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Can anyone help?

Shiny_Blue03

Newbie
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1
Morning everyone, I am not diabetic but my husband has Type 2. He is currently doing blood sugar level tests because the Doctors are considering putting him onto insulin. Here's my question- his levels are never below 11, last night before we ate it was 32- it's all over the place. He does eat the wrong sorts of carbs but I'm having a really hard time getting him to change. He's constantly hungry because he has cut right back on portion size and feeling quite fed up (that's the nice way of explaining how he feels). I really don't know what to do. Any suggestions would be gratefully received.
Thank-you all so much for all the suggestions and advice. I will have another go with the carbs thing as I (and he) know/s that this is really an issue. I also tknow that he has to want to change and I have no way of controlling that. I am going to look at some of the diet plans that you have suggested too- see what I can come up with as an acceptable (to him) lunch box for work.
 
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Morning everyone, I am not diabetic but my husband has Type 2. He is currently doing blood sugar level tests because the Doctors are considering putting him onto insulin. Here's my question- his levels are never below 11, last night before we ate it was 32- it's all over the place. He does eat the wrong sorts of carbs but I'm having a really hard time getting him to change. He's constantly hungry because he has cut right back on portion size and feeling quite fed up (that's the nice way of explaining how he feels). I really don't know what to do. Any suggestions would be gratefully received.

The problem is with the food he is eating, cutting portion sizes but eating high carb and sugary foods will not help. He needs to eat the right foods and worry less so about portion size. Eating the wrong foods (high GI foods and high carb foods) will leave you hungry very quick as they spike insulin production and cause a drop in glucose levels shortly after. Without starting on a bunch of medicine, the first thing should be to sort out the diet, and do a moderate amount of exercise if not already doing so.
 
Hi @Shiny_Blue03, If your hubbie co-operated with whatever is the best treatment, things could be much better.
You can lead a horse to water ......
Perhaps look at the Low carb program offered via this site as a possibility, and, if any 'incentive' is needed, threat to stop him driving the car.
At a BSL of 32 his eyesight is likely to be pretty lousy and that is not good for driving.
If he goes on insulin he will have to show that his BSLs do not go too low, otherwise he loses his license also.
Perhaps keep this latter fact to yourself as he might use it as an excuse to refuse insulin, if insulin is the final recommendation of his doctor.
I know the above sounds harsh but the more he does not look after his diabetes, the more you will be burdened by him and any diabetic complications he might develop in future, and that would be very selfish of him and most unfair to you.
Best Wishes. More 'persuasive strategies' on tap.
:):):):)
 
Hello shiny and welcome! First let me tag in @daisy1 for her useful info post for you and your hubby to read.
Diet as the others have said really is the key here. Do you do the cooking in your house? If so have a look at Diet Dr for loads of low carb recipes. Maybe get your husband to try a few, to show him it’s not all leaves and rabbit food. here’s a link:
https://www.dietdoctor.com/low-carb/recipes
 
Totally agree with horse to water. One problem maybe the amount that he is eating, but another is the variability; insulin will tend to stimulate appetite, and then risk hypo if eats a smaller meal than usual.
A type 2 diabetic person with poor control on tablets in the past was offered insulin; but nowadays, there are the GLP-1 RAs injections- Liraglutide and semaglutide decrease glucose levels, decrease appetite, decrease blood pressure and decrease risk of heart attack / stroke. Liraglutide has been on the market for nearly 10 years now (I think), but GPs seem reluctant to consider it (there are reasons to not use it such as previous pancreatitis, severe renal impairment and gasrtoparesis, but main one iis probably cost IMHO). So worth considering.
At the end of the day, diet is crucial, but it will not control everyone forever; the natural history for most folk with T2DM is of increasing need for medication to help control the glucose, so one wants to select the best agents.
Best wishes
 
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Morning everyone, I am not diabetic but my husband has Type 2. He is currently doing blood sugar level tests because the Doctors are considering putting him onto insulin. Here's my question- his levels are never below 11, last night before we ate it was 32- it's all over the place. He does eat the wrong sorts of carbs but I'm having a really hard time getting him to change. He's constantly hungry because he has cut right back on portion size and feeling quite fed up (that's the nice way of explaining how he feels). I really don't know what to do. Any suggestions would be gratefully received.

You could try eggs and meat of any description for every meal for a month maybe? That would hopefully get him out of a carb addicted state and would probably work wonders for his blood sugar. If he needs to lose a few pounds that may well happen too.
Once his blood sugars "normalise" a bit into single figures he'll probably start to feel a whole lot better too. Might be better if you can get him to join up here himself though then we could advise first hand?
 
