so are you type 2? I only ask because you mentioned oral meds.
I would look for and endocrinologist not a family practitioner. Primary care physicians have essentially and basic understanding over overall health and wellness. With diabetes, you need an endocrinologist.
Adding more and more insulin is not the way to go IMO, activity and diet can have a huge impact. I eat 200+ carbs per day right now and only use 20iu Basal with my pump and 2.5 to 3.5iu bolus (humalog)
|
-
09-15-2014, 07:26 AM #871
- Join Date: Mar 2006
- Location: East Rochester, New York, United States
- Age: 37
- Posts: 11,761
- Rep Power: 30035
Type 1 Diabetic - Since age 15
Luke 1:37 "For NOTHING is impossible with God"
INSTAGRAM: StevenGFH Follow me!
*ALLMAX NUTRITION REP*
ALLMAX Nutrition, Inc.
SCIENCE - INNOVATION - QUALITY - RESULTS
http://www.bodybuilding.com/store/all/all.htm
Disclaimer: All forum or bulletin board posts are solely the opinion of myself and do not necessarily reflect the views of ALLMAX
-
09-15-2014, 07:47 AM #872
- Join Date: Jan 2006
- Location: United States
- Age: 42
- Posts: 2,492
- Rep Power: 17437
Lantus is a slow release insulin, like the Levimir I take. I do have a consistent dose of that. 50 units 2 times a day. The fast acting (your homolog, my Novalog) is what is adjusted depending on what you're eating and what your BG level is. How often do you monitor your BG?
This.... If you are type 2, I can understand the constant dose as well.ErgoGenix ErgoZzz log: http://forum.bodybuilding.com/showthread.php?t=167645251&p=1365912691#post1365912691
NEVERSUMMER Snowboard Brah
❄ ❄ ❄ ❄Official Misc Ski/Snowboard Crew❄ ❄ ❄ ❄
Sunkin' Guns Crew
-
-
09-15-2014, 08:07 AM #873
Sorry guys I know this is for type 1. I have been diagnosed type 2, by my primary care physician. However I have been taken off the oral meds (glucotrol or glipazide (spelling?) & tradjenta) and have started insulin therapy this year, March. I had a question about fast acting insulin following my workout so I searched this board and this was the best thread for people who lift who have it that I came across.
I monitor my BG by taking it morning before breakfast/shot, then once again in the evening after dinner/before bed (in between that time frame yeah). And I write it down on my sugar sheet, I then take it to my next doctor's appointment, and he says, sugars still abnormally high, and I get my insulin upped from there on. So yeah, I monitor it morning and night. Just as the doctor ordered. For right now anyway.
An endocrinologist? I will look in my area and report back.
I was on the oral meds I listed as well as metformin at one point but now entirely insulin.BLM (Brock Lesnar Matters)
Always go full potato crew
-
09-15-2014, 08:36 AM #874
- Join Date: Jan 2006
- Location: United States
- Age: 42
- Posts: 2,492
- Rep Power: 17437
If you're BG is still that high, you should be monitoring more. I would take my blood 3 to 4 times a day until I got my Dexcom meter (monitors all day long). You should really go see an endocrinologist. They specialize in diabetes and will be able to help you get the level under control. Primary care physicians are not set up to help you with diabetes. Im speaking from experience. I tried for the longest time to not go see a specialist. Primary care only had basic knowledge and couldn't get my levels under control. I finally went to an endo and its been great since.
ErgoGenix ErgoZzz log: http://forum.bodybuilding.com/showthread.php?t=167645251&p=1365912691#post1365912691
NEVERSUMMER Snowboard Brah
❄ ❄ ❄ ❄Official Misc Ski/Snowboard Crew❄ ❄ ❄ ❄
Sunkin' Guns Crew
-
09-15-2014, 06:56 PM #875
That is some intense insulin resistance and/or issues with your liver right there... 50 units? ****
For someone of your biochemistry, i highly recommend you to undertake a ketogenic diet. That amount of insulin not only has direct consequences it self, but it shows that there are a lot of other issues going on in your body as well as maybe 50 other indirect consequences
Sure, SC insulin takes a while to peak. Carbs has a phase I and II response. As soon as carbs hits your gastro tract, from the mouth, it starts being broken down in to glucose. Glucose can also absorb sublingually which is said in this case to raise blood sugar as quick as IV glucose, but not a lot of glucose gets absorbed sublingually this way though... SC insulin covers the Phase II response since it takes somewhat 15minutes to start working, where as glucose is at its peak in 15minutes.
