My diabetic getting worse no matter what

Daibell said:

Hi. I don't think you have mentioned so far what what your weight/BMI is? This is quite important as a pointer to whether you are a T2 with insulin resistance or a late onset T1 (LADA). If you are slim and losing weight then LADA is quite likely. With excess weight, insulin resistance is likely. I think you know that keeping the carbs down should help a lot. The three drugs you have should be helping (I've been on all of them). The Gliclazide dose is very low and could be increased by the GP but may not relevant if you do have excess weight. There is a weekly injectable that may be relevant and worth discussing with the GP. So, do what can in reducing the carbs in your diet and let us know where you weight is.

Click to expand...

They did on the first post
150cm, 53kg
Which is within normal bands for BMI (23.6)
There are medical increase possibilities of course, Metformin is half max dosage too, but as per my experience this is a sticking plaster to kick the can down the road. But potential for other varients and having tests to confirm seems a sensible approach

We can't diagnose clearly, there are many factors at play such as progressive nature of T2 (carb control lacking) or potential for a different varient

Andydragon said:

They did on the first post
150cm, 53kg
Which is within normal bands for BMI (23.6)
There are medical increase possibilities of course, Metformin is half max dosage too, but as per my experience this is a sticking plaster to kick the can down the road. But potential for other varients and having tests to confirm seems a sensible approach

We can't diagnose clearly, there are many factors at play such as progressive nature of T2 (carb control lacking) or potential for a different varient

Click to expand...

Thanks for the reply; I missed the original BMI info. That BMI isn't bad so you are right to say it's not easy to see what is going on currently. A C-Peptide test might be worth doing to check how much insulin is being produced and hence the best treatment going forward.

Have you tried low-carbing and measuring blood sugar for some or all meals in a day? Might be useful for you to know these blood sugar values before you see your GP, but first phone your GP to see if he/she agrees.

Low-carbing:
no rice, potatoes, pasta, bread, most fruits and vegetables,
sweet drinks, juices, beer

allowing:
celeriac mash/chips, cauliflower rice,
raspberries, strawberries,
avocado, broccoli, brussel sprouts, cabbage,
lettuce, cucumber, small amount tomatoes

typical day menu(for me):
Breakfast:
sausages/bacon, poached/boiled eggs, cheese slice(s)
Morning snack: Coffee with teaspoon(s) double cream
Lunch:
omelette with vegetable or
2 quarter pounders (e.g. Angus) with cheese topping
Afternoon snack:
coffee with double cream or
full fat Greek yogurt with raspberries
Dinner:
Meat/Fish, celeriac mash/cauliflower-rice, broccoli

Before low-carbing my blood sugars were in the range 11-15mmol/L for rice potatoes and pasta. After keto low-carbing the values after all meals have been 5.9-7.6mmol/L.