Newbie to forum.

[MeiChanski]

Hello Tankie, sending you a hug! If you can push for a specialist appointment, please keep pushing and don’t take no for an answer. I think you’ll benefit from learning about your insulin and insulin profile. Also have you asked for some tests to determine how much insulin you are producing by yourself?
The insulin you are using is a mixed insulin, it doesn’t give you that flexibility to adjust according to your food and carb intake. If you are worried about ketones, you can use urine sticks to test it and if you have ketone test strips for your blood meter, blood ketones are more accurate. However ketones do show up on someone doing a low carb/keto diet, it can show up when you run consistently high of 13mmol/l or an one off reading of 17mmol/l and it can show up when you are feeling unwell. I doubt ketones show with your kind of blood readings but it’s always good to check.

 

[Tankie1rtr]

Hello and welcome to the forum. I am in West Yorkshire so only a stone's throw away from you.

I agree with Goonergal in that I feel you need a review. The injury and the medication for it seems to have really messed with your Diabetes management and because we are not allowed to advise on meds (and because I have no experience with insulin) then I think that is the best advice.
You clearly cannot go on like this this with the fluctuating blood glucose levels and feeling so poorly. Added to that the weight loss is a red flag.

So, back off to the Practice to make an appointment to have a full review with a DSN (Diabetes Specialist Nurse) or better still try to get a referral to an endocrinologist if you can.

There is always someone here to speak to, the support here is second to none so keep posting with any questions or fears you may experience. Good Luck.

Guzzler.
Thank you for your reply. I am going to definitely get a full review with the DSN

Hello and welcome,

I'm a type 2 though not on any medication apart from metformin. You will find lots of advice and help here so you've come to the right place.

I'm sorry you're having such a stressful time. I agree that you should get a review. It might be helpful for the review if you keep a lot of what you have been eating, what medication you have taken, what exercise you have done and even how you are feeling. Stress can effect the bs levels. This type of log would give some more information in addition to your readings.
Levels of 4.5 aren't proper hypos but I can understand why you feel concerned about the rapid drops.

Good luck- I'm sure someone with more expertise will come soon- there are many on this site and always ready to help.

Hello and welcome,

I'm a type 2 though not on any medication apart from metformin. You will find lots of advice and help here so you've come to the right place.

I'm sorry you're having such a stressful time. I agree that you should get a review. It might be helpful for the review if you keep a lot of what you have been eating, what medication you have taken, what exercise you have done and even how you are feeling. Stress can effect the bs levels. This type of log would give some more information in addition to your readings.
Levels of 4.5 aren't proper hypos but I can understand why you feel concerned about the rapid drops.

Good luck- I'm sure someone with more expertise will come soon- there are many on this site and always ready to help.

VashtiB. Thank you. I will make a log of what I eat and times, and I am going to ask for a full review.

 

[Tankie1rtr]

Hello Tankie, sending you a hug! If you can push for a specialist appointment, please keep pushing and don’t take no for an answer. I think you’ll benefit from learning about your insulin and insulin profile. Also have you asked for some tests to determine how much insulin you are producing by yourself?
The insulin you are using is a mixed insulin, it doesn’t give you that flexibility to adjust according to your food and carb intake. If you are worried about ketones, you can use urine sticks to test it and if you have ketone test strips for your blood meter, blood ketones are more accurate. However ketones do show up on someone doing a low carb/keto diet, it can show up when you run consistently high of 13mmol/l or an one off reading of 17mmol/l and it can show up when you are feeling unwell. I doubt ketones show with your kind of blood readings but it’s always good to check.

MeiChanski. Thank you for a lovely message, I am going to push for a full review and to sort out my insulin readings, I will keep an update on my posts, Thank you again.

 

[Tankie1rtr]

Good Morning people.
Thank you to all those who have been helping me. I have started making a record as suggested, this is this mornings record, can someone please tell me if the blood sugar increase is about right, I though it was high.