A solution i figured to solve this problem, since i am no longer on ketogenic diet and been undertaking LeanGains for the past 3 months, i routinely take in 200-400grams of carbs in one go. i take my insulin for that much carbs 70% of the Units as Intramuscular (IM). if i get the carb count right, i can check my blood sugar every 30minutes and the most it would rise would be by 2mmol/l. which compared to taking insulin SC, it would rise by 8-12mmol/l. this shows the difference how much a delay in insulin absorption can do..Type 1 Diabetic
Keto-Adapted
-
09-16-2014, 03:29 AM #876
- Join Date: Mar 2006
- Location: East Rochester, New York, United States
- Age: 37
- Posts: 11,761
- Rep Power: 30035
As the above said...some severe insulin resistance.
what are your stats? Overweight? What is your diet like?Type 1 Diabetic - Since age 15
Luke 1:37 "For NOTHING is impossible with God"
INSTAGRAM: StevenGFH Follow me!
*ALLMAX NUTRITION REP*
ALLMAX Nutrition, Inc.
SCIENCE - INNOVATION - QUALITY - RESULTS
http://www.bodybuilding.com/store/all/all.htm
Disclaimer: All forum or bulletin board posts are solely the opinion of myself and do not necessarily reflect the views of ALLMAX
-
-
09-16-2014, 04:32 AM #877
I'm 6'3" and still struggling with my weight 280's, 290's, pushing 300...something like that
Diet I'll have
4 whole eggs, 2 pieces WW bread and milk for breakfast
fruit and/or a few greek yogurt as a snack 2-3x a day & more milk
1/2 a rotisserie chicken with 2 cups broccoli and either rice, white potato or sweet potato for lunch
then for supper it's the same except maybe a whole rotisserie chicken and with more fresh broccoli and less rice/potato
I drink up to a whole thing of white milk per day
1.5 - 2 gallons water
and PWO chocolate milk with banana and/or frozen berries and a huge hunk of natural peanut butter (all blended)BLM (Brock Lesnar Matters)
Always go full potato crew
-
09-16-2014, 11:11 AM #878
I wouldn't say 50 units of lantus automatically is severe insulin resistance. He is only taking 24 units of novolog, which is half the lantus. That's a pretty messed up ratio.
"Life should not be a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming "Wow! What a Ride!"
� Hunter S. Thompson
Live fast, die young, and leave a jacked and tan corpse.
Best lifts
Squat- 500
Bench-390
Deadlift-635
-
09-16-2014, 06:40 PM #879
- Join Date: Mar 2006
- Location: East Rochester, New York, United States
- Age: 37
- Posts: 11,761
- Rep Power: 30035
I would sit down with your Doctor after you find a specialist. Saying you are "struggling" in the 280 to 300lb range, I am assuming you have some pounds to lose, which will help big time!
You seem to be heavy on the carbs. Type 2 can be much better managed, sometimes to the point of needing no meds with diet and exercise alone. There are numerous books on this subject. And doctors that know what they are talking about tend to prescribe a low carb diet a long with medications and exercise for type 2 diabetic patients.
A gallon of milk is almost 200 carb (sugars) not including the fruit, chocolate milk, bread, greek yogurt, potatoes, rice you consume. Also protein is a bit high, and keep in mine, through gluconeogensis some protein is converted to sugars, especially in over consumption.
Find a type 2 nutritionist and a better doctor. I would help, but I am not a certified nutritionist nor a medical expert.
we are all here to help manType 1 Diabetic - Since age 15
Luke 1:37 "For NOTHING is impossible with God"
INSTAGRAM: StevenGFH Follow me!
*ALLMAX NUTRITION REP*
ALLMAX Nutrition, Inc.
SCIENCE - INNOVATION - QUALITY - RESULTS
http://www.bodybuilding.com/store/all/all.htm
Disclaimer: All forum or bulletin board posts are solely the opinion of myself and do not necessarily reflect the views of ALLMAX
-
09-16-2014, 06:45 PM #880
- Join Date: Mar 2006
- Location: East Rochester, New York, United States
- Age: 37
- Posts: 11,761
- Rep Power: 30035
Looking back at a post you made yesterday.
