Diet

pipsy2014 · Sep 13, 2014

HI, on listening to some other member who suggested that I try the low carb diet to lose weight,well I cant manage the diet,so I changed my eating plan,and dropped my bloods from eight to 4 2,and I have held the low count for more than ten days,i went to see the nurse for a sore wrist,i mentioned my results,i told her I was not taking Actos any more,i was going to manage my diabetes with my diet,she told me that diabetes is a progressive disease, she said it doesn't matter what my blood reading are,the only ones that count are the HB ones,i thought I was doing real good,ive never had my bloods so low,and then you get kicked in the teeth,for all my efforts.

Bluetit1802 · Sep 13, 2014

Oh Pipsy, what a negative nurse. She is wrong about it being progressive. It will be if you don't control it and if most of her patients are uncontrolled that could be the reason she believes it is progressive. It most certainly doesn't have to be progressive if it is well controlled. Ignore her and carry on with what you are doing. Of course it matters what your own readings are. I cannot believe this nurse ..... see a different one next time.

mo53 · Sep 13, 2014

oh dear Pipsy thats awful. Well done for doing so well. I agree with Bluetit , is there another nurse you can see?

peacetrain · Sep 13, 2014

pipsy2014 said:
HI, on listening to some other member who suggested that I try the low carb diet to lose weight,well I cant manage the diet,so I changed my eating plan,and dropped my bloods from eight to 4 2,and I have held the low count for more than ten days,i went to see the nurse for a sore wrist,i mentioned my results,i told her I was not taking Actos any more,i was going to manage my diabetes with my diet,she told me that diabetes is a progressive disease, she said it doesn't matter what my blood reading are,the only ones that count are the HB ones,i thought I was doing real good,ive never had my bloods so low,and then you get kicked in the teeth,for all my efforts.

Well done. If you control your bg by eating to your meter it follows that your HbA1c will lower. Silly nurse...

kimbo1962 · Sep 13, 2014

Bluetit1802 said:
Oh Pipsy, what a negative nurse. She is wrong about it being progressive. It will be if you don't control it and if most of her patients are uncontrolled that could be the reason she believes it is progressive. It most certainly doesn't have to be progressive if it is well controlled. Ignore her and carry on with what you are doing. Of course it matters what your own readings are. I cannot believe this nurse ..... see a different one next time.

That sounds so much like the nurse who led our "spotlight" sessions- all about what is ahead due to the "progressive" nature- wasn't at interested or impressed by my saying how my levels were reducing etc!! The other 16 patients there were all plodding on with high levels and despondent!! I wanted to scream!!

jack412 · Sep 13, 2014

""dropped my bloods from eight to 4.2, and I have held the low count for more than ten days"""

well done, great numbers
she is wrong, It's your daily average that makes up your 3 mth HB average, don't let her do any maths stuff for you
not everyone progresses, but a lot do...good BG will give you less complications long term, either way

if your BG was the result of something she did, she would take out an ad in the paper to tell everyone

jack412 · Sep 13, 2014

Bluetit1802 said:
Oh Pipsy, what a negative nurse. She is wrong about it being progressive. It will be if you don't control it and if most of her patients are uncontrolled that could be the reason she believes it is progressive. It most certainly doesn't have to be progressive if it is well controlled. Ignore her and carry on with what you are doing. Of course it matters what your own readings are. I cannot believe this nurse ..... see a different one next time.

whether you control it or not, most sources say 'most' people progress over time, unless you have a study that shows different?

donnellysdogs · Sep 13, 2014

Not evryone progresses over time.

jack412 · Sep 13, 2014

yes, I said that in my first post and will adjust my last post
about 50% of T2 will be on insulin within 6-10 years of diagnosis
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Diabetes_and_insulin

and most people will finish up on insulin if they live long enough
http://www.australianprescriber.com/magazine/27/4/93/6/
Almost all patients with type 2 diabetes will eventually fail to respond adequately to oral hypoglycaemic drugs and will require insulin therapy.

