Ever since my husband has been told he has type 2 diabetes he has stopped eating his regular meals. He misses his evening meal saying he just doesn't want anything to eat. He has had his bladder and prostate out because of bladder cancer. He has a urine bag on the outside of his body from both kidneys. He has chronic kidney disease. This has all happened in the past year and he is 83 years old. Getting told about the diabetes seams to have shoved him over the edge. It doesn't matter what i say he wont listen. It seems our 52 relationship means nothing to him. He goes to see the nurse in 3 week time so go knows what she will say to him. I just hope he will listen to her. It's such a long time to go from lunch time to breakfast the next day. I dont know what to do i am at my wits end. Thankyou for reading my post. from Sylvia
I'm so sorry things have been so strained, but really, it's likely more a matter of his feeling out of control than him disregarding everything you say and your relationship meaning nothing. He's scared, just like you are, and likely traumatised by one thing after another. Like cancer isn't enough to be dealing with. If it is any consolation, it is indeed true that if he eats enough vitamins, minerals, protein and fats in the two meals he does have, he should be fine. He doesn't physically need to take those steps, with a HbA1c of only 50 (which really is peanuts, but doesn't sound like it when you're not well-versed in the diabetes thing yet, and are still new to the whole thing), but he might need to to feel a little more safe within his own body. It might feel like it's been turning against him, after all. Many here practice one or two meals a day to control their blood sugars, on its own or in combination with a low carb lifestyle. I do, and it brought me better health, but my diabetes was raging out of control for years prior to that. Nowhere near a neat and tidy 50, at that point. Thing is now to find out WHY he's doing that. If he was put on metformin, he might be feeling ill from the side effects (If that persists for more than two weeks, in spite of having it on a full stomach, those side effects aren't going away and slow release metformin might be better.). Or, he just did some reading and decided two meals a day seemed a doable way to manage the diabetes. If supper is mainly spuds and the like, that would automatically mean cutting down on carbohydrates, so that should lower his blood glucose. It's easy for us to say "Up the protein in his other meals", but with his kidney issues that may not be feasible. Maybe add in a little more healthy fats, like avocado and the like? Something for his body to run on, while not making blood sugars spike nor his kidneys worse. I hope the diabetes nurse will refer him to a dietician, if he doesn't have one yet post-cancer/kidney disease diagnosis. These days with the NHS I don't know what is available and what isn't (I'm Dutch and the current lines over there for a dentist baffle me), but it'd be good to balance out his nutritional needs. Truth be told though, when you're dealing with multiple conditions, you have to prioritise... Which is the more pressing matter? With a HbA1c of 50, he seems to be doing pretty well, not in immediate danger of complicatons at that rate, and it's likely to be lower and back into the pre-diabetic range with the way he changed his eating. But it's important for him to treat the other stuff properly as well. The blood sugars aren't going to cause complications any time soon. The kidneys and post-cancer treatment should take priority.
It's scary stuff, all of it. I know my mom needed more steroids after her cancer treatment started, and it triggered steroid-induced diabetes for her. It's like you can't tackle one thing without excerberating another, and half the time you don't know where to look to first. It's terrifying and it's frustrating. And if your husband is one of those who internalises everything and doesn't want to be a bother to others, well... That doesn't help. Try and have a sit-down and tell him you asked other diabetics for advice, because everything that's going on is a horror and you're feeling shut out. Maybe not throw things out there like do I mean nothing to you, but just let him know he's not the only one that's terrified, and you're flaundering too, not knowing how to help, and wanting to. Again, two meals a day should be perfectly fine, and now you know it, too. So tell him you want to help make those meals count towards healing from the cancer treatment and controlling the kidney disease.
You're an excellent, caring spouse. I got lucky with one of those too, and let me tell you... When times get tough, it's good to have someone in your corner. You're in his. We're in yours. Hang in there.
Hugs,
Jo