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<blockquote data-quote="xyzzy" data-source="post: 318114" data-attributes="member: 40343"><p>Long term it's not that bad in fact I enjoy my diet far more now than before my diagnosis! When I got diagnosed last December I thought much the same but within a few weeks and finding out what was safe to eat and the choices available I don't miss the starchy foods at all anymore. Take a look here <a href="http://www.dietdoctor.com/lchf" target="_blank">http://www.dietdoctor.com/lchf</a> and at this Swedish docs recommendations<a href="http://blogg.passagen.se/dahlqvistannika/?anchor=my_lowcarb_dietary_programe_in" target="_blank">http://blogg.passagen.se/dahlqvistannika/?anchor=my_lowcarb_dietary_programe_in</a> for ideas.</p><p></p><p>Normally mine and other members advice would initially be to cut out sugar and halve your starchy carbs (rice, potatoes, bread, pasta, cereals and flour) then using your meter as a guide up or down what's left until your levels respond. Also swapping to brown basmati rice, brown or tri colour pasta and buying Burgen Soya bread (get it from most supermarkets) will help a bit but don't expect miracles. Also you need to realise that "healthy" things like pure fruit juices are full of sugar as of course are non diet fizzy drinks. Fruit itself is also high sugar so I tend to eat it along with my main meal as I find it helps my levels that way.</p><p></p><p>As you said you weren't overweight and that you had reduced your carbs with little effect then you need to be aware that you may not be classic T2. The quickest way to see this is just to stop all carbs and sugar for a few days and see if your levels respond. If they do it means you are producing some insulin so you are likely to be plain vanilla T2. If they don't respond you need to get the doctor to take things seriously. Running your levels long term in the teens is not an option.</p><p></p><p>Having your lowest reading just before your main meal in the evening is entirely normal. Most peoples highest readings are when they wake up and then they gradually drop throughout the day but obviously rise after each meal. For some reason insulin works better as the day progresses in most.</p><p></p><p>The problem you have is that your levels are way to high. Metformin will help a bit but it isn't a magic bullet. At some point if you are T2 you will need to make a long term lifestyle choice. Essentially you have to recognise that running levels high will damage you. It can and does lead to blindness and amputations and can knock 15 years off your lifespan if you don't get it under control. To get control as a T2 you can either choose to try and control it by diet so cutting out as much sugar and carbs as necessary to normalise your levels or you have to accept you're going to need to take drugs far stronger than Metformin to allow you to continue a moderate level of carbs. The trouble is those strong drugs tend to only work for a while, make you gain weight and some say accelerate the progression of the disease so that in the end you have no option but to take insulin. Injecting insulin will allow you to eat more carbs but it comes with its own set of danagers such as hypos and again weight gain unless you keep to a pretty strict healthy diet.</p></blockquote><p></p>
[QUOTE="xyzzy, post: 318114, member: 40343"] Long term it's not that bad in fact I enjoy my diet far more now than before my diagnosis! When I got diagnosed last December I thought much the same but within a few weeks and finding out what was safe to eat and the choices available I don't miss the starchy foods at all anymore. Take a look here [url]http://www.dietdoctor.com/lchf[/url] and at this Swedish docs recommendations[url]http://blogg.passagen.se/dahlqvistannika/?anchor=my_lowcarb_dietary_programe_in[/url] for ideas. Normally mine and other members advice would initially be to cut out sugar and halve your starchy carbs (rice, potatoes, bread, pasta, cereals and flour) then using your meter as a guide up or down what's left until your levels respond. Also swapping to brown basmati rice, brown or tri colour pasta and buying Burgen Soya bread (get it from most supermarkets) will help a bit but don't expect miracles. Also you need to realise that "healthy" things like pure fruit juices are full of sugar as of course are non diet fizzy drinks. Fruit itself is also high sugar so I tend to eat it along with my main meal as I find it helps my levels that way. As you said you weren't overweight and that you had reduced your carbs with little effect then you need to be aware that you may not be classic T2. The quickest way to see this is just to stop all carbs and sugar for a few days and see if your levels respond. If they do it means you are producing some insulin so you are likely to be plain vanilla T2. If they don't respond you need to get the doctor to take things seriously. Running your levels long term in the teens is not an option. Having your lowest reading just before your main meal in the evening is entirely normal. Most peoples highest readings are when they wake up and then they gradually drop throughout the day but obviously rise after each meal. For some reason insulin works better as the day progresses in most. The problem you have is that your levels are way to high. Metformin will help a bit but it isn't a magic bullet. At some point if you are T2 you will need to make a long term lifestyle choice. Essentially you have to recognise that running levels high will damage you. It can and does lead to blindness and amputations and can knock 15 years off your lifespan if you don't get it under control. To get control as a T2 you can either choose to try and control it by diet so cutting out as much sugar and carbs as necessary to normalise your levels or you have to accept you're going to need to take drugs far stronger than Metformin to allow you to continue a moderate level of carbs. The trouble is those strong drugs tend to only work for a while, make you gain weight and some say accelerate the progression of the disease so that in the end you have no option but to take insulin. Injecting insulin will allow you to eat more carbs but it comes with its own set of danagers such as hypos and again weight gain unless you keep to a pretty strict healthy diet. [/QUOTE]
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