looking for advise please

[lisa00769]

Hi
im type 2 diagnosed 18 months ago.
5 months ago came off meds as lost weight etc... and levels really good.
nearly 2 months ago my sugars suddenly raised to average 19
back on 2000mg metformin 3 weeks ago
and prescribed gliclazide last week 40mg x2 daily
I am a little over weight and im terrified of putting the weight back on that I have lost and also the gliclazide making me feel nauseous.
This morning sugars were 14.3
feeling really rough still.
spoke to dn and has given me the new drug dapagliflozin.
Worried about wee infections as prone to them and also more toilet trips which are side effects.
cant have victoza as my last a1c was really good taken before this rise in sugars.
done everything to try and get them down. Even resorting to taking vinegar.
low carbs, exercise etc
does anyone have any advise please?
I need to get my readings down asap as need to feel better now.

 

[runner2009]

Hi Lisa

What was your A1C when you were diagnosed? When you say low carbs what is the amount of carbs are you eating? And when you exercise how much does your BG change? Might need to relax and give the new dosages time to work. I am not personally familiar with those drugs as I am on insulin.



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[lisa00769]

Hi Lisa

What was your A1C when you were diagnosed? When you say low carbs what is the amount of carbs are you eating? And when you exercise how much does your BG change? Might need to relax and give the new dosages time to work. I am not personally familiar with those drugs as I am on insulin.



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Hi
I have no idea what my a1c was im afraid and walk the dogs an hour twice a day.
the diet I have been doing is more like the atkins diet.
Thanks for your reply.

 

[runner2009]

Lisa one of the ways to get an understanding of what is happening is to start measuring the amount of carbs you are eating and writing them down and then testing after each meal ( and before if you want ) to see what foods are spiking your BG.
then start eliminating the foods that are no good for you.

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[lisa00769]

Hi
yes I have done that when first diagnosed. Now it seems that everything I eat makes me increase.
I starved myself for the day last week and still only got down to 13.

 

[runner2009]

Hi Laura

Yes starving yourself can cause the last liver to dump glucose into your blood system. The disease changes as we move along based upon external factors and its own progression. So we need to be constantly testing and adjusting.

Sounds like your meds need adjusting, but in the mean time I would restart myself on a consistent carbohydrate diet of three meals a day and two light snacks. I would try for 2 servings of carbos per meal that would be about 30g per meal. I would reduce my protein and increase my fat and see what works.

As for exercise, some people exercise before and after a meal affects the BS greatly and others not so much. I can drop between 10 to 20 points doing the following before or after some meals.

1. 30 to 60 squats
2. 30 to 60 seconds of jumping jacks
3. 10 to 60 pushups or wall pushups
4. 30 to 60 seconds of wall sits - back against a wall and squat down as if you are sitting
5. 30 to 60 seconds of planks

You don't have to do all of these but I try for at least 3. Doesn't work for everyone but for me it is a good tactic.
The consistent carbo diet really helps by eliminating a variable.

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[daisy222]

Hi Lisa.My story is similar to yours.I was and still am a bit overweight. ..diagnosed as type 2 around 2 years ago . No meds hb 6.7, 6 months later 5.9, then 6.6. On low carb diet since diagnisis and all of the sudden hba1c shoot up to 10.1. .It means my average sugar was about 13 mmol .
Tried metformin for 2 weeks with hardly any decrease in bs levels- morning bs around 10 , up to 17 after food.
I asked a doctor for anti GAD test and c- peptide test..After few days got results back and turns out I have Type 1 diabetes.
I am on insulin injections for a month but it is not that bad and at least my bs is down.

 

[lisa00769]

Hi Laura

Yes starving yourself can cause the last liver to dump glucose into your blood system. The disease changes as we move along based upon external factors and its own progression. So we need to be constantly testing and adjusting.

Sounds like your meds need adjusting, but in the mean time I would restart myself on a consistent carbohydrate diet of three meals a day and two light snacks. I would try for 2 servings of carbos per meal that would be about 30g per meal. I would reduce my protein and increase my fat and see what works.

As for exercise, some people exercise before and after a meal affects the BS greatly and others not so much. I can drop between 10 to 20 points doing the following before or after some meals.

1. 30 to 60 squats
2. 30 to 60 seconds of jumping jacks
3. 10 to 60 pushups or wall pushups
4. 30 to 60 seconds of wall sits - back against a wall and squat down as if you are sitting
5. 30 to 60 seconds of planks

You don't have to do all of these but I try for at least 3. Doesn't work for everyone but for me it is a good tactic.
The consistent carbo diet really helps by eliminating a variable.

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Ahh that makes complete sense. Thankyou so much for yoyr help.
I will certainly start afresh tomorrow and give that a try.

 

[lisa00769]

Hi Lisa.My story is similar to yours.I was and still am a bit overweight. ..diagnosed as type 2 around 2 years ago . No meds hb 6.7, 6 months later 5.9, then 6.6. On low carb diet since diagnisis and all of the sudden hba1c shoot up to 10.1. .It means my average sugar was about 13 mmol .
Tried metformin for 2 weeks with hardly any decrease in bs levels- morning bs around 10 , up to 17 after food.
I asked a doctor for anti GAD test and c- peptide test..After few days got results back and turns out I have Type 1 diabetes.
I am on insulin injections for a month but it is not that bad and at least my bs is down.

Hi daisy.
Yes that certainly sounds very similar. I think I shall ask the dnif we can look at that.

 

[daisy222]

Hi daisy.
Yes that certainly sounds very similar. I think I shall ask the dnif we can look at that.

