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NHS Direct doctor says... NO testing when taking Metformin
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<blockquote data-quote="Dillinger" data-source="post: 857360" data-attributes="member: 13582"><p>Just to be clear; as a Type 2 you will have impaired ability to metabolise carbohydrates. </p><p></p><p>Some will be able to handle more carbohydrates than others (all carbohydrate turns to sugars things like 'GI' are only measures of the time it takes).</p><p></p><p>The primary elevator of blood sugars is the carbohydrate we consume.</p><p></p><p>You cannot know how well your pancreas is working by guessing and you cannot identify which foods spike you by looking at your HbA1c.</p><p></p><p>You need to be able to assess your own tolerance for carbohydrates and reduce them as necessary; that can only be done by checking your blood sugars before and after eating.</p><p></p><p>The primary reason for not giving Type 2's blood testing equipment is cost. It has nothing to do with assisting you in managing your diabetes. If you can get your GP to prescribe them great, if not you need to buy them for yourself at least until you get a handle on what you can and cannot eat.</p><p></p><p>In general the NHS thinks that fats and protein are 'bad' and carbohydrates are 'good'. They are wrong. Almost completely wrong when you are dealing with people like us who cannot metabolise sugars. This advice will change; see - <a href="http://drmalcolmkendrick.org/2015/05/20/sorry-seems-to-be-the-hardest-word/" target="_blank">http://drmalcolmkendrick.org/2015/05/20/sorry-seems-to-be-the-hardest-word/</a></p><p></p><p>You cannot afford to wait for the orthodoxy to change; you need to sort out what you eat right now. Diabetic medicine for Type 2's is pretty ineffective. Reducing your carbohydrate is not; it is brilliantly effective and can stop your diabetes in its tracks.</p><p></p><p>You don't need to eat breakfast if you are not hungry, you should avoid porridge unless you know that it does not spike you blood sugars (it spikes mine incredibly quickly and then drops them down quickly too).</p><p></p><p>As diabetics we are in a the bizarre situation where virtually all the advice we are given is wrong. You don't need carbohydrates, you don't need to avoid fats, you don't need to limit protein to protect your kidneys. Type 2 diabetes is not progressive (if handled properly). Metformin is fine but has trivial implications for your blood sugars.</p><p></p><p>We're out here on our own without maps; we need to think for ourselves.</p><p></p><p>Read this forum if you don't believe me.</p><p></p><p>Best</p><p></p><p>Dillinger</p></blockquote><p></p>
[QUOTE="Dillinger, post: 857360, member: 13582"] Just to be clear; as a Type 2 you will have impaired ability to metabolise carbohydrates. Some will be able to handle more carbohydrates than others (all carbohydrate turns to sugars things like 'GI' are only measures of the time it takes). The primary elevator of blood sugars is the carbohydrate we consume. You cannot know how well your pancreas is working by guessing and you cannot identify which foods spike you by looking at your HbA1c. You need to be able to assess your own tolerance for carbohydrates and reduce them as necessary; that can only be done by checking your blood sugars before and after eating. The primary reason for not giving Type 2's blood testing equipment is cost. It has nothing to do with assisting you in managing your diabetes. If you can get your GP to prescribe them great, if not you need to buy them for yourself at least until you get a handle on what you can and cannot eat. In general the NHS thinks that fats and protein are 'bad' and carbohydrates are 'good'. They are wrong. Almost completely wrong when you are dealing with people like us who cannot metabolise sugars. This advice will change; see - [URL]http://drmalcolmkendrick.org/2015/05/20/sorry-seems-to-be-the-hardest-word/[/URL] You cannot afford to wait for the orthodoxy to change; you need to sort out what you eat right now. Diabetic medicine for Type 2's is pretty ineffective. Reducing your carbohydrate is not; it is brilliantly effective and can stop your diabetes in its tracks. You don't need to eat breakfast if you are not hungry, you should avoid porridge unless you know that it does not spike you blood sugars (it spikes mine incredibly quickly and then drops them down quickly too). As diabetics we are in a the bizarre situation where virtually all the advice we are given is wrong. You don't need carbohydrates, you don't need to avoid fats, you don't need to limit protein to protect your kidneys. Type 2 diabetes is not progressive (if handled properly). Metformin is fine but has trivial implications for your blood sugars. We're out here on our own without maps; we need to think for ourselves. Read this forum if you don't believe me. Best Dillinger [/QUOTE]
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