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Just a reminder to everyone that this is a thread from a new member. Please try to keep on topic and stay polite.
If you're feeling off, always test and see what's going on. When you make big changes, your body has a lot to get used to, and you can experience false hypo's. They feel exactly as a real one would, because your body ends up in a complete panic because it thinks it's low... It's not, but it needs to get used to more normal numbers. Throwing carbs at a false hypo'll only mean they'll continue on, as your body won't adjust. (Speaking from experience here, it took me forever to get used to normal numbers because I didn't know! Popping Dextro tabs left and right all the time so didn't help!) Try eating something protein- and fat rich next time, it'll calm the hypo-ish feelings and won't spike you.Hi this is a truly great forum to join and I AM Hoping someone can help.
I am T2 SINCE around 18 months ago. I stupidly did not take it seriously enough and my HBA1C went from 56 NMOL - 64 - 56 and then went to a whopping 94NMOL over last xmas. I have started Metformin since February ( 500Mg) and last reading was done to 71 a couple of weeks . Since April I have aggressively started to work out again, running around 25 miles a week and doing 15k steps a day, radically overhauled my diet and am almost certain my next HBA1C will return to the 50's, my other biomarkers have come down radically along with BP and. producing better VO2 max and runs in the gym. I have lost around 25 pounds since February but still around 17 stone.I know that this is still high but I am now losing around 4 pounds a week.
My concerns;
As I am cutting Carbs, I only having 2 meals a day i.e Porridge and fresh blueberries in the morning and fish and Green veggies for dinner ( my carbs have come down significantly) I had my first couple of night hypos given my lips went numb and HR went up , and it was terrifying. I had some mint sweets and an apple and was all ok after 15 mins or so .
Can anyone please give advice around how to avoid this? I was told that carb elimination is the crux of remission but clearly I am eating too little? I am almost tempted to have another bowl of oatmell late in the evening ( I don't tend to eat after 6 pm) so I don't hypo in middle of night?
I have a Aqu- check monitor- is there any advice on when and how to take readings to establish a baseline?
Thanks. in advance
Correct call on the Porridge. Just check 2 hours after porridge and berries and was 11.5% - almost doubled!If you are cutting carbs porridge is an odd thing to retain being 2/3 carbs. More oatmeal is likely to make things worse not better.
Where are the fats that are essential? And there is very little protein too. I strongly suspect you are simply eating too little food to sustain your body and exercise and that is the cause of feeling bad.
Hypos on Metformin alone would be most unusual, it simply doesn’t work that way. I’m not convinced that’s what happened especially without any bgl readings at the time. You really need to test when feeling the way you describe. Maybe it was a fast drop rather than a low one, maybe it was something else entirely (like your minimalist diet perhaps).
Classic for a plain uncomplicated type 2 - we just do not do well on carbs no matter how much they are touted as a healthy choice, we are not nourished or sustained by them.Correct call on the Porridge. Just check 2 hours after porridge and berries and was 11.5% - almost doubled!
@Prince4 I strongly disagree with @Liam E about having all measurements less than 7 mmol. I have been in low carb controlled T2 D remission for 3yrs and I normally get more than 7.0 mmol at the 2hrs after eating measurement. I still even get some Fasting readings (morning - so includes Dawn Phenomenon) of over 7.0 mmol.
The figure to aim for is to get all (or almost all) readings below or at 8.0mmol, some even say 8.5.
It is hugely important not to push too hard for the lowest possible numbers because this new way of eating needs to be enjoyable or else you won't be able to keep it up over the many healthy years you have ahead of you. Controlling any/all forms of diabetes is a marathon, not a sprint!
Nope. Not in my opinion. I feel it’s important to both keep the average down and the spikes. Look at it this way every spike both microscopically pushes towards damage and raises the average and the higher of that the more chance of harm too.Question - If I have a lets say 11 .5 spike after oatmeal and berries but its so fibrous that it keeps me full until the afternoon and then I have fish and Greens then I tend to average out around 7.7. So is the 11.5 temporary spike worth the spike on the basis to helps generate a NET daily 7.7 average right?
