Feeling weak

[Adeeb]

I have been recently diagnosed with T2D, I was able control my blood sugar and HbA1c to near normal levels, but I feel weak all the day time? How can this be explained?

 

[mouseee]

There could be all sorts of reasons and we can't diagnose. However, if you give us a bit more detail we might be able to help you consider the reasons and suggest what to ask the gp or DN.
What was your hba1c at diagnosis and what have you been eating to manage the numbers? Also, what meds are you on?

 

[Adeeb]

Thank you for your reply,
My HbA1c was 9.6 at diagnosis.
I abstained from bread, rice and sugar.
I depend on Vegs and proteins for my diet.
I used empagliflozin for 3-4 mo then I stopped using it.

 

[ianf0ster]

Hi @Adeeb and welcome to the forum.

I can't tell from what you have said about what you eat, but could it be that your diet is too low in fat or in total calories?

Even for those T2 diabetics who need to lose weight, it is mainly the carbohydrates that need to be reduced (all digested carbohydrates turn into glucose, raising blood glucose). But there is no need to reduce Fat (which for most people doesn't make them fat - it's the carbs that do that through stimulating Insulin, which is the fat storage hormone.

 

[JoKalsbeek]

I have been recently diagnosed with T2D, I was able control my blood sugar and HbA1c to near normal levels, but I feel weak all the day time? How can this be explained?

At this time of year, we've just had a winter where we didn't get any Vitamin D from the sun, and the sun's not giving off enough UV rays yet to stimulate our own D processes. So a lot of people are fatigued, may experience bone pain and the like, just because they're very low in vitamin D, this time of year. Or it could be a thousand other things. Like too little fats/protein in your diet, low on other vitamins, iron deficiency, thyroid issues etc.... If you can rule out high blood glucose, there's a plethora of other things that can cause issues with weakness. If you can, get a full work-up from the lab through the GP, see what's amiss. Because we can't diagnose, we can just guess, and a GP can actually get some results for you. (You could possibly get in touch with the practice and request it all through an app, the assistant or whatever, if getting an appointment with the GP is difficult due to overtaxation of the NHS). It could also just be that you've only recently changed your diet and you're a little low on electrolytes. (Keto flu). Just get in touch with someone who can check things for you, properly. Quite often it's an easy fix, believe it or not, you just have to know where the issue lies.

Good luck, and I hope you feel better soon!
Jo

 

[Adeeb]

At this time of year, we've just had a winter where we didn't get any Vitamin D from the sun, and the sun's not giving off enough UV rays yet to stimulate our own D processes. So a lot of people are fatigued, may experience bone pain and the like, just because they're very low in vitamin D, this time of year. Or it could be a thousand other things. Like too little fats/protein in your diet, low on other vitamins, iron deficiency, thyroid issues etc.... If you can rule out high blood glucose, there's a plethora of other things that can cause issues with weakness. If you can, get a full work-up from the lab through the GP, see what's amiss. Because we can't diagnose, we can just guess, and a GP can actually get some results for you. (You could possibly get in touch with the practice and request it all through an app, the assistant or whatever, if getting an appointment with the GP is difficult due to overtaxation of the NHS). It could also just be that you've only recently changed your diet and you're a little low on electrolytes. (Keto flu). Just get in touch with someone who can check things for you, properly. Quite often it's an easy fix, believe it or not, you just have to know where the issue lies.

Good luck, and I hope you feel better soon!
Jo

I agree with you, you got to the point, I measured Vit D level and was low, I started weekly dose of 5000 Units.

 

[Adeeb]

Hi @Adeeb and welcome to the forum.

I can't tell from what you have said about what you eat, but could it be that your diet is too low in fat or in total calories?

Even for those T2 diabetics who need to lose weight, it is mainly the carbohydrates that need to be reduced (all digested carbohydrates turn into glucose, raising blood glucose). But there is no need to reduce Fat (which for most people doesn't make them fat - it's the carbs that do that through stimulating Insulin, which is the fat storage hormone.

Thank you Dear
Nice to be in this Wonderfull group
Can you please give me an insight to the fats that are considered to be healthy for Diabetes T2.
Thank you

 

[ianf0ster]

Some of us avoid industrially processed seed oils (commonly called 'vegetable oils'). These were originally used to lubricate machinery before their manufacturers decided to bleach them and make them palatable for human consumption. They are polyunsaturated and were considered healthy until it was found that heating them caused the formation of trans fats.

Apart from that, any traditional fat tends to be OK: Animal fats, butter, ghee, cream, cheese, the fat in eggs, fatty fish and fish oils (unless rancid), olive oil, avocado oil, coconut oil. Edible nuts and seeds are OK, but their oils often have short shelf lives (so beware going rancid).

So, after more than 10yrs of eating low fat and high complex carbohydrates (brown rice, whole grains, no cheese, cutting fat off meat etc) during which I needed a 3x cardio bypass and was diagnosed with Type 2 diabetes, I switched to almost the opposite: Low Carb, High Protein and added back all the fats I grew up eating in the 50's, 60's, 70's and most of the 80's.