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Type 2 raised readings for no apparent reason

Discussion in 'Ask A Question' started by bramblejelly, Feb 14, 2019.

  1. bramblejelly

    bramblejelly Type 2 · Newbie

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    hi all I am new here but joined because I am a bit disappointed in my glucose readings and a bit puzzled to what is going on too
    Ive been diagnosed for 10 years or so and was initially put on Glucophage but it caused me endless stomach problems and my Gps didnt want me to try anything else..I was told Id have to learn to live with it but it meant I could rarely leave the house.So I researched and decided to start of low carb..
    Ive been happily plodding along with an ok HB1 on my low carb with the occasion blips usually as a result of sickness or even stress
    But for the past few months my levels have shot back to 9s 10s 11s and ive no idea why.Im still low carbing and ive even tried to not have any carbs at all to see if my readings improved but so far nothing different.I really dont want to have to restart that awful Glucophage
    I am not sure how long it takes after reducing carbs even more before i would see any results ? The only thing that seems to have been a possible trigger was a nasty sinus infection but that was 2 months ago now when my readings first shot up but they havent gone back down again yet !! :(
     
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  2. Kittycat_7_

    Kittycat_7_ Type 2 · Well-Known Member

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    Hi,
    Welcome to the forum
    I'd change GP's or even surgeries, you don't have to live with terrible side effects.
    Tagging @daisy1 for her welcome pack.
    Hope you feel better soon.
    Stress can raise blood glucose.
    There are lots of different meds.
    Ask for a referral to a specialist diabetes nurse practitioner
    Good luck
     
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  3. bramblejelly

    bramblejelly Type 2 · Newbie

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    thank you kittycat I am unable to move surgery but the gps ive seen are all keen for me to just take metformin..they recently wrote to me to say the glucophage is changing to a different brand.im wondering if perhaps i wont feel so ill on the new brand so may give it a try again..im just confused to why my low carb isnt helping anymore !!
     
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  4. DCUKMod

    DCUKMod I reversed my Type 2 · Moderator
    Staff Member

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    Hi there - That must be frustrating for you.

    First things I'd check would be, have you started using a different meter, or a different batch of strips? Are your strips still in date? Expired strips can sometimes go a bit wonky. I don't necessarily mean the brand, I mean the batch number. It's usually on the label and the box, near the expiry dates.

    Have your finger prick test results been verified by an increased HbA1c reading? Just in case; that would help resolve the strips issues.

    Has anything you eat or drink had a new recipe applied to it? Sometimes, if we're eating something packaged, the manufacturers can change the recipe just a bit and muck us up.

    If all else fails, and your numbers are creeping up a bit, then I'd definitely agree you should discuss it with your medical team.

    I recently attended a presentation by a Consultant Endo, who stated that there are over 400 combinations of oral drugs for treating T2 diabetes. That obviously isn't 400 individual drugs, but includes combinations of drugs. It doesn't include insulin.

    On that basis, if your Doc still holds out that there are no alternatives to Glucophage, I would ask him why he is discounting everything else. There may be valid reasons, or alternatively, he simply doesn't favour those options.
     
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  5. daisy1

    daisy1 Type 2 · Legend
    Staff Member Retired Moderator

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    @bramblejelly
    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and helpful.

    BASIC INFORMATION FOR NEW MEMBERS

    Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

    A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

    On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

    The role of carbohydrate

    Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

    If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

    The bad news

    Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

    The good news

    People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

    Controlling your carbs

    The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

    There are two approaches to controlling your carbs:
    • Reduce your carbohydrate intake
    • Choose ‘better’ carbohydrates
    Reduce your carbohydrates

    A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

    The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

    Choosing better carbohydrates

    The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

    Read more on carbohydrates and diabetes.

    Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

    Eating what works for you

    Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

    To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

    The blood sugar ranges recommended by NICE are as follows:

    Blood glucose ranges for type 2 diabetes
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 8.5 mmol/l
    Blood glucose ranges for type 1 diabetes (adults)
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 9 mmol/l
    Blood glucose ranges for type 1 diabetes (children)
    • Before meals: 4 to 8 mmol/l
    • 2 hours after meals: under 10 mmol/l
    However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

    Access to blood glucose test strips

    The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
    • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
    • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

    Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

    You may also be interested to read questions to ask at a diabetic clinic.

    Note: This post has been edited from Sue/Ken's post to include up to date information.
    Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

    • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

    • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
     
  6. bulkbiker

    bulkbiker Type 2 · Master

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    Do you know roughly what you daily carb intake is?
    It would help greatly if we knew what you eat.. might be able to suggest some amendments that could help.
     
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  7. JoKalsbeek

    JoKalsbeek Type 2 (in remission!) · Well-Known Member

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    If medication isn't agreeing with you, you should be given something different. There's so much more out there than glucophage! Maybe they don't actually know that? You could suggest gliclazide via e-mail, give them some time to look it up without you noticing? ;) After all, the last thing a diabetic needs is something that dehydrates them. And it's nice to have a life outside the house. Quality of life, maybe your GP should look it up! (Shame you can't change practices... :( Maybe ask for a referral to an endo?)

    Could you let us know what you've been eating? I know you're going really, really low carb, but lately it seems like I run into food labels that are wrong more often than not (My beloved salted almonds were twice the carb than the packaging claimed. Big difference!). So even for people who've been low carbing for a while, sometimes, something throws a wrench in.

    Is there any chance you're ill, in pain or stressed? Sleeping all right? Have you started other medication? (Statins for instance can raise bloodglucose).

    I hope we'll be able to find something with you, and fix your BG!
    Jo
     
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  8. briped

    briped Type 2 · Well-Known Member

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    How did you find out?
     
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  9. JoKalsbeek

    JoKalsbeek Type 2 (in remission!) · Well-Known Member

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    Happened to be on the dietdoctor website checking another nut, and they quoted double the (net) carbs, making me do a double-take...! Checked all over the internet, other brands, other shops, and the amount was the same everywhere. Except on the packaging of my usual brand. That was half, which I'd been going by. :banghead: Same brand as the avocado I buy, which isn't correct in the listing either. (They quote carbs with fibre as net carb, so a lot more as it's a load of fibre in there). Seems like someone's sleeping in his/her office, somewhere!
     
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