I don't know where to take it

Hello everyone,

I am a diabetic since 2002 and being sincere I must admit that I have never taken diabetes seriously.My big problem is that I am nothing disciplined and very extremist.By this I mean that I can be without eating two days and I don't remember but when I have to eat.I can sleep three hours or seventeen ....

I have always remained at high sugar levels (neither much, in an average of 275) so as not to have problems with hypoglycemia.

In the last year I have been aware that I am destroying myself little by little and I am trying to "take care of myself."The problem is that I spend 30 to 490 in less than 2 hours, two and three times a day and the truth is that I am exhausted.

Reading your articles I have realized that you control absolutely everything, so I ask you if you could give basic guidelines to be able to channel with my doctor the situation (the poor lost is lost)

Use Lantus (22 units) and Humalog (between 2 and 8 per intake).I was put the base at noon but I had hyper during the day and hypos of 40-45 at night and even if you do not believe it, the average of my test are 250-350-420

I know I must change everything but ... where do I start?:?

Thank you very much

Hi, Ainhoa, I will start at the beginning, and you'll see how we govern that such chaotic situation.

Start by getting a booklet in which you notice everything: glycemia, meals, special situations, etc.

Then, to be able to establish adequate guidelines, you will have to make an effort and propose to follow, for at least two weeks, a meter regime and a schedule as accurate you can.The word regime is not hungry, eye, it is a diet in which you tell the rations of carbohydrates and in which you decide how much to eat, but maintain during that time, to know how insulin acts.I have a very good website, where you have examples of diets:

Done this, I advise you to keep the doses of Lantus at the moment and that you adjust the rapid to the rations of hydrates that you are going to eat (if possible, consult with the doctor the guideline) and, very important, write down in the bookletThe glycemia.Get a full profile during those two weeks, that is, control your glycemia before each meal and two hours after each meal, as well as once at dawn.

As a first step, you should know that the glycemia before the meals (on an empty stomach) depend on the lantus (if they are high lantus, if they are low plenty of lantus).The glycemia after meals depend on Humalog (if Humalog are high and if they are low, Humalog).

You can put your results here and we will help you correct what you need.Anyway, do everything by consulting with your doctor?We guide but he has the last word.

Come on, you'll see how you organize and you will be much better.After you know your needs, you can skip a meal, or make an extra, or change schedules.

Welcome home.

Little to add to what Alea says ... it is difficult to specify an answer and Alea has made it perfect.

I insist that it is essential that you notice absolutely everything (glycemia, schedules, diseases, food quantities, anger, exercise ...)

In those 2 weeks you do nothing more, focus on pointing everything, putting the insulin with the current guidelines and making the corresponding self -analysis, minimum 6 a day, just before each meal and between 2 and 3 hours after eating.It would not be more than to get some glycemia at dawn (3-4 tomorrow).

A way to start learning (then you have to clarify):

- Everything that runs, nothing or flies ... does not raise glycemia ............ are proteins and fats
- Everything that is born from Earth+Milk ... Gl, glycemia ........... are carbohydrates

This does not mean that you do not have to eat hydrates, but that the quantity must be regulated.

I encourage, at first it looks like a mountain but then it is nothing more than a simple side.

Nothing to add, just welcome you and encourage you, I think you have taken an important step so council

Kisses

Cheer up!!!!
Imagine that one day they ride you in the cabin of a plane and they tell you that go ahead, that you fly to Bilbao .... That is what happens with diabetes, at first it seems that if this is coña, thatIf you will never learn it ... and then over time, based on a thousand attempts to take off one day you get it, although only to realize that you have no pajolera idea of ​​how to keep the plane without falling ...And after you get it, it turns out that you don't know where you are going to Bilbao (because they don't put signals like when you go by car) and then, oh, howDays land thousands of airplanes, it will be possible, right?
Come on, you're not alone !!!!

Good afternoon,

Thank you all for your advice.Today is my third day and I have followed your guidelines and the truth is that I am better !!!:)) :)) :))

I have to say that I still have uploads of 475 and drops of 42 but I am also having 180/200 results ...

