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Diet and T2

End of this month for my Ac1 test. My day time figures are too high. My morning numbers do rise and fall, but by late afternoon figures stay up around 10.0 and higher but falling back down to 6-7 by 3am and then rising again into the 8's by the time I wake up.
And they can rise without me even eating! That said, I feel confident once I can get my gluten free diet under control I can concentrate on my sugars and getting them down. I've tried to do both at the same time and I felt overwhelmed. The DN was useless and simply said just stop eating food with gluten in, well yes obviously but it's not like giving up eating apples. Suffice to say I haven't been back to her since.
 
And they can rise without me even eating! That said, I feel confident once I can get my gluten free diet under control I can concentrate on my sugars and getting them down. I've tried to do both at the same time and I felt overwhelmed. The DN was useless and simply said just stop eating food with gluten in, well yes obviously but it's not like giving up eating apples. Suffice to say I haven't been back to her since.
Personally, I think you may be making it harder doing things incrementally; GF, then blood sugars. That way, you just get used to searching for GF and lower carb ,or however else you choose to deal with your blood sugars.

As I suggested before, going for a period of very clean eating - for me that would mean nothing or minimal processed foods and see how that goes.

Does your coeliac daughter live at home, or did when when diagnosed? How did you handle that when it happenend? Can your daughter offer you any steers relating to food and drinks?
 
Personally, I think you may be making it harder doing things incrementally; GF, then blood sugars. That way, you just get used to searching for GF and lower carb ,or however else you choose to deal with your blood sugars.

As I suggested before, going for a period of very clean eating - for me that would mean nothing or minimal processed foods and see how that goes.

Does your coeliac daughter live at home, or did when when diagnosed? How did you handle that when it happenend? Can your daughter offer you any steers relating to food and drinks?
Thanks AndBreath. I do cook my own meals so I know what's going in them. It's the ingredients that make meals palatable for me that I fall foul on. And there is only so much meat I can tolerate without thinking nah I don't want it and miss a meal. When i did try and do low carb, I got it down to around 100 grammes of carbs per day, I got low sugars, sometimes going into the low 2's (confirmed with a blood draw). My Dr and my DN told me to increase my carbs which did stop the lows. It's like whack-a-mole. I put it down to an absorption issue in my intestines. As for my daughter, she struggles everyday with her coeliac. She lives over on the west coast of Canada. I always figured I didn't have coeliac when compared to her. She suffers terribly with her coeliac symptoms. She keeps a totally gluten free kitchen, but of course coeliac is not just about the digestive tract those T cells can attack every part of the body. Now I have the same issues. So for me one step at a time.
 
Thanks AndBreath. I do cook my own meals so I know what's going in them. It's the ingredients that make meals palatable for me that I fall foul on. And there is only so much meat I can tolerate without thinking nah I don't want it and miss a meal. When i did try and do low carb, I got it down to around 100 grammes of carbs per day, I got low sugars, sometimes going into the low 2's (confirmed with a blood draw). My Dr and my DN told me to increase my carbs which did stop the lows. It's like whack-a-mole. I put it down to an absorption issue in my intestines. As for my daughter, she struggles everyday with her coeliac. She lives over on the west coast of Canada. I always figured I didn't have coeliac when compared to her. She suffers terribly with her coeliac symptoms. She keeps a totally gluten free kitchen, but of course coeliac is not just about the digestive tract those T cells can attack every part of the body. Now I have the same issues. So for me one step at a time.
As a T2, only on diet, you shouldn't be getting hypoglycaemia (The low 2's you mentioned)
Unless you are on some others meds which affect this.
The majority of people, have a automatic response to low BG levels, by glucogenisis.
There are some like me, who don't, hence the RH diagnosis.
I have hypoglycaemia because of too much insulin response. Unlike T1s, who have little or no insulin.
If you do have episodes of hypoglycaemia, you need the tests that can give you more of an idea what's happening to you on top of your gluten issues.

Stay safe.
 
