So I'm on max dose of Janumet and Actos. My fastings are anywhere from 115 to 140 (I'm sleeping a little bit better but always wake up at 4am. I swear I can just feel the pancreas kicking in.) If I don't do any kind of exercise in the am and eat anymore than 20 carbs, I'm up over 150 at breakfast. I usually take a little walk at 11am on my break and then can have 1/2 an apple after the walk. Lunch isn't until around 1pm and even yesterday I just had a Weight Watchers that had only 20 carbs in it and then walked for 1/2 hour (gentle walking) and when I checked an hour & 1/2 later I was still 144, so I didn't bother having the orange I wanted because I knew that would spike me to 160 or so. But if I don't eat anything after lunch and starve until I get home at 6pm (taking my 2nd dose of Janumet around 4:30pm) I'm back down to 115. If I don't eat more than 40 carbs I can stay under 160. I think 1. because the Janumet is Januvia & regular Metformin, not the ER version I've taken since being diagnosed, I think it doesn't have a lot of staying power by afternoon and 2.where exercise usually just brought me down, whether it's the anxiety or whatever now it raises me intially but helps out later. I think I can remember some of you having that issue with exercise intially raising bg's. I was thinking of maybe asking my primary to dump the Januvia and let me just go back to my regular Metformin ER and supplement with Starlix or Prandin with my meals until I can see the endo and figure out the whole insulin issue. I don't think adding the Januvia back to the mix last month has made a tremendous difference, some but not a lot. I have to admit, being on drugs that have never caused lows has been nice and going towards meds/insulin that can cause potential lows is scary to think about.

 

Anyone type 2's use Prandin or Starlix? and also, I doubt I could just take a basal insulin at night and not still have post prandial spikes, right? Anyone have opinions on Lantus vs Levemir? and what are the most popular fast acting insulins do most of you use? And I know you shoot that fast acting prior to a meal but you can use it again later to correct, right? How do you all fit exercise in with this too? You just learn how your body works and when you tend to run high and low?

 

Thanks for letting me bug you all.

 

Pam