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Confused.com

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Daineale

Member
Messages
9
Type of diabetes
Type 2
Firstly, I'd like to say hiya to all the members of this informative platform on topics that, to me at times, seem to border on the mystical black arts.

Earlier last year (Feb) l was rushed to hospital with DKA. Having lost 24Kgs over a 9 day stay (120 down to 96Kgs), l was diagnosed with T1D and given 50/50 Nova mix pens and Metformin (3,000) a day.

Subsequent testing in June revealed l wasT2D. My treatment for T2D was Metfomin 1000 twice a day. My reaction to this medication was severe prolonged bouts of diarrhoea. That being said my average morning and evening BG readings was about 5.2 with very little variation throughout the day.

Because of my problems with Metformin, 3 weeks ago my Diabetes Consultant put me on Victoza plus 1x500 Metformin in the mornings. Since this change my tummy's settled down and I've not had any documented side effects associated with Victoza . HOWEVER, my BG readings have gone haywire; mornings ranging from 4.9 to 10.4 and my evenings 8.6 to 13.9!! Scary stuff indeed!!

My two hour post prandial BG reading is getting worse, anything from 10 up to 13.9 and it takes 5/6 hours before my BG comes down to anywhere near my pre- meal BG reading. My eating habits haven't changed (l believe I'm eating healthier now than pre diabetic diagnosis).

I am so very sorry of the length of this missive but does anyone have any ideas of what l should do? I am very confused and worried right now.

Thanks
 
I'm totally off high carbs and only eat white meat grilled. Love my salads, fruits and greens. My weakness is a couple of pints of non gluten real ales twice a week in the afternoons
 
Fruits may be a problem? Some are high carb, like bananas and grapes - one medium-ish banana can contain 24g. This might help, although I did have to laugh (sardonically) at the video ad for banana pancakes, with ripe banana and oatmeal! There are other lists. https://www.livestrong.com/article/288251-high-fiber-foods-for-a-diabetic/ Sadly, my faves - mango, quava, pawpaw etc are off the menu
 
Wow! Ok but l don't eat fruit in the evenings. So why does my post meal BG take so long to recover?
 
Daineale said:
Wow! Ok but l don't eat fruit in the evenings. So why does my post meal BG take so long to recover?
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Are you on a fixed dose of insulin and therefore supposed to eat a fixed amount of carbs per meal, or are you able to alter your dose according to how many carbs you eat and therefore can eat as many or as few carbs as you wish?
 
Hi, I'm not on insulin anymore, now on Victoza. My dietary needs are down to me however, l am acutely aware of most things l eat
 
All I can suggest is you return to your doctor and tell him what is happening to your glucose levels.
Metformin is a mild drug and only helps lower blood glucose to a very limited extent. It does not help with post meal levels. It is more likely to help with morning fasting levels.
Victoza is stronger. It stimulates the pancreas to produce extra insulin and if it is working properly should keep your post meal levels down (providing you do not over do the carbs.) It is always possible you are eating more carbs than you can personally tolerate.
How many do you eat at each meal time?
 
To be very honest with you my food intake is quite poor My morning consists of a handful of nuts or a digestive biscuit (maybe two). No lunch and evening meal probably some salad and fish or some Riyveta and cheese
 
Daineale said:
To be very honest with you my food intake is quite poor My morning consists of a handful of nuts or a digestive biscuit (maybe two). No lunch and evening meal probably some salad and fish or some Riyveta and cheese
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Ouch - if what you are eating now is healthier than before diagnosis I can only say - would you like to come round to mine for your tea?
Biscuits and crackers do not get a look in - I eat twice a day, but start the day with coffee and cream, then I might have kippers, sausages, bacon, eggs in some form, sweet peppers, mushrooms, a tomato, or leftovers from dinner. In the warmer months I eat a lot of salads. If I am going out for the day then I might add some nuts, but again I go for the lower carb ones.
That takes me right through until evening and I eat any sort of meat or fish, along with courgette, cauliflower, mixed veges from the freezer, anything low carb, - I look for the lowest cab mixtures, and also frozen berries and cream for dessert - and I might have sugar free jelly or even real custard made with eggs and cream.
Apples and pears are probably not good choices as they tend to be fairly large and sugary. I do eat apples when they are on my trees, but the garden is organic and the apples tend to be small and numerous. Testing and adjusting the menu to reduce the two hour levels is what worked for me.
I got post dinner levels of 5.6 mmol/l over Christmas - I was quite surprised, but hope that it means I can cope with slightly higher levels of carb now.
 
I should add that for the last week or so, my pre meal readings have been 8.5 - 10.0
 
Well, to find a silver lining in this, at least you're T2 instead of T1. There's a very realistic hope of putting this into remission. I know low-carb eating has helped a lot of people here (myself included), so you may want to read up on it. Here's a list of food info you might find helpful: https://www.dietdoctor.com/low-carb/foods
 
You also might want to look into magnesium supplements. Most people are deficient in this, diabetics in particular. In fact, magnesium deficiency may be a contributing factor toward T2. It's supposed to help regulate sugar levels. My bg levels have been as high as yours, higher in fact, and magnesium has really helped. I've had to lower my medication to avoid hypos as a result.
 
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