Have I stopped too much, too soon ?

Patrick66 · Jan 9, 2019

So, usual readings between 5.7-6.7.
Hospital reading (Pre-Op) 7.8 which was very unusual for me and I had been told 30 minutes before they took it that my OP had been cancelled (Now on its third cancellation) so possibly stress affected it.
Third cancellation was due to that 7.8. My BS must be below 7.0 for them to safely operate.

So..

Metformin increased and advised to drop the BS (Blood Sugar in case anyone thought BS stood for something else lol)

Go low carb, fruit for brekkie, salad lunch, meat and veg for dinner..no bread, rice, pasta, pastries, cakes or anything that tastes good (Again lol) ..

But now I really don't feel well..

No energy (Okay I have Fibromyalgia) but just a general feeling of "yuck" and nausea. My diet wasn't awful before but now I am trying so hard to get my level down below 7.0 so the operation can go ahead I'm just a bit concerned I have taken things a bit too far too quickly...

Thoughts ?

xfieldok · Jan 9, 2019

What fruit did you have for breakfast?

archersuz · Jan 9, 2019

Patrick66 said:
Go low carb, fruit for brekkie, salad lunch, meat and veg for dinner..no bread, rice, pasta, pastries, cakes or anything that tastes good (Again lol) ..

Are you eating any fat?? What's the salad? If it's just leaves then you will be hungry. Add cheese, oily fish, mayonnaise, avocado for example. Try full fat greek style yoghurt for breakfast.

Patrick66 · Jan 9, 2019

xfieldok said:
What fruit did you have for breakfast?

Berries - Strawberry/raspberry mix. All we had.

Patrick66 · Jan 9, 2019

archersuz said:
Are you eating any fat?? What's the salad? If it's just leaves then you will be hungry. Add cheese, oily fish, mayonnaise, avocado for example. Try full fat greek style yoghurt for breakfast.

There's fat on the meat. Theres cheese and Mayo in the salad as well as more meat. And Sardines. Yes I need to get some full fat yoghurt.

xfieldok · Jan 9, 2019

Patrick66 said:
Berries - Strawberry/raspberry mix. All we had.

Nothing wrong with those provided you didn't eat too many

JoKalsbeek · Jan 9, 2019

Patrick66 said:
So, usual readings between 5.7-6.7.
Hospital reading (Pre-Op) 7.8 which was very unusual for me and I had been told 30 minutes before they took it that my OP had been cancelled (Now on its third cancellation) so possibly stress affected it.
Third cancellation was due to that 7.8. My BS must be below 7.0 for them to safely operate.

So..

Metformin increased and advised to drop the BS (Blood Sugar in case anyone thought BS stood for something else lol)

Go low carb, fruit for brekkie, salad lunch, meat and veg for dinner..no bread, rice, pasta, pastries, cakes or anything that tastes good (Again lol) ..

But now I really don't feel well..

No energy (Okay I have Fibromyalgia) but just a general feeling of "yuck" and nausea. My diet wasn't awful before but now I am trying so hard to get my level down below 7.0 so the operation can go ahead I'm just a bit concerned I have taken things a bit too far too quickly...

Thoughts ?

The fruit probably isn't a good idea, unless it's a bit of berries, avocado or starfruit. (Anything else is basically too carb-heavy). Hope you're taking in enough fats!!! You have to get energy from someplace. But all in all you could be experiencing carb-flu; if your intake drops dramatically your body goes cold turkey like you would with any drug, making you fatigued, nausiated, headachy, muscles/joints'll ache (it really does feel like the flu). The good thing: it doesn't last long, (2 weeks or so) and after that all carb cravings will be in the past. And your blodsugars will improve drastically.

Patrick66 · Jan 9, 2019

xfieldok said:
Nothing wrong with those provided you didn't eat too many

We didn't have very many that were edible as most seemed to have see better days..

Patrick66 · Jan 9, 2019

JoKalsbeek said:
The fruit probably isn't a good idea, unless it's a bit of berries, avocado or starfruit. (Anything else is basically too carb-heavy). Hope you're taking in enough fats!!! You have to get energy from someplace. But all in all you could be experiencing carb-flu; if your intake drops dramatically your body goes cold turkey like you would with any drug, making you fatigued, nausiated, headachy, muscles/joints'll ache (it really does feel like the flu). The good thing: it doesn't last long, (2 weeks or so) and after that all carb cravings will be in the past. And your blodsugars will improve drastically.

It does feel a bit like that. I am being very good and only eating berries. Avocado and Starfruit are, unfortunately, not to my taste at all.

Member496333 · Jan 9, 2019

Sounds a little like you’re making the switch into ketosis. This almost always brings about an unpleasant adaptation period. Commonly called keto-flu, and it’ll be a hundred times worse if you’re not replacing the carbs with enough fat.

JoKalsbeek · Jan 9, 2019

Patrick66 said:
It does feel a bit like that. I am being very good and only eating berries. Avocado and Starfruit are, unfortunately, not to my taste at all.

Could be you have to go to the bathroom more too. Carbs hold on to water, and you might shed some water-weight in the process, also getting rid of electrolytes you do need. Take in enough salt, if possible bone broth and/or coconut water. Both have quite a bit of stuff which should ease the transition some.

You may not feel like it, but this is a good thing; you're doing well, even if you're not feeling it.

Daibell · Jan 9, 2019

I'm amazed the hospital didn't give you a small amount of insulin to bring the BS down a bit?

Brunneria · Jan 9, 2019

One question:
Was the pre-op blood glucose test an ordinary finger prick test, with a home meter style machine?

Because a reading of 7.8 on a stressful operation day, seems like a perfectly reasonable number!

