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Newly Diagnosed

Spencer1620

Newbie
Messages
2
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi everyone I was diagnosed T2 about a month ago my Hba1c was 65.

I been reading lots and found comfort in this forum as it means it's not just me.

I've been testing my blood sugars over the last few weeks and have recorded a big drop in blood sugar.

When I first went to see my GP she said to cut out carbs and sugar from my diet, an take 2x metformin a day, so this I did unfortunately this led to a trip to hospital in an ambulance as my blood sugar had dropped very low (4) which is very low for me.

I have been to see my GP again today as my blood sugar dropped from 9.6 to 5.6 in 45 mins. I wouldn't normally test my bloods so frequently but I was shaking and felt light headed. The GP told me I was probably hungry and to stop testing my bloods as I have no need to because I'm only T2.
Is this normal? Is this good advice from the GP?
Thanks a lot.

Paul.
 
Welcome to the forum! In my experience Metformin should not result in a hypo, it's true you shouldn't be getting them at all as a T2 unless you're really dipping your bloods and they shouldn't really put you in the hospital. Have you had a c-peptide and GAD antibodies test? You may be Type 1 or LADA (Type 1.5) but I am sure someone much more well informed than I shall be along shortly.
 
Welcome to the forum! In my experience Metformin should not result in a hypo, it's true you shouldn't be getting them at all as a T2 unless you're really dipping your bloods and they shouldn't really put you in the hospital. Have you had a c-peptide and GAD antibodies test? You may be Type 1 or LADA (Type 1.5) but I am sure someone much more well informed than I shall be along shortly.
I've not had either of those tests.
Though I do have an ultrasound on my pancreas next week.
 
I've not had either of those tests.
Though I do have an ultrasound on my pancreas next week.

I think as long as it doesn't start going higher and higher you'll be okay, it just concerns me that you're getting hypos. I do hope it goes well and I may be a little misinformed as I'm relatively new to this myself.
 
Hi Spencer and welcome to the forum. First as this is your first post I’ll tag in @daisy1 for her useful info post.
As I see it you aren’t strictly going hypo but you are suffering hypo like symptoms as your body is not used to normal levels having run high pre diagnosis. Here’s a little about ‘false hypos’:
http://diabetesupdate.blogspot.com/2007/07/type-2s-understanding-false-hypos.html
Stick with the low carbing and ignore your GP with regard to testing. I find it useful (seeing how I react to different foods) motivating (seeing improvements) and educational if I see a deterioration in readings.
 
Hi everyone I was diagnosed T2 about a month ago my Hba1c was 65.

I been reading lots and found comfort in this forum as it means it's not just me.

I've been testing my blood sugars over the last few weeks and have recorded a big drop in blood sugar.

When I first went to see my GP she said to cut out carbs and sugar from my diet, an take 2x metformin a day, so this I did unfortunately this led to a trip to hospital in an ambulance as my blood sugar had dropped very low (4) which is very low for me.

I have been to see my GP again today as my blood sugar dropped from 9.6 to 5.6 in 45 mins. I wouldn't normally test my bloods so frequently but I was shaking and felt light headed. The GP told me I was probably hungry and to stop testing my bloods as I have no need to because I'm only T2.
Is this normal? Is this good advice from the GP?
Thanks a lot.

Paul.
Your post interests me as it overlaps with my own findings. But am also sorry to hear of your experience.

I have tried to keep an open mind on LCHF and do not go the whole hog on the method, in other words I have radically reduced carbs in my diet and increased fats but still try and include a modest albeit lower level of carbs in there on a daily basis. On the few occasions where I have had very few carbs in a day and have also been active then I too have felt light headed and immediately countered with a source of sugar.

I am interested to see what others advise you.
 
@Spencer1620
Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and helpful.

BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
I’d agree with the false hypo likelihood. The only other consideration might be reactive hypoglycaemia but I’m far from knowledgeable about that. There is a subsection on it in here and some very knowledgeable members who might be able to help more.
 
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