Hi all. I am not sure what is going on. My BG is creeping up and I don't know why. My fasting is back up to the low 7's and during the day I can't seem to get it even in to the 5's. I eat less than 20 grams carb per day, weight loss is pretty much stalled again, I get enough fat and I am not eating excessive calories or protein. Metformin upped to 1500mg and still on forxiga. The only thing I have changed is I have stopped a 2 liter a day diet coke habit. I had read that even though it does not affect BG it causes an insulin release. I had an extremely high c-peptide and thought that cutting out the diet coke might help reduce my insulin to normal levels and help reduce insulin resistance. I have gone from being mostly in the 5's with a few 4's to always in the 6's and a few 7's.
The other thing I have going on is my thyroid gland has suddenly become very noticeably swollen. I have been to the doctor and am waiting for an ultrasound. I have a multinodular goiter that was biopsied 3 years ago, declared benign, and not bothered me since.
Any thoughts? I know no one can give medical advice, just wanting your thoughts. I am worried and not sure what to do.
Thank you.
Not sure if this will help you, but I recently had a similar thing happen to me. I had a gradual rise, mainly in the daytime pre meal reading, and it too crept up onto the 7's. No obvious changes causing it from what I could see (LCHF ok).
I initially knocked it on the head by adding a herbal supplement to my morning meds, and this drove my bgl low again in the day. So much so that I was having to take extra carbs to enable me to meet DVLA guidelines for driving.
This was counter productive, so I started to drop one of my Gliclazide tabs from the morning meds. That pushed my bgl back up, but I still got my post prandials dropping too low for comfort. so I replaced my evening Glic dose with a second herbal cap, and that had some effect, but now I was still higher on my pre meal than I had been before I started messing around
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Then I had a break through.. Since my daytime levels always seemed elevated, but post prandials were ok, I now tried altering the timings of my meds completely. I moved my morning glic tab + herbal supplement out to midday, leaving my Metformin unchanged at breakfast. This had the required effect, and now all 4 daily readings are coming in in the 4 to 4.4 range repeatedly. I have now dropped both evening Glic tabs completely.
I am still monitoring to see if there is still a long term drift, but so far I have had a week of good levels. All I can think of is that I take a heart medication in the morning that is known to interfere with other meds, and I think this is preventing the diabetes meds from working properly in the daytime, but shifting those to midday has evened things up nicely. The suspected med is called Omeprazole, which protects my stomach from long term anti coagulant meds.
We are all on different journeys, so my experience may not be relevant for you, but may help others reading this thread. You do need to get your thyroid investigated properly For me, re-timing my meds has had a good effect, and is something I have done in times previous also with good effect. I am also lucky in that I have found a supplement that also works for me, and which has reduced one of my meds by 75%