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Help needed, please !!

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office7248

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I desperately need some help. I've been a type 2 diabetic since 1999, well I was diagnosed then, goodness how when it developed. I'm 14st 7lbs and have been that weight for at least 10 years. I started on Metformin once a day and gradually,worked my way up to 3 X Metformin a day plus Lantus once a day and Novorapid with each meal. I've tried every diet known to man (I have to say half heartedly). I can now only tolerate 1 x Metformin per day and the insulin doesn't seem to make any difference no matter how much I take. I tried explains this at my last hospital appointment and the consultant drew a little picture for me showing what happens to my blood sugar when I eat in between answering calls on his mobile to his beast friend who's mother was dying of cancer !!!!!!!!! I went back to my diabetic nurse who said she would arrange for me to see another consultant. Then a copy of the report from the hospital arrived. The details at the top of the form,showed I had received laser treatment on my eyes, had got kidney disease, peripheral neuropathy etc - none of which are true. It was at this point I decided it was a waste of time going back to the hospital.

I then tried a low carb diet which I only did for 2 days because of the number of hypos I had as I've no idea how to work out the insulin I need.

I even so silted Dr Chattergee who was on a television programme and he strongly advised that I don't try low carb without medical guidance. I'm completely at a loss now.......... can anyone help, please
 
office7248 said:
I desperately need some help. I've been a type 2 diabetic since 1999, well I was diagnosed then, goodness how when it developed. I'm 14st 7lbs and have been that weight for at least 10 years. I started on Metformin once a day and gradually,worked my way up to 3 X Metformin a day plus Lantus once a day and Novorapid with each meal. I've tried every diet known to man (I have to say half heartedly). I can now only tolerate 1 x Metformin per day and the insulin doesn't seem to make any difference no matter how much I take. I tried explains this at my last hospital appointment and the consultant drew a little picture for me showing what happens to my blood sugar when I eat in between answering calls on his mobile to his beast friend who's mother was dying of cancer !!!!!!!!! I went back to my diabetic nurse who said she would arrange for me to see another consultant. Then a copy of the report from the hospital arrived. The details at the top of the form,showed I had received laser treatment on my eyes, had got kidney disease, peripheral neuropathy etc - none of which are true. It was at this point I decided it was a waste of time going back to the hospital.

I then tried a low carb diet which I only did for 2 days because of the number of hypos I had as I've no idea how to work out the insulin I need.

I even so silted Dr Chattergee who was on a television programme and he strongly advised that I don't try low carb without medical guidance. I'm completely at a loss now.......... can anyone help, please
Click to expand...

Those of us fortunate enough to be able to go without meds have an easier time going low carb than any insulin user. As you have already experienced, you normally need less of it when consuming fewer carbs.

Have you been taught how to carb count, and adjust your doses accordingly? If not, that would seem like a great place to start to build a foundation for reduced carbing.

I think a trip back to your Doc is in order. Just because one Consultant didn't seem to workfor you, they're not all the same, I'm sure.

Good luck with it all.
 
medication for diabetes 2 is not medication that helps a lot , maybe only 10%

you have to do the job mostly by your self...

diet is 90% of managing diabetes 2 and along with that comes exercising
if you can not do sports, fitness or alike you have to a least walk som longer and longer walks...

If you can do none of those, there is the old way of trying to help diabetics before medicine was found and that is very few calories maybe every day or every other days like 1000 calories a day
 
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Freema said:
everybody allmost feel like having hypos when their blood glucose starts to go rapidly Down from a very high number.... BUT BUT BUT that is not real hypos..

you have to stand it through if you want to become healthier and live long...

do you measure your blood-glucose ?
if it is not under 4,5 then you have no reason at all for being worried in that regard ... except from if you have taken too much insuline..

there is only one way to get better and that is to get your blood glucose Down to under 6.5 maybe you just have to make a better food-plan

I started out having some of my meals every day only on proteins like a big cup of cottage cheese, or just half a chicken and so on, then you dont have to worry about those meals at least it took only 1 month to get my blood glucose Down from 17mmol to now about the highest has been 7.2 after meal peak during the last month
Click to expand...

Freema - The OP is taking insulin which brings on another dimension altogether. Unless the OP is confident and comfortable to adjust his insulin, going too low carb could be a tricky situation.
 
Freema said:
medication for diabetes 2 is not medication that helps a lot , maybe only 10%

you have to do the job mostly by your self...

diet is 90% of managing diabetes 2 and along with that comes execising
if you can not do sports, fitness or alike you have to a least walk som longer and longer walks...

If you can do none of those, there is the old way of trying to help diabetics before medicine was found and that is very few calories maybe every day or every other days like 1000 calories a day
Click to expand...

Freema - As the OP is using insulin reducing calories by a significant amount is likely to impact on the amounts of insulin he needs to use, so, again, that sort of activity needs to be undertaken with extreme caution and decent medical support.
 
I would strongly suggest you get back to your doctor and let him know you need to be shown how to adjust your insulin to match your reduced carbs. Then don't do the LCHF way of eating halfhearted.. It works .. It's almost to easy to work, once you get your head around it.
Until you are able to adjust your insulin you will need to be very careful about lowering your carbs
 
Hi. You do need to be taught how to carb-count the Bolus for the carbs in each meal. Ask the DN for advice on this or come back here if you don't get anywhere. Before getting the Bolus right you need to check that you Basal is right. As a rough check your morning fasting test should be between 5 to 7 mmol. As others have said low carb is the way to go but you do need to be carb-counting first otherwise you may well go hypo. There is lots of bad advice out there regarding low-carbing and sadly much of that from the NHS. It isn't harmful but when on insulin you do need to match the Bolus insulin to the carbs hence getting the carb-counting going. Alos note that if you have excess weight you may have some insulin resistance and that makes insulin management more difficult. As you reduce your weight thru low-carbing it should get easier.
 
Many thanks to everyone who replied. I will be making an appointment first thing tomorrow with my DN and go from there. Watch this space !!!
 
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