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Type 2 Help please?

Rooeydoo

Member
Messages
6
Type of diabetes
Type 2
Happy Sunday.

I'm 4 months in from being diagnosed as type 2 and hba1c wise the Linagliptin I was prescribed has started to get my numbers down. They aren't sure why I have diabetes as due to bowel issues I have a very restricted diet which I've been told not to change too much. I'm hoping to see an Endocrinologist for it to be looked into.

I have 13 other things wrong with me so things are a bit complicated but I'm a bit concerned about what to do. I have constant diarrhoea (sorry TMI )which is normal for me but the last few weeks it's been worse than normal to the point where there's no point in eating (don't have a huge appetite anyway) because I can't finish a meal before I need the loo. Just wondering how this could affect my diabetes. I feel lousy all the time due to my other health problems but I'm feeling extra awful. I'm continuing to drink as much as possible, I have kidney and bladder issues so have to. Imodium can help but not much.

Anything I can do to feel better? Could I have low sugars or high sugars?

Any suggestions would be great. Thank you xxx

Sorry for the long post too.
 
I'd suggest getting a meter and start testing. TEE2 is free with cheap strips or a Libre if you can afford one. This will give you an idea which foods work best for you and what they are doing to your blood sugars.
The more information you can give out the better. What are you eating at the moment. What is your weight like. Do you exercise. What can you eat?
 
The diarrhoea would be of most concern to me ... what the heck have they done about that? If it reaches the point where you're paying visits before finishing a meal, that is ridiculous
 
Are you under a gastroenterologist with a diagnosis for stomach/bowel issues?

It could be made worse by medication?

I have also got a severe restiction to my diet but for opposite reasons that I need ambulance men and morphine and A&E for blockages.

A good gastroenterologist is worth his weight in gold. I would be seeing gastro person urgently.
 
Hi, yeah will do the meter thing, thank you for the info.

I'm wheat, dairy and gluten intolerant and a veggie. I generally eat a granola type concoction of buckwheat, rice puffs and dried fruit with soya yoghurts. Have soya yoghurts if I need a snack. Salad. Some Quorn stuff. Gave up potatoes. Vegetables, some fruit. These are the things over the years that cause me the least trouble digestive wise.

I'm overweight but am limited in what I can do exercise wise as I have fibromyalgia and ME and chronic pain. Walk with a crutch and need a wheelchair if going any distance. I have a dog who I walk 4 days a week so am out with him but don't walk very far myself.
 
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The bowel/gastro issues are the result of surgeons using and removing part of my bowel 31 years ago. I'm not currently under a gastro but have had sigmoidoscopies and the like to check there's nothing else going on. Have been tested for coeliac disease but I'm intolerant rather than allergic. It's rubbish but that's just how it's always been for me. I'm just concerned because it's been worse than usual and I'm feeling worse than usual whether the diabetes could cause it or if I'm more at risk at these sort of times? I'm on a lot of medication but the only new thing is Linagliptin but I've not had any problems with it before this happened so don't think it's that.
 
I'd be looking at increasing intake of veg and salad. These will provide bulk. Starting with what you know has been OK in the past and over time the variety of foods the best you can. Try one change at a time to see how it effects you. Look into making a doctors appointment soon if things don't improve. Your buckwheat, rice puffs and dried fruit isn't the best for someone who can't handle too many carbs, but you need to eat something and if this is the only thing that you can tolerate right now then so be it, but I'd be testing out other options when I could.
 
Sounds like you need to see a gastro person again to me.

High or low sugars are unlikely to give diarrhoea.
You need to have a meter if you want to check though.

It could be related to diabetes autonomic neuropathy which can affect stomachs. Unlikely that a GP will diagnose this, it would be an endo or gastro.
 
Welcome to the forum, @Rooeydoo.

Sorry to hear about all your health problems. I certainly doesn't make it any easier for you.

Usually when we don't eat, blood sugars drop. But since you are not feeling well, you are probably stressed too, which might raise your blood sugars. So, it would be hard to tell what the net effect on blood sugars is.

Do you have a blood glucose meter? To know for sure, it would be best to test.

What were your blood sugars levels when you were diagnosed?

I see this is your fourth post -- have you received @daisy1 's helpful information yet? Also, @AM1874 always has some helpful info on meters.
 
Hi @Rooeydoo .. and welcome

Re: meters and test strips .. it is a top priority that get yourself a test meter and, for this, the following websites might help:
https://homehealth-uk.com/product-category/blood-glucose/
for the SD Codefree meter, which costs £12.98 or:
http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/
who distribute the TEE 2 meter, which is free.
I have both which I alternate for comparative purposes and I have never found any significant difference between them.

Unless you are prescribed test strips by your doctor (unlikely), the costs of testing comes down to the ongoing charges for test strips and lancets. Make sure that you tick the appropriate box on the on-line order form and you won't pay VAT on your meter or strips.
For the SD Codefree, the strips are £7.69 for a pack of 50 and there are discount codes available for bulk purchases:
5 packs x 50 use code: 264086 .. cost is £38.45
10 packs x 50 use code: 975833 .. cost is £76.90
For the TEE 2, the strips are £7.75 for a pack of 50 .. but there are no discount codes currently available

I'm testing 3-5 times a day which works out at around £10 to £12 per month for either of the two packages above but, more importantly, I now know what my BG levels are .. and I can now manage them

Hope this helps
 
@Rooeydoo

Hello Rooeydoo and welcome to the Forum :) Here is the Basic Information we give to new members and I hope it will be useful for you. Ask as many questions as you like and someone will help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 250,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all free.
  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why
  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
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