Is there any chance at all that they took a rapid result HbA1c reading? These can be done at the hospital lab, or with a much smaller machine (like the A1C Now). That may only take around 5-10mins to generate the result.
HbA1cs should come back in mmol/mol in the UK, but they used to come back in %. And some medical staff stubbornly use the old % units.

The reason I ask this, is that if your pre-op test was 7.8mmol/l, then cancelling the op seems overly cautious (to me). Bgs can rise with stress, and 7.8 is still well within the normal range.

But if your pre-op test was 7.8% (which equates to around 60mmol/mol) then that would be a sign that your bgs were less under control because it would mean an average of nearly 10mmol/l on finger prick tests, over the last few months.

I am sorry if that explanation seems confusing, but hopefully this table will explain it better.

DavidGrahamJones · Jan 9, 2019

Patrick66 said:
Hospital reading (Pre-Op) 7.8 which was very unusual for me and I had been told 30 minutes before they took it that my OP had been cancelled

Forgive me, I'm not reading it right. You were told 30 minutes before they took your BG that the op had been cancelled.

Also what time of the day was the pre op test. BG can go bonkers in the morning even after a low carb meal 12 hours previously. As Brunneria says cancelling sounds a bit over cautious, I've had surgery with higher BG than they liked but my previous HbA1c was good plus they had me hooked up with insulin and glucose to monitor the situation. It was more work for the anesthetist but I survived.

Patrick66 · Jan 9, 2019

Jim Lahey said:
Sounds a little like you’re making the switch into ketosis. This almost always brings about an unpleasant adaptation period. Commonly called keto-flu, and it’ll be a hundred times worse if you’re not replacing the carbs with enough fat.

I’m doing my best but this is all new to me. Many times I’m just not hungry so have to force myself to eat but I am trying to get fat in.

Patrick66 · Jan 9, 2019

Brunneria said:
One question:
Was the pre-op blood glucose test an ordinary finger prick test, with a home meter style machine?

Because a reading of 7.8 on a stressful operation day, seems like a perfectly reasonable number!

Is there any chance at all that they took a rapid result HbA1c reading? These can be done at the hospital lab, or with a much smaller machine (like the A1C Now). That may only take around 5-10mins to generate the result.
HbA1cs should come back in mmol/mol in the UK, but they used to come back in %. And some medical staff stubbornly use the old % units.

The reason I ask this, is that if your pre-op test was 7.8mmol/l, then cancelling the op seems overly cautious (to me). Bgs can rise with stress, and 7.8 is still well within the normal range.

But if your pre-op test was 7.8% (which equates to around 60mmol/mol) then that would be a sign that your bgs were less under control because it would mean an average of nearly 10mmol/l on finger prick tests, over the last few months.

I am sorry if that explanation seems confusing, but hopefully this table will explain it better.

Thank you.

No, it was a full blood panel so needle in the arm, painfully and not the arm I asked them to use either. It took 48 hours for the result. My doctor was a bit dubious about the result as it had gone up to unparalleled levels but the hospital were insistent there was too much infection risk if my sugar wasn’t below 7.0.

Patrick66 · Jan 9, 2019

DavidGrahamJones said:
Forgive me, I'm not reading it right. You were told 30 minutes before they took your BG that the op had been cancelled.

Also what time of the day was the pre op test. BG can go bonkers in the morning even after a low carb meal 12 hours previously. As Brunneria says cancelling sounds a bit over cautious, I've had surgery with higher BG than they liked but my previous HbA1c was good plus they had me hooked up with insulin and glucose to monitor the situation. It was more work for the anesthetist but I survived.

Yes, I was told 30 minutes before they did the test.

It was about 10.30 I think when they did it. Surgeons decision.

Guzzler · Jan 9, 2019

Have a look at your sodium intake, too. I got the keto flu, not pleasant to say the least. If it is kf then stick with it, it will only last a few days. Our bodys sometimes rebel against changes.

Patrick66 · Jan 9, 2019

Brunneria said:
One question:
Was the pre-op blood glucose test an ordinary finger prick test, with a home meter style machine?

Because a reading of 7.8 on a stressful operation day, seems like a perfectly reasonable number!

Is there any chance at all that they took a rapid result HbA1c reading? These can be done at the hospital lab, or with a much smaller machine (like the A1C Now). That may only take around 5-10mins to generate the result.
HbA1cs should come back in mmol/mol in the UK, but they used to come back in %. And some medical staff stubbornly use the old % units.

The reason I ask this, is that if your pre-op test was 7.8mmol/l, then cancelling the op seems overly cautious (to me). Bgs can rise with stress, and 7.8 is still well within the normal range.

But if your pre-op test was 7.8% (which equates to around 60mmol/mol) then that would be a sign that your bgs were less under control because it would mean an average of nearly 10mmol/l on finger prick tests, over the last few months.

I am sorry if that explanation seems confusing, but hopefully this table will explain it better.

I meant to add that my last “proper” reading had been about 9 months previous. I certainly didn’t think it had been that long since I’d had one.
Even so, since my diet barely varies I can’t explain why it’s gone up. I don’t have a massive range of foods.
My hba1c was at its best when I ate meringues with lots of fruit and yoghurt ...which is bizarre as they’re full of sugar. I’m so confused.

Patrick66 · Jan 9, 2019

Guzzler said:
Have a look at your sodium intake, too. I got the keto flu, not pleasant to say the least. If it is kf then stick with it, it will only last a few days. Our bodys sometimes rebel against changes.

My body rebel’s at everything it would seem.

I think my sodium intake is decent but I’m just really struggling at the moment.

Have I stopped too much, too soon ?

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