Sunday, March 10, 2019 1:12:13 PM
I am a lightweight T2 whose pancreas went south with my liver. In 2000, a liver tx gave me a new lease on life but shortly afterwards I discovered after a trip to an ER that my blood sugar was out of control. I used insulin for about a year and a half after that but when I saw the required amount going steadily down I weaned myself off of insulin. Apparently my pancreas had recovered somewhat. The endo gave me Prandin (generic name repaglinide) to control my mealtime spikes and for many years that was good enough to keep my A1c in the low 6’s. About two years ago my now annual A1c came back at 7.0. That and a retinal bleed in my left eye shocked me into action. I asked my PCP for a script for prandial insulin. That worked for the intended purpose but morning fasting numbers were still too high. So I asked for a basal insulin to complement the prandial. Compared to what I think most T1’s use it doesn’t take very much insulin for me to stay in range. My last A1c was 5.9.
I suspect that if I went back to a more rigorous/regular exercise program and cut my carb intake in half I could stay in the high 5’s/low 6’s just using repaglinide without insulin.
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