Sugars of 18-20 mmol-l are very high sugars. Sugar above 13 mmol / L - this is glucose toxicity - intoxication of the body with high sugar, which is why we must necessarily lower sugar below 13 mmol / L. It is ideal to lower sugar below 10 mmol / L (target sugar levels for most patients with diabetes 5–10 mmol / L), specifically for sugars below 10 mmol / L (this is sugar both before and after meals), there is a low risk of developing diabetes complications. With sugars above 13 mmol / L, the risk of developing complications is very high.
Blood sugar must be reduced. First, you yourself can start to follow a strict diet (remove all fast carbohydrates, eat slow carbohydrates often and little by little, preferring non-starchy vegetables (cucumber, tomato, cabbage, zucchini, eggplant) and low-fat protein (fish, chicken, beef, mushrooms, little by little) -beans, nuts).
In addition to normalizing the diet, sugars can be reduced by increasing physical activity (most importantly, remember: you can give yourself loads with sugars up to 13 mmol / l, with sugars above the body suffers from glucose toxicity, loads will overload the body).
You should also read the literature on the treatment of diabetes (you can find a lot of information on the treatment of diabetes, on the selection of insulin therapy on this site and on my site, http: // olgapavlova.rf), you should also go through a diabetes school to begin to navigate sugar-reducing therapy and insulin therapy.
And now the most important thing: you need to find yourself an endocrinologist who has enough time, knowledge and desire to find you an adequate sugar-lowering therapy that will be useful for the body and effective in terms of controlling blood sugars. A therapist can prescribe insulins, and only a competent endocrinologist can choose modern safe therapy. Very often, in clinics, insulin for diabetes is too early and far from always indicated according to indications, which leads to sad consequences: an increase in insulin resistance, as a result of which insulin starts and sugar increases, weight gain, unstable sugars, hypoglycemia, and poor health. Insulin in T2DM is a therapy when all other options are ineffective or when a person has terminal renal / hepatic insufficiency (i.e. rare situations). But even in such situations, with the right insulin therapy and diet, you can maintain ideal sugars, well-being and body weight.
Therefore, your main task at the moment is to look for a competent endocrinologist, be examined and select effective and safe therapy.
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Constantly high sugar
Murka »May 26, 2009 10:16 AM
Fantik "May 26, 2009 10:24
Connie May 26, 2009 10:27 AM
Murka May 26, 2009 11:02 a.m.
Murka May 26, 2009 11:04 AM
Stasya I May 26, 2009 12:19
Murka May 26, 2009 2:26 p.m.
PAT May 26, 2009 2:38 pm
In very general terms:
1. Basal insulin holds the background, i.e. in your case, Lantus: shot at 22 was SK 13, in the morning got up SK 13.
2. Food insulin should compensate for food, for this everyone has their own coefficients: before the meal they died SK 13, pricked Novorapid as much as they needed for food, ate after 4 hours SK 13.
These are very common features)))) more) Read the book, everything is there in an accessible language, I’ll understand much more than what I described here)
Fantik May 26, 2009 3:23 p.m.
Stasya I "May 28, 2009 10:12
Murka »Jun 01, 2009 12:47 PM
Connie »Jun 01, 2009 1:20 p.m.
So after 9 there wasn’t so much left. And after the gypsum, a rollback would follow.
Yes lantus needs to be lowered, try 26 units. You need to try to achieve smooth sugars at the level of 13-15 at night.
Murka »Jun 04, 2009 7:35 pm
Elena N June 04, 2009 8:04 PM