• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Newbie recently diagnosed Type 2

HowardBamber

Newbie
Messages
3
Type of diabetes
Type 2
Treatment type
Tablets (oral)
47 male in decent health. I was recently told i have diabetes. My HBA1C was 106, so i was put on Metformin. Over the last month my blood sugar levels have dropped to 14mmol/l and the past week i have been taking Gliclazide and levels have dropped to 12.5mmol/l.

I have possibly had undiagnosed diabetes for the past 10-12 months, does it just take time for meds to work and get my levels down?

Diabetes is in my family, I wouldnt say i was the typical person that has brought this on with poor diet or lifestyle. GP has referred me to specialist.

I would love to hear from people that has had similar happen to them and how long it took to get levels down to normal levels.

Thanks for reading
Howard
 
Hi @HowardBamber and welcome to the forum, sorry for the circumstances that bought you here. Can you tell us what your current diet like, maybe give an example of what a typical days food is for you?
 
Hi @HowardBamber and welcome to the forum, sorry for the circumstances that bought you here. Can you tell us what your current diet like, maybe give an example of what a typical days food is for you?
Yesterdays food G/F Cornflakes with honey, rice cakes at 10am, Sandwich for lunch with g/f seeded bread and packet of crisp, Chicken mini fillets with basmati rice and bbq sauce, glass of red wine and water, 2-3 coffees during the day with 1 tbl spoon sugar.
 
47 male in decent health. I was recently told i have diabetes. My HBA1C was 106, so i was put on Metformin. Over the last month my blood sugar levels have dropped to 14mmol/l and the past week i have been taking Gliclazide and levels have dropped to 12.5mmol/l.

I have possibly had undiagnosed diabetes for the past 10-12 months, does it just take time for meds to work and get my levels down?

Diabetes is in my family, I wouldnt say i was the typical person that has brought this on with poor diet or lifestyle. GP has referred me to specialist.

I would love to hear from people that has had similar happen to them and how long it took to get levels down to normal levels.

Thanks for reading
Howard
Hi Harold, and welcome,

I hate to break it to you, but everything you ate yesterday was carb-heavy. (Cornflakes, honey, rice cakes, bread, crisps, rice and BBQ sauce and the sugar in your coffee). Almost all carbs turn to glucose once ingested. So when you say you aren't a "typical person who brought this on with poor diet"... Nah, I'm just messing with you. Well, up to a point, anyway. The thing is, the foods you mention are perfectly fine for a lot of people. And then there's the lucky few, like you, like me, like your family members, who are genetically predisposed to develop T2 diabetes on a high-carb diet. Our bodies just can't process it, and after a while it just can't keep up anymore. It's a kick in the head, eh... All these decades we've been told the carby stuff's good for us, it's on the EatWell Plate and everything... They told me to cut out fats and triple my carb intake at the hospital; it left me morbidly obese and a raging diabetic, just about on death's door. So while people tend to get the wool pulled over their eyes about a one-size-fits-all diet, there's a diabetes pandemic going on. Lovely, eh?

That does mean that there's a massive amount you can do yourself to get your blood sugars back down. Just cut the carbs, up the protein and fats. I know, I thought that advice was insane too, but it made my blood glucose drop like a stone! That last bit is important, though: if you do start cutting carbs, well, you're on gliclazide... And a low carb diet with gliclazide can result in hypo's. So you'd have to change things very carefully and keep in touch with your doc about the dosages you're on. I was on metformin first, then switched to gliclazide, faceplanted with hypo's a few times as noone told me low carbing'd have to be done with care if medicated, and then my GP stepped in and took me off of everything. I've been without diabetes medication since, and in the normal range until recently, when my HbA1c went up a little due to another medical issue, but is dropping again to non-diabetic levels, as things are getting sorted. All this to say I've been on the same meds as you, and managed to get rid of them in three months, by changing the way I ate. So should you be interested, you might want to read a little here on the forum (success stories'd be a good place to start), maybe dietdoctor.com as well. Just be really, really careful and test a lot.

