Referal to specialist at hospital

[Nightwishing1984]

Well I been to the doctors after my most recent blood results (I did forget to ask my HBA1C levels)

But she has upped my metformin to 2 in morning and 2 in evening. Put me on Gliclazide 1 in morning and evening, I am already on Omeprazole for something else. She said I was quite young to be type 2 but there is another type (can't remember the name) she said she is referring me to the specialist at the hospital to make sure nothing else is up, then I have to have repeat bloods in 3 months. I do not want to go on insulin, but soon as I eat a wholemeal carb my sugars shoot up.....

I am now sat here worrying about what they are going to do/say at the hospital... Does anyone know why the doctor refers you to a specialist.

I feel like I am falling apart at the moment, recently got married, then ended up getting sent to hospital they eventually found a duodenal ulcer that had perforated and self-contained..

 

[dawnmc]

Are you reducing your carbs? Wholemeal bread is what it is - flour, wheat, so it will send up your levels. What else are you eating?

 

[Lamont D]

Are you reducing your carbs enough to stop the spike?

The less you eat the lower the spike.

Are you testing before and 2 hours after.

There are so many different types, what sort of blood glucose problems are you having?

Are you spiking very quickly?

Are you spiking late?

What are your fasting blood glucose levels?

Any other symptoms?

 

[DeejayR]

Hiya, I see you've been around here for a while, and a lot of stuff has been happening in the last year which keeps you in a whirl. You can't expect your blood sugar to behave itself in these conditions, so try to concentrate on calming everything down in your mind. Then make a list, written down if you want. It can be a list of feelings you're having or a list of things you want to do. Find a place where you feel comfortable and breathe!
We can suggest all sorts of things but only you can put things in order in your head and then in your life.
Many of us have do something like this at one time or another, so you're not alone. And it's not your fault, any of it.

 

[Daibell]

Hi. I suspect the GP has referred you to the specialist just in case you are a T1 or one of the other less common variants of diabetes. Can you let us know what your BMI is as this is one indicator of T1 rather than T2 and so is being young. Going onto Gliclazide as well as Metformin is a good move before you see the specialist. If a T2 then with the right low-carb diet you may be able to just have tablets for many years to come. If the specialist should diagnose T1 then the tablets may help for many years with insulin being needed long-term but don't worry about that. I started insulin 2 years ago and it's not a problem, just a nuisance, and it enables you to eat fairly freely but still have good blood sugar control.

 

[Nightwishing1984]

To try to reply to all of you..

Carbs - when I was first diagnosed last November I virtually cut carbs out and my sugars before meals were between 7-10 and I was mainly eating protein and veggies (trying to avoid root ones) every 3 days I may chuck in some wholemeal rice

As I knew my readings were no where in the norm I stopped taking them 2 hours after. So suppose my first step is to really monitor my readings.

My BMI is 25.5 (so a touch to lose but nothing major) and I am 31.... I have a lot of family members who have been diabetic from a young age and some from mid to late 30s... The doctor did mention something called MODY

Just no idea what to do in the meantime really.

 

[mrspuddleduck]

Hi @Nightwishing1984 , I think you should see the diabetic specialist appointment as a positive thing! Sounds like your GP is doing his best but really is just adding more and more meds. The specialist will do a proper review of your diabetes, hopefully with a proper diagnosis of your type, and then you can start taking control of it! Sue xx

 

[ButtterflyLady]

Hi @Nightwishing1984 , I think you should see the diabetic specialist appointment as a positive thing! Sounds like your GP is doing his best but really is just adding more and more meds. The specialist will do a proper review of your diabetes, hopefully with a proper diagnosis of your type, and then you can start taking control of it! Sue xx

Well said. I think it's great that you have a GP who is onto it enough to send you to a specialist. Good luck.

 

[Nightwishing1984]

So now I have been reading a little and do wonder if it is one of the other types... but they are not very common so think I am been paranoid. MODY??

So Metformin had virtually no effect on my BG levels.

