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Newly diagnosed, er, not

Gwynn

Active Member
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26
This is a bit long but the moral of the tale is I had to take control and responsibility as much as I could. Of course what I did is not possible for type 1 diabetics, but that is what they labelled me as. So I am a bit of an enigma it seems.

Late in November I felt very ill. I couldn't balance at all, I could't speak without slurring my words and I was loosing a lot of weight. I had a thirst that Niagra falls could not have quenched. My wife thought I was constantly drunk. My daughter said to get to the doctor with some urgency. I rang 111 as the doctors were not answering the telephone. An ambulance was sent and I ended up in hospital for a week. Now that was an experience!

I got no information about what was wrong with me, but tons of blood tests. That is, until the last day where the consultant (first time I had seen him) stated that I was a type 1 (but they were not sure) diabetic, my HA1C (I think that's what they called the test) result had been 130. I was given an I insulin pen, a blood sugar tester, and that was it. No instructions about diet, no instructions about the insulin, a little about testing and the target being between 5 and 6 on the tester.

They sent me home like that, in shock, with no idea what to do. I really freaked out. Hands up those who recognise that scene.

I joined diabetes.org.uk forum, similar to this one (it seems to be off line this morning). They were really helpful and supportive.

Anyway, on my own, I had to work out which way was 'up'

Mistakenly, I thought diabetes was all about sugars. I soon learned that it was all about carbohydrates (sugars being a form of carbohydrate I presume) and set about detailing every single thing that I ate and drank in minute detail. Calories, carbohydrates, proteins, etc. It was not a pretty sight. My diet had consisted of a constant feed of wine gums, chocolates, whisky, cakes, oh and the occasional real bit of food. I had had a diet like that for years. No wonder I became ill (ahh, hindsight)

So, I started in hospital at a weight of 90.4Kg (actually I think I was that weight sometime before hospital. They read that weight from my notes and I had lost some weight by the time I was admitted) and an HA1C of 130

They had started me on insulin injections and metformin, but the diabetic nurse, a few days later, said to experiment with the insulin dosage as my blood glucose levels at home were dropping and continuing to drop. 4.2 at the last count and going down. I was getting quite stressed because I couldn't pull my blood glucose levels up.

So I set about controlling my diet and seeing if reducing the insulin (under supervision) might help.

Still no firm diagnosis except that one month in the doctor mentioned that the blood test results were back and I was not type 1 but possibly LADA. He did not know. But he only told me because I rang the GP surgery to ask to speak to him. By that time I had reduced my insulin to zero and metformin to zero too. My blood glucose levels were now stable and in the target range. It kinda shocked the doctor and it told me that the different diabetic agencies struggle with communication sometimes. I had informed the diabetic nurse already but that important information seemed to have got lost.

I have stuck to the diet and blood testing and the result so far has been for the blood glucose levels to drop to between 5 and 6 consistently. My weight has dropped to 74Kg !!! And I feel well again. Balance is back. Clear speaking is back. Thirst gone. Etc etc I now realise that I have felt increasingly unwell for many years! How had I missed it? Because it was very gradual.

Of course the next H1?? Test will reveal what may be going on inbetween my own testing times which may not reflect my present results.

So, taking control, learning as much as I could, gathering real data and using it, sorting out my diet, a wee bit of exercise seems to have wrestled things back.

If you are newly diagnosed (not type 1, unless they got it wrong) then may I suggest that you learn as much as you can about you, get diet advice, test, test, test, for some it may lead to remission. However, a healthy diet, weight control, exercise surely will benefit all.

I hope that I stay in remission. The tight diet and testing will continue going forwards. I need to know what my body is doing.

Just one more thing. The NHS were actually very good. They were overworked but stuck to doing the right thing. They were (the nurses and doctors) kind, considerate, sympathetically understanding. Everyone was excellent in spite of the present circumstances. And I now understand a little more about how hospitals work.
 
Well done. I didn't realise how bad I was feeling until I brought my numbers down. I concentrated on my numbers and the weight took care of itself. Carb control is definitely worth a try for T2.
 
Hi @Gwynn, thanks for posting. I think many of us started off like you. I too ended up in hospital and came out with insulin. In the first few weeks my glucose levels dropped constantly with hypos galore. I reduced and reduced my insulin to nothing for a few months whilst they carried out a C Peptide test and an antibody test to try and determine whether I was type 1. Those tests came back as type 1. They told me that it was possible that a low carb diet may extend the honeymoon period (where you are still producing some insulin of your own) but eventually I WOULD need insulin. They explained that I could also use very small amounts of insulin if required and that this may help preserve any beta cell function. In essence, I was a type 1 and there would be no 'remission', but possibly an extended honeymoon. LADA by the way IS type 1 but a slow onset. I see you are still awaiting definite confirmation of type so please keep us posted, if you are LADA then you will require insulin at some future stage, as I say it's quite common for circumstances such as yours and less of an enigma than you might think. x
 
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Hi @Gwynn welcome to the forum - and I love the profile picture!! Where is that lovely set of pipes?

