High blood sugars

[AshrafUM920]

I have been having high blood sugars for the last 2 weeks.

I'm on sitagliptin and metformin,; I have seen a dietician and she has told me everything I'm eating is good. And to keep to 2 portions, 3 meals a day.

I am not sure anymore porridge in the morning and anything in the evening. My plate is mixed with meat and vegetables and I drink water only.

I think maybe insulin next.

 

[mouseee]

Porridge is really high carb.
What else are you eating in the day?

 

[Brunneria]

I have been having high blood sugars for the last 2 weeks.

I'm on sitagliptin and metformin,; I have seen a dietician and she has told me everything I'm eating is good. And to keep to 2 portions, 3 meals a day.

I am not sure anymore porridge in the morning and anything in the evening. My plate is mixed with meat and vegetables and I drink water only.

I think maybe insulin next.

Hi UsmanMo,

When you say that the dietician told you to keep to 2 portions, 3 meals a day, what foods was she talking about?
Was she saying you should eat 2 portions of carb foods, 3 times a day? Or protein? Or fats?

 

[JoKalsbeek]

I have been having high blood sugars for the last 2 weeks.

I'm on sitagliptin and metformin,; I have seen a dietician and she has told me everything I'm eating is good. And to keep to 2 portions, 3 meals a day.

I am not sure anymore porridge in the morning and anything in the evening. My plate is mixed with meat and vegetables and I drink water only.

I think maybe insulin next.

I think you can hold off on the insulin, just change your diet a little further. As a T2, you can't effectively process carbs, (which turn to glucose once ingested) so if you cut those out... Your blood sugars would normalise. You really, really want to stay away from porridge. https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html <-- have a read here, see what you can do to improve your current situation. If it helps, there's a whole lot more for you to discover, at dietdoctor.com, this forum's website, diabetes.co.uk (not .org!) and Dr. Jason Fung's The Diabete Code.

Good luck!
Jo

 

[AshrafUM920]

Hi UsmanMo,

When you say that the dietician told you to keep to 2 portions, 3 meals a day, what foods was she talking about?
Was she saying you should eat 2 portions of carb foods, 3 times a day? Or protein? Or fats?

The diabetes dietician said I should eat 3 small meals a day. 2 portions. She said it to look at the low GI foods and have 2 portions of everything.

I'm having the low GI pasta rice and anything that says low carbs. My blood sugar has literally been HI for the past 10 hours today. If I go A&E I doubt I will get better they will just keep me there till tomorrow.

I haven't touched no junk food or fizzy drinks its food thats my enemy now apart from meat everything else has carbohydrates so I'm not sure anymore.

 

[Brunneria]

The diabetes dietician said I should eat 3 small meals a day. 2 portions. She said it to look at the low GI foods and have 2 portions of everything.

I'm having the low GI pasta rice and anything that says low carbs. My blood sugar has literally been HI for the past 10 hours today. If I go A&E I doubt I will get better they will just keep me there till tomorrow.

I haven't touched no junk food or fizzy drinks its food thats my enemy now apart from meat everything else has carbohydrates so I'm not sure anymore.

Thanks, but I am afraid I still don't understand.
Two portions of what?
OR rather, what is 'a portion' and is she telling you to eat 2 portions of carb foods with every meal?

I tried low GI foods for a while, and although I enjoyed the food, it caused havoc with my blood glucose levels, since my body gets high blood glucose from carbs whether they are high or low GI. It is the carb content that does it, not the glycaemic load/index.

If you are going to eat 'low GI carbs' then I strongly suggest that you test your blood glucose before and two hours after eating to see what impact those carbs are having on your blood glucose.

Eating carbs with every meal when your blood glucose has been HI on your meter is a BAD IDEA, since it will just drive your blood glucose higher. IF you get a HI reading on a glucometer then you should contact a medical professional, either your doctor, your nurse, or your local medical centre, or (if in the UK) dial 111 and ask their advice. Most meters only give a HI reading when your blood glucose goes to 30+ which is higher than they can read. Such levels carry health risks, and you should seek medical attention - especially if you are getting such readings regularly.

Also, drink plenty of plain water, which will help when your blood glucose is high.

This link may help
https://www.diabetes.co.uk/how-to/bring-down-high-blood-sugar-levels.html

Have they run tests to confirm that you are a T2, rather than a T1?

 

[AshrafUM920]

Thanks, but I am afraid I still don't understand.
Two portions of what?
OR rather, what is 'a portion' and is she telling you to eat 2 portions of carb foods with every meal?

