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Starting to control diabetes type 2

Royjk

Well-Known Member
Messages
75
Location
Prague
Type of diabetes
Type 2
Treatment type
Insulin
I have just got over the shock of my doctors words about using diabetic insulin pens. I knew that my regular finger blood tests were showing numbers in the mid 20's and I had expected him to just give me another tablet, and say see you in 6 months. However he changed the tablets and added a basal - bolus insulin injection plan, explained everything and sent me to the chemist to get my prescriptions.



So I picked up my necessary supplies, of test strips, and pens/refills, and visited the practice nurse who showed me how everything worked. She also invited me to meet with the diabetes educational nurse. I realised that I could do nothing immediately about the 103 A1c, that will reveal itself in a couple of months when I take the next test in February. But I can influence the daily 6 finger blood tests.



So I made a simple graph to show the expected high and low limits of 5 - 8.2 mmol/l, and against this I plotted my daily results which showed clearly my blood sugar was always at least 3 times higher than my target. I listed the food that I had eaten over the test period, and identified the high carb items. I now have a choice eliminate these things from my diet, or dial up a bigger number on my pen.



If I just take more and more insulin I can just eat as before, but the test results will be OK. Job done blood sugar under control. I can see nothing in the rules which will not allow me to do this, I think it is called counting carbs.



However I will aim to identify and eliminate the high carb foods, and eat things which have a Glycaemic index less that 53. This will require an overhaul of my eating habits, with the primary step of drinking liquids with no or very low sugar content. So soft drinks and beer are out, to be replaced with lemon or lime in my tea, water and dry red wine. White bread rolls are out, to be replaced with nuts. Potatoes and parsnips are out along with vegetables grown underground, to be replaced with vegetables grown above ground. That is the start of the control of my blood sugar level. I am sure it will take time to establish a new diet, and I am now searching different aisles in the supermarket.



I am still only 6 days in to this new diabetes problem, so I am not sure how my plan will work out.

I have looked at food alternatives, but being a bit lactose intolerant, I give foods containing things like milk, butter, and cheese a miss, before I even start.



My use of the pens for the first few days, are just a few bruises, having previously used injected blood thinners I find that the pens are easy to use. I have a jar for the frequently changed needles and will be able to get rid of them safely at the doctors surgery.



So this is my simple experience and initial plan, does anyone have any good ideas of ways that could control my Type 2 diabetes, and lower the risk of diabetes problems.



Royjk
 
Hi

I was put on combi 25 insulin around 7 years ago after my tablet form of control stopped working very well. TBH i haven't looked back, I had a few issues to start with as my diabetic practise nurse didn't explain very well about injecting enough insulin to counter my food intake. So the more I ate the more insulin I took and the more insulin I took the hungrier I seemed to get, resulting in gaining about a stone in weight over about 6 weeks.
Once I figured this out and a combination of more exercise and reducing my carb intake the weight came back off and my control is pretty good.
I found Lidl was pretty good for a source of low GI bread products. I pretty much eat what I want now as long as I don't over indulge my bloods are usually in the 4.5 to 8.5 range and my latest Hba1c was 55
 
Hello @Scubastu,

Thanks for your info, So, I am now 3 weeks in and the main carbs have gone, and I have dialed up the insulin to 40 units a day, and do the empagliflozin. I have no idea what is a litttle or a lot in insulin dosing. My finger blood tests start at 7 - 8 in the morning and move to about 9 -10 two hours after lunch. With switching carbs I started nuts, unfortunatly due to being forever hungry, I have been eating a lot of them. So, I now need to get rid of the need for Christmas nuts. Hunger and looking for non carb food has quickly become a part of my life. Exercise is a little difficault at the moment. But I will look in Lidl for the low carb bread, because of all things I miss marmite sandwiches, because obviously they went out with the carb restriction.
I will wait until I see the doctor again before I increase the insulin too much, lab reports on c-peptide and antibodies will be a part of this, and I think eGFR also has an imput to my treatment.
Royjk
 
You can get the Marmite hit by making a hot drink with it. A dash of cider vinegar in it as well really raises the taste.

