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Tablets working?

Brillpaul

Well-Known Member
Messages
85
Type of diabetes
Type 2
Average BG20+ for over a week.
Tablets (2 Metformin & 3 Glicazide per day) having little or no effect so far.......how long does it take?
Would Smarties work better?
Paul
 
Hi @Brillpaul depending on what you are eating the tablets will have a greater or lesser impact. Can you let us know what you are eating and we can try and help. I assume you have read @daisy1 's advice post already
 
Hi
Porridge & toast
Meat,potatoes, veg ....yogurt/fruit
Boiled/scrambled egg....yogurt/fruit
.....lost a stone since Christmas.
Weight still going down but not sugar. (Avoiding all sugar)
 
Porridge, toast and potatoes are likely your problem...I will tag @daisy1 who has some really useful information in regards to reducing carbs.

Well done on the weight loss.
 
I read in your previous posts that you are being tested for GAD antebodies. Whilst you are waiting you need to reduce your carb intake as much as possible until you get an answer. If you cannot get your readings lower when reducing your carb intake then you need to go back to your doctors.
 
Personally I had no luck with metformin and gliclazide so was moved over to insulin. It will most likely be a dietary issue but not always. My diet was great. Just didn't respond to the medication.
 
Can you tell us more about your weight and whether you are gaining or losing it. Those foods have too many carbs so do reduce them. Metformin never has much effect on blood sugar but helps if you are overweight and have insulin resistance. Gliclazide should work within a day or two and works by stimulating the pancreas. It will have little effect if you are overweight with insulin resistance. If you are fairly slim then consider the possibility of being LADA and not T2 and as a poster has said you are having a GAD test for that. BTW beware yogurts if they are low-fat as they will be stuffed with sugar and corn-starch with a few that have sweeteners which are OK.
 
@Brillpaul

Hello Paul and welcome to the forum :) Here is the information we give to new members, just in case you haven't seen it yet. Ask as many questions as you want and someone will be able to help.

BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
With oral meds it does take a few weeks to notice the difference in my experience. You just need to watch your carb portions and the type of carbs you're eating. If you ever get to the point that you no longer find oral meds to be working, don't hesitate to ask for the diagnostic tests to be done again as sometimes with type 2 your pancreas stops producing the required insulin and you need insulin therapy if that happens... no amount of oral meds will help. But meanwhile I take it you do have your own insulin, so it is just monitoring and adjusting things as you go. I wish you the best. :)
 
At last....on 8 units of slow release 24hr and 4 units of fast acting glucose with 3 meals each day.
Expecting positive results now. At least the pins should keep me awake all day.
 
Good.

So have they revised your diagnosis now to T1.5 or are they still waiting.
 
Andrew
Consultant reckons T1.5 but definite diagnosis depends on blood test results in 4-5 weeks time but said treatment would be the same for T1 and T1.5.
Just need to watch diet, allow wife to do the hoovering, and continue to be lazy for a while yet.
The good news is I can go back on my Ginger Nuts!!!
Paul
 
lol - you will need to learn how to carb count and adjust your bolus for the amount of carbs you are eating before the ginger nuts. Don't forget to tell the DVLA and insurance that you are on insulin now if you drive.
Good luck in the future and post your questions in the T1 forums to learn more.
 
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