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confused

B

billywhiz2

Active Member
Messages
28
Type of diabetes
Other
Treatment type
Tablets (oral)
Not be you diabetes, just to the forum.

Currently taking max dose of glic and canagliflozen.

I can only control bg if I have close to 0 carbs.

One slice of bread took me from 5.5 to 16.8.

Any ideas? My HCP admits she cannot comprehend why I am not going hypo.
 
billywhiz2 said:
Not be you diabetes, just to the forum.

Currently taking max dose of glic and canagliflozen.

I can only control bg if I have close to 0 carbs.

One slice of bread took me from 5.5 to 16.8.

Any ideas? My HCP admits she cannot comprehend why I am not going hypo.
Click to expand...
Hi Billy, Alhough you appear to be new to this forum, you appear not to be a newbie for diabetes. How long have you been diagnosed T2, and what do you consider max doses on your meds? if you don't eat carbs, then how do you normally control your bgl? Are you LC dieting? If so then what level of protein are you using since protein can convert to carb equivalent. unless you are fully ketogenic (fat burning) then you seem to be getting some carbs to give you a 5.5 bgl.

I react quite strongly to refined flour (white bread) and it will spike me similarly, but I find I can have a slice of seeded bread such as Hovis 5 seed, or Burgen bread. So the GI load is often important. Many processed breadloaves have significant added sugars in too.

How are you with other carbs, such as rice or potato?
 
Oldvatr said:
Hi Billy, Alhough you appear to be new to this forum, you appear not to be a newbie for diabetes. How long have you been diagnosed T2, and what do you consider max doses on your meds? if you don't eat carbs, then how do you normally control your bgl? Are you LC dieting? If so then what level of protein are you using since protein can convert to carb equivalent. unless you are fully ketogenic (fat burning) then you seem to be getting some carbs to give you a 5.5 bgl.

I react quite strongly to refined flour (white bread) and it will spike me similarly, but I find I can have a slice of seeded bread such as Hovis 5 seed, or Burgen bread. So the GI load is often important. Many processed breadloaves have significant added sugars in too.

How are you with other carbs, such as rice or potato?
Click to expand...
Okay, diagnosed 3 years.

120mg glic MR.
300mg cana

Using less than 20g of carb a day.

60-70% from fat, I do understand the protein thing.

My own opinion is that I am no longer producing insulin. All carbs refined or otherwise send me hyper. I can cope as long as I take less than 10g at any one sitting

Ps thanks for the quick reply
 
How often and when do you test?

It's important to know how to use your monitor and to use it a diagnostic tool.
So you can understand what different foods do to you.
 
nosher8355 said:
How often and when do you test?

It's important to know how to use your monitor and to use it a diagnostic tool.
So you can understand what different foods do to you.
Click to expand...
Fully aware of pre and post prandial, I test regularly as I drive for a living.

Pre without carbs I'd normally 5-6
Post its 6-7

Eat some spuds and I hurt 22-26.

On the meds I am on I should be getting hypos without carbs. Hence t the title confused

Thanx
 
billywhiz2 said:
Okay, diagnosed 3 years.

120mg glic MR.
300mg cana

Using less than 20g of carb a day.

60-70% from fat, I do understand the protein thing.

My own opinion is that I am no longer producing insulin. All carbs refined or otherwise send me hyper. I can cope as long as I take less than 10g at any one sitting


Ps thanks for the quick reply
Click to expand...
Think i have to agree with your response here. You are either not producing sufficient insulin, or, alternatively your insulin resistance has substantially increased. You need to arrange for the relevant diagnostic blood tests to be done asap. Since this will probably take a while to get organised, please make sure you understand the symptoms of DKA since you may be at risk from this now. The Canagliflozin has actually put you at greater risk of DKA even at low bgl levels. There is a thread on SGLT-2 Inhibitor meds on the medicines subthread,
http://www.diabetes.co.uk/forum/thr...-on-the-risk-of-diabetic-ketoacidosis.104325/
 
Oldvatr said:
Think i have to agree with your response here. You are either not producing sufficient insulin, or, alternatively your insulin resistance has substantially increased. You need to arrange for the relevant diagnostic blood tests to be done asap. Since this will probably take a while to get organised, please make sure you understand the symptoms of DKA since you may be at risk from this now. The Canagliflozin has actually put you at greater risk of DKA even at low bgl levels. There is a thread on SGLT-2 Inhibitor meds on the medicines subthread,
http://www.diabetes.co.uk/forum/thr...-on-the-risk-of-diabetic-ketoacidosis.104325/
Click to expand...
Thanks for the heads up on the cana. I do know the signs for DKA, have an appointment with endo booked, just trying to get my head around everything. My sister was type 1 and died at 45 due to complications.

