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Type 2 Food prison.

Alan9009 said:
Hi xfieldok,

I am on a low carb diet. I did post it the other day under ‘Erratic, but rising blood glucose levels’ heading. You gave some helpful suggestions to me then, thanks.

Alan.
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A link to that post would be very helpful.
 
Hi @Alan9009 You have only been diagnosed a type 2 for 2 1/2 years, right? 3 meds and a low carb diet aren't working but the 2 different results of your C-peptide are confusing too. But one could be wrong or influenced I think in the honeymoon period by the low carb diet. I've heard of some people that have managed to elevate theirs. The honeymoon period can also be unpredictable about what your pancreas decides to make in the way of insulin to.

Generally speaking if you need insulin within 3 years it's also a sign of being a type 1. Type 1 like type 2 also runs in families. I would ask for the antibody test because that will give you maybe some pertinent information. If it's yes, it obvious, if it's no there can still be some confusion that will go on about what is going on.
 
Alan9009 said:
Hi Marie,

I had a c-peptide test done and it came back low at 396, but that was deemed acceptable/normal by my GP. I then had my Gliclazide raised three fold (which made virtually or no difference to my daily BG readings) and my next c-peptide reading was 1240. So I’m assuming my pancreas can still produce insulin? This does confuse me somewhat, does this mean given the additional medication that I am definitely type 2? Should I ask for an antibody test? I have a nephew who has relatively recently been diagnosed as a type 1. This is rather a complex question and I don’t expect you to know/have the answer.

Alan.
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Well, if there's a family history of diabetes in your family then there's also the (very rare) type of diabetes called MODY. I know almost nothing about this but if you are failing to fall into any obvious categories I'd want to rule that out too. Any chance your doctor can get you an appointment with a consultant so as to have an expert look at your case?
 
Marie 2 said:
Hi @Alan9009 You have only been diagnosed a type 2 for 2 1/2 years, right? 3 meds and a low carb diet aren't working but the 2 different results of your C-peptide are confusing too. But one could be wrong or influenced I think in the honeymoon period by the low carb diet. I've heard of some people that have managed to elevate theirs. The honeymoon period can also be unpredictable about what your pancreas decides to make in the way of insulin to.

Generally speaking if you need insulin within 3 years it's also a sign of being a type 1. Type 1 like type 2 also runs in families. I would ask for the antibody test because that will give you maybe some pertinent information. If it's yes, it obvious, if it's no there can still be some confusion that will go on about what is going on.
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Hi Marie,

Thank you for your reply. I believe my pancreas is, as I said before, becoming less capable of dealing with carbs. It seems to be happening relatively quick. I agree testing for antibodies is a good idea. It is something I will put to the diabetic nurse, when I see her this Tuesday 17th March.
 
EllieM said:
Well, if there's a family history of diabetes in your family then there's also the (very rare) type of diabetes called MODY. I know almost nothing about this but if you are failing to fall into any obvious categories I'd want to rule that out too. Any chance your doctor can get you an appointment with a consultant so as to have an expert look at your case?
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Hi Ellie,

Thank you for your reply. I have just looked up ‘Mody’ and yes it does seem very complicated. At the moment my GP and DN are trying oral medication to see what is most effective. It really is trial and error. The problem with this approach is that time is ticking by and I’m not getting any closer to knowing what my true diabetic condition is.

I paid to see an endocrinologist privately, he was quite harsh in his way and kind of dismissive. He confirmed that the medication I was on at the time was appropriate. When I saw him I was only on two medications: 2 grams of Metformin and 40 milligrams of gliclazide daily. 16 months later my meds have increased to 3 types now and my very low carb diet.

My GP and DN don’t currently feel that my case warrants me seeing a DNS or endocrinologist. I am seeing my DN this coming Tuesday so your information will help me formulate some question to ask.

Alan
 
LooperCat said:
Can you clarify what you mean by “spike”? A rise after eating is actually quite normal. It’s how much and how quickly it comes down that is key here. I’d echo @Ellie-M & @Marie 2 and investigate the possibility of T1/LADA.
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Hi Looper cat,

Thanks for your reply. The spikes range from 15 to 18 mmol/l and take about 3 to 4 hours to come down. Unfortunately the rise and fall make me feel lousy.

Alan.
 
Jim Lahey said:
I felt the same while I was still dabbling in carbs and/or seeking alternatives. Then I did a prison break by eating the exact opposite of everything I'd ever been told. Now I am completely fulfilled and never feel in the least bit deprived.
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Hi Jim,

Thanks for your reply. When you say ‘eating the exact opposite of everything I’d ever been told’ do you mean eating low carb?

Alan.
 
Alan9009 said:
Hi Jim,

Thanks for your reply. When you say ‘eating the exact opposite of everything I’d ever been told’ do you mean eating low carb?

Alan.
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Yeah. Ketogenic low-carb. No grains, instead of whole grains. Real saturated animal fats in place of polyunsaturated seed/veg oils. I basically just turned the tables on dietary dogma.
 
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