One of my college roommates grew up as a missionary kid in DR Congo (then Zaire). She said the kids liked to catch termites & eat them. She didn’t like them straight out of the mound, but they weren’t bad roasted – crunchy & with a nutty flavor. All righty then, I said I’d take her word for it…
I got my A1c down to 8.2 on oral meds (glyburide) & a stricter carb-limited diet than I’m on now. My endo put me on Toujeo & I was able to get off the glyburide at 40 units/day. On Trulicity, I’ve cut my insulin to 20 units/day & taken some weight off, & I’ve got a little bit of wiggle room on the carbs now. A1c is holding steady at ~6, so I’m not arguing with what works…
I agree with waiting the couple of months to see your endo F2F to decide what to do next. Good luck with whatever you decide!
Wow, that’s a lot of stuff to be on without insulin. (I’m on 3mg Trulicity. That stuff stings going in, but it’s worth it!) My mom takes glimiperide & it works well for her.
I think you should be OK with long-acting insulin if you pay attention to your CGM & keep the emergency carbs handy. Good luck!
My mom grew up on the NorCal coast & LOVES fish & other seafood (don’t stand between her & a plate of crab legs, LOL!). I think the only really fresh fish I’ve ever had was a fresh-caught brook trout when I went on a hike with friends. One of them went out early & caught fish for everyone, then cleaned them, rolled them in cornmeal. & fried them up for breakfast. It wasn’t bad, actually – but I was still super-picky to make sure I didn’t eat any bones…
(cont.) As for shooting insulin, it was a little scary at first, but it only took me about a week to get used to it. The needles are so fine these days that 99% of the time I don’t even feel it.
I’ve been using Toujeo long-acting insulin for 6 years & Trulicity for 5. In combination with a high-protein, low-carb*, let-the-fat-fall-where-it-may way of eating (don’t call it a “diet”!), they’ve kept my A1c in the ~6 range. (Not bad for having started out at 13.2 & totally unsuspecting.) Insulin can cause weight gain for some people, but Trulicity slows digestion & acts as an appetite suppressant, & I lost almost 30 lbs. before COVID hit & I started stress eating & gained 10 back.
(*Not keto – it’s too fussy, too expensive, & too much work. I try to limit carbs to ~30g/meal as opposed to the way-too-high ADA recommendation of 45. If I eat 45g of carbs, my sugar can hit 200 easily!)
The CGM is an essential tool in your diabetes toolbox! I hated having to in effect manage my diabetes thru a porthole before I got my FreeStyle Libre 2. (Medicare won’t pay for it; I get my sensors via a GoodRx discount, & it’s worth every cent!) One of the best bits of advice I ever got was to “eat to the meter” – take frequent readings to keep track of how it reacts to what you’re eating, & adjust your meals & snacks accordingly. You might be surprised at what does/doesn’t send your sugar into the stratosphere, in particular how protein & fat can interact/interfere with the carbs.
Hypoglycemia happens a lot less with long-acting insulin than with the traditional short-acting stuff. Get that GCM & take a reading any time you’re in doubt (or any other time), have some glucose tabs, juice, or other quick-acting carbs on hand just in case, & you should be fine. (I have to be careful because I’m “hypo-unaware”; I don’t feel it when my sugar drops. PJ (RIP) used to see “sunspots” at 70, & my mom gets shaky & sweaty, but me? Nope; I’ve gone as low as 47 without feeling it. I watch the meter & keep “emergency chocolate” around just in case. Which reminds me, I’ve had a couple of overnight lows this week, so I need to set my low sugar alarm tonight.) (cont.)
I was still a young kid when I learned about that lemming fakeout. I was so mad I couldn’t see straight – & people wondered why I didn’t trust “authority”…
=snork=