I have to be honest though... If you're seeing 14's on a high carb diet with medication, I think you'll likely not need it for much longer should you go low carb. Can't promise anything of course. Just can't stress enough to be careful if you do change things around. Hypo's are NOT fun. As for when the meds work: Metformin takes a while to get doing, so give it a little while, but it doesn't do much of anything about what you ingest. It makes your liver dump a little less glucose (which it does when you wake, or when you're stressed or ill), and makes you a smidge more sensitive to your own insulin. Gliclazide on the other hand, forces your pancreas to excrete more insulin. As T2 diabetes isn't a matter of too little insulin, but there being so much of it you've become insensitive to it, it is kind of putting out fire with gasoline. It works, but it doesn't solve your insulin insensitivity. So there's a couple of options: You medicate and leave it at that, you change your diet, or you do a bit of both. Try to find what fits you, your body and your life/-style, as there's no cookie cutter type of answer. We're all different, and what one needs could be entirely different from what works for another.

Good luck!
Jo
 
Hi Harold, and welcome,

I hate to break it to you, but everything you ate yesterday was carb-heavy. (Cornflakes, honey, rice cakes, bread, crisps, rice and BBQ sauce and the sugar in your coffee). Almost all carbs turn to glucose once ingested. So when you say you aren't a "typical person who brought this on with poor diet"... Nah, I'm just messing with you. Well, up to a point, anyway. The thing is, the foods you mention are perfectly fine for a lot of people. And then there's the lucky few, like you, like me, like your family members, who are genetically predisposed to develop T2 diabetes on a high-carb diet. Our bodies just can't process it, and after a while it just can't keep up anymore. It's a kick in the head, eh... All these decades we've been told the carby stuff's good for us, it's on the EatWell Plate and everything... They told me to cut out fats and triple my carb intake at the hospital; it left me morbidly obese and a raging diabetic, just about on death's door. So while people tend to get the wool pulled over their eyes about a one-size-fits-all diet, there's a diabetes pandemic going on. Lovely, eh?

That does mean that there's a massive amount you can do yourself to get your blood sugars back down. Just cut the carbs, up the protein and fats. I know, I thought that advice was insane too, but it made my blood glucose drop like a stone! That last bit is important, though: if you do start cutting carbs, well, you're on gliclazide... And a low carb diet with gliclazide can result in hypo's. So you'd have to change things very carefully and keep in touch with your doc about the dosages you're on. I was on metformin first, then switched to gliclazide, faceplanted with hypo's a few times as noone told me low carbing'd have to be done with care if medicated, and then my GP stepped in and took me off of everything. I've been without diabetes medication since, and in the normal range until recently, when my HbA1c went up a little due to another medical issue, but is dropping again to non-diabetic levels, as things are getting sorted. All this to say I've been on the same meds as you, and managed to get rid of them in three months, by changing the way I ate. So should you be interested, you might want to read a little here on the forum (success stories'd be a good place to start), maybe dietdoctor.com as well. Just be really, really careful and test a lot.

I have to be honest though... If you're seeing 14's on a high carb diet with medication, I think you'll likely not need it for much longer should you go low carb. Can't promise anything of course. Just can't stress enough to be careful if you do change things around. Hypo's are NOT fun. As for when the meds work: Metformin takes a while to get doing, so give it a little while, but it doesn't do much of anything about what you ingest. It makes your liver dump a little less glucose (which it does when you wake, or when you're stressed or ill), and makes you a smidge more sensitive to your own insulin. Gliclazide on the other hand, forces your pancreas to excrete more insulin. As T2 diabetes isn't a matter of too little insulin, but there being so much of it you've become insensitive to it, it is kind of putting out fire with gasoline. It works, but it doesn't solve your insulin insensitivity. So there's a couple of options: You medicate and leave it at that, you change your diet, or you do a bit of both. Try to find what fits you, your body and your life/-style, as there's no cookie cutter type of answer. We're all different, and what one needs could be entirely different from what works for another.

Good luck!
Jo
Thanks Jo, nice bit of humour in your reply too, but who's Harold? :)

Is diet everyone's goto without considering exercise? If i train 2-3 times per week (during which i burn 550 -600 cals each session) what have people done about carbs. Do people still get enough energy or use supplements?
 
