Newly diagnosed; info please!

January 1, 2006

Hi everyone --

I've just been diagnoses and started on NovoLog insulin about 10

days ago. I'm post gastric-bypass of 10 years, with a revision last

year due to MAJOR nutritional deficiencies (Beriberi (no B vitamins)

with heart failure and peripheral neuropathy), hyperparathyroidism,

iron deficiency anemia, B-12 anemia, etc , etc. and now Diabetes and

Kidney Failure.

Because of my surgery, I can only eat small amounts of food at a

time; my " diet " post bypass is to get 100-150 grams of protein a

day, and a few carbs if I still have room in my little stomach to

handle them.

So, imagine my surprise when I have a random blood sugar in the

200's...after testing for a couple of weeks, I was sent to an

Endocrinologist who definately says I am diabetic. She then sent me

to a diabetic education and dietician...neither really knew what to

do with me nutritionally. I have severe reactive hypoglycemia.

So, they told me to eat 6 times a day... 1-2 carbs and 1-2 proteins

each time. My blood sugars were immediatley spiking into the 200's

and low 300's within 1-2 hours of eating. My doctor then put me on

NovoLog with instructions to test, and if under 140, inject a unit

of NovoLog for every 15 gms of carb I was going to eat.... And to

make sure I ate within 15 minutes.

The first week, I continued to spike into the high 200's with just 1-

2 carbs. My vision gets blurry, I get really thirsty, and i feel

horrible. If I ate 2 or more proteins, the spikes were less.

So, then my doctor told me to wait 30 minutes before eating, and not

to test for at least 2 hours after eating.

My question... if I'm spiking the first 2 hours, isn't it important

to know this, or is it ok to go into the 200's as long as it's back

down to a normal range within 2 hours? Also -- I have to be up 18

hours a day to stick to this regimen!!!

Thank you for your help....Carol

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