Thanks AndBreath. I do cook my own meals so I know what's going in them. It's the ingredients that make meals palatable for me that I fall foul on. And there is only so much meat I can tolerate without thinking nah I don't want it and miss a meal. When i did try and do low carb, I got it down to around 100 grammes of carbs per day, I got low sugars, sometimes going into the low 2's (confirmed with a blood draw). My Dr and my DN told me to increase my carbs which did stop the lows. It's like whack-a-mole. I put it down to an absorption issue in my intestines. As for my daughter, she struggles everyday with her coeliac. She lives over on the west coast of Canada. I always figured I didn't have coeliac when compared to her. She suffers terribly with her coeliac symptoms. She keeps a totally gluten free kitchen, but of course coeliac is not just about the digestive tract those T cells can attack every part of the body. Now I have the same issues. So for me one step at a time.
How did you feel when on low carb? When your bloods were low, what were your symptoms, and how long after eating and before you would next eat were these happening?

I often see low numbers, but just acknowledge them and move along. That said, if someone is taking strong blood glucose lowering meds, they need to be more mindful of them.
 
How did you feel when on low carb? When your bloods were low, what were your symptoms, and how long after eating and before you would next eat were these happening?

I often see low numbers, but just acknowledge them and move along. That said, if someone is taking strong blood glucose lowering meds, they need to be more mindful of them.
Well, long before I started purchasing the Libre cgm's I would wake up during the night all clammy, heart racing and feeling really anxious. At the time i thought I was having bad dreams because that is what it felt like, or just general anxiety even though I had nothing to be anxious about. I thought nothing of them to be honest. It was only when I started purchasing the cgms that I realized it wasn't anxiety at all but low blood sugars. And of course I confirmed this with my test strips which correlated well with my Libre. One of the first things I did was to cut out alcohol (not that I drank a lot but I did like a shot of gin) that helped, but they still went into the high two's. So I contacted my Dr after reading that I should not be getting low sugar when not taking meds to lower blood sugar. She told me to increase my carbs. After increasing my carbs the low blood sugars stopped. Prior to increasing my carbs I also got them after exercise. I have been tested for GAD antibodies, C-peptides, lipase and something else , Amylase I think, anyways they all came back normal. I don't know what the GAD was exactly but it was below 5. The C-peptide was lower than I thought it should be but not in the flagged range. I have kept my blood sugars in the pre-diabetic range now for a good two years with diet and exercise alone but no longer. And to be clear my diet is not full of carbs. I increased the carbs just enough to stop the lows. I have no diabetes in my family history other than my brother who is T1. Autoimmune does run in my family but no T2. I feel complicated and difficult lol
 
Well, long before I started purchasing the Libre cgm's I would wake up during the night all clammy, heart racing and feeling really anxious. At the time i thought I was having bad dreams because that is what it felt like, or just general anxiety even though I had nothing to be anxious about. I thought nothing of them to be honest. It was only when I started purchasing the cgms that I realized it wasn't anxiety at all but low blood sugars. And of course I confirmed this with my test strips which correlated well with my Libre. One of the first things I did was to cut out alcohol (not that I drank a lot but I did like a shot of gin) that helped, but they still went into the high two's. So I contacted my Dr after reading that I should not be getting low sugar when not taking meds to lower blood sugar. She told me to increase my carbs. After increasing my carbs the low blood sugars stopped. Prior to increasing my carbs I also got them after exercise. I have been tested for GAD antibodies, C-peptides, lipase and something else , Amylase I think, anyways they all came back normal. I don't know what the GAD was exactly but it was below 5. The C-peptide was lower than I thought it should be but not in the flagged range. I have kept my blood sugars in the pre-diabetic range now for a good two years with diet and exercise alone but no longer. And to be clear my diet is not full of carbs. I increased the carbs just enough to stop the lows. I have no diabetes in my family history other than my brother who is T1. Autoimmune does run in my family but no T2. I feel complicated and difficult lol
I will repeat that you should not go hypo if not on meds, if you are type 2!
I have had all the above tests but all mind were in range!
Have you had an extended oral glucose tolerance test, for more than two hours?
Can you fast?
My hba1c is in normal levels, my fasting levels are in normal levels, the majority of diabetes tests are in normal.
Except
Because of eating, my hormonal response is all over the place.
I have intolerance to certain foods sugars and carbs.

I would have thought your doctors would have flagged the lows/hypos as a flag for investigation.

Just have a quick read of our RH forum, see if something rings a bell, hypoglycaemia is a symptom of something, wonder what it is?

Best wishes.
 
