Doctor soon.

I know nothing about meds or LADA, but may I ask exactly what you do eat? If you tell us a typical day's menu, perhaps we may have some pointers for you.

there are a few people with lada ...maybe a thread for that ...and insulin discussion ....hope you get some help ...bestbwishes kat

Sorry my fault you are on the right thread ...someone will know about the above , sorry you are going through this .

Hi everyloud,
I assume you are LADA. If so and you have bg levels above 10, I think you have two choices. 1) ask for insulin or 2) go very low carb

As bluetit says, if you give us an example of your daily food intake we may be able to advise if you can reduce carbs further.

If you ask your Dr about low carb, he / she will likely be unable to advise further because in doing so it would go against NHS policy, so you will likely get no help with it.

A very low carb (no potatoes, no bread, no pasta, no rice etc) could well delay the inevitable insulin by months even many years. If you think you may want to go very low carb, this is the best place to ask questions.

Hi. Are you normal weight? If so then LADA becomes possible. If overweight then you may need to reduce the carbs further. There are further tablets that are commonly prescribed e.g. Gliclazide and Sitagliptin. The former is of limited use if you are overweight and insulin resistant as it will just add more insulin that you already have too much of. Sitagliptin will have similar limitations and so will insulin. If you are not overweight and possibly LADA then you may need to go thru the tablets I've mentioned and/or move to insulin which is not the problem you might think.

You certainly could go lower carb, and this likely will lower your blood sugar levels. Maybe worth a try.
Granola, pasta (even wholemeal) and tomato sauces all have highish carbs.

To go lower carb would mean no bread, no pasta, no rice, no potatoes, virtually no readymade sauces (Mayo is ok / good, so are most coleslaws)

Most LADA's have an underweight problem. I am lada and find it difficult to hold / put weight on.
If you are LADA most advice is to avoid all medications except maybe Metformin. LADA can normally be diagnosed with a GAD test, ask your GP for this test, especially if he / she 'thinks' you may be LADA.

There was a short discussion on Granola recently on another thread. It was spiking the poster far too high, even on reduced portions. I suggest you ditch this and have a different breakfast. Similarly the pasta and tomato sauce. Shop bought sauces are packed with carbs because they use starchy stuff to thicken it. You need to read some of the food labels. You may have a shock how many carbs you are eating. It's worth a try if you want to avoid insulin.

Test before you eat and then again 2 hours after. Try to keep any rise under 2mmol/l by amending the carb portions in that meal. Ideally as low as 1.5mmol/l.

HI
16 stone and blood glucose 9, I think you have a good chance with diet, is there a reason he didn't prescribe metformin? it's normally the first drug

with metformin and diet it took about 3 weeks to see normal levels
I would cut all grain=rice etc grain product= bread pasta etc starch veg=potato corn. fruit and sugary stuff and it should soon drop, or do the newcastle diet
in anycase it should be enough to keep you off insulin for a while or a smaller dose

http://www.dietdoctor.com/lchf it’s a long page and a video

For me, the more carbs we eat the more carbs we want. they don’t give up easy.
http://lowcarbdiets.about.com/od/lowcarbliving/a/Food-Cravings.htm
http://lowcarbdiets.about.com/od/lowcarb101/a/firstweek.htm

blood testing
http://www.phlaunt.com/diabetes/14045524.php
http://www.homehealth-uk.com/medical/blood_glucose_monitor_testing.htm

food counting
http://www.myfitnesspal.com/

another diet site
http://www.lowcarbdietitian.com/blog/carbohydrate-restriction-an-option-for-diabetes-management

Newcastle diet aims in 8+ weeks to mimic the rate of ~70% remission, for surgery T2
“It is now clear that Type 2 diabetes is caused by abnormal fat storage. Research on how this may be reversed is available. “click that link on this page http://www.ncl.ac.uk/magres/research/diabetes/
Lectures
http://www.fend-lectures.org/index.php?menu=view&id=94
http://www.ncl.ac.uk/events/public-lectures/item.php?roy-taylor-diabetes



American diabetic association ( http://www.professional.diabetes.org/)
http://www.professional.diabetes.org/admin/UserFiles/0 - Sean/dc132042 FINAL.pdf
Evidence is inconclusive for an ideal amount of total fat intake for people with diabetes;
therefore, goals should be individualized; fat quality appears to be far more important than quantity.
In people with type 2 diabetes, a Mediterranean-style, MUFA-rich [mono fats-rich] eating pattern may benefit
glycemic control and CVD risk factors and can therefore be recommended as an effective alternative to a lower-fat, higher-carbohydrate eating pattern.

SD codefree meter
http://www.homehealth-uk.com/medical/blood_glucose_monitor_testing.htm
if you buy extra boxes of strips there is a discount code ..5 packs 264086

EveryCloud said:

It I am on metformin at the moment, it was a fasting test finger prick they did, I hadnt had breakfast, I never asked what my HBA1C was at. Main concern was that my arms were loosing definition and skinny compared to my body, doctor said he could see it. More bloods to be taken. I follow fairly low carb, lower than the NHS diet anyway, god knows what my levels would be at otherwise.

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I would contact the doc again and insist on the GAD test. If you have to wait then I'd contact the diabetic dept at your nearest hospital and express your concerns. You might get the test quicker. In the meantime I think you should seriously consider the diet doc website which @jack412 posted. The less carbs the better for your bs. I am type 2 and my bs was somewhere between 13-16 fasting. It's now in the 6s fasting and the mid 5s by midmorning. Good luck!

EveryCloud said:

It I am on metformin at the moment, it was a fasting test finger prick they did, I hadnt had breakfast, I never asked what my HBA1C was at. Main concern was that my arms were loosing definition and skinny compared to my body, doctor said he could see it. More bloods to be taken. I follow fairly low carb, lower than the NHS diet anyway, god knows what my levels would be at otherwise.

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I would cut my carbs right back...it's good that you are on metformin and it;s been a month and you BG has come down for before..but it it' isn't an insulin/diet either/or, whether you are T2 or late onset T1 diet is important..I would cut the carbs more and get your BG down..this will also drop weight.

the first 2-3 days suck, then you don't crave for them
http://lowcarbdiets.about.com/od/lowcarbliving/a/Food-Cravings.htm
http://lowcarbdiets.about.com/od/lowcarb101/a/firstweek.htm

EveryCloud said:

It I am on metformin at the moment, it was a fasting test finger prick they did, I hadnt had breakfast, I never asked what my HBA1C was at. Main concern was that my arms were loosing definition and skinny compared to my body, doctor said he could see it. More bloods to be taken. I follow fairly low carb, lower than the NHS diet anyway, god knows what my levels would be at otherwise.

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What does "fairly low carb" mean to you? I'm not challenging your integrity or anything else, but going lower carb than the NHS guidance doesn't really say much to be honest.

Fairly low to me is around 100g per day (I am on 36g). I think NHS guideline is around 250g. If you cut out all potatoes, all bread, all rice and all pasta you would probably be around 100g per day.

if you are hungry..eat more fats and oils in your diet, they replace the lost carb energy, eat normal amounts of protein

jack412 said:

if you are hungry..eat more fats and oils in your diet, they replace the lost carb energy, eat normal amounts of protein

Click to expand...

Nice downward tweak in your stats Jack.

AndBreathe said:

Nice downward tweak in your stats Jack.

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thank you, it's looking good
except for my triglycerides, which I had hoped was going to be under 1...still losing weight and some fatty liver still ..maybe?
my egfr was down a bit, but still good and that can also be affected by weight loss