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The weather has been damp and dreary and now I am too, sneezing and snuffling - and it is the folk club on Sunday. I sound like Leonard Cohen.
I am only testing after meals, as I really can't face taking Metformin every day. My readings are between 7 and 8 two hours after eating so I think that is OK. I can't feel any difference on days I do take Metformin, apart from the distressed guts.
This morning I weighed myself twice, just to be sure - I have lost slightly more than 8lb in 3 weeks.
I should not be surprised really, as low carb was always effective, but I never quite believe it will work as well as it does.
I have read that restarting never works well - but that is not the case with my metabolism - but I have never had any success with any other diet - though to be honest when I found Atkins I stopped looking - I mean, when you have found a diet where, if taken to extreme you can lose a kilogram a day, and you can fine tune the loss by adding in your favourite carbs in small amounts, why look elsewhere?
Now I have the additional factor of diabetes, but it is type 2, so I just take the tablet and go on low carbing.
An additional benefit is that the loss is mostly fat and not lean body mass. Our scales can measure that, so with a bit of calculation I can work out my lean weight.
I doubt that I will ever have a 24 inch waist again, but all my weight piles on into the middle so I have an equator rather than a waist, but at least that means that my arms and legs aren't large, so I should not - with any luck - get huge folds of skin flapping about.
I really hope that by reducing my weight - or I should say my fat, because I was always muscular and I don't want to lose that, it will mean that I can once again fully control my BG levels. I don't mind if it is by eating low carb for the rest of my life - I was perfectly happy eating 80 gm of carbs a day. I can cope with the lower levels I am eating now - protein and salad stuff with oil and vinegar dressing. Just being able to bend over and pick up things from the floor again makes that worthwhile.
Well - now I know what I have to do - stick to the low carb.
I have now seen 6.2 mmol/l on the meter, and I hope to see no more results in double figures.
I am absolutely convinced that having a meter and seeing what happens when I 'accidentally' cook too many potatoes - who am I trying to kid - well it made me realise that I have broken something and now I have to compensate for that. Maybe not for ever - not totally, but just as I would have to rest a sprained ankle I need to stop the carbs from impacting on my metabolism.
If I don't then the damage will only get worse, low carbs are my Nordic walking poles, to keep me upright on uneven ground - I don't want to have the crutches of drugs, and I'll be damned if I end up in a wheel chair.
I was half convinced I'd broken something earlier, I got a reading of 11.0 after lunch, but I checked again and it is back down to 7.7 in late afternoon. I'll have to be very careful to avoid making such mistakes in future. Hopefully the downward trend will continue if I stick to low carb foods.
After the first reading on the meter of over 10, I have been seeing the numbers drop for four days, down in the 7s for some readings - and I thought that I would just see what happened if I ate some potato. It was just one medium baked potato, I thought it would be just a little rise - nope. back up to over ten.
Obviously I am really sensitive to carbs, not just in terms of weight but in its affect on BG.
I knew that really - it was obvious - but now that the meter has shown such a jump - and it is over 12 hours since I ate it and my BG is still the same I know that I am going to have to be really strict.
I have noticed some odd things since going back to low carbing. This is after a couple of weeks and a weight loss of 6lb, so I can't put it down to being less fat/heavy.
My feet have shrunk.
I no longer bite the inside of my cheeks.
My tongue is smaller.
I can see better.
I am sleeping less.
My joints are less painful
I can climb two flights of stairs.
My skin feels all smooth and soft.
I can bend down and feel more flexible.
I need to fasten my bra tighter, as the band was loose.
My evening BG reading was 7.6 mmol/l.
Low carb really does make a difference - no Metformin today - my insides just can't take it.
Well - not much help really - just got a referral to a diabetes information meeting.
I did find an old tester, a One touch Ultra 2 - it used to belong to my mother in law. I bought strips and lancets on my way out of the clinic and used them when I got back. The reading is 10.4, which as my diagnostic reading at about the same time was 17.1mmol/l it is something of an improvement. The meter is not calibrated, though, so I can only really use it for comparison with itself - though that is quite a difference.
I am sleeping less, and doing more, which is good.
my lunch before diagnosis would probably have been a corned beef sandwich with half a tomato - now I am just not eating the bread.
Oh joy to wake up and get out of bed without twinges from the joints, I had been going along the side of the bed, fearful of falling over, now I am out and off in seconds. Low carb so suits me I was mad to ever give it up.
I felt fine, did not need to eat, started off doing the washing, then washing up, got the bikes out and tidied up in the conservatory, made a sandwich for the DH and ate some of the cooked meat, started to organise my books in the dining room - there's just no stopping me today.
today I did not feel strange on waking, and on checking my weight I have lost a little more, so I ate Dr Atkins' revenge - that is bacon and eggs for my morning meal, after a few walnuts which worked yesterday so I might as well continue to eat them as I have many day's supply of them in the bag in the fridge.