I tried low GI foods for a while, and although I enjoyed the food, it caused havoc with my blood glucose levels, since my body gets high blood glucose from carbs whether they are high or low GI. It is the carb content that does it, not the glycaemic load/index.

If you are going to eat 'low GI carbs' then I strongly suggest that you test your blood glucose before and two hours after eating to see what impact those carbs are having on your blood glucose.

Eating carbs with every meal when your blood glucose has been HI on your meter is a BAD IDEA, since it will just drive your blood glucose higher. IF you get a HI reading on a glucometer then you should contact a medical professional, either your doctor, your nurse, or your local medical centre, or (if in the UK) dial 111 and ask their advice. Most meters only give a HI reading when your blood glucose goes to 30+ which is higher than they can read. Such levels carry health risks, and you should seek medical attention - especially if you are getting such readings regularly.

Also, drink plenty of plain water, which will help when your blood glucose is high.

This link may help
https://www.diabetes.co.uk/how-to/bring-down-high-blood-sugar-levels.html

Have they run tests to confirm that you are a T2, rather than a T1?

Thanks, but I am afraid I still don't understand.
Two portions of what?
OR rather, what is 'a portion' and is she telling you to eat 2 portions of carb foods with every meal?

I tried low GI foods for a while, and although I enjoyed the food, it caused havoc with my blood glucose levels, since my body gets high blood glucose from carbs whether they are high or low GI. It is the carb content that does it, not the glycaemic load/index.

If you are going to eat 'low GI carbs' then I strongly suggest that you test your blood glucose before and two hours after eating to see what impact those carbs are having on your blood glucose.

Eating carbs with every meal when your blood glucose has been HI on your meter is a BAD IDEA, since it will just drive your blood glucose higher. IF you get a HI reading on a glucometer then you should contact a medical professional, either your doctor, your nurse, or your local medical centre, or (if in the UK) dial 111 and ask their advice. Most meters only give a HI reading when your blood glucose goes to 30+ which is higher than they can read. Such levels carry health risks, and you should seek medical attention - especially if you are getting such readings regularly.

Also, drink plenty of plain water, which will help when your blood glucose is high.

This link may help
https://www.diabetes.co.uk/how-to/bring-down-high-blood-sugar-levels.html

Have they run tests to confirm that you are a T2, rather than a T1?

Hi, can you tell me what else other than c-peptide test I should have looked at.

 

[AshrafUM920]

Porridge is really high carb.
What else are you eating in the day?

I've seen a diabetic dietician and see said eat low GI foods and she said I can continue eating foods like pasta and rice but they need to be low GI and eat in moderation and 2 portions she mentioned too. I will be seeing her again soon.

 

[Brunneria]

Hi, can you tell me what else other than c-peptide test I should have looked at.

Have a look at this article.
https://www.jdrf.org/t1d-resources/about/diagnosis/
It explains the different tests, and the complexity of the situation far better than I could.
I suspect you may find it impossible to get a doc to run them all! But if you can establish the presence of antibodies, and/or a reduction in insulin production, then you would be shown to be T1 or T2 with reduced insulin production - which requires very different treatment than Metformin.

Equally, if the tests show that you have plenty of insulin production and no antibodies, then your problem is insulin resistance, which is a typical T2 situation - in which case, eating carbs, whether they are Low GI or not, will be doing you no favours at all.

 

[Resurgam]

It is the pasta and rice which are most likely pushing up your blood glucose levels - please avoid high carb foods until your blood glucose levels come down - to be getting HI on the meter is not good.
How someone supposedly a specialist in diabetes can advise that you eat such foods is incomprehensible.
Stick to meat fish eggs cheese - add low carb vegetables and salad stuff - but not grain based foods or potatoes and other high starch foods, and avoid frut which is high in sugar, and any other sugary foods too.
If you remove the high carb foods and you don't see a reduction in your blood glucose then you might have been misdiagnosed, but that HI reading is concerning.

 

[Member496333]

Your dietician is clueless and is making your diabetes much, much worse. Please follow the link provided by @JoKalsbeek. Sorry for the blunt contribution but there’s little else to say.

 

[ziggy_w]

The diabetes dietician said I should eat 3 small meals a day. 2 portions. She said it to look at the low GI foods and have 2 portions of everything.

