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I dont know anymore

Brunneria said:
Hi @UsmanMo96

are you still eating low carb, as you were during your last thread?

in your last thread you mentioned insulin resistance and wasn’t your insulin going to be adjusted? Did your specialist decide to keep you on fixed doses?

maybe requesting an appt to the nearest sleep clinic is the way to go.
Click to expand...

Hiya i am still eating low carb,

Eggs, nuts, fish and meat and greens.

I don't sleep so i can see my level throughout the night and when i get up my levels start to rise from 12 all the way to 19 and then it comes down to 14 stays there for several hours and my next meal my levels are around 12 and then my meal it can go back to 19-20, if i slept i would imagine i could be around 8-9 but i can only imagine until i fix my 2nd biggest problem sleep i can go 4 days without sleep and i know that's bad.

My diabetes dr only wants me to up my insulin ge didn't care that i wasnt sleeping or anything he asked about my libre testing and my insulin dosing. I really need to start fixing things because its had a big impact on my mental health.
 
Hi, this is a long shot but are you eating and exercising enough? I am a Type 2 who no longer takes any medication. I notice that you have tried fasting and are on a low carb diet. I find that if I have not eaten enough food and /or exercised enough during the day I cannot sleep properly. The resulting anxiety leads to the release of adrenalin and cortisol, hormones which increase blood glucose levels (ready for emergency response). Bingo, viscous cycle of no sleep, anxiety, lack of sleep, stress over lack of sleep etc. I learned to eat more food at regular intervals not less, even if this means having a snack at 3am. Result: normal blood glucose, sound sleep, increased fitness, happier all round.
However, other than your health and inability to sleep, are there other aspects of your life that are creating stress that could be dealt with? A referral to a sleep clinic or counselling may help.
 
Dr Snoddy said:
Hi, this is a long shot but are you eating and exercising enough? I am a Type 2 who no longer takes any medication. I notice that you have tried fasting and are on a low carb diet. I find that if I have not eaten enough food and /or exercised enough during the day I cannot sleep properly. The resulting anxiety leads to the release of adrenalin and cortisol, hormones which increase blood glucose levels (ready for emergency response). Bingo, viscous cycle of no sleep, anxiety, lack of sleep, stress over lack of sleep etc. I learned to eat more food at regular intervals not less, even if this means having a snack at 3am. Result: normal blood glucose, sound sleep, increased fitness, happier all round.
However, other than your health and inability to sleep, are there other aspects of your life that are creating stress that could be dealt with? A referral to a sleep clinic or counselling may help.
Click to expand...

Hi,

I eat less in the morning with 2 boiled eggs,
And in the evening i can eat meat or fish mixed with vegetables. I do exercise everyday. But i cant seem to sleep, i thought maybe its due to my medication but im not sure, i feel my blood sugar being between 13-15 when im about to sleep maybe the reason i cant drift off to sleep.. also i don't know what a sleep clinic is but i may ask my gp to refer me
 
Hi, it sounds to me as though you just are not eating enough food and in particular not enough fat in order for your body to feel satisfied and therefore able to rest. You are also taking a lot of medication in relation to that amount of food.
Your medics seem to be following the guidelines laid down by the NHS for control of blood glucose. First Metformin, then if this doesn't seem to work, add in other medications then eventually add in insulin. However, your HbA1c is still very high despite all the meds. Further investigation needed????
 
Dr Snoddy said:
Hi, it sounds to me as though you just are not eating enough food and in particular not enough fat in order for your body to feel satisfied and therefore able to rest. You are also taking a lot of medication in relation to that amount of food.
Your medics seem to be following the guidelines laid down by the NHS for control of blood glucose. First Metformin, then if this doesn't seem to work, add in other medications then eventually add in insulin. However, your HbA1c is still very high despite all the meds. Further investigation needed????
Click to expand...

Yes, i am taking metformin and sitagliptin and gliclazide along insulin but my lowest readings is only 12 some days. Im not sure if my body has given up i have done a 12 hour fast and i i haven't come down by much.. dr told me im type 2 im not sure what else they can do? I am trying my best to figure it out even 6 years later
 
Maybe you need to ask for a C-peptide test? Did you have one when you were first diagnosed? It measures the amount of insulin your body’s producing: it’s possible that your original diagnosis of T2 was a response to a slow developing T1. T1 can sometimes develop slowly in older people. Quite a few have been given an initial diagnosis of T2.
 
Fairygodmother said:
Maybe you need to ask for a C-peptide test? Did you have one when you were first diagnosed? It measures the amount of insulin your body’s producing: it’s possible that your original diagnosis of T2 was a response to a slow developing T1. T1 can sometimes develop slowly in older people. Quite a few have been given an initial diagnosis of T2.
Click to expand...


I have done a c-peptide recently it came back that i was producing insulin im only 24
 
Maybe ask to be referred to a Diabetes Consultant’s clinic at the nearest hospital that has one?
 
Fairygodmother said:
Maybe ask to be referred to a Diabetes Consultant’s clinic at the nearest hospital that has one?
Click to expand...
I am seeing diabetes specialist i lasy saw a dr 2 weeks ago and i do have regular phone calls with the DN but yet my blood sugars are still in the high range i have had a C-peptide done, i figure maybe its due to sleep and lack of vitamins but i usually get my vitamins checked 3 months. The advice that i was given by my specialist was to go on insulin and 5 months later i haven't had any luck with the insulin. I have tried insulin by itself and with my other medications i did question the dr if im making insulin and taking insulin isn't that going to do more damage but the dr told me to take the insulin and it will take time for it to work i don't know anymore but i will be seeing him again in 4-5 months time
 
Maybe your DSN could help you with the ways you manage the insulin doses?
 
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