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having a struggle to lower by blood glucose

M

mch1966

Well-Known Member
Messages
166
Location
wales
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi,

I am a newly diagnosed type 2, last Friday, I have had my gliclazide increased from 40gm to 80gm but my readings are still up around 18 mmol, I am trying my best to control my diet with the guides given to me but it is not really having any effect, for example yesterdays intake was as follows:

Breakfast, no added sugar muesli 40gms and a small banana with onken fat free yogurt
snack 1 carrot chopped
lunch 2 pieces wholemeal bread lowfat spread, 2 slices chicken and some salad leaves
snack: 1 x apple 1 x orange with onken fat free yogurt
Dinner: 2 tablespoon basmatic rice 100 gms chicken in curry sauce (1/2 jar 18 carbs) 1 wholemeal chappati
for drinks I had 2 coffee's in the morning with skimmed milk, and a few cups of black tea, rest of the day drinking water.

This morning my fasting sugars had gone up from 15.3 to 16,7 from the day before.

I am wondering if anyone can spot anything drastically wrong that I may be eating or am I being too impatient on waiting for my sugars to fall, this is all very new to me and I will try anything to get into a normal blood sugar range, just finding it a real struggle at the moment.

Thanks for any advice or comments in advance.
 
I would rain check the Musili, the yogurt (only because I do not know that particular one), the bread and the curry sauce. Take particular note of the carb content.


Diagnosed type II 1998 2 x 80 mg Gliclazide, 4 x 500mg Metformin and 1 x 100mg Sitagliptin HbA1c - 48 mmol/mol
 
Many thanks Neil, the yogurt is 6.7gms carb per 100ml sugar content is the same, would you stop all cereals for breakfast or just musili, once again thanks for your help
 
Gliclazide works by encouraging the pancreas to produce insulin but may take a few weeks to work.

In the meantime you could start looking at your carbohydrate intake. Diet can be a big factor in controlling your diabetes.

Check out this link: http://www.diabetes.co.uk/Diabetes-and-Carbohydrate-diets.html

With patience and perseverance I'm sure you'll get there.

Good luck :)
 
mch1966
Did you realise that starch turns 100% into glucose in your digestive system?
that's why all carbohydrates [of the glucose polymer types, like starches] put your blood glucose up
The carbohydrate family is extensive and there are some which don't affect blood glucose, but most of them are not found in foods.
I too would say keep off muesli and all breakfast cereals. Not only are they nearly all starch, but highly processed too.
Don't worry about eating fats. the don't affect blood glucose at all.
If worried about breakfast, have eggs, or bacon or a full English without fried bread or toast[ or potatoes!
If you want a cereal type breakfast, make a mix of nuts and seeds. Don't add any grains to it, or if you absolutely MUST have a TINY amount.
Hana
 
scottish-jim said:
Gliclazide works by encouraging the pancreas to produce insulin but may take a few weeks to work.

In the meantime you could start looking at your carbohydrate intake. Diet can be a big factor in controlling your diabetes.

Check out this link: http://www.diabetes.co.uk/Diabetes-and-Carbohydrate-diets.html

With patience and perseverance I'm sure you'll get there.

Good luck :)
Click to expand...

Cheers, much appreciated, did not realise it could take weeks for results to appear, thanks Mark
 
hanadr said:
mch1966
Did you realise that starch turns 100% into glucose in your digestive system?
that's why all carbohydrates [of the glucose polymer types, like starches] put your blood glucose up
The carbohydrate family is extensive and there are some which don't affect blood glucose, but most of them are not found in foods.
I too would say keep off muesli and all breakfast cereals. Not only are they nearly all starch, but highly processed too.
Don't worry about eating fats. the don't affect blood glucose at all.
If worried about breakfast, have eggs, or bacon or a full English without fried bread or toast[ or potatoes!
If you want a cereal type breakfast, make a mix of nuts and seeds. Don't add any grains to it, or if you absolutely MUST have a TINY amount.
Hana
Click to expand...

Many thanks, will stop the cereals now and go for eggs or something similar and see if it helps, only concern is that my cholestorol is through the roof as well, going to be a balancing act :)
 
sparkyrich said:
Apparently cholesterol isn't affected by eating eggs - after years of demonising them "they've" decided they are good for us after all!


Sent from the Diabetes Forum App
Click to expand...