I think that what is most out of control is the schedules (which for my work is very difficult to mark a strict schedule) and the lack of control that I have with the hydrates.

Humalog's guideline has been given to me by my doctor (of course I do this under her supervision) and I am testing how much cereals upload me in the morning;The 3 cookies;Bread at the entity (I think I have to suppress it right? ...

The metaphor of "everything that runs, flies and nothing ..." incredible! ... I understood that all the meat rose a lot ... and not!

Today I have done everything wrong.The good thing is that I have noticed my mistakes and I had a dentist (antibiotics) so I am not very tiquisiquis with the results: D

A question that maybe you find basic: is the stress and the lack of repair sleep (sleep but no rest) affects sugar?I ask it because at work my sugar is triggered and at home or in the field on weekends it bites.

Thank you very much, Again!

Great news, Ainhoa, you are already on the right track.Now you have to walk it: D

It is fine about trying cereals, cookies, etc.Do not forget to aim the rations and results.As for bread, you don't have to suppress it, but you have to tell it.I explain myself: If you have food a pattern of, for example, 6 portions of hydrates, you can eat 2 rations of pasta, 2 bread and 2 fruit, or 4 of pasta, 0 of bread and 2 fruit, or 6Pasta and 0 of the other two, or no pasta or fruit and take a 120 grs bread snap .... That's called "exchanges"

If you learn from mistakes, you'll see how everything works immediately.We all learn from mistakes.The good thing about the forum is that we learn from ours and of others :))

And yes, stress and lack of sleep influence glycemia.

A hug

Congratulations Ainhoa ​​and a lot of encouragement !!!
Yes, stress and lack of rest influence, very much !!!
As for schedules, of course a life is recommended ... more or less organized.The same thing happens to me, my work schedules that change my turn every day I altered the sugar and it was unable to control it so I am discouraged and I ended up going crazy.In the end I had chosen to try to vary the most of the food schedules and so on ... when I was at night I got up to eat at 2 pm, although then I went back to bed for a while;If I was tomorrow I took my food to work;And the same when I was in the afternoon I got up at 5:30 for breakfast at the same time.I do not know if in your job you can do something similar, but if you can try it, even if you look like a gain burning with food or dinner every day, it really is worth it and you will avoid possible complications.
Courage, to continue strongly and kisses !!!

P.S.Each person is a world and each body responds in a different way but for example I had to suppress breakfast cereals because the levels raised a barbarity (also the mid -afternoon coffee milk made my glucose underwater an average of 200).By the way, eye with the fat of the meats ... I get the glucose levels and at first I did not understand why I understood that the meat did not have to climb the blood glucose.The truth is that with this disease we all become a bit scientific-experiencers, hahahahaha !!!

Hello good!

Before yesterday breakfast I went well, today I do the same and go to 291 ... I don't know

Already with the rations of hydrates I have lost myself ... at breakfast-comida-cena, are we supposed to have 6 portions of hydrates?Is there any table with which you can calculate the hydrates that each dish contains?(more or less) and the rations that we can take from each thing.

Another question, the vegetable is supposed to be free?

Thanks and very good weekend: Mrgreen:

Ahinoa, look at the link I spent in my first answer.There you have all the information about diets, portions of hydrates, exchanges, etc.

The vegetable has hydrates, some more than others, but, in general, they have so few that a lot of quantity is needed to reach a ration.But be careful, not to confuse vegetables with legumes: vegetables are the leaf
Legumes are peas, green beans (not the pod outside, but small beans inside), chickpeas, lentils, beans, etc.They do have hydrates
And vegetables, such as carrot, eggplant, tomato, zucchini, cucumber, pepper, onion, etc., you have to look at the table, because some have very few and others have more.

Health

Good afternoon everyone,

Here we walk with the tests and meals.This weekend has been terrible ... I have not posed cotrolar ...
I am looking at the diets and what I do not see anywhere is how many carbohydrates units I can take at each meal
If mine is 1,500 calories are 7 units of hydrates, but throughout the day or at food and dinner ... I don't know ... there are many for a food and a little scarce for the whole day, right?If we make 5 meals and 2 are relatively important.