08.40 Blood Sugar reading 8.2 before any Breakfast
09.30 45 units of Insulin, Humalog Mix 25
10.30 3 slices of white bread toasted with Peanut Butter lightly spread + Cup of Decaf Coffee.
10.40 Started feeling very warm and clammy with light headedness, then later to become cold and shivvery
11.05 Blood Sugar reading 11.01
11.40 Blood Sugar reading is 14.1
11.50 still feeling nauseous

I was wondering if it could be my medication, Metformin and Thyroxene + 75 mcg Asprin in water.

Thank You
Tankie

 

[Diakat]

I’m going to tag @urbanracer because he has used mixed insulin (I never have) but my thoughts would be did your team ever talk to you about how many carbs to eat per meal? I ask because I *think* that mixed insulin usually had a fixed carb count with it.

And yes, 14 is higher than you want.

 

[Tankie1rtr]

I’m going to tag @urbanracer because he has used mixed insulin (I never have) but my thoughts would be did your team ever talk to you about how many carbs to eat per meal? I ask because I *think* that mixed insulin usually had a fixed carb count with it.

And yes, 14 is higher than you want.

Hi Diakat.
Thank you for your reply, No, nobody told me about any fixed carbs or anything like that.

 

[MeiChanski]

Good Morning people.
Thank you to all those who have been helping me. I have started making a record as suggested, this is this mornings record, can someone please tell me if the blood sugar increase is about right, I though it was high.

08.40 Blood Sugar reading 8.2 before any Breakfast
09.30 45 units of Insulin, Humalog Mix 25
10.30 3 slices of white bread toasted with Peanut Butter lightly spread + Cup of Decaf Coffee.
10.40 Started feeling very warm and clammy with light headedness, then later to become cold and shivvery
11.05 Blood Sugar reading 11.01
11.40 Blood Sugar reading is 14.1
11.50 still feeling nauseous

I was wondering if it could be my medication, Metformin and Thyroxene + 75 mcg Asprin in water.

Thank You
Tankie

Tankie, unfortunately that’s what carbs does to all of us - increases blood glucose. I had a slice of white bread I jumped from 4.2 to 14.0mmol in a space of an hour. I felt unwell too but thankfully my insulin kicked in and I wasn’t high for long. You also have to take into consideration your insulin is a fixed dose, if you were on basal/bolus, that will give you some room to adjust for just the bread. If you are running high now, there’s no way to correct it so best hope is that your blood sugar comes down eventually. I can’t comment on your other medications, I hope your doctor can explain. Again, I’m wondering about your own insulin production and how much of your own you are producing.

 

[Tankie1rtr]

Tankie, unfortunately that’s what carbs does to all of us - increases blood glucose. I had a slice of white bread I jumped from 4.2 to 14.0mmol in a space of an hour. I felt unwell too but thankfully my insulin kicked in and I wasn’t high for long. You also have to take into consideration your insulin is a fixed dose, if you were on basal/bolus, that will give you some room to adjust for just the bread. If you are running high now, there’s no way to correct it so best hope is that your blood sugar comes down eventually. I can’t comment on your other medications, I hope your doctor can explain. Again, I’m wondering about your own insulin production and how much of your own you are producing.

MeiChanski. Thank you for your reply. I was doing wonderful for years on 50 units morning and evening, then i started having big blood dips so I phoned my doctor and he told me to lower my insulin by 3 units, i did this and it helped a little, i then lowered it another 2 units to 45, so I can alter it, but it seems everything went wrong when i was put on the blood thinning injection by the hospital when i snapped my Achilles Tendon, i did tell the specialist i was on insulin and he said it was ok to take this other injection each day, first thing Monday I am going to demand that i either get a full review or they refer me back to the hospital Diabetes Clinic.

 

[MeiChanski]

MeiChanski. Thank you for your reply. I was doing wonderful for years on 50 units morning and evening, then i started having big blood dips so I phoned my doctor and he told me to lower my insulin by 3 units, i did this and it helped a little, i then lowered it another 2 units to 45, so I can alter it, but it seems everything went wrong when i was put on the blood thinning injection by the hospital when i snapped my Achilles Tendon, i did tell the specialist i was on insulin and he said it was ok to take this other injection each day, first thing Monday I am going to demand that i either get a full review or they refer me back to the hospital Diabetes Clinic.

