Struggling

Hello,

What sort of figures are you talking about?
Do you test before going to bed, and if so is there a big difference between the levels going to bed and the levels as soon as you get up?
What time do you have your evening meal, and do you have any supper before going to bed?
When else do you test and what sort of levels do you get?

It sounds like your DN needs a lesson in people skills, or is in the wrong job.

11 to 22 two hours after eating is too high, but you shouldn't need to go hungry to get them down, just change what you eat a bit. I would suggest you start testing as soon as you get up as well as it is as much about how food effects you, what increased the BS and what doesn't as the actual figures. Keep a diary of what you eat, and what the corresponding increase was, hopefully that will start to show you what you can manage and then you can cut out the items that send you high, or limit how much you have. You shouldn't be seeing much more than a 2 - 2.5 rise between the before and the after meal readings.

Anything high in sugar, cakes, chocolate, biscuits will send your BS high and are the ones we are normally told to avoid, however, as a general rule try and cut out/down on all grain products, (cereal, bread, rice etc), pasta, potatoes and cut down on rood veg and mediteranean fruits (grapes, oranges etc). When checking any packet goods always check the total carbs not the sugar levels, all carbs turn to sugar inside us. You might also want to consider testing before and two hours after each meal until you start to know what you can eat with out effecting your levels too much.

Contrary to a lot of advise, if you are trying for a low fat diet, you might have to rethink a bit and move to full fat milk, cheese etc. I am not saying to go mad but a reasonable amount of fat will help prevent the hunger and slow the absorbtion of the sugar into the system.

Also, I don't know if its applicable, try and avoid snacking between meals, BS seems to peak at two hours after eating and it then needs time to come down before you have your next meal, if it is still high before a meal it will be even higher after one.

Hopefully if you can get your post meal peaks down then your overall levels will reduce as well.

Good plan Kerrie. Cereals are not a wise choice for diabetics. Eggs are a good choice. Personally I have a full fat Greek yogurt and throw in a few strawberries. This keeps me full for the 5 hour gap till lunch time so no need for a mid morning snack other than a mug of tea. (It's the fat that keeps the hunger at bay)

@Ruth B has given some excellent advice. To keep an eye on your base levels you could test immediately you get out of bed. Don't wait till you are up and about. Then test 2 hours after breakfast as long as you haven't eaten anything else in between. If your early morning fasting levels are high, test before you go to bed and see what the difference is. Then do the before and 2 hour after tests on your other meals. You may get some nasty shocks.

KerrieG said:

Hi all!

I'm finding that my sugars are always too high in the mornings (I sometimes test after breakfast). Even when I eat really well the day and night before, they still seem to run too high. Then I have trouble getting them back down all day. All my DN had to say about it is that I'm not trying hard enough and to go hungry if I needed to so that my sugars would go down.

Any suggestions?

Thanks!

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Hi,

Reading through your previous posts, have you had a firm diagnosis of Type2?
http://www.diabetes.co.uk/forum/threads/newly-diagnosed.29991/

The reason I ask is that your high readings are not new to you and it may be that you have LADA. Have you ever been tested?

Diagnosed maybe but have they tested using a GAD and CPep blood test? Lots of LADAS end up labelled type 2.

Ali

Your DN sounds like an ass. Im not good at the T1, T2 thing, but these results are way too high.

Yup I agree with all the above.

Test on waking, then when you start breakfast. Then 2 hrs later.
And switch your breakfast to protein, or very low carb.

And if those don't help drastically, then you may not be type 2 - in which case, the sooner you get a medical team that listen, and talk sense, the better!