A more common problem is when and how to commence insulin in patients with type 2 diabetes who are in 'secondary failure'. The term secondary failure refers to the 'failure' of oral hypoglycaemic drugs to maintain glycaemic control. The United Kingdom Prospective Diabetes Study (UKPDS)1 clearly showed that most people with type 2 diabetes will experience progressive pancreatic β cell dysfunction, despite excellent control. The secondary failure rate in this study was 44% after six years of diabetes. Since the time of the UKPDS, targets for glycaemic control have become increasingly stringent so secondary failure of oral hypoglycaemic drugs now occurs much sooner and is almost invariable.

this is too difficult two · Sep 13, 2014

jack412 said:
whether you control it or not, most sources say 'most' people progress over time, unless you have a study that shows different?

I am cured.

donnellysdogs · Sep 13, 2014

No one is ever cured.....

this is too difficult two · Sep 13, 2014

donnellysdogs said:
No one is ever cured.....

I know but tell the 4 doctors I have seen that.
My point was that it is possible to seem ok.

donnellysdogs · Sep 13, 2014

this is too difficult two said:
I know but tell the 4 doctors I have seen that.
My point was that it is possible to seem ok.

I agree.. Only from knowing people that haven't progressed as a T2 and also T1's without complications...
But saying cured reallly is going OTT, people like me, have really ate proper good homemade foods with limited carbs......

jack412 · Sep 13, 2014

most people reduce their bg after initial diagnosis, but over time it goes up and they increase their meds, and saying a controlled BG will stop progression isnt supported.
I'd be ecstatic and dance around the lounge room, if someone can show me that it is true.. that I can control whether I progress or not

douglas99 · Sep 13, 2014

jack412 said:
yes, I said that in my first post and will adjust my last post
about 50% of T2 will be on insulin within 6-10 years of diagnosis
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Diabetes_and_insulin

and most people will finish up on insulin if they live long enough
http://www.australianprescriber.com/magazine/27/4/93/6/
Almost all patients with type 2 diabetes will eventually fail to respond adequately to oral hypoglycaemic drugs and will require insulin therapy.

The United Kingdom Prospective Diabetes Study (UKPDS)1 clearly showed that most people with type 2 diabetes will experience progressive pancreatic β cell dysfunction,..The secondary failure rate in this study was 44% after six years of diabetes. ..increasingly stringent so secondary failure of oral hypoglycaemic drugs now occurs much sooner and is almost invariable.

The point that should be remembered about these statistics is the average HbA1C that the diabetic population has, and the extremely high percentage that fail to achieve the NHS targets.
It's little wonder the studies show such high percentages with it as a progressive disease.

this is too difficult two · Sep 13, 2014

I think it is different for all of us. I had an HbA1c of 67 at diagnosis. I had self tested 3 weeks before that and had been starving myself before the test so I believe it was higher before that. It is now 35. I am very lucky. I don't know if I just caught it early. I know that I seem to be able to keep it under control by diet only.

this is too difficult two · Sep 13, 2014

pipsy2014 said:
HI, on listening to some other member who suggested that I try the low carb diet to lose weight,well I cant manage the diet,so I changed my eating plan,and dropped my bloods from eight to 4 2,and I have held the low count for more than ten days,i went to see the nurse for a sore wrist,i mentioned my results,i told her I was not taking Actos any more,i was going to manage my diabetes with my diet,she told me that diabetes is a progressive disease, she said it doesn't matter what my blood reading are,the only ones that count are the HB ones,i thought I was doing real good,ive never had my bloods so low,and then you get kicked in the teeth,for all my efforts.

why cant you manage the diet?

pipsy2014 · Sep 13, 2014

Bluetit1802 said:
Oh Pipsy, what a negative nurse. She is wrong about it being progressive. It will be if you don't control it and if most of her patients are uncontrolled that could be the reason she believes it is progressive. It most certainly doesn't have to be progressive if it is well controlled. Ignore her and carry on with what you are doing. Of course it matters what your own readings are. I cannot believe this nurse ..... see a different one next time.

pipsy2014 · Sep 13, 2014

Thanks so much to all of you that replied to me,yes there is another nurse,i will be seeing her in October,I will be keeping on with my eating plan.i intend to try and keep my blood sugars down I had two 3.5 reading this week I was really surprised,i have never had such good levels,thanks again to you all,I feel better about my results now,sue

peacetrain · Sep 13, 2014

jack412 said:
whether you control it or not, most sources say 'most' people progress over time, unless you have a study that shows different?

And there was I, thinking it was always sunny in Australia ...

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