Have you considered another insulin regime? I'm asking this because your mixed insulin is fixed, no flexibility, no adjusting, you can't eat extra carbs because of the dose and insulin regime you're on, unless you hypo. Also are you happy on insulin? I feel with your units of insulin, you're insulin resistant in some way? So I don't know whether or not thats being counterproductive, hence why I asked your doctor needs to do more tests to see how much of your own insulin you're producing. I know your accident did play a role, it could be the medication or the stress.

 

[Tankie1rtr]

Have you considered another insulin regime? I'm asking this because your mixed insulin is fixed, no flexibility, no adjusting, you can't eat extra carbs because of the dose and insulin regime you're on, unless you hypo. Also are you happy on insulin? I feel with your units of insulin, you're insulin resistant in some way? So I don't know whether or not thats being counterproductive, hence why I asked your doctor needs to do more tests to see how much of your own insulin you're producing. I know your accident did play a role, it could be the medication or the stress.

MeiChanski. I have never been checked for what insulin I am producing, I think the way I am being looked after by the doctor isnt as it should be, I have an annual check up every November, but they just tell me what my HBA1C is and they tell me I am doing wonderful, check my feet and thats it. You asked me if I am happy with my Insulin, I would be a lot happier without it lol, I dont really know, I dont mind injecting it, but i have never been educated by anybody about it. just how to inject it and how to recognise a Hypo and what to do if heading towards one, and thats it, I have decided to cut out eating bread if its this that is raising my blood sugars. see if that helps.

 

[MeiChanski]

MeiChanski. I have never been checked for what insulin I am producing, I think the way I am being looked after by the doctor isnt as it should be, I have an annual check up every November, but they just tell me what my HBA1C is and they tell me I am doing wonderful, check my feet and thats it. You asked me if I am happy with my Insulin, I would be a lot happier without it lol, I dont really know, I dont mind injecting it, but i have never been educated by anybody about it. just how to inject it and how to recognise a Hypo and what to do if heading towards one, and thats it, I have decided to cut out eating bread if its this that is raising my blood sugars. see if that helps.

I think a C peptide test will tell you about your insulin production. If your test shows you that you're indeed producing a good amount of insulin, then you don't need to inject insulin and possibly consider some other changes due to being insulin resistant. But if you're going to cut out carbs, you have to be careful because again, your insulin regime is in your system for some time and with the units you're injecting, you might need some carbs.

I know some type 2s on basal/bolus regime, they, like us have learned how to carb count and adjust for highs and lows. Some have been successful in reducing insulin for low carb and keto and their blood readings have been superb. But that's for you to think about, it's more injections but it gives you that room to correct your high blood readings and reduce it for low carb diets. Again this is only for you to discuss with a specialist, I wouldn't do it without any expert knowledge.

 

[Tankie1rtr]

I think a C peptide test will tell you about your insulin production. If your test shows you that you're indeed producing a good amount of insulin, then you don't need to inject insulin and possibly consider some other changes due to being insulin resistant. But if you're going to cut out carbs, you have to be careful because again, your insulin regime is in your system for some time and with the units you're injecting, you might need some carbs.

I know some type 2s on basal/bolus regime, they, like us have learned how to carb count and adjust for highs and lows. Some have been successful in reducing insulin for low carb and keto and their blood readings have been superb. But that's for you to think about, it's more injections but it gives you that room to correct your high blood readings and reduce it for low carb diets. Again this is only for you to discuss with a specialist, I wouldn't do it without any expert knowledge.

MeiChanski. Thank you, I am even more confused now lol, I have only ever had one education as i was explaining and that was 10 yrs ago, so I have never heard of this keto thing, I think its a case of the usual, here you are inject this, and away you are sent.. like I said, I am going to request a full review and tell them, I feel as though no one is listening to me, and see if i can get a diabetic referal to the hospital clinic.

