Diabetes and Depression and insulin

Posts: 0
Diabetics usually develop some form of depression symptoms during their life after diagnosis. I was wondering what effects have you had with your diabetes when taking depression medications.



I seem to always gain weight which is a side effect and can't get rid of it. I have gained 12 pounds a year at minimum for the last 12 years. leaving me with a grand total of 150 pounds. Not only does this weight gain bother me but it has led to other side effects that affect my diabetes control.



My blood sugars are high when I eat meals even with low carbs. I am highly stressed right now because of the economic times so I know that plays a part. But I also have pain from several injuries so then again my blood sugars are out of control. With all this going on how do you determine how much insulin to give yourself with all that happens in everyday life without over dosing?



The CDE wants me to only dose for carb intake, but if I do that my blood sugars are still high. What do you do under these types of circumstances?



Thanks for your input.
Posted about 8 years ago
Posts: 0
I'm sorry to read about the struggles you're going through; please know that you aren't alone. I went through a similar time about 10 years ago and unfortunately it lasted longer than I'd like to admit. And I fell into the "even when I try really hard my blood sugar is high so why try at all?" thinking which was not good.
Do you take any kind of long-lasting insulin to give you a basal rate throughout the day? It sounds like you really need one, something more than just insulin to cover your carb intake. Do you feel like your insulin:carb ratio is accurate?
Posted about 8 years ago
Posts: 0
I take a high dosage of Lantus 230 units a day, and my Novolog is on a sliding scale +15. So I know my pancreas is going to or already has pooped out. It bothers me that I have such a wide range of blood sugars thorughout the day. I have been becoming more active, but with that comes more hunger and then the pattern of eating more, which I haven't been able to break that cycle.

Like today for breakfast I had a piece of toast, with ICBINB and tea. For lunch I had 12 jumbo shrimp with shrimp sauce, counts as the carb and have taken no short acting. Prior my blood sugar was 88. For dinner I will be having beef stew homemade with plenty of vegetable and only 3 potato (red tiny ones) for a total of 6 servings for the batch. So there isn't alot of calories in carbs there either.

Suggestions would be great. I don't tend to eat too much fruit because it definitely throws my blood sugar in a range of high readings.
Posted about 8 years ago
Posts: 0
Hi Heavenly!
You mention your Lantus dosage, but only sliding scale plus 15. So if your blood sugars are in target for each meal, you are only taking 45 of short-acting per day. That is not much compared to your Lantus (230 versus 45). These are usually equal or near to equal in most people. In other words, you probably don't take enough insulin for your food if it is making your sugar go high, even with very low carb meals.

Has your doctor discussed the possible usage of U500 insulin? It is five times "as strong" as other insulins so you take much less and get better absorption. U500 works very well for people who have high insulin needs.

Make an appointment with your doctor just to talk. Have a nice talk with him/her and explain your concerns. It really helps to get these issues out there so they can be dealt with. Depression can sneak up on you so it helps to head it off before it becomes unmanageable.
Thank you for your valuable post and for sharing with us. Welcome to the Sisters!

Laurie P., Moderator:kiss:
Posted about 8 years ago
Posts: 0
I've never heard of U500. Surely my January check up I will discuss, but I must say the doctor is pleased with my HBA1C at 6.7. But my ultimate goal is to be at 6.3 and then lower it over time.

How I am accomplishing this even with the high sugars is giving myself insulin after the fact. Also, I joined a gym, and will becoming more active. Previously I was taking 180 units, until I had to quit the gym, so I know that exercise is necessary for diabetes management.

If there is anything anyone can offer, or if this post has helped you in some way please make your comments.
I truly am interested in your struggles and how or if this has helped or has given you something to think about.
Posted about 8 years ago