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I found out in late May I have type 2 diabetes. I take Metformin, Levamir and Byetta. I am pretty happy with my numbers (pretty consistently around 100) but every once in a while I will get an odd high number. I do realize that stress can factor into this but I also feel confused about what to eat. It doesn't seem to matter what I eat but the quantity of what I eat. As long as I eat very small portions, my numbers stay low. So why when I am really good, and eat a healthy meal, do I get a high number?

Also, can anybody explain why it is harder to lose weight once you get on insulin?
Posted about 9 years ago
Posts: 0
Hi Ingrid and welcome!
Congratulations on sticking with your medication regimen, testing (testing, testing!) and following your meal plan!
There are so many things (stress being on of them as you know) that can raise blood sugars. Many women have higher numbers right before their periods. Also during menopause hormone changes can reek havoc on blood sugar levels!
Another reason for blood sugar fluctuations is carbohydrate intake. "Carbs" in food are the biggest drivers of blood sugars. When you say eating healthy do you mean eating a carbohydrate controlled meal? Carb counting is a great way of helping to get better control of blood sugars. A dietitian can help you learn to count carbs. Try to find one who is a CDE (Certified Diabetes Educator) as well.
Meters...well, they are not perfect (gasp). They are not always as accurate as we like them to be (but they are better than what we used to have!). I think it is more important to look for trends, rather than dwell on a few elevations. Look at your numbers. At the end of the week evaluate them. Where do the elevations occur? Just after breakfast? Dinner? Only after rice? Pasta? First thing in the morning?
If you have had a low blood sugar (even in the last 24 hours), your liver may produce too much sugar later on, causing unsuspected high sugar levels.
I have been a diabetes educator for years, and my favorite saying is "doody happens". Pat yourself on the back for what you are doing/have accomplished. Let some of the numbers "slide".
If you are in your target blood sugar range 80% of the time, you are doing great!
You might want to post your "technical" questions (regarding insulin, other medications, testing, etc.) on the "Ask the Expert" section. You will find lots of good answers to your questions about insulin there. Or post your own!
Glad to have you here!
Laurie :kiss:
Posted about 9 years ago
Posts: 0

There are two reasons why when you are in insulin medication is harder to lose weight:

1 When you take insulin, more glucose goes inside the cells, which means more calories are used by the body and less lost in the urine

2 Insulin promotes the storage of fat This is definitely a problem in those patients with diabetes type 2 who are already overweight.

A way to control too dramatic blood sugar ups and downs is to eat according to the glycemic index

Emilia Klapp, RD, BS
Posted about 9 years ago