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Newly Diagnosed
Newbie T2 where to start?
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<blockquote data-quote="JoKalsbeek" data-source="post: 1751066" data-attributes="member: 401801"><p>Hi! That's a load of questions, and I don't know whether my answers are okay, but you'll get a bunch of replies, I'm sure... There'll be plenty to go on. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /> First thing's first: most likely you are indeed T2. If you were a 1, you wouldn't only be on pills. (And they wouldn't be doing anything for you.). So there's that. As for your other questions:</p><p></p><ul> <li data-xf-list-type="ul">For you, when you were diagnosed... how high and how long did it take you to "normalize" your bg? Weeks, months, year?</li> </ul><p>I needed some time between diagnosis and starting a new diet regime... So between then and normalisation, three months. Mostly because I didn't find this forum until much later, and I just had to read a whole lot to get the basics down, sort out my shoppinglist (so much food thrown out because I bought the wrong things!) etc etc.... It came down pretty fast once I got it right. I did have 2 dieticians, but they weren't really much help. Books, google, and later this place, were much more helpful. </p><ul> <li data-xf-list-type="ul">If I am going from 20 to 11, is that good progress even if it is not good numbers? Get the impression my GP wants it stable within a month. ?? I realize I need to get around 6-7.</li> </ul><p>Your GP can want whatever he wants, that's his problem, not yours. You can't tell a person next to nothing (and give wrong info. Test 30 minutes after eating. Riiiight.) and expect them to just magically have good numbers. Far as I know this is perfectly fine, but you might experience false hypo's. Because your body is so used to being high, a sudden drop may make you feel like you have a hypo: all the alarmbells going off and everything. But that's where your meter comes in handy. It can be quite the comfort to know you're not actually hitting hypo numbers. </p><ul> <li data-xf-list-type="ul">Can you drop too quickly... I mean in time, not in numbers? Dropping from 20 to avg of 11 in a week or 2 - can there be consequences of that (like withdrawl?)</li> </ul><p>Like I said, false hypo's may occur. And if you start into low carb/high fat, keto and other such diets, you might get what's known as carb/keto-flu. Basically it is a bit of a detox/withdrawal. Add a little extra salt to what you eat and it might alleviate the symptoms some. (especially the nausia, I've found) It'll last from a few days to a few weeks, as your body adjusts. But it does go away, and it is worth it.</p><ul> <li data-xf-list-type="ul">I don't have excess weight to loose and the only thing that really seems to keep my numbers down is fasting (expect mornings) - I can't starve myself into good numbers. This is not a permanent solution. thoughts?</li> </ul><p>You may be FISO, fat on the inside, skinny in the outside, if I have the term correctly. You may look slim, but there might be fatcells packed around your pancreas and liver. That doesn't show. Low carbing can help with that. You really need to let go of the morning thing.... Your liver is saturated with stored glucose. And it'll dump every morning. The longer you're low carbing, the less it'll be, and as your body gets used to lower numbers, the less your liver will dump to get you to what it percieves as the correct high numbers. That IS going to take a long time. I've been at it for a year and a half now and the liverdump's just letting up this week. (Was usually 6.6, now finally hitting 5.2 in the a.m.) So unless you want to get into intermittent fasting (I don't like it, I get too hungry), it isn't a permanent solution, no. </p><ul> <li data-xf-list-type="ul">Extreme stress for a lifetime, workaholic, no sleep (still), bad work environment - trying to change all this and a 2 yr yeast infection - factors as to progessing to T2? Has changes in theses - has that affected your numbers?</li> </ul><p>I was always going to be a diabetic. It's in my genes, I'm just lucky that way. But it would've taken a lot longer if it hadn't been for certain contributing factors (meds and conditions that made me obese, and dietary advice at the hospital that just made it worse. Eat more carbs, gee thanks...), but it might have been staved off for a while longer if i weren't so stressed all the time and slept well. That summer, the 3 months before diagnosis, especially. Stress messes with your numbers. (It's a cortisone thing.... Far as I understand it it is a hormone released when you're stressed, and that gives a signal to your liver to get ready for fight or flight... Which will make it dump glucose so you're ready for anything, energywise. And your pancreas can gallop to keep up with insulin procudtion only for so long until it's just exhausted. As I understood it all eh.).