much humalog to take according to your sugar level.  My sugar is through the roof and I take 20g at mealtimes and 50g at bedtime.
Mary
13 Responses
1096512 tn?1384893378
Please refer to INSULIN THERAPY in wikipedia under category of Dosage and Timing,which talks about SLIDING SCALE INSULIN PROTOCOL,which clearly quotes the dosage of insulin taken for corresponding levels of sugar measured before meals. It is followed the same every where in the world on a home treatment basis.
It is not possible to clearly chartise that table.Also talk to your Doc about care that has to been taken if you are taking insulin at home.Mention and clear all of your doubts in next messages.
Keep us updated.
Avatar universal
Hi Mary

If you want help you are going to have to do a lot better than "through the roof"  and "20g" and "50g" of what?  Do you mean 20 IU of insulin?

there is NO set dosage because EVERYBODY is different  what I take for dosage can KILL other people.


How many carbohydrates do you eat (grams, gr) at a meal?

We do know insulin lowers (blood sugar) BG...  BUT to start, carbohydrates RAISE  BG, eat less carbs have less BG rise, need less insulin.
.  
1096512 tn?1384893378
The dosage of Insulin is not measured in micrograms or milligrams but denominated in IU (International Units). The dosage limitations for a given value of Sugar levels are always standard according to Sliding Scale Protocol as mentioned above. The only confusion is when the sugar levels reach borderline values (depending on intake),should be taken care.But if you follow a controlled diet plan and label each days intake, it would be easy to measure and determine the dosage exactly within very low value uo and downs.
So the levels of sugar is always dependent on the type of diet you follow to keep your sugar under control.I will send you a message giving you specific details about diet restriction and control blood sugar.
1096512 tn?1384893378
Also refer to following web pages-
http://www.diabetes.org.uk/upload/9831%20Eating%20Well%20Type%202.pdf
http://www.mydrs.com/data/files/Type2DiabetesMealPlanner.pdf
http://www.bakeridi.edu.au/Assets/Files/Healthy%20eating%20and%20type%202%20diabetes.pdf

Download these pdf files and refer to them to plan your diet.If these things seem to be much complicated,Please write us back and we can come up with much simplified way.Reply!
Avatar universal
What diabetes86 said is spot on. That's precisely how it is, and it takes only 15 minutes to find out for oneself what produces blood glucose.

On the other hand, I've quickly checked the last link vedadhar posted, and it's stunning how diconnected from reality it is. The Australian PDF recommends that carbohydrates make up cca 90% of one's diet... despite the proven fact that that's exactly what raises BG. Then they say to avoid saturated fat at all costs, although not only it doesn't raise BG a tiny bit, it prevents the body from converting body fat back into glucose. I wonder who writes these things...

To see it with your own eyes, get a BG meter, follow the veggie and cereals diet for 3 days and check your BG levels often. Then switch to strict low carb diet and see the new numbers. Little excercise just to spend some glucose wouldn't hurt.
1096512 tn?1384893378
Thanks for the comment.If you were talking about Facts that presented under Fats section of that pdf, though it may seem disconnected from reality,it talks about a balanced diet control schedule to maintain good health.However individualized plan must be made with help of corresponding Dietician or Attending Physician which is mandatory.My intention was just to give an idea how to plan a controlled diet but not follow exactly that schedule.Facts are Facts!They come up with such plans depending upon controlled studies as management of DM is advancing.From a set up like mine where carbohydrates are main staple food,still wonder how efficiently people manage BG without loosing the tang of cuisine.It happens when we correlate all available information.
Good control of BG is achieved only when it is individualized, considering all other related conditions like BP,LDL/HDL levels,Liver function,food intolerance,or time limitations,history.Most of the Doctors recommend variety of foods and tastes that helps you control BG in different ways,which is carefully planned with in a week depending on personal interests.Comments written in these forums are just an aid but not conclusions.
Avatar universal
I didn't read the whole article. First few pages were so unreal, I couldn't read the rest.

Well, if an individual's staple food are carbs, and he's a diabetic of any type, then there's no other way to lower the blood glucose except with drugs. That's the law of the nature. It's gonna be like that untill someone extraordinary finds a way to completely fix type 2. Type 1 will never be fixed, but one day we may understand why it happens and will be preventable.

For now it's either drastically lowering the consumption of carbs, or the drugs. There's no inbetween.
Avatar universal
WOW  I started to read the first link,  They start off good saying that carbohydrates get converted to BG.  THEN they go on to say a diabetic should get 1/2 of you eat...  Thats like giving a drowning man a glass of water..  we know water is important for life BUT if your drowning....

they want us to steam or roast our food low fat.  just eat a potato as they suggest and measure your BG after every 15 minutes you will see some truly disturbing numbers.

