I think of myself as a work in progress.
I am T2, diagnosed about 8 years ago but realised that I had been having occasional hypos for about 4 years before diagnosis. I was diagnoed after I had come out of hospital after a cancer scare. I was visiting the nurse (who was also the dn) to have some stitches out and told her I was feeling rotten and told her my long list of allments all of which, as it turned out, were symptoms of diabetes. Luckily she, unlike the doctor I had just seen, put two and two together and did a bg test - the first monitor just read 'Hi', the second monitor she used showed 32.3! She wanted to get me admitted to hospital but I refused having just spent two weeks there so, bless her, she gave me her monitor (the one that read that high) and took to dropping by my house or ringing me two or three times a day until my readings were down to under 25. My initial HbA1C was 24.? I fairly rapidly moved on from the just metformin to increased doses of metformin and then sitagliptin was added in and then moved to all the tablets AND to injecting insulin. I was also given leaflets about low calorie diet - which, as I have been a life long yoyo dieter was a bit redundant. I could have written those leaflets. Even though I knew I needed to lose weight I just couldn't stick to a diet for more than a week or two because of the hunger. I know why now. I did eventually get my HbA1C down to 5.4 so after getting congratulations from everyone I though I'd cracked the whole diabetes thing. Wrong.
A couple of years later my blood pressure shot up - so I started taking a drug called Ramipril. Shortly after starting Ramipril I developed a cough which progressively got worse and worse and I thought I was going to die so I kind of thought 'if its going to be a short life it might as well be a happy one'. I got very depressed - with the coughing and my body was so stressed my hair fell out and I started having panic attacks. So, stupidly, I gave up injecting the fast acting insulin and just kept on with the metformin, sitagliptin and the Lantus (long acting insulin) and started eating anything and everything. Chocolate was my new best friend.
Moving on a year... my BP had gone up as had my weight, so the doctor doubled my dose of Ramipril and my cough got so bad that my employers and neighbours complained and my husband and I had to have separate bedrooms and I was SO tired all the time due to the coughing waking me up all the time. The doctor said it was 'silent reflux' and prescribed Gaviscon tablets which I was eating like Smarties. Then one day I was having a regular meds review with the pharmacist when she had to get me a glass of water as I was coughing so hard I nearly passed out and she said did I know that Ramipril can cause coughs in some people - so I went straight to the doctor who said it was rubbish but I insisted and he put me on another drug - and a week later the cough had stopped completely.
I still carried on eating everything - loads of carbs and... well, eveything. The new puppy ate my blood glucose monitor and I didn't know how to work the new one (or that was my excuse) so I just carried on eating. Then a couple of months ago when once again I was feeling completely and absolutely rubbish again I realised that I had exactly the same symptoms as when I had been initially diagnosed seven years ago. By this time I was at my all time highest weight and I had an attempt at the 5:2 intermittant fasting diet which I really got on with but because I had developed very bad psoriasis which I blamed on the intermittant fasting (!) I went back to eating everything on the hope the food would make me happy and that the psoriasis would go away - but it didn't. The diabetes symptoms came back in full force and I knew I had to find out what was going on with my bg. So I thought 'Come on you are 60, stop being a wimp, just DO it!' So I dd and even though I was taking 90 units of Lantus each day my fasting BG of 28.3 was a massive shock. So, back to injecting the fast acting insulin but it didn't really seem to reduce my bg by very much but it did stop it from going any higher.
I really, really did try cutting calories but it was awful and I thought I couldn't IF while I felt so rubbish - so one day in an effort to stave of feelings of starvation I was browsing the Fast Diet website, considering whether I felt capable of starting it again. I then found a mention about Dr Fung and his blog which I visited and read all his archived posts (took me nearly three shifts at work - good job it was a quiet week!) I decided then to move away from counting calories to low carbing. This was two months ago. Impressively, just with cutting out all refined carbs my fasting bg dropped to 17.1 overnight. I then experimented with a 24 hour fast, testing my bg every hour (although my chances of having a hypo were remote to say the least). And the first fast brought my early morning bg down to 8.4. I was impressed! I now low carb (with medium fat) every day and have two fasts in every 8 day period (I work 12 hour nights, 4 on / 4 off). One fast is 23.5 hours and the other is about 16-17 hours. I skip breakfast on non work days and I've managed to cut out one of my work meals completely. I no longer snack at all. I am constantly testing as I am still concerned about hypos (which I used to suffer a lot with when I had low readinigs on a low calorie diet) although I haven't had a bg reading at less than 4.4 yet.
In two months my fasting bg is down to the low 5s, I've lost a stone and a half and my horrible diabetes related symptoms have almost all disappeared (just the blurry eyesight left and thats getting better). Best of all I feel I am really doing something positive about my insulin reistance. I have slowly reduced the amount of insulin I injected and after a horrendous mistake of injecting 40 units of fast acting instead of 40 units of slow acting I reduced it down still further and last Thursday I decided to do without. I have been injection free ever since; I am still testing my bg seven times a day but *touch wood* it has remained under 6 at all checks with most of them being 4.9 to 5.5.
As I said at the top, I'm a work in progress but I have hope now whereas three months ago I could easily imagine doing something stupid as I felt so ill. Dr Fung I think probably saved my life.