Hit a brick wall!

[bulkbiker]

but with type 2s an A1c lower than around 6 (I THINK it was) does not give any additional benefits in relation to strokes & heart issues as one higher than in the 7s.

No that was from a very flawed study where it was shown that getting a very low HbA1c through overmedication was as bad for health as having a higher HbA1c. If low HbA1c's can be achieved through dietary mods then that is fine as chances of side effects are pretty much zero.
Tagging in @PenguinMum

 

[Patrick66]

@Patrick66 re above sorry didnt mean to deflect your thread but thought to question the remark re HBA1c while I had the chance. As always I wish you all the best.

That’s absolutely fine.
I think, when it comes to the HbA1c, that there probably isn’t much difference in terms of health benefits between 7s and 6s.
I have had two strokes and not once was Diabetes talked about as having any bearing on what happened. It was noted but no tests were done to check sugar levels around that time.
My doctor has always expressed the view that I should be under a certain level but he has never mentioned the benefits, so to speak, of one reading over another.

 

[bulkbiker]

That’s absolutely fine.
I think, when it comes to the HbA1c, that there probably isn’t much difference in terms of health benefits between 7s and 6s.
I have had two strokes and not once was Diabetes talked about as having any bearing on what happened. It was noted but no tests were done to check sugar levels around that time.
My doctor has always expressed the view that I should be under a certain level but he has never mentioned the benefits, so to speak, of one reading over another.

Not sure I can agree there although as both are still in the T2 Diabetic range then neither are great.

 

[Robinredbreast]

That’s absolutely fine.
I think, when it comes to the HbA1c, that there probably isn’t much difference in terms of health benefits between 7s and 6s.
I have had two strokes and not once was Diabetes talked about as having any bearing on what happened. It was noted but no tests were done to check sugar levels around that time.
My doctor has always expressed the view that I should be under a certain level but he has never mentioned the benefits, so to speak, of one reading over another.

Hi, can I ask how old you were when you had the stokes ? People can only do their best and a 6 or a 7 isn't 'bad' and is within the diabetes range, some choose to go much lower if they can.

A link from this site :-
https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

 

[Patrick66]

Not sure I can agree there although as both are still in the T2 Diabetic range then neither are great.

I never said they weren’t both in the diabetic range.

I agree that neither is good but I was talking about what I had been told, or not told, about the benefits of 6 over 7.

 

[Patrick66]

Hi, can I ask how old you were when you had the stokes ? People can only do their best and a 6 or a 7 isn't 'bad' and is within the diabetes range, some choose to go much lower if they can.

A link from this site :-
https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

My first was 2013 when I was 46 and I had the second at 48.

 

[bulkbiker]

I never said they weren’t both in the diabetic range.

I agree that neither is good but I was talking about what I had been told, or not told, about the benefits of 6 over 7.

I think you'll find that there are indeed benefits to having an HbA1 of 6% rather than & 7% and 4-5% would be even more beneficial.

 

[Patrick66]

I think you'll find that there are indeed benefits to having an HbA1 of 6% rather than & 7% and 4-5% would be even more beneficial.

Fine. You win.

I said on two occasions it was what I had or had not been told about the benefits of one over the other. I’m not a doctor, I don’t know.

 

[Mr_Pot]

Fine. You win.

I said on two occasions it was what I had or had not been told about the benefits of one over the other. I’m not a doctor, I don’t know.

Just do enough to get your operation out of the way. I wouldn't worry about long term targets now, that can come later.

 

[DCUKMod]

I tried Gliclazide. Made me incredibly sick and had to come off it rapidly.

No, I can’t say there are too many alternatives other than keep on going till the bitter end.

@Patrick66 - a few months ago, I attended a presentation by a Consultant carrying out duodenal mucosal resurfacing surgery on T2 diabetics, who made a comment during his presentation, that there are over 400, 400 drug combinations for T2 diabetes, excluding insulin therapy. Those are combinations, as opposed to specific, individual drugs, so there would likely be something other than insulin for you to try.

Whilst I very much like, and respect my GP very much, if my case were complex, and she was suggesting insulin to me, I would be asking for either a face-to-face referral to a specialist, or at least that she use the GP's e-referral system, which allows GPS to contact a consultant by email, sharing notes and information, to give the GP specialist advise, without the need for an appointment. Obviously this only works where poking or prodding is not necessary.

 

[Patrick66]

@Patrick66 - a few months ago, I attended a presentation by a Consultant carrying out duodenal mucosal resurfacing surgery on T2 diabetics, who made a comment during his presentation, that there are over 400, 400 drug combinations for T2 diabetes, excluding insulin therapy. Those are combinations, as opposed to specific, individual drugs, so there would likely be something other than insulin for you to try.

Whilst I very much like, and respect my GP very much, if my case were complex, and she was suggesting insulin to me, I would be asking for either a face-to-face referral to a specialist, or at least that she use the GP's e-referral system, which allows GPS to contact a consultant by email, sharing notes and information, to give the GP specialist advise, without the need for an appointment. Obviously this only works where poking or prodding is not necessary.

Yes I believe there are many combinations but availability might be an issue.

Both my GP and Diabetic Nurse have only ever mentioned 4 or 5 at most although, I appreciate, there are variations on a theme and there are certainly many varieties of insulin.

I’m fine on Metformin in that I have no adverse side effects (apart from ones we can’t discuss on a family friendly forum], I’m just really struggling again.

 

[DavidGrahamJones]

I feel incredibly heavy and just not right. I noticed it yesterday at work and it’s even worse today. I’m not constipated or anything like that but I just feel rotten.

