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<blockquote data-quote="EllieM" data-source="post: 2285546" data-attributes="member: 372717"><p>I was on one for the first dozen years of my life (yes, I'm that old). But if you're on a fixed mixed dose you need to count your carbs and have the same amount at the same time each day. If the diabetic nurse isn't talking about carb counting at all then that suggests to me that either he/she is negligent, and/or that [USER=527398]@Artigas[/USER] is still producing some insulin to help counteract the carbs.</p><p></p><p>For the nurse to say that diet is unimportant is mind boggling though, as whether T3c or T2 diet is very important (even if it's only carb counting that strawberry cheesecake<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" />).</p><p></p><p></p><p>Well, I guess it wouldn't be impossible to be both??? T3c (so reduced insulin production) and T2 (insulin resistance so you need to pump out more insulin for your carbs, and your pancreas just isn't up to it)??? But either way going lower carb is probably worth a try, as it should reduce any insulin resistance and reduce the demand on the pancreas. </p><p></p><p>But you do need to be <strong>very </strong>careful when you reduce carbs if you are on insulin, as that can lead to hypos and some T3cs have reduced ability to cope with hypos because not only is their insulin production reduced, but so is glucagon production (glucagon signals the liver to pump out sugar if your blood sugar goes low). Please tell me the nurse at least told you about hypos? That is critical information for anyone on insulin.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2285546, member: 372717"] I was on one for the first dozen years of my life (yes, I'm that old). But if you're on a fixed mixed dose you need to count your carbs and have the same amount at the same time each day. If the diabetic nurse isn't talking about carb counting at all then that suggests to me that either he/she is negligent, and/or that [USER=527398]@Artigas[/USER] is still producing some insulin to help counteract the carbs. For the nurse to say that diet is unimportant is mind boggling though, as whether T3c or T2 diet is very important (even if it's only carb counting that strawberry cheesecake:)). Well, I guess it wouldn't be impossible to be both??? T3c (so reduced insulin production) and T2 (insulin resistance so you need to pump out more insulin for your carbs, and your pancreas just isn't up to it)??? But either way going lower carb is probably worth a try, as it should reduce any insulin resistance and reduce the demand on the pancreas. But you do need to be [B]very [/B]careful when you reduce carbs if you are on insulin, as that can lead to hypos and some T3cs have reduced ability to cope with hypos because not only is their insulin production reduced, but so is glucagon production (glucagon signals the liver to pump out sugar if your blood sugar goes low). Please tell me the nurse at least told you about hypos? That is critical information for anyone on insulin. [/QUOTE]
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