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Newbie to forum. High BS levels.

tiguano

Newbie
Messages
1
Type of diabetes
Type 2
" 18.2 mmol for me fasting and that was low for me as of recent.
I readings often go as high as 27 mmols
I have been diabetic for 18 years.
I am insulin dependant and I inject 3 x 38 units of Humalog per day
and 1 x 120 units of Lantus per day in addition to 2550 mgs of Metformin Tabs
i.e.' 3 x 850 mg Metformin tabs
I am on Ramipril, Artovastatin, Quinnine, Furosomide , entrocoated Aspirin and ferrous fumerate. Gabapentin
and Zappain or Kapake ( 4 x 2 per day).

My readings have always been eratic. My DSU say that I must be Insulin resistant.

I find that the help and guidance I get from my DSU doctors
and nurses is as much use as a 'Chocolate Fireguard "

I am Stage 3 CKD My creatin levels are as high as 159. WBC high
 
Hi @tiguano,

I have moved your post and started a new thread for you as it would have been lost where it was posted.
 
@tiguano I'm so sorry. Stage 3 sounded really bad. Thankfully, after reading https://www.davita.com/kidney-disea...ease/stage-3-of-chronic-kidney-disease/e/4749 it appears your CKD can be turned around by changing your diet. There's hope, a lot of hope. :)

Richard Bernstein was diagnosed with type 1 diabetes when he was 12 years old. By the time he reached his 20's he was already having significant complications. He married a physician and gained access to a device used in hospitals to measure blood glucose levels - (it cost he and his wife $6,000!). After a few years of testing his blood glucose levels, upon awakening, before and after eating specific foods, etc., he figured out a way of eating that made it possible to reduce his blood glucose swings, reduce the amount of insulin he was taking, and over time he was able to restore his health. Now in his early 80's, he continues to enjoy vibrant health.

You can read his story, and how to improve your health, first with diet, then as you're feeling better with exercise, by reading his book, Dr. Bernstein's Diabetes Solution, 4th edition (2011). It changed my life. It can change yours too.

If you decide to try the diet, there's another excellent book published on a similar diet two days ago here in the US. It's titled, "Eat Fat, Get Thin: Why the Fat We Eat Is the Key to Sustained Weight Loss and Vibrant Health" by Mark Hyman, M.D. If it's not available in the UK, I'm certain it soon will be, but I'd start with Dr. Bernstein's book so you don't get too overwhelmed.

You'll also find wonderful support here on the Low-carb Diet Forum... http://www.diabetes.co.uk/forum/category/low-carb-diet-forum.18/ I encourage you to go there and start asking questions, lots of questions, while you're waiting to receive the Bernstein book. (You might be able to get a used copy through Amazon, just try to get the 4th edition). On that forum, they'll encourage you to visit Andreas Eenfeldt, M.D.'s website to learn about the low carbohydrate diet... http://www.dietdoctor.com/ There you'll meet some wonderful people, such as Canadian nephrologist Jason Fung, M.D. If you become a member, you'll be able to see additional videos, but you can also go to YouTube to see videos of Eenfeldt, Fung, and others. It's free.

I'm glad you found us. You'll get the support you need here.

Oops, I just read in the first article I linked to that "Decreasing saturated fats to help lower cholesterol". Actually, that information is not supported by the research. Consult your doctor and dietician of course, and do your own research, but decreasing carbohydrates NOT healthy fats will be more helpful for improving your cholesterol profile. This article, "The Triglyceride/HDL Cholesterol Ratio" by Axel F. Sigurdsson, M.D., will explain it better than I can... http://www.docsopinion.com/2014/07/17/triglyceride-hdl-ratio/
 
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" 18.2 mmol for me fasting and that was low for me as of recent.
I readings often go as high as 27 mmols
I have been diabetic for 18 years.
I am insulin dependant and I inject 3 x 38 units of Humalog per day
and 1 x 120 units of Lantus per day in addition to 2550 mgs of Metformin Tabs
i.e.' 3 x 850 mg Metformin tabs
I am on Ramipril, Artovastatin, Quinnine, Furosomide , entrocoated Aspirin and ferrous fumerate. Gabapentin
and Zappain or Kapake ( 4 x 2 per day).

My readings have always been eratic. My DSU say that I must be Insulin resistant.

I find that the help and guidance I get from my DSU doctors
and nurses is as much use as a 'Chocolate Fireguard "

I am Stage 3 CKD My creatin levels are as high as 159. WBC high

Hi. I read through your comment, and that of @Winnie53, and while I agree with much of what was said about the possible reversal of CKD...what is not clear to me is whether you have CKD as a result of diabetic complications or from something else....as someone who was born with CKD and has had a transplant at 52...that...is absolutely not reversible! It is most probable that yours was not a hereditary condition, but I just wanted to be sure. Not all CKD is reversible and you may need to seek professional clarification there. Still..keeping creatinine (not creatine) low is important and plenty of fluid (at least 2 litres per day will help). You need to be careful with any diet to combat diabetes...as you cannot risk too much protein. It is probably worth mentioning...normal creatinine levels are around the 90-115 mark but 159 is not really high. My levels rose steadily over time to be up around 800 immediately prior to transplant...that was about 8% function...and it really needs to be down that low (maybe 12%ish) before any operation or dialysis would be required (usually). I felt absolutely healthy right up to about 15%. Today, my level is 110 (about 64% function)....but I now have diabetes from post-op steroid treatment. So - be aware that there are a number of reasons for and kinds of CKD.
 
