Need Some Suggestions

My older sister, who is also deaf, contracted Type 2 about 15 years ago. I have always been supportive for her with her type 2, but never really got involved in detail. Now, she has contacted me with worries of high blood sugars. She was only testing in the morning, and those results were in excess of the 300 range. I have purchased a One Touch meter, and instructed her to test 4-5 times a day, and send the results to me. She has been doing pretty good with testing, but her results constantly show spikes after meals, and before bed. Still 280-325.

DATE FASTING AM BEFORE LUNCH BEFORE DINNER BED TIME AVERAGE
Friday, February 17, 2012 151 281     216
Saturday, February 18, 2012 144 268 164 367 236
Sunday, February 19, 2012 215   306 311 277
Monday, February 20, 2012 98 198 172 323 198
Tuesday, February 21, 2012 156 328 205 107 199
Wednesday, February 22, 2012         #DIV/0!
Thursday, February 23, 2012 237   126 302 222
Friday, February 24, 2012 332 369 257 277 309
Saturday, February 25, 2012 183 439   230 284

I am hoping to recieve suggestions on how a Long Time Type 1, can help a Type 2 sibling that is not doing well on Med. Part of me wants to rip the Dr for not demanding more tests. Another part of me says. Put her on insulin. Because my dear sister has been deaf her entire life, she is a bit different.

Any suggestions are greatly appreciated

There is a newer medication called 'Actos' that seems to help Type 2 regulate bg's, and I know of several that are friends and family members having good results with this. Starting insulin is a small matter when the damage of having high readings are on going, organs and, well you know the drill, I agree her dr. should be more aggressive with his involvement to help her obtain better control. The sticks involved with any sub-q medications are a small price for the results to prolong health. Good Luck! My sister also has Type 2 and sometimes I think Type 2's are more likely to have internal issues because of the nature of the beast.

I don't have any experience with controlling Type 2, having had Type 1 for 23 years, but I can guess that similar events can cause spikes. I have some ideas that might be helpful.

Is she exercising at least 20 min daily? My endo says it is most effective to exercise before breakfast.

Staying hydrated apparently also helps. Dehydration can cause a "false high".

Does she have an underlying infection? Does she check her feet daily? Has a doctor check her blood recently?

What sort of food is she eating? Is she eating a lot of fats? Even if she is having low carb meals, fats can slow the absorption of the carbs she is eating.

Is she getting enough fibre in her diet? Fruits, veges and other fibrous food will help move "waste" through so she doesn't absorb additional nutrients from it sitting too long.

Also, I read an interesting article recently "Self-Moniitoring Not Helpful for Type 2 Diabetes":

www.medscape.com/.../758139

Good luck!