William - at 53 it could low testosterone level.. Jave some blood work done and try TRT (test replacement therapt) or look online.. There are tons of pills that boost it.. Eat clean!
John W - Would that be a basal insulin like Lantus, Levelin or NPH? Or is it a fast bolus insulin like Type R or Novalog?
How are your glucose readings, morning, before meals, two hours after meals and at bedtime?
How's your breathing, is it harder when lying down flat?
There are many kinds of diabetics but a full blown insulin program would involve two types of insulin, a slow one like Lantus taken once at bed time and a fast one like Novalog taken before each meal sized according to the number of carbs in the meal. Some insurance policies won't pay for the new expensive insulins like Lantus or Levelin so you would use the type N or NPH insulins instead which would mean a night time and a morning shot for your basal dose ( note type N and NPH are the same insulin ). Therefore a full insulin program is 4 to 5 injections of insulin and 8-9 glucose tests a day for a 3 meal day.
A type 2 diabetic may also be treated with exercise and diet alone, with oral medications, or with a basal shot. If treated with just a basal shot of NPH, then it may be just two injections a day. NPH is a cloudy insulin that has to be rolled to mix it before injecting.
A diabetic like any other person must eat less than they burn in order to lose weight. However a diabetic that isn't on bolus insulin will typically reduce their carb intake, have smaller more frequent meals and replace foods with lower glycemic index alternatives, whole wheat bread instead of white bread, sweet potatos instead of white potatos etc. A diabetic on bolus insulin may not want more meals as that would mean more shots of insulin and more glucose tests and may actually only have carbs for breakfast and dinner while they are at home and only eat low carb for lunch to avoid injecting for lunch and may not chose low glycemic foods as although they require less of a peak insulin dose, they require the dose for far longer which means either more injections or different insulin mixes. Regardless, a diabetic on bolus shots has to know how many carbs are in each meal so they can calculate their bolus dose if they are using the modern bolus calculations. The old sliding scale is a trial and error method that depends on the diabetic eating the same amount of carbs for breakfast, lunch and dinner each day.
If you are on bolus shots, the ratio of bolus to basal insulin gives you a diet of sorts in that a ratio less than 1 and you should be losing weight, a ratio higher than 1 and you should be gaining weight. So a diabetic on bolus insulin can use their insulin shots as a guide to when they should reduce their diet.
Diabetics have a habit of avoiding carbs, well carbohydrates brings you energy, if you avoid too much carbs, you won't have any energy. The carbs create glucose which the cells use for energy but it's the insulin that gets the glucose into the cells so if you aren't getting your insulin treatment right, you won't have any energy. Diabetics are vulnerable to heart problems which can also rob you of your energy ( having difficulty breathing while lying flat is likely a heart problem ).
You need to tell your Doctor that you feel really tired and ask him to help sort that out.
Unless you have multiple personalities, you are a "woman" not a "women".
William - at 53 it could low testosterone level.. Jave some blood work done and try TRT (test replacement therapt) or look online.. There are tons of pills that boost it..
ReplyDeleteEat clean!
John W - Would that be a basal insulin like Lantus, Levelin or NPH? Or is it a fast bolus insulin like Type R or Novalog?
ReplyDeleteHow are your glucose readings, morning, before meals, two hours after meals and at bedtime?
How's your breathing, is it harder when lying down flat?
There are many kinds of diabetics but a full blown insulin program would involve two types of insulin, a slow one like Lantus taken once at bed time and a fast one like Novalog taken before each meal sized according to the number of carbs in the meal. Some insurance policies won't pay for the new expensive insulins like Lantus or Levelin so you would use the type N or NPH insulins instead which would mean a night time and a morning shot for your basal dose ( note type N and NPH are the same insulin ). Therefore a full insulin program is 4 to 5 injections of insulin and 8-9 glucose tests a day for a 3 meal day.
A type 2 diabetic may also be treated with exercise and diet alone, with oral medications, or with a basal shot. If treated with just a basal shot of NPH, then it may be just two injections a day. NPH is a cloudy insulin that has to be rolled to mix it before injecting.
A diabetic like any other person must eat less than they burn in order to lose weight. However a diabetic that isn't on bolus insulin will typically reduce their carb intake, have smaller more frequent meals and replace foods with lower glycemic index alternatives, whole wheat bread instead of white bread, sweet potatos instead of white potatos etc. A diabetic on bolus insulin may not want more meals as that would mean more shots of insulin and more glucose tests and may actually only have carbs for breakfast and dinner while they are at home and only eat low carb for lunch to avoid injecting for lunch and may not chose low glycemic foods as although they require less of a peak insulin dose, they require the dose for far longer which means either more injections or different insulin mixes. Regardless, a diabetic on bolus shots has to know how many carbs are in each meal so they can calculate their bolus dose if they are using the modern bolus calculations. The old sliding scale is a trial and error method that depends on the diabetic eating the same amount of carbs for breakfast, lunch and dinner each day.
If you are on bolus shots, the ratio of bolus to basal insulin gives you a diet of sorts in that a ratio less than 1 and you should be losing weight, a ratio higher than 1 and you should be gaining weight. So a diabetic on bolus insulin can use their insulin shots as a guide to when they should reduce their diet.
Diabetics have a habit of avoiding carbs, well carbohydrates brings you energy, if you avoid too much carbs, you won't have any energy. The carbs create glucose which the cells use for energy but it's the insulin that gets the glucose into the cells so if you aren't getting your insulin treatment right, you won't have any energy. Diabetics are vulnerable to heart problems which can also rob you of your energy ( having difficulty breathing while lying flat is likely a heart problem ).
You need to tell your Doctor that you feel really tired and ask him to help sort that out.
Unless you have multiple personalities, you are a "woman" not a "women".