[tommyc]

I am type 2 diabetic I go to the doctor once weekly,my wife is type 2 between the both of us we need a good reliable way to get there.. what are my option to get a car

[Fr_Chuck]

So what do you do for a living, what type of job do you do ?
What have you been doing, what happened to your last car

[KISS]

Under control type II diabetes, you really should be seeing the doc about every 3 months. I don't understand the weekly visits.

What's going on?

We have a specialized transit system that's statewide and free.

[tommyc]

It is not type 2 it is type 1 and my body is some how rejecting insulin that I take,and I have tried several insulins.there is no transit system here ,the nearest one is 30 miles away in chattanooga tenn

[KISS]

Look here for transportation (CARE-A-VAN). Eligibility under Americans with Disabilites Act (ADA) - CARTA Do you think you can qualify?

As for the insulin thing. I'm insulin resistant/insulin dependent. I haven't yet been diagnosed as type 1.

Insulin resistance symptoms, causes, diagnosis and treatment on MedicineNet.com

I'll put my experience here:

Question: If you press on a fingernail until it turns white, how long does it take to turn red after removing the press? Should be instantaneous.

#1: you MUST be familiar with the glycemic index. The Glycemic Index . Limit high glycemic foods.
eliminate: white bread, for instance.

#2: Go to an endocrinologist if your not already.

#3: Blood pressure MUST be controlled to <120/80 to prevent kidney damage

#4: Make sure an insulin sensitizer is prescribed. Common one is Metformin at 1000 mg/2x day. If you start slow and incrementally increase the dose, the intestional side effects will usually go away. Add a blood viscosity reducer later in the treatment (e.g. Trental). It's VERY important not to do this if your hA1C is high. Metformin is usually prescribed before meals. I had much better success using it at bedtime and noon. It helps with liver dump. In the early morning hours, your liver dumps glugogon into the bloodstream to raise your blood surar in preparation of getting up

#5: The disease always gets worse.

#6: Initially concentrate on getting the morning blood sugars under control (80-120), Don't neglect the before meal, 1 hr after and 2 hr after. You need all of that data to know your in control.

#6a. I'll tell you what's probably going on. I wish I knew you ha1c values (blood work - a number near 7) and your morning and bedtime blood sugar values.

6b: The key to understanding diabetes is:
1. Red blood cells exchange glucose
2. They die every 3 months.
3. Once they get saturated, they are no good anymore. You have to wait until they die.
4. At some point in the adjustment process, insulin requirements will be reduced.

7. Treatment may consist of short and long acting insulin. Novolog is popular for the short and Levimir and Lantus for long. Levimir lasts about 12 hrs. Lantus about 24.

8. Expect high doses. I'm taking 45 units of Levimir at bedtime and about 25 in the morning. You MUST increment slow and you must pay attention.

9. I take a varied dose of Novolog. Typically now about 15 breakfast, 10-15 lunch and 10-15 dinner and an occaisional shot at bedtime.

No one tells you what I just said. I got the info from way too many sources.

Make sure you always carry glucose tablets with you.

The accu-check multiclix is my favorite lancet device. It's a dum of 6 very fine lancets.

My Glucose meter recommendation can vary a lot.

Mom is insulin sensitive/insulin dependent. I initially had to prefill syringes for her.

Insulin delivery systems are the vial/syringe, prefilled pen, cartridge and pump. All have advantages and disadvantages.

Some pen needles will fit many different pens and others will not. Needle diameter and length vary. 31G 8 mm (5/16") is popular for most people.

There is at least one pump that has an expensive real-time glucose monitoring system.

Enough for now. You can ask me questions and/or tell me what your treatment plan is and the glucose values and hA1c.

Remember, this is from research and experience and not necessarily medical advice.

EDIT: Modified Metformin info

[tommyc]

So what do you do for a living, what type of job do you do ?
what have you been doing, what happened to your last car

My last van has over 500,000 miles on it,it has finally quit on me,I think the motor has slung a rod

[Fr_Chuck]

TN does have transit for disabled people, and esp within that distance of Chattanoga TN. It is for disabled, which you appera to be.

Of course your type of illness got worst from original question to follow up, from 2 to 1 all of a sudden, which sorry is or appears to be a real red flag in believing your story

[tommyc]

My wife is type 2,I am type 1 do you have diabetes,if not do not judge me cause I have been through hell with it

[cdad]

There are options out there for you. Have you tried calling around in your area ?

Local And Suburban Transit Companies in Tennessee (TN)