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Just gone on insulin and my sugars are worse than ever
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<blockquote data-quote="HSSS" data-source="post: 2462317" data-attributes="member: 480869"><p>I’m another that is mystified why they are linking low b12 and iron to lack of carbs. Typically they come from animal sources, especially meat, not carbs which are usually very lacking in these nutrients. I too struggle with the same issues and have researched it, a lot! Some poor advice if it’s coming from your nurse and it makes me question her knowledge even more. </p><p></p><p>We need energy. We don’t have to get it from carbs. Humans are dual fuel and can run of fats and ketones as well as glucose. If I ate anywhere near that amount of cars a day I’d be on insulin rather than at non diabetic levels I reckon . Blimey if I even ate your meals worth 60-80 in a day I’d be on something rather than no meds and much higher levels. </p><p></p><p>your DN is repeating the official guidance. The guidance is unambitious, not adapted to individuals and is a large part of the reason why type 2 is seen as progressive. The reason a lot of us in here say differently is because we tried the official way and it simply didn’t work. Maybe look up and send your dn the stuff dr David unwin has prepared to educate fellow professionals. It qualifies as their additional training. </p><p></p><p>As to your next steps I’d reduce the carbs more (and add in plenty of meat instead for the iron, b12 and very low glucose) and watch carefully with my meter. If you improve you know the carbs are the cause. If you go too low you need less insulin</p><p></p><p>If you don’t improve then I’d be asking to the DN to check how much insulin I actually produce still. If it’s very low then upping the insulin is the only option. If it’s actually high your problem is insulin resistance. It is for the vast majority or type 2 as an inherent part of the disease, even if eventually they also give up producing insulin as their pancreas gets “exhausted” from many years of overproduction. Adding gliclazide and insulin to already high levels adds to the problem in the long term as it adds to insulin resistance even whilst short term reducing blood glucose.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2462317, member: 480869"] I’m another that is mystified why they are linking low b12 and iron to lack of carbs. Typically they come from animal sources, especially meat, not carbs which are usually very lacking in these nutrients. I too struggle with the same issues and have researched it, a lot! Some poor advice if it’s coming from your nurse and it makes me question her knowledge even more. We need energy. We don’t have to get it from carbs. Humans are dual fuel and can run of fats and ketones as well as glucose. If I ate anywhere near that amount of cars a day I’d be on insulin rather than at non diabetic levels I reckon . Blimey if I even ate your meals worth 60-80 in a day I’d be on something rather than no meds and much higher levels. your DN is repeating the official guidance. The guidance is unambitious, not adapted to individuals and is a large part of the reason why type 2 is seen as progressive. The reason a lot of us in here say differently is because we tried the official way and it simply didn’t work. Maybe look up and send your dn the stuff dr David unwin has prepared to educate fellow professionals. It qualifies as their additional training. As to your next steps I’d reduce the carbs more (and add in plenty of meat instead for the iron, b12 and very low glucose) and watch carefully with my meter. If you improve you know the carbs are the cause. If you go too low you need less insulin If you don’t improve then I’d be asking to the DN to check how much insulin I actually produce still. If it’s very low then upping the insulin is the only option. If it’s actually high your problem is insulin resistance. It is for the vast majority or type 2 as an inherent part of the disease, even if eventually they also give up producing insulin as their pancreas gets “exhausted” from many years of overproduction. Adding gliclazide and insulin to already high levels adds to the problem in the long term as it adds to insulin resistance even whilst short term reducing blood glucose. [/QUOTE]
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