Morning everyone, I am not diabetic but my husband has Type 2. He is currently doing blood sugar level tests because the Doctors are considering putting him onto insulin. Here's my question- his levels are never below 11, last night before we ate it was 32- it's all over the place. He does eat the wrong sorts of carbs but I'm having a really hard time getting him to change. He's constantly hungry because he has cut right back on portion size and feeling quite fed up (that's the nice way of explaining how he feels). I really don't know what to do. Any suggestions would be gratefully received.
Hi @Shiny_Blue03 ,

Can anyone help? I'm not sure, really... We can toss out a hundred suggestions, it's your husband who has to want to change. Obviously, portion size reduction isn't helping, especially if he's still eating carbs; they'll just make him feel hungry for more again. (He's not actually hungry, but his carb-addiction is telling his brain he is, making his stomach hurt in response. It's a tricky thing.). Don't cut the food, cut the carbs! Let him fill up on food, but low or no-carb food... Is that an idea? I mean, if he eats 3 eggs in the morning with a lot of bacon, cheese, mushrooms, and a high meat content sausage or two? Would he be hungry an hour later? Because there are almost no carbs in that, but it's a LOT of food. Just leave out the toast and beans, but a full english brekky other than that... It's filling! A salad doesn't seem like much, but toss in a can of tuna (in oil, not brine), and a lot of avocado, mayo, capers and olives, and he will feel full. Or a salad with a big ( and I mean BIG) chunk of warmed goat's cheese with a little vinaigrette... I can hardly ever finish one of those, they fill me right up. Give him extra meat in the evening, make broccoli-rice or cauliflower rice with a load of bacon and cheese tossed in... Go for fat-laden foods to keep him feeling full. Snacks? Cheese. Extra dark chocolate. Pork scratchings. Desert? Full fat greek yoghurt with some nuts and berries tossed in. Coffee with butter and coconut oil (Bulletproof Coffee) is remarcably good, and filling.

And look up recepies for fat bombs!

He doesn't have to starve. He just has to ditch the carbs. (There's no good carbs, really... "All the wrong ones" is basically all carbs, period.) It's easier than you think. No bread, pasta, rice, cereal/muesli, corn, fruit (other than berries, avocado, starfruit and tomatoes). Loads of eggs, above-ground veggies/leafy greens, meat, fish, poultry, nuts, dark chocolate, butter, heavy cream, full fat greek yoghurt.... www.dietdoctor.com can be a fount of information, as is The Diabetes Code by Dr. Jason Fung. (Read it together!)

He can do this without sacrificing overmuch or feeling all too miserable. But if he does do it this way, keep an eye on bloodsugars, because I don't know what meds he's on and his bloodsugars could hypo. (It is THAT effective!).
 
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Morning everyone, I am not diabetic but my husband has Type 2. He is currently doing blood sugar level tests because the Doctors are considering putting him onto insulin. Here's my question- his levels are never below 11, last night before we ate it was 32- it's all over the place. He does eat the wrong sorts of carbs but I'm having a really hard time getting him to change. He's constantly hungry because he has cut right back on portion size and feeling quite fed up (that's the nice way of explaining how he feels). I really don't know what to do. Any suggestions would be gratefully received.
Hello @Shiny_Blue03 , and welcome. As per usual other members beat me to it, but I agree with them anyway. Could you nudge him into changing his diet perhaps? When he has one of his hunger pangs, have a Low Carb High Fat treat waiting for him, if you're doing the cooking. Then gradually ease into removing most carbs from all meals. Once he's gone on insulin eating Low Carb becomes a bit more tricky, and may not be advisable to a beginner due to the risk of BG levels going too low causing a hypo.
Are you a Netflix subscriber? If yes, do watch 'The Magic Pill' :) On Youtube you'll find lots of material on the benefits of Low Carb eating too.
 
Sorry to be “that” guy but it appears your husband needs a shock.

c.30mmol is incredibly toxic. Ask him if he prefers sugar to feet? He needs a major turnaround in his way of thinking, otherwise there’s not much you can do to help him :(

Edited to add: sorry again if my post appears harsh, but at those levels he really is putting himself at extreme risk of complications. Diabetic complications aren’t something that only happen to other people. People lose limbs and worse :(
 
c.30mmol is incredibly toxic
True. I was ordered to get in touch with my diabetes team if mine ever came above 18.
@Shiny_Blue03 you're only 60 (I'm 58), and if your OH is approx. the same age, you have plenty of years to be carer/cared for or to prevent (further?) complications from developing and leading a good life together. A shock could well be what he needs. The 'shock therapy' worked for me and for many others in here, I'm sure. In my case the word 'insulin' was enough. Also, I live on the 5th floor with no lift, and much as I love my flat I do enjoy being able to leave it without assistance whenever it pleases me. I couldn't do that without my feet.
When was he diagnosed?
 
Here's my question- his levels are never below 11, last night before we ate it was 32- it's all over the place..

If its 32 before eating any carbs then you want to talk to someone immediately about it, he should really have either gone to A&E or spoken to the 111 service (presuming you're in the UK) who might have sent him to A&E anyway.
32 is as said quite toxic, being 32 and then eating more carbs is really not good and would've made him feel awful if nothing else.
 