It's a not dissimilar story to mine, and whilst I was not put on insulin immediately (with a higher initial Hba1c than your 130), just metformin, I did get 3 years on sorting diet/meds and adding in a lot of walking with what was for me a wrong diagnosis of T2.

When that started to fail, I then got referred to the hospital and rediagnosed as LADA, and onto insulin immediately as by then it was clear no amount of diet/meds/exercise were working when what I needed was insulin.

But yep, taking responsibility for yourself is the best way forwards regardless of type, and finding the kind of support that works for you is also good! (Which for me has been here, as far too many people in my real world are, shall we say, too inclined to give unsolicited, unwanted advice.)
 
It's actually pretty unusual to get a T1 misdiagnosis, it's much more common that the misdiagnosis is the other way round ie diagnosed as a T2 and then a few years later get a T1 diagnosis.

So though it's great that you are currently medication free, be aware that if you are in fact T1 (the hospital will have done GAD and cpeptide tests to make the diagnosis and I urge you to ask for the results) reducing the carbs in your diet will have just bought you time (possibly years) and you will eventually have to start taking insulin. If you are T2 then you have a good chance of staying medication free if you just watch the carbs.

And a third, highly speculative option. Ay chance you've had COVID recently? It appears to attack all sorts of bodily organs and I wonder if one of those was your pancreas....

In any case, congrats on your results.
 
The local doctor recently looked over the hospital test results and clearly stated that I am definitely not type 1 but, he could not say what I was and suggested that it might be lifestyle or medication induced.

I think it was a bit of both as I am on long term hydrocortisone and my diet had been atrocious for quite a while.

I will certainly keep you posted if and when I find out more.
 
I was diagnosed with type 1, and told me that I needed to start insulin immediately, but found I could eat a very low carbohydrate diet and run my blood sugars down. This lasted for two years, all the while I tried to convince myself they had got the diagnosis wrong. Eventually, nothing could get my blood sugars down, and my c-peptide had fallen to 'trace'.
 
The pipes are in St Annes on sea, the Baptist church there. I taught myself to play it and did indeed play at several services. I used to practice every day for about 2 hours. Sheer joy (for me at least).

Not much chance to 0lay this time this year due to the church closing due to the pandemic.

It is also now in need of some repair too.
 
Hmm I am not sure what constitutes a low carbohydrate diet. Less than 130g per day seems to be bandied about. But I have only reduced my carbon intake to about 200g a day and still the BG behaves. However, I am taking note of the possible honeymoon effect being, well, er, in effect.

Things seem ok for now, but I am watching everything carefully.
 
The pipes are in St Annes on sea, the Baptist church there. I taught myself to play it and did indeed play at several services. I used to practice every day for about 2 hours. Sheer joy (for me at least).

Not much chance to 0lay this time this year due to the church closing due to the pandemic.

It is also now in need of some repair too.
Wow! It's a rare breed - Walcker of Ludwigsburg. I bet it's fabulous. I play an 1891 Nicholson & Lord (Walsall) at Ixworth in Suffolk. Makes me wonder how many of us grinders there are on this Forum! Glad to see your health is improving rapidly. I hope things continue in your favour.
 
The pipes are in St Annes on sea, the Baptist church there. I taught myself to play it and did indeed play at several services. I used to practice every day for about 2 hours. Sheer joy (for me at least).

Not much chance to 0lay this time this year due to the church closing due to the pandemic.

It is also now in need of some repair too.

Thank you. It's not a place I know.

It's been a frustrating year on the organ playing front here. I'm managing by going in early on the Sundays we are open, for an hour so to practise, then just playing appropriate music at appropriate times during services, but I'm well aware I'm losing a lot by not playing as regularly as I did. I'm avoiding the building during the week because of the nursery who use the adjacent hall - there's only one entrance for both place. And we all so, so, so want to sing again! In fact, I think I've almost forgotten how!
 
Hmm I am not sure what constitutes a low carbohydrate diet. Less than 130g per day seems to be bandied about. But I have only reduced my carbon intake to about 200g a day and still the BG behaves. However, I am taking note of the possible honeymoon effect being, well, er, in effect.

