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Newly Diagnosed Wife

dunika

Member
Messages
9
Hi

My wife Veronika has recently been diagnosed as type 2, and we are very confused about things.

She was ill with what we thought, and still think, was heat exhaustion. The dr sent her for a blood test on a Friday, then the emergency weekend dr telephoned on Saturday afternoon. Within a couple of hours she was in hospital on drips as her blood sugar level was 37.

6 days later she came home, she has to inject twice a day and had instructions to eat plenty of carbohydrates - bread, potatoes etc with every meal, and snacks in between meals too. She is doing everything right, but her readings are all over the place. For example this morning at 7 it was 9.8, then she had breakfast of toast. At 1030 it was 3.8, so she had 100 ml lucozade as instructed. Then she had cereal and strawberries, this is exactly as she was instructed by the hospital, but resulted in a sugar level of over 17.

We think maybe the insulin dose is too high, she has to keep eating when she doesn't want to so she doesn't hypo. And on here we've read about reducing carbs, but she's been told to increase them. All very confusing, she is doing really well with the injections etc but doesn't seem to be making any progress with keeping her sugar levels stable. She still has blurred vision, this went a couple of days after she went into hospital, but returned when she came home, and the diabetic nurse said it could take 3 months to return to normal. She is frightened to sleep at night without having 2 or 3 fig rolls to up her level, as it drops like a stone overnight.

And then there's the wind! She's really bloated and uncomfortable after eating, and embarrassed to go anywhere because she can't control the farts. We bought some charcoal tablets but are unsure about her taking them. The chemist recommended "Colpermin" in case it's IBS, but they didn't help.

I'll be back on here later on, any advice anybody can offer will be much appreciated.

Duncan
 
Hi Duncan
I see no one has been around to answer you yet. Possibly holiday week? I'm not on insulin so I wouldn't be that person! But you have your hands full right now and all the difficult issues to face that happen to loads of us. Stay around and someone will come along and offer some help and support. Obviously only the doctors can sort it out in detail but it's good to have support and other people's experience on here. In the meantime, if you're seriously worried then ring the doctor, and apart from that, do as you're doing and find out all you can so you can give your wife all the support she'll need in these early days. Stress raises bg levels!!
DG
 
Hi Duncan, I was diagnosed as T2 in march of last year and like your wife I was placed straight on insulin, but unlike your wife I was told to try to eat carbs that had a low GI (glycemic index - google it) basmati rice rather than white rice, whole grain bread rather than white bread etc and to cut back on the amount I ate.

I was started off on 10 units of med/long acting insulin each night and 10 units of fast acting insulin before each meal, worked out by my weight I believe, the hospital diabetes nurse was very helpful but I never saw her again!!! In fact it was 7 months later that I contacted the hospital diabetes center and apparently I had slipped through the net as they were in the process of being transferred from the local health trust to the PCT.

Anyway a week or so after leaving hospital I found I had to increase my insulin by 2 units to 12 each injection, but by drastically reducing the amount of food I ate I managed to loose 4 stones over the next 5 or 6 months and as I lost the weight I found I needed less and less insulin. I had a few hypo's in the early months usually after exercise ie walking or before lunch, but thankfully I was able to manage my insulin effectively after a while mainly due to reading everything I could lay my hands on about diabetes and the help I got from this and another forum. I managed to come off insulin after about 10 months and manage now just on metformin and my new lifestyle (less food). I appreciate that this is not possible for every T2 on insulin but it may give your wife hope and something to aim for, but its also important that she doesn't blame herself if she is unable to reduce her insulin, every diabetic is different and all T2's have different levels of insulin resistance but they will normally reduce with weight loss.

Knowledge is power, everything will seem overwhelming to begin with but the more your wife can understand her diabetes the easier it will become to manage.

Regarding my reduction in food quantities, I now eat 2 tablespoons of rice or less if I have a curry or a stir fry instead of the plateful I used to have and 2 or 3 small roast potatoes with my Sunday roast or the same amount of new potatoes with other meals. I restrict my bread intake to 2 slices of Burgen or whole grain bread a day, If I'm honest, the one thing I still miss is eating crusty white bread LOL

Every persons diabetes is different and your wife's diabetes will be no exception and she will have to work out how much certain foods affect her blood glucose levels. I aimed for the NICE recommendations for type 2's which I believe are currently:

Fasting and pre meal.... *4 to 7.5mmol/L
2 hours after meals/ Postprandial....under 8 mmol/L

*these numbers may need to be increased as your wife is on insulin and it is better to run a little high than risk going hypo every day.

I hope that one of the monitors here posts the usual 'new to diabetes info' as the key to gaining control is understanding how not just sugar but carbohydrates affect your blood glucose levels. Your wife will need to test her bloods before and after each meal to evaluate how much carbs she can deal with with each meal. You will find loads of info on testing on the forum.

Good luck and ask as many questions as you like, there are some very knowledgeable T2's on this forum.

It really does get easier so try to stay calm and read, read read.

Regards

Sid
 
Hi DG and Sid

Thank you very much for your replies, plenty there to take in.

I am short of time right now, leaving for work shortly, but will reply properly in a bit.

Thanks again

Duncan
 
Hi All

Sorry to take so long to come back here, life can be hectic!

It seems that the more you read about diabetes, the more confusing it gets. I do have one specific question though.

My wife has to go for another blood test to see how things are going, but she has to fast for 14 hours. But she has to have regular meals, and make sure she has snacks in between meals too. So a 14 hour fast is impossible, her bg levels would drop to zero. Presumably all diabetics have this problem, how do you all get around it?

Duncan
 
Hi dunika,
You don't state if this test is at the hospital or GP surgery?
Whoever is taking the test needs to give you more information about the fasting and what they expect your wife to do and you need to address your worries to them. A phone call should do the trick and write everything down you need to know.

Hope this helps,

Catherine.
 
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