Hi. With those insulin dosage levels am I right in thinking you have some excess weight? What sort of diet do you have? Have you reduced the carbs. Yes, you need to be careful with proteins but fats can be traded with carbs. You aren't carb-counting but most people on Basal/Bolus should as there is no disadvantage and matching the Bolus to mealtime carbs helps avoid blood sugar swings. Do ask the DN to explain or come back here if you can't get help with that.
 
@Daibell, thanks for the reminder about how too much insulin in combination with carbohydrates, not fat, results in the building up of fat stores in individuals with insulin resistance, pre-diabetes, and type 2 diabetes.

@tiguano I don't have the book here that reviews the study that explain this, but here goes... Diabetes is on a continuum: type 2 diabetes is preceded by pre-diabetes which is preceded by insulin resistance by one or more decades.

Researchers looked at non-diabetic and pre-diabetic family members of individuals with type 2 diabetes and learned that insulin resistance preceded the weight gain. In other words, insulin resistance leads to weight gain, not the other way around. (The book is either Blood Sugar 101 or Diet 101 by Jenny Ruhl. In both books the author reviews research studies and reports the results).

There is no one diet that works for everyone, but type 2 diabetes is increasingly referred to as a "carbohydrate intolerance". For many with type 2 diabetes, reducing carbohydrate intake and increasing healthy fat intake brings both insulin and glucose levels down to manageable levels, which leads to improved health.

Why increase fat intake? For the purpose of this discussion, to replace the calories lost when carbohydrate intake is greatly reduced.

There are three macro nutrients: carbohydrate, protein, and fat. We need enough protein throughout the day to build and repair tissues. But there's a window. We need enough protein but not too much because when we eat more protein than we need during a meal or snack, the excess is converted to glucose, which is then converted to fat. Not what we want.

So to get adequate calories, we have to replace the carbohydrates with something. If not protein, that leaves...fat.

But it's not enough to just eat fat, it's important to eat fats that are healthy. Examples of healthy fats are butter from grass fed cows - (clarified butter or ghee if sensitive to dairy) - extra virgin olive oil, unrefined, virgin coconut oil, avocado oil, and nut oils like macadamia nut oil.

Raw nuts and avocados are good sources of protein and fat too.

Butter, avocado oil and macadamia nut oil are best for low heat cooking. Extra virgin olive oil and coconut oil should only be used at the end of cooking processes (to avoid damaging these more fragile oils). Increasingly, I'm coming to the opinion that eating foods fried in with oil at high temperatures is unhealthy, so I sauté and/or steam meat and vegetables now. I use 2 parts extra virgin olive oil and 1 part vinegar or freshly squeezed lemon juice to put on my salads. Sometimes I add herbs and spices to it. Coconut oil can be used on vegetables at the end of the cooking process, also for baking (which uses different ingredients when eating low carb).

Other good sources of fat are free-range, grass fed beef, free range, organic poultry and eggs, and wild seafood.

Interestingly, by significantly reducing carbohydrates and adding more healthy fats to the diet, we begin shedding excess weight and our health markers begin improving as confirmed with lab testing.

Another important benefit of eating healthy fats is that it satisfies the appetite, and gets us off the blood sugar roller coaster. Before I started the LCHF diet, when I wasn't eating carbs, I was thinking about what carbs I was going to eat next. It was hard to not eat carbs every two hours in the form of a meal or snack. I felt like I was thinking about food all the time.

When we're not well, we need ongoing support and encouragement. To read 100+ stories of how people use the low carb high fat diet to lose weight, go here... http://www.dietdoctor.com/how-to-lose-weight
 
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Please note that NOT ALL Type 2 diabetes is preceded by pre-diabetes let alone preceded by insulin resistance (for however long) whatever a single study says. My doctors, renal and diabetic specialists have confirmed for me on more than one occasion that my Type 2 diabetes was CAUSED by long term treatment with the steroid Prednisolone - pure and simple (despite uninformed single area studies theorizing that someone such as myself might be predisposed...a view slaughtered by two of my doctors..one a top diabetes specialist I had to wait 4 months to see)...also I was NEVER even close to being overweight and my lifestyle had zilch to do with it..nor did any family history. I take the points above and they very much do apply to the vast majority of cases - but not all. It is very clear, in most cases (including those with Steroid Induced Diabetes) that a low carb diet will lower BS levels.
 
pleinster, the purpose of the study was to begin to answer the question of which comes first? Insulin resistance or obesity? The study demonstrated it's insulin resistance. Apologies for not being clearer about that.

I understand now that your diabetes was not caused by diet. Not fun living with a chronic health condition your entire life. Sorry you lost your kidney. Glad you were able to get a new one and are doing well now.

Our son's girlfriend is a Tylenol victim. She fell asleep with what she thought was the flu and woke up weeks later in the hospital with a liver transplant. Thanks to modern medicine and the medications that make transplants possible, she's alive today, and we're grateful.

I don't believe my diabetes was caused by weight gain.

Hypoglycemia started in my early 20's. Up until my early 30's, I weighed 105 pounds. Around that time I was treated with a number of prescription medications that resulted in significant weight gain over a period of months.

In my 40's, I topped out at 180 pounds. I'd always eaten a normal diet, never dieted, but decided to give Phase 1 of the South Beach Diet a try. I basically stopped eating all sugar, fruit, and grains. Was only able to stick to the diet for 2 weeks, but it worked. I dropped down to 160 pounds, and maintained that weigh until a year ago, when I started the low carb diet and dropped down to 137 pounds, which was for the most part effortless, though I had to do a lot of studying, both on diabetes and how the low carb diet works.

Prescribed medications caused my initial weight gain, insulin resistance took me the rest of the way.

Glad you're doing okay now pleinster, also to learn that you've been helped by the low carb diet too.
 
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