Most pump wearers become accustomed to wearing the device very quickly, and what first may have seemed an intrusion, rapidly becomes a welcome partner in diabetes control. Most of the physicians I work with are uninformed about the dangers of hyperinsulinemia. Hyperinsulinemia is also often present at the time of and after diagnosis of Type 2 diabetes. In efforts to control hyperinsulinemia, people should be cautious with dietary adjustments that limit carbohydrates too much, because an overload of proteins and fats is not desirable either, in terms of long-term blood vessel damage. Appropriate distributions, varieties and serving sizes of all foods should be the first consideration, with moderation as the overall guiding factor.
Exercise is one of the best protectors against hyperinsulinemia.
The insulin resistance, which is the origin of the problem, is often best corrected by regular, frequent exercise. As a person of the physical description you offered, guidelines for blood glucose levels are essentially the same as for most other adults, regardless of the medication you are taking. Your bedtime recommendation should be based on the number of hours that passed since your last meal. Once those goals are not being achieved by following a meal pattern and activity program, oral medication should be considered. The particular blood sugar goal will vary depending on the individual and their particular situation.