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Diagnoised in Oct last year Type 2 - now having hypo's HELP

dottielottie

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7
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Bolton
Hi all,

I am a 39 (Just) year old lady, who in October last year was diagnoised as Type 2 Diabetic after my blood levels went upto 25 and over, over a period of weeks. (I had other symptoms, weight loss, thirsty etc and the clincher a kidney infection) I also have Underactive Thyroid which I take Thyroxine 175mgs per day.

Initially I was put onto Metformin three times a day, but even after the initial couple of weeks adjustment, I was getting terrible stomach pains, so just before xmas my doc changed me to Prolonge Release twice a day Metformin and Gliclazide 80 mg tabs, this had the effect in that it really dropped my levels, but on day two I had to ring him up, because my levels had dropped from 10 to 4.5 essentially giving me what he termed a hypo. He suggested I cut my Gliclazide tablet in half take one in the morning and do my bloods at 8pm at night if it was above 8 then take the other half, to always now carry around lucazade, and he would see me in the new year. I've also been told I have onset Diabetic Retinopathy.

I've seen my nurse, who didn't want to look at my diet at the time, because she said I was too poorly and not to worry about it to much.

Just recently I've been trying to loose weight, I need to loose about two stone, I am quite healthy and enjoy exercise when well, but have been feeling not particuarlly good for a while, and have struggled with my weight because of my Thyroid problem.

I've been having fruit and yog for breakfast, toast mid morning, weight watcher meal for lunch, fruit in between, but by 4pm, i've been getting irritable, shaking legs, shaking up the core of my body, blurred vision, nerviousness etc.... I test my blood and it has been between 4 and 5, I have to drink some lucazade and eat.... but it's the last thing I want to do.... I feel sick and have the most horrendous headache afterwards, I end up lying down but often just feel like Ive dozed and feel rubbish afterwads. Luckily i've been off work this week, as I work in a school.

This weekend has been horrible, i've woken up with headaches most days, and this morning my sugars were at 9.8 then two hours later at 6 and I was getting all of the above symptoms.

I just feel I can't win and don't know what to do.

I would appreciate any adivce possible.

Thanks x :( :(
 
Re: Diagnoised in Oct last year Type 2 - now having hypo's H

Welcome to the wonderfully confusing World of Diabetes !

As you adjust your diet and lose weight you will find that you will probably need to consult your doctor about reducing the medications. Weight loss decreases Insulin resistance in the body meaning that your own insulin is being more effective.

Here is the basic advice to new Diabetics that Ken and I give out in the hope that it will help new members understand Diabetes a bit better.


Here is the advice we usually give to newly diagnosed diabetics. We hope that these few ideas gained through experience help you to gain control and give you some understanding of Diabetes. This forum doesn't always follow the recommended dietary advice, you have to work out what works for you as we are all different.

It's not just 'sugars' you need to avoid, diabetes is an inability to process glucose properly. Carbohydrate converts, in the body, to glucose. So it makes sense to reduce the amount of carbohydrate that you eat which includes sugars.

This is NOT a low carb diet suggestion, just a reduction in your intake of carbohydrate. You have to decide yourself how much of a reduction will keep your blood glucose levels in control.

The main carbs to avoid OR reduce are the complex or starchy carbohydrates such as bread, potatoes, pasta, rice, starchy root veg and also any flour based products. The starchy carbs all convert 100% to glucose in the body and raise the blood sugar levels significantly.

If you are on Insulin you may find that reducing the carb intake also means that you can reduce your dose of insulin. This can help you to keep weight gain down as Insulin tends to make you put on weight and eventually cause insulin resistance. This should be done slowly so as not to cause hypos.

The way to find out how different foods affect you is to do regular daily testing and keep a food diary for a couple of weeks. If you test just before eating, then two hours after eating, you will see the effect of certain foods on your blood glucose levels. Some foods, which are slow acting carbohydrates, are absorbed more slowly so you may need to test three or even four hours later to see the effect that these have on your blood glucose levels.

Buy yourself a carb counter book (you can get these on-line) and you will be able to work out how much carbs you are eating, when you test, the reading two hours after should be roughly the same as the before eating reading, if it is then that meal was fine, if it isn’t then you need to check what you have eaten and think about reducing the portion size of carbs.

When you are buying products check the total carbohydrate content, this includes the sugar content. Do not just go by the amount of sugar on the packaging as this is misleading to a diabetic.


As for a tester, try asking the nurse/doctor and explain that you want to be proactive in managing your own diabetes and therefore need to test so that you can see just how foods affect your blood sugar levels. Hopefully this will work ! Sometimes they are not keen to give Type 2’s the strips on prescription, (in the UK) but you can but try!!

If you are an Insulin user in theory you should have no problem getting test strips.

The latest 2010 NICE guidelines for Bg levels are as follows:
Fasting (waking).......between 4 - 7 mmol/l........(Type 1 & 2)
2 hrs after meals......no more than 8.5 mmol/l.....( Type 2)

2hrs after meals....... no more than 9 mmol/l ......(Type 1)

If you are able to keep the post meal numbers lower, so much the better.

It also helps if you can do 30 minutes moderate exercise a day. It doesn't have to be strenuous.

The above is just general advice and it is recommended that you discuss with your HCP before making any changes. You can also ask questions on the forum on anything that is not clear.

Sue/Ken.
 
Re: Diagnoised in Oct last year Type 2 - now having hypo's H

hi dottie,
i'm recently dx type 2 only diet control at moment and don't know a lot about diabetes but slowly learning.
to me i believe hypos are when your sugars go into the 3 zone you may be getting a false hypo due to your body used to higher levels or it may be a side affect of your meds as i say i don't know but you should talk to your gp or diabetic nurse about it.
hope this helps somewhat.
Rob... :)
 
Re: Diagnoised in Oct last year Type 2 - now having hypo's H

Thanks Rob,

Getting hypo symptoms at 5 is not a bad thing actually ! It shows good hypo awareness which is a very good thing to have and to keep.

This is not a false hypo as hypo is below 4, so it is the normal reaction for anybody approaching the 'floor'.

False hypos generally occur at higher levels and are just the body being confused because it has been running at higher levels for some time and thinks that is normal.
 
Re: Diagnoised in Oct last year Type 2 - now having hypo's H

sorry sue about the false hypo as i say still learning :oops:
Rob
 
Re: Diagnoised in Oct last year Type 2 - now having hypo's H

Thanks Sue and Rob,

I need to get on top of this now..... and get it under control, I feel it's taking control of me, and I need it to be the other way around...

Sue are symptoms of bad headache and feeling cold normal ?

Thanks
Lottie x :D
 
Re: Diagnoised in Oct last year Type 2 - now having hypo's H

lister said:
sorry sue about the false hypo as i say still learning :oops:
Rob

No need to apoligise Rob. :D The important thing is that you were helping and supporting a fellow member. We have been at this for years and are still learning things.
 
Re: Diagnoised in Oct last year Type 2 - now having hypo's H

dottielottie said:
Sue are symptoms of bad headache and feeling cold normal ?

Thanks
Lottie x :D

It's not 'normal' but in a lot of Diabetics it can be one of the many symptoms of low blood sugar levels.
 
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