You said your doctor has been increasing the dose and adding in insulin and what not, and sugars are still abnormally high. Has he looked at your diet?
The thing that worries me is...if adding more and more drugs is not working....look deeper into it...granted he is not a specialist, but you need to know when to "throw in the towel" and recommend a specialist.
I really do not like doctors if you cannot tell lolType 1 Diabetic - Since age 15
Luke 1:37 "For NOTHING is impossible with God"
INSTAGRAM: StevenGFH Follow me!
*ALLMAX NUTRITION REP*
ALLMAX Nutrition, Inc.
SCIENCE - INNOVATION - QUALITY - RESULTS
http://www.bodybuilding.com/store/all/all.htm
Disclaimer: All forum or bulletin board posts are solely the opinion of myself and do not necessarily reflect the views of ALLMAX
-
-
09-17-2014, 07:26 PM #881
Remember a deficit is a deficit. it seems like you need to lose weight to abolish your metabolic syndrome/ T2 Diabetes.
Since you are insulin resistant, it would require a lot of work to lean up and maintain muscle mass (since muscle tissue is insulin resistant to begin with)
Best course of action is to under take a proper ketogenic diet deficit rather than a mixed diet deficit, you will be able to lose 1-2kg a week if done correctly without loss of LBM (except water).
at this time you may suddenly not require much insulin, and may even not require any at all..
i give you an example, although i am T1, i was giving my self 50units of lantus with 40-50units of bolus through out the day. i was 105kg at 28-30% body fat. as soon as i undertook ketosis, within the first week my basal insulin requirements dropped to 12units and it didnt change even when i dropped 20kg. i stuck with it and lost an incredible amount of weight before it started leveling off at 80ish kg. 3 months ago i got off keto and jumped on LeanGains with intermittent fasting and macronutrient cycling. incredibly my basal insulin requirements are LOWER than when under ketosis. it now hovers at 9-11units basal despite the fact that i routinely consume massive amounts of carbohydrate. also my bolus insulin to carb ratio used to be 1unit for 7g of carbs, now it is 1 unit for 10-11g of carbs.Type 1 Diabetic
Keto-Adapted
-
10-07-2014, 05:15 AM #882
-
10-07-2014, 03:57 PM #883
-
10-08-2014, 06:15 PM #884
-
-
11-09-2014, 02:38 PM #885
hello guys i am type 1 diabetic from greece, i got my diabetes 2 years ago i was am lifting for 3 years, so i done some stuff and expirience some stuff with insulin so my main problems are:
too many injections i inject 4 times on my lifting days on my belly and one slow acting insulin its new its called i thing treshiba. so my blood sugars are great all time like 5.4 5.5. my diet consists of i wake up i eat oatmeall like 70 grams with 250ml milk(10g carbs the milk low fat) and an omellete with 5- egg whites and inject 8 units of novorapid then for snack i eat something like nuts and some protein stuff and then after 2 hours abbout i inject another 7 units of fast acting insulin novorapid to eat 80 grams of brown rice, or brown pasta with some protein like chicken etc then i have a snack or i just go lift. 10 minutes before i finish my workout i go inject 9 units and when i finish i take my protein shake with 4-5 g of creatine with 50 g of dextroze and some ont protein then i go home after 1 hour and 20 minutes about i test my blood sugar sometimes its always good like 94 , 85 and then i inject 3 units of novorapid and eat 80 grams of brown rice or oats or pasta or some other low glycemic staff and after 2hours my blood sugar is good again like 90 or something. then i eat a snack cottage cheese some low glycemic bread and i inject treshiba in my butt (the slow acting one) and sleep. i wake up with 75-100 mostly i am good the problem is the injections i have low bf like 12-14 when i bulk the most and i cut for a month i remove some injections when i cut and drop to 8%bodyfat. how you guys do it i mean the winter how many injections per day i am afraid i will develop Lipodystrophy in my belly area after the 4 pack. i dont do much cardio too but i walk all time i am active except 1day per week i want to rest :P but i do hit cardio one time per wee after training. i was at 20 bf 2 years ago i injected far more and when i cut my insulin resistance went low. so how you guys do it how many injections, whats the best way to avoid injections and meal thinky
-
11-10-2014, 04:48 PM #886
Am I T1D? If so.. advice?
