Type 2 Rising BG. I don’t understand.

[Flora123]

What medications do you take ? Are you on insulin ?

I don’t take any medication

 

[Flora123]

I was diagnosed as type two about three years ago due to my age and weight. Only test was glucose tolerance test. My glucose levels kept going up and up despite 2000 mg metformin and almost zero carbs. Loads of exercise and drinking water. I lost a massive amount of weight. My doctor put me on insulin and referred me to a diabetes endocrinologist. She did blood tests and I was diagnosed as type one. If my GP had not put me on insulin I wouldn’t be here today. My pancreas was not producing any insulin whatsoever. Apparently there are thousands of us with insufficient insulin production which can eventually become zero insulin production. If your glucose numbers don’t improve it should definitely be investigated.

Thanks. Scary and it had crossed my mind

 

[Flora123]

So Flora, for the past week to 10 days my bg has rarely dropped below 6.5 and the last couple of nights it has been constant at above 7.5, normally I drop to nearer 5.0. This is really unusual for me as I am also on a low carb diet. Two differences this year. Firstly we have had a colder spring than usual. My bg always goes up in the winter and was coming down until the weather suddenly became cold again. Also I have had to significantly drop my exercise over the past 2 - 3 weeks as I had a muscle spasm in the middle of my back and then hurt my Achilles tendon that is making it difficult to walk. We all react differently to a mass of different things that affect our bodies. Do either of these ring a bell?
It also seems to close to time for a quarterly A1C. Mine is due next week so I am hoping that whatever is going on in the short term does not affect the true situation. The A1c is the only test that provides an accurate measure of our condition. If it is an option, I might also want to try to find a new GP.

I have had to reduce my exercise recently due to being ill for a short while and family commitments. However BG was climbing before I did that. It is frustrating as life goes on and sometimes I just can’t exercise as much as I’d like to. I’ve had this in the past and it didn’t affect my BG then. Who knows... it is so frustrating.

 

[Marie 2]

I was misdiagnosed for years, luckily medications made me sick and I was put on insulin fairly early. It wasn't until I switched doctors that the new endo tested me and it turned out I was LADA. The honeymoon phase which is when you are still producing some insulin can last 8 years. You just slowly have all your beta cells die off. And it can vary day to to day. I always want to make sure people know the possibility is there. I know someone else has already mentioned it, unfortunately it's still too commonly done.

 

[Freema]

I have had to reduce my exercise recently due to being ill for a short while and family commitments. However BG was climbing before I did that. It is frustrating as life goes on and sometimes I just can’t exercise as much as I’d like to. I’ve had this in the past and it didn’t affect my BG then. Who knows... it is so frustrating.

I think something is fundamentally wrong, with your effort your numbers should be low , I do think however that a very few numbers of people at Ketonic level have a liver that spikes up the converting of proteins into blood glucose, a year ago I read of an anorexic person who had this specific problem .but it is more common to see too low blood glucose (in anorectics).. it is weird but maybe a slim person could end up with that problem in a rare case.
Some need to both count their number of grams of carbs and also their number of grams of proteins and protein wise stay at the level of 0.8-gram x body weight in kg so like a person of 60 kg should only eat around 53 grams of protein daily. But you need to experiment and see if this might be your problem.

When you speed up your level of exercise you might need slightly more protein if building muscle

Another reason could be kind of an infection inside your body that you are not aware of.

Or as some mention being type 1.5

 

[Flora123]

I notice that you skip breakfast - when I did that my BG levels rose all morning until I ate at midday - I saw lower BG eating early and late, with about 10 gm of carb in the mornings, as insulin resistance was higher then.

This morning I didnt have my usual eggs and had 8g of carbs and 2 hours later I’m at 10.6!! That was after a brisk walk and garlic! Worth a try but I feel I should have known better. Pleased it works for you though.

 

[Resurgam]

I blame the walk....

 

[Brunneria]

This morning I didnt have my usual eggs and had 8g of carbs and 2 hours later I’m at 10.6!! That was after a brisk walk and garlic! Worth a try but I feel I should have known better. Pleased it works for you though.

I am the same, carbs in the morning has a greater effect than carbs in the evening.

You have had masses of different ideas, so I am not going to add to them, for fear of confusing the issue.
But I will remark on your comment that your exercise and activity level has reduced a bit.
So you could try a quick test.
check your bg.
run/walk up and down a flight of stairs a few times.
check your bg again.
then check it again throughout the day, and the next morning.
Sometimes exercise can drive bg up in the short term (depends how brisk it is) but then the bg drops lower for the rest of the day, creating an overall lower average.

Exercise also has a short to medium term effect on insulin resistance, although of course it varies depending on the person, and the fitness level.

Personally, I find that exercise seems to drop my background insulin resistance for a few hours (until I next eat carbs).
And we have had a member (sorry, forgotten his name) who controlled his T2 for decades with no medication, and just the simple action of climbing stairs for several minutes after every meal. Not something I (or my knees!) could contemplate, but it could be a useful experiment for you to discover the extent your reduction in exercise is contributing, or could be a control strategy, in the short or long term.

(obviously, it doesn't have to be climbing stairs! Dancing round the kitchen, or a brisk trundle round the block, or doing a few Kettlebell Swings would all have a similar effect. Heck, even waving a tin of baked beans in each arm while sitting in a wheelchair could make a difference.)

 

[Flora123]

I blame the walk....

 

[Flora123]

I am the same, carbs in the morning has a greater effect than carbs in the evening.

You have had masses of different ideas, so I am not going to add to them, for fear of confusing the issue.
But I will remark on your comment that your exercise and activity level has reduced a bit.
So you could try a quick test.
check your bg.
run/walk up and down a flight of stairs a few times.
check your bg again.
then check it again throughout the day, and the next morning.
Sometimes exercise can drive bg up in the short term (depends how brisk it is) but then the bg drops lower for the rest of the day, creating an overall lower average.

Exercise also has a short to medium term effect on insulin resistance, although of course it varies depending on the person, and the fitness level.

Personally, I find that exercise seems to drop my background insulin resistance for a few hours (until I next eat carbs).
And we have had a member (sorry, forgotten his name) who controlled his T2 for decades with no medication, and just the simple action of climbing stairs for several minutes after every meal. Not something I (or my knees!) could contemplate, but it could be a useful experiment for you to discover the extent your reduction in exercise is contributing, or could be a control strategy, in the short or long term.

(obviously, it doesn't have to be climbing stairs! Dancing round the kitchen, or a brisk trundle round the block, or doing a few Kettlebell Swings would all have a similar effect. Heck, even waving a tin of baked beans in each arm while sitting in a wheelchair could make a difference.)

Thanks @Brunneria. I have a day off today to doing housework and I am running around instead of walking - well as much as you can run in a house. I am making an effort to go up and down stairs more than usual so fingers crossed that will help.

My gP is away at the moment and he is the specialist diabetes doc. If it isn’t any better by tomorrow I’ll see another doc if possible. Maybe it’s metformin time

 

[Flora123]

So a strange update. I was unable to get an appointment with my gp or anyone else due to holidays etc. I was getting a bit worried about my readings still being so high despite my extremely low carb diet. Anyway I found some metformin left from my initial dx a year ago (I was taken off within two weeks due to low readings). Anyway. I have taken one tablet last night and one this morning. My FBG was 5.8, the lowest in months and my bg has since dropped to 4.6 and I’ve eaten my usual breakfast and lunch. I thought metformin was a mild drug that took months to work. All very odd.