Scottie, from what I have read so far, you have been trying hard . There is room for improvement, just the same as it's been for everyone. Change is difficult , but it can be made in baby steps over a period of time, rather than all at once. No one is that superhuman
The conclusions I have come to is that your blood glucose started high at the beginning of this thread, and while there has been some improvement, it's still too high . Too high for this to be due to what you are eating This tells that there are a number of possible scenarios going on here :
1) The current meds and doses you are on are still insufficient to overcome your insulin resistance, and your weight may be a factor in this.
2) You are not producing sufficient insulin to make your meds effective
3) a combination of both of the above.
If this is the case, trying on your own to get your BG's down is going to be like pushing a wet sock uphill with your nose
. I'm thinking that when you see the other GP, you take along your blood glucose readings for the last month. You should be able to do this the easy way by downloading your Contour USB on to your laptop or PC and printing them off to take with you. If it's not possible, then it needs to be the old fashioned way, copied by hand into a log book.
The emphasis with your meeting with the GP needs to be these figures. They are important in deciding the way forward. Don't dos.cuss what you are eating in any great depth, keep to the fact that you are " adjusting your diet to stabilise your blood sugars and hopefully lose weight " .
It's too easy to get bogged down in the dietry aspects and for most GP's there is a certain response you can expect if you mention low carb, let alone higher fat. This distracts from the important , primary reason that you are seeing the GP,
that you have tried, and are unable to control your blood glucose.
(I am now stuck in bold, thanks to my useless tablet please disregard this )
I seem to remember that you are seeing the nurse next week to have your bloods taken, and I'm assuming that this is for your HbA1c . I'm anticipating that your GP may not suggest any alteration in your meds until the results are back , and I'm also anticipating your HbA1c will be quite high, given the high levels you have been experiencing. If this is the case, don't stress about it. It works in your favour towards further investigation , and it's likely you will be recalled to see your GP.
If you are unhappy with the suggestions made by your GP at this point, ask for a referral to your specialist diabetic clinic at your local hospital.
In the meantime, carry on with what you are doing, you have had some lower readings, and even though your BG's are still high, they are not getting any higher. Once you get your meds regime sorted out, it will get a whole lot easier, you will start to feel better, and the diet aspect will seem more manageable .
For now, accept that there is a limited amount that you can do until medical intervention takes place, and relax a little , worry wise
Signy