Well in the case I will be bound to eat them, literally :D thanks for the info, never knew they were not high in cholesterol
 
I do have 60g of bite size shredded wheat with about 50mls of semi skimmed milk and a glass of water and a cup of tea with a splash of milk for breakfast 2 hours after I have taken my gliclazide so that works for me.


Diagnosed type II 1998 2 x 80 mg Gliclazide, 4 x 500mg Metformin and 1 x 100mg Sitagliptin - HbA1c - 48 mmol/mol
 
Neil Walters said:
I do have 60g of bite size shredded wheat with about 50mls of semi skimmed milk and a glass of water and a cup of tea with a splash of milk for breakfast 2 hours after I have taken my gliclazide so that works for me.


Diagnosed type II 1998 2 x 80 mg Gliclazide, 4 x 500mg Metformin and 1 x 100mg Sitagliptin - HbA1c - 48 mmol/mol
Click to expand...

Thanks that could also be an option, the Gliclazide says to take with food on my script, do you not have any issues when taking the tablet without food? Thanks again for your comments
 
No for me the gliclazide on an empty stomach is fine but the metformin I have to take with food. The sitagliptin seems to be fine either way.

Too much milk on the small bowl of cereal (and I do weigh it - 1 mug equals about 60g) and the bs level goes right up so be warned.

Portion size plays a big part in good control.


Diagnosed type II 1998 2 x 80 mg Gliclazide, 4 x 500mg Metformin and 1 x 100mg Sitagliptin - HbA1c - 48 mmol/mol
 
Neil Walters said:
No for me the gliclazide on an empty stomach is fine but the metformin I have to take with food. The sitagliptin seems to be fine either way.

Too much milk on the small bowl of cereal (and I do weigh it - 1 mug equals about 60g) and the bs level goes right up so be warned.

Portion size plays a big part in good control.


Diagnosed type II 1998 2 x 80 mg Gliclazide, 4 x 500mg Metformin and 1 x 100mg Sitagliptin - HbA1c - 48 mmol/mol
Click to expand...

Thanks for the advice on portion control, will keep it monitored, thanks Mark
 
Hi. Can I ask how old you are and whether you are normal or overweight? If young and not overweight there is always the small possibility of being Late onset T1 not T2. If with some further carb reduction there is no reduction in your blood sugar over the next few weeks then do go back to the GP. If you are overweight and hence insulin resistant then it will take time for the resistance to fade and your insulin to have more effect. My one view is that the Gliclazide should work within a few days as it directly influences pancreatic insulin production. The lack of effect may imply, as for me, that your pancreas is not 100%. Do let us know your age and BMI.
 
Daibell said:
Hi. Can I ask how old you are and whether you are normal or overweight? If young and not overweight there is always the small possibility of being Late onset T1 not T2. If with some further carb reduction there is no reduction in your blood sugar over the next few weeks then do go back to the GP. If you are overweight and hence insulin resistant then it will take time for the resistance to fade and your insulin to have more effect. My one view is that the Gliclazide should work within a few days as it directly influences pancreatic insulin production. The lack of effect may imply, as for me, that your pancreas is not 100%. Do let us know your age and BMI.
Click to expand...

Hi Daibell,

I am 47 years of age 6' tall and weigh 12 stone 10lbs I have lost 1/2 a stone in the last month, I have suffered with acute pancreatitis 3 years ago, I was admitted to AMU last monday and had an ultrasound scan, which showed that I have recently passed a gallstone, it has caused further distress to the pancreas, left me with an infected bile duct and infection to the liver. My Cholesterol is abnormally high for the first time but this could be down to the liver not functioning correctly.

I visited hopsital again yesterday and despite a course of anti biotics my blood tests show no sign of improvement, I have been referred to a gastro consultant, I am seeing my GP on Monday morning because of my concerns.

My diaebetes nurse increased my gliclazin to 2 x 80mg yesterday, my fasting bloods this morning were at 15.8, there are so many variables as you can see from the above that I feel like I am living on a knife edge and extremely frustrated that despite best efforts I am not seeing an improvement.

Thanks for your response it is appreciated

Mark
 
mch1966 said:
Daibell said:
Hi. Can I ask how old you are and whether you are normal or overweight? If young and not overweight there is always the small possibility of being Late onset T1 not T2. If with some further carb reduction there is no reduction in your blood sugar over the next few weeks then do go back to the GP. If you are overweight and hence insulin resistant then it will take time for the resistance to fade and your insulin to have more effect. My one view is that the Gliclazide should work within a few days as it directly influences pancreatic insulin production. The lack of effect may imply, as for me, that your pancreas is not 100%. Do let us know your age and BMI.
Click to expand...

