Type 2 Need advice, running into trouble

Blonid

Active Member
Messages
25
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi everyone. Type 2 diabetic and my health is deteriorating. HBA1C was 104 mol/l. ( I’m used to the old measurements re blood sugars, for example blood sugar of 12, can anyone tell me how mush 104 is). BMs during the day running between 13 And 20.. I have lost 1.5 stone, mainly contributed to work related stress.
Cholesterol 7.4.
Plan. Low card low fat diet.
Excerise
Find a new job.
New diabetic drug alongside menformin.
Feel low, fatigued. Muscles ache and nauseous.
Can long term stress cause an increase in Bloid sugar? Side effects normal considering blood levels? Any advice greatly appreciated.
 

Ann1982

Well-Known Member
Messages
432
Type of diabetes
Treatment type
Insulin
My advice would be to just tackle one problem at a time. Perhaps changing your diet might alleviate some of the symptoms. Many on here find the low carb high fat diet works for them. Take a look around the site you will find a lot of answers and helpful people.
 

urbanracer

Expert
Retired Moderator
Messages
5,187
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Not being able to eat as many chocolate digestives as I used to.
Hi everyone. Type 2 diabetic and my health is deteriorating. HBA1C was 104 mol/l. ( I’m used to the old measurements re blood sugars, for example blood sugar of 12, can anyone tell me how mush 104 is). BMs during the day running between 13 And 20.. I have lost 1.5 stone, mainly contributed to work related stress.
Cholesterol 7.4.
Plan. Low card low fat diet.
Excerise
Find a new job.
New diabetic drug alongside menformin.
Feel low, fatigued. Muscles ache and nauseous.
Can long term stress cause an increase in Bloid sugar? Side effects normal considering blood levels? Any advice greatly appreciated.

With an hba1c of 104, you are above the threshold of being considered a diabetic. This page explains a bit more..........
https://www.diabetes.co.uk/what-is-hba1c.html

Stress can raise blood sugar, we have a page for that too!
https://www.diabetes.co.uk/diabetes-destress.html
 
Last edited:

JohnEGreen

Master
Messages
13,243
Type of diabetes
Other
Treatment type
Diet only
Dislikes
Tripe and Onions
Hi Blonid and welcome to the forum am tagging @daisy1 who will hopefully supply you with a fact sheet for new members

I think 104 in old money would be approximately 15.9 that is I think your Hb1Ac of 104 would equate to just over 15.9 mmol/l

You have come to the right place for help and support so have a look round and don't be afraid to ask any question always plenty of helpful people here to answer any queries you may have.
 
D

Deleted Account

Guest
This will help you convert your hB1AC to a BG measurement: https://www.diabetes.co.uk/hba1c-to-blood-sugar-level-converter.html
(It's amazing what great material there is on this site as well as the forum :))

Stress will definitely affect your BG ... as well as diet, illness, etc.
And some of your other symptoms (feeling low, fatigue, etc.) may be due to high BG.

As @Ann1982 suggests, changing your diet may help reduce your BG which will make you feel better and easier to tackle the other problems which remain.

Good luck - coming here is a good start.
I'll tag @daisy1 who has some great advice (sorry if you have seen this before).
 

NicoleC1971

BANNED
Messages
3,450
Type of diabetes
Type 1
Treatment type
Pump
Hi I am not surprised you feel rough with those high sugars and there is lots of useful info already posted here but I think the best advice was '1 thing at a time'!
What can you change now that would make you feel better? e.g. go for a walk to relieve stress and lower blood glucose, plan a low carb meal (and high fat is fine)? or think about how to better manage the new job stress if that is the root cause of the problem.
I think that choosing 1 really big thing (the thing that if you change it will have the biggest impact) to work on consistently will be more effective than creating a big list of stuff that you just can't manage to do consistently. Further changes can then be added.
Whatever you decide there is a lot of support in terms of morale and knowledge, here and I hope you let us know how you get on.
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
With an hba1c of 104, you are only just inside the threshold of being considered a pre-diabetic. This page explains a bit more..........
https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

Have you misread something here? An HbA1c of 104 is very high and certainly not within the pre-diabetic range. It is in the red zone in this chart.

hba1c-chart.jpg
 

urbanracer

Expert
Retired Moderator
Messages
5,187
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Not being able to eat as many chocolate digestives as I used to.
Have you misread something here? An HbA1c of 104 is very high and certainly not within the pre-diabetic range. It is in the red zone in this chart.
yes - read the wrong chart - have already changed my post.
 
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catapillar

Well-Known Member
Messages
3,390
Type of diabetes
Type 1
Treatment type
Insulin
A hba1cof 104mmol/mol is equivalent to a hba1c of 11.4% or an average blood sugar of 15.9mmol/l. So it's very high.

I'm not suprised you've lost weight if your blood sugars are constantly in the teens.

Stress can raise blood sugars but it won't be raising it to double figures.

