As i have become a teenager i seem to forget things i don't know whether it's to do with my hormones or my diabetes or both?
Never use to happen when i was younger.

If you are keeping your blood sugar within normal levels (for the most part), it's likely hormones. However, chronically elevated blood sugars can certainly cause foggy thinking.

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I had a cortisone kenalog injection today. I am type 2 diabetic. My blood sugar is above 200 and holding which I never see unless I really pig out.
I plan on calling the DR tomorrow but what level should I seek medical help.
I take 1- 800 MG metformin before bed time and 1- 500 mg early AM.

Dear Doug ,
I try to avoid cortisone(steroids) as possible in diabetics because it causes hyperglycemia ,
Kenalog (triamcinolone) has a relatively long half-life , so your blood sugar is expected to stay high today unless you intervene

Metformin , acarbose (glucobay) and TZD will not decrease your blood sugar in your case,
you need a sulfonylurea drug like (diabeta , micronase , diamecron) to decrease your blood sugar , so if use any of them , just increase the dose and you will be fine ,

one reading of 200 mg/dl is not an emergency , don't panic and don't call your doctor till 2-3 days pass without improvement (reading still high)

can you tell me what drug do you use for your diabetes ? I may tell you exactly what to do

Commenting :

Metformin won't work in this case , a 1 tablet diamicron 80 mg (one or twice(before breakfast and diner) daily according to your blood sugar level) is enough

it is safe and short-acting and can decrease your blood sugar and unlikely to cause hypoglycemia

check your blood sugar now , if it is 180 and above take one tablet diamicron before the next meal
repeat that 12 hours apart (check your blood sugar before the meal , if it is high , ingest the second tablet)

(you should use it till the effect of cortisone disappears , about 1-2 days)

Dr.Debilitas

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My boyfriend started taking insulin (10CCs) Tuesday, at the doctor's office, they started at 10am. The last few days he has been taking his insulin around 10am. However, he prefers to take insulin at night, because of his work schedule. Is it safe to take Thursday's insulin three hours earlier in the morning, say, around 7am, and then again, Thursday night around midnight, take "Friday's insulin" then Saturday night, take the insulin around 11pm? And continue to take the insulin at 11pm every night from then on. Or, should the change be more gradual than that? How exact do you have to be about taking it at the "same time" every day?

He might have to patch the insulin he's taking. When I took insulin shots, they had to be at pretty much the same time, since insulin only lasts a certain amount of time. For example, if you have three types of insulin, A B and C, and A lasts twenty four hours, B lasts 8 and C lasts four, your boyfriend might use A normally but patch with B and C to change teh time he takes his insulin. Otherwise, he could go low, which really sucks (if he hasn't had a low yet, lucky him…). So, basically, he should talk to his doctor.

PS I think that Lantus lasts twenty four hours, NPH lasts about 8 and humolog/novolog last about four, but don't quote me on that.

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I have been diagnosed with insulin resistance and have been prescribed 2500 mg metformin daily.

Many ppl with PCOS, metabolic syndrome, or insulin resistance lose weight bc their insulin isnt working properly without the aid of metformin or the like. I have been on it for over a week and have not lost any weight.

I was wondering if anyone has experienced weight loss after a couple weeks, rather than immediately.

Hello ,

one week is a very very short period for metformin to work , it needs two weeks to reach the maximum effect , and more than 1 month to cause any weight loss ,

The action of metformin is greater when the patient starts a healthy diet simultanously , don't forget that ,

2500 mg is a high dose to start with , and 1000 mg (in two doses ) would be better .

Dr.Debilitas

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I have a friend who lives with her son. She is diabetic, and does odd jobs to pay for her insulin. She has other diabetes related conditions, but cannot afford the medications. She does not seem to qualify for medicaid or medicare. Are there any programs available to help her?

Yes, most pharmaceutical companies offer Patient Assistance Programs (or some have names for their own programs) that provide their medications for free to needy patients. She needs to contact the programs (look online by each drug company for each med she needs, or she needs to ask her doctor to help). The companies send forms to fill out. They want proof of income (copy of taxes, W-2's, or other proof of how she's paying for rent, food & bills) and a prescription, and usually a doctor must sign them. It's a little work, but patients usually are approved for a year and get their meds in 3-month supplies.

