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Fed up of feeling like this.

Csfrowantree

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People that dont understand diabetics and all that goes with having diabetes
Hi,

Got home last night feeling really tired after being at my sons swimming gala, had a small snack and went to bed at midnight. Unfortunately had to get up again at 5.45 oh well. Tested blood at 6am all ok at 7.1 had a yogurt and plum as that is all I can stomach at that time in the morning, feel great or at least reasonable till lunch time, tested BS for a change before lunch now 6.5 thats not to bad. Had lunch of bowl of lentil soup, wholemeal roll with cheese and coleslaw and a tangerine.
Now 1hr later feel my usual **** self, tired, slow, sore legs generally as if my BS is high. I will test again at 3.15, 2hrs post prandial to see how things are going.
I have tried going almost completely without carbs and I go hypo quite quickly, not happy so dont feel I can get on with that method.
Maybe try next time reducing carbs to say 100g per day and see how I get one with that, currently on 240mg of Glicazide and dont really want to go any higher.
Any suggestions welcome.
No matter what I eat I seem to get spikes not huge but going up to about 14mmol at the highest. and can then drop to 3.6 if I dont eat enough before I excercise.
Still wondering if its type 1.5
Next HBA1c not until august which is a long way from now if I have to feel like this each day, DN says she will review again then.
 
Lentil soup sends my blood sugars into orbit and that is home-made soup so there is no additives in it. Your wholemeal roll is also high in starchy carbs so again, would raise your blood sugar levels.
If it is commercial coleslaw then there are also added sugars in that and the tangerine would add some as well. Sounds like a high one hour 'spike'. Next time you feel like that test at one hour as well to see what the spike is.

You do not have to go completely without carbs, just reduce them down to a level where you can keep your blood sugars under control.

Below is the info we give to new type 2's which you don't seem to have been given yet. See if any of it helps you.


Here is the advice we usually give to newly diagnosed type 2 diabetics.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.

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.

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 affect 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 !!

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

Sue/Ken.
 
Hi Sue,
Just tested my blood 2hrs post prandial and at 9.6mmol I know thats not really high but am not happy with sugars this high when on such a high dose of Glicazide 240mg. I presume I should be down to pre-meal levels by now of around 7 or less. Will keep on trying, I am not going to let diabetes rule my life but also want a decent life to live.
That seems to be the main problem in that it takes ages for my BS to go down to pre-meal levels.

Thanks
 
Sorry to hear that. Have you tried some exercise to try to level out the spikes post prandial? It seems to work for me but I can't say for sure it affects everyone the same.

I would also concur about the meal carbs content even yoghurt... then again it should come down again at some point.

A long shot but maybe the pills are duff...
ATB 8)
 
It really is probably down to the foods that you are eating, either too many carbs or perhaps the portions are too large. Portion size is very important.

It may be advisable to eat off a smaller plate, smaller bowl, so that it looks a lot but it fools your brain into thinking it's a lot as it is a plateful. That will cut the carbs and portion sizes down considerably.

I weigh out foods so that I can tell exactly how many carbs are in that portion. That way I am able to eat many of the foods that may be taboo because the portions and carbs are reduced.

As for 9.6 not being really high.........oh yes it is ! :( As a T2 the levels shouldnt go over 8.5, preferably much lower. It may take time and a bit of trial and error. Just take on board the info that Sue has posted. It is a good solid basis for improving those levels. If you are not sure about something just ask.

As for the Gliclazide it is a medium dose as the max is 320g, if you control the carbs and portions you may find that you could even reduce the Gliclazide. Eating no carbs with this med could have quite easily sent your Bg levels way too low.

Ken
 
Dear Sue and Ken,

Thanks for the info just to give you guys a bit more info, I am 41 yrs old and live a very active life, I swim at least three times per week and go for a regular walk. I also have a very busy full time job, as well as many voluntary activities. However lots of these are now coming to an end as I feel so tired most of the time

My waist measurement is 32/33'' and I weigh about 12 stones so no overweight or at least not by much, I have a family history of Type 2 mother diagnosed in her late 60s and currently 82 and o n insulin.

As for portion size I eat reasonable portions and have not put on any weight in fact I have lost weight in the last two to three years.

I am reasonably careful in terms of what I eat, I have cut out all added sugars as much as possible, and have also cut down on Carbs, max three small potatoes and lots of Veg.

As I said I want to be able to carry on with my life abeit at a slower pace without having any complications. Just not sure if I have the time at the moment to seriously count carbs as much as you guy's. However I will get a carb counter book and see how I get on.

Thanks
 
Just one more thing.

My HbA1c have been.

7.2- 7.8 -8.2- 7.8

Hopefully the next one will be lower but if my BS levels are still like this I doubt it.
 
Thanks for that info. Just stick at it and it will get better. We all had to start somewhere and we have all made mistakes. Trial and error is the name of the game.

I thought that I was doing everything right till I came here and quickly realised that what I thought was a 'healthy' diet was totally wrong for me. After digesting all the info here and putting it into practice, my Bg levels all dropped to 98% on target and I have never felt better or more livelier.

Best of luck from Sue and I. We are usually around to help. :D

Ken / Sue
 
New ?? :?

Been doing it for a while.......if it's a joint effort we post that way.......if not we are individuals. Simples. :D
 
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