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Nearly died at the A & E

Thank you for your advice.

If I eat butter, that will push my calories up!

I’m trying low - calorie/ low carb.

But you’re absolutely right. If I don’t eat a bit of carb, I’ll die.
 
I was overweight at 14.5 stones

I was advised to loose 3.5 stones
 
My A1c on diagnosis at the A & E was 85%, 18mm/mols for BG.

Ketoacidosis.

My next one will be mid December.
 
pottasium can be dangerous to be too high in.. and is only something one should supplement if ones GP advice to take it

It's what I've read up regarding Magnesium too? Both can induce "nausea" (amongst vomiting & diarrhea.) if taken in higher than the recomended dose..
 
Thank you for the advice.

I’ll be testing before going to bed.

My DN said that I will be given Metformin 500mg increasing to 1G, at the same time weaning down my insulin.

The plan is to eventually slowly and gently transfer to Metformin.
 
It's what I've read up regarding Magnesium too? Both can induce "nausea" (amongst vomiting & diarrhea.) if taken in high than the recomended amounts..

magnesium we already use in a huge amount in our bodies, the best natural source is oats, but if one eat mineral pills like candy of cause one can get too high https://draxe.com/magnesium-deficient-top-10-magnesium-rich-foods-must-eating/

. potassium has a very narrow line where one can easily get too low but also very easily go too high and it is poisonous, and this mineral can affect our heart severely and this can be really dangerous...https://www.prevention.com/eatclean/13-foods-that-have-more-potassium-than-a-banana/slide/11

if one wants to find a natural way to get potassium then many nuts are high in potassium and also safe for a lower carb person then one can eat tomato-soup with spinach or sweet potatoes, salmon and legumes white and black beans and edamame
 
Just tested my BG before dinner, it’s 6.7

I’m taking 14 units of insulin at present.

What does that mean?
 
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The doctor's plan is to introduce Metformin 500mg with breakfast and dinner increasing to a strong dosage of 1G
but weaning down Glargine which is a long acting 24 hrs insulin.
Is it toujeo300 insulin, your on?
 
Before I was diagnosed with type1 diabetes I had noticed that I was really tired and lathargic for about 4 weeks but put it down to a new job I'd started. About 1 week later I woke up in the night for the loo (again) and as I started to get our of bed I collapsed on the floor and started coughing up blood. Thankfully my parents (I still lived at home then) woke up and found me. My dad called the ambulance which came within minutes and I was taken to hospital. After test and bloods done I was told i was type1 and would need to take insulin for the rest of my life. After discharge it took 8 weeks for my gp and dsn to get in touch. Thankfully 17 years later in still here and fine but I got told if I hadn't got to hospital that night I probably wouldn't have woke up in the morning.


Mike
 
I’ve been put on Glargine

14 units, one injection before going to bed
 
This is terrible Mike, thank God you’re still alive!

My experience was very similar to yours but I’m T2, Newly diagnosed on 22 Sept.

I nearly died at the A& E from ketoacidosis.

I’m absolutely devastated, gave up work for now.
 
I got a response back from GP / DN 7 weeks later

NHS - “National Hysterical Service”
 
Metformin is excellent at reducing insulin need, however for me that doesn't happen immediately. Weight loss from metformin either.
Others have immediate affect on their bgs so be aware either may happen.
I'm just back on metformin after upset tummy bug from the kids. So slow hypos are telling me to reduce my basal insulin (toujeo300) which was increased in metformin 2000mg daily's absence.
No weight loss as my bgs rose.
Slowly adding metformin should slowly reduce my bgs a little but may decrease my basal by 6-9 toujeo300 units.(72 to 66 or 63units).
Low carbing doesn't decrease my 2 insulins by half either.
Everyone is different.
You have to find what works for you by testing heavily and correcting any hypos quickly to stay safe.
I totally agree that anyone new to insulin should not try low carbing and especially not no carb diet.
Diabetes is for life, for many so why rush perfecting the best solution for you. Maybe a reversal and no insulin if you are type2 for sure.
Rome wasn't made in a day.

Please get used to insulin to give you perfect bgs first....then change the dynamics to improve any insulin resistance.
Goals can be smashed, for sure.
Learn to walk before doing your half marathon run. Please.
 
You are absolutely right.

I’m treating my diabetes like a cold flu that will go away overnight but I realised it’s not the case.

Im new to all this and have been depressed and crying almost everyday for the last 7 weeks but thank God I found wonderful, supportive and kind people here.

We must unite and fight this with courage!
 
You are absolutely right.

I’m treating my diabetes like a cold flu that will go away overnight but I realised it’s not the case.

Im new to all this and have been depressed and crying almost everyday for the last 7 weeks but thank God I found wonderful, supportive and kind people here.

We must unite and fight this with courage!
Just remember that diabetes is a marathon and not a sprint. We all get depressed and down due to different things. For me my diabetes was a huge thing at first and my mum wanted to wrap me up in cotton wool but you will get to the point where you get your mojo back and feel great again.

If you need anything at all then please do just ask :)

Mike
 
I was where you were 6 months ago (not the ketoacidosis): the suddenness of it all, shock, fear. I had been tired for a few months, and I had an abcess that wouldn't heal. I was seeing a dermatologist for something else and I asked her to look at it. Turns out I had a staph infection then she tested my blood sugar, and voila! My blood sugar was 18 when diagnosed. I was started on Metformin then 10 units of Lantus (basal insulin). I started off with the diet recommended here in Canada: high carb/low fat. I did more research and decided that 45-60 g of carbs per meal made no sense, especially since I became determined to reverse it. From the time of diagnosis, I stopped eating sugar and you'd be amazed at the difference that alone makes as far as weight loss goes. I gradually cut other carbs like wheat, grains, most fruit, starchy foods and started walking a lot more. I've now lost between 50-60 pounds. Different things work for different people, and you need to find what carb level works for you. And don't worry about doing everything all at once. Test before and 2 hrs after you eat to see how your body responds to what you eat. It's normal for anyone's blood sugar level to go up 2-3 points after you eat. If it goes up more than that, don't panic. Just adjust what you eat and/or the amount. And remember that bg levels are affected by more than food. Stress, lack of sleep and other factors can all have an impact. It wasn't explained to me either about how to do things, including when I should adjust insulin levels. When my fasting levels get below 5 I lower my dose by one unit. I confirmed with the pharmacist and my specialist that this is the right thing to do. Sorry about going on and on here and I'm sorry if it's confusing. I'm also not trying to give medical advice, just what happened with me. I know the feeling of being overwhelmed by all this, terrified of raising my bg levels and feeling hopeless and frustrated by it all. You're already taking control by educating yourself and losing weight. And you're right in that this won't happen overnight. If you feel the need to talk about it, or just need to vent, let me know.
 
I appreciate this very much Mike, thank you.

Please tell me, how do you overcome muscle weakness on insulin?

Since I’ve been put on insulin I’ve felt tired and have lost energy.

Please advice.
 
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