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Diabetes Discussion
Type 1.5/LADA Diabetes
HBA1C up from 38 - 54 in 9 months
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<blockquote data-quote="Hertfordshiremum" data-source="post: 2185592" data-attributes="member: 507802"><p>Hi Millie</p><p></p><p>Gosh that is a long wait! There is quite a bit of discussion about when to start insulin as one theory is that the sooner you start the more beta cells you preserve, I would do a bit of research at least so you know the right questions to ask in March. Monitor yourself carefully especially if you are ill or eat something higher carb than normal. I have had Hashimotos disease for about 6 years now, it's an autoimmune disease the same as Type 1 LADA diabetes so I was already being tested regularly for TSH levels although I was having a lot of trouble. The endo I saw told me metabolism is controlled by a fine balance of cortisol, thyroxine and insulin all needing to be at the correct levels. Mine were definitely not correct in June 2018 but he did really help me with both problems and all my Hashimotos symptoms have now gone and I lost weight (2 stone in 2 months) after changing the timing of my thyroid tablet and starting insulin (I had previously been slim but put on weight when developing Hashimotos and struggled to lose it despite eating zero carbs and exercising daily for a couple of years). Now I usually eat between 20g - max 40g carbs per meal. Eating zero carbs will worsen a thyroid problem as you will produce reverse T3. Occasionally I will have lower carbs such as omelette and salad if I am struggling with blood sugars but it's occasional. Although for me I just cannot eat anything containing flour or rice or any bread other than pure rye bread, I did try a couple of times but even with taking insulin I get very high readings very quickly of around 16mmol or more plus blurry vision, pounding headache and I feel extremely unwell. As I hadn't eaten these foods for a couple of years anyway due to the Hashimotos I was quite happy to cut them out although the nurse I see does comment about eating more of a balanced diet, but Dr Bernstein's book seems to say the same thing about certain carbs so I think I am doing the right thing, although I haven't finished the book yet! I do eat very healthily and exercise daily, I find a resistance band excellent for lowering high blood sugar readings. The carbs I do eat are things like Nairns gluten free crackers and kefir yogurt, occasional porridge with goats milk or slice of rye bread with poached egg. I don't get more than a reading of 10mmol after these foods. I have continued to lose weight slowly and am now slimmer than before I developed Hashimotos and diabetes so that's a good thing. Happy to chat further if you are unsure what to eat, but everyone is different I think it's a case of trial and error and recording what happens. But obviously small amounts when trying something different and tread carefully. By the way your doctor could test your thyroid TSH and any possible TPO antibodies it's just a blood test.</p></blockquote><p></p>
[QUOTE="Hertfordshiremum, post: 2185592, member: 507802"] Hi Millie Gosh that is a long wait! There is quite a bit of discussion about when to start insulin as one theory is that the sooner you start the more beta cells you preserve, I would do a bit of research at least so you know the right questions to ask in March. Monitor yourself carefully especially if you are ill or eat something higher carb than normal. I have had Hashimotos disease for about 6 years now, it's an autoimmune disease the same as Type 1 LADA diabetes so I was already being tested regularly for TSH levels although I was having a lot of trouble. The endo I saw told me metabolism is controlled by a fine balance of cortisol, thyroxine and insulin all needing to be at the correct levels. Mine were definitely not correct in June 2018 but he did really help me with both problems and all my Hashimotos symptoms have now gone and I lost weight (2 stone in 2 months) after changing the timing of my thyroid tablet and starting insulin (I had previously been slim but put on weight when developing Hashimotos and struggled to lose it despite eating zero carbs and exercising daily for a couple of years). Now I usually eat between 20g - max 40g carbs per meal. Eating zero carbs will worsen a thyroid problem as you will produce reverse T3. Occasionally I will have lower carbs such as omelette and salad if I am struggling with blood sugars but it's occasional. Although for me I just cannot eat anything containing flour or rice or any bread other than pure rye bread, I did try a couple of times but even with taking insulin I get very high readings very quickly of around 16mmol or more plus blurry vision, pounding headache and I feel extremely unwell. As I hadn't eaten these foods for a couple of years anyway due to the Hashimotos I was quite happy to cut them out although the nurse I see does comment about eating more of a balanced diet, but Dr Bernstein's book seems to say the same thing about certain carbs so I think I am doing the right thing, although I haven't finished the book yet! I do eat very healthily and exercise daily, I find a resistance band excellent for lowering high blood sugar readings. The carbs I do eat are things like Nairns gluten free crackers and kefir yogurt, occasional porridge with goats milk or slice of rye bread with poached egg. I don't get more than a reading of 10mmol after these foods. I have continued to lose weight slowly and am now slimmer than before I developed Hashimotos and diabetes so that's a good thing. Happy to chat further if you are unsure what to eat, but everyone is different I think it's a case of trial and error and recording what happens. But obviously small amounts when trying something different and tread carefully. By the way your doctor could test your thyroid TSH and any possible TPO antibodies it's just a blood test. [/QUOTE]
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