{"id":93616,"date":"2009-12-22T06:13:36","date_gmt":"2009-12-22T11:13:36","guid":{"rendered":"http:\/\/www.diabetesforums.com\/forum\/type-2-diabetes\/46892-would-appreciate-advice-how.html"},"modified":"2009-12-22T06:13:36","modified_gmt":"2009-12-22T11:13:36","slug":"would-appreciate-advice-on-how-to-deal-with-changing-t2-behavior-6-months-after-dx","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/93616","title":{"rendered":"Would appreciate advice on how to deal with changing T2 behavior 6 months after DX"},"content":{"rendered":"<div>Hi,<\/p>\n<p>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 &#8211; 5.8, but the last month has been difficult&#8230;<\/p>\n<p>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&#8230;averaging maybe 3 units\/day).<\/p>\n<p>However, it seems that my bg has been spiking almost after every meal the last few weeks &#8230;.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&#8217;m not careful (this is with moderate careful diet, and avoiding anything dangerous).<\/p>\n<p>I&#8217;m worried the byetta has stopped working, and it is horrifying to see spikes &gt; 140 on a regular occurrence.  My daily insulin intake has gone all the way up to 10-15 units. So, I&#8217;ve emailed my diabetic nurse and I&#8217;m not sure if they&#8217;re going to do anything.  What would guys recommend?<\/p>\n<p>The only thing that comes to mind on my end is to start taking insulin before meals, I haven&#8217;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.<\/p>\n<p>I&#8217;m also not sure how normal it is to be on so many meds and have insulin requirements changing so quickly after diagnosis.<\/p>\n<p>Note that I don&#8217;t know much about insulin, all I&#8217;ve had to take so far is regular and in minimal doses.  If byetta isn&#8217;t doing its job, do I need to replace it with long acting insulin?  I&#8217;m told to avoid this if possible since it makes it harder to manage weight.<\/p>\n<p>Thanks for any advice in advance!<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>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 &#8211; 5.8, but the last month has been difficult&#8230; I normally take Byetta 10mg twice\/day + 1K met [&hellip;]<\/p>\n","protected":false},"author":606,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-93616","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/93616","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/606"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=93616"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/93616\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=93616"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=93616"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=93616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}