HEY Lisa. Please do ask a doctor for those tests .Can I ask how old are you?

 

[lisa00769]

40 daisy

 

[daisy222]

So you are like me ( I am 34) a bit too young to have type 2 being only a bit overweight on diagnosis.
From what I read on this forum not all doctors are as helpful as mine. MY DSN was a nightmare wouldnt send me for those important blood test because " they are expensive".I wish you good luck. And please let us know how it goes.

 

[lisa00769]

Thankyou daisy
I most certainly will. X

 

[runner2009]

So you are like me ( I am 34) a bit too young to have type 2 being only a bit overweight on diagnosis.
From what I read on this forum not all doctors are as helpful as mine. MY DSN was a nightmare wouldnt send me for those important blood test because " they are expensive".I wish you good luck. And please let us know how it goes.

I am hearing more and more that lots of Type 2 have antibodies for both types and many type 2 end up on insulin as more of their beta cells die off

I've been on insulin from day one and I wouldn't have it any other way as I feel I have more control with less side affects.

I've been able to lose about 15lbs of fat and regain the muscles and more.

The people on the forum really opened my eyes to the fat part of LCHF

I highly recommend Dr. Bernstein's Diabetic Solutions book. You don't have to be as radical but the longer I've had the disease the more I see the wisdom in this disease

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[notned]

Hi Lisa,
I was diagnosed type 2 a year last autumn - don't know exactly when 'cos I was in an induced coma due to double pneumonia - they woke me a couple of months before my 70th and I was already on insulin. I really could do with losing a couple of stones.

In August last year we were advised that my wife's kidney blood results had dropped - suddenly we were facing dialysis and whatnot. Obviously it knocked her for six and in Sept we started weekly trips to the hospital - with the shock of their revelations, the hassle of parking, food and the rest I just took my eye off the diabetes. I was aware my blood sugar was rising - but weighed against fistulas and a couple of rather stark choices on dialysis it seemed of little consequence.

BG kept rising, I increased insulin and it seemed to rise faster - I hit a peak on 12 November, bedtime BG 20.7. Just a couple of days before that I had increased my insulin to its highest level - 14 units morning, 18 evening. I had phone calls recalling pens (mine weren't affected, but it is un-nerving), I spoke to LifeScan (who made my meter) and they sent me a new meter, I tried stopping insulin altogether, cut out meals. I ran out of ideas. Yes, I know, I should have seen my specialist nurse - but there just wasn't time.

At the end of November it was time for the annual prescription review. I saw a new Doctor - she instructed me to drop two urine samples in the following morning and wait while she 'dipped' one of them. After a few minutes at reception there was a shout to the effect that all was OK. About 29 November the practice phoned to say that the sample sent away had indicated a bladder infection. On the 2 Dec my doctor prescribed Amoxicillin and 5 days later my BGs fell back to something like normal (for me anyway, daily av 7 - 8). A week or ten days later they started to rise again, so in early Feb I was given a different prescription - 'Trime..' something. It didn't work as noticeably as the amoxy, but it brought the BGs down.

So for all those months I thought it was me - it was actually recurrent bladder infections. My first HbA1c was 45 (Dec '12) my second was 49 (after winter vomiting May '13) was 49, my last one was 63 (2 Dec '13).

The last time we went to the hospital kidney unit (can't spell Nefrology my wife's blood sample kidney results had picked up so dialysis and such are on the back burner and her appointments now every 3 months. Now my liver results are bad (can't even pass a blood test and the lady who did the ultrasound said 'it's cirrotic'. I see a liver specialist on 28 May - not bad for a non-drinker....

By 26 April my insulin dose had crept back to 32 (16 morn, 16 eve) - this horrified me but others tell me 'no big deal'. On 28 April I announced (to anybody listening) that I was fed up with the whole performance and things were going to change! I drank nothing but water all day - no food. The following day I ate normally - the day after that I fasted and largely thereafter.. Over the two weeks since 28 Apr my average insulin dose is a little below 8 (morning only) and never more than 10. BGs are daily av 6-7. If I could just crack the breakfast high they'd be less. I've lost a few pounds, nothing startling, but in the right direction.

It's a bit extreme though..


J.
PS sorry this is so long - I have edited a lot out - twice

 

[runner2009]

that I was fed up with the whole performance and things were going to change! I drank nothing but water all day - no food. The following day I ate normally - the day after that I fasted and largely thereafter..

A lot of non diabetics are fasting 2 or 3 days a week and I've heard of diabetics having success with what you describe.

I've been experimenting with a low calorie diet to lose weight and reduce insulin.

The diet is 800 to 1,100 calories a day. Insulin has dropped and I am starting to fight lows for the first time in a long time.

Surprised that weight is not falling off but I'm going to ask the Dr to get off the mix and see if I can take a long acting bolus alone in the am.

What was the liver issue caused by fatty liver?



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[mine]

freaking scary, i am diagnose 17 months ago. on metformin for 6 months, hba1c on jan 2014 is 4.7.....but this thread make me rethink that it will burst suddenly.

 

[runner2009]

freaking scary, i am diagnose 17 months ago. on metformin for 6 months, hba1c on jan 2014 is 4.7.....but this thread make me rethink that it will burst suddenly.

Hi mine
Great control congrats. What are you doing?

Every one is different not too worry.


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[mine]

i cut down on my carb, and take out soft drinks, took oldenlandia drinks with salt instead.

my weight down from 158-130.....

 

[runner2009]

i cut down on my carb, and take out soft drinks, took oldenlandia drinks with salt instead.

my weight down from 158-130.....

Good for you. Congratulations not easy to accomplish that

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