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Hello and welcome. i have no relevant personal experience of diabetic medication, so I'll leave that to others. Your question about insulin resistance though - yes, many T2 people do take insulin. And T2 is often characterised as being associated with insulin resistance (although the original...

Those numbers look perfectly normal to me. 6.2 mmol/l is not "high". Am I right in thinking that you have not had a diabetes diagnosis? I'm unsure why you're testing your blood. Blood glucose levels will naturally vary across the day in response to many things, not only food. Your liver will...

The only thing I can report is that day old potatoes fried up in the morning for breakfast with no other carb involved do not seem to have any appreciable impact on my BG. That said, it's possible that a) breakfast being a rarity or b) the quantity of animal fat involved or c) both the above...

Opticians are generally quite well clued up about diabetes, mainly because of identification of retinopathy.

I don't think it says that at all, and I can't find anything to that effect, or even that could be interpreted to mean that. The guidelines are really mainly about prescribing and have almost nothing to say about people not on medication. Would your DN be prescribing medication for me as a...

As you say, eggs have no carbohydrate content. I would suggest that the impact on your blood glucose is solely due to the bread you're eating, which is 60-70% carb. I'd expect anyone, diabetic or not, to show a rise in BG after eating bread, it's natural and to be expected. But it's nothing...

Hello and welcome. Is there anything you're particularly interested in talking about?

Been using it for a while. Tastes OK, just a bit runnier than traditional ketchup. If you use (say) a 10g slug on a burger that's about half a gram carb from the ketchup.

I was offered metformin on diagnosis, didn't accept. Reduced my carb intake to next to nothing instead, which has worked.

The American College of Cardiology believes that limits on saturated fat in the diet are unnecessary. https://www.sciencedirect.com/science/article/pii/S0735109720356874?via%3Dihub=&utm_source=arrow.proteinpower.com&utm_medium=referral&utm_campaign=the-arrow-188

So here we are in April 2026. This year's HbA1c is 37, same as last year. That is five years of bang normal results with a start point in April 2020. I think this means I get coded differently by the NHS - will need to check that. Other points - didn't get weighed, no statin conversation, no...

That's not something I do. It's well known that you will make the cholesterol you need - about 80% of it is manufactured in the body. Statins are designed to interfere with this process - they have no impact on dietary cholesterol. There are some interesting recently published studies from (if...

What you're talking about is the well-known "pizza effect" which is relevant for some people and can affect the timing of insulin dosing. I don't experience this and insulin dosing is not in my experience. The key thing is that dietary fat does not raise (or lower) blood glucose. It is not...

I think your experience is typical. Since my diagnosis in 2019 I have had exactly no "help" regarding my T2 from the NHS. Yes, I turn up for my annual blood tests and checks FWIW but nobody has ever advised me about anything. 95% of how I manage my condition I learnt from this forum - the rest...

Hi - I can't answer your question directly, but there is something in the NICE guidelines to the effect that SGLT-2 inhibitors should not be used when someone is on a vlc or keto diet - because of the risk of DKA. The guidelines are extremely risk-averse when it comes to DKA...

Hi - bear in mind that normal HbA1c levels - where almost all non-diabetic people are - range from around 36 to 42. GPs do not get a cash bonus simply for putting you on meds. They are rewarded for various things to do with type 2 , for example identifying anyone with an HbA1c of 48 or above...

I don't understand that. The paper doesn't say anything whatsoever about anyone being excluded because of restarting the same or an alternative medication. Here is the Results section as published: Results A total of 7938 patients (mean [SD] age, 55.7 [13.4] years; 5061 [63.8%] female) were...

Hi - when you say my diabetes is relatively well controlled for me. Its the best its been for a long while. what are your actual figures? We might all have very different opinions about eg what "well controlled" means. I have xerostomia (dry mouth) from time to time - it's a well known...

It's clear from the published paper that they were not excluded. If you look at (for example) section 3.2 it shows that of the original cohort of 7938 patients, 6634 (>83%) "contributed to this analysis" in the paper's words, by having a baseline and a "discontinuation" weight recorded. So...

Interestingly, about half the patients who apparently "stopped" using GLP-1s in the Cleveland Clinic paper didn't actually stop medication. A total of 7938 patients (mean [SD] age, 55.7 [13.4] years; 5061 [63.8%] female) were identified. During 1-year post-discontinuation, 19.6% restarted the...