If you are taking medication after medication and your doctor is trying to add more medication, why not go back to ground zero for a couple of months. This is not a long term thing but a tool to determine your status with your disease, a means to adjust your medication to its lowest possible denominator.
Adjust your diet, diet is the biggest tool you got in your tool box to manipulate your glucose levels, your cholesterol, your blood pressure, your inflammation. Eat real whole foods, foods that come without a label except for dairy products. Limit your carbs to those found in low carb vegetables. Avoid foods that have wheat, grains, oatmeal, potatoes, rice, pasta, beans, and flour products. Do not avoid natural fats, fats found in red meat, dark meat Chicken, or dairy products. You do not have to seek out fat but avoiding it will not allow your body to heal properly. Avoid most fruits except for a small amount of berries. This is not a long term plan but a plan to rest your pancreas. Think of it like putting a cast on a broken bone. Once you see your glucose levels fall into a normal range and become predictable try to stay at this level for a couple of months. This is Diabetic cruise control, the lowest point of ingested carbohydrates that will provide a balanced diet with all the necessary nutrients. Some will find they like it here, I do. It is easy, no counting carbs, no worrying over a glucose spike or a hypoglycemic events. You will be eating approximately 30-50 grams of carbohydrates a day at this level of diet.
Now you can choose to remain at this level or you can start to reintroduce the foods you love or thought you loved. Your cravings will change over time; you will no longer want the high carbohydrate items you were seeking before this. Most will see a drastic reduction in cravings after a couple of weeks. You will learn the difference between true hunger, and false hunger created by your previous insulin spike. You will have to test before the new food item, 1 hour after, and 2 hours after to see if it is a food you are capable of eating by comparing the numbers on your glucose meter to the goals you set for yourself. Your body will respond differently now than it did before you rested your pancreas.
While doing this you are going to have to monitor your glucose levels closely. If you are taking medications, they will need adjusting. If you are injecting insulin be sure to inform your doctor of your intentions, this will lower your glucose levels and your insulin demand. If you need help please stop in and see us.