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Anybody got any suggestions


Weight only matters, when you are obese, (clearly not) or when you have an eating disorder when you eat and bring it back up later.(clearly not)
As long as your weight is stable and your health isn't effected.
Quite a few women pray for your weight!
This is all new to you and the thought of having a condition, you have never heard of is disturbing and difficult to get your head around. I know being told that I wasn't diabetic stunned me, having RH was mind boggling.
I think that you are doing these things to try and not worry too much, RH does have symptoms of anxiety. Take it easy.

Best wishes.
 
The suggestion assumes you remove the glic, as it is so aggressive to the pancreas.
 
DEBBIESCOTT said:
blood sugar always rises again at some point and the gliclazide returns,
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So the focus needs to be on what is triggering the rise. Is it a sneaky carb you haven’t noticed? An activity? Is is all of a sudden or a gradual rise of all levels? Detailed diaries should help identify if it’s an external cause.
Agree with all the others though taking glic, without a deficit in your own production, which causes hypos that you need to feed with carbs is circular and probably harmful in the long run imo.
 
DEBBIESCOTT said:
I was doing low carb, but got to the point where I was eating from getting home from work to going to bed everyday as nothing quite hit the spot, think that’s why a1c was 128
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That's why I asked for specifics, actually... "Low carb" can mean a whole lot of different things to different people. (150 grams a day, nil carbs a cay... Anything in between). And just low carb without high fat and upped protein would indeed keep you grazing all day to keep your weight up.

I do think it's time for more testing. A long OGTT (short would be quite useless), maybe going back to square one with a new endo... Because you're not doing your pancreas any favours with the glic when you're already making loads.
 
DEBBIESCOTT said:
I had an oral glucose test in 1997 and diagnosed with gestational diabetes, no other medication, c-peptide test done in May this year
Itinerary c-peptide/creatine ratio 3.34 nmol/mol
Urine creatine level 1.70mmol/l
Click to expand...
Did you mean nmol/mmol for the c-peptide UCPCR? Rather than nmol/mol. Could you double-check the units? The jury's out until you confirm.
https://www.exeterlaboratory.com/test/c-peptide-plasma/
 
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Ta.

So if I am understanding correctly one of your main issues is to eat enough to compensate for your high energy burn rate and with your diet you aren't feeling the hunger pangs but know that you have to eat more.

I'm now wondering if more fats is the answer.
Mayo with everything, double cream, olive oil?
Start the day with bulletproof coffee?

If you are ill, do you stop exercising?
If so I'm wondering how you lose so much weight, unless it is water held in the muscles.

It may be wise to consult a sports nutritionist who specialises in diabetes.
You seem to have niche dietary needs.
In a non-diabetic this would usually be met with loads of carbohydrates; masses of pasta, for instance.
I assume that you are running on ketones most of the time.
 
Thanks for the advice, I didn’t mean it went out of range after an hour just that it was higher than 2 hours( this is usually lower than before food) then can go up again later, been to my daughters for tea tonight had steak, mushrooms, roasted broccoli, cauliflower cheese & salad
Before food 5.6
After 1 hour 6.1
After 2 hours 4.5
After 3 hours 5.7
Only thing that takes me higher than 8.8 is running doesn’t matter if it’s a recovery run, tempo or intervals . Weights & swimming has virtually no effect & Peleton (only done after work a couple of hours after lunch makes it drop like a stone). Going to have 2 weeks off running now
 
 
Be nice if I could actually see a consultant, haven’t seen one in over 20 years
 
Used to feel hungry, but from 1st gliclazide tablet in May never felt hungry, I fast from 7pm and don’t eat until 10am and exercise between 60-90 minutes in the morning, while on gliclazide I darent miss a meal, don’t think I am running on ketones as eating carbs at every meal to counteract the gliclazide
 
 
I go back to really low carb without the gliclazide, b/s seems ok to start with then starts creeping up again into double figures, happened twice this summer, 1st time it took 5 weeks 2nd time 10 days, even though I think I was doing exac the same both times
 

Before food 5.6 normal.
One hour after 6.1 normal.
Two hours. 4.5 normal
Three hours 5.7 still normal and well within normal levels.

You have had a good balance of low carb food, and the readings are typical non diabetic levels. So a liver dump when running means that there is still insulin circulating and your liver is giving you a boost of glucose, to supplement the lack of energy, while doing the run. You might not be fat adapted or in Keto long enough to get your energy from your body other than carbs.
Do you have good energy levels before eating?
Is your brain, clear and symptoms are better?

Keep safe.
 
 
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