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  1. Dark Horse

    Medical exemptions for prescriptions

    If you don't qualify for free prescriptions, you might save money by buying a pre-payment certificate:- https://www.nhs.uk/nhs-services/prescriptions-and-pharmacies/save-money-with-a-prescription-prepayment-certificate-ppc/
  2. Dark Horse

    Newcastle Diet and Metformin

    Exercise doesn't increase insulin so not relevant.
  3. Dark Horse

    Linagliptin questions

    Amylase is not a sugar. It is an enzyme (so basically a protein) which breaks down starch. https://en.wikipedia.org/wiki/Amylase#:~:text=An%20amylase%20(%2F%CB%88%C3%A6m,the%20chemical%20process%20of%20digestion. Amylase is produced by the salivary glands and the pancreas and has its action in...
  4. Dark Horse

    Newcastle Diet and Metformin

    Metformin is taken at or immediately after meals to reduce the risk of unpleasant gastro-intestinal side effects. https://www.mayoclinic.org/drugs-supplements/metformin-oral-route/proper-use/drg-20067074#:~:text=Metformin%20should%20be%20taken%20with,%2C%20break%2C%20or%20chew%20it. Each shake...
  5. Dark Horse

    Newcastle Diet and Metformin

    I haven't read the book, but in this paper, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399621/ , Roy Taylor says:- Increase in exercise during the weight loss phase was discouraged as this tends to be accompanied by compensatory eating. This phenomenon explains why a portion of people fail...
  6. Dark Horse

    Discussion Not completely diabetic related

    Do you mean the Adventist Health Study 2 (AHS-2)? Wikipedia says that was funded by the US National Cancer Institute. https://en.wikipedia.org/wiki/Adventist_Health_Studies
  7. Dark Horse

    Think I have resolved a connundrum

    Maltodextrin is a carbohydrate and I believe that it does count towards the carbohydrate content of a food. What makes you think otherwise? Note, there is also digestion-resistant maltodextrin which has been processed so it is not broken down by human enzymes to obtain energy and therefore...
  8. Dark Horse

    HbA1c reduction rate

    Apologies for delay in replying. I'm very sorry to hear that you and your partner are having such a tough time. Regarding the advisability of bringing HbA1c down by 10 mmol/mol, there doesn't seem to be a lot of information out there. Research suggests that controlling lipids is important with...
  9. Dark Horse

    Retinopathy possible small bleed and flying?

    There is a comprehensive list of contraindications for flyng on this New Zealand website:- http://www.gpcme.co.nz/pdf/2012%20South/fitness-for-air-travelguidelines-for-doctors-mar2012.pdf Under 'eye disorders' it says:- Penetrating eye injury ≥7d – any gas in globe must be resorbed – confirm...
  10. Dark Horse

    Non-diabetic hyperglycaemia -a new category?

    Non-diabetic hyperglycaemia is defined as an HbA1c on 42-47mmol/mol or a fasting plasma glucose (FPG) of 5.5-6.9mmol/l. NICE Guidance recommends that everyone who has ever had NDH is offered an annual blood test to check for progression to Type 2 diabetes...
  11. Dark Horse

    Nurse telling me to increase carbs

    There is some evidence that improving HbA1c too quickly can increase diabetic retinopathy. Some people advise not reducing HbA1c by more than about 30 mmol/mol in a year. This phenomenon has usually been noted after several years of known poor diabetic control. However, people with type 2...
  12. Dark Horse

    Type 2 Check ups

    You should definitely have been seen for retinal screening within the last 2 years. Screening was only 'paused' for 3 or 4 months at the beginning of lockdown but after that, extra appointments were made to 'catch up'. Even if you are in one of the areas which has introduced the 'revised...
  13. Dark Horse

    Food labelling suspended in UK?

    This is the information from the Food Standards Agency and Food Standards Scotland:- https://www.food.gov.uk/news-alerts/news/fsa-and-fss-advise-consumers-on-substitution-of-ingredients-in-certain-food-products-to-avoid-food-supply-disruption
  14. Dark Horse

    Getting Frustrated

    The answers to the following questions might be helpful in understanding your situation:- Are you overweight or in the upper range of a normal BMI? (Weight loss in people with type 2 can often improve nsulin secretion.) What diet were you following when you didn't see an improvement in blood...
  15. Dark Horse

    Retinopathy & Macular Edema Pain

    I'm sorry you are currently suffering from such a painful condition as uveitis and have the additional worries re retinopathy and employment - please accept my sympathy. Uveitis can be quite variable so your ophthalmologist will have the best understanding of the best treatment for you and what...
  16. Dark Horse

    Blood Pressure Explained

    There's some information about isolated systolic hypertension here:- https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/hypertension/faq-20058527#:~:text=Isolated%20systolic%20hypertension%20happens%20when,people%20older%20than%20age%2065.
  17. Dark Horse

    Type 2 STATINS - Side Effects and Pros and Cons of Taking Them

    For those who are interested in the legal nitty-gritty of the case, there is a lot of detail here:- https://www.casemine.com/judgement/uk/62337fd3b50db9e904de3ac8
  18. Dark Horse

    Covid 19 causing increased incidence of Type 2?

    The researchers addressed the problem of just revealing pre-existing but undiagnosed diabetes by having a control group of people with other upper respiratory tract infections. If Covid wasn't a particular risk factor, you would expect the rate of new diagnoses to be the same for the two...
  19. Dark Horse

    Carbohydrate amounts - a bit unsure what's going on

    It's well known that weight loss can induce remission/partial remission of diabetes in some people. If your blood glucose continues to be within range at a higher level of carb intake, and you are not someone who feels they have 'carb addiction' there is no reason not to continue at that higher...
  20. Dark Horse

    Ketones in blood type 2

    This article seems to explain the difference between nutritional ketosis and diabetic ketoacidosis (DKA) quite well:- https://insulinnation.com/living/diabetic-ketoacidosis-vs-nutritional-ketosis/ Regarding DKA, it most commonly occurs in people with type 1 diabetes but it does sometimes occur...
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