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Be well, little bruv

DeejayR

Well-Known Member
Messages
2,389
Type of diabetes
Treatment type
Diet only
I've been visiting my younger brother, who is also Type 2. However, while I have been able to learn a lot about my condition thanks to this forum, I think his situation reflects much of the ambiguity and lack of coherent information many of us get from the NHS.
Like me he has never been overweight and is energetic and active. We both adopted the NHS "healthy plate" diet and lost weight (in my case alarmingly). At the same time I progressed from prediabetes (HbA1c 46) to Type 2 (48). But he has no idea what his levels before or since signify, although he is being assessed every three months.
The difference is that I discovered this forum and changed to lower carbs and higher fat while monitoring my blood sugar, and have so far remained at 48, and feel very well. He on the other hand has seen two doctors at the same surgery with conflicting views. One says he has nothing to worry about and his condition is stable, and the other says he needs frequent assessment and probably medication. So he continues to avoid obvious sugar products but eats a lot of "healthy" bread, sweet potatoes and the other things that we tend to treat with caution or avoid.
His diabetes seems to have been put on the back boiler in favour of glaucoma, for which he has an increasingly forlorn hope of treatment as NHS cuts penetrate ever deeper; high blood pressure, for which he takes medication; and high cholesterol, for which he takes no meds.
The best prognosis seems to be that he will gradually take more pills to keep him in the same place, if not becoming worse.
He says his cholesterol level is "5, up from 4" (he only has the overall figure), and his blood sugar he thinks was "4" (?) and is rising. So much for educating the patient. Rather than start taking more meds, presumably statins and perhaps metformin (which he has never heard of), he has volunteered to start cycling again and can be found pedalling the lanes come snow or shine.
He is usually a stickler for doing the approved thing (he pays taxes no one else has ever heard of) but in this case he was anxious to hear how I set about maintaining my wellbeing, so in due course I'll send him a few snippets from the forum's boundless basket of wisdom to see if we can reel him in. As ever, thanks for being here.
 
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Thank goodness for this forum and the wonderful people that post. I think we all have a lot to be thankful for.

Maybe you could point your brother in the direction of this forum. He can then look at all the links to the latest research and come to the conclusion himself that the NHS is wrong.

Good luck in converting him!
 
Thank goodness he has you to look to his wellbeing, keep at it you may save his life as well as his sight,
 
Thanks for the kind words. Perhaps I can make up a little for the times I beat him up when we were young.
I suppose if he joins us I'll have to ask the mods to deleted this thread!
 
Thanks for the kind words. Perhaps I can make up a little for the times I beat him up when we were young.
I suppose if he joins us I'll have to ask the mods to deleted this thread!

But why, it goes to show how much you care, maybe he needs the nudge, show him this thread and tell him we can't wait to meet him,
 
A little update from our meeting today ...
He is now on metformin, but doesn't remember what sort, and is still eating plenty of carbs and asking no questions. His view is that he is powerless, so prefers to focus his attention on his home and family.
We were eating lunch at the time, so I just made it clear what I was eating, and what I wasn't, and why. He may yet come around.
 
His view is that he is powerless
I feel exactly the same way - each time I go through my annual health review. Docs say 'eat well, be happy, can drink one or two per week - enjoy your life'. I was given lots of brochures on T2D [since docs assume that I will be T2D soon based on my family history], was advised of signing up medical plans, my med insurance premium gone up based on evaluations. One doc even suggested that I should start aspirin. But I refused, he told me that he would put 'non-compliant'; however he did not do that for the reasons I am not aware.

I am on almost on my own diet and exercise regimes, doing my own thing for last 2 years. BUT still, I feel powerless, in fact feel some kind of fear when I have to see docs.
 
A fascinating post OP. It brings back memories of my initial treatment. For the first two years DN cuddled her screen in case I saw what was on it. She said that considering all the feedback I had been given she thought I would have made better progress. I showed her the one Post-It note she had given me in that two years with one Hba1c figure written on it in biro (but no date). Also I had to buy an alarm box so I took all the pills on time.

DN has progressed. We all have a patient care package with our stats on. I am no longer on medication of any kind. She looks slightly puzzled when we discuss my results and she said that she thinks I should talk to "someone".

My meter and this forum work well for me.
 
@deejay is your brother a forum person?
Some are, some aren't.

If he isn't, a book or two might help. The ones in my sig are very helpful.
And does he show any interest in your meter and the results?
They are all 'ways in' to better control.

I gave my father the books, and a meter, and we have discussed diet.
But he (83 yrs) doesn't seem to make connections between things like crystallized ginger, muesli and sugar in his coffee and rises in blood glucose.

'A little won't hurt' he says. But a little of several things really does hurt, doesn't it?

I wonder sometimes if I can encourage any change without coming over as a nag and a managing besom. Especially since I inherited my stubborness from him.
It is very difficult.
 
@deejay is your brother a forum person?
Some are, some aren't.

If he isn't, a book or two might help. The ones in my sig are very helpful.
And does he show any interest in your meter and the results?
They are all 'ways in' to better control.

I gave my father the books, and a meter, and we have discussed diet.
But he (83 yrs) doesn't seem to make connections between things like crystallized ginger, muesli and sugar in his coffee and rises in blood glucose.

'A little won't hurt' he says. But a little of several things really does hurt, doesn't it?

I wonder sometimes if I can encourage any change without coming over as a nag and a managing besom. Especially since I inherited my stubborness from him.
It is very difficult.
He is not a forum person. His mantra is: the doctor knows best.
However, a book might engage him. I'll give it a go.
Thank you for your thoughts.
 
Science and knowledge evolve over time. Not sure what we would have been treated with a few hundred years ago... Leeches perhaps. Thing is eventually someone worked out that other things are more appropriate forms of treatment.

We can therefore live in hope that the medical profession will evolve again and come round to the low carb way of thinking.

Many good people on here have tried, tested and proved this helps and that is good enough for me.

Makes perfect sense carbs are sugar, we can't process sugar properly therefore need to reduce our sugar intake.

Good luck, and good health to you both
 
If we depended on the NHS and our GP's to guide us we would all be in a sorry place. I have found out more from this forum than anything my surgery told me. Basically I have been left to my own devices to cope and that's fine....I WILL do it :) Your brother may not feel 'safe' in moving away from the doctors advice...it's a big step for someone who has faith in the system but joining us here would maybe make him see there is a light at the end of the tunnel and life can be better than it is. I think you need to call a little upon subtle persuasion and try to nudge him in our direction ;)
 
Dj R, good luck with reeling the bro in.... chip away and hopefully he will come round to the limitations of GP's and their practices...
 
Buy him a meter and see if you can get him to test occasionally after an 'approved meal'.

Blood sugars can't really be argued with.

'Doctor Knows Best' would make a good inscription on many a gravestone I fear.

Best

Dillinger
 
OK, he says thanks but no thanks. At least he now knows his HbA1c is 48, same as mine, but he is on metformin. He told me he sees no point in worrying when he feels well and has "no obvious symptoms". He has been told his BS will go up in time and he has decided there is nothing to be done about it.
I can see his point of view, especially since he has glaucoma and now cataracts to think about, as well as a new grand-daughter and other family matters.
I'm grateful for your thoughts, and we'll still be here if he changes his mind.
 
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