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Detected With Type2 And Cannot Lower My A1c With Medication, Food Control And Even With Workout.

Discussion in 'Diabetes Discussions' started by umasankar.k2006, Sep 14, 2018.

  1. umasankar.k2006

    umasankar.k2006 Type 2 · Member

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    Hi All,
    I am new to this forum.
    In dec 2017 found out that I am type2, since then I am prescribed with Metformin 3 times a day,
    After 3 months My A1c was 94, Metformin dose changed to 2 in morning and 2 in the night.
    After 3 months A1c came to 85, added Alogliptin once a day.

    So now A1c is still at 82, met GP. GP told that there is no much improvement I might need Injective medicine. But he recommended me to Diabetic Nurse. Waiting to see her.

    I do not take any form of Sugar apart from natural, since I am asian I take rice in the after noon and in the night wheat bread. I go to gym and run on threadmill for 30 min with interval of walk.

    I am not overweight (66kg).

    I worried about the injective medicine.

    Any suggestion or information will be greatly appreciated. thanks in advance.
     
  2. ziggy_w

    ziggy_w Type 2 · Well-Known Member

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    Welcome to the forum, @umasankar.k2006. I am tagging @daisy1 for some really helpful information that she posts for all newbies.

    Lots of us T2s are controlling our blood sugar levels by eliminating most carbs (like bread, rice, pasta, cereals and tropical fruits) from our diet. I was diagnosed in May 2015 with an HbA1c of 100 and was able to bring it down to a non-diabetic level. So, it is quite possible that you can do this too -- it's probably worth trying anyway.

    Have a read around the forum and ask if you have any questions. There are loads of knowledgeable, friendly and helpful members around who will be eager to help.

    Edited for clarity.
     
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    #2 ziggy_w, Sep 14, 2018 at 12:18 PM
    Last edited: Sep 14, 2018
  3. Arab Horse

    Arab Horse Type 2 · Well-Known Member

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    Sorry to hear that you are not improving but it can take time.

    I to struggle with my glucose levels. I can't eat rice or bread or anything "carby", I have to just eat vegetables, protein and fat so no rice, bread, pasta, potatoes etc and I even have to have very few beans, lentils etc.
     
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  4. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    Hi and welcome to the forum @umasankar.k2006

    Have a good read of Daisy's post when she arrives, and take note of the role of carbohydrate.

    You say you don't take any form of sugar apart from natural sugar. I'm afraid to say that natural sugar is still sugar, and will cause your blood sugar levels to rise, and it isn't just sugar. All carbohydrate turns to sugar once inside the system, especially starchy foods like rice, potatoes, bread, pasta, and grains (such as wheat). Also fruit is very high in sugar. If you want to lower your A1c and avoid injecting insulin, you do need to reduce the amount of carbs you are eating. Whatever you are currently eating clearly isn't working for you..

    Have you got your own blood glucose meter? If not I strongly urge you to buy one, otherwise you are working blind. A meter will help you make better food choices and will show you at a glance what each of your meals are doing to your levels. (We test before we eat and again 2 hours after first bite - this tells us what is happening in out blood stream)

    Have a good read round the forums, and ask as many questions as you like.
     
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  5. umasankar.k2006

    umasankar.k2006 Type 2 · Member

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    Thanks @ziggy_w @Arab Horse
    I too have read that need to eliminate carb, meaning low card diet. But i was thinking it was for overweight persons, to reduce weight which will improve insulin production. May be I misunderstood.

    And I am vegetarian so I do not eat egg, fish and meat.

    I am struggling to find what to replace rice, wheat.
    @Arab Horse , you do not eat rice, bread and pasta at all??
     
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  6. umasankar.k2006

    umasankar.k2006 Type 2 · Member

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    Thank you
     
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  7. Indy51

    Indy51 Type 2 · Expert

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    You might find the Indian diabetes forum helpful as it's tailored to the asian style of eating but with a low carb approach:

    https://www.dlife.in/
     
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  8. Dr Snoddy

    Dr Snoddy Type 2 · Well-Known Member

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    Hi, there is a thread on this forum for low carb vegetarians and I have found avocadosevenfold's posts really interesting as I think s/he is actually vegan.
     
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  9. ziggy_w

    ziggy_w Type 2 · Well-Known Member

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    On a low-carb diet, we generally make up the carb-based calories with fat if we want to avoid losing weight.

    Do you consume dairy? If yes, cheese and cream are very good options.

    With respect to carb-based foods, you can for example replace rice with cauliflower rice (cauliflour blitzed in a food processor), noodles with spiralized zucchini. There are also recipes for bread made from nut flours (a good site for this is the website dietdoctor.com -- no need to sign up unless you want to, the recipes are generally free). There are low-carb (Explore Cuisine) or no carb (konjak) noodles also. I also sometimes use lupin beans, which are very low in carbs, to make hummus.

    Dietdoctor.com also has vegetarian and vegan meal plans and I believe there is a subforum here for vegetarians, if I am not mistaken.

    So, are plenty of options even if you don't eat meat, fish and eggs.
     
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  10. umasankar.k2006

    umasankar.k2006 Type 2 · Member

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  11. sahmraw

    sahmraw Type 2 · Member

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    I would die on that diet. I could not live without beans and lentils as I eat no red meat at all and most fish. I only eat salmon and that is expensive. I can eat chicken but I get sick of it if I have it too often. Eggs and cheese allergies.
     
