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Recent Type 2 Diagnosis - Anyone not overweight and n?

zand said:
How do you measure 'enough fat'? This is a genuine question, I am not being difficult/argumentative.
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That will be different for different people so no point really. Enough fat is what suits your taste, lifestyle, BG levels and body shape/size. If you are at a healthy weight, blood sugar levels acceptable and don't feel hungry then I guess that's the right amount. Quoting that figure on an open forum is fine but not a great deal of use as mine will be different.

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So what you call 'enough fat' is probably what I call 'high fat'. So we have been agreeing all along really, except you have been more careful not to mislead others with the actual term used. Sorry
 
zand said:
So what you call 'enough fat' is probably what I call 'high fat'. So we have been agreeing all along really, except you have been more careful not to mislead others with the actual term used. Sorry
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Correct. We agree the meaning but I just have a problem with the acronym LCHF as newly diagnosed could quite easily think the term "high" is large quantities instead of what suits an individual.
 
mo1905 said:
Correct. We agree the meaning but I just have a problem with the acronym LCHF as newly diagnosed could quite easily think the term "high" is large quantities instead of what suits an individual.
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I suppose I have always taken the HF bit to mean 'real' healthy natural fats as opposed to low fat/low calorie alternatives. If I am hungry it's fat I turn to to fill me up because I don't want extra carbs and I have had a problem with my kidneys when having too much protein. I am trying to lose weight, so large quantities of fat would not be good because of the high calorie content.
 
The debate over whether to advise Dr / HCP before going on a LcHf diet is interesting one.

My understanding is, the NHS do not recommend LcHf diets. Therefore if any nhs employee were to agree to someone going on a LcHf diet they would be going against NHS policy.... So they can not do this. A bit. Like an employee advising someone to purchase something from a competitor because in their opinion it is better. They must not, even if they know better.

In my case, simply because educating myself on this forum and through the web, I decided to try LcHf diet. 2 months on, at my next hospital appointment, after I had shown my BS record data for the previous 3 months, I advised them that I was on a LcHf diet. The nurse advised that a fellow colleague at the hospital (a T1) was also on a LcHf diet, and remarked how well he was doing with it. The nurse did not give any advise on LcHf diet, we chatted about holidays etc for next 20mins of the 30min appointment, then went to see the hospital consultant for his opinion. Came back and said the Dr thinks your BS levels are great, and that I should carry on with whatever I am doing because it is working.

I had a GP appointment a couple of days ago, not concerning diebetees, but he asked how I was getting on. I advised him of my BS levels and that I was on a LcHf diet..... He said my BS levels were very good and that I was doing very well in keeping them under control.

I have been given a lot of dietary advice by the nhs, but now that I am LcHf, none at all. Which I feel in a way is encouraging, because they are accepting my diet without going against nhs policy. The nurses and dr do not make the policies, but I feel they know how good the LcHf diet is for us diabetics and therefore do not try to advise us against, but are careful not to promote it. If I were an NHS employee I would do the same.

In conclusion, in my opinion, we can not expect any NHS employee to promote LcHf diets whilst the NHS policy is against.
However it would be wrong not to advise our dr or HCP of our dietary change.


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Hi guys,

Well I went to see someone a few days ago - I told her my story and she did the HBA1 test on me - on a machine she had in her office. My figure on diagnosis 8 weeks ago was 53 and it has now gone up to 60 - this is after stepping up on my exercise and changing my diet so clearly it isn't working for me. She also said she wouldn't rule out LADA - as I don't tick any of the boxes for Type 2. But I cant think about that now. As my readings are so high, she strongly recommended I go back onto 2 tabs a day, I didn't really object as I haven't been feeling that great.

Is anyone petrified of the glucometer? I feel physically ill when I see a high reading so I have decided to put it away for the moment until I started feeling better. I am convinced that my readings got higher each day as I tested.

Thanks again for all you messages, much appreciated
 
Hi Starmaker123,

After exercise your blood reading will high, this is because your still pumping adrenalin. Leave the test for about half an hour.

