I am a Viet Nam veteran who was exposed to Dioxin in Viet Nam in 1967. I was diagnosed with T2DM in 1996 but probably had the disease beginning 5 years earlier. Initially, I was treated with 500 Mg of Metformin daily but that was increased over the years to 2,000 Mg daily. Rosiglitizone 20Mg/day was added in 2001 but I switched to Pioglitizone 50Mg/day in 2007 due to reported heart related side effects of Rosiglitizone. In early 2008, my A1c was measured at 10.8. I had not been testing my BG levels for a couple of years because of a faulty meter and I assumed that my BG levels that had remained stable for at least 10 years would continue to be stable. I was wrong of course. I had not been informed of the progressive nature of the disease and was otherwise unaware of that fact. My health care provider, (Veterans Administration) placed me on Glargine (Lantus) and, over the period of a month of gradualy increasing dosage I arrived at a daily injection amount of 46 units (AM injection). At that level, my fasting AM BG readings ranged between 75 and 125 with an average of 95. I temporally discontinued my Metformin and Pioglitizone for a week to see what the effect would be. The effect was an average increase of BG of 20-40 mg. Obviously, these medications were still providing some control and I resumed usage. I have subsequently reduced my Glargine injection amount to 40 units and that amount has not changed my BG levels at all from that observed at 46 units. I control my diet by keeping carbs reduced. My weight has remained stable but I am unable to loose weight. I rarely feel hungry and only eat small amounts when I do. I do not eat large meals because they make me uncomfortable so I mostly eat 5-6 small snack type meals per day. I exercise 4-5 times each week by walking about 2 miles each day. My A1c measurement after being on Glargine for 30 days was 7.2 and I expect it's lower now.