 

[urbanracer]

Hi @Tankie1rtr ,

I used Mix25 quite well for a few years with 2 injections per day. But as a T1 I'd also been given a pen of Humalog rapid acting insulin for sick days so I soon learned to change the Mix25 ratio by taking an extra injection of rapid acting insulin for carbohydrate laden meals.

It does help to have some idea of what your insulin to carbohydrate ratio requirement is.

You write above that you had 3 slices of white bread for breakfast and 45u of Mix25. So you have in the region of 15grams of carbohydrate per slice giving a total of 45grams.

25% of Mix25 is fast acting so your mealtime insulin to carbohydrate ratio was 11 to 45 or around 1 to 4 (hope that makes sense). As your levels went high after eating I might conclude that you didn't have enough rapid acting insulin in your system to cope with the carbs.

Of course, with premixed insulin you cant change your rapid acting insulin without changing your long acting insulin, so don't do that without medical advice.

You could try to see how you feel after 2 slices of bread and keep an extra slice handy in case you go low.

Around 18 months ago everything started going a bit pear shaped for me and my levels were all over the place.

My endocrinologist put me on multiple daily injections, originally Humalog and Abasaglar, but now I am using Levemir as a basal and it's a big improvement for me.

 

[aealexandrou]

I was diagnosed with type 2 diabetes 12 years ago, and i have been on insulin for 10 yrs, everything was ok, I was on 50 units of insulin (Humalog Mix 24) and 50 units in the evening, my HBA1C was fantastic and they were very happy with me. in March I snapped my Achilles Tendon and I was put on an Injection every day to stop any blood clotting, It was making me wee a lot. and I had my foot n a special boot for 4 months, I could not remove it, I even had to sleep in it, it was around this time i started having very low blood readings when i went to bed, it went as low as 3.5 at one time, and it also showed Keytones, I was vomiting and then started going very hot and clammy, I had to drink a bottle of Lucozade to bring my blood sugars up and lay underneath the cold ceiling fan after about 1 hour I would start to feel better, I contacted my doctor who told me to drop my insulin down to 45 units, I did this and it helped, but is still started feeling sick when I went to bed although my blood didnt drop as much, I told the doctor and he took me off one of my tablets Bezafibrate. (I also take Metformin). I had my boot removed 6 weeks ago and I stopped using the injection, but since then my bloods have been up and down drastically. when i go to bed at night my blood can be 7.5 i can lay in bed and read my book for an hour and my blood reading will drop within an hour down to 4.5, when i know it is dropping so drastically and I can also feel myself feeling poorly, I take some glucose tablets to bring my sugar up, when i get up in the morning my blood readings can be as high as 11. on one reading it also said 'Keytones' This frightened me because someone told me that if i get them it will poison my body and can cause death, tonight I started going light headed and feeling a bit strange, I checked my blood sugar and it was reading 7.5 i took it again half hour later (10 minutes ago) and it shows 6.5 so it is dropping again, I have just taken a glucose tablet to arrest it, and I have stopped feeling shaky, I am also losing weight, I was also told that this can be down to keytones. so its frightened me about these keytones and whats going on with my blood going up and down. I do not eat Chocolate, Cakes or Sweets. or sugar in my Tea / Coffe, my daily meals are usually, |Cornflakes and skimmed milk for breakfast about 09.00, a sandwich for dinner about 13.00/13.30 and for my evening meal Jacket Spud with Veg and some filling, Any help would be gratefully accepted as i am sure the stress doesnt help. Thank You.
Tankie

With respect you do not appear to have addressed the real medical issue causing your diabetes, insulin resistance. The meds you have been taking will only keep you bsl stable for a while, but sooner or later your condition will deteriorate. T2D is not incurable. We now know it is a lifestyle choice and if you want that condition to go into remission you need to drastically change your diet. Everything you appear to be eating is carbs i.e. sugar. You need to move on to a paleo or Keto diet. Because you are already on insulin, you need to do this whilst been regularly monitored to ensure your insulin dose is adjusted as your sugar intake is reduced. Once you are off sugar you will learn that ketones are your friend and your body will learn to rely on them for fuel rather than sugar.

