I need help or advice, thanks

Hello, I would like to expose my question or problem, and that I have the fatal sugar. Well I explain to you. I can use Novomix 50 Flex Pen 50mg in the morning before breakfast, 25 mg at lunch and 25mg at dinner.Blood sugar levels when I get up in the morning are an average of 200 in my entry card in 9 days I have had from 159 to 220 the day that more, then 2 hours after the Sesa Yuno I have an average of 250 from 140 to 308 theday that more of these 9 days that I am talking about. Lunch before him I have an average of about 200 from 110 the day that less to 281. at dinner from 190 to 287 the night that most and 2 hours later from 202 to349 The night that most and I say since these last 9 days.Slow. The food that I carry I think I carry it well, the minimum of fats, vegetables, grilled fish, grilled meat, I usually have breakfast a comprehensive roasted bully with butter and a coffee with 5 saccharins, in the afternoon I also drinkA coffee and I usually accompany it with removal.joints, etc.

I hope someone can help me or advise something, since I don't know why I have sugar like this with these changes. I would also know if sleep cycles influence since I don't have a continuous rest in most of the time, and notI know, everything you want to contribute well received is, I thank you, a greeting.

PS: Any data that you need on my habits, diets, medications that I take apart or others will tell you, thank you very much.

First advice: changes doctor, but right now.

What happens to you is quite clear, and it is painful that your doctor does not see it: you lack insulin.Because of the data you put, you have a tendency to be high at all hours, so the insulin you get is clearly insufficient.
You do not tell us if you exercise regularly or not, which is another fact to take into account.

Second, the insulins you are using are from the Paleolithic.They are obsolete and are frankly difficult to handle.Today you tend to use a basal, Lantus or Levemir type, which meet the fasting needs, combined with an ultra -grape (Humalog, Novorapid or Apidra) that are the ones that cover the intakes.

I do not know if who takes you is a header or endocrine.I bet a cocacola zero to which it is headed.Ask for an urgent appointment with an endocrine and put the proper treatment.Do not leave it, because those figures you have, if you do not correct them, they will pass you an invoice in the form of complications.

And here you have us to help you in what you need.

Health

Hello!The average of glycemia is high after meals and waking up, that is, that you need to raise insulin. Employment rising a unit at night and, when you have the postcena and the basal value well, the others continue to upload, if it is needed.
But, the fundamental problem is that with mixed insulins the control is very difficult. They do not adapt well to the absorption of hydrates and have action peaks that can produce hypoglycemia.You can save a puncture, but everything else is inconvenience, so they are almost not used.
The guidelines that give greater stability are those that combine a basal insulin (Lantus or Levemir), with an ultra -grape at meals (Humalog, Novorrapid or Apidra).
This guideline will give you much more stability and frees you from meal schedules, with the consequent increase in the quality of life.

Tell him with the endo, put a more updated treatment.:)

Well, I crossed with Alea in the message, but you see that we agree. She advises you to change your doctor, which will be the most practical: D

Hello

When you say 50 mg, do you mean 50 units?

Do you take corticosteroids or other medications?There are drugs that rise glycemia.

Are you type 1 or type2?
It is important to see what type of treatment and food is more convenient.

I usually rely much more in educational nurses in diabetes ... They really dedicate more time and really teach patients.

Good afternoon and thank you very much for your answers that they are coming so well. Well, to see, I look at the answers.If my doctor is the header, indeed, I should ask for a steering wheel for endocrine directly, but it is very headworthy and wantsFix it and so I have a lot of time, on topI did not like myself well, and I don't know that and I don't know how much.I was regular, I did not know that I was outdated now, the thing that does not feel good.I go out for the street for a while and the next day I can hardly move, I also have a lotGreetings, God bless you.