Hi Daibell,

I am 47 years of age 6' tall and weigh 12 stone 10lbs I have lost 1/2 a stone in the last month, I have suffered with acute pancreatitis 3 years ago, I was admitted to AMU last monday and had an ultrasound scan, which showed that I have recently passed a gallstone, it has caused further distress to the pancreas, left me with an infected bile duct and infection to the liver. My Cholesterol is abnormally high for the first time but this could be down to the liver not functioning correctly.

I visited hopsital again yesterday and despite a course of anti biotics my blood tests show no sign of improvement, I have been referred to a gastro consultant, I am seeing my GP on Monday morning because of my concerns.

My diaebetes nurse increased my gliclazin to 2 x 80mg yesterday, my fasting bloods this morning were at 15.8, there are so many variables as you can see from the above that I feel like I am living on a knife edge and extremely frustrated that despite best efforts I am not seeing an improvement.

Thanks for your response it is appreciated

Mark
Click to expand...

Hi, I am sorry you are having to deal with so many problems at once. I had serious liver problems a few years back to the extent that my consultant had never seen anyone with such bad liver function tests and still standing. The physical symptoms were extremely unpleasant and, quite frankly, terrifying. All I can think of saying is that having a high bG may be of less immediate concern in the short term than your other issues provided you are not suffering physically from the high bG specifically. You seem to to have a number of concurrent issues going on, and, once sorted, you can focus on the bG. At the risk of sounding flippant, at least the gallstone has been 'passed' which I hope means gone. Very best of luck with getting it all sorted.
 
Hi there,

It sounds like you have many other things going on with your body too at present! I was put onto Gliclazide at diagnosis and it took the same dose as yours 6 weeks to show any signs of improvement, then Metformin needed to be added also. The combination took a further 4 weeks to show any real improvement and get my readings into single figures. 6 months on I'm taking Metformin 100mg twice a day as the Gliclazide had to be decreased after I was experiencing hypo's and eating my body weight in food per day just to keeps my readings above 4! I have now been diagnosed with LADA/Type 1.5/ late onset Type 1 (whatever it's called) being 29, normal height and weight. It may be that the Pancreatitis has affected your insulin production (I'm sure I've read this about about Pancreatitis). However, you will be sorted hopefully very soon, it takes time, patience and will power but you will get there soon,

Good luck


Sent from the Diabetes Forum App
 
St4cey said:
Hi there,

It sounds like you have many other things going on with your body too at present! I was put onto Gliclazide at diagnosis and it took the same dose as yours 6 weeks to show any signs of improvement, then Metformin needed to be added also. The combination took a further 4 weeks to show any real improvement and get my readings into single figures. 6 months on I'm taking Metformin 100mg twice a day as the Gliclazide had to be decreased after I was experiencing hypo's and eating my body weight in food per day just to keeps my readings above 4! I have now been diagnosed with LADA/Type 1.5/ late onset Type 1 (whatever it's called) being 29, normal height and weight. It may be that the Pancreatitis has affected your insulin production (I'm sure I've read this about about Pancreatitis). However, you will be sorted hopefully very soon, it takes time, patience and will power but you will get there soon,

Good luck


Sent from the Diabetes Forum App
Click to expand...

Thanks for the information, what is it they say about patience and virtue :D with a bit of luck I will see some improvements, many thanks for your comments
 
When I had my gall stones early last year my bs levels just rocketed but that is an indication that your body is in distress and not that you are not controlling your bs. Get a decent consultant and if it is the right route for you have the **** thing taken out- it was the catalyst for me to get control and 12 months later I feel better than I have done for years.


Diagnosed type II 1998 2 x 80 mg Gliclazide, 4 x 500mg Metformin and 1 x 100mg Sitagliptin - HbA1c - 48 mmol/mol
 
Neil Walters said:
When I had my gall stones early last year my bs levels just rocketed but that is an indication that your body is in distress and not that you are not controlling your bs. Get a decent consultant and if it is the right route for you have the **** thing taken out- it was the catalyst for me to get control and 12 months later I feel better than I have done for years.


Diagnosed type II 1998 2 x 80 mg Gliclazide, 4 x 500mg Metformin and 1 x 100mg Sitagliptin - HbA1c - 48 mmol/mol
Click to expand...

Cheers Neil, I am seeing the consultant 3rd July so hopefully things will start moving then, Mark
 
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