HI guys (and gals).. this thread is great! As bodybuilders, we're in a different playing field than most so it's great to find a group that has USEFUL info on T1D.. Anywya..
I'm 55 and have been bodybuilding for well over 35 years without a break. No juice.. ever. I'm 5'10" 185 lbs, and thinking about 7-10% bodyfat (measurements are tricky). 4 months ago i started experiencing severe bouts of fatigue, usually in the mornings and gets better in afternoon and evening. I was also under quite a bit of stress and not sleeping well. I went and got blood work.. and what caught my eye was BG at 57. This was after an intense chest workout and PWO of 2-3 muscle milks (leaded, not unleaded) for 75g protein. Anyway, immediately purchased a BG monitor and from then on, i've always been high.
So.... "high" for me is between 100 and 300 which I know is not crazy dangerous, but testing later showed my A1C at 7. I've always eaten clean (low fat, high protein and carb and NEVER eat deserts, cookies, etc though I do eat white breads and pasta as well as potatoes, rice (all kinds), etc). Also, I graze, so at that time, every 1-2 hours I'd be eating something totally about 2800-3400 calories per day. Pre workout is bagel (white) and post workout was EAS protein shake (again.. leaded).
I had fasting insulin tested and it was 1 (with low C-peptides as well). I had another test done after a meal and it was 12.7 which i THINK says I'm making insulin, but perhaps it's not a lot?
Done TONS of BG monitoring and it goes as you'd expect. seems to peak 1-2 hours after a meal and SLOWLY drops. After a high carb meal (like 60g or higher) it doesn't return to below 90, even after 3-4 hours. BG however seems under control if I keep my carb intake low.
So my quesiton is.. does it appear that I'm insulin-challenged? (just made that up.. pls forgive me). I want to get my A1C down to below 6.. and PART of me thinks that stress may be my problem.. perhaps not T1D, however lately I really don't feel that stressed and my sleeping is much better, yet my BG remains about the same. If I'm mildly T1D, then I want to get on it which for me I think means the fast-acting pens.. and perhaps don't need the Lantus-type.
The other question I have is IF i'm T1D, then I'm thinking my routine for WO's would be my bagel pre, and then I've been drinking gatorade (total of about 26g carb/sugar) during workout to help keep my energy up, then post workout shakes (high P and C). I noticed that my BG does NOT spike after protein shakes or protein bars.. only after "real food" meals with a lot of carbs.
As you can all appreciate, bodybuilding has been a HUGE part of the greater part of my life and I'm loathe to give up ANY of my gains since they've been so incremental over the years, and age ain't making it easier. I therefore appreciate ANY AN ALL thoughts and advice you experts may have to offer.
Thanx in advance for 1) getting to this point in this lengthy post, and 2) any thoughts you may offer.
Monte
-
11-11-2014, 12:21 AM #887
-
11-11-2014, 06:25 AM #888
-
-
11-14-2014, 11:49 AM #889
-
11-27-2014, 01:49 PM #890
so i did an expirement i injected 9 units novorapid drink the shake after 20 minute and after one hour i ate 60 grams of low glycemic carbs and injected 2 more units, next day i injected 9 units of novorapid and then after 30 minutes this time i drank the shake and again after 1 hour i ate 60 grams and went hypo and ate 20 more grams, so if i inject and after 30 minute i drink the shake i can eat 75 grams after but if i inject 9 units and drink it 20 minute after i can eat 60 and i if inject 9 units and drink the shake after 10 minutes i can eat max 50 carbs after... hmmm strange **** the blood sugar thinky timing is everything i guess!
-
11-28-2014, 10:37 AM #891
- Join Date: Mar 2006
- Location: East Rochester, New York, United States
- Age: 37
- Posts: 11,761
- Rep Power: 30035
Type 1 Diabetic - Since age 15
Luke 1:37 "For NOTHING is impossible with God"
INSTAGRAM: StevenGFH Follow me!
*ALLMAX NUTRITION REP*
ALLMAX Nutrition, Inc.