This afternoon I went out walking, and ate a small slice of melon when I returned. Over the last years I have been cutting larger and larger slices of melon - it is back to the half inch at most ones now, and no more water melon as it would go off before I could eat all of it.
I visited the clinic and could walk up and down the stairs, no more using the lift.
I have an appointment with the nurse on Thursday (Tuesday today) so we will see how that goes. At least I am beginning to feel like my old self again, I just have to fight my way down from my present weight back to something sensible. I somehow doubt that I'll ever have a 24 inch waist again.
Woke with some forebodings, but after drinking water I ate a few walnuts rather than some grapes like yesterday. That did seem to help, and the dizziness receded.
I ate eggs tomato and green salad with olive oil and vinegar dressing for lunch, and an hour or so later began to feel fairly normal.
Hopefully I will get into ketosis soon.
These last few days I have not lost any weight at all, presumably I have depleted what stores of glycogen I had and any other easily accessible energy stocks, and now I can't start burning fat until my broken metabolism begins to accept that there is dire necessity for it to alter its attitude as to which fuel it is going to use.
I have been going hypo all day, horrible feeling. I needed to go out to the shops and so ate slices of melon until I felt safe enough to drive.
I thought that type 2s on Metformin did not get hypos - but I definitely am.
On a low carb diet the metabolism is supposed to change over to burning fat, called ketosis - but I think that eating so many carbs as I have been doing in the last approx. 18 months has made it far more difficult to get into that state. I am, therefore, 'running on empty' now that I have low carbed for over a week. I have depleted my store of glycogen, but the ketones are not being produced.
I will just have to keep trying to flick the switch and hope that it will happen eventually.
I think that the problem was a hypo - see got the lingo already.
That would be due to too much insulin - and although that is not what I thought being type 2 diabetic was all about it makes sense.
If my liver has not got access to glycogen after over a week of low carbing has used it all up, but my pancreas has become used to making all the insulin it can, to deal with the cholesterol reducing diet I was on, and yesterday I ate rather low fat as well as low carb - then the result could well be being away with the fairies this morning.
Also - after two days of taking two tablets of Metformin per day and having the most awful consequences I did not take any yesterday. I went out and did not want to take any before going out - obviously, but I was out for far longer than I expected.
These are obviously early days, and I will have to make certain that I keep to a routine and eat/take tablets to schedule.
I was able to go through the possibilities, dehydration from the 'consequences' - no - no improvement on drinking water. Low blood sugar, eat a few grapes - wait, and yes, that was it. I did have a similar occurrence many years ago - about 40, if I remember correctly. I was close to my doctor's surgery and was able to make it through the door, and they did a blood test and diagnosed low blood sugar. Half a cup of sweet tea brought me round, and I have never had anything like that again until today.
I suspect that I have been pre diabetic for a long time, a very long time. Only eating low carb for weight control kept me from having any of the classic symptoms.
Going off low carb did make me so depressed, I have been so happy all the last week.
Now I am even happier. I do not have a dead pancreas, just a hysterical one. Cutting out most sugars and doing low carb might just calm it down again.
Well - whatever was wrong now seems to have passed.
I wonder if it was due to low fat - the hogget is a lot less fatty than a lamb would have been, I have run out of mayonnaise, and the turkey was just about no fat - I'll have to be more careful.
I had put on a jersey, now I am too warm, except for the backs of my hands.
Time to get moving, make coffee and some lunch. I have some olive oil, I think I will make some salad dressing with oil and vinegar and consider what to put with it. I used to get tuna in oil, but the Dr advised against it so I switched to water - maybe I will go to the shops later.
This morning I woke feeling strange. It is Day 12 AD - after diagnosis.
I drank some water, in case it was dehydration - that didn't help, so I ate five grapes - maybe it was low sugar. I think it might be, as I am feeling slightly less dizzy but still not right.
Oh - the symptoms just stepped down then - maybe I am being too severe in my low carbing after over a year of eating the cholesterol lowering stuff.
I am being tempted to go outside and pick the smallest apple on the tree to eat with my lunch. The tree is a golden delicious, which I would never buy, but grown organically and the apples left to ripen on the tree so they lose that bright green colour, they do live up to their name. I used to use them for baking as well as eating them as they hover right on my self imposed limit of 10 percent net carbs.
As I could eat up to 80 gm of carbs a day and still lose weight if I exercised, it was not a big deal, but it might be now, being AD and not just a matter of weight control. I think I should resist the apple and go ahead with my planned meal of eggs and a tomato, then see how I feel.
I wish I could test my blood to see what effect my low carbing is having - when my blood test was done at the clinic glucose levels were in the teens, but I did not even know that was bad, it was just a number.