I'm having the low GI pasta rice and anything that says low carbs. My blood sugar has literally been HI for the past 10 hours today. If I go A&E I doubt I will get better they will just keep me there till tomorrow.

I haven't touched no junk food or fizzy drinks its food thats my enemy now apart from meat everything else has carbohydrates so I'm not sure anymore.

Hi @UsmanMo96,

So sorry that your readings have been very high. I agree with @Brunneria -- if I were you I would see a HCP sooner rather than later and wouldn't worry if they keep you overnight. Your health is more important than this.

Keeping my fingers crossed that your blood sugars will come down soon.

Let us know what is happening.

 

[AshrafUM920]

Have a look at this article.
https://www.jdrf.org/t1d-resources/about/diagnosis/
It explains the different tests, and the complexity of the situation far better than I could.
I suspect you may find it impossible to get a doc to run them all! But if you can establish the presence of antibodies, and/or a reduction in insulin production, then you would be shown to be T1 or T2 with reduced insulin production - which requires very different treatment than Metformin.

Equally, if the tests show that you have plenty of insulin production and no antibodies, then your problem is insulin resistance, which is a typical T2 situation - in which case, eating carbs, whether they are Low GI or not, will be doing you no favours at all.

I have had the c-peptide tests, I will wait for results its been 2 weeks now but I'm still waiting. If that comes back that I'm not a type 1 then I will definitely re-think everything and I'm not sure I will see the dietician again after hearing that the advice she gave me isnt great.

 

[AshrafUM920]

Hi @UsmanMo96,

So sorry that your readings have been very high. I agree with @Brunneria -- if I were you I would see a HCP sooner rather than later and wouldn't worry if they keep you overnight. Your health is more important than this.

Keeping my fingers crossed that your blood sugars will come down soon.

Let us know what is happening.

Thank you. I will keep everyone updated.

 

[AshrafUM920]

I think you can hold off on the insulin, just change your diet a little further. As a T2, you can't effectively process carbs, (which turn to glucose once ingested) so if you cut those out... Your blood sugars would normalise. You really, really want to stay away from porridge. https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html <-- have a read here, see what you can do to improve your current situation. If it helps, there's a whole lot more for you to discover, at dietdoctor.com, this forum's website, diabetes.co.uk (not .org!) and Dr. Jason Fung's The Diabete Code.

Good luck!
Jo

Thanks

 

[Lowcarb 2]

I have been having high blood sugars for the last 2 weeks.

I'm on sitagliptin and metformin,; I have seen a dietician and she has told me everything I'm eating is good. And to keep to 2 portions, 3 meals a day.

I am not sure anymore porridge in the morning and anything in the evening. My plate is mixed with meat and vegetables and I drink water only.

I think maybe insulin next.

please do not beat yourself up i like you thought once I was diagnosed and o n medication that would be me for years to come but since being diagnosed 3yrs ago my diabetes has.been all over the place despite me eating healthly hospitalized twice due to keotosis and many blood test later I was finally told i was LADA that was in December my latest blood test show that my pancreas may be on its final legs and that I may have had to go from slow release insulin to fast release twice a day
Would like to go a whole year without major changes but it's not to be just yet
Please keep positive i know how hard it is but this forum good for others opinions and ranting when your feeling down

 

[Mike d]

Dump the diet ... but not before you dump the dietician who is completely out of their depth. The kindest comment I can make

 

[HSSS]

I've seen a diabetic dietician and see said eat low GI foods and she said I can continue eating foods like pasta and rice but they need to be low GI and eat in moderation and 2 portions she mentioned too. I will be seeing her again soon.

She is wrong. It is making you worse.

Even low gi foods can cause high blood sugars. Please please don’t eat anymore rice pasta bread potatoes or cereals or drink fruit juice til your numbers come down. If avoiding these foods doesn’t at least help then you may well be misdiagnosed.

 

[AshrafUM920]

She is wrong. It is making you worse.

Even low gi foods can cause high blood sugars. Please please don’t eat anymore rice pasta bread potatoes or cereals or drink fruit juice til your numbers come down. If avoiding these foods doesn’t at least help then you may well be misdiagnosed.

I remember telling her that weetabix gave me a huge spike she told me to have 1 instead of 2 with whole fat milk instead of semi-skimmed.

 

[HSSS]

I remember telling her that weetabix gave me a huge spike she told me to have 1 instead of 2 with whole fat milk instead of semi-skimmed.

So you’ll get a big spike rather than a huge one

I’d rather not have one at all.