Things seem ok for now, but I am watching everything carefully.
From the searches I’ve found (Eatwell) it seems to be recommended about a third of calories from carbs. Given a 2500 calorie a day and 4g calories from carbs, would appear around 200g recommended from carbs. Not saying that’s good for diabetics, just what’s recommended

I read around 252 for men, 198 for women is average so that’s about right against my calculations

so on that basis, 130 is lower carb. Some on here go way below that. When it’s not Christmas, ahem, I tend to be around the 80 - 130g level. That works for me, but I also do find my exercise has helped keep it controlled, I suspect that is helping me eat more. But when I do eat more, I definitely suffer from BGs. We are all unique, I seem to tolerate more than a few people who post here

prior to cutting back, I bet I was more at the 250 - 350 range
 
The local doctor recently looked over the hospital test results and clearly stated that I am definitely not type 1 but, he could not say what I was and suggested that it might be lifestyle or medication induced.

I think it was a bit of both as I am on long term hydrocortisone and my diet had been atrocious for quite a while.

I will certainly keep you posted if and when I find out more.

Steroids are notorious for raising blood sugars so this makes a lot of sense. Anyway it's good news that he thinks you are not T1 (there's not much you can do about a pancreas that gradually stops producing insulin) whereas if the problem is steroids plus too many carbs you have the option of reducing the carbs to a level your body can cope with, whether that's 150g a day or 20g a day.
Good luck and I'm glad that you are able to compensate for the steroids by diet.
 
Hello and welcome,

You have done amazingly with working it out yourself- that is great.

To hopefully not completely derail the thread I too am missing singing at church and playing the flute. So ,long without playing with others that my practice has gone down significantly.:(
 
Right, I have set myself a new goal. My previous goal was to reduce my weight to 75Kg by Christmas day. I just made it.

The new goal, based around new information on this thread is to aim for 150g of cards or less per day.

I have 7 meals a day and, incredibly tomorrow we celebrate with a mixed grill with only 20.5g of cards. Total for the day tomorrow will be 136.7g of cards.

Not sure how possible this new goal will be, nor how realistic, but anything that can reduce the stress on my pancreas must surely be a good thing.

I will see what that does for my BG
 
Sorted that. I meant carbs as I am sure you all figured out.

The trouble with getting a new tablet is that you have to set all sorts of stuff up that you're bound to have forgotten how, or they've move 5he selection to somewhere new and obscure.

Great tablet though. Great screen, great sound.
 
Thank you. It's not a place I know.

It's been a frustrating year on the organ playing front here. I'm managing by going in early on the Sundays we are open, for an hour so to practise, then just playing appropriate music at appropriate times during services, but I'm well aware I'm losing a lot by not playing as regularly as I did. I'm avoiding the building during the week because of the nursery who use the adjacent hall - there's only one entrance for both place. And we all so, so, so want to sing again! In fact, I think I've almost forgotten how!
Really sorry to hear that. I have been shielded since 17th March, and was visibly depressed once church buildings were locked. But we have 2 doors and I have a key to them, so I am very lucky. As it is, we hjave been singing "hums" from mid July till the November Lockdown. Not sure what is going to happen next.... We had an al fresco socially distanced Carol Concert in the rain on 22nd Dec. Hope things improve quickly!
 
From the searches I’ve found (Eatwell) it seems to be recommended about a third of calories from carbs. Given a 2500 calorie a day and 4g calories from carbs, would appear around 200g recommended from carbs. Not saying that’s good for diabetics, just what’s recommended

I read around 252 for men, 198 for women is average so that’s about right against my calculations

so on that basis, 130 is lower carb. Some on here go way below that. When it’s not Christmas, ahem, I tend to be around the 80 - 130g level. That works for me, but I also do find my exercise has helped keep it controlled, I suspect that is helping me eat more. But when I do eat more, I definitely suffer from BGs. We are all unique, I seem to tolerate more than a few people who post here

prior to cutting back, I bet I was more at the 250 - 350 range
There is no need to think about or measure Calories. Just think the three food groups and as Carbs are the main cause of high BS and weight gain, by controlling those it can be possible to control the diabetes but some meds may also be needed.
 
There is no need to think about or measure Calories. Just think the three food groups and as Carbs are the main cause of high BS and weight gain, by controlling those it can be possible to control the diabetes but some meds may also be needed.
Yes, maybe I wasn’t clear that I agreed (or not) with the eatwell guide or carbs. It was the answer to what is considered low carb

this is probably a diversion from the thread, so apologies... I still don’t fully understand carbs to calorie counting. If you eat substantial amounts of, say, cheese and massively increase over calories surely you will put on weight even with pretty much zero carbs?

sone of what I have read suggest low carb foods are quite often low calorie so go together... but I do know from experience now that higher carbs clearly make my bloods higher so am sold on that aspect of it

Personally I try low carbs and count calories. It might be wrong but I’ve lost the weight so for whatever reason, it works for me and I think that’s what we all do whether zero carb or lower carb or whatever, we find our own way through because every body is unique
 
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