</p><ul> <li data-xf-list-type="ul">Not producing enough insulin or not using my own insulin correctly - how do you know which it is? What numbers show/explain this?</li> </ul><p>I'm not sure... I think it might be a c-peptide or another one... Someone else here will know.</p><ul> <li data-xf-list-type="ul">I am afraid of needles, I am not a morning person, liver dumps, and drs visits stress me and now so will every visit - so not expecting BP or BG to be good in mornings. Should I request blood testing on fasting in afternoon instead?</li> </ul><p>If you're going to be stressed, it's just going to be higher than usual. BUT... If you're going in for labs and they want a HbA1c, it's not going to make much of a difference. It's an average of bloodglucose in the previous two to three months, so a little blip thanks to white coat stress won't have that much of an impact. And I just test in the morning prior to the doc's visit and record those numbers. Sometimes I make a curve for her (testing a few times before and after eating throughout the day), so you can try that, in your own time, when your stresslevels are relatively low. Docters love numbers. Guess you could test your own bp for the same reasons too.</p><ul> <li data-xf-list-type="ul">Suggestions on how or if to tackle liver dumps? why/why not?</li> </ul><p>For me it just seems to solve itself as I low carb... Takes a while, but it'll get there. No rush.</p><ul> <li data-xf-list-type="ul">What other than diet has helped you?</li> </ul><p></p><p>Especially at the start? CBD oil! It stabilised the numbers, brought them down a little, and destressed me. Besides helping with the reumatism, which is why I began taking it in the first place, I finally started having a good night's sleep after having been an insomniac since early childhood. (Sleep is REALLY important for us. You need a rythm there. If you won't sacrifice time with your kid, lighten your workload, because somewhere, somehow, you need to sleep!!!! Think of it as trading it for a longer, healthier life you can spend with loved ones.). Anyway... CBD. It's a derivate of cannabis, but you don't get high off of it or anything... It's a supplement that's available from Holland & Barrett for instance. I don't take it half as often as I should anymore because it's expensive, but I'd be on an IV drip of the stuff if I could afford it. It is that good for you. </p><p></p><p></p><p>I think that about covers most of it... Hope others will chime in on the blanks/mistakes I put in here. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> All in all you're off to a good start. I have a feeling you'll be fine.</p><p>Good luck!</p><p>Jo</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 1751066, member: 401801"] Hi! That's a load of questions, and I don't know whether my answers are okay, but you'll get a bunch of replies, I'm sure... There'll be plenty to go on. ;) First thing's first: most likely you are indeed T2. If you were a 1, you wouldn't only be on pills. (And they wouldn't be doing anything for you.). So there's that. As for your other questions: [LIST] [*]For you, when you were diagnosed... how high and how long did it take you to "normalize" your bg? Weeks, months, year? [/LIST] I needed some time between diagnosis and starting a new diet regime... So between then and normalisation, three months. Mostly because I didn't find this forum until much later, and I just had to read a whole lot to get the basics down, sort out my shoppinglist (so much food thrown out because I bought the wrong things!) etc etc.... It came down pretty fast once I got it right. I did have 2 dieticians, but they weren't really much help. Books, google, and later this place, were much more helpful. [LIST] [*]If I am going from 20 to 11, is that good progress even if it is not good numbers? Get the impression my GP wants it stable within a month. ?? I realize I need to get around 6-7. [/LIST] Your GP can want whatever he wants, that's his problem, not yours. You can't tell a person next to nothing (and give wrong info. Test 30 minutes after eating. Riiiight.) and expect them to just magically have good numbers. Far as I know this is perfectly fine, but you might experience false hypo's. Because your body is so used to being high, a sudden drop may make you feel like you have a hypo: all the alarmbells going off and everything. But that's where your meter comes in handy. It can be quite the comfort to know you're not actually hitting hypo numbers. [LIST] [*]Can you drop too quickly... I mean in time, not in numbers? Dropping from 20 to avg of 11 in a week or 2 - can there be consequences of that (like withdrawl?) [/LIST] Like I said, false hypo's may occur. And if you start into low carb/high fat, keto and other such diets, you might get what's known as carb/keto-flu. Basically it is a bit of a detox/withdrawal. Add