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Why are my levels still high despite medication
- Thread starter Kanderson
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Hotpepper20000
Well-Known Member
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What are your eating?
Can you give us an example of a typical days meals.
it’s not just sugar that spike BG but carbs.
When are you testing?
Can you give us an example of a typical days meals.
it’s not just sugar that spike BG but carbs.
When are you testing?
Hi and welcome to the forum @Kanderson
I hope you will Get the information you are looking for.
Your profile is incomplete, and without that information, we don’t know what type of diabetes you have (although since you are taking a gliptin, you may well be type 2). Could could confirm that? Only your type of diabetes makes a big difference to the kind of support and suggestions that you receive.
If you are type 2, could you also tell us what your usual carb intake is? Whether you have already adopted a lower carb intake, or not, while taking your gliptin (Jalra)?
I hope you will Get the information you are looking for.
Your profile is incomplete, and without that information, we don’t know what type of diabetes you have (although since you are taking a gliptin, you may well be type 2). Could could confirm that? Only your type of diabetes makes a big difference to the kind of support and suggestions that you receive.
If you are type 2, could you also tell us what your usual carb intake is? Whether you have already adopted a lower carb intake, or not, while taking your gliptin (Jalra)?
Last edited:
JoKalsbeek
Expert
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- 6,713
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- The Netherlands
- Type of diabetes
- I reversed my Type 2
- Treatment type
- Diet only
It's not just the sweet stuff, assuming you're a T2. https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html <-- have a read, maybe you'll be able to figure out where things are going wrong. Mind you, if you embark on a low carb diet with all the stuff you're on, you'll hypo, so please be careful eh.
I am testing 2 hours after evening meal. I am eating quite healthy. Honestly I do love carbs and will snack on some crisps during the day, or a couple of smarties. BUT nothing huge at all, like slices of cake, tart etc.
I am confused how this works. If I take so much medication, why do I still spike to 16?
Does this mean I must leave ALL crisps, sweets, ice cream out all together?
Hotpepper20000
Well-Known Member
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Yep if you are type 2
Also breads, rice, root vegetables and most fruit.
What do you typically have for your evening meal?
Breakfast: Oats
Lunch: Skip or a slice of bread with fish paste, cheese or sandwitch spreach.
Supper: Tiny piece of chicken or meat, beetroot, peas and sweet corn. Sometimes a tablespoon of mash. Or two or three roast potatoes. Thats about it. Snacking during the day, a couple of crisps, and a few sweets.
Lunch: Skip or a slice of bread with fish paste, cheese or sandwitch spreach.
Supper: Tiny piece of chicken or meat, beetroot, peas and sweet corn. Sometimes a tablespoon of mash. Or two or three roast potatoes. Thats about it. Snacking during the day, a couple of crisps, and a few sweets.
As well as pasta, baked beans, all(?) breakfast cereals and many other things. As I am learning (10+ years late) there are a lot of carbs in things that are no longer something I can eat
I have a lot of drugs and they do keep my bloods to a stable level however I cannot eat a lot of things I used to. The advice I got from the NHS and elsewhere about eating healthily is not right for me and my type 2.
luckily you like I have found this site. It is a lifestyle change it is manageable
HSSS
Expert
Healthy according to what though? The standard guidelines do type 2 no favours whatsoever. You most likely spike because your medication can only counteract the rise carbs cause your system so far. As a type 2 the mechanism to deal with carbs is damaged. So we can avoid them and/or try and patch it up a bit with drugs. But drugs will never do a full and proper job which Is why until recently it was seen as a progressive disease. But now we know it’s not. If you were allergic to nuts would you eat them? Same thing in effect with carbs, just a much slower process
HSSS
Expert
Oh dear. Almost all of that is raising your bloods, by a lot. The oats, bread, the potatoes crisps and sweets all are a problem. The peas, sweet corn and beetroot might well be but some manage to get away with those. The meat is great. Eat lots more of it.
Take a read of the links in my signature for ideas what to eat and why.
Oats, bread, peas, beetroot and potatoes are all high carbs
Sandwich spread might be, crisps and sweets are bad and once a day is breaking the rules a lot, not a little, sorry
this is coming from someone who used to eat cake most days. It is hard to break the habit but then it would be, they are pretty addictive
I found strawberries and Greek yoghurt work better for me as a low(ish) carb alternative but for some even that would be too much
I am personally aiming at lowering carbs but not a zero carb. So am mostly < 130 which I know is still high compression to some on here
HSSS
Expert
Being on so much medication I’d reduce carbs a bit at a time and keep testing. When you get to the point they are ideal then you might want to arrange to some of the medication to be dropped. If you drop the carbs more quickly then keep a close eye out for hypos and be aware medication could need changing almost immediately. It’s that powerful a tool!
I will say that the food described I used to eat, I also ate fruit (like bananas and apples and grapes) as I thought I was being good. My bloods were hitting 14 and I actually contacted the doctor, thinking I was about to need insulin. Coming on here, and dropping the carbs has meant I am getting readings of 4.4 -> 6.2. It is seriously that much of an impact. Plus weight is dropping. Win-win
HSSS
Expert
Sadly it’s a common story. Many of the type 2 on insulin have or had alternatives but no one ever told them. Many of these did all the things they thought were healthy according to the authorities. This is why dietary guidelines, for everyone, but most especially for anyone type 2 or heading that way, urgently need overhauling. The concept of low carb is gaining traction, is now endorsed by the nhs but still far too few health professionals really know about it or have updated their nutritional knowledge. (Not that many get more than a few hours originally anyway).
xfieldok
Well-Known Member
There is a lot that we don't eat. There are many things we can substitute. Cake and pizza is not off the menu, you just have to know what to search for.
Hotpepper20000
Well-Known Member
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Agree!
But there is is so much yummy stuff we can eat, like bacon, cream, cheese and any kind of meaty goodness
Daibell
Master
Hi. Neither Metformin nor the Vidagliptin you have will have that much effect on your BS. They will help but not a lot. It sounds like you could be Late onset T1 (LADA) and not T2 as you say you are slim. Ask the GP for the two t1 tests i.e. GAD and C-Peptide. Many GPs like mine assume diabetes in middle-age is T2 by default which isn't always valid. High BS with a low-carb diet and being slim are strong pointers to LADA and if you are tested to be you will need further medication leading to insulin eventually
M
Member496333
Guest
Valid point but OP isn't eating a low carb diet? It's also not especially unusual for very slim people to have raging insulin resistance and T2DM. Less common than those who are obese, but by no means uncommon.
I can’t eat anything naughty without A large spike these days. Everyone is different. Not sure when you were diagnosed, but what was your Hba1c or current Hba1c?
Sometimes just a little of what we fancy is bad for us. Try swapping to almonds instead of crisps, or even getter crispy bacon or cheese.
I’m sure someone else will get along to make more suggestions. However I’ve found that avoiding snacks makes all the difference, as does eating early evening and not after 6pm. Test test test and you will eventually see a pattern and know what your body likes. Make a good diary and be really really honest. Every lick of a spoon counts sadly.
Crocodile
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- Sydney Australia
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- Tablets (oral)
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- I can't have it often
That's a little unfortunate but a common misconception. The drugs help a little but in no way act as some sort of compensation for what you stick in your mouth.
