• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Competing medical advice!!

ngs330

Newbie
Messages
2
Type of diabetes
Treatment type
Tablets (oral)
ho everyone, I'm hoping to get some clarity from others.

I've been diabetic (T2) for 7 years. I try to eat well (except christmas and birthday) exercise, take meds etc. first thing in the morning my blood sugars are usually between 5-7 before eating. But when I eat they can shoot up to over 10, usually hitting anything up to 20/21. I that metformin and Linagliptin. My GP says not to worry as my hba1c is 'ok' but I recently went to hospital for an other reason and the a&e Doctor put the fear of God into me when my blood sugar was 18.1.

So on one had my GP is telling me my management is acceptable and 20 is high but not dangerous then the hospital doctor making me think I was about to slip into a diabetic coma and die!! I don't scare easily and think I'm pretty logical but I scared that day and after. I actually hardly eat anything for 3 days before my girlfriend said enough was enough and forced me to eat a ham salad sandwich. Must admit I felt better afterwards.

So, I'd welcome any advice and opinion. Also if you can maybe suggest some CONSTRUCTIVE questions to ask my GP it would be appreciated. Thanks!!
 
Hi there and welcome @daisy1 will be along shortly with all the best info you will need to get control.
Have a look around the forum and learn all about the way to get your bloods down and how to keep them there.
There a lot of good people on this here forum who have had the condition and how to cope with it. Stick around, join in and ask some questions, someone will answer.

Welcome!
 
ho everyone, I'm hoping to get some clarity from others.

I've been diabetic (T2) for 7 years. I try to eat well (except christmas and birthday) exercise, take meds etc. first thing in the morning my blood sugars are usually between 5-7 before eating. But when I eat they can shoot up to over 10, usually hitting anything up to 20/21. I that metformin and Linagliptin. My GP says not to worry as my hba1c is 'ok' but I recently went to hospital for an other reason and the a&e Doctor put the fear of God into me when my blood sugar was 18.1.

So on one had my GP is telling me my management is acceptable and 20 is high but not dangerous then the hospital doctor making me think I was about to slip into a diabetic coma and die!! I don't scare easily and think I'm pretty logical but I scared that day and after. I actually hardly eat anything for 3 days before my girlfriend said enough was enough and forced me to eat a ham salad sandwich. Must admit I felt better afterwards.

So, I'd welcome any advice and opinion. Also if you can maybe suggest some CONSTRUCTIVE questions to ask my GP it would be appreciated. Thanks!!
There are lots of good ideas on controlling blood sugar levels here: http://www.phlaunt.com/
 
Last edited by a moderator:
ho everyone, I'm hoping to get some clarity from others.

I've been diabetic (T2) for 7 years. I try to eat well (except christmas and birthday) exercise, take meds etc. first thing in the morning my blood sugars are usually between 5-7 before eating. But when I eat they can shoot up to over 10, usually hitting anything up to 20/21. I that metformin and Linagliptin. My GP says not to worry as my hba1c is 'ok' but I recently went to hospital for an other reason and the a&e Doctor put the fear of God into me when my blood sugar was 18.1.

So on one had my GP is telling me my management is acceptable and 20 is high but not dangerous then the hospital doctor making me think I was about to slip into a diabetic coma and die!! I don't scare easily and think I'm pretty logical but I scared that day and after. I actually hardly eat anything for 3 days before my girlfriend said enough was enough and forced me to eat a ham salad sandwich. Must admit I felt better afterwards.

So, I'd welcome any advice and opinion. Also if you can maybe suggest some CONSTRUCTIVE questions to ask my GP it would be appreciated. Thanks!!

I'm afraid I'm in the camp where over 10 is too high. If your doctor is saying your HbA1c is "OK", what is it?
 
To have good control, your fasting and before meals should be under 6, and 2 hours after your first bite of food you should aim to be under 8.
Double figures is far too high at any time, so your management isn't really acceptable. Figures in the teens aren't doing you any good and can cause really nasty complications in the long term.


It sounds to me like you haven't got a suitable diet as your food is spiking you up far too high. Have you discovered that carbs are the culprits and really need to be cut right down? They convert to glucose once inside the system, and too much glucose is just what we don't want. Can we help you with this?
 
Hi ngs330, the book by dr bernstein diabetes solution 4th edition strongly advises bs's should be 4.5 to 6.5 "normal" readings,many of the long term posters on here are in the 5% club (normal ) by good lchf so avoiding complications.
Are you lchf at the mo' ?
 
Hi. You must ask your GP what your HBa1C level is; I suspect it is too high. What is your BMI? How old are you? If you are not overweight then you may be a Late onset T1 (LADA) and need more medication such as Gliclazide or even insulin. Before I went onto insulin I sometimes went into the low 20s which is too high. Go into the 30s and it's dangerous. I had to starve myself before going onto insulin so if you have a normal BMI do suggest insulin to the GP.
 
Hi there and welcome @daisy1 will be along shortly with all the best info you will need to get control.
Have a look around the forum and learn all about the way to get your bloods down and how to keep them there.
There a lot of good people on this here forum who have had the condition and how to cope with it. Stick around, join in and ask some questions, someone will answer.

Welcome!

@ngs330

Hello and welcome to the forum :)

You have had some good advice so far from members. To help you control your blood levels, have a look at the diet related information in this text below which we give to new members. I know you are not newly diagnosed but I think it could be useful to you all the same. Ask as many questions as you like and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

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 over 130,000 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

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

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

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 bloodglucose 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.
 
Hello again. To answer your questions, I spoke with my GP today and my last 3 hba1c results were 6.8, 7.1 and 6.8. She told me I was ok, not to worry and that my daily readings are not as important as my hba1c. I do have a diabetic review in feb and she said my metformin could be increased to 1000mg twice a day from 500mg but she thought I was fine with the control I have. As for my BMI its 29.4 but I'm NOT overweight!! I have always done weight training/body building and I have very little body fat. I look physically very fit with a low resting pulse rate, good blood pressure (last reading 117/68) and excellent cholesterol (2.96)

The stuff about low carbs is something I know as during certain training cycles I'm on high protein low carb anyway, just happens it might have had an added benefit. Is it possible for some people to run high blood sugars naturally as mine have never been 4. Lowest ever was 6.8, judy looked at my monitor and that has about 18 months of saved readings.
 
Hi. Thanks for the info. Any HBa1C above around 6.5% is not really 'OK' and I would try to get it a bit lower. Anything over 7.0% needs more serious attention. It sounds like you may be a LADA. Metformin won't help much as it's really for those with insulin resistance. Gliclazide is the next tablet of choice as it stimuates the pancreas. I would discuss adding this to your meds. If your pancreas is underperforming it may progress over time to needing insulin as I did. I went thru Met, Glic and Sitagliptin before insulin. I have always been thin and this was the pointer to LADA for me.
 
I agree that anything about 6.5% is not OK. Ideal is under 6%. Your 6.8% equates to an average of 8.2mmol/l on your meter, so you are spending a lot of time too high, which is not doing you any good.

I also disagree with your GP that your HbA1c is more important than your daily readings. Your personal readings tell you what meals are doing to you, and help you learn how to adjust carbs and portions. This is important for short and long term control. If the rise from before to after is more than 2mmol/ there is something that needs adjusting. An HbA1c can only give an average over 3 months, it can't show you where your spikes are. I would look for another doctor!
 
Back
Top