Question:
My husband is type 1 diabetic on metformin 1000mg. He just took his blood sugar and it is 258. Panic?
1970-01-01 00:00:00 UTC
My husband is type 1 diabetic on metformin 1000mg. He just took his blood sugar and it is 258. Panic?
Sixteen answers:
Brian
2014-11-02 13:24:24 UTC
I think a lot of people here are giving advice to others and have no idea what they are talking about, As a 30 year diabetic and a 25 year career as a Hospital Nurse in ER, ICU, CCU, Medical floors. I can tell you just because someone is on insulin does not make them type I or II automatically. At first diagnostic you should have Pre-Insulin count to see if you are producing any insulin at all. If not then you get the lovely label of TYPE I. Which gets very little attention or understanding by the public...I have heard people say to me, But your not fat, you run the hallways of the hospital how can you have diabetes. Type I has nothing to do with the causative effects of Type II. Which typically caused by over-weight, sedentary lifestyle, high sugar and fat diets. Type I still has no known cause believed to be genetic, My 9 yr Grandson was diagnosed almost a year ago. He was 34 lbs and losing weight. Type I diabetics can not break down the food they eat, cannot convert the food into usable energy,so the body starts to break down the kidneys and other vital organs to survive. So that is the difference from Type I and II in a nut shell.

Please don't give the advice to a diabetic to exercise when the blood sugars are over 250 unless you are this diabetic's Doctor, as exercise when blood sugars are over 250 will only cause blood sugars to rise...the liver is where glucose (sugar) is stored by the body, it is for the Flight or Fight response. your body thinking it is needing to give more energy and releases more sugar and the pancreas can't release insulin as it does not function in a Type I diabetic. Please follow your Dr. advice not what you see on blogs. n the ER there were no two diabetics exactly. A blood sugar of 400 will not send you into a coma, blood of 850 to 1000, have been admitted to hospitals with incidents of coma....What they are talking about is call DKA (Diabetic Ketone Acidosis) It is caused by Type I diabetic running very high sugars for extended period of time, use manifest by nonstop vomiting diarrhea and then coma if left untreated can cause death by your PH balance getting acidotic nothing can live in an acid environment...remember high school biology. I know people think they are helping others by giving out advice, but you could do serious harm to people...Best advice call your Doctor or Local ER most now have Nurse lines to answer questions for you.
micksmixxx
2012-01-21 11:58:25 UTC
Your husband is NOT type 1 if he's taking Metformin, my friend. He's a type 2 diabetic.



Oral antihyperglycemics don't work in type 1 diabetes as the beta cells (islets of Langerhans) of the pancreas, that produce insulin, have been destroyed.



Unfortunately, the hot cider is full of sugar so it doesn't surprise me that his blood sugar (glucose) level has gone up.



Really you need to be speaking to your husband's doctor or diabetes specialist nurse/certified diabetes educator to find out what course of action he needs to be taking.



What I can say is that even though your husband's blood sugar level is higher than it really should be there's no need to panic. It's NOT high enough to warrant a trip to the ER.



I don't know if you have ketostix at home, my friend (these are used for testing whether a diabetic patient is producing ketones) and you dip them in a fresh urine specimen. If ketones are present, do NOT get him to exercise, but if there are no ketones present he can drink plenty of water and exercise. This will help to bring his blood sugar levels back down to as near 'normal' as possible. (Obviously, the extra water will encourage him to pee a lot more, but that's what he needs to do. He needs to excrete excess glucose, which is filtered by his kidneys from his bloodstream, out of his body.)
Priscilla
2016-09-19 11:37:44 UTC
2
Glayds
2016-05-20 04:22:04 UTC
1
2016-05-16 07:13:41 UTC
I am writing to tell you what an incredible impact these methods had on my life! I have had type 2 diabetes for 27 years. For me, the worst part of this horrible disease is the severe pain I constantly get in my feet. The pain is so bad that I avoid standing and walking as much as possible. I've got to tell you that within the first month, my feet stopped hurting altogether and I can now walk totally pain free.



Believe it or not, I even danced at my niece's wedding last month, something I have not done in a many years. I've been following the book for six months now and my blood sugar is well within normal range. I feel great!



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Stanley
2016-03-23 10:09:51 UTC
Answer --> http://DiabetesGoGo.com/?Keud
2016-03-19 06:04:02 UTC
Go for walks. Do not listen to those who tell you not to walk if you have high blood sugar. It is recommended highly by doctors for both types of diabetics to walk. It can dramatically reduce your blood sugar if you walk for at least 45 min.. Even if you have heart trouble, walking is recommended as a healthy safe exercise.
2016-02-16 01:21:19 UTC
Life style is often part of the issue. Life style changes now could delay or prevent you from getting diabetes later. Learn here https://tr.im/m1P3q



What you eat is not actually the cause of diabetes, but how you live can be. If you sit on the couch all day, your chances of developing diabetes goes up greatly.



Just do the best you can to not gain weight and to maintain an active life style and that will greatly help reduce some of your risks.
TheOrange Evil
2012-01-21 12:04:53 UTC
First, if he's only on oral medication, then he's a Type 2, not a Type 1. If he is Type 1, then he needs insulin. Type 1s do not produce any insulin on their own. Metformin is a medication commonly prescribed to Type 2s.



258 mg/dL is too high, yes, but there's no reason to panic just yet. Blood sugar isn't high enough right now to put him into a coma. In the long term, blood sugar spikes over 140 mg/dL on a regular basis can lead to complications.



