I am 65 carrying diabetic since last 18 years. Recently I have switched over to 'bedtime' insulin which is not giving good results

Earlier I was taking my Lantus insulin 20 units shot at morning before breakfast, and now same quantity at bedtime. My fasting sugar level was around 125 earlier which is around 160 now after present bedtime insulin administration. Can anybody through light on present worldwide accepted bedtime insurance therapy.

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  • It will keep on increasing if you keep on eating the so called "healthy diet" -- High Carb Low Fat nonsense.

  • I mean some sence, since last 18 years if at all I am controlling my sugar level, it is only because regular morning walk, following diet chart and prompt medication, please don't conclude before knowing the facts.

  • Would suggest posting your diet, medicines,etc , to enable people to help you.

    Just take a look at below :

    healthunlocked.com/diabetes...

    Thanks

  • I concluded based on your numbers which are going haywire. More you spike and then cover with insulin problems will only escalate and become non manageable. In this event higher numbers will be something that has to be taken as a part of the whole regimen.

    If it was working for 18 years then why isn't it working now? What does your doctor say? Diet is the key and Carbs control is the biggest key. To accept or not to accept is your call. By switching diet a diabetic for 27 years and 80 years of age (on this forum) could reduce his drugs and insulin and yet achieve better -- FAR BETTER -- numbers. Over dependance on insulin will also lead to insulin resistance. It's a vicious circle. One diabetic went off all drugs and insulin, again right here on this forum.

    All diabetics who switched to opposite of High Carb Low fat diet have benefited. This is why I call High Carb Low fat diet a nonsensical diet for diabetics. Every passing day more and more diabetics are proving this to be true.

    As for insulin therapy -- there are only two components -- Basal and Bolus.

  • Bedtime Insulin tharepy

  • If you could elaborate your meals, your earlier BS levels, Hba1c and lipid profile then some suggestion can be made.

  • Check your SL at 3 a m.if its lower than 160(around 100) you need to handle the problem differently.

  • Medical matters should be discussed with a health professional. That was a dangerous move to make; increasing your insulin pre-bedtime could have resulted in a hypo while you sleep for example.

  • First of all

    Please write your meals in detail and schedule to understand your BS spike.

    Then only we can discuss next course of action

  • I am watching that people on diabetic drugs/insulin and taking high carb diet report higher values of BS. They never achieve the numbers reported by LCHF followers in this forum. Moreover, the former have to increase drug dose or switch to insulin over a period of time. One can easily compare effectiveness of medicine therapy versus LCHF diet.

  • True. LCHF is the only way forward for effective blood sugar control on minimal or nil drugs.

  • Sugu 18 years of medication is not virgin terrain. Do we know of many cases where LCHF has worked after such a long time? [I mean the system may have been loaded with

    chemicals...]

  • Can't recall who but there is one user on this forum who has gone off all drugs after 19 years. Needless to say he switched to LCHF. There could be others too. Many have moved from drugs like glynase and pioz to MF even after protracted period of being on them.

    That said, once switched to insulin, one has already lost all options. For them also, the dose can be reduced and far better control can be attained like it happened for a 80 year old diabetic on this forum who is a diabetic since 27+ years. His control with insulin and other drugs was best at 170-180. After LCHF he attains 110-120 and insulin reduced, drugs reduced.

    Remember one thing: The higher you spike, the harder it becomes to control with INSULIN or pancreas whipping drugs. It is this difficulty which makes them say don't aim for lower than 6.5 A1C (or round-about). On High Carb Low Fat "nonsensical" diet, diabetics will be forced to insulin at some stage or the other. It's just a matte of time. That's why they tell you to eat HIGH CARBS so that sooner one is pushed to insulin , there's lot of recurring money for medicare business.

  • hello has anybody gone off insulin with the long wheat diet?

    Thanks

  • Don't know about LW but one user had gone off insulin + janumet after switching to LCHF. However, it would depend on diabetic's drug use history and dose also:

    healthunlocked.com/diabetes...

  • norreal, I can understand your concern. But LCHF is still worth trying as it could prevent at least further progression of the condition. There is also a chance that you might reduce the dose of insulin. As medfree says, if you continue with high carb, there is also a possibility of your facing a situation where no more options exist.

