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Open sore on foot and raised bs

Scandichic

Scandichic

Well-Known Member
Messages
3,708
Location
Hampshire
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Michael Gove and his insane educational? policies!
Just wondering of I can ask a question? I stupidly wore a pair of shoes which were too big for me and walked into town. I then got a blister which turned into a scab about the size of two 5ps together. I have avoided wearing shoes - sandals ehere the strap doesn't touch too much. Foot throbs 4 days later, water retention, swollen strip where blister starts - red, hot to touch and itchy. Think it might now be infected. Came home. Very busy day - lunch eaten whilst walking. No breaks - lots of walking due to trying to resolve someone's screw up, supervised football, attended meeting, fed kids and cycled youngest to brownies. Handful of salted mixed nuts before left. Came home. Felt thirsty. Knocked back 2 glasses of water and slightly headachy. Chopped veggies for tea. Felt dizzy, spaced, struggling to finish sentences. Checked blood 8.9. Couldn't read anything or type. Ate when dinner came out of oven 1 hour later and bloods now 7.5 1.5 hours after eating. Still feel dizzy, got a headache and struggling to type this up. Any suggestions?
 
@Scandichic , if you haven't already then stop being Supermum NOW and get to Casualty or your local Minor Injuries Unit. Or your GP as soon as it opens if it sees walk-ins (well, limp-ins). Diabetics don't muck about with foot injuries. Diabetes is a leading cause of amputation.

Kate
 
Agree 100%!! We can't afford to watch and wait with things like this so medical opinion is needed ASAP!

Best wishes

Paul
 
Sorry I dint reply sooner but been unwell. Bs sky high for me (9- but always feel really unwell if above 7.5) and taken for cover as well as forgetting phone so thought to ring GP tomorrow. Anyway then crashed and went too low so had to call advice line and they sent paramedics (3.3) . Got it back up to 6 so gradually feeling better. Told must see doc tomorrow as apparently shouldn't be feeling dizzy and disorientated, struggling to finish sentences on 9. doesn't think got infection though. TGIF! :)
 
Best wishes for tomorrow Scandi.
 
The receptionist refused to make an appointment for me. She insisted that I have a telephone conversation and the doc would decide whether it was necessary or not. I insisted that she made an appointment and even though I explained that the paramedic had said so and that I was not able to take calls whilst in the middle of teaching a lesson she refused to make an appointment. I phoned the hospital in the end and asked to speak to the diabetic clinic. I got through to the lady I saw a few weeks ago who told me that I had panicked - 3 falls in the range of normal and told me not to call the paramedics in future. Even though it was 111 who sent the ambulance based on the fact that I could barely string a sentence together and felt dizzy disorientated. She told me I needed to eat starchy carbs with every meal as it was probably due to lack of food and energy levels gone too low. She said it could be due to the weight loss and the bs being lowered and that I didn't need so much metformin. She told me to stop the metformin and ring her in a week to say what had happened. Then the doc phoned and told me that I shouldn't stop the meds. I complained about the receptionist and was told that they had told her to say that to patients as they have too many patients and not enough doctors and that their budget is to be slashed even further. He has told me that a doc would call me on Monday and that I should record my fasting bloods and bs 1 hour after evening meals. They would then make a decision on Monday. I told him what the dn said and that she would be writing to him. I then asked, what do I do? He then said it depends on who you want to manage your diabetes. My bs dropped at 5:45 to 4.5 so ate some cheese at sister-in-laws , did shopping came home and cooked tea. I think I might be leaving it too long between meals but don't always have choice. Think might be also take too much metformin. Hubbie thinks I should take middle road and drop 2nd metformin. TGIF!
 
Blimey, sounds like a right shambles, right arm conflicting with left arm, how can we have any faith with service like that. You probably feel like having a curry and a bottle of Merlot (kidding). As you say TGIF.
 
sanguine said:
Blimey, sounds like a right shambles, right arm conflicting with left arm, how can we have any faith with service like that. You probably feel like having a curry and a bottle of Merlot (kidding). As you say TGIF.
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No but a cheeky little Chardonnay and a pizza might please me! I dutifully, removed the potatoes from our ready meal and substituted with green veg. Do I know how to have a good time or wot!
 
Scandichic said:
She told me I needed to eat starchy carbs with every meal as it was probably due to lack of food and energy levels gone too low. She said it could be due to the weight loss and the bs being lowered and that I didn't need so much metformin. She told me to stop the metformin and ring her in a week to say what had happened. Then the doc phoned and told me that I shouldn't stop the meds....Hubbie thinks I should take middle road and drop 2nd metformin.!
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So, three different pieces of advice. I hate to say this, but I think your husband's unqualified advice is the most sensible!

Seriously, you've lowered your carb intake, so you almost certainly need less metformin. Managing medication reduction is one of the issues Dr Bernstein talks about. If your BG is lower and your metformin dose stays the same, you are definitely increasing your risk of hypos. The traditional answer is the diabetic nurse's one: increase your carbs. But you don't want to do that - understandably, because of the other health and weight benefits you've experienced on LCHF. So I think you need to have a conversation with the HCP you find easiest to deal with to say that since your BG levels have consistently decreased you now need less metformin, so please could your prescription be modified to match your health needs.

Kate
 
What does your gut instinct tell you to do?

You are obviously making positive changes, you've read lots about the subject. You know quite a bit. Possibly more than some of the nurses we have come across.

You could come up with a plan of action and put it to your GP?nurse and see if they had any reason why you shouldn't follow it.
I am a great believer in following gut instinct and listening to our bodies.


Cara
 
My gut instinct is to reduce metformin but not come off it. Am still playing around with diet. Trying to have odd bit of choc too. I know I can't go back to my old ways if I want to get reasonably healthy. Well I could but I'd go the same way as my aunt - weigh lots more and start injecting. I wish I could have the odd dessert, have a glass of wine daily , going up to 3 if we have friends over and eating choccie and crisps and dips. I also wish I could win the lottery. I am 43 and don't want my quality of life to deteriorate so I am absolutely determined to drop the weight, reduce the bs as far as I can and not go back to my old rubbish diet. I'd forgotten how good it feels to weigh less. Can't decide whether to stop morning or noon tablet. Probably morning as that's when bs is highest, going down throughout the day. Wine really puts weight on for me so a couple of glasses max and not on same day. Pain in ass but I'll get over it! Ate 3 Thorntons choccies last night 10pm and bs 6.8 fasting. Often high 1st thing. Could be choccies? Trying to work out if 1 square a day is too much. Want to be realistic and not delude self.
 
Is Thornton's one of the diabetic chocolate brands - I'm not familiar with the British brands. If so, what artificial sweeteners are used in it? Despite the claims, some of them raise insulin which is best avoided.
 
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