Got my own way!

Beezee

Active Member
Messages
32
So I was diagnosed nearly two years ago. Put on metformin. Dose increased to maximum. Readings lower but still too high.
Nurse added Saxagliptin. No change at all.
Glicazide added - readings went down but still not enough.
Fell out with DN when she told me I couldn't expect to get better 'It's a progressive disease'!
New Nurse took me off Glicazide and put me on Forxiga.
Readings down but not on a constant enough basis - but a stone in weight lost!
Back for check up. Nurse not happy. I ask if I can drop the Saxagliptin since it does nothing and go back on Glicazide (as well as Met and Forxiga). "No, you need to stay on the Saxagliptin and I can't let you have four different tablets." Besides, that combination will give you low blood sugar (??!) I'm going to refer you to the hospital for insulin.

The moment I've been dreading! Today was the day. I see the hospital diabetic nurse. I explain that I'm not happy about going on insulin because I've worked hard to lose weight and don't want to put it back on because that will increase my BS - catch 22!
I ask about coming off Saxagliptin and changing it to Glicazide - expecting another 'No' but ... She agreed!
Hopefully this will finally do the trick.

So my message is don't give in, keep exploring your options!
 
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IanD

Well-Known Member
Messages
2,429
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Carbohydrates
That's a step in the right direction. Well persevered.

Next question - what have you been advised to eat? If it's carbohydrate with every meal, that is another area of contention. Many on this forum get good results by drastically reducing carbs. I'll link to @daisy 's general advice.
 
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PepperTed

Well-Known Member
Messages
104
Type of diabetes
Type 1
Treatment type
Pump
Great news, well done @Beezee! I hope the new regime works for you and your BGs continue to improve :)
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
That's a step in the right direction. Well persevered.

Next question - what have you been advised to eat? If it's carbohydrate with every meal, that is another area of contention. Many on this forum get good results by drastically reducing carbs. I'll link to @daisy 's general advice.

@Beezee

Here is the general information we give to new members and I hope you will find it answers some of your questions. Carry on asking and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 130,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 

Beezee

Active Member
Messages
32
Yes, I've cut right down on carbs. Try my best to be Lchf but chocolate has a spell on me!!

Anyway I know it's early days but I've just taken my BS - 5.8!! I haven't been that low at this time of day and having eaten food!
(Normally I only get a result like that at around 2.00pm when I haven't eaten.)
 
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Kezzer4321

Well-Known Member
Messages
1,193
Type of diabetes
Treatment type
Tablets (oral)
Well done Breeze. Stick to your guns, it sounds like everything is heading in the right direction. Well done.
 

Ruth B

Well-Known Member
Messages
447
Type of diabetes
Treatment type
Tablets (oral)
Well done on sticking to your guns and getting what you want. Like you I'm a chocoholic, however I have managed to wean myself onto 85% dark chocolate, home made low carb chocolate buns and home made mint chocolate truffles, all of which allow me a treat without spiking my BS.

Hope things keep going well.
 
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Beezee

Active Member
Messages
32
Thought I would give you a quick update ...
My morning (fasting) readings are now between 7.9 and 10.5 (previously 14-17)
Afternoon (2 hours after meal) between 5 and 9.2 (previously between 12 and 16)

I've just tested and it's currently 4.5.

My blood sugar is too low!! Can't tell you how happy I am. I've dreamed of low blood sugar ... Lol. Easily sorted. Stuffs chocolate in face.

No. Actually I was told to monitor my sugar and adjust the glicazide dose accordingly.
It's only been 5 days but I'm absolutely delighted with the results.
 
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