  • Thanks everybody who gave their valuable suggestions, advices and quick response. As rightly pointed out by few I have decided to discuss this with my Diabatologist and act as per his advice.Thanks to 'HealthUnlocked' for this great service.

  • On the ball, Kukshanbhag. Consult with your diabetologist. Also, read up on diabetes. There is plenty of good stuff on the Net. Also, some very good books. All the best.

  • kukshanbhag: I'd say please also take a second opinion. [Reason: your diabolist has brought you this far. The second opinion should be from a doctor who has a high track record of putting patients 'off drugs'] I recently learnt about a doctor who has put his 84 year old patient who was on 1 gram Glucophage per day. On the other the diabolist of 65 year old lady whose quarterly A1C was never more tan 6.7% for past seven years refuses to reduce her 2 g daily Glucophage despite her occasional hypoglycemia, without her agreeing to hospitalization for minimum fifteen days. She and her husband are literate, voluntarily coach college students and live within 300 feet of a good 24/7 medical center. I have three generations of celebrity doctors in my family some of them with top international recognition! What I say about doctors is, they are humans and have their beliefs and idiosyncrasies. efar52@gmail.com

  • When there is no result on using then it is not medicine and that is not a therapy. I wonder how member do keep on writing same things in forum, despite so much is discussed.

  • Have you taken a second opinion on dosage and frequency of Insulin?

  • Yes, I shall keep everyone's suggestion received through this forum in mind and discuss in length to overcome my doubts.

  • HI Dear- U may follow the following course of action for controlling ur BS-

    A.Kindly understand that all of us are having the sugar in our body. The question is only that in our body it goes beyond the reasonable limits and that is why it starts giving problem. Further sugar levels going below the prescribed levels are equally not good. Therefore, cure is to keep it in within the reasonable limits. Once it has come within reasonable limits, our job is to keep and maintain it in within reasonable limits and that we can do without the help of medicines and by following the following course of action.

    B.Kindly understand that our Blood Sugar level deviates from the reasonable acceptable limits, as we have restricted ourselves to our house/office and going away from nature. It happens due to lack/shortage of Oxygen in our body. In summer season, we prefer to apply Air-conditioners/Desert Coolers and in Winter Season, we prefer to apply Electric heaters etc, instead of taking fresh air from the nature/wearing warm clothes. So the solution is to minimize the use of these products and have oxygen/fresh air from the natural resources.

    C. Kindly understand that we are having the habit of eating those fruits/vegetables & other items which suit to our taste and do not prefer to eat those items which are not according to our taste. Here the advice is to involve all permissible foods/vegetable/ dairy products & other eatables as part of our daily eating habits. Kindly understand that Diabeties interfers in our life, because of our focus on some specific eatables and ignorance towards the other valuble eatables required by our body. Here the cure is to have all permissible eatables are part of our daily routine. (Balance of Carbohydrates/vitamins/proteins & Minerals).

    D.Kindly further understand that in present days, we need to involve light Physical Exercise/Yoga and Meditation as an integral part of our daily routine. Further we need to avoid unnecessary mental stress.

    E.Further note that the digestion of food had of us is also equally important. Kindly eat less than what is desired by the stomach so that it can easily be digested. Have the food again after some time and allow it to digest properly.

    F.Kindly understand that Diabeties cannot be controlled merely by taking medicines as it is disorder of our eating habits and that of daily routine-the way of living. If we depend only on medicine then after sometime, the medicines may stop working and supporting our body.

    1. Get up early in the morning, before the sun rises and go on terrace and do the exercise of INHALE & EXHALE of oxygen, just for 20 minutes.

    2. Go for a normal work, morning and evening, 30 minutes, each time.

    3. Take a glass of hot water (As hot as tea), 15 minutes after Lunch & Dinner and it will wash out the sugar so created by the food so consumed.

    4. After 30 minutes of lunch, take a teaspoon of powder of Dry Awla (Goosberry) and Saunf (Aniseed) (both in equal quantity) with normal water. Both Awla/Amla and Aniseed are available either at the shops of dryfruits or where the spices are available.

    5. If you want to take Rice, as part of food, take it after taking out the water from Rice or preferably take Brown Rice.