Although you do not have signs of being constipated that does not mean that your intestinal transit time is good.

it’s all equally unappealing.

What would make your food more appealing? I expect I have a very unsophisticated palate as I've had to watch what I eat for so many decades, so anything with multiple ingredients is a no no. I'm probably very lucky.

I am getting really down, now, about it all.

Well you might not like this but if something gets me down I try to get the positives out of the situation. If my choice of what to eat was limited, and for good reasons (surgery), then I would remind myself that there many who have a limited choice, only it's because of a war or a famine. There are literally millions who are worse off, we are in a much better place and that's worth reminding ourselves.

Welcome to my brick wall!

It's a speed bump, not a wall. Listen to your wife, you're doing well. All the best.

 

[Patrick66]

Although you do not have signs of being constipated that does not mean that your intestinal transit time is good.



What would make your food more appealing? I expect I have a very unsophisticated palate as I've had to watch what I eat for so many decades, so anything with multiple ingredients is a no no. I'm probably very lucky.



Well you might not like this but if something gets me down I try to get the positives out of the situation. If my choice of what to eat was limited, and for good reasons (surgery), then I would remind myself that there many who have a limited choice, only it's because of a war or a famine. There are literally millions who are worse off, we are in a much better place and that's worth reminding ourselves.



It's a speed bump, not a wall. Listen to your wife, you're doing well. All the best.

You should never tell anyone there’s someone worse off than them.

First rule when dealing with someone who is depressed. Yes, it’s an obvious fact but it’s also deeply unhelpful. Sorry to say that. There are millions better off as well but I am
not someone else, I am me.

 

[DavidGrahamJones]

You should never tell anyone there’s someone worse off than them.

It's true for everyone and in no way was meant to under estimate what a particular person is going through. I've had my fair share of depression including some very dark thoughts about living. At the time I was prescribed something that I recognised as making me even worse because I stopped caring about everything.

I wish you all the very best.

 

[brassyblonde900]

That sucks. What a self centred muppett.

Next time the man flu kicks in leave him to it. Same thing.

Haha...Its easy to say that when we hear one side of the conversation only.
Truth is a lot of people try to make other people's life tedious, because they cannot eat a baguette or chips at will without dire consequences.
For a lot of us, with a T2DM dx, misery loves company.
I would be in the school of …"Suck it up" too, if I had to hear anybody complain about a WOE that is meant to save their lives.
I had a parent who had NonHodgkins lymphoma, she never complained about what she had to go through.
That Cancer came back 3times over a 24yr period, not one day did she moan about what she endured.
I had one who had T2DM and the whole family was practically held to ransom to his diabetes. Because he was very much loved its taken me almost 35yrs to realise that it need not have been so.
Today I have a diagnosis of T2DM and I count myself lucky, I have a medical condition I can impact with dietary choices.
That paradigm informs my mindset that a lifetime of eating as one pleases has resulted in where we are now.
Genetics may have robbed the bank,but we drove the get away car.
I know how controversial that statement is, It is my firmly held opinion.

 

[Krystyna23040]

Genetics may have robbed the bank,but we drove the get away car.
I know how controversial that statement is, It is my firmly held opinion

I really like this sentence. To me it's not controversial at all but is exactly how I think of it. I would add the caveat that I was 'hoodwinked' into driving the getaway car by scientists and organisations who promoted the message that high carb and low fat was the way to eat if you wanted to stay healthy and live a long life.

 

[Pinkorchid]

Patrick just carry on doing what you are already and from what you have said on here your levels are really good far better than a lot of people can say no matter what they do. There are so many factors as to what our BG levels are at any one time and certainly other medical conditions and our state of mind really have the biggest influence on that. Try to relax and stop worrying you are doing really well and I hope you get your operation soon

 

[Patrick66]

Patrick just carry on doing what you are already and from what you have said on here your levels are really good far better than a lot of people can say no matter what they do. There are so many factors as to what our BG levels are at any one time and certainly other medical conditions and our state of mind really have the biggest influence on that. Try to relax and stop worrying you are doing really well and I hope you get your operation soon

Thank you.

 

[DavidGrahamJones]

Next time the man flu kicks in leave him to it.

And hope that it isn't pneumonia like a friend of mine or a burst appendix and peritonitis as in my case. I wish we could remove "man flu" from the urban diction or is it in the OED yet? I think it's a term that is overused by those who aren't qualified to diagnose, which basically is most of us. Sorry for the off topic message, I became very sensitive about the use of the term after it taking 7 weeks to diagnose my peritonitis, not actually diagnosed until I had the laparotomy. You wouldn't believe how many people uttered those two words "man flu" in the 7 weeks.

 

[Spl@]

And hope that it isn't pneumonia like a friend of mine or a burst appendix and peritonitis as in my case. I wish we could remove "man flu" from the urban diction or is it in the OED yet? I think it's a term that is overused by those who aren't qualified to diagnose, which basically is most of us. Sorry for the off topic message, I became very sensitive about the use of the term after it taking 7 weeks to diagnose my peritonitis, not actually diagnosed until I had the laparotomy. You wouldn't believe how many people uttered those two words "man flu" in the 7 weeks.

Speaking as someone who has had peritinitus and pneumonia and the associated hospital fun. Pure oxygen for 48hrs and the family allowed 24hr access to illustrate the severity of the pneumonia.

The comment was made "in jest" something smothered by adjendas these days.

I don't live with my wife. My wife Is my life, we are a team, a unit of 1. Her issues are mine and vice versa. Hearing someone say they are unsupported by their life partner should be the issue of relevance.

Not "man flu" .