I don't understand. I woke up at 5.6% and just had a cup of black coffee and water and ran 3 miles -fasted and it has increased to 9.6%? Does exercise alone increase BG?
diet is the most power lever, although exercise is also good.Ok...so a healthy spike as exercise is most powerful lever we can pull as a type 2 diabetic. Does it negate the need to eat breakfast then and try and make it until lunch?
The most important lever is the food you eat. Exercise helps but isn't the most important and in fact heavy workouts will cause spike in everyone (non-diabetics included). This is because when we exercise, multiple things happen at the same time.Ok...so a healthy spike as exercise is most powerful lever we can pull as a type 2 diabetic. Does it negate the need to eat breakfast then and try and make it until lunch?
Thanks. Great advice. Last question - I accidentally took an HBA1C Test only 2 weeks after I took my last 12 week test. It was come down 13 points in around 14 weeks. Is that normal? in terms of decrease?The most important lever is the food you eat. Exercise helps but isn't the most important and in fact heavy workouts will cause spike in everyone (non-diabetics included). This is because when we exercise, multiple things happen at the same time.
For one - exercising makes the body burn energy so brain sends signal that it needs more energy and Liver obliges by producing more glucose and sending it through our bloodtream. For another - exercising puts stress on the body and that in this scenario is addressed by release of helpful homones such as Adrenaline or in some extremely stressful situation Cortisol - both of which also triggers the response to focus and direct energy to specific areas of body that need reinforcement. All this is good, even great because it helps in improving the metabolism of body so exercising is good but for diabetics this can result in spikes higher than desirable.
Now when we go low-carb we slowly train our body to rely more and more on the alternate source of energy for normal usage and thus there is less of of glucose floating around in blood, so when the exercise induced surge of glucose does enter the blood stream it does not cause a spike to dangerous levels and because we were exercising that gets utilised fairly quickly too thus keeping blood glucose levels within reasonable zone.
While your body is adapting to newer way of life, you probably will be better served walking longer distances than running in the morning because among other things most diabetics if not all are also plagued with what is called "Dawn Phenomena" or DP for short... If you not aware of what this is, it will serve you well to read a bit about it because to my knowledge there is nothing much we can do about it - it just is our body's response to us getting up in the morning at which point our body releases energy in anticipation that we will need it to get started. This is also the reason though for us being able to survive without eating anything for breakfast because body is already serving to cells whether we eat or not and when we do not eat but body keeps serving, it is basically getting it from stored reserves and thus helping us lose weight.
On exercising while fasting, I would say it varies for each individual but so long as you are not aiming to bulk up, fasting and exercising together can actually work quite well to help you maintain a leaner frame and have a stronger core. It does depend though on the kind of exercises you take up during fasting - heavy weights on days you fast might not be a good idea - they aren't in my case - but exercises using your body weight will be very helpful - TRX, jogging, stretching, sit-ups, planks etc will help... again Exercising is good but not necessary to manage BG, diet absolutelyi is. There are ofcourse exceptions, I am sure, but it is true for most diabetics like me.![]()
Hba1c isn’t just a count of red blood cells (although that is another test) so straight forward blood loss doesn’t necessarily affect hba1c.HbA1c as I understand is the count of red blood cells which have a shelf life of roughly 3 months and are higher when BG is higher their population tends to increase and hence higher HbA1c results are bad... so if you have severe blood loss due to injury you can have a a HbA1c showing lesser number not indicative of actual BG situation... reverse can be true if one was suffering from some illness that warranted an army of red blood cells... I can't say a drop of 13 points in 2 weeks is normal or not but its possible depending on various factors involved... I personally don't think HbA1c is a better measure than CGM ... CGM tends to give me better indication of what is going on every minute of the day within reasonable tolerance level of +/- 15% which is good enough... I try and focus on the graph and try keeping it as straight as possible and between 3.8 to 7.6 as much as its in my control... there are still things we just can't control like a stressful day at work, arguments or good old cough and cold... if you are a person with dog(s) they can help a lot with easing some of the stress and with keeping you on straight and narrow for walking schedules as is in my case