Hi,
I was diagnosed with T2 in May, managed to get things mostly under control by my first 3 month A1C reading, thought I would be able to have a 6 month A1c of somewhere between 5.5 – 5.8, but the last month has been difficult…
I normally take Byetta 10mg twice/day + 1K met at night and very minor regular insulin (if needed, and usually no more than 5 units/day…averaging maybe 3 units/day).
However, it seems that my bg has been spiking almost after every meal the last few weeks ….morning wake up is 100-115, after meal spike even just for minimal meal sometimes is 40 pts and can be 80 pts if I’m not careful (this is with moderate careful diet, and avoiding anything dangerous).
I’m worried the byetta has stopped working, and it is horrifying to see spikes > 140 on a regular occurrence. My daily insulin intake has gone all the way up to 10-15 units. So, I’ve emailed my diabetic nurse and I’m not sure if they’re going to do anything. What would guys recommend?
The only thing that comes to mind on my end is to start taking insulin before meals, I haven’t needed to do that before. I assume taking 2 units before each meal and then an additional 2 after if needed would be the right fit.
I’m also not sure how normal it is to be on so many meds and have insulin requirements changing so quickly after diagnosis.
Note that I don’t know much about insulin, all I’ve had to take so far is regular and in minimal doses. If byetta isn’t doing its job, do I need to replace it with long acting insulin? I’m told to avoid this if possible since it makes it harder to manage weight.
Thanks for any advice in advance!