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Half Way up the Hill...

witan

Well-Known Member
Messages
99
Like most new(ish) diagnosed diabetics I have found this forum a life-saver, an invaluable source of help, support and information, it’s difficult to imagine where I’d be if I’d just been relying on the health care professionals. My thanks to all and may it continue evolving.

Following ‘your’ encouragement, last week I ordered a copy of Bernstein from Amazon (I must say their service and delivery were excellent). I am now about half way through and intend to read it all (even those bits that aren’t 100% relevant to my situation).

So on Saturday I started some dietary modification. Now I have never had to worry about food ever before in my life. I am 5’9’’ and have never been more than a couple of pounds over 10 stone until diabetes took that too close to 9 for comfort.

I reduced to at least half my morning muesli (Sainsbury’s no added sugar variety with extra nuts) and had a couple of boiled eggs as well. The shocking thing was that for the first time I weighed out the cereal – 100g and that was less than half of what I had recently been eating. Because in the pre-diagnosis days I used to have porridge with raisins, apricots and/or prunes, we have migrated to using deep bowls for breakfast cereals – stops the porridge erupting over the dish and splattering the microwave, but a deep bowl, like a big plate, can be very misleading. Like most people I had been lead to believe that this high CHO breakfast with fruit was a healthy meal that would keep me going until lunch time.

OOPS – now I know better and have learnt a salutary lesson about portion size control too.

Later that morning we went to Colchester, and half way up North Hill the tell-tale signs of low BS hit – luckily right next to a seat. A shaky blood test gave a result of 3.7 – the lowest I’ve yet recorded. But the Glucose tabs were back in the car, in the car park down the hill! So my wife’s bottomless handbag came to the rescue with some sugar laden mints, sufficient to help me make it into town. (Reminder to put some glucose tabs in the pouch with the meter!!)

A reduced CHO lunch gave another 3.7 before dinner (when this happens doesn’t it make you worry that the meters got stuck or gone wrong?) so I dropped the second Gliclazide of the day. I normally take one at breakfast and one at dinner.

BG levels were lower than normal all day Sunday with a 4.1 before dinner so that Gliclazide was dropped again. It seems impossible that such a small change to my diet can so quickly get me to the first stage of my goal of reducing meds.

We haven’t even started yet – our intention is to develop a two-weekly meal plan of reduced carbs, after this period to review levels achieved (BG, carbs and meds) and then develop a second two weeks at lower levels to see what further reductions can be made.

I’ll try to keep you up-dated on progress or disasters…
 
Well done! You're getting to grips with this.
I too have dropped Gliclazide. It made my weight balloon up to 107kg. that's 16 stone plus and I'm about 5 feet 7 and a woman.
 
Hi Witan,
I experienced the same treatment as you (I presume) via the HPs with my diet, I was rapidly losing weight, not surprising really as I was given a "Healthy" diet plan to follow by my DSN which was designed to promote weight loss, my BMI was never taken into account. Thankfully I discovered this forum and have never looked back. Unlike you I am not on BG meds and aim to stay that way, hopefully the way you are tackling your Dietary needs will bring about more reduction in meds.
Welcome to the underweight T2 club we now total 4, Me, the Govener, Trinkwasser and now you.

Regards Graham
 
Hi witan,
Sounds like you are certainly heading in the right direction. What gliclazide does is to force your pancreas to produce insulin, and to continue doing that until the gliclazide wears off after a few hours. Unfortunately the gliclazide has no idea whether all that insulin is actually needed, so it will just continue forcing, even if you have no sugar left in your blood!

Your combination of reduced carbs and more exercise has obviously reduced the amount of insulin that your body needs, so a reduction in gliclazide should prevent you from getting constant hypos. But you need to discuss this with your diabetes team. It may be that you could simply be switched to a lower strength of gliclazide, but still twice a day, rather than a higher dose once a day.

If your GP/DSN says you shouldn't be reducing your carbs, you can at least say "but I have only reduced them to your own recommended level!" (which you have - if your breakfast meusli is now 100g, that is still more than double what my meusli packet describes as an average 40g portion and is nearly half of the government's disputed recommendation of 230g carbs per day.)
 
Hi Graham,

My weight has at least stabilised since I started on the meds/got the BG more under control. My aim now is to reduce the meds, put some weight back on - but more as muscle rather than fat - so a parallel excersice programme is being developed - if I can afford it - shame that's not a free prescription too! I bet like me all the underweight crew are fed up with hearing 'Oh, you're not a typical type 2!'

Hi Dennis,

The 100g muesli at breakfast was just the first day of attempted reductions - if I can find the time to cook/prepare a lower carb breakfast that will go altogether. But I still expect to be in the 100g+ total per day area for a while - best not to change too quickly.

My Gliclazide (80mg) directions are to Take one twice daily with food, from your description surely it would be better to take before food to give the body chance to create the extra insulin, just like you would if injecting insulin? You are right - a lower dose spread out would be better than dropping one tablet, I'll check to see what's possible.
 
witan said:
Hi Graham,

My weight has at least stabilised since I started on the meds/got the BG more under control. My aim now is to reduce the meds, put some weight back on - but more as muscle rather than fat - so a parallel excersice programme is being developed - if I can afford it - shame that's not a free prescription too! I bet like me all the underweight crew are fed up with hearing 'Oh, you're not a typical type 2!'

Hi again,
I have managed to put on some of the lost weight thanks to one of the more enlightened Dietitians in the NHS. My diet is now high fat low carb, I'm not ultra low carb yet 80g to 100g but aim to keep experimenting and may reduce more.
I agree with your comment "you're not a typical T2" I get all the time :twisted: One exprience I had when ringing the DUK helpllne, when asking about my dietary needs being an underweight T2, after a few seconds silence I was told they don't have much information for Diabetics in my situation, she managed after a while to find some info for me. and said she would post it on, waste of time it was as much use to me as a bar of Dairy Milk.

Cheers Graham
 
Hi Witan,
I live in Clacton, so I know North Hill in Colchester well and that is what you call a hill!!!!My reading would drop too tackling that.
You seem to be doing well with changing your diet, so keep up the good work.
 
Thanks for the good wishes.

It was a good lesson too about not taking strenuous exercise (although it was only walking into town!) without checking your BG level first.

Carb free breakfast this morning - Cheese puff (ala Bernstein) with (2)scrambled eggs on top- didn't seem like a big breakfast, but I didn't need anything else before lunch. It's amazing how the carbs make you feel hungry again after the BG peak.
 
chocoholic said:
Hi Witan,
I live in Clacton, so I know North Hill in Colchester well and that is what you call a hill!!!!My reading would drop too tackling that.
You seem to be doing well with changing your diet, so keep up the good work.

I am in St Osyth and although hills in Barry are bad I think North Hill is up there :shock:
 
Isn't it ironic when you actually get a doctor who medicates enthusiastically - and you go and blow it by not eating enough carbs and going hypo?

It's actually quite a common scenario in other forums too, best get back to your doctor with your numbers and negotiate a dose reduction. Also be a good idea to discuss timing.
 
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