Hi there,
I'm not sure if this is the right place to post this, but I'd be grateful for any advice.
I'm type 2 and was diagnosed on New years eve of this year. At first my GP started me on metformin 500mg and gliclazide (80mg split 1/2 at breakfast and lunch and 1 at dinner). I've always been slim, but am now skinny and BMI of 18. The GP referred me to the hospital and they've tested for thyroid, celiac, carried out a scan of the pancreas, gall bladder, kidneys and liver. All results appear to indicate that there is no over riding problem that may be causing the weight loss (still waiting for the celiac test results). At an initial appointment with the nurse and dietician, they stopped the metformin, so since the middle of March, I've just been on gliclazide.
The consultant suggests using humalog at my main meal (dinner) as my weight is still falling. If I eat very low or little carbs, my bg 2 hours after meals are around 5 to 7. If I have any pasta, rice or potatoes in any reasonable quantity my bg goes from 9 to 14 depending on what I have. I guess her theory is that it will allow me to eat more carbs and then be able to put on some weight.
I'm not overly keen to go on to insulin, but I understand the reasoning in that it may help me to put on some weight or at least get it to stabilise. I asked if there were any other options and the consultant's advice was to try humalog and she said her concern was for my weight loss and to help give my pancreas a rest and hopefully extend its life (my elderly mother has just gone onto insulin after medication for 7 years, but she was diagnosed at 73, whilst I'm 49).
I'm going to see the nurse and dietician next Monday to discuss my diet, measuring carbs and matching them to the dosage in addition to learning how to use the humalog. I've really no idea what to expect nor what to ask and I wondered if anyone could perhaps give me a few tips, advice etc (sorry this is a bit longwinded, but I've been mulling it over and am not really sure what's the best thing to do).
I'm also a bit wary of the dietician as at the second appointment with her she suggested I only snack when my bg goes below 4 and that I need to test myself before I snack (usually nuts or oatcakes), which is impossible if I'm in meetings etc at work.
Thanks,
Libbyloo
I'm not sure if this is the right place to post this, but I'd be grateful for any advice.
I'm type 2 and was diagnosed on New years eve of this year. At first my GP started me on metformin 500mg and gliclazide (80mg split 1/2 at breakfast and lunch and 1 at dinner). I've always been slim, but am now skinny and BMI of 18. The GP referred me to the hospital and they've tested for thyroid, celiac, carried out a scan of the pancreas, gall bladder, kidneys and liver. All results appear to indicate that there is no over riding problem that may be causing the weight loss (still waiting for the celiac test results). At an initial appointment with the nurse and dietician, they stopped the metformin, so since the middle of March, I've just been on gliclazide.
The consultant suggests using humalog at my main meal (dinner) as my weight is still falling. If I eat very low or little carbs, my bg 2 hours after meals are around 5 to 7. If I have any pasta, rice or potatoes in any reasonable quantity my bg goes from 9 to 14 depending on what I have. I guess her theory is that it will allow me to eat more carbs and then be able to put on some weight.
I'm not overly keen to go on to insulin, but I understand the reasoning in that it may help me to put on some weight or at least get it to stabilise. I asked if there were any other options and the consultant's advice was to try humalog and she said her concern was for my weight loss and to help give my pancreas a rest and hopefully extend its life (my elderly mother has just gone onto insulin after medication for 7 years, but she was diagnosed at 73, whilst I'm 49).
I'm going to see the nurse and dietician next Monday to discuss my diet, measuring carbs and matching them to the dosage in addition to learning how to use the humalog. I've really no idea what to expect nor what to ask and I wondered if anyone could perhaps give me a few tips, advice etc (sorry this is a bit longwinded, but I've been mulling it over and am not really sure what's the best thing to do).
I'm also a bit wary of the dietician as at the second appointment with her she suggested I only snack when my bg goes below 4 and that I need to test myself before I snack (usually nuts or oatcakes), which is impossible if I'm in meetings etc at work.
Thanks,
Libbyloo
