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So depressed

M

mandydowns

Well-Known Member
Messages
48
Hi

I had an appointment with my DSN this week and it was a complete nightmare. I said how concerned I was about my weight and I understood how it was affecting my health. My daiy BS reading is around 12 pre breakfast, 17+ 2 hrs after lunch and around 17 pre bed. When I told her this she said that my readings were OK!! I couldnt speak as I was in shock at this. But what about my health I said, to which she replied 'Oh, that's only long term!' Pardon?!!
I said that I felt some of my meds were not helping - I am on Metformin, Gliclazide (she said gives you hunger pains), Amitryptylline ( she said puts weight on), Victoza and statins.
All she said was 'I'll see you in six months'. I am not happy to leave mny readings this high for six months - am I being unreasonable? I have depression whcih makes me question myself, but was this consultation acceptable? I left the room in tears feeling hopeless - I know every diet going and I have tried them all - lose weight but then put in back on - in one year I yoyoed from a size 10 to size 24 and have been dieting since I was 17. I am well educated and understand the link between weight and diabetes and i need help.
I just think that the DSNs reaction to my readings were not all that it should have been - my Hb1ac 2 weeks ago was nearly 12 -my DSN said that this is acceptable?!
Is it?
 
I'm afraid you are correct.

As you know, those numbers can be improved,
And I do mean can, as you are on the right place for support.
As to 'diet', by diet on here we mean as a way of eating for life, so you need to decide what you can maintain, as you know, if you can't keep at it, it doesn't help long term.

The other thing is not to concentrate on getting the numbers down, too quickly isn't actually good for you, if you've been high for a while, so you need to concentrate on long term, and it'll fall into place.

Lot's of different diets suit. I went on portion control, low GI/lowGL, others LCHF, others are a mixture.

Try what you like, if you like it, that's good, if not, give it a few weeks, and adjust it until you do like it, but you will find after a while. it's a way of life, not a 'diet
 
Mandy - I really don't know what to say, apart from that I'm speechless. Are those numbers better or worse than last time you saw her?

In your shoes, I would make an appointment with my Doctor and have a discussion about my overall condition. Make notes before you go and make a list of all the points you want to raise. When we're there, under pressure, it's easy to be derailed, or have a brain blank.

That all seems pretty rubbish.
 
Hi Mandy,

I can understand your feelings and feel sad that you did not get any support.

I would ask to change the Amitriptyline as this can cause rapid weight gain and is seldom used now for depression. There are much better anti-depressants that you can try
Statins also can raise blood sugars so once you get your blood sugars down your cholesterol should improve.
Tell us what you are eating on a daily basis and we will see if we can help.
A rapid decline in blood sugars is not advisable as this can affect your eyes so slowly but surely is a better way to do it, a marathon not a sprint.
 
Mandy really sorry about how you feel you were treated by your DSN. I can only think they must have been having a bad day. It is never ok to spend most of your day in the high teens. I have been fighting this myself and have finally got somewhere, but to be honest I went back to my GP and it took his co-ersion to get the DSN (which is based at our local hospital) to change my meds.

I would make an appointment with your GP but be clear about what you want to sat and write it down, take it in with you, take someone with you for support and just be clear, this isn't good enough care.

Yes there will be lots of people who will just say change to a LCHF diet and get on with it, and they are right, and it will help you, but for now don't let ANYONE say that your symptoms will only cause effects LONG TERM. No one knows how long you had diabetes before you were diagnosed. I was diagnosed and within 1 year had nerve damage to my feet, and retinal bleeding in my eyes. Don't leave it, don't feel let down, empower yourself and get another appointment.

Best of luck xx
 
All te advice presented is good. There is a lot of information on this forum - people can give specific advice based on experience, & sometimes links to medical papers.

YOU need to become the expert on your own health, try different diets within the calorie limits for your weight & activities - & see what effect they have on your blood glucose. You are likely to find that reducing carbs is beneficial.
 
a DSN said that? I would see your Dr for a consultant, that is beyond bad treatment advice.
rather than a diet, you need a way of eating for the next 5-10 years, at the moment by your pre and post meal numbers, you may be able to reduce some carbs.
I found that my bloods were ok when I cut grain, grain product [bread pasta pastries etc] potato and sugary stuff and replaced the lost calories with high quality fat/oils

American diabetic association ( http://www.professional.diabetes.org/)
http://www.professional.diabetes.or...=DP&s_src=vanity&s_subsrc=nutritionguidelines

Evidence is inconclusive for an ideal amount of total fat intake for people with diabetes;
therefore, goals should be individualized; fat quality appears to be far more important
than quantity.
In people with type 2 diabetes, a Mediterranean-style, MUFA-rich eating pattern may benefit
glycemic control and CVD risk factors and can therefore be recommended as an effective
alternative to a lower-fat, higher-carbohydrate eating pattern.


http://www.dietdoctor.com/lchf it’s a long page and a video
http://lowcarbdiets.about.com/od/lowcarbliving/a/Food-Cravings.htm For me, the more carbs we eat the more carbs we want. they don’t give up easy.
http://lowcarbdiets.about.com/od/lowcarb101/a/firstweek.htm

http://www.lowcarbdietitian.com/blog/carbohydrate-restriction-an-option-for-diabetes-management

blood testing
http://www.phlaunt.com/diabetes/14045524.php
food counting
http://www.myfitnesspal.com/

Newcastle diet aims in 8+ weeks to mimic or better the rate of ~80% remission, for surgery T2
http://www.ncl.ac.uk/magres/research/diabetes/
http://www.diabetesforecast.org/2010/mar/weight-loss-surgery-and-type-2-diabetes.html
 
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