That does not send you to the endocrine why is it head?What about it tells you that if you are lying?But well, but this aunt is believed ???That they give it by bag !!! hahaha, and forgive for the expression, but it has come out of the soul: twisted:. Let's see, if it is head, that heads against the wall, but you are not going to play no longerYour health, if not your life because she is Cabezona.Obviously as the compis say, these lack of more insu units, but maybe that insu that have not known her very well, you don't do well.My advice and I believe that everyone's, for your good, is apart from changing your header doctor, asking them to be referred to an endocrine.And the "doctor" that is put to experience figures and units and insulins with his Hamster, or his dog, or I know!
All the best

I have earned a Zero cocacola :))

Clara, I would do the following: I would go to the eminence that you have a header and tell her that you want an urgent steering wheel for the endocrine or that you go to the hospital for emergencies, what she prefers.Those high glycemia kept so long will destroy you everything if you don't stop it.

Nor would I rule out to go to patient care if you get foolish, and ask for change of the header and urgent appointment with the endocrine.If you tell us what area you are, maybe we can recommend any of the Social Security that is close to you.

Do not miss time, because play against you.

When your glycems are fine, your state of health will improve significantly, you will see it.

Health

Hello Clara, nothing to add with respect to the change of doctor.Get to work as soon as possible !!

With respect to the mix, it is not that they are outdated, they are insulins that doctors love proque if you do not leave the line can go until well, but of course, you have to have a great control about the action times of action ofInsulin, being sharp with schedules and meals .... Come on, something that today can be avoided with other types of treatment ... In any case, it would be the specialist who should give you the treatment that best goes.What is certain is that the values ​​you accounts are not acceptable.

Courage, you'll see how you get it !!!: D

Good morning, thank you all for your help, because you see this way I have been with the fatal sugar for a long time, and my husband who is also a diabeticThat an endocrine directly see us that a header doctor, because this one that I have when I do not give rise with bolus what he says is that I deceive her, in short, well thank you very much, I will tell you, kisses.

Well, I'm still the same, I forget to tell you, this morning when I get up 254 and two h.Then 244, and now at lunch 194, then I will measure myself again. Monday I will ask for an appointment for the doctor.

Yesterday I was with the eminence of Dr. Mia de Cabecera, by the way I was attended as always. Well I have changed the treatment to Lantus 60 U.I in the morning and Humalog Kiwikpen, the mixed I have left it. I have given me a roleFor the endocrine with some guidelines to take some figures according to what I have like that I have to click. This tomorrow I had the basal on 265 and I have looked at the paper and says that by 200 to 250 I have to put 8 U.I ofHumalog, I have put myself 60 U.I of Lantus and 8 of the Rapida and now 2 h Then I have taken the sugar and now it has risen to 356 and I have put 8 U.I of the rapid. My doubt is whether I have to wait for it to happenMore than 2 h to see if it goes down, if it is normal, but I think that with the fast I should have lowered, and not have it as I have it, what do I say, how do I have it in 356? It is fine to have put me 8 u.iFast or I should have put me more or have left it for later, to lunch?, And another thing if the change of insulin can affect these unevenness. Thank you

How strange ... and has given you the same doctor, a role of the endocrine with the guidelines, without sending you directly to him?Without a steering wheel to send it to you and see you directly ??? mmm ...that she is not going to help you the same as a person who has studied a career for that purpose. In the end, I continue with the opinion that you change your header, you still have very high values, and that is not good.It makes and undoes at will, your health is at stake and your values ​​are not good.

Go by emergencies to the hospital at once.
The more you delay it, the worse it will be for you.It demands that you see you an endocrine.
Surely at this point you will have ketone bodies, which is a poison for blood.

And change the head doctor.

Health

Thank you, this new treatment has sent me to see if I give with the point.How much can a private one can come out? Well, thank you, I will tell you to see if I find the insulin point that I need.