Also, I think we can figure out why he spiked so high - the apple cider. Unless this was a sugar-free apple cider, he could have easily consumed 20+ grams of sugar. Metformin helps control blood sugar, but not when substantial carbohydrate load is consumed. Metformin makes him slightly more sensitive to the insulin he produces naturally and reduces the amount of glucose his liver makes, but won't force his pancreas to make a lot more insulin to cover a high-carbohydrate diet and won't act like injected insulin.



So, the solution is easy. He needs to reduce is overall carb intake and avoid consuming a lot of carbs, like a sugary apple drink, all in one sitting. That will help bring down his blood sugar into an acceptable range. If not, he may need more Metformin or a supplementary medication/insulin.
John W
2012-01-21 13:02:44 UTC
A type 1 diabetic can take Metformin but not just Metformin. Metformin controls the release of glucose from the liver and therefore helps with basal fasting levels but a type 1 diabetic cannot produce their own insulin at all and must take insulin. At the very least, they should take basal insulin once or twice a day. Some type 1 diabetics may be prescribed a mix like Novolin 70/30 twice a day before breakfast and dinner and advised to be low carb for lunch but a type 1 diabetic should really be on a basal/bolus treatment with long lasting or intermediate insulin for basal levels ( half of their total daily dose ) and the remainder for their meal time doses calculated by counting the carbs in the meal, dividing that by their prescribed carb to insulin ration ( often 10-12 grams of carbs to 1 u of insulin ) and adding a correction dose based on a pre-meal glucose test of about 1u for every 3 mmol/L ( 50 mg/dl ) of correction to their target level which at a hospital would be 6.1 mmol/L ( 110 mg/dl ) but outside a hospital would usually be between 6.7-10.0 mmol/L ( 120-180 mg/dl ) depending on how prone to hypoglycemia they are. Basal only or mix only treatment are only common if the diabetic does not perform the carbohydrate counting properly or is sufficiently well controlled without it, often these will be patients adamant about a low carb high potein diet as the end all to their health problems and refuse to listen to reason about a balanced diet despite the ketoacidosis involved in a low carb diet.



When the levels are above 10.0 mmol/L ( 180 mg/dl ), he will be urinating a lot because his kidneys will start removing glucose when it's between 8.9-10.0 mmol/L ( 160-180 mg/dl ) and he will be thirsty. When it reaches 13.3 mmol/L ( 240 mg/dl ), you need to start testing for ketones, the high glucose levels above 8.6 mmol/L ( 154 mg/dl ) cause long term problems but it's the lack of insulin causing cells to use fats and proteins for energy thereby producing ketones that present the short term problems of abdominal pain, unconsciousness, coma and death. If ketone levels are detected twice in tests every four hours while the glucose remains high, you must call your Doctor or a medical professional, if they are moderate to high, you should go to ER but don't drive yourself.



You must not exercise if there are ketones.



A type 1 on a full basal/bolus treatment will have type R ( Novolog, Humalin R etc. ) insulin for their bolus shots ( meal time ) and can apply a correction dose of 1u for every 3 mmol/L ( 50 mg/dl ) of correction to their target ( best to aim a little high like 10.0 mmol/L, 180 mg/dl ) so if your husband hasn't recently taken insulin in the last two hours, he can apply a correction dose of about 1.5 u based on the 258 mg/dl reading and if it hasn't gone down to acceptable levels in two hours, another correction dose may be applied. He should not do this alone as there will be no one to call for help if he passes out from too much insulin. First thing to do is test for ketones, and test the glucose again in 15 minutes, if it's still high and or going up, apply a correction dose if type R is available, call for help if there are two positive ketone readings four hours apart or if they are moderate to high.



There are two glucose meters that also test for ketones but the test strips are expensive. You can buy urine test strips for $10 for a vial of 50 strips but as you should rarely be using them it's better to order the foil wrapped packages at the pharmacy, the foil wrapped packages have to be special ordered and cost more but since you should be throwing most out as they expired, they're a better deal. Use a disposable cup for the urine as the container must be clean.



Hot cider does very little to help with glucose despite what the homeopaths would say, Stevia herbal supplements are supposed to benefit the restoration of beta cells ( which of course will be then destroyed by a type 1's immune system ) and there are rumours that cinnamon and chromium helps but you cannot rely on homeopathic treatments no matter what someone might say.
Gertrude
2015-08-25 03:09:01 UTC
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RE:

My husband is type 1 diabetic on metformin 1000mg. He just took his blood sugar and it is 258. Panic?

My husband is type 1 diabetic on metformin 1000mg. He just took his blood sugar and it is 258. He has only had a bottle of water and a cup of hot cider. Should we panic?
Noccie
2012-01-21 21:13:13 UTC
He has type 2, not type 1. People with type 1 have to have insulin.

258 is not time to panic, however, he should check the number again in about two hours. The cider has a lot of sugar.
Chibi
2012-01-21 11:49:02 UTC
As a type one he should be taking insulin shots, if that alone isnt helping often pills are involved as well. I take only 100 mg of metformin as well as glypizid ( spelled wrong I think). I take Lancet via shot. People normally only go into sugar coma's at 400+ It's really high though. Make sure he drinks plenty of water and avoid cider and all other sweets till it drops down past 150. Exersise helps keep sugar down as well. 250 isnt outrageous, but still not good.
Janis
2016-03-07 03:39:39 UTC
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A. Thorne
2012-01-21 12:27:05 UTC
Have him do some moderate exercise and recheck in 15 minutes. 258 is not horribly high, but is not controlled either (under 140). He should consult his physician as soon as possible if he is taking all prescribed medications and using insulin, but still has uncontrolled blood sugars.
Amos
2016-02-14 19:50:43 UTC
Shocking New Diabetes Research Revealed : http://Help.DiabetesGoGo.com


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