Well, long before I started purchasing the Libre cgm's I would wake up during the night all clammy, heart racing and feeling really anxious. At the time i thought I was having bad dreams because that is what it felt like, or just general anxiety even though I had nothing to be anxious about. I thought nothing of them to be honest. It was only when I started purchasing the cgms that I realized it wasn't anxiety at all but low blood sugars. And of course I confirmed this with my test strips which correlated well with my Libre. One of the first things I did was to cut out alcohol (not that I drank a lot but I did like a shot of gin) that helped, but they still went into the high two's. So I contacted my Dr after reading that I should not be getting low sugar when not taking meds to lower blood sugar. She told me to increase my carbs. After increasing my carbs the low blood sugars stopped. Prior to increasing my carbs I also got them after exercise. I have been tested for GAD antibodies, C-peptides, lipase and something else , Amylase I think, anyways they all came back normal. I don't know what the GAD was exactly but it was below 5. The C-peptide was lower than I thought it should be but not in the flagged range. I have kept my blood sugars in the pre-diabetic range now for a good two years with diet and exercise alone but no longer. And to be clear my diet is not full of carbs. I increased the carbs just enough to stop the lows. I have no diabetes in my family history other than my brother who is T1. Autoimmune does run in my family but no T2. I feel complicated and difficult lol
That is really rather odd.
As a type 2 I seem to have a floor and my blood glucose levels just do not go down below it.
I reduced my intake of carbs by 10 gm per day when my Hba1c had been 42 for a couple of tests, and it stayed exactly the same after another year.
Type 2's going low seems rather improbably, not without something else being involved.
 
I know and my Dr did flag it up for further investigation. The lows did stop when I increased my carbs so I am not particularly concerned about them but I was at the time. I haven't had a really low low since the end of October last year. And no recent lows in the 3's. Coeliac disease has to be a prime suspect for my historical digestive problems. I did test positive for the bio markers HLA-DQ2.5 and HLA-DQ8. I have suffered with digestive issues for over 20 years but nobody mentioned anything about CD until recently. And since going gluten free my symptoms are easing, so gluten is the culprit. That is as far as I am going to go with the testing. I have made big dietary changes. If they come out with a pill for CD then I will revisit it. I also don't want my health insurance flagged. As for my blood sugars they are currently running at a daily average of 8.4 mmol\L and my last Ac1 was 6.5% which was two months ago. So that is where I am at with it all. My Dr is retesting my Ac1 at the end of the month with a view to meds.
 
I know and my Dr did flag it up for further investigation. The lows did stop when I increased my carbs so I am not particularly concerned about them but I was at the time. I haven't had a really low low since the end of October last year. And no recent lows in the 3's. Coeliac disease has to be a prime suspect for my historical digestive problems. I did test positive for the bio markers HLA-DQ2.5 and HLA-DQ8. I have suffered with digestive issues for over 20 years but nobody mentioned anything about CD until recently. And since going gluten free my symptoms are easing, so gluten is the culprit. That is as far as I am going to go with the testing. I have made big dietary changes. If they come out with a pill for CD then I will revisit it. I also don't want my health insurance flagged. As for my blood sugars they are currently running at a daily average of 8.4 mmol\L and my last Ac1 was 6.5% which was two months ago. So that is where I am at with it all. My Dr is retesting my Ac1 at the end of the month with a view to meds.
And I can so understand that. If you are happy and the symptoms have decreased, then I'm not going to persuade you. Knowing where you are with your hba1c, and if you do need further advice. You know where we are.
best wishes.

it was the hypos that rang the bell for me. I'm not diabeic. I have Reactive Hypoglycaemia, and there is many forms of hypoglycaemia, that do have asymptomatic issues such as yours.
 
I know and my Dr did flag it up for further investigation. The lows did stop when I increased my carbs so I am not particularly concerned about them but I was at the time. I haven't had a really low low since the end of October last year. And no recent lows in the 3's. Coeliac disease has to be a prime suspect for my historical digestive problems. I did test positive for the bio markers HLA-DQ2.5 and HLA-DQ8. I have suffered with digestive issues for over 20 years but nobody mentioned anything about CD until recently. And since going gluten free my symptoms are easing, so gluten is the culprit. That is as far as I am going to go with the testing. I have made big dietary changes. If they come out with a pill for CD then I will revisit it. I also don't want my health insurance flagged. As for my blood sugars they are currently running at a daily average of 8.4 mmol\L and my last Ac1 was 6.5% which was two months ago. So that is where I am at with it all. My Dr is retesting my Ac1 at the end of the month with a view to meds.
I should also mention that my daughter tested positive for Coeliac but my symptoms were nothing like hers until recently. I put a lot of my symptoms down to lactose intolerance but it seems I was backing the wrong horse. I am lactose intolerance but it is definitely the milder of the two.
 
