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   Confused about oral med or insulin (Diabetes board)

9th February 2007
Hi! I've been in a similar boat as your husband. I was diagnosed with T2 a little over a month ago and was started out on Glucophage (metformin) 1000 mg twice a day. Then it was changed to ACTOplusMet (Actos & metformin) twice a day. Next, Glucotrol XL was added to the ACTOplusMet. My blood sugars have continued to stay in the 300 - upper 400 range. (By the way, all these are oral meds.) Finally today, they put me on insulin. As for the Lantus, it is a longer acting insulin without much of a peak and they said it wouldn't work for these BGs in bringing them down and I needed something that is faster acting. So, they put me on Humalog mix 50/50 pen. Still waiting for pharmacy to fill it, so I don't know how it's going to work on me yet.

I do believe the diabetes specialist in what I was told today because I work in a hospital (nurse) and have talked with several others in the healthcare field and they have all said the same as what I was told today.
18th February 2007
Thanks for the replies. His doctor increased his Lantis to 32 units daily, and added Glucophase, 1000 mg twice a day, along with Actos at bedtime. His fasting is down around 160 for the past 3 days now. He is eating more nutritiously, and I have been able to get him on the treadmill for a few minutes a day. I know it will take more than that, but at least it's a start. I just don't understand why the doctor increased his Lantis when it didn't do anything to start with, and when the tests showed that his insulin levels are high. Does this make sense?
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