a little extra salt to what you eat and it might alleviate the symptoms some. (especially the nausia, I've found) It'll last from a few days to a few weeks, as your body adjusts. But it does go away, and it is worth it. [LIST] [*]I don't have excess weight to loose and the only thing that really seems to keep my numbers down is fasting (expect mornings) - I can't starve myself into good numbers. This is not a permanent solution. thoughts? [/LIST] You may be FISO, fat on the inside, skinny in the outside, if I have the term correctly. You may look slim, but there might be fatcells packed around your pancreas and liver. That doesn't show. Low carbing can help with that. You really need to let go of the morning thing.... Your liver is saturated with stored glucose. And it'll dump every morning. The longer you're low carbing, the less it'll be, and as your body gets used to lower numbers, the less your liver will dump to get you to what it percieves as the correct high numbers. That IS going to take a long time. I've been at it for a year and a half now and the liverdump's just letting up this week. (Was usually 6.6, now finally hitting 5.2 in the a.m.) So unless you want to get into intermittent fasting (I don't like it, I get too hungry), it isn't a permanent solution, no. [LIST] [*]Extreme stress for a lifetime, workaholic, no sleep (still), bad work environment - trying to change all this and a 2 yr yeast infection - factors as to progessing to T2? Has changes in theses - has that affected your numbers? [/LIST] I was always going to be a diabetic. It's in my genes, I'm just lucky that way. But it would've taken a lot longer if it hadn't been for certain contributing factors (meds and conditions that made me obese, and dietary advice at the hospital that just made it worse. Eat more carbs, gee thanks...), but it might have been staved off for a while longer if i weren't so stressed all the time and slept well. That summer, the 3 months before diagnosis, especially. Stress messes with your numbers. (It's a cortisone thing.... Far as I understand it it is a hormone released when you're stressed, and that gives a signal to your liver to get ready for fight or flight... Which will make it dump glucose so you're ready for anything, energywise. And your pancreas can gallop to keep up with insulin procudtion only for so long until it's just exhausted. As I understood it all eh.). [LIST] [*]Not producing enough insulin or not using my own insulin correctly - how do you know which it is? What numbers show/explain this? [/LIST] I'm not sure... I think it might be a c-peptide or another one... Someone else here will know. [LIST] [*]I am afraid of needles, I am not a morning person, liver dumps, and drs visits stress me and now so will every visit - so not expecting BP or BG to be good in mornings. Should I request blood testing on fasting in afternoon instead? [/LIST] If you're going to be stressed, it's just going to be higher than usual. BUT... If you're going in for labs and they want a HbA1c, it's not going to make much of a difference. It's an average of bloodglucose in the previous two to three months, so a little blip thanks to white coat stress won't have that much of an impact. And I just test in the morning prior to the doc's visit and record those numbers. Sometimes I make a curve for her (testing a few times before and after eating throughout the day), so you can try that, in your own time, when your stresslevels are relatively low. Docters love numbers. Guess you could test your own bp for the same reasons too. [LIST] [*]Suggestions on how or if to tackle liver dumps? why/why not? [/LIST] For me it just seems to solve itself as I low carb... Takes a while, but it'll get there. No rush. [LIST] [*]What other than diet has helped you? [/LIST] Especially at the start? CBD oil! It stabilised the numbers, brought them down a little, and destressed me. Besides helping with the reumatism, which is why I began taking it in the first place, I finally started having a good night's sleep after having been an insomniac since early childhood. (Sleep is REALLY important for us. You need a rythm there. If you won't sacrifice time with your kid, lighten your workload, because somewhere, somehow, you need to sleep!!!! Think of it as trading it for a longer, healthier life you can spend with loved ones.). Anyway... CBD. It's a derivate of cannabis, but you don't get high off of it or anything... It's a supplement that's available from Holland & Barrett for instance. I don't take it half as often as I should anymore because it's expensive, but I'd be on an IV drip of the stuff if I could afford it. It is that good for you. I think that about covers most of it... Hope others will chime in on the blanks/mistakes I put in here. :) All in all you're off to a good start. I have a feeling you'll be fine. Good luck! Jo [/QUOTE]
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