    6. If you want to take Potato, as part of Vegetable, always take boiled potatos and take it in liquid form and not in dry form.

    7. Take Chapati, prepared of wheat combining of -Wheat Flour, Black Gram and Barley-All in equal quantities. Black Gram will support the function of heart and Barley will clean up and strength the kidney functions. (Reduce the ratio if the chapatti becomes hard to eat).

    8. Use of Refined Flour (Maida) should be restricted as far as possible, as it is highly contributory factor in increase of Diabeties. Therefore, the items made of Refined Flour such as normal bread, PAAO, Pizzabase, Samosa, Bhature etc should be avoided as far as possible. However, Brown Bread can be taken.

    9. Take Fruit and Vegetable Salad, as integral part of food, without pouring Salt and Chat Masala or any other spice on it, at the time of Lunch & Dinner.

    10. Take Sprouts and Milk Products as integral part of daily food. Milk Products includes Double Toned Milk-Low Fat Milk, Curd, Buttermilk and Paneer.

    11. Mix up 1/4th teaspoon of Haldi Powder (Turmeric powder) in winters and reduce it to one pinch in summer season (Yellow in color) with a glass of hot milk, without sugar and have it 30 minutes before going to bed. It will purify the blood in the body and also eliminates every type of pains and weaknesses in the body and further strength the body. It will also not allow any type of cancer in the body and also will not allow the stage of knee replacement even at any stage of ur life.

    12. Avoid taking vegetables like Pototaos, Sweet Potatos, Carrot etc. having the sweet contents and fruits like, sugarcane, Mango, oranges, Bannanna, grapes etc.

    13. You can have vegetables like Cauliflower, Cabbage, Methi (Fenugreek Leaves), Palak, Raddish, Lady Finger, Tinda, Brinjal etc.

    14. You can have fruits like, Gowua, Apple, Pomigrantte, Watermelon(with black pepper and sendha salt), Pappaya etc.

    15. Take the leafts of Raddish and have it in raw form as part of salad.

    16. During Summer Season, always take Buttermilk-salted one, as part of food. It will improve digestive system and reduce the overburdening of Liver function.

    17. Avoid taking normal tea & Coffee. Always take Green Tea.

    18. Avoid taking Oily and more salty food. Reduce the consumption of oil, butter, Ghee and always consume easily digestable food.

    19. Take one Karela (Bitter Melon/Bitter Gourd/Bitter Squash) and four Tomatos, make a juice of them and have it twice a day.

    20. Always go for medical tests of brain, heart, liver, kidney and eyes, once in a year. For Blood Sugar, always go for HB1C and Sugar PP-every three months, in order to observe the developments. Also go for checking the numbness of the feet and take soft brush for cleaning the teeth.

    21. Always take the restricted food, as mentioned above, in reasonable quantity, at least once in a week, so that inner system of the body will remain conversant with the restricted items also.

    22. Change in life style and eating habbits is equally important to medicine. If we depend only on medicines and will not change our life style and eating habbits, then after sometime, medicine may stop working.

    23. Change in Life Style also includes taking Breakfast, Lunch & Dinner at fixed time, Getting up early in the morning, going to bed maximum by 10 PM at night, Have a sound sleep of at least 6-8 hours a day, do not go for sleep during the day time.

    24. For improving the strength in the body, Five Almonds and Five Wallnuts should be consumed. However, Cashewnuts and Raisin (Kismish) should be avoided. Further all Five types of MAGAJ are equally beneficial.(Available on the shops, where Dry Fruits are sold).

    25. For Sexual & Urinary disorders, soak one teaspoon of Methi Dana in one glass of normal water, for overnight. In the morning, take out Methi Dana and consume the water, empty stomach.

    26. For clearing the blockages of nerves in the entire body, take 20 gms of Garlic, cut it into smaller pieces. Boil the garlic in one glass of hot milk with one glass of water. Boil it till the point it remains only one glass of milk. Strain it and have such milk in the morning, empty stomach. Kindly remember that u should not consume anything (not even water) for next one hour. This will also clear the blockage of nerves and will also remove every type of pain in the body, caused due to blockage or other deficiency in nerves of the body.