How do you currently manage your diabetes? Just metformin? Do you test your blood sugars at home to see how different foods affect your blood sugars? When you say you want a new diabetic drug alongside metformin, do you actually know what other drugs are available and what their side effects are compared to the very safe metformin? The NICE algorithm for increasing treatment in type 2 diabetes - https://www.nice.org.uk/guidance/ng...apy-in-adults-with-type-2-diabetes-2185604173 - says for adult type 2 diabetics who take metformin:
  • The first intensification is to consider a DPP4 inhibitor, which carry a risk of pancreatitis;
  • Piogltazone, which varies an increased risk of bladder cancer and heart failure;
  • Sulphonyureas, which can cause DKA
  • SGLT2 inhibitors, which can cause DKA
 
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JoKalsbeek

Expert
Messages
5,980
Type of diabetes
I reversed my Type 2
Treatment type
Diet only
Stress can mess with your BS to some extent, so yeah... Getting another job, though stressful in and of itself, could help. As sleep is very impprtant to us, I'm guessing not laying awake worrying about it will help too. Personally, as someone who is stressed all the time (severe anxiety issues), I found that in spite of my being a bundle of nerves 24/7, a low carb/high fat diet got me back into the non-diabetic range. I still have it, if I eat something carby my bs skyrockets, but no other symptoms or diabetic complications... Choose you. Take care of yourself and the rest'll fall into place.
 
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Phoenix55

Well-Known Member
Messages
577
Type of diabetes
Prediabetes
Welcome to the website. Others have posted and alerted @daisy1 for you. Split your aims in what you can do almost immediately and those that are longer term.
Getting a new job takes time, believe me I have tried. This needs to be a longer term aim, no matter how much you want it to be shorter term. Try to reduce the stress you are under in other ways, have a word with your manager or HR, they may be able to suggest a source of help. Perhaps your union , if you are in one, can help, at least contact the rep so that they are aware that you are having problems. If you have some lavender oil use a couple of drops on a pillowcase to help you to relax and get to sleep.

If you have a meter please check what you are eating and try to reduce your carb intake, all carbs are turned to sugar to be digested. Trying to eat low carb and low fat is very restricting, don't be afraid of fats they help you to feel full and the body has to work to digest them. A medium term aim, changing your diet takes a while and takes time with shopping initially.

Don't forget to take a few minutes out at lunchtime to go for a brisk walk, it helps to get you out of the source of stress as well as actively helping you to reduce your bg. Immediate aim.
Have a chat with your doctor or DN. Explain your concerns, you will not be the first patient they have had with work problems. They may want to change your medication to bring down your bg to healthier levels, constantly running bg in the teens is causing unseen damage. Medium term, sometimes you may have to wait several weeks for an appointment.
I hope that this helps. Please do come back and let us know how you get on.
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@Blonid

Hello Blonid and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you like and someone will help.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 

Guzzler

Master
Messages
10,577
Type of diabetes
Type 2
Treatment type
Diet only
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Poor grammar, bullying and drunks.
Hello and welcome to the forum. I had a similar HbA1c to yours and managed to bring it down to a more respectable (and less risky) level comparatively quickly. Address your diet and all your numbers will improve.Ask as many questions as you like, the folks here are knknowledgeable and very supportive. Best wishes.
 

Rachox

Oracle
Retired Moderator
Messages
15,906
Type of diabetes
I reversed my Type 2
Treatment type
Tablets (oral)
Just popped in to say hi and welcome from another member of the low carb club! Got my HbA1c down to non diabetic levels along with self monitoring and Metformin. Lost a chunk of weight too :)
 

Resurgam

Expert
Messages
9,868
Type of diabetes
Treatment type
Diet only
Hello and welcome.
Although low fat is considered a healthy way to eat by the health care fraternity - it seems to be responsible for an epidemic of ill health as people have eaten high carb instead.
My Hba1c dropped rapidly and all my readings were back in the normal range within 6 months of diagnosis when eating the LCHF diet many on the forum will recommend.
It is easy to do - delicious and I find that it helps with coping when under pressure.
 

Daibell

Master
Messages
12,653
Type of diabetes
LADA
Treatment type
Insulin
Hi. What is your current weight. If you don't have any excess weight then there is the possibility of being late onset T1 and not T2. If so do discuss that with the GP. I would change your diet a bit. You don't need to do low fat as you need fat for both health and to keep you feeling full together with adequate protein. You shouldn't do both low-carb and low-fat
 

Blonid

Active Member
Messages
25
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Thanks all for the support and advice.
My new diabetic drug isSitagliptin alongside metformin.
For the past 12 months my GP was encouraging me to take Gliclazide but I declined this as I was overly concerned about hypos and the impact it could have at work.
Of course I now find myself in this position of stupidly high blood sugars of yes 104. I’m off work for a week as I feel gastly. Dry mouth, nausea muscle pain and fatigued. The color drains from my face when I’m up and about.
This is the kick up the backside I needed.
Blonid
 

Blonid

Active Member
Messages
25
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I’m 89kg was 99kg

Hi. What is your current weight. If you don't have any excess weight then there is the possibility of being late onset T1 and not T2. If so do discuss that with the GP. I would change your diet a bit. You don't need to do low fat as you need fat for both health and to keep you feeling full together with adequate protein. You shouldn't do both low-carb and low-fat