You can keep most nuts too - portion them out into individual helpings and control your intake by "hiding" them except for each day's allowance. It's all smoke and mirrors, and whatever works for each one of us.
 
I'm not sure Lidl are doing the low carb bread anymore. Nothing in any near me. I use SRSLY low carb products for a couple of things. It does well enough, as long as you're not expecting "real" bread or real bread prices, but unless you're close to Hemel Hempstead it's online ordering and delivery can be a bit eccentric. I know other people on here use other similar companies.


I was in the US last September and even small local supermarkets carry a very wide range of low carb "bread" products.
 
My local Waitrose stocks low-carb Livlife loaf for when you must have a sandwich. Freezes well too!
 
Hello @Outlier,

You are correct marmite does make a good drink, and I suddenly remembered that oxo cubes were also good. As for the cider vinegar, I never really liked that on my chips, but I saw a internet article that said 'drink a couple of spoons of cidre vinegar before your meal', and it would help reduce BG. Well it is absolutly horrible. However it did lead to having pickled gherkins with the meal, they were not so bad.
Smoke and mirrors nuts are now safely in a box ready for just a handful each day.
I find one of the difficault things is the fact that I can negate any carbs with additional insulin, and sometimes wonder if I should do as my wife suggests, eat anything and do as much insulin as I like. I cannot get kidney failure, or heart problems, because I am on a flozin which protects me from these problems.
Oh! well just keep going.
Royjk
 
Hello @KennyA

I thought about the bread, but if those very nice white bread rolls are gone from my diet there is no real need to introduce another bread to replace them. I am set on no bread, sugar, potatoes, or sweet drinks including beer. I have found replacements for these and with any luck I will be able to keep my new diet. I had hoped that crumpets would be a non bread, but after research I find they are off too.
I have another question, does everyone do diabtes control under their GP or do people go to a specialist diabetes clinic?
Royjk
 
Hello @KennyA

I thought about the bread, but if those very nice white bread rolls are gone from my diet there is no real need to introduce another bread to replace them. I am set on no bread, sugar, potatoes, or sweet drinks including beer. I have found replacements for these and with any luck I will be able to keep my new diet. I had hoped that crumpets would be a non bread, but after research I find they are off too.
I have another question, does everyone do diabtes control under their GP or do people go to a specialist diabetes clinic?
Royjk
The aim is to reduce carb. If you reduce carb but still have a bread substitute or a zero-carb beer that ticks the boxes for me.

My answer to your second question is "Neither". I have never been to a specialist diabetes clinic and have had exactly no advice or input from my GP.
 
My answer to your second question is "Neither". I have never been to a specialist diabetes clinic and have had exactly no advice or input from my GP.
A significant difference between you and @Royjk is that you are treated with diet only and they are on insulin. You don't get prescribed insulin without at least a little input from your GP or diabetes nurse.
I have another question, does everyone do diabtes control under their GP or do people go to a specialist diabetes clinic?
Royjk
In my country (the Netherlands) and the UK T2's are usually under GP care where they will be mainly seen by the practice nurse dealing with the diabetics in the practice.
A referral to an endo or internist usually only happens when a different type of diabetes is suspected. T1's are usually under hospital care but can be under GP care, and sometimes T2's are under hospital care, especially if they are on a basal and bolus insulin regime, typically used in T1.
 
My local Waitrose stocks low-carb Livlife loaf for when you must have a sandwich. Freezes well too!
I have been obsessed with Livlife bread for years, and I have just found out Waitrose have discontinued it!! I am entirely dependent upon it and I'm furious. Please contact Waitrose customer service to register a complaint as the more of us do this the better to try and convinve them to reverse the decision
 
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