Hi @Shiny_Blue03 ,

Can anyone help? I'm not sure, really... We can toss out a hundred suggestions, it's your husband who has to want to change. Obviously, portion size reduction isn't helping, especially if he's still eating carbs; they'll just make him feel hungry for more again. (He's not actually hungry, but his carb-addiction is telling his brain he is, making his stomach hurt in response. It's a tricky thing.). Don't cut the food, cut the carbs! Let him fill up on food, but low or no-carb food... Is that an idea? I mean, if he eats 3 eggs in the morning with a lot of bacon, cheese, mushrooms, and a high meat content sausage or two? Would he be hungry an hour later? Because there are almost no carbs in that, but it's a LOT of food. Just leave out the toast and beans, but a full english brekky other than that... It's filling! A salad doesn't seem like much, but toss in a can of tuna (in oil, not brine), and a lot of avocado, mayo, capers and olives, and he will feel full. Or a salad with a big ( and I mean BIG) chunk of warmed goat's cheese with a little vinaigrette... I can hardly ever finish one of those, they fill me right up. Give him extra meat in the evening, make broccoli-rice or cauliflower rice with a load of bacon and cheese tossed in... Go for fat-laden foods to keep him feeling full. Snacks? Cheese. Extra dark chocolate. Pork scratchings. Desert? Full fat greek yoghurt with some nuts and berries tossed in. Coffee with butter and coconut oil (Bulletproof Coffee) is remarcably good, and filling.

And look up recepies for fat bombs!

He doesn't have to starve. He just has to ditch the carbs. (There's no good carbs, really... "All the wrong ones" is basically all carbs, period.) It's easier than you think. No bread, pasta, rice, cereal/muesli, corn, fruit (other than berries, avocado, starfruit and tomatoes). Loads of eggs, above-ground veggies/leafy greens, meat, fish, poultry, nuts, dark chocolate, butter, heavy cream, full fat greek yoghurt.... www.dietdoctor.com can be a fount of information, as is The Diabetes Code by Dr. Jason Fung. (Read it together!)

He can do this without sacrificing overmuch or feeling all too miserable. But if he does do it this way, keep an eye on bloodsugars, because I don't know what meds he's on and his bloodsugars could hypo. (It is THAT effective!).

Gosh, talk about food p**n.
 
Hello shiny and welcome! First let me tag in @daisy1 for her useful info post for you and your hubby to read.
Diet as the others have said really is the key here. Do you do the cooking in your house? If so have a look at Diet Dr for loads of low carb recipes. Maybe get your husband to try a few, to show him it’s not all leaves and rabbit food. here’s a link:
https://www.dietdoctor.com/low-carb/recipes
I endorse @Rachox's and @JoKalsbeek's suggestion of dietdoctor, @Shiny_Blue03 - there are many 'manly' recipes on the website, such as Keto Tex-Mex casserole or bacon burger casserole, which are two of my favourites and great with a salad. I find the website clear and easy to use and the recipes (keto and low-carb) are also easy. The fat content in most will help with your husband's hunger and the portions are generous. Do have a look, and I wish you good luck as he really does need to act fast.
 
Hi Shiny, can you tell us a typical days diet for him?, we may be able to help with some non carb swaps or tips.
 
@Shiny_Blue03 I can see your predicament. If your husband doesn't want to change what he eats, it won't help your relationship if you try to "force" him into it by cooking the lowcarb meals. If you have to fight over every cooked meal and have to live with a person who doesn't like the new lifestyle, life becomes pretty hard.
I feel for you.
Very small changes maybe? A dietician once said to me, every change you make and make your own, is one won. So one change at the time, maybe?
Good luck...not easy for you.
 
@Shiny_Blue03
Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and helpful.

BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
Morning everyone, I am not diabetic but my husband has Type 2. He is currently doing blood sugar level tests because the Doctors are considering putting him onto insulin. Here's my question- his levels are never below 11, last night before we ate it was 32- it's all over the place. He does eat the wrong sorts of carbs but I'm having a really hard time getting him to change. He's constantly hungry because he has cut right back on portion size and feeling quite fed up (that's the nice way of explaining how he feels). I really don't know what to do. Any suggestions would be gratefully received.

Hi. Some good suggestions above. Do you have grandchildren/Children? It may be that reminding him about wanting to be there to see them grow could help? I know my diagnosis was a shock but it was wanting to be there to see my children grow and possibly grandchildren is what has driven me to control this. If you join him in healthy low carb that will help him too. Good luck x
 
Hi. Be aware that a T2 with some excess weight may not benefit much from taking insulin. Your husband may have insulin resistance and already have high insulin levels and adding to those may have little effect. As someone else has said there are other injectables such as Liraglutide etc which may be more effective. Diet is the key and I note you mention 'wrong sorts of carbs' when in fact all carbs need to be kept down. Whether you can get your husband to listen is another story of course! Try to temp him with more proteins and fatty foods together with lower carbs
 
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