  • Dear Patient,

    I am Murli Naidu, aged 75 years and suffering from Diabetes-2 since last 24 years, I take Insulin : Human Actrapid once a day, before Breakfast, Glynase(one a day) and do Yoga every morning. I have no eye problem, my weight

    does not go beyond 63 kgs, chlorestol is 110, NO FAT, all muscle, STRICT IN DIET, ABSOLUTELY NO FRIED FOOD

    AND STRICT VEGETARIAN, EAT IN TIME AND NEVER EAT OUTSDE. I HAVE WORKED IN 15 COUNTRIES ABROAD and still visit. I have various hobbies which keeps me occupied and fit. My Tel. 022-25905085

  • only one slogan I have to say is "LCHF DIET DAILY AND KEEP THE DOCTOR AWAY". It worked for thousands of people why can't you try. !

  • Please keep us posted as you experience and improvement and your drugs reduce. I am sure you will see improvements in other parameters also. There's a lot of LIES that has been spread about Saturated fat in over five decades. It's a herculean task to wipe that off but baby steps taken by diabetics like you and others who switch to LCHF will prove them wrong again and again and again. I spend time tirelessly, take abuses and personal insults too, but I am focused on what i do -- Spread the message of LCHF to every diabetic that I come across. Not all of them switch but even 10% success is a big number. Spread the message across to every diabetic who is willing to listen.

    Remember, ADA standards and dietary recommendations are not designed for diabetics. They are designed for people who make money out of diabetics. Also, diabetes in not curable as of now, so don't fall prey to such quackery. Stay focused on diet and carb counting.

  • medfree

    just one interesting thing i noticed in the history

    In childhood srikrishna used to steel butter,ghee,curd,milk(FAT) and eat.so he got the name "butter thief".

    Before carb loaded life i could not take ghee or cheese,nusts, salt etc. Now i use plenty of these and my High bp gone. No more TENORIC, RAMIPRIL. also i have shoulder tension for the past 10 to 20 years that has vanished.

    I started lchf diet for extreme hunger but by-product my diabetes,High BP are controlled. As a pure vegetarian if I can follow lchf diet then i think any body can follow. by the way my wife's FBG never below 120. Now her FBG number day before yesterday was 98. just by trying to follow lchf with me.

    I think other than dangerous medicine/injection LCHF is the ONLY scientifically proved way to control diabetes.

  • I agree with you. I am also pure vegetarian. LCHF can be followed by vegetarian though it is difficult.

    Your wife's BS needs to be monitored if remains above 120.

    What is PPBS?

  • PPBS is postprandial blood sugar.

    Sorry for my poor English. What i was saying to say was before lchf my wife fasting blood sugar was 120+ and now it is 98. without any medication. I even reduced my metformin dose to 1gm. I try to reduce 500 again but my PP 1 hour giving 151 so i back again to 1gm. I am sure with in one month i will reach half gram of metformin. The progress is fast.

    i write all these things openly even though my English is poor is that if by chance some body get benefited i am happy. because i suffered a lot with Diabetic complications.

    Yesterday i ordered though amazon Dr. Bernstein's diabetes solution book. Their delivery time is this month 25. Long waiting time to fetch a book. I want to know more about lchf. My eye sight is poor to read book in net.

  • I was asking about your wife's PPBS. Not the meaning of PPBS.

    It is good to see that she is benefited by LCHF diet.

  • Great to hear about improvements in BP and elimination of BP drugs also. Nothing unusual. If you stick to plan even LIPIDS, LFT/KFT will settle down with better values. These are all collateral advantages.

    Imagine the loss to diabetes drugs industry if 1 million diabetics do what you did.

    healthunlocked.com/diabetes...

    Add to the same other drugs that can be eliminated and loss would multiply. It is this which keeps them busy speaking the lies that SATURATED FAT Causes CVD/CHD. Actually CARBS Kill and all experts blame Saturated FAT because they want to safeguard their "PROFITS"

    Try and keep your breakfast the lowest in CARBS and higher in fats (Saturated Fat)

  • Dear Sirs,

    What is this LCHF ? Can you tell the fullform ?.

  • dear sivagovind,

    LCHF is low carbohydrate high fat diet. Please go and search in this web site and other you get plenty of stuff.

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