Wednesday, 17 June 2009

How long is this highly inadequate treatment supposed to go on?

You are taking such a minimal amount of metformin that it's unlikely that it is going to make a big difference in your bgs. An effective dose is considered to be 1500 mg; the maximum dose is 2550 mg. While it's true that some people can do well on lesser amounts, your bgs do not indicate that you are one of them.

I see that you are still not being given insulin with your meals. Do you know why not? A background dose of Lantus is not going to substantially reduce your bgs. You need insulin like Humalog or Novolog to be taken with meals. Finally, it concerns me that your doctor is telling you to only test twice a day. It is impossible to get decent control with the protocol you are currently following. How long is this highly inadequate treatment supposed to go on?

This new doctor and I are going back to "square one". We talked about Novolog and he may have me start using it. What he wants to see first is the copy of my last test results and my reaction to Metformin. I seem to be having some reactions to the vitamins and supplements that he's never seen before so we're going slow with working out the food/meds/vitamin plan that will work best for me. The glucosamine pill I was taking was sending my BG up but we don't know why.

I'll do more frequent testing starting next week. Dr. Jerkyll had me testing almost hourly for that last month and the fingers on my left hand ended up full of holes and they hurt. Since I'm not living on sugar and carbs, chances are I'm not in danger during the day with my BG.

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