After meals I have always been lead to believe under 7 after two hours of eating. If your over ten after two hours I would then look at the carb content of the meal (include root veg in this) and see how it works out in a portion size. e.g. I mainly eat basmati brown rice 50g cooked weigh is one portion I have one & a half portions for dinner and one at breakfast.

Hope thats some help

Stu
 
Hi starmaker
I think you need to push for a GAD test, to establish if you are LADA. As soon as I was diagnosed LADA I was told to stop all medication (I was on metformin and Gliclazide), as my dr said they can do more harm than good.
You also need to start testing, as, in my opinion, this is the only way you can start controlling your high Blood sugar levels..... This is what I have found, testing after eating, keeping a record of your levels and recording the food you have eaten.... Many call this eating to your meter.... And it is true, you simply find out what food sends your BS levels high, and then avoid those foods.

Diagnosed T2 in sept 2013, BS levels 20+. BMI 22, age 58. Went on low carb diet. Requested a GAD test in November, came back very high 2,000+, doc said I would be T1 within weeks, but presently still LADA, and managing to keep 99% of my BS readings one hour after meals under 7.8 without insulin or any medication.


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Hi Starmaker,
Reading your post and what you say, could be my story too. I was recently diagnosed a couple of months ago, and just joined the forum here yesterday.

I was told I could eat almost what I like, just in smaller amounts, and it wasn't necessary for me to test my BG . Now after doing that for the past weeks, some of the familiar symptoms of Diabetes have come back, making me think my BG levels are not controlled sufficiently. I had lost s lot of weight, (although I was only slightly overweight), which I had put down to starting a new job and erratic eating patterns, of course I now know different.

I have just bought a meter to test my glucose levels and as I suspected they are high for a T2, more into the T1. And after reading your post and the answers you have been given, I'm starting to wonder if I may be late T1. My BG levels are just increasing more as the day goes on and while it's worrying me, I'm glad I know as I now have to take action to try to get them down. Like you I have had good advice from the folks here, and I'm sure with the right diet and checking my BG levels frequently I'll be able to get them down to an acceptable level. If not, then I'll have to go back to my Nurse and ask to be tested again.

So my advice to you would be to put your fear behind you and start using your glucometer so that you can build a better picture of what's going on, as I've just started to do.

Good luck to you


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Hello again,

Thanks for all your messages. Its been an eventful few weeks so here is my update.....

I went back to work not feeling great however assumed the Glucophage would be kicking in any day (as it seemed to the first time). This didn't happen, I didn't improve but started feeling more exhausted and unwell as each day and week passed - and losing more weight even though I was eating loads and always hungry. My readings were high - waking at 16 and going up to 23 daily and when my vision started to get really blurry at work, I called the doctor who upped the Glucophage, started me on Diamicron and she did another HaB1 test. It had gone from 53 to 79 in 3 months even though I did everything I could have done with my diet and exercise. Thanks to advice on here, I asked her about the GAD and C Peptide test.

To cut a long story short - I ended up going into hospital a week ago with ketones in my urine (they hadn't appeared before on a previous test) feeling very unwell. They put me on insulin straightaway, the tests for Type 1 will take another couple weeks but the consultant feels I am a Type 1 - I asked about LADA but she said to wait and see. So I came home a few days ago very scared and completely overwhelmed with information overload.

I have responded well to the insulin but I don't mind admitting the fear of hypos scare me most - can anyone relate and does it get easier? I have experienced symptoms once a day since coming home - at 6.9 my first morning home and having one each day and it scared da bejasus outta me. I got a real one last night at 3.6 only 45 mins after eating, didnt expect that as I was starting to feel my "safe" time was up to 2 hours after eating!. At the moment, I don't want to leave the house as Im afraid one will come on while Im driving or at the shops. I know its going to take time to get it right, I call the nurse and dietician each day and they are adjusting my doses.

I know that from reading messages on here that it does get easier but I do wonder how Im ever going to get the hang of working out doses, carbs and exercise. Right now, I just cant envisage going back to work and living a normal life with again. Any tips gratefully accepted!

Oh a question on snacking - is this a good idea to prevent a hypo?
 
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