Is diet everyone's goto without considering exercise? If i train 2-3 times per week (during which i burn 550 -600 cals each session) what have people done about carbs. Do people still get enough energy or use supplements?
Diet is the mainstay of treatment for type 2 with low carb foods so that the 'broken' system can cope at its own pace without causing spikes in blood glucose levels. I liken it to turning off the taps when a blocked sink is overflowing.
I suspect my levels will never go back down into normal numbers, but I had a flagged high reading ten years before diagnosis which was just ignored, the test was never repeated in subsequent years, until my diagnosis with HbA1c of 91.
Cutting out high carb foods, grain, starchy veges, high sugar fruit, sugar other than berries, setting a maximum daily intake of carbs worked for me. Medication made me feel really unwell, but the diet coped alone.
I happily go 12 hours or more without eating, as my diet is nutritious with meat, eggs, cheese, fish, with salad, stirfry, low carb veges, full fat yoghurt, coffee with cream and once in a while I have berries and cream, sugar free jelly, very occasionally real custard.
Gliclazide prevents going very low carb, from what I have read on the forum here, and carbs should be spread through the day - but frum the description of your menu I suspect that your carb intake is why your levels are still rather higher than advised. With your high HbA1c that is probably a good thing as a slow lowering will be less of a shock, but an assessment of your intake of carbs on a daily basis might pinpoint where reductions might result in lower numbers.
 
Thanks Jo, nice bit of humour in your reply too, but who's Harold? :)

Is diet everyone's goto without considering exercise? If i train 2-3 times per week (during which i burn 550 -600 cals each session) what have people done about carbs. Do people still get enough energy or use supplements?
Ha, sorry! My phone doesn't catch typo's half the time, but it sure loves changing names!

Something you'll hear around here often; "You can't out-run a bad diet." Insulin helps burn glucose for energy, but if you're Insulin resistant/insensitive, it can't do that job very well. That makes it harder to burn off a spike through exercise. Worse, if it's intense training, your liver is likely to dump "helpful" glucose you can't use up very well, so you could actually see a rise because of a work out! So you avoid what causes spikes in the first place; carbs. Our bodies are relatively lazy, so they tend to use for energy what is converted easily. That would be carbs as a first pick. It has to put in more effort to do the same with fats (or protein). If you go low carb, you up the healthy fats, so your body starts using that for energy instead, making you "fat-adapted". Takes a week or two or thereabouts for your system to get the memo, in which you're likely to feel knackered and sore, (or like you've been hit repeatedly by a freight train, really) but after that, you could do just fine on bacon and eggs, rather than carb loading before/during a work out session.

No idea if that helps at all, so maybe check out Dr. Jason Fung's video's on YouTube; he explains it better than I ever could hope to!
 
Thanks Jo, nice bit of humour in your reply too, but who's Harold? :)

Is diet everyone's goto without considering exercise? If i train 2-3 times per week (during which i burn 550 -600 cals each session) what have people done about carbs. Do people still get enough energy or use supplements?
Hi and welcome.

I put my T2 in remission in 2020 following a daily carb target of around 20g, with zero exercise and zero medication. Subsequently lost around 40kg/90lbs, and didn't start to do anything strenuous again until most of that had gone. The thing with T2 is that calories really aren't the issue. The issue for T2s is often us not being able to deal with carb and the resulting glucose. The example diet you've given is very carb-heavy - there's almost nothing there except carb. That is going to ask a question of your insulin response system, and given your HbA1c on diagnosis it's clear your system cannot cope.

Calories are an estimate of how much energy is available: but energy can come from things other than dietary carbs, mainly stores (there's around a day's worth of energy stored in the body) but also fat. Unfortunately if you are fuelling on sugar (which is what you're doing given your diet and if you are carbing up) the body will try to get that used up first, as high levels of blood glucose are potentially damaging. It then takes your body time once (or if) the glucose is used to switch to using its available stored energy.

These days I play football three times a week and have a pretty hardcore pilates session as well. That's because I enjoy it - the exercise alone seems to have very little impact on either my long-term blood glucose levels or my bodyfat. I quite often go into a game fasted - I will be doing that in a couple of hours, not having eaten anything since 6.30pm yesterday. I don't go near carbs at all in relation to exercise. I know fell runners in this area who do the same thing.
 
Back
Top