High readings how to bring it down fast

[phil16]

tbh once yearly check ups suit me fine and I still regularly test (self funded as my DN says I don't need to test but that's another topic ...) and if I noticed a huge increase then I would get in touch with DN for advice but again tbh I feel I know more about my condition than her because if I had relied on her advice I would not be in remission which was something I have achieved on my own ...

I know exactly what you mean re testing and their policy of it not being necessary, I'm the same. Crazy.
I too feel more clued up about my diabetes but my problem is when it goes off the rails I struggle to get help to sort it out

 

[chrisjohnh]

I know exactly what you mean re testing and their policy of it not being necessary, I'm the same. Crazy.
I too feel more clued up about my diabetes but my problem is when it goes off the rails I struggle to get help to sort it out

Phil, your thread has not, I think, said anything at all about your diet, weight control or anything in the “lifestyle intervention” category. The whole narrative seems to revolve around drugs and nurses and GPs. So it is hard for us to see the underlying picture and history, and so hard to know what best to suggest. In the absence of any information I would say lose 10-15 kg, drop to 60-70g daily carbs, walk 2-3 miles a day, reduce or eliminate the meds with the GPs support, and see how it goes. But, you may already have done all that long ago. Do hope you can get it all quickly sorted.

 

[phil16]

Phil, your thread has not, I think, said anything at all about your diet, weight control or anything in the “lifestyle intervention” category. The whole narrative seems to revolve around drugs and nurses and GPs. So it is hard for us to see the underlying picture and history, and so hard to know what best to suggest. In the absence of any information I would say lose 10-15 kg, drop to 60-70g daily carbs, walk 2-3 miles a day, reduce or eliminate the meds with the GPs support, and see how it goes. But, you may already have done all that long ago. Do hope you can get it all quickly sorted.

Thanks for your interest, I suppose like many I go along quietly when things are OK and only look for advice when it goes to pot!
Brief history is diet etc wasn't doing it so meds were introduced. They made a big difference but to date over the last year and a bit I've gone off scale suddenly for no known reason. There is a pattern emerging I think and it's related to ear infections. This is a being dealt with slowly and links are being made.
My problem is knowing what's the right thing to do when I need to get back in control.

 

[lucylocket61]

Can you give us an idea of what you eat? Diet can make a huge difference. High blood sugar levels make infections more likely and more severe. We may be able to suggest some tweaks to your diet if we have more details. Likewise, what your hba1c is, and what meds you are on. Do you test your blood sugar levels yourself? What sort of figures do you get?

 

[chrisjohnh]

Thanks for your interest, I suppose like many I go along quietly when things are OK and only look for advice when it goes to pot!
Brief history is diet etc wasn't doing it so meds were introduced. They made a big difference but to date over the last year and a bit I've gone off scale suddenly for no known reason. There is a pattern emerging I think and it's related to ear infections. This is a being dealt with slowly and links are being made.
My problem is knowing what's the right thing to do when I need to get back in control.

I think “the right thing to do” will be to consider whether you can ease yourself away from the drugs, reviewing just why “diet wasn’t doing it”. A fresh weighing-up of that might pay dividends. The insulin just amplifies the problem of insulin resistance over time and the complications loom large, whilst the underlying ectopic fat remains as well. Others on here have hugely more experience and perspective than me and I have only my own journey to judge by, plus grinding through about 600 research papers in the field and trying to distil some consistent sense out of them, but my pennyworth suggestion is to go all out on dietary control, determinedly, once these infection issues are resolved. All good wishes for the road ahead.

 

[phil16]

I think “the right thing to do” will be to consider whether you can ease yourself away from the drugs, reviewing just why “diet wasn’t doing it”. A fresh weighing-up of that might pay dividends. The insulin just amplifies the problem of insulin resistance over time and the complications loom large, whilst the underlying ectopic fat remains as well. Others on here have hugely more experience and perspective than me and I have only my own journey to judge by, plus grinding through about 600 research papers in the field and trying to distil some consistent sense out of them, but my pennyworth suggestion is to go all out on dietary control, determinedly, once these infection issues are resolved. All good wishes for the road ahead.

Thanks it is a thought for the future. Right now I have to put up with recurrent ear infections whilst waiting for a cochlear implant. They are also going to close my ear with a view to stopping infection. It's been a long journey

 

[chrisjohnh]

Thanks it is a thought for the future. Right now I have to put up with recurrent ear infections whilst waiting for a cochlear implant. They are also going to close my ear with a view to stopping infection. It's been a long journey

Yes, a lot to deal with, good luck with the ear treatment.

 

[phil16]

Thanks to all for your interest and replies. A quick update on me, Ear infection gone for now, Gliclazide was doubled to 80mg x 2 daily and BGs coming down albeit slowly. I have another f2f apt next week and also A1c so will seee what that says. I think if not offered, I'll ask for A1c to be repeated in 3 months. Meantime I'll carry on testing as I do and hope that things contiune downwards. My fear is that my diabetes could affect my general heath to the point I would not be suitable for surgery for this long awaited cochlear implant! Fingers crossed for that

 

[Deleted member 475901]

What do you eat when you are ill with a high temp?
My BS go up a bit when I'm ill but as long as I stick to the low carb diet never that high - the temptation is to eat sweet junk food when I'm ill but if I can resist then just up high as 8 post meal for a day or two.

I was switched from 6 monthly to annual checks with a nurse last time. Before that apart from the GP giving me the first result I only see the vampire nurse (blood tests) and a 'diabetic' nurse at the GP surgery, plus my annual foot checks at podiatry and the annual eye scans at the diabetic clinic at the hospital.

 

[Lainie71]

What do you eat when you are ill with a high temp?
My BS go up a bit when I'm ill but as long as I stick to the low carb diet never that high - the temptation is to eat sweet junk food when I'm ill but if I can resist then just up high as 8 post meal for a day or two.

I was switched from 6 monthly to annual checks with a nurse last time. Before that apart from the GP giving me the first result I only see the vampire nurse (blood tests) and a 'diabetic' nurse at the GP surgery, plus my annual foot checks at podiatry and the annual eye scans at the diabetic clinic at the hospital.

vampire nurse love it