Ummmm   If your BG is between 70 and 140 your brain is getting ALL the glucose it needs  you dont have to eat more carbs for brain food (as it says on page 4).  In fact your body makes BG from protien as well, you can live a VERY healthy life without eating any starchy food.

check wikipedia and Harvard Medical School for "Essential Nutrients"  those are the nutrients we NEED to eat because we cant make them.  You will see that carbohydrates are not listed as an Essential Nutrient  We DONT NEED to eat them to live.

Avatar universal
Giving drowning man a glass of water... You nailed it perfectly yet again.

And yes, body can make glucose even if you don't eat carbs at all - it's called neoglucogenesis. It creates the exact amount it needs, no more no less, keeping the BG levels rock-solid at around 5,5 without secreting any insulin.

You've studied the matter well, diabetes86. That's awesome.
1096512 tn?1384893378
No offense to any one.But this topic is going off track.I was me who lead it off track.But however, thanks for your valuable comments, to NT77 and Diabetes86.Just thought of give some more information to Mary about diet control and the topic lead here.

Appreciate the guts of na**ing down some one,posing counter questions is a good attempt but I stick to my theory as I got my facts right.I have read and understood every aspect of above mentioned links and also some additional information and facts from medical books.

Setups like far east where DM is becoming a greater problem, may be due to enhanced sensitivity to a Western lifestyle in certain ethnic groups.I still have known people managing in a very effective way even as they depend on Very low calorie diet (carbs may be entirely absent, or substituted for a portion of the protein; this choice has important metabolic effects) keeping good GI,BMI by resistance training through traditional life style(key for controlling DM),rather than depending only on insulin which may lead to insulin resistance (common complication of DM). It is still an emerging disease in the far east when compared to the west.I  WAS JUST TRYING TO POINT OUT ONLY THAT PART OF THOSE ARTICLES WHICH TALK ABOUT A DIETARY RESTRICTIVE PLANS FOR DM.No theory suggests to cut off carbohydrates to nil as it may lead to Hypoglycemia,Diabeticketoacidosis,(occurs through gluconeogenesis) ,failure of management and leading to emergencies(most common emergencies) limiting it to 30 grams per day, choice being only complex carbohydrates.Please look deeper because facts of medicine has proved that Antidote for poison is Poison it self,and also Prevention is better than cure,rather than spending millions of money for paying bills.(No offense to anyone).

But however,I wish someone should talk to their dietician or attending Physician to individualize control of blood sugar (Disclaiming again).

P.S.Refer to articles from wikipedia on Diabetic diet,Insulin therapy,DKA,DM type1 and 2,Very low calorie diet,protocols by American Diabetic Asscociation,management of DM in CMDT,Harrisons Medicine,History of DM,recent advances in DM management article by  Beijing University and lot more.
Avatar universal
By nailing I meant he got it 100% correctly. It's got nothing to do with you. Sorry if you misunderstood.

Hypoglycemia can only be induced by drugs. If you don't use any drugs, you can't become hypoglycemic. If someone knows of a case, plz correct me.

Hmm, I personally know a girl with type 1 whos had ketoacidosis few times already, and her main food are vegetables and potatoes. Recently she developed glaucoma amongst other things.

If you cut off carbs, the body will gradually transition into a ketogenic state, needing no more insulin for it's functioning. This is not ketoacidosis. The diet is called ketogenic diet, look it up.
Avatar universal
Diabeticketoacidosis  is caused by very high BG  NOT from low carb.

it is imposable to eat no carbs lettuce and broccoli have carbs not a lot but some.  

The point is we dont need to seek out carbs to eat.   I eat under 50 gr of carbs a day and have for 13 years.  As soon as I got a BG meter and saw what carbs did to my BG I started reducing them to what I eat now.  PS I am also on insulin,  insulin does not give you free rein to eat carbs and shoot up for them,  BG does not work like that for me.  cant say for T1s that is a different disease.
1096512 tn?1384893378
Thanks for the correction.
I know that Diabetic ketoacidosis arises because of a lack of insulin in the body. The lack of insulin and corresponding elevation of glucagon leads to increased release of glucose by the liver (a process that is normally suppressed by insulin) from glycogen via glycogenolysis and also through gluconeogenesis. High glucose levels spill over into the urine, taking water and solutes (such as sodium and potassium) along with it in a process known as osmotic diuresis.This leads to polyuria, dehydration, and compensatory thirst and polydipsia.

Any way nice points.Let us close this discussion here so as the questioner will not get confused and scared with all of the terminology mentioned here.If possible we can have a private discussion on my question on the same topic.I will post it soon.
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