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high blood an how to keep it down

eggbox16

Member
Messages
5
Location
bere regis dorset
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Soaps
hi over the past few months (3-6) ive been having trouble getting and keeping my glucose levels to a resonable level im type 2...my bloods have been in double figures im losing weight 4 months ago 1 of my meds were changed from gliclazide to linagliptin for whatever reason .ive not changed my diet where i was actually in control with my levels now ive been put back gliclazide with linagliptin now im having more lows than ive ever had an testing my bloods 5-8 times a day to keep a check on them and still losing weight i do seen the nurse end of april. but im worried my blood sugars will be low 1 day when im driving any suggestions
 
hi over the past few months (3-6) ive been having trouble getting and keeping my glucose levels to a resonable level im type 2...my bloods have been in double figures im losing weight 4 months ago 1 of my meds were changed from gliclazide to linagliptin for whatever reason .ive not changed my diet where i was actually in control with my levels now ive been put back gliclazide with linagliptin now im having more lows than ive ever had an testing my bloods 5-8 times a day to keep a check on them and still losing weight i do seen the nurse end of april. but im worried my blood sugars will be low 1 day when im driving any suggestions

Let me confirm your concern, if I may.

4 months ago you were prescribed an additional tablet to take alongside your Gliclazide, but you are now finding you keep going too low?

If that's the case, I think you need to talk to whomever prescribed the tablets. It sounds to me like the dose is too great for you, whilst you are eating as you are. These things are usually a balance between meds and food. The alternative would be to eat more, but that really goes against all logic, if you are feeding to feed the drugs.

I can't advise you to stop or reduce any medication and if you are looking to trim up a bit, telling you to eat more isn't going to be popular, so keep a very close eye on things, test regularly and talk to your Doc/ nurse tomorrow if you can.
 
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How low do you go? Have you spoken to your doctor about the lows?

Have you told the DVLA that you have diabetes?
 
Hi. If you are going too low when on Gliclazide then the dose is probably too high. Those on insulin need to test within 2 hours before driving and every 2 hours while driving. With Gliclazide you probably need to do the same.
 
Let me confirm your concern, if I may.

4 months ago you were prescribed an additional tablet to take alongside your Gliclazide, but you are now finding you keep going too low?

If that's the case, I think you need to talk to whomever prescribed the tablets. It sounds to me like the dose is too great for you, whilst you are eating as you are. These things are usually a balance between meds and food. The alternative would be to eat more, but that really goes against all logic, if you are feeding to feed the drugs.

I can't advise you to stop or reduce any medication and if you are looking to trim up a bit, telling you to eat more isn't going to be popular, so keep a very close eye on things, test regularly and talk to your Doc/ nurse tomorrow if you can.
hi i was on gliclazide then taken off it and put on linagliptin had my usual annual bloodtests an found out i wasnt doing so well so the nurse advised me to go back to gliclazide an still take linagliptin and keep a record of my blood sugars for a month an go back to see her with the results i wouldnt say there drastically low lowest being 3.4 not had lower but my bloods are still high 2/3hrs after food
 
hi i was taken off gliclazide an put on linagliptin but because my bloodsugars were high on the annual bloodtests i was put back on gliclazide an told to carry on taking both .i wouldnt say my bloods were getting worrying low (3.4mmol)lowest an the highest being 14.8mmol .i see the nurse end of april and was told to keep a record of blood results .the dvla are aware of me being diabetic and i do test before driving anywhere ...
 
Can you tell us what you are typically eating? This may be the root of your problems and maybe we can spot something that may help. Do you keep a food diary? This would be helpful if you record your levels alongside the food eaten. It will show you patterns, such as which foods have caused your levels to shoot up to double figures. Your nurse may also be interested to see this.
 