If you can pass me any link I study: Oops:

Thank you

Holass
I pass our "header website": Link ... /05_02.htm

Very complete and useful.

As for the 1500 kcal diet and rations of carbohydrates (HC), I hope that this link will take you out of doubt (it is something technical, but I like it):

7 HC rations are only for food ... and 7 other HC rations are for dinner ....
Do not confuse food with HC rations: 150 grams of melon and 50 grams of banana are 1 ration of HC

In this other link, you have examples of how to distribute the HC according to the Kcal: Link ... Diets.asp
It is a bit more complex, but it is complete.

In any case, I think you should look for an educator to sit down with you quietly the time that you needed to dominate the subject.

Why do you have a diet of 1,500 calories?Do you have to lose weight?

My daughter has a diet of 1800 calories and her pattern is 6 rations of hydrates at breakfast, 6 at food and 6 at dinner.Proteins, fats and food without hydrates in general do not count (for insulin, which would count as calories if you have to lose weight)

I spend two more links, although I have not yet found one that brings the diets, but they can give them to the endocrine or educator consultation):

Link ... az%f3n & amp; x = 6 >

Health and encouragement, you'll see how you take the calm.

Alea, very good that article by Tomás Pascual.L or not find you ..;) Bestines

Hello good,

I have review with the doctor on Thursday.I changed my header (medical center) and told me that now diabetes is controlled by head doctors and that when they cannot control it, they send you to the endocrine.This did not care because the endocrine I have had reviewed me every 3 months and if one came to tell me that I was easily eating all day and staying with fruit .... to continue like this ....And another told me that an average of 280-290 was not a bad control ... that my doctor who worries me is more than the specialists ... from there that has no educator

I have to ask what diet is the most appropriate because I am not excess weight so I clarify it ...

A question ... when I'm going to eat if I'm below 150 I don't have to click quickly then yesterday at dinner time I was at 80. I ate tabulé (cuscous salad), being pure hydrates I ate 40 grIn raw (it does not reach 2 rations of HC) and when I did not click on 280. Today the same thing happened to me ... I was at 120, I have eaten pumpkin and pisseding cream.ATTENDA TO 275

I understand that the rapy depends on the level of the preingesta but there is any rapid insulin ratio with the hydates we get?Do we have to take the two things into account?

On Thursday he consults the doctor but there is some place to refer me to consult this?

Thank you very much for the distribution links! "

Thank you

P.S.My fast pattern that the DOC has told me to try is:
Less than 150 0
150-200 2
250-300 4
300-350 6
350-400 8 but she does not take into account what like ... that is my question ... that if you have to take it into account

Yes, Ahinoa, you have to take into account the hydrates you are going to eat.
You will have to test how many insulin units you need for the ration of hydrates.You can start by you.by ration and scoring results.If you see that you are high, the insulin goes up.If you go down, lower insulin.
In addition, that is starting from preprandial blood glucose (before meals).If you are above 200, a unit goes up, and so you will gradually test and adjust.

Health

Ahinoa, the glucose value after eating indicates the necessary insulin.If you go from 100 to 300, you will need 3 fast units (assuming that an insulin unit neutralizes 50 glucose).I would start with 2 fast units (not to pass me) and adjust according to values.
The glucometer is the one that will help you the most with control.Use it a lot.
A hug.

Wow, I had not read Alea, but we say the same :)

Hello good,

Thank you very much, the two are great.

I do the six controls because but no idea to click.

I have read the report that Alea has provided us and I think my doctor should read it, hehehe ... I have taken a copy.Logically all your advice I apply them but with reservations until I see Dr. Jejje ... I have a lot of notes and it will be hallucinated with my glycemia/meals/pesos/diet (although he forgot it to tell me how many calories)/The hydrates ... the report (for the subject of the snack that is always shooting and I think it explains Clarito)

Ok, tomorrow I apply 1/2 per carbohydrate unit and 1 for every 50 of extra blood glucose from 200

Thank you so much
;)