 

[DCUKMod]

@Tankie1rtr - I bet your head is spinning at the moment. There have certainly been a lot of information and suggestions thrown your way to process.

It certainly sounds like a decent review of your overall diabetes and medications would benefit you, but I'd also urge you to invest a bit of time and effort into learning about your condition yourself.

I know when I was diagnosed in 2013, I was hacked off about it all, and really didn't want T2 to be part of my life, but when I looked at my personal numbers, I had no way to deny it would be part of my life and I'd have to decide how I was going to deal with it.

Observing on here, I have noted over all that time that those who generally do best and have the better outcomes do invest a bit in themselves to learn strategies for dealing with their condition; often with the objectives of staying as healthy as they can, and keeping their meds to the minimum. That's not something that happens overnight, but more something picked up and built upon over a period of time.

Many, many T2s find their condition improves, sometimes dramatically, where they make changes to their way of eating.

Unfortunately, and frustratingly, it's some of the really easy stuff, like break, potatoes, rice and pasta that make out bloods rise above advisable levels. However, as someone taking insulin and fixed doses of insulin at that, it is very, very important that you understand that making significant dietary changes are likely to impact how your body reacts to the insulin you are injecting.

On that basis, please do not make significant changes to your diet, until you have agreed a plan of action, with your health care professionals, to ensure your safety.

In the meantime, I would probably suggest you start, if you haven't already, to keep a diary of everything you eat and drink, along with the timings, and the blood sugar test results you see around that. At the same time, please note when you have these "feeling off" spells, and you may well see a trend which will help guide you where the tweaks might benefit you most.

I know for me, I looked on my food diary (thankfully, I have never taken meds, so always had fewer balls to juggle), along with my blood sugar readings (before eating and 2 hours after) to be pivotal in manking a change in both how my liabetes looked, but also how I felt about it. It felt much more like I was influencing and contrilling it, rather than the other way around.

Please do take it steady, and stay safe.

Please do stick around the forum and ask as many questions as you need to. There are hundreds of T2s using the forum, and probably centuries of experience you can draw upon. That's how all of us T2s got the hang of it.

 

[DCUKMod]

With respect you do not appear to have addressed the real medical issue causing your diabetes, insulin resistance. The meds you have been taking will only keep you bsl stable for a while, but sooner or later your condition will deteriorate. T2D is not incurable. We now know it is a lifestyle choice and if you want that condition to go into remission you need to drastically change your diet. Everything you appear to be eating is carbs i.e. sugar. You need to move on to a paleo or Keto diet. Because you are already on insulin, you need to do this whilst been regularly monitored to ensure your insulin dose is adjusted as your sugar intake is reduced. Once you are off sugar you will learn that ketones are your friend and your body will learn to rely on them for fuel rather than sugar.

Aalexandrou - Not one of us knows what is in the future for us, whether relating to our diabetes, or other factors. All we can do is our best, with the information we have on board at any given time. Our conditions may improve or degrade. Personally, I'm rather hoping I can keep mine at bay, but life can change in a moment, so I have no guarantees on that.

Let's remember @Tankie1rtr is a new member and hasn't yet had the opportunity to take on board a lot of information which could be useful to him, moving forward.

 

[Tankie1rtr]

Hi @Tankie1rtr ,

I used Mix25 quite well for a few years with 2 injections per day. But as a T1 I'd also been given a pen of Humalog rapid acting insulin for sick days so I soon learned to change the Mix25 ratio by taking an extra injection of rapid acting insulin for carbohydrate laden meals.

It does help to have some idea of what your insulin to carbohydrate ratio requirement is.

You write above that you had 3 slices of white bread for breakfast and 45u of Mix25. So you have in the region of 15grams of carbohydrate per slice giving a total of 45grams.

