May I ask which medications and at what dosage you were prescribed? Also, when were you diagnosed? All this is useful information and will help us to help you.Hi this is my first post so please excuse me if this is not the correct forum.
I am happy to see posts from other T2D "skinny" people as most of the posts and advice I have seen so far do not fit this model.
I have been diagnosed for about 2 years now and have not found much advice I could use. I am just over 5ft.4" and weigh 62kg, have no flat belly and wear UK size 8-10 trousers (& just turned 50) . I prefer vegetables and fruit and do not eat much in the line of sweets (never been a big fan), preferring savouries and cheeses. I am generally active and do a lot of walking, especially for work. The only advice I got from a doctor was cut out sugars and try not to lose weight.
I have seen the nurse 3 times since being diagnosed. At my last blood test I was told my sugar level was 80 and the nurse doubled my medication. I haven't been back for any other tests since and when I did phone the surgery recently to ask when I will be sent for another one (being my annual check-up), they told me I should receive an invitation shortly. This was over two months ago.
So, in summary I am not very sure about my condition and what I should be doing, am getting no help from the nurse that I was allocated to, never had a regular doctor and am very confused.
Any advice would be greatly appreciated.
Hi. There is a high level of ignorance amongst GPs about diabetes and many just have very simple view of the types and underlying causes. This is not helped by the national diabetes bodies who share some of that ignorance. It's only recently that Diabetes UK (not this site) has started to spot that late onset T1 actually exists. Diabetes training for GPs in the UK is also poor in this area as my newly trained diabetes GP demonstrated. The UK NHS doesn't routinely do the tests on slim 'T2' due to cost and ignorance which is why I had my GAD and c-peptide done privately. I believe there is too much reliance on GAD when tests are done as it's not a very reliable indicator of a failing pancreas whereas the c-peptide does highlight where there is high (T2) or low insulin (T1). It's better to know what the treatment should be rather than what caused the pancreas to fail. My honeymoon period was several years and this aids confusion in GPs. This ongoing mis-diagnosis of slim 'T2s' messes up the statistics and skews research into diabetes causes and types etc.Am I right that what would usually happen in that case is that months (maybe a year or two?) later, the patient will develop more obvious T1/LADA symptoms? (This is the impression I get from the relatively frequent threads started by anxious people whose diabetes type is in doubt.)
I wonder why, at diagnosis, the doctors do not systematically run those extra tests that help distinguish between insulin resistance, and a failing pancreas? Presumably because the majority of the late-adult/middle-age cases are T2? Or do they just figure, "if this diagnosis is wrong, symptoms will appear in due course and we can just change the diagnosis at that time"? Or is the diagnostic challenge really hard?
It is rather strange!
This sounds like it could be me (more or less on some aspects!) - so hello!I am just over 5ft.4" and weigh 62kg, have no flat belly and wear UK size 8-10 trousers (& just turned 50) . I prefer vegetables and fruit and do not eat much in the line of sweets (never been a big fan), preferring savouries and cheeses. I am generally active and do a lot of walking,
Hello Hazel and welcome. I am skinny too (very!) and am pre-pre-diabetic. Yes, it is very confusing for us thin people as most advice and research centres around the over-weight and obese. I find this very frustrating. However, you have found the right place for lots of help and support. In addition, I strongly advise that you read Jenny Ruhl's book "Your Diabetes Questions Answered".Hi this is my first post so please excuse me if this is not the correct forum.
I am happy to see posts from other T2D "skinny" people as most of the posts and advice I have seen so far do not fit this model.
I have been diagnosed for about 2 years now and have not found much advice I could use. I am just over 5ft.4" and weigh 62kg, have no flat belly and wear UK size 8-10 trousers (& just turned 50) . I prefer vegetables and fruit and do not eat much in the line of sweets (never been a big fan), preferring savouries and cheeses. I am generally active and do a lot of walking, especially for work. The only advice I got from a doctor was cut out sugars and try not to lose weight.
I have seen the nurse 3 times since being diagnosed. At my last blood test I was told my sugar level was 80 and the nurse doubled my medication. I haven't been back for any other tests since and when I did phone the surgery recently to ask when I will be sent for another one (being my annual check-up), they told me I should receive an invitation shortly. This was over two months ago.
So, in summary I am not very sure about my condition and what I should be doing, am getting no help from the nurse that I was allocated to, never had a regular doctor and am very confused.
Any advice would be greatly appreciated.
Completely agree that diet is the foundation to good diabetes control and great expression - will remember that!
Exercise is also terribly beneficial, if you able to do it, for a range of reasons. Finding any activity you can do is worth persevering with.
One thing exercise does is help with reducing insulin resistance by facilitating your cells use the excess blood sugar. Not clear on the mechanism for this without looking it up.
Completely agree that diet is the foundation to good diabetes control and great expression - will remember that!
Exercise is also terribly beneficial, if you able to do it, for a range of reasons. Finding any activity you can do is worth persevering with.
One thing exercise does is help with reducing insulin resistance by facilitating your cells use the excess blood sugar. Not clear on the mechanism for this without looking it up. When I was first diagnosed and measuring my blood sugars quite obsessively, I had a post meal reading of 11.5. I went out for a 30 min cycle, not a very strenuous one, but it got me moving. When I came back my blood sugar had dropped to 5.7! That did it for me and I now try my hardest to do some activity every single day...