I currently have neuropathy and auto neuropathy, diabetic blisters and multiple digestion issues. I have now list three jobs because of this and don't want to lose another one.
 
Oldvatr said:
Think i have to agree with your response here. You are either not producing sufficient insulin, or, alternatively your insulin resistance has substantially increased. You need to arrange for the relevant diagnostic blood tests to be done asap. Since this will probably take a while to get organised, please make sure you understand the symptoms of DKA since you may be at risk from this now. The Canagliflozin has actually put you at greater risk of DKA even at low bgl levels. There is a thread on SGLT-2 Inhibitor meds on the medicines subthread,
http://www.diabetes.co.uk/forum/thr...-on-the-risk-of-diabetic-ketoacidosis.104325/
Click to expand...
Sorry forgot to add, has anyone else had resistance to this level?
 
billywhiz2 said:
Sorry forgot to add, has anyone else had resistance to this level?
Click to expand...

I can relate to the high spikes from normal levels.
Also my levels, where really high when tested because of high insulin resistance along with fluctuating blood levels.

I must say that because of those readings you get, I would and I do avoid foods like the potatoes (not had one for nearly four years now).
The usual suspects for me are spuds, grains, rice, dairy and too much fruit.
I eat a lot of protein and salad vegetables. Eggs, nuts, full fat Greek yogurt and little pieces of fruit throughout the day.

Keep asking, a low carb diet actually works for good control and personal health.
 
Oldvatr said:
Think i have to agree with your response here. You are either not producing sufficient insulin, or, alternatively your insulin resistance has substantially increased. You need to arrange for the relevant diagnostic blood tests to be done asap. Since this will probably take a while to get organised, please make sure you understand the symptoms of DKA since you may be at risk from this now. The Canagliflozin has actually put you at greater risk of DKA even at low bgl levels. There is a thread on SGLT-2 Inhibitor meds on the medicines subthread,
http://www.diabetes.co.uk/forum/thr...-on-the-risk-of-diabetic-ketoacidosis.104325/
Click to expand...
Just looked at the link. I presented to a&e with similar symptoms to DKA a week ago. Turned out to be UTI. I am stopping the cana immediately.
 
nosher8355 said:
I can relate to the high spikes from normal levels.
Also my levels, where really high when tested because of high insulin resistance along with fluctuating blood levels.

I must say that because of those readings you get, I would and I do avoid foods like the potatoes (not had one for nearly four years now).
The usual suspects for me are spuds, grains, rice, dairy and too much fruit.
I eat a lot of protein and salad vegetables. Eggs, nuts, full fat Greek yogurt and little pieces of fruit throughout the day.

Keep asking, a low carb diet actually works for good control and personal health.
Click to expand...
With me it seems I am totally intolerant to carbs. I ironically a single strawberry can get me from 4 to 6.5. Which is great to prevent hypo's.

Starting to think I might be LADA
 
Are you getting recurring hypos after eating?
I too am intolerant to carbs!
 
Just thought, if you have a fructose intolerance, that may be the cause of your high spikes.
 
cz_dave said:
Could it be that you are type 1 and not type 2?
Click to expand...
I have wondered, problem is that nobody seems to join the dots up. That fact that have diabetic blisters, which are rare in type 1, let alone 2.
When I was first diagnosed, they put me on met, I ended up in hospital through shortness off breath, but was taken off and put on glic. Seemed to solve the problem, but at the time I was in a really hard physical job and lchf, so think may have covered up the true effects of carbs.
 
billywhiz2 said:
I have wondered, problem is that nobody seems to join the dots up. That fact that have diabetic blisters, which are rare in type 1, let alone 2.
When I was first diagnosed, they put me on met, I ended up in hospital through shortness off breath, but was taken off and put on glic. Seemed to solve the problem, but at the time I was in a really hard physical job and lchf, so think may have covered up the true effects of carbs.
Click to expand...
There is a standard set of tests for someone to be diagnosed with T1: c-peptide, GAD, IA2... If I was you, I would have them done.
 
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