Clara, the body does not strange the old insulins (at least in my experience) because it is not something to get used to.It is something that lacks.These values ​​have nothing to do with the fact that you are changing a guideline, it is not that they are small amounts precisely (if I had put a basal of 30 and 3 u. With 250 because normal that would go up later, but with that that you put yourselfAnd no matter how much each body is a world ... girl, you are not getting little)

Pay attention to Alea.Go to the emergency room, don't let him wait.As little, buy a boat of reactive strips for urine that measures acetone, and if you have, go to emergency without hesitation.Do not wait for you to give you a steering wheel, or consult her or anything at all, go to emergencies and see you there.It will end up seeing an endocrine and you can tell you your case and you will have you in your consultation with almost total security, because being how you are no doctor leaves you for 6 months.

Clara, you are not going to find the point of insulin because you are not controlled.And when are you still the same, that this time your doctor will make you try another insulin?Are you going to try all the insulins in the market? That is not being a good doctor, and you are putting an insulin porron. And if it gives you a strong hyperglycemia?Or if because I am poorly controlled, it gives you a strong hiccup?Because it can happen by not being controlled .... With those things you don't play, you spend a lot of fear, and you can avoid it if you put remedy.
Greetings and luck

In addition to everything that has already been advised (being over 250 every day is dangerous)
The amount of insulin that you wear is caught my attention.

60 Lantus units is a lot ... It is true that each one we put the amount of insulin we need and there is no rule or a limit.

Clara, do you use a new needle every time you click?Do you change your place where you punctuate or do it always in the same area?

I do not agree with you.
What is clear is that particularly and in this case there is something that escapes, and so much time without acceptable control, if from primary care it is no longer known what to do because the endocrine is derived, but today the type 2 diabetesHears the head doctor, the family.I am a diabetic and a family doctor and this is so for a long time and it is supposed tothis.
Besides, going to the emergency department ... at least in Andalusia is of no use, I don't know in other regions.Here a thing like this does not solve it in emergencies, in the emergency room they can treat cetoacidosis but something like a glycemic control and a treatment adjustment is something or of the header or the endocrine.
In the case of Clara, I would have started initially (I do not know the time of diabetes but after 10 years with type 2 diabetes with pills, insulin is usually needed), with metformin and a basal insulin once a day.After that, and if the control was not enough, increasing the basal of two in two units and at maximum doses of metformin, it would change to other oral antidiabetics that are relatively recent that have metformin with sigliptin every 12 hours plus the basal.If either, it would already happen fast and slow as in type 1 diabetes, that is, an intensive treatment, then it is usually a matter of the endocrine because there are few family doctors who know what to do and are also difficult cases in which it is requiredThe control of the endocrine, but I already say that it is not always so in type two diabetics, moreover, they are the least those who go to the endocrine, there are really complicated cases, and there are people who for their control have a combination of insulins more rare,For example, I have a patient who has lantus at night, Novorapid for breakfast and dinner and Humalog 50 at lunch and is controlled but before it was a disaster.
In the case of Clara, of course, I agree with everyone in which it is a not too common case and that I ask the endocrine, but probably among other things, will tell you that you must do physical exercise.
Greetings

Therapeutic algorithms for type 2 seem misguided ... said from the deepest medical ignorance: D

For example that of thirst+gedaps network

Or the Nice

One of the pillars of treatment (but the most important), sap with a: "lifestyle change"
In some cases, the control objective (HBA1C & LT; 6.5%) can be achieved with some lifestyle modification, although this approach is not always effective, since it depends on the characteristics of the patient and theirdegree of adherence to the recommendations

Of course, if there is no will of the healthcare professional nor does it have means/time/materials/space to educate the patient ... Surely the adhesion to treatment will be tiny ... and the horrendous metabolic control.
In 2010, the essential diabetological education for all patients, especially type 2 ... and is still impossible.

In the case of Clara .... If you have an BMI above 36, you are a candidate for the exenatide (in my opinion even with less BMI should be paid), but before that I would try to see how it works with the sulfoniruleas or with drugs like Eukreas, Janumet or Galvus ...
If all that fails ... just get to insulina