Hi. Are you also on Metformin which would be normal if you have excess weight and hence insulin resistance? Gliclazide and Linagliptin are more relevant if your pancreas islet cells are failing and need a prod and these are more likely to be needed if your BMI is in the good range rather than high. Yes, do let us know more about your typical food pattern and BMI.
 
hi i was on gliclazide then taken off it and put on linagliptin had my usual annual bloodtests an found out i wasnt doing so well so the nurse advised me to go back to gliclazide an still take linagliptin and keep a record of my blood sugars for a month an go back to see her with the results i wouldnt say there drastically low lowest being 3.4 not had lower but my bloods are still high 2/3hrs after food

I'm in agreement with Blue on looking to what you're eating.

For many of us it seems if we eat something that really boosts our bloods up, they sometimes fall just as sharply, almost in a rebound effect. A bit like if you juggle two balls in your hands, when you consistently throw the ball up a couple of inches, it's pretty easy to gauge where and when you'll catch it on the way back down again. if on a random basis, you then throw one of those balls up an extra foot, it's much harder to catch that ball on the way back down because it breaks the routine, and may appear to be falling faster than usual, so you miss it. Your medication may be struggling to cope with some of these highs, then misses the lows.

So, I'd say, it's a period of record keeping and it may mean a bit of trimming on the food side as well as maybe on the meds too. Clearly that needs lots of testing alongside it.

Sometimes we don't think we've changed what we eat, but if we keep a food and bloods diary it can show the odd extra bacon sarnie, portion of chips, cake or whatever just appearing a bit more regularly. Unfortunately, these things sometimes have a cumulative effect.

Good luck with it all.
 
hi yes may be it is a good idea to keep a food report aswell as blood results .....i would normally skip breakfast have a sandwich of some sort ham cheese etc for lunch an be snacking through the day .....but since i last saw the nurse in feb ive watched what ive been eating an no snacking .. started to have breakfast ( bran flakes or shredded wheat ) a banana with a coffee no sugar ..lunch wholemeal bread ham salad sandwich an any fruit we have in house ...dinner could be anything to baked beans on toast to salad baked potatoe etc.
 
Ahhh .... it looks like it is your food choices raising your blood sugar levels. I certainly could not eat any of the things you mention without massive spikes.

These are the main culprits in raising BS levels - bread, rice, potatoes, cereals, pasta, most fruit, anything made with or thickened with flour, and of course anything containing sugar. These are all full of carbohydrate. All carbs convert to glucose once inside the system, so it makes sense not to eat too much of it. Glucose in the system is exactly what we don';t want, as diabetics. No doubt you have been told by your nurse to eat carbs with every meal and wholemeal foods. This is poor advice, but sadly it is the advice most of us get when first diagnosed, and then we wonder why our levels aren't improving.

Jacket and mashed spuds are the worst sort of spud. A couple of new spuds may be OK. Breakfast cereals are not a wise choice for the majority of us. Baked beans are delicious, but sadly they are full of sugar. Fruits are also full of sugar, and bananas are about the worst. They are instant glucose, which is why you see athletes eating them during competitions. Berries are generally not too bad.

The fewer grams of carbs you eat, the better your BS levels will become. You then need to make up your energy requirements by increasing your dietary fats. Try having eggs for breakfast (cooked any which way but no bread), or bacon and eggs with a tomato and mushrooms. I often have that for lunch. Before you open a tin of anything, have a look at the total carb content per 100g on the nutrition label (ignore the "of which sugars") Anything above 10g per 100g is high.

Your best bet is to test before you eat and then again 2 hours after your first bite. Look at the rise. Anything above 2mmol/l is high, preferably keep it below 1.5mmol/l. If it is too high your meal was not doing you any favours and you need to look carefully at what you ate and try to reduce the carb content, either by eliminating things like bread/spuds/baked beans or cutting down the portion size until your testing tells you that was OK. . Using this method of testing is the only way to find yourself a suitable diet.

Do read round these forums. There is a wealth of information. Please ask questions.

A note of warning - if you do go down the low carb route, your medication will probably, almost definitely, need reducing or you may start having hypos, so do discuss this with your nurse.
 
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