Well, long before I started purchasing the Libre cgm's I would wake up during the night all clammy, heart racing and feeling really anxious. At the time i thought I was having bad dreams because that is what it felt like, or just general anxiety even though I had nothing to be anxious about. I thought nothing of them to be honest. It was only when I started purchasing the cgms that I realized it wasn't anxiety at all but low blood sugars. And of course I confirmed this with my test strips which correlated well with my Libre. One of the first things I did was to cut out alcohol (not that I drank a lot but I did like a shot of gin) that helped, but they still went into the high two's. So I contacted my Dr after reading that I should not be getting low sugar when not taking meds to lower blood sugar. She told me to increase my carbs. After increasing my carbs the low blood sugars stopped. Prior to increasing my carbs I also got them after exercise. I have been tested for GAD antibodies, C-peptides, lipase and something else , Amylase I think, anyways they all came back normal. I don't know what the GAD was exactly but it was below 5. The C-peptide was lower than I thought it should be but not in the flagged range. I have kept my blood sugars in the pre-diabetic range now for a good two years with diet and exercise alone but no longer. And to be clear my diet is not full of carbs. I increased the carbs just enough to stop the lows. I have no diabetes in my family history other than my brother who is T1. Autoimmune does run in my family but no T2. I feel complicated and difficult lol
Have you increased your carbs evenly through the day, or focus on any given times?
 
And I can so understand that. If you are happy and the symptoms have decreased, then I'm not going to persuade you. Knowing where you are with your hba1c, and if you do need further advice. You know where we are.
best wishes.

it was the hypos that rang the bell for me. I'm not diabeic. I have Reactive Hypoglycaemia, and there is many forms of hypoglycaemia, that do have asymptomatic issues such as yours.
Thanks Lamont D. I really appreciate your input and advice and I always find your posts really informative and helpful.
 
A small amount with each meal.
If you are only low during the night, why increase your carbs in the morning or lunchtime? Surely the purpose of raising carbs would be to try to buoy your numbers through the night?
 
If you are only low during the night, why increase your carbs in the morning or lunchtime? Surely the purpose of raising carbs would be to try to buoy your numbers through the night?
Thanks for your advice. I get what you are saying. I was following what my Dr and DN said. I will look at rejigging that and see what happens.
 
Thanks for your advice. I get what you are saying. I was following what my Dr and DN said. I will look at rejigging that and see what happens.
Sorry I should mention it wasn't only at night, it was during the day as we had a working farm at the time and feeding our livestock, fencing and all the hard work that goes into farming. We have since sold our stock on, so life quieter.
 
I have Diverticular disease, and suffered an infected inflamed bowel, which is excruciating. The recommended diet for my condition is low fat high fibre, guess what eating that way gave NO relief from my symptoms. But eating LCHF i have virtually no symptoms at all.
Ooops, I think someone had given you the incorrect advice for Diverticulitis. No wonder you feel better dropping the fibre.
There is another condition which requires high fibre, must of got the two mixed up .
 
Thanks for your advice. I get what you are saying. I was following what my Dr and DN said. I will look at rejigging that and see what happens.
You could simply eat more protein at mealtimes. If you are low carb, some of the protein eventually produces blood glucose, so could work very well, by raising your bloods a bit without the steep drop that often results from carbs.
 
Sorry I should mention it wasn't only at night, it was during the day as we had a working farm at the time and feeding our livestock, fencing and all the hard work that goes into farming. We have since sold our stock on, so life quieter.
You have said you are following your doctor and dsn have advised.
I have been at this since before the turn of the century. And I have studied and learned and talked to a specialist endocrinologist. Most of those on the front line are not specialised in endocrinology. They would not recognise that hypoglycaemia even exists and is so rare, that it is not part of their teaching or their knowledge.

I followed their advice, and I nearly died because of it.

I did say that I wouldn't help but I thought my many experiences of GP's, dsns and of course endocrinology.

A person should not go hypo, unless there is a cause, and it is not something to ignore. Especially on someone who is still presuming you are diabetic and you might not be. And has no knowledge of anything that you do have episodes of hypoglycaemia.

It needs investigation.

Best wishes
 
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