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Type 1 Diabetic taking Insulin Please!!!!?

Okay This is my question I was just diagnosed Friday with Diabetes. My fasting sugar level was 400 that moring. And my A1c was 13.2. So I am on 2 different insulin's. But my question is how many of you guys go to a specialist? Anyone stay with there regular Dr?

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  • 1 decade ago
    Favorite Answer

    Hi Miss Melissa.

    Your question is a good one. It is important to go to a specialist when you have Diabetes. You should go to an Endocrinologist who is the specialist that treats Diabetes. Your primary doctor can give you a referral to one. Your Endocrinologist will know which types of insulin to give you and in what dosages. Since you were just diagnosed, you will most likely have some changes made in both insulins and/or dosages until the best types and levels are found to keep your levels under control.

    When I was first diagnosed with Type 1 in 2001, my glucose level was around 1,000 and my A1c level was 22%. I almost ended up in the hospital. My doctor allowed me to stay home, but he called me every day until I was out of danger. He then gave me the name of an Endocrinologist, who I have been seeing since then to treat the Diabetes. She also had me see a Diabetes Educator. That is the person who will talk with you about how to manage things. How to use your meter, how often you should test, what changes you may need to make, etc. She will tell you about glucose pens and, down the road, about glucose pumps. You won't need to see the Diabetes Educator often. I only needed to see her once.

    I also take 2 insulins. At bedtime, I take Lantus (glargine) 75 units. It is a long-lasting insulin that lasts for 24 hours. It keeps my glucose levels around 90 at all times. Then, during the day, I tale NovoLog (asparte) 35 units before each meal. It is a fast-acting insulin that lasts 2 hours, enough to process my meal. I never adjust my bedtime insulin because that is my baseline insulin. However, I do adjust my NovoLog insulin before meals. For example, if I am going to eat an extra large meal or one with a lot of carbohydrates, I will raise the amount to about 40 to 45 units. Also, if I am only going to have a yogurt, I will lower it to about 25 to 20 units. The doctor didn't allow me to make my own adjustments for about 2 years, after she saw I was keeping my glucose levels under control.

    It is so very important to check your glucose levels frequently during the day. I test about 10 to 12 times a day. You need to test at dawn (when you first wake up); before each meal; 2 hours after each meal (that's 2 hours after you start to eat); before bedtime. Also, if you exercise or do sports, you need to test before you start to exercise, in the middle of your activity, and when you finish exercising. Testing is the only way that you can know how your glucose levels are doing.

    There are many websites that have a lot of info about Diabetes. Here are a few good ones;

    http://www.dlife.com/

    http://www.revolutionhealth.com/

    http://www.americandiabetesassociation.com/

    http://yourtotalhealth.ivillage.com/

    I hope this has been helpful to you. I know that it is a shock to get a diagnosis, but you can live a normal life with it.

    I wish you the best of luck.

    Source(s): I have Diabetes Type 1. I do what is called "tight control," where I keep my glucose levels between 80 and 130. I also keep my A1c levels between 5.3% and 5.7%. I have also read over a dozen books about Diabetes.
  • 1 decade ago

    This sounds like the day I was diagnosed, my sugar was around 550, and my A1C was 13. something, anyway I'm assuming you are on a Long Acting insulin like Lantus or the new Levemir and then a short acting like Novolog or Humalog. The number of insulin's simply is used because the long acting insulin maintains your sugar at a normal level throughout the day and the short acting insulin is for when you eat. Unless on the insulin pump, most type 1 diabetic's use two different insulin's. I would recommend going to an endocrinologist, a specialist for diabetes. They have access to diabetic educators, dietitians, and other things that are very helpful to newly diagnosed diabetics. Endocrinologists know a lot more about the disease than a regular doctor does. They can make sure your sugar levels are at the right levels so it doesn't do any organ damage! Good Luck!

    Source(s): Type 1 Diabetic Registered Nurse
  • 5 years ago

    1

    Source(s): I Cured My Diabetes - http://diabetescure.raiwi.com/?JPmA
  • Noccie
    Lv 7
    1 decade ago

    My son is 16. He was diagnosed at 7. We've been seeing an endocrinologist the whole time. In addition we work with a certified diabetes educator, nurse practitioner, and a certified diabetes educator. Because the disease has so many potential complications and there are so many ways to treat the condition, I would not go to a general practitioner. Diabetes specialists should know what new treatments are available and just understand the disease process better.

    However, my mother has type 2 and is happy just sticking to her regular doctor (but her sugar never gets too crazy high any way).

    Since it's a new diagnosis see the specialist for a while until you get under good control then decide what's best for you.

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  • 1 decade ago

    Hopefully you have a great regular Dr. Mine told me that my diabetes would go away if I just lost some weight and stuck to a diet of 1800 calories per day. This in spite of the fact that I had lost about 25 pounds already and was only 23 years old and weighed 165 lbs.

    You are much better off seeing an endocrinologist. They are likely to be much more up to date on the best in diabetes care. They will have more resources for you as well. Over time, you will need to adjust your insulin, sometimes increasing it dramatically all of the sudden. With a medicine that sensitive with such severe side affects, you want a doctor that specializes in your condition.

    You also will eventually want an insulin pump, and an endocrinologist will have the best resources on what is the best pump for you.

  • 5 years ago

    2

    Source(s): Secrets To Reverse Diabetes : http://diabetesgofar.com/?lSma
  • 1 decade ago

    since your new to this i would get involved with an endocrinologist until you have your insulin doses and sugar levels down and also when you know your body a little better,and have your A1c at a normal level, now that i have my A1c under control and my insulin levels i see my regular doctor but until that happened i saw my endocrinologist, they definately have more knowledge about diabetes and everything that comes along with it, once you get established with an endocrinologist since they are harder to get in to see you can go back to your regular doctor for refills, labs and other maintenance if you do have a problem your doctor can contact your endocrinologist for you and come up with a plan for your treatment together. If you have some sort of emergency endocrinologists are usually always on call and willing to be paged and talk to you day or night, mine is at least, especially when i was first diagnosed i was on the phone with her all the time adjusting insulin levels.

  • Janice
    Lv 4
    5 years ago

    You would first start producing ketones in your urine, start vomiting and then fall into a coma. I know it's tough and stressful. Trust me I'm living through it with you except I was diagnosed when I was 8 and I'm now 18. The first years tough because your getting use to the changes and not to many people understand that but you should really take your insulin. If you're getting tired of taking shots ask your doctor about an insulin pump :) most insurances cover it. If you need anyone to talk to feel free to message me (: take care. Trust me. It's not worth it. I've been in the hospital multiple times the first 5 years of being diabetic because I wouldn't take my insulin.

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    5 years ago

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  • 5 years ago

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