  12. Circuspony

    Circuspony Type 1 · Well-Known Member

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    Are you definitely type 2? Had your doctor done any tests to rule out type 1?
     
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  13. Guzzler

    Guzzler Type 2 · Master

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    There are some lovely low carbohydrate meals on YouTube. Look out for 'HeadbangersKitchen', Sahil makes lovely Asian food.
     
  14. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    @umasankar.k2006

    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you want and someone will be able to help.

    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.
     
  15. kokhongw

    kokhongw I reversed my Type 2 · Well-Known Member

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    Reducing carbs is a good start. But it would help to have a glucose meter to check your before/after meals glucose levels to see how your food choices affects you.

    Here are some meals suggestion, see if there is any that suits you:-
    https://www.ditchthecarbs.com/low-carb-vegetarian-meals/

    Also if you are not overweight, then it would be prudent to confirm if you are actually Type2 by asking for C-peptide, GAD antibodies test to rule out the possibility of LADA/Type-1.
     
  16. umasankar.k2006

    umasankar.k2006 Type 2 · Member

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    Hi everyone,
    Thank you each and everyone for your valuable information.

    So I started to test on myself with food and glucose meter and following is the result for three days.
    Please note I take medicine -

    metformin 500mg (2 tablets) - Morning
    metformin 500mg (2 tablets) + Alogliptin 25mg (1 tablet)- Morning

    Sunday 16th September

    Breakfast: Grain dosa
    Blood test before lunch (3 hours after breakfast) 8.5 mmol/l
    Lunch: Finger millet flour balls with gongura dal
    Blood test after 2 hours of lunch 15 mmol/l ----- Very bad So I decided not to eat again.
    Evening: 30 min gym treadmill
    Blood test after gym 6.1 mmol/l ---- I was surprised to see this.

    Dinner : grain dosa with gongura dal and curd
    Blood test 2 hours after dinner 8.2 mmol/l ---- I hope this is good.

    Monday 17th September
    Breakfast:
    Whole wheat bread 2 slices + soaked green gram
    Blood test before lunch (4 hours after breakfast) 8.8 mmol/l
    Lunch: wheat chapati 2 , moong dal sambar, pepper salad, basmati rice 1/2 cup with curd
    Blood test 2 hours after lunch 11.9 mmol/l ---- Bad so I have decided not to eat wheat flour again
    Evening: 30 min gym treadmill
    Blood test after gym 6 mmol/l
    Dinner: broken wheat upma, curd, avocado
    Blood test 2 hours after dinner 10 mmol/l -- Again bad choice.
    Tuesday 18th September
    Breakfast:
    grain dosa with mint chuteny after one hour pear and coffee
    Blood test before lunch 6.9 mmol/l
    Lunch: salad with cheese. Cooked vegetables, green gran and curd.
    Blood test after lunch 8.8 mmol/l --- Not bad as I thought.
    Evening snacks : apple, walnut and almonds soaked.
    30 min gym treadmill​
    Blood test after gym 7.6 mmol/l -- Little surprised may be apple or workout effect.

    Dinner: Rajma beans curry with cheese, buttermilk
    Blood test after dinner 7.9 mmol/l ----- Happy on the third day.




    So, Overall I felt Tuesday went well for me. So I have decided not to eat wheat flour, millet flour, rice and bread until I see this is consistent. I am going to meet my diabetic nurse soon, So I will show the same results with her and get the feedback.

    I have few questions:
    1) Am I missing anything by avoiding wheat flour, millet flour, rice and bread??
    2) I hope I will not be considered for injection medicine with above results.

    Please people let me know how can I improve from here to reduce my medicine dosage.
    My weight is 66.9 kg and I am in ideal range (56 kg to 75.6).
     
  17. archersuz

    archersuz Type 2 · Well-Known Member

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    I don't eat rice bread, pasta, biscuits, crisps, wheat, oats, or 'underground veg' except for a few new potatoes occasionally.
     
  18. Providence 62

    Providence 62 LADA · Well-Known Member

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    Agreed! Sahil rocks! Does quite a lot of vegetarian food too.
     
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  19. Chronicle_Cat

    Chronicle_Cat Type 2 · Well-Known Member

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    Umasankar.k2006 I don't eat potatoes or grains either myself. If they send your bloodsugar up, it is best to avoid them as you have decided.

    Although Sahil of Headbanger's Kitchen isn't a vegetarian, he does have some recipes that would be hopefully be good for you. I've been wanted to try his low carb dosa myself but haven't got to it yet (made with almond flour - it does contain a small amount of cheese in it, I know some Indian vegetarians eat cheese.)


    There is this youtube presentation from a conference by Dr Kesar Sadhra in which he discusses the (south) Asian diet and diabetes (from the point of view a doctor with a large (south) Asian population among his patients). I'd love to have the alternative chappati recipe that he refers to.


    .Are you Telugu by any chance? (I noticed the gongura and I know how popular it is with Telugu people - My son-in-law is from Andhra Pradesh. )
     
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    #19 Chronicle_Cat, Sep 19, 2018 at 12:13 AM
    Last edited: Sep 19, 2018
  20. umasankar.k2006

    umasankar.k2006 Type 2 · Member

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    Hello
    Yes , I am from Andhra Pradesh
     
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