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Symptoms such as constant urge to pee, extreme thirst etc. … will you notice them continuously over a long period of time or can suddenly developing one of the symptoms mean diabetes?

type 2 builds up over time. if its not genetic it has been most likely (but not always) lifestyle related
type 1 builds up faster….but not in the way of nothing yesterday but got it today. maybe over a few weeks

also in the mean time while you are thinking that it might be diabetes it gives you a chance to let it go for a bit and see what the change is so you dont go into panic mode

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37 male diabetic who is struggling with complications.

I power lift 5 days a week and stay under 20 carbs daily, but feel terrible and havent had a erection in 2 weeks.

Serious replies only!

I got most of mine back… mainly with a healthy, natural foods based diet and lots of aerobic exercise.

Are you talking 20 servings of carbs? 20 carbs is hardly enough to exist on. Your body needs the nutrients in those carbs. Your intake should be at least 30 to 40 per day.

There are lots of things one can do besides straight intercourse. Talking with her, expressing your feelings, and exchanging ideas is the best way to deal with that situation. There are also lots of supplements a guy can take besides the harsh drugs like Viagra, Levitra, and Cialis. Here's a list that might help…

Enzyte ingredients:
horny goat weed extract (Epimedium sagittatum)(10% flavonoids as icariin) (whole plant)
L-arginine HCl
Ginkgo biloba leaf 6:1 extract
saw palmetto berry
Tribulus terrestris extract (10% saponins) (stem and fruit)
Panax ginseng root extract (4% ginsenosides)
vegetable cellulose
Swedish flower pollen extract
Avena sativa (aerial parts)
zinc gluconate
maca root
niacin
zinc citrate
zinc oxide
copper oxide
muira puama stem 4:1 extract
copper gluconate
octacosanol

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Lately I have been having a good amount of the symptoms for diabetes specifically T1 but I haven't been loosing rapids of amount of weight at all. So should I get checked out even though I don't have all of the symptoms?

Yes, it's possible, and it's even better to get checked out now rather than later. Early detection, before you start having symptoms, improves your chance of having a better outcome with the disease and catches it before it has done damage to your body. If you have any concerns I recommend seeing your healthcare provider ASAP.

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My girlfriend, a type-1 diabetic, was at a miserable job for 3 months waiting to begin health insurance. After putting up with it for that long, she had to quit. Now, most other jobs she has been interviewing at require a 3 month wait until health coverage starts. What can we do to get her health insurance in-between jobs, even though she has a "pre-existing condition"? I am worried about something happening to her in the meantime and we need to get her insured. Short of getting married and adding her to my plan, are there any viable alternatives? Thanks.

Sorry to tell you this, but Type I Diabetics are an automatic decline with all health insurance companies. Her best option is to get a job with good group coverage and wait the three months. With group insurance, she cannot be declined. The only other option is to contact the state. Most states have a "high risk pool" that people with diabetes or other declinable conditions can get into. However, the rates are high and the coverage is not that good.

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Can anyone tell me if there is a link between diabetes and hypertension?

Yes there is a link between diabetes and hypertension, in fact more than half of all people with type II diabetes go onto develop hypertension.

Diabetes can cause the arteries to harden which then restricts the flow of blood and can lead to high blood pressure.

It's important to keep blood pressure under control because When a person has both diabetes and hypertension their risk of heart attack, heart failure and kidney malfunction increases.

Managing blood pressure can be helped by making some lifestyle changes.

- Eating a diet with lots of fruits and vegetables and meat and dairy in moderation. Reduce salt intake to no more than 5 – 6 gram of salt a day and keep alcohol intake to a minimum.
- Exercise is great for reducing blood pressure, but see you doctor to find out what exercises are safe for you. Good options are 30mins a day brisk walking, swimming or cycling.
- Reduce weight if you're carrying extra pounds. The healthy diet and exercise will help with this.
- If you're constantly stressed try and find ways to reduce it – stress can cause an increase in blood pressure.
- And of course, if you're a smoker its time to try really hard to give up as smoking with both diabetes and hypertension is a real health risk.

If blood pressure can not be controlled with lifestyle changes you may need medication, however some blood pressure meds can impact on blood glucose levels.

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