- Messages
- 24
- Type of diabetes
- Type 2
- Treatment type
- Diet only
- Dislikes
- entitled people, traffic jams, politics
A follow up to my earlier post. I have seen the diabetic nurse and tbh although she was very nice the whole appointment was less than helpful. The nurse never even discussed testing/levels/ etc or really made any helpful/useful suggestions. No advice on what to do just signposting me to other services for "education", eye checks etc. After a couple of weeks of trying to get my head around things myself and lots of reading, I decided that to understand what was happening I would invest in a Freestyle Libre2 as a short term measure with a view to then reverting to finger pricking when I was more confident about what I can eat. I have now had a CGM since Sunday eve so this is my 4th full day. I have reduced my carb intake (since learning my diagnosis) and currently varying between 70g and 130g per day as I'm figuring out what I can eat. So my questions currently are:
-If my levels spike after eating but are back within the 2/3 increase 2 hours after eating is this OK or a problem? (I wouldn't know about the higher reading if I didn't have a CGM?)
-Do you measure 2 hours after starting eating or finishing eating - sometimes I'm quite slow
I have noticed that some days (not every day)
-I have a spike in the morning as I wake up. I understand why this happens but then why not every day? Does it matter? What can I do to improve it (if anything).
-Is time in range a good indicator?
-Is the range correct? I didn't change the settings and used the default which was 3.9-10.0.
-What if you consume things slowly? Does that make a difference? Does it just avoid a spike but put you generally up?
-Nurse basically said that even if my numbers are looking good that could be because I am overproducing insulin to make it look like that so I will still wear out my pancreas early and therefore recommends that I start on medication as that increases your sensitivity to insulin. I didn't as I wanted to try the diet approach first but don't understand how if this is the case, that type 2's are not automatically put on meds straight away.
-Nurse also said she would see me in 6 months and would do a full check (feet etc) then. That is also when they will do the next Hb1Ac. I queried this but she said they don’t do it before because I haven’t had enough time to make changes. Is this normal?
Sorry, I know there are lots. Feel like I'm falling down a rabbit hole of numbers although I am a tech person so that’s how I work. However also all the counting/working out is a bit triggering for me but I don't see how I can work out what works for me without this as I am asymptomatic and don't feel any different. Also trying to lose weight which is also an issue for me.
Any help/guidance/answers/advice would be very appreciated.
-If my levels spike after eating but are back within the 2/3 increase 2 hours after eating is this OK or a problem? (I wouldn't know about the higher reading if I didn't have a CGM?)
-Do you measure 2 hours after starting eating or finishing eating - sometimes I'm quite slow
I have noticed that some days (not every day)
-I have a spike in the morning as I wake up. I understand why this happens but then why not every day? Does it matter? What can I do to improve it (if anything).
-Is time in range a good indicator?
-Is the range correct? I didn't change the settings and used the default which was 3.9-10.0.
-What if you consume things slowly? Does that make a difference? Does it just avoid a spike but put you generally up?
-Nurse basically said that even if my numbers are looking good that could be because I am overproducing insulin to make it look like that so I will still wear out my pancreas early and therefore recommends that I start on medication as that increases your sensitivity to insulin. I didn't as I wanted to try the diet approach first but don't understand how if this is the case, that type 2's are not automatically put on meds straight away.
-Nurse also said she would see me in 6 months and would do a full check (feet etc) then. That is also when they will do the next Hb1Ac. I queried this but she said they don’t do it before because I haven’t had enough time to make changes. Is this normal?
Sorry, I know there are lots. Feel like I'm falling down a rabbit hole of numbers although I am a tech person so that’s how I work. However also all the counting/working out is a bit triggering for me but I don't see how I can work out what works for me without this as I am asymptomatic and don't feel any different. Also trying to lose weight which is also an issue for me.
Any help/guidance/answers/advice would be very appreciated.
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