Recent Content by KennyA

What you're talking about is the well-known "pizza effect" which is relevant for some people and can affect the timing of insulin dosing. I don't experience this and insulin dosing is not in my experience. The key thing is that dietary fat does not raise (or lower) blood glucose. It is not...

I think your experience is typical. Since my diagnosis in 2019 I have had exactly no "help" regarding my T2 from the NHS. Yes, I turn up for my annual blood tests and checks FWIW but nobody has ever advised me about anything. 95% of how I manage my condition I learnt from this forum - the rest...

Hi - I can't answer your question directly, but there is something in the NICE guidelines to the effect that SGLT-2 inhibitors should not be used when someone is on a vlc or keto diet - because of the risk of DKA. The guidelines are extremely risk-averse when it comes to DKA...

Hi - bear in mind that normal HbA1c levels - where almost all non-diabetic people are - range from around 36 to 42. GPs do not get a cash bonus simply for putting you on meds. They are rewarded for various things to do with type 2 , for example identifying anyone with an HbA1c of 48 or above...

I don't understand that. The paper doesn't say anything whatsoever about anyone being excluded because of restarting the same or an alternative medication. Here is the Results section as published: Results A total of 7938 patients (mean [SD] age, 55.7 [13.4] years; 5061 [63.8%] female) were...

Hi - when you say my diabetes is relatively well controlled for me. Its the best its been for a long while. what are your actual figures? We might all have very different opinions about eg what "well controlled" means. I have xerostomia (dry mouth) from time to time - it's a well known...

It's clear from the published paper that they were not excluded. If you look at (for example) section 3.2 it shows that of the original cohort of 7938 patients, 6634 (>83%) "contributed to this analysis" in the paper's words, by having a baseline and a "discontinuation" weight recorded. So...

Interestingly, about half the patients who apparently "stopped" using GLP-1s in the Cleveland Clinic paper didn't actually stop medication. A total of 7938 patients (mean [SD] age, 55.7 [13.4] years; 5061 [63.8%] female) were identified. During 1-year post-discontinuation, 19.6% restarted the...

If my memory serves (and it frequently doesn't, these days) around fifteen years ago the average budget for a patient meal in an NHS hospital was under £1. There's not a lot you can do with that in the way of real food.

I don't think you're wrong. I'm old enough to remember that before 1980ish the standard NHS advice to people wanting to lose weight was "cut out starches and sugars" - ie lower your carb intake. No mention of dietary fat. I'd just add that it was not that the Keys work was so convincing or...

Not me. Personally, that would - I think, not going to try it - be way too much. I used to follow the NHS recommended way of eating - lots of carbs, very little red meat, next to no saturated fat....and I became diabetic on that diet. Now it's almost no carbs, lots of red meat and saturated...

As you'll know it's your liver "helpfully" making new glucose. Mine continues rising (slowly) until at least 2pm, which is when I got bored and ate something. I found that as little as three almonds in the morning was enough to reassure my liver that it didn't need to do this. This doesn't work...

If you want to build muscle I think that will need some sort of resistance exercise - eg free weights. It gets harder to gain/regain muscle as we get older. Michael Eades was discussing this on a blog in the last week or two - his advice for gaining muscle is (to greatly over-simplify)...

From last week, should see us well into April: Butcher: chicken, steak, bacon, black pudding, pork shoulder, boned lamb leg. Elsewhere: Lettuce, tomatoes, cucumber, onion, shallots, green beans, cabbage, peppers, various fresh herbs, mushrooms, lots of cream, strawberries.... Lidl: no sugar...

Hi and welcome to the forums. Alpha 1 Anti Trypsin isn't anything I know about. The question you've asked about diabetic medication doesn't (I think) have a single answer. The real answer is "it depends". My diabetic experience since diagnosis in 2019 has not involved any medication of any...