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Have diabetes and bladder cancer. Taking Lantus, Novolg. High BGL level. What to do?

I have diabetes. I also have bladder cancer for which I am being treated with BCG. My blood sugars are going higher daily. The NP has started me on Lantus 30 units daily and Novolg 10 units with meals. Last fall when I was diagnosed with cancer I had been on Metformin, Actos and Glypizide. I now am on Metformin 1000 bid and insulins. Today my BGL was 279 when I woke. After a breakfast of a apple croisont and 3 sausage links my BGL spiked to 371. It is now 285. I have been feeling ill for several days. I have constant headaches and my arms hurt from my elbows to finger tips and my legs ache and have frequent spasms. I also have fibromyalgia. I am so tired and hungry. My blood sugar stays high whether I eat or not which is usually high 200's with occassional drops to lower 200's and going into the 300's whenever I eat anything. I am nable to see my NP today. What should I do?
Asked On : Mon, 22 Apr 2013
Answers:  1 Views:  33
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General & Family Physician 's  Response
Your symptoms of tiredness and hungriness are due to uncontrolled high levels of blood sugar levels.
Arm aches and legaches seem to be due to diabetic peripheral neuropathy.
There may be additional deficiency of VIT B 12 and VIT D,which might be aggravating your symptoms.
VIT B 12 deficiency occurs due to consumtion of METFORMIN.
Your doctor has rightly stopped ACTOS as PIOGLITAZONE is associated with increased risk of bladder cancer.METFORMIN helps in reducing the risk of bladder cancer.
You require a revision of dose of injection insulin and must get additional oral antidiabetic from different class of antidiabetics like GLIPTINS and ALPHA GLUCOSIDASE INHIBITORS like ACARBOSE OR VOGLIBOSE.
Unless and until your blood sugar levels are controlled,your symptoms wont go away and it is definitely possible to control sugar levels with judicial use of different oral anti diabetics with injection insulin.
Also don't forget to take adequate VIT B 12 and VIT D .
Discuss with your doctor for the comprehensive treatment.
Answered: Mon, 22 Apr 2013
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