SCIENCE - INNOVATION - QUALITY - RESULTS
http://www.bodybuilding.com/store/all/all.htm
Disclaimer: All forum or bulletin board posts are solely the opinion of myself and do not necessarily reflect the views of ALLMAX
-
11-28-2014, 10:41 AM #892
- Join Date: Mar 2006
- Location: East Rochester, New York, United States
- Age: 37
- Posts: 11,761
- Rep Power: 30035
It depends on what my PWO shake/meal consists of. If it is very fast absorbing carb course...then I would give a shot 10 to 15mins ahead of time. That way the insulin is active in my body so as my drink digests they time up well together
If my PWO meal/shake has more complex carbs and maybe added fats...then I will give my insulin 5mins before or after I consume my PWOType 1 Diabetic - Since age 15
Luke 1:37 "For NOTHING is impossible with God"
INSTAGRAM: StevenGFH Follow me!
*ALLMAX NUTRITION REP*
ALLMAX Nutrition, Inc.
SCIENCE - INNOVATION - QUALITY - RESULTS
http://www.bodybuilding.com/store/all/all.htm
Disclaimer: All forum or bulletin board posts are solely the opinion of myself and do not necessarily reflect the views of ALLMAX
-
-
11-28-2014, 10:45 AM #893
- Join Date: Mar 2006
- Location: East Rochester, New York, United States
- Age: 37
- Posts: 11,761
- Rep Power: 30035
The timing is very tricky! I wear a Dexcom continuous glucose monitor. It helps me figure timing for different foods and food combinations
I would be careful injecting 9IU of a rapid acting insulin post workout and waiting 20 to 30mins to consume carbs. You could go hypo quick.
After a workout...depending on the bodypart, style of workout, intensity..your sensitivity can vary greatly.
After legs for me....I can give 1iu insulin at at times eat 300g carb over the night to stop from going hypo.
But you are on the right path....trial and error. We are all different and react to things differently!Type 1 Diabetic - Since age 15
Luke 1:37 "For NOTHING is impossible with God"
INSTAGRAM: StevenGFH Follow me!
*ALLMAX NUTRITION REP*
ALLMAX Nutrition, Inc.
SCIENCE - INNOVATION - QUALITY - RESULTS
http://www.bodybuilding.com/store/all/all.htm
Disclaimer: All forum or bulletin board posts are solely the opinion of myself and do not necessarily reflect the views of ALLMAX
-
12-02-2014, 07:30 AM #894
i always train hard dude, always i lost some weight too i just dont want to inject more than 3 injections per day in my belly i cant rotate anywhere full of muscle and tight, so i geuss inject 20-25 minutes before drink shake after test blood sugar after an hour eat some bread brown one to cover the need for hypoglicemia, dude the point is i inject for 13 carbs 1 unit so my whey shake no fat inside and dextroze is going to digest really really fast so 20 minutes before so insulin will start working and in an hour period i would have lower than 100 it works most of the time like some times i got 110 its ok, then i inject 2 units and eat an 80 carb brown rice meal but i inject 2 more units the problem is novorapid lasts 2 hours the brown rice works for 2 hours thats why i have to inject, but then i go for 4 injections per day (+ one in my butt the slow acting one)
-
12-02-2014, 07:56 AM #895
-
12-02-2014, 09:59 AM #896
Hey guys, just found this thread. Looks like a lot of interesting stuff to read through. I've had type I for a little over 20 years now. Been rocking the pump for about 15-16 years or so and just ordered a new CGM. I had one about 4 years ago but got frustrated with it and stopped using it. I'm looking forward to reading some of the replies in here.
-
-
12-02-2014, 03:39 PM #897
-
12-06-2014, 07:13 PM #898
- Join Date: Mar 2006
- Location: East Rochester, New York, United States
- Age: 37
- Posts: 11,761
- Rep Power: 30035
Type 1 Diabetic - Since age 15
Luke 1:37 "For NOTHING is impossible with God"
INSTAGRAM: StevenGFH Follow me!
*ALLMAX NUTRITION REP*
ALLMAX Nutrition, Inc.
SCIENCE - INNOVATION - QUALITY - RESULTS
http://www.bodybuilding.com/store/all/all.htm
Disclaimer: All forum or bulletin board posts are solely the opinion of myself and do not necessarily reflect the views of ALLMAX
-
12-18-2014, 05:44 PM #899
-
12-19-2014, 12:44 AM #900
Bookmarks