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Outrageous advice! IMO

Grandadfatboy said:
My average glucose for the last 7 days, according to my Libre 2, is 11.7 mmol/L and for the last 90 days is 11.6 mmol/L. My diabetes specialist says I'm doing brilliantly, considering how much influence my non diabetes medication has on my BG. When we have tried to tighten up these results, I end up with BG going too low (5 and below especially before bed). My specialist says to continue as I am, as I'm jogging along just fine.
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No wonder you are weeing at night, as reported in another thread. The levels your specialist is considering to be good are high, but it seems that the NHS has set new targets for elderly insulin users that are higher than could be otherwise obtained, simply because most of the patients they deal with are insulin users, elderly, and possibly not able to tightly control without nightime hypo's. so it is a protection for you.

I as a T2 on orals am also suffering this new treatment regime where I am being told to aim for a much higher diabetic level whereas I have been below the diabetic thrshold for 8 years consistently without hypo. This IMHO is Dogma with a capital D. As has been said - Outragous! Advice? NO! Directive? - yes (another capital D)
 
Oldvatr said:
No wonder you are weeing at night, as reported in another thread. The levels your specialist is considering to be good are high, but it seems that the NHS has set new targets for elderly insulin users that are higher than could be otherwise obtained, simply because most of the patients they deal with are insulin users, elderly, and possibly not able to tightly control without nightime hypo's. so it is a protection for you.

I as a T2 on orals am also suffering this new treatment regime where I am being told to aim for a much higher diabetic level whereas I have been below the diabetic thrshold for 8 years consistently without hypo. This IMHO is Dogma with a capital D. As has been said - Outragous! Advice? NO! Directive? - yes (another capital D)
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When I was first diagnosed I was able to keep my BG around the 7 mark, which I did without much of an issue. Then I was diagnosed with myeloma. The chemotherapy played havoc with my BG, sending them into the mid to high 30's. It was decided that whilst I was on chemo it would be easier for me to being controlling things with insulin.

The chemo regime quickly killed most of my ability to produce natural insulin, hence I became an insulin dependant diabetic. Once I got the hang of dosing myself for the carbs in each meal, and using my current BG levels, I was slowly got there.

I started keeping a daily diary of my food intake, the amount of insulin administered, along with the calculated carbs in each meal. I started testing before a meal and 1 hour and 2 hours after creating a pattern of how my body was reacting over time during the day.

What has thrown a spanner in the works each time I've tried to get into single figures, has been the minutest increase above normal insulin intake, would drop from my usual 13ish BG level down into the high 5's, low 6's. Which left me managing a potential hypo over night. Obviously this was picked up by my diabetic team as I have the Libre 2. They admired what I was trying to do, but they thought I was putting myself at risk of night time hypos unnecessarily.

What can I do? I live in hope that I will gradually be able to lower my "normal" BG back down to, well I'd settle for 8 or 9.
 
I noticed that there is a fixation around weight loss to reduce BG rather that low carb by health professionals. If you go low carb you will lose weight. They are coming at things the wrong way round in my opinion. Tackle carbs to get BG under control, the weight loss will follow. I lost 13 Kg on low carb in 6 months. At my last HBa1c my levels were slightly higher than my previous one (38 in February, 45 July). I was a bit disappointed as I was hoping to get into remission do wanted belie 42 but I had been under stress due to building work on my house at the time. The nurse then said, “Oh I suspect it’s down to your low calorie dieting as quite a lot of those 0% fat foods can have a lot of sugar in you know.” I was astounded by this. I assured her I was not eating any 0% fat foods with sugars in them and was just low carb.

Her thinking demonstrates goes this trend in NHS philosophy that weight loss by any means is the best way. No!!! Low carb is the only way.
 
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