From: ray on
On Thu, 31 Jul 2008 19:27:38 -0500, Viking wrote:

> I got some blood glucose meter control solution that's 100 mg/dL of
> glucose and tested my Bayer Contour meter with it--have only tested it
> twice, but it came out to 94 and 96, not bad. So I'm reassured that the
> meter works.
>
> Unfortunately, that leaves my fasting glucose level at 154 - 160 mg/dL.
> I've been very low-carb (<10g) for the last eight months. And I am
> losing weight. I'm taking the maximum metaformin and januvia daily.
>
> Any suggestions about new/other medications/supplements I should ask my
> doctor about? Have to get my blood glucose down another 35 points.
>
> Thanks in advance.

For me, it takes low carb diet, oral meds and exercise - all three to
maintain control. I ease up on any one of the three and pay the price.
Exercise does more than help you loose weight - it also works the muscles
which helps to burn blood glucose.

From: Uncle Enrico on
Viking wrote:
> I got some blood glucose meter control solution that's 100 mg/dL of
> glucose and tested my Bayer Contour meter with it--have only tested it
> twice, but it came out to 94 and 96, not bad. So I'm reassured that
> the meter works.
>
> Unfortunately, that leaves my fasting glucose level at 154 - 160
> mg/dL. I've been very low-carb (<10g) for the last eight months. And
> I am losing weight. I'm taking the maximum metaformin and januvia
> daily.
>
> Any suggestions about new/other medications/supplements I should ask
> my doctor about? Have to get my blood glucose down another 35 points.
>
> Thanks in advance.

Fasting levels of 154 to 160 while on oral meds indicate one or both of
the following: obesity and insulin resistance; pancreas beta cells are
burning out and producing less insulin due to overwork.

Given that you're on a low carb diet, you're eating correctly as long as
you're not overeating.

You might consider insulin.
..

The oral meds are inadequate if they're not giving you normal fasting
readings. Insulin will do the job and protect you from high blood sugar
damage.



If you're wary of insulin, realize that the complications from years of
high readings are bad. A needle once or twice a day with less pain than
a finger stick is nothing.

I'm on Lantus twice a day with minimal resistance exercise and daily
walks. My last A1c was 5.0. My morning numbers range from 75 to 95.
Were I still on orals, I'd have the same kind of fasting numbers you're
having.

Good luck, Viking.