Hi my name is Brian and I’m trying to help my wife figure the best route for her diabetes management.
She is 47 years old and 3 years ago she started Keto because of weight issues and was diagnosed as Type 2. Her A1C at the time was in the 10-11 range from what I can remember. She was put on metformin and over the next year and a half she lost 75 lbs, lowered her A1C to 5.5 and was off all meds. Fast forward to last years checkup she was shocked that her A1C had climbed back up in the 10’s. Nothing changed food wise, she still was eating around 10 carbs total a day just like she had been doing. She eats clean unprocessed foods the best she can.
Her Doctor referred her to an Endo which put her on Trulicity (full dose) and Toujeo at 16 units per day. Which increased until she was taking 24 units. She was also taking some pill 30 minutes before a meal but it didn’t help either. Over the last 8 months we have been fighting to get her numbers under control (lots of high events followed by lows in the 40’s that would wake her up in the middle of the night. She’d have weeks of 90% in target followed by weeks of 5% in target with most of her BG numbers being close to 300, no matter how she ate. I’ve watched here go down hill on how she feels and what’s happening to her (hair is thinning, tired all the time, thirsty constantly and of course peeing all night long).
Her current Endo wouldn’t make changes and so the struggle continued until we finally had enough and found a new Endo. We saw him this past Friday, he listened to all of our concerns and made some changes. He said to stop the Trulicity because it looks like she’s not making any insulin on her own (she get’s her labs back today). He tested for GAD and lot’s of other things I can’t remember. Also stopped the pill she was taking. He did say that he thought she was LADA and not a true T2. He put her on Humalog 4x daily as well as lowered her Toujeo to 15 units. He mentioned that she might want to look into getting a pump. She’s a teacher and can’t step out of her room to give shots as needed. She also doesn’t eat lunch very often and will have a snack in the afternoon (low carb) and then eat supper 2-3 hours later (12-24 carbs).
So I’ve been researching options for her and what we came up with was either the Tandem TslimX2 with Dexcom or the OmniPod Dash (I know right now she’d have to manually adjust doses until they get their new software, etc. out).
She is currently taking 35 shots a week and wants to get away from that by switching to a pump.
She’s not apposed to having tubing and would like something that can keep her closer to her target numbers. She currently has the Libre freestyle and is trying to switch to Dexcom.
So there you go, kinda quick run down of what we are dealing with.
I’ve been reading so many reviews, etc on the T slim that it’s information overload. LOL
Any advice would be greatly appreciated!!!