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<blockquote data-quote="Daibell" data-source="post: 1391310" data-attributes="member: 21149"><p>Who am I to disagree with your GP, but it's a fact that many T2s with excess weight have insulin resistance where the pancreas keeps pumping out insulin but the muscle cells can't use it due to fat deposits. This means insulin levels in the blood may already be high. There is a test for this (c-peptide) but it's expensive and rarely done. I suggest you carry on with a low-carb diet and you should find that both your blood sugar and weight gradually go down. We would all say that using your meter every so often is essential. You may well have to fund your own test strips as I did and get a free meter from a brand name company or buy the SD Codefree from the web. My advice is not to wait to see the dietician before changing you diet. The more you read these forums you will see that reducing the carbs is the way to start and have enough fats and proteins to keep you feeling full. Many NHS dieticians, sadly, haven't a clue about diet and may well suggest having carbs with every meal and make your diabetes worse; it's a mad world we live in! So keep up the good work and perhaps tactfully suggest to your GP at some point about going over to Metformin. I had the opposite problem as a T1. I was started on Metformin and had to suggest to my GP to start Gliclazide which he readily agreed to! BTW I have sweeteners which in the quantities we have are not a problem. There is a current argument that they encourage the brain to seek out sweet foods. I haven't found that but just don't have things too sweet.</p></blockquote><p></p>
[QUOTE="Daibell, post: 1391310, member: 21149"] Who am I to disagree with your GP, but it's a fact that many T2s with excess weight have insulin resistance where the pancreas keeps pumping out insulin but the muscle cells can't use it due to fat deposits. This means insulin levels in the blood may already be high. There is a test for this (c-peptide) but it's expensive and rarely done. I suggest you carry on with a low-carb diet and you should find that both your blood sugar and weight gradually go down. We would all say that using your meter every so often is essential. You may well have to fund your own test strips as I did and get a free meter from a brand name company or buy the SD Codefree from the web. My advice is not to wait to see the dietician before changing you diet. The more you read these forums you will see that reducing the carbs is the way to start and have enough fats and proteins to keep you feeling full. Many NHS dieticians, sadly, haven't a clue about diet and may well suggest having carbs with every meal and make your diabetes worse; it's a mad world we live in! So keep up the good work and perhaps tactfully suggest to your GP at some point about going over to Metformin. I had the opposite problem as a T1. I was started on Metformin and had to suggest to my GP to start Gliclazide which he readily agreed to! BTW I have sweeteners which in the quantities we have are not a problem. There is a current argument that they encourage the brain to seek out sweet foods. I haven't found that but just don't have things too sweet. [/QUOTE]
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