This is the first time i have wrote on here, i was diagnosed as a type two diabetic nine years ago, i have always been slim and active, i was on metformin and gliclazide which worked fine until last november when my blood sugars went haywire into the 30+ range, saw the diabetic doctor at the surgery who told me off for testing as i was a type 2 who should not test.was feeling so ill i saw the diabetic nurse who doubled my dose of tablets but that did not work either, in the end i was put on insulin, abasaglar and novorapid and i have felt so well ever since. I have recently seen the specialist and he says i am very unusual, and if it goes haywire again they will do further tests on me, but says i will be treated as a type one. I am under 8 stone, and at least now i am being monitored
I am posting this here at the suggestion of @Guzzler. It is particularly enlightening about the whole subject of insulin resistance (IR), adipocytes (fat cells) and how one can be "thin outside, fat inside" (TOFI). It is a bit much to take in, all in one go, but good stuff.
I'm wondering if the timing of the last meal of the day has an effect on fasting bg next morning? My last meal tends to be hours before bedtime, with maybe a little cheese just before bed. Also, if my fasting bg is highish first thing I just wait maybe two hours before having breakfast, by which time it has come down nicely.I'm a thin pre-diabetic but only learned this fact due to my mother being a thin type 2 and using her BG monitor on me one day which put me at the very top of "normal' range and she suggested getting a GTT done. Her sister sadly had died of diabetes related complications and I knew I might be at risk having had gestational diabetes despite putting on very little weight in pregnancy and being lighter immediately after delivery than before getting pregnant. BMI was about 25 though i put no store in BMI as an indicator of anything. I was told to come back a year later and that one put me definitely on the pre diabetic scale - possibly due to the very stressful year I'd had which may have put me over the edge with my probably hereditary disposition anyway.
Strangely all my life I had suffered from a cough after eating (apparently no matter what it was) and I now think this may have been a sign of my body's intolerance to carbs. I'd also often suffered from low blood sugar in my teens and early twenties and had several fainting episodes so I guess my BG control has always been a bit out of whack.
After going low carb/ketogenic I was amazed at the difference it made in my life. Almost every minor ailment from skin rashes to the cough disappeared. Suddenly had energy to spare instead of being tired all the time and lost weight effortlessly (My doctor had said diet and exercise would not work for me as I had no weight to lose so wanted me on metformin and a statin straight away - I refused). I did exercise regularly but always felt tired after it til I reduced the carbs.
I find like Caroline that exercise helps BG but for me it very specifically has to be right after eating. I can reduce BG several mmol by going for a 30 minute walk or doing 5 mins of HIITs. I have also taken up weight truing to add muscle and I am sure that also helps glucose absorption.
My problem now is dawn phenomenon which means my fasting BG is definitely not my lowest of the day. I can be anywhere from about 4.8 to 5.5 in the afternoons but mornings now are invariably in the high 6's and other than drinking a lot of red wine the night before (not advisable for other reasons) I haven't found anything that reliably reduces it.
I also realise that had I not learned about the pre diabetes and low carb high fat diets then I'd probably have got fatter and fatter until one day I'd have been diagnosed with T2 and they'd have said - it's because you're fat when in fact I was getting fat because I had a genetic carb intolerance. In many cases I think they have cause and effect the wrong way round.
What upsets me now is that if i'd only known before about low carb and exercise etc i might have been able to help my aunt.
I'm wondering if the timing of the last meal of the day has an effect on fasting bg next morning? My last meal tends to be hours before bedtime, with maybe a little cheese just before bed. Also, if my fasting bg is highish first thing I just wait maybe two hours before having breakfast, by which time it has come down nicely.
i don't find the time of eating has much effect for me - I've tried it all. Sometimes if i eat really late it's lower - other times i've eaten earlier and it's lower. If i drink lots of wine it's always lower!
if it's high in the morning it doesn't cmd down if i don't eat and sometimes even goes higher if i don't eat. it's very annoying.
I try not to worry as I know it's never my highest reading of the day despite what NHS believes and I can often be in the high 4's pre evening meal.
When I first went low carb m morning BG was low but a month or so in my pancreas obviously decided i needed more glucose in the mornings and it's been high ever since (18 months or so now).
i don't find the time of eating has much effect for me - I've tried it all. Sometimes if i eat really late it's lower - other times i've eaten earlier and it's lower. If i drink lots of wine it's always lower!
if it's high in the morning it doesn't cmd down if i don't eat and sometimes even goes higher if i don't eat. it's very annoying.
I try not to worry as I know it's never my highest reading of the day despite what NHS believes and I can often be in the high 4's pre evening meal.
When I first went low carb m morning BG was low but a month or so in my pancreas obviously decided i needed more glucose in the mornings and it's been high ever since (18 months or so now).
My am fasting bg is often under 5.0, or at worst in the low 5s, but I am noticing that if I then delay my breakfast too long, or if I let too much time pass between other meals, my bg rises unprovoked. So I'm wondering if as well as following Dr B's advice to let 5 hours pass between meals, I should let no more than 5 hours pass on empty. More complications and restrictions! (Sigh!)There is a variable when measuring fasting glucose that appears to differ from individual to individual. When the plasma glucose drops due to fasting at some stage the control systems decide that it is going too low and start to release glucose into the blood stream from the stores in the liver. This raises the blood glucose above the expected fasting glucose level.
I've decided not to worry too much and do whatever feels right at the time. After all worry and stress can raise BG too so have decided to worry less and enjoy life more. It's not all about diabetes anymore and I feel thats a good place to be.My am fasting bg is often under 5.0, or at worst in the low 5s, but I am noticing that if I then delay my breakfast too long, or if I let too much time pass between other meals, my bg rises unprovoked. So I'm wondering if as well as following Dr B's advice to let 5 hours pass between meals, I should let no more than 5 hours pass on empty. More complications and restrictions! (Sigh!)
It's not all about diabetes anymore and I feel thats a good place to be.
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?