25% of Mix25 is fast acting so your mealtime insulin to carbohydrate ratio was 11 to 45 or around 1 to 4 (hope that makes sense). As your levels went high after eating I might conclude that you didn't have enough rapid acting insulin in your system to cope with the carbs.

Of course, with premixed insulin you cant change your rapid acting insulin without changing your long acting insulin, so don't do that without medical advice.

You could try to see how you feel after 2 slices of bread and keep an extra slice handy in case you go low.

Around 18 months ago everything started going a bit pear shaped for me and my levels were all over the place.

My endocrinologist put me on multiple daily injections, originally Humalog and Abasaglar, but now I am using Levemir as a basal and it's a big improvement for me.

Hi urbanracer. Sorry for the late reply, I had something on yesterday. I have ready your post and Thank you for your reply, but now i am more confused than anything lol, I am onto my doctor tomorrow and i am going to ask him to refer me back to the clinic at the hospital, I am sure they will sort me out, until then I am just cutting right back on bread, I have written down what I have had today and with my blood test timings this is how its gone.

Last night I went to bed and my last test before I settled down was 6.8 this was after my evening meal. Chicken, veg and 2 roast potatoes. today reads as follows.
10:00 Blood 9.2
10.25 Coffee Black
10.30 Small bowl of Shredded Wheat with small pieces of Blueberry inside. and skimmed milk
10.31 45 units of Insulin (Humalog Mix 25) + Tablets
12.25 Blood 13.7
12.55 Blood 12.4
13.40 I was going to have a Sandwich for Dinner BUT yesterday bread sent my blood sugars racing and as my blood reading is 12.4 before my dinner I dare not have bread as it will send my blood higher so I settled for a Heinz Tomatoe cuppa soup.

Not taken anymore readings as to now.

Thanks
Tankie

 

[Resurgam]

If not for your taking insulin I'd be advising cutting right back on carbs, as it can mean coming off all medication for type twos and if they are amongst the lucky ones.
At the moment you are eating a lot of high carb foods, even cutting out the bread.
My meals tend to be a protein rich salad and then a meal such as beef steak or pork chop or chicken or fish - other protein sources are available, with an assortment of roasted veges, or a stir fry.
The two meals plus a couple of cups of coffee with cream keep me contented all day - I eat early and late and then have the rest of the day free.
Some type ones benefit from a low carb diet as it means injecting less insulin - but they are using separate types and although their background insulin needs might reduce they can never go away once their own production is lost.
At the moment you are eating high carb and low fat, exactly the opposite of the choices I make.

 

[MeiChanski]

Hi urbanracer. Sorry for the late reply, I had something on yesterday. I have ready your post and Thank you for your reply, but now i am more confused than anything lol, I am onto my doctor tomorrow and i am going to ask him to refer me back to the clinic at the hospital, I am sure they will sort me out, until then I am just cutting right back on bread, I have written down what I have had today and with my blood test timings this is how its gone.

Last night I went to bed and my last test before I settled down was 6.8 this was after my evening meal. Chicken, veg and 2 roast potatoes. today reads as follows.
10:00 Blood 9.2
10.25 Coffee Black
10.30 Small bowl of Shredded Wheat with small pieces of Blueberry inside. and skimmed milk
10.31 45 units of Insulin (Humalog Mix 25) + Tablets
12.25 Blood 13.7
12.55 Blood 12.4
13.40 I was going to have a Sandwich for Dinner BUT yesterday bread sent my blood sugars racing and as my blood reading is 12.4 before my dinner I dare not have bread as it will send my blood higher so I settled for a Heinz Tomatoe cuppa soup.

Not taken anymore readings as to now.

