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First appointment with community diabetic team – moving on to insulin - any advice please
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<blockquote data-quote="Molly56" data-source="post: 753308" data-attributes="member: 84857"><p>[USER=21149]@Daibell[/USER] ....thanks for the advice about the carbs....I am trying to keep the carbs down for him when I am cooking our evening meal but unfortunately there are times when he chooses to eat more carbs than would perhaps be advisable.....whether or not I can influence his choice of food by suggesting alternatives is a difficult one...I have tried, believe me, but so far it has failed....</p><p></p><p>He does have a habit of either having a bowl of porridge or some bread during the evening.....it is a definite habit and despite my suggesting he has something different, one that he persists with.....this is one point I have made a note to mention at the appointment as I need to ask how this will fit in with any insulin regime that they put him on....also that he skips breakfast / goes out for lunch as this will also influence how the medication will work....</p><p></p><p>In preparation for the appointment he has been keeping some blood glucose readings for the past couple of weeks.....the morning reading (when he gets up/ before eating) is generally around the 11.5 mark with readings taken before our evening meal around the 16.5 mark.....</p><p></p><p>....as mentioned before he is a creature of habit and I was just wondering how these readings can differ by that amount when all he has had to eat in the interim period is two eggs on two slices of toast and a latte (this is his usual lunch / brunch that he has a t a local supermarket cafe, probably about midday)......surely this 5 point increase cannot be down to the food he ate at midday some 6 hours before the next reading.....am guessing there is something else going on here to get them to that level BEFORE our evening meal...</p><p></p><p>Regarding his BMI and his eating habits I would not say that he is eating to excess .....some people may be of the impression that he is constantly eating throughout the day but that is not the case as far as I can see.....he no longer eats cakes or biscuits as we don't buy these as a general rule...his weakness is bread but am trying to cut that back where possible and I noticed he is choosing the one with the lowest carbs per slice...</p><p></p><p>[USER=17713]@donnellysdogs[/USER] .....I note your point about the advice that will probably come from the diabetic team but hope that somehow I can work with them to make this work.....have not met them yet but hopefully can use the knowledge and advice gained here to come up with a sensible plan of action...will have to make sure that they know how things are in reality as his patterns of sleeping / eating etc do not follow the conventional patterns of most people....</p><p></p><p>Probably the biggest issue relating to his BMI and blood sugar levels is his lack of exercise or activity......basically I would describe him as being inactive as the majority of his day is spent either lying in bed or just sat in a chair...despite both myself and other people telling him that exercise / activity / movement is important this is still a concept that he has not grasped......just feel that I am on a losing battle here....</p><p></p><p>Will have to wait and see what the next couple of weeks bring....</p></blockquote><p></p>
[QUOTE="Molly56, post: 753308, member: 84857"] [USER=21149]@Daibell[/USER] ....thanks for the advice about the carbs....I am trying to keep the carbs down for him when I am cooking our evening meal but unfortunately there are times when he chooses to eat more carbs than would perhaps be advisable.....whether or not I can influence his choice of food by suggesting alternatives is a difficult one...I have tried, believe me, but so far it has failed.... He does have a habit of either having a bowl of porridge or some bread during the evening.....it is a definite habit and despite my suggesting he has something different, one that he persists with.....this is one point I have made a note to mention at the appointment as I need to ask how this will fit in with any insulin regime that they put him on....also that he skips breakfast / goes out for lunch as this will also influence how the medication will work.... In preparation for the appointment he has been keeping some blood glucose readings for the past couple of weeks.....the morning reading (when he gets up/ before eating) is generally around the 11.5 mark with readings taken before our evening meal around the 16.5 mark..... ....as mentioned before he is a creature of habit and I was just wondering how these readings can differ by that amount when all he has had to eat in the interim period is two eggs on two slices of toast and a latte (this is his usual lunch / brunch that he has a t a local supermarket cafe, probably about midday)......surely this 5 point increase cannot be down to the food he ate at midday some 6 hours before the next reading.....am guessing there is something else going on here to get them to that level BEFORE our evening meal... Regarding his BMI and his eating habits I would not say that he is eating to excess .....some people may be of the impression that he is constantly eating throughout the day but that is not the case as far as I can see.....he no longer eats cakes or biscuits as we don't buy these as a general rule...his weakness is bread but am trying to cut that back where possible and I noticed he is choosing the one with the lowest carbs per slice... [USER=17713]@donnellysdogs[/USER] .....I note your point about the advice that will probably come from the diabetic team but hope that somehow I can work with them to make this work.....have not met them yet but hopefully can use the knowledge and advice gained here to come up with a sensible plan of action...will have to make sure that they know how things are in reality as his patterns of sleeping / eating etc do not follow the conventional patterns of most people.... Probably the biggest issue relating to his BMI and blood sugar levels is his lack of exercise or activity......basically I would describe him as being inactive as the majority of his day is spent either lying in bed or just sat in a chair...despite both myself and other people telling him that exercise / activity / movement is important this is still a concept that he has not grasped......just feel that I am on a losing battle here.... Will have to wait and see what the next couple of weeks bring.... [/QUOTE]
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First appointment with community diabetic team – moving on to insulin - any advice please
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