But less than a week since starting gliclizide my sugars do peak 2 hours after, but before next meal can be under 7 (not happened loads, but sugars are tracking lower than they were)

So this morning 9.3
Had 3 scrambled egg and 1 wholemeal toast circa 8:30 2 hr 13.5 - metformin and gliclizide
13:00 BS 4.8
Just had a bean veggie burger with lots of salad (lettuce, cucumber, tomato, pickled cabbage, little coldslaw, sweetcorn and potato salad)
2hr after was 11.2

 

[Cl1ve]

Hi . When you see the specialist make yourself a list of questions you would like answers to.You mighty as well make the most of the time you have with him and if you have a list you won't forget anything

clive

 

[eddie1968]

It's just being extra careful and prudent of your GP to send you to a specialist as you have a complicated diabetes picture. Be reassured it's in your best interests to see him.

 

[graj0]

So Metformin had virtually no effect on my BG levels.

But less than a week since starting gliclizide my sugars do peak 2 hours after, but before next meal can be under 7 (not happened loads, but sugars are tracking lower than they were)

So this morning 9.3
Had 3 scrambled egg and 1 wholemeal toast circa 8:30 2 hr 13.5 - metformin and gliclizide
13:00 BS 4.8
Just had a bean veggie burger with lots of salad (lettuce, cucumber, tomato, pickled cabbage, little coldslaw, sweetcorn and potato salad)
2hr after was 11.2

Metformin will help if you are insulin resistant, it can also take a few weeks before you see any results, if it's going to make any difference at all. Gliclazide will help you produce more insulin. Hopefully the specialist will ask for a c-peptide test which at least will show what the pancreas is doing. Maybe ask for one if it's not suggested.

It might be a thought to try a meal with absolutely no carb at all and see what the numbers are.

 

[Nightwishing1984]

Metformin will help if you are insulin resistant, it can also take a few weeks before you see any results, if it's going to make any difference at all. Gliclazide will help you produce more insulin. Hopefully the specialist will ask for a c-peptide test which at least will show what the pancreas is doing. Maybe ask for one if it's not suggested.

It might be a thought to try a meal with absolutely no carb at all and see what the numbers are.

graj0 sorry I should have been more detailed I have been taking Metformin for 11 months 1500mg a day, she has upped that to 2000mg 2 in morning and 2 in evening. Then put me on the Gliclizide also 1 in morning and 1 in evening.

If I have meals which are virtually carb free the they do go down to 6-8 ish..

I feel like annoyed with myself when my sugars go up, and feel like I can't restrict myself of carbs forever... It's been nearly 12 months since diagnosis..

 

[graj0]

If I have meals which are virtually carb free the they do go down to 6-8 ish.

No need to apologise, it's always difficult to know how much to say and how much not to say. It looks like a small amount of carb can cause quite a difference in BG. Hopefully your appointment with a consultant/specialist will provide you with some answers.

 

[Totto]

graj0 sorry I should have been more detailed I have been taking Metformin for 11 months 1500mg a day, she has upped that to 2000mg 2 in morning and 2 in evening. Then put me on the Gliclizide also 1 in morning and 1 in evening.

If I have meals which are virtually carb free the they do go down to 6-8 ish..

I feel like annoyed with myself when my sugars go up, and feel like I can't restrict myself of carbs forever... It's been nearly 12 months since diagnosis..

Metformin 4000mg per day? That is above the recommended maximum dose.

 

[CarbsRok]

Metformin 4000mg per day? That is above the recommended maximum dose.

I think OP meant 1000mg morning and 1000mg evening

 

[rosserk]

One slice of wholemeal toast, potatoe and sweet corn are all things that would send my blood sugars into double figures, even if eaten in the smallest quantities. You may need to cut them completely until you get your blood sugars under control. You may find you can reintroduce them later. Good luck with your appointment

 

[geoffh]

Admittedly I'm not quite as far along the road, but I've kind of resigned myself to the fact that I won't have potato, rice, pasta or bread again. It might not be true (and I have tried the lidl high-protein rolls - which are great) but I've found it more helpful to assume it's a lifetime thing. And it's a lifetime that'll hopefully keep me alive and complication-free.

 

[Nightwishing1984]

Yes I mean 1000mg on metformin (dr did say max allowed)

At the moment trying to avoid carbs that seem to spike it...

Weekend we were away
Fri night kebab shop had chicken tikka and asked for a salad
Breakfast hotel eggs, bacon (no carbs)
Lunch fish from chip shop (did not eat all batter)
Evening steak and vegetables...

Sugars sat evening 2 hours after were 6.8