Chocoholicnomore, I know what your DN means and I could have made it clearer in my last post - sorry!
When you've been running high blood sugars for some time, you can get the "false hypo" symptoms when your blood sugars come down quickly (as yours have done), even if you're still in 'non-hypo' range - that is, over 4.0mmol/l. You were under 4 - but for a non-diabetic, the pre-meal target is between 3.5 and 5.5, so you weren't desperately low even though you were under 4.
For us diabetics, better to treat when under 4, particularly if you feel hypo-ish, than risk going lower.
I would tell her you have 'cut your carbs' because it is helping you to lose weight, and has also improved your blood glucose levels. Tell her how much weight you've lost, and show her the results from your own testing. Tell her that you feel well on your new eating plan (if you do?), and that this is the only 'hypo' episode you've had (if it is).
She'll ask if you're eating high fat, probably. You can say that you're watching your fat intake and that you know that polyunsaturated fats are best. Even I can say that without telling lies - I just don't explain any further!
Ask her to discuss your diet with you, and to explain why you shouldn't be trying to reduce your blood glucose levels by cutting carbs. I'll be interested to read the answer to that one! Probably along the lines of needing carbs to keep your blood glucose levels stable. Well, everyone is different, but my BGs are very stable on minimum carbs, so don't worry too much.
With any luck you've got an open-minded DN who is willing to talk things through with you sensibly. I'm lucky in that our practice nurse, who does the diabetes checks, agrees with me about low carb even if she's not allowed to say so, so we don't argue.
If your DN tells you that you must base every meal around carbs, ask her how many grams of carb she recommends you should be aiming for each day. Don't argue with her - there's no need for a confrontation, and you'll only get upset. Just find out exactly what she wants you to do, write it down, and take it home to think about.
This is what I did when I saw the NHS dietitian. I knew I wasn't going to do as she recommended, so I just smiled, said yes, and have done as I think best ever since I left that meeting.
You could let us know what advice she gives you, and we'll have a discussion. If you get everyone's views from Grazer's to mine, including others, you'll have something to think about. :lol:
You are doing very well in coping with your diabetes, and you mustn't get downhearted. There is an awful lot to learn - I should think all of us learn something new all the time, no matter how clued up we think we are - I know I do! :wink:
I agree with Grazer about your insurers - always tell them. I phoned my car insurers and they really weren't bothered once I'd told them I was Type 2 on Metformin. It has made no difference to my premiums. Make a note of the time and date of the phone call, and who you spoke to, and then there can be no doubt that they know. There's a section on the DVLA website about diabetes and driving that's worth checking.
Keep up the good work!
Viv 8)
When you've been running high blood sugars for some time, you can get the "false hypo" symptoms when your blood sugars come down quickly (as yours have done), even if you're still in 'non-hypo' range - that is, over 4.0mmol/l. You were under 4 - but for a non-diabetic, the pre-meal target is between 3.5 and 5.5, so you weren't desperately low even though you were under 4.
For us diabetics, better to treat when under 4, particularly if you feel hypo-ish, than risk going lower.
I would tell her you have 'cut your carbs' because it is helping you to lose weight, and has also improved your blood glucose levels. Tell her how much weight you've lost, and show her the results from your own testing. Tell her that you feel well on your new eating plan (if you do?), and that this is the only 'hypo' episode you've had (if it is).
She'll ask if you're eating high fat, probably. You can say that you're watching your fat intake and that you know that polyunsaturated fats are best. Even I can say that without telling lies - I just don't explain any further!
Ask her to discuss your diet with you, and to explain why you shouldn't be trying to reduce your blood glucose levels by cutting carbs. I'll be interested to read the answer to that one! Probably along the lines of needing carbs to keep your blood glucose levels stable. Well, everyone is different, but my BGs are very stable on minimum carbs, so don't worry too much.
With any luck you've got an open-minded DN who is willing to talk things through with you sensibly. I'm lucky in that our practice nurse, who does the diabetes checks, agrees with me about low carb even if she's not allowed to say so, so we don't argue.
If your DN tells you that you must base every meal around carbs, ask her how many grams of carb she recommends you should be aiming for each day. Don't argue with her - there's no need for a confrontation, and you'll only get upset. Just find out exactly what she wants you to do, write it down, and take it home to think about.
This is what I did when I saw the NHS dietitian. I knew I wasn't going to do as she recommended, so I just smiled, said yes, and have done as I think best ever since I left that meeting.
You could let us know what advice she gives you, and we'll have a discussion. If you get everyone's views from Grazer's to mine, including others, you'll have something to think about. :lol:
You are doing very well in coping with your diabetes, and you mustn't get downhearted. There is an awful lot to learn - I should think all of us learn something new all the time, no matter how clued up we think we are - I know I do! :wink:
I agree with Grazer about your insurers - always tell them. I phoned my car insurers and they really weren't bothered once I'd told them I was Type 2 on Metformin. It has made no difference to my premiums. Make a note of the time and date of the phone call, and who you spoke to, and then there can be no doubt that they know. There's a section on the DVLA website about diabetes and driving that's worth checking.
Keep up the good work!
Viv 8)