Thanks
Tankie

Hello again, Tankie. I'm sorry you're confused, the best way I can put it is: Your insulin mix25 is 25% rapid acting insulin and 75% background insulin.
So in your morning of having 3 slices of bread - assuming on the packaging is 15g carb per slice and you had 3 makes it 45g of carbs altogether for the bread slices. You took 45 units? so if my maths is correct, 25% of that is about 11 units of rapid acting insulin. So that's why you ran quite high. It wasn't enough to cover for just your bread.
We, type 1s do carb counting with a ratio and because of our split regime - separate insulins for fast and long acting/background insulin, we can adjust just our rapid/fast acting insulin for the bread. With your regime you cannot adjust neither.

 

[Tankie1rtr]

@Tankie1rtr - I bet your head is spinning at the moment. There have certainly been a lot of information and suggestions thrown your way to process.

It certainly sounds like a decent review of your overall diabetes and medications would benefit you, but I'd also urge you to invest a bit of time and effort into learning about your condition yourself.

I know when I was diagnosed in 2013, I was hacked off about it all, and really didn't want T2 to be part of my life, but when I looked at my personal numbers, I had no way to deny it would be part of my life and I'd have to decide how I was going to deal with it.

Observing on here, I have noted over all that time that those who generally do best and have the better outcomes do invest a bit in themselves to learn strategies for dealing with their condition; often with the objectives of staying as healthy as they can, and keeping their meds to the minimum. That's not something that happens overnight, but more something picked up and built upon over a period of time.

Many, many T2s find their condition improves, sometimes dramatically, where they make changes to their way of eating.

Unfortunately, and frustratingly, it's some of the really easy stuff, like break, potatoes, rice and pasta that make out bloods rise above advisable levels. However, as someone taking insulin and fixed doses of insulin at that, it is very, very important that you understand that making significant dietary changes are likely to impact how your body reacts to the insulin you are injecting.

On that basis, please do not make significant changes to your diet, until you have agreed a plan of action, with your health care professionals, to ensure your safety.

In the meantime, I would probably suggest you start, if you haven't already, to keep a diary of everything you eat and drink, along with the timings, and the blood sugar test results you see around that. At the same time, please note when you have these "feeling off" spells, and you may well see a trend which will help guide you where the tweaks might benefit you most.

I know for me, I looked on my food diary (thankfully, I have never taken meds, so always had fewer balls to juggle), along with my blood sugar readings (before eating and 2 hours after) to be pivotal in manking a change in both how my liabetes looked, but also how I felt about it. It felt much more like I was influencing and contrilling it, rather than the other way around.

Please do take it steady, and stay safe.

Please do stick around the forum and ask as many questions as you need to. There are hundreds of T2s using the forum, and probably centuries of experience you can draw upon. That's how all of us T2s got the hang of it.

DCUKMod. Thank you for your reply. and yes my head is swimming with all the advise and I thank everybody who has replied to my question. First of all I must explain that I have never been told why I have got T2 diabetes, they found it during my Triple Heart Bypass that i had in 2006, I am ex forces and not smoked for 21 years, I had a job with a railway company so I got plenty of exercise. after the tablets stopped working they decided that i should go onto Humalog ix 25 Insulin and I have been on that for about 10 yrs, I was on 50 units in the morning and 50 units in the evening, my blood always read at either 7.00 or 7.5 and that was that for years. and I kept the same diet. (I do not drink alcohol) the doctors were over the moon with my HBA1C they said it was wonderful. I retired from work last November, in March this year I snapped my Achilles Tendon and had to wear a special boot 24hrs a day, Yes I even had to sleep in it, I had that on for 14 weeks, I couldnt do any exercise as I was on crutches and my boot was none weight bearing, I was also put on a daily injection of stuff to prevent me getting a blood clot, it is only since I had this accident that my bloods have gone all to pot. I phoned my doctor and explaind that on the 50 units each day, I have started being sick at night and my blood dropped to 4.0. 4.3 ect, he told me to cut down to 47 units and see if it works, so i did this, then I had to drop it again to 45. but its still up and down as you can see by my listing on the other posting i have just made. I had my boot removed 6 weeks ago, I am now exercising but can only walk at a slow pace as it takes time to get better on my Achilles Tendon. so that is where i am up to now.
Thanks
Tankie