HELP ASAP

Firstly, does he really eat low carb all the time (or only when he's with others) He needs to be honest about this, not everyone is. Secondly he needs to test regularly.
Lastly, but not least, I think he needs to make a GP appointment to discuss this. He may well need to cut carbs further and/or take insulin to keep his levels lower. Is he overweight? There's a chance he may not be T2 at all, so he could ask his GP for tests to find out if he is in fact T1.5

@MH2010 hello. Has he tried washing his hand and retesting? If it is still that high I would contact doctors surgery for advice or even ring the non emergency helpline.

@MH2010 I hope sugar levels are dropping. Please let us know how you get on

Stress and exercise may raise blood glucose, but it will fall again within a few hours, maybe less.

And I wouldn't expect someone with well controlled diabetes to get up to 24mmol/l with either of those things (although I am no medical professional to make such announcements!).

I agree with the suggestions to have a chat with GP or nurse, and maybe do some carb counting with testing to see what his current low carbing is doing to his blood glucose. Sometimes there are hidden carbs that we don't realise are having a big effect.

Hope that helps.

MH2010 said:

He always eats low carb, even when he goes to work he has low carb (I make his lunches etc), he drinks mostly water and cups of tea with milk & sweeteners.

Funnily enough, GP has just called regarding his blood sugars so I think insulin might be the way to go.

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Thanks for letting us know. I still think there's a chance he may not be T2 at all, which could explain these high numbers. There's a test the GP can do, not sure what it's called a GAD antibodies test maybe? And c-peptide? I am sure someone will come along and correct me in a minute...

MH2010 said:

So, hubby was diagnosed t2 November last year, doesnt check bloods but does eat low carb diet.

Said he didnt feel right so checked his blood sugars and its sitting at 24.0.

This is after a mad rush to garage to get tyres changed and a walk to the shops. Any ideas??

He is on 1 slow release metformin twice a day.

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Fasting Blood Sugar should be less than 5.6 mmol/L.
Post Prandial Blood Sugar must be less than 7.8 mmol/L.
Low carbohydrate diet and aerobic exercise will certainly reduce blood sugar level.
Adopt insulin therapy in consultation with your diabetologist. He can revert back to anti-glycemic pills after the blood sugar becomes normal.
Source:--
https://en.wikipedia.org/wiki/Low-carbohydrate_diet
https://en.wikipedia.org/wiki/Aerobic_exercise

The Metformin will not be doing much to reduce his bgl. At best Metformin is reckoned to provide a modest reduction in bgl, in the order of 2 mmol/l ( on a clear day with following wind) So he needs some stronger ju-ju. This is something you can discuss with GP.

It may be that insulin is best candidate, but also possible that an oral med such as Gliclazide (which I am on) combined with low carb will fit the bill too. I was scoring high values like your OH, and I succeeded in getting mine down to the point where my GP is considering stopping all my meds. So levels of >24 can be controlled ok.

As others have said, LC is the key, but it differs from person to person. A high protein intake can negate a LC diet since protein converts to blood glucose too, albeit at a slower pace. For me MSG is one of my nemesis triggers, so takeaways with gravy often push me high. But I can eat a jumbo battered Cod from the chippy, batter and ketchup too, and not rise very high. But I have been LC for 2 years now, and my pancreas seems to have recovered quite well. I can now tolerate small amounts of porridge or up to 2 slices of toast, whereas when I started the LC journey, these would have sent me way up into the Gods.

What does a typical day of scoffing consist of? Sometimes describing this on a thread can bring support to identify suitable cases for treatment. I remember one person who was addicted to TicTacs, and would consume 2 or 3 boxes a day while they gave up smoking.

Is he on any other medication? Even a small amount of steroid can send BGs through the roof.

I'm with everybody else, get him in to see the GP to see if he needs further medication or insulin. If he's overweight they may not introduce insulin right away as it can make you put weight on.

Your husbands situation does pose the usual controversial question as to why most GP's and DN's advise T2's 'NOT' to test their blood sugars. How are we expected to know when something is wrong if we are not expected to test? And fortunately you have tested, and at the right time it would seem.

I hope he's ok in the end and gets some control of his blood sugars

@MH2010 how is your husband now? Did the GP want to see him soon? I hope everything is fine.

Hi. Even though he is slightly overweight, the possibility of him being Late onset T1 should be considered. Some one who is 24 mmol when on a low-carb diet is less likely to be T2. As others have said do ask the GP for GAD and c-peptide tests. The one Metformin tablet will be doing very little to help and something like Gliclazide might help for a while to prod the pancreas; I've been down that route.

MH2010 said:

@mo53 He has GP at 3.50pm today so is asleep just now as he is on nightshift at the minute.

I have been reading a bolit anout Victoza, any one have experience with this?

I take insulin and jardiance & the tablets have been amazing for me, gone from over 40 units Lantus per day to 30 and feel so much more alive than I used to.

Usual day food is, breakfast- 3 pieces bacon with black pudding, lunch- salad (usually lettuce, carrot sticks, cucumver, tomato)

Tea is usually some form of chicken or turkey (only things I like) or sometimes he will have steak or gammon with veg- broccoli, cauliflower, cabbage or something like that.

He usually drinks water or tea, doesnt drink alcohol (even though he should living with me, I could drive anyone to drink!!)

He has gout in his foot so sometimes has to take diclofenac tablets but that is maybe once every few months.

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I would consider his diet to be low carb, so it looks like investigating the medication route is the path he needs to follow.

Just a thought: Nightshift working patterns can be very disruptive, and there may be a temptation to raid the vending machines at work if there is no food outlets open. I used to fall by the wayside when I was on nights, but not consider it as cheating on my diet, so I 'ignored' it as a cause of high levels - silly me.

Try a search on the Forum for Victoza - there are posters who are using it. Search bar in top RH corner of the page.

MH2010 said:

@Oldvatr he doesnt take money to work.

He has this in built thing where every little thing he eats/drinks, he texts me or tells me when he comes home cause obviously, I have been diabetic for a lot longer than him so he knows I will do whatever I can to help him.

Think I am more worried than he is to be honest.

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OK, so not that. i am running out of suggestions, so wishing you both well for his GP appointment,

@MH2010 hello, and thank you for keeping in touch. I hope everything goes well with the doctors appointment and that he gets some help and answers.