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New to this

Discussion in 'Newly Diagnosed' started by Timetells, Jul 8, 2019.

  1. Jordi77

    Jordi77 Type 2 · Well-Known Member

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    T2's don't stop producing insulin as I know that as I have to inject insulin and I am also producing insulin and I am also insulin resistance and that is to the insulin I inject not my own but my own insulin is not enough so that is why I have to inject insulin and I am not sure what you are going on about but I know my pancreas is still producing insulin even though I have to inject insulin and I have done since I was diagnosed and have had two breaks where I didn't have to inject insulin or take any medication or anything else but that I can't think of but both were for a year and then I was back on insulin after a stay in hospital due to my blood sugars being sky high and I am now back on insulin and still producing insulin just not much
     
    • Informative Informative x 1
  2. Robbity

    Robbity Type 2 · Expert

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    Thanks for posting those links - you've saved me a job! I knew that there was a condition where T2s could suffer with a type of DKA and think we had a member who was actually diagnosed this way, so was going to see if I could find the info.

    Robbity
     
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  3. Timetells

    Timetells Type 2 · Member

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    Thank you very much for all the information; my HBA1c count was 16.5, this was shortly after discharge from hospital and my blood sugars were still not lowering. I spoke with the Diabetes nurse and she has advised that if I am only eating meals with low carbs or no carbs then to forego my novorapid before the meal, but to keep monitoring and testing blood sugars. She did say body was still producing insulin, and when I get to meet her, she will go through it in more detail how to manage my insulin doses.

    The highest my blood sugars have been over the last few days has been 10.2 but I know the reason for that, as I ate a very carb heavy meal, for example today, fasting sugars was 7.5, 2 hrs after breakfast of shredded wheat and skimmed milk it was 6.0, have just been for a 3 mile walk, and now reading at 4.2. This seems to be the routine, am continuing to experiment with food and testing continuously, I always have glucose tablets with me, but haven't dropped below 4, so am seeing it as a positive step, if I can avoid hypo;

    My ketone reading is 0.2, and has pretty much stayed at that, throughout, for now, I am testing this on a daily basis, for information really.
     
  4. Timetells

    Timetells Type 2 · Member

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    I had my first appointment with the Diabetic nurse yesterday, and have clarified some of the information that I was waiting for, I think I got confused in regards to the different ways of presenting the information.

    My HbA1c level was given to me as a percentage of 16.5, but she went through this, and the reading was 157, I am a bit annoyed as it appears that when I was diagnosed with High Blood Pressure this time last year, I was actually showing as being pre diabetes of 48 (6.5%), I feel if my GP had acted then, I could of avoided the hospital admission and all of this, maybe not but it just feels that way.

    I have a target of reducing my HbA1c level to 100 (11%) as she does not want to go to fast due to 'adverse' effects such as pins and needles in my feet, vision being affected etc.

    My GAD antibody test was negative, so they have told me I have Type 2 diabetes, the confusion on admission to hospital was because of the way I was presenting.

    My C-Peptide reading was 484.

    I have now reduced my novorapid doses to 14 units, and usually I do not need to administer for my lunch time dose due to keeping it low carb at meal times, and it was causing BS to drop to 3.5-4.0 which made me feel pretty rubbish in the afternoon.

    The Diabetes nurse has prescribed me Metformin, and she seems confident that eventually I will be able to go onto medication only, but she will review this when I have my next HbA1c test in September.

    My lantis dose is still 24 units twice a day, she felt at present to keep this the same as fasting sugars are usually ranging between 6.5-7.5.

    I am at the moment adjusting my diet, and exercise regime, trying to minimise my carb intake, but not exactly going full low carb, my average readings over the last 30 days is 8.6, which is still high but this is skewed due to very high readings when I first left hospital, so am hoping that over the next 30 days this will fall to about 7.

    Thankfully my vision seems to have returned back to normal, or more or less, I am waiting for my diabetic retinopathic scan date to determine if any permanent damage, I think I will need to review my reading glasses prescription, but certainly feeling better about this.

    So the future goals is to come off insulin, and for this to be controlled by medication, I need to lose at least 3-4 stone as a target, my BMI is still very high, have started back at the gym, and walking at least 14,000 steps a day.

    I am due to go back to work on Tuesday and am feeling a bit anxious about it, as it will mean adjusting to the routine and making sure I take time for meals etc, I am not usually a breakfast eater, but will take it a step at a time.
     
  5. Resurgam

    Resurgam Type 2 (in remission!) · Expert

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    That certainly is a high Hba1c - though having cereal and skimmed milk is more something a type 1 would do - but as your blood glucose is not going high you will be getting back to a more normal situation.
    Although a lot of emphasis is put on weight loss it really is the blood glucose that is the most important thing to get control of, which you seem to have done very well.
     
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  6. Timetells

    Timetells Type 2 · Member

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    Thanks Resurgam, I am varying my breakfast whilst I have been off, sometimes its scrambled eggs, or an omelette, natural greek yoghurt, with a few berries, it just depends on how much time I have.

    I am really pleased with my blood sugars, I am not getting so many hypo's, just need to find some snacks which are good for me, and sate that need. The hope will be that the Hba1c levels will come down, (the diabetic nurse seemed confident) as that was taken only a few days after leaving hospital, and my BS were still really high (ranging from 15-28 when I look back)
     
  7. Timetells

    Timetells Type 2 · Member

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    Hi HSSS, I updated a couple of posts up, she said that my pancreas are still producing insulin, so have now been prescribed Metformin.
     
  8. HSSS

    HSSS Type 2 · Well-Known Member

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    Sorry I’m not reading before I post today. Oops. I deleted the post realising my error and now see this post that I had also missed. In short just ignore me lol
     
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  9. HSSS

    HSSS Type 2 · Well-Known Member

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    • Creative Creative x 1
  10. Timetells

    Timetells Type 2 · Member

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    Its been a while since I have posted but I thought I would share my journey, as I have now been discharged from the diabetes service back to my GP. I have not taken any insulin for 3 months after my reading was at 6.2 and have been on metformin and canagliflozin, today my HBA1C results came back and it is 6.3.

    Following the discussion with the Diabetic nurse, I am going to stop the canagliflozin and have a further test in 8 weeks, if it is still stable I am then going to try and stop the metformin.

    I have lost nearly 3 stones, and still some way to go, but am so happy that I am at this stage now
     
    • Winner Winner x 7
  11. JoKalsbeek

    JoKalsbeek Type 2 (in remission!) · Well-Known Member

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    Excellent! Sounds hopeful and promising. :)
     
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