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Old 07-14-2010, 01:30 PM   #1
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Blood sugar won't go down

Just found this forum. Been on high doses of metaformin for the past month, blood sugar gets as high as 441 for no apparent reason. Went to a new Dr. yesterday, he perscribed more metaformin and glipizide. Today 2 hrs. after a small breakfast of cornflakes blood sugar still in the 400's. Is it possible that with type 2 diabetes I could have ketoacidosis. Is there a self test available through a pharmacy w/o a presciption? Dr did take blood for lab work but he didn't tell me what for. results should be in tomorrow or friday.
Look forward to participating with you guys and gals.

Artie Perilloux

 
Old 07-14-2010, 01:33 PM   #2
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Re: Blood sugar won't go down

you can buy test strips at the pharmacy to test for ketones

 
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Old 07-14-2010, 02:01 PM   #3
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Re: Blood sugar won't go down

Hi Artie. If your sugars continue to be so high, you need to see the doc, or if you remain in the 300s or 400s, go to the ER. Has your doctor checked you for type 1? It is always a possibility no matter what your age. In that case, the oral meds will not help and you will need insulin.

Welcome, feel free to ask lots of questions, and keep us posted. Don't forget that it can take 6 weeks to 2 months to get the full effect of the oral meds. Have you significantly cut carbs out of your diet? Cornflakes are very refined carbs. If you are going to go carby for breakfast, you should at least stick with something that contains a lot of fiber to lower the spike in blood sugar.
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Old 07-14-2010, 02:18 PM   #4
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Re: Blood sugar won't go down

Cora, don't know if the Dr. tested for type 1. I've been suffering from leg cramping and severe shortness of breath during any phisical activities outside. The dr. was made aware of these conditions. From what I've read on the www I suspect ketoacidosis or lactic acidocis. Most dr's don't appreciate self diagnosis though.

Artie

 
Old 07-14-2010, 02:52 PM   #5
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Re: Blood sugar won't go down

Hey Artie. Yup, I know how that is. I would get either some test equipment that also tests for ketones or you can get strips to pee on at the pharmacy. If you are spilling a lot of ketones, that is an indicator of significant issues as most T2s don't spill them too much.
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Old 07-14-2010, 03:23 PM   #6
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Re: Blood sugar won't go down

As I tend to be impatient I tested glucose level at noon and was 414 then again at 3 45 and was 260. I guess the glipizide is working due to the significant drop. The metaformin has not been making any differrence in the past. Will wait on blood test results before I make my next move.
New Dr. didn't ask me too many questions but I do have Hep C, don't know if that has anything to do with my situation.

Artie

 
Old 07-15-2010, 06:53 AM   #7
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Re: Blood sugar won't go down

so did you get the test strips to test for the ketones?
that was your original question, if you can self-test, and you don't mention doing that......
are you taking steroids for anything? they will raise blood sugar, and it will stay high for about a month even after stopping them

 
Old 07-15-2010, 10:08 AM   #8
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Re: Blood sugar won't go down

No test strips yet. Just returned from a pre job physiacal, blood sugar of 360, too high for employment. They will allow me to come back when I get it to 250. Sooo confused on what I need to do. Last time I had this problem fast acting insulin did the trick but I currently don't have a prescription.

Artie

 
Old 07-15-2010, 01:50 PM   #9
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Re: Blood sugar won't go down

Quote:
Originally Posted by rosequartz View Post
so did you get the test strips to test for the ketones?
that was your original question, if you can self-test, and you don't mention doing that......
are you taking steroids for anything? they will raise blood sugar, and it will stay high for about a month even after stopping them
Got the test stips. Test showed only trace amounts 5 mg/dl. Have never been on steroids.

 
Old 07-15-2010, 02:14 PM   #10
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Re: Blood sugar won't go down

Artie: You'll probably need to get the fast acting insulin. You must have insulin resistance. Don't wait because having high sugars is like glass cutting in your arteries.

 
Old 07-16-2010, 12:19 PM   #11
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Re: Blood sugar won't go down

I agree with 92261. If metforming isn't doing the trick, then you need to be on insulin. The best way to get (and keep) your blood sugar levels under control is most likely going to be with a combination insulin therapy which includes a long-acting insulin such as Lantus or Levemir, taken once or twice a day to control your basic metabolic needs, combined with a rapid-acting insulin such as humalog or novolog, taken before each meal. There's a bit of a learning curve, as you need to learn how to count carbs, and your doctor can help figure out your insulin-to-carb ratio so you know how much to bolus for your meals (i.e., planning on eating 40 grams of carbs, insulin-to-carb ratio of 1:10 would mean 4 units for 40 grams, or insulin-to-carb ratio of 1:8 would mean 5 units for 40 grams)...really, it only takes about 3-4 weeks to become pretty good at this, and short of having an insulin pump, it's the best way to manage blood sugar while still having quite a bit of flexibility in terms of what and when you eat.

The fact is that your blood sugars are running way too high, but you can get them down to close to normal with the long-acting/short-acting insulin regimen, which will help prevent complications from the illness.

Ruth

 
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