Sadly true.Please don't take this the wrong way!
Have you been testing your blood at home and if so what sort of numbers have you been getting? Have you tried controlling your diabetes with diet/exercise/weight loss?
The NHS is so good at telling people they have T2D, take some tablets, carry on eating as you are and then find it's not under control and so prescribe more pills until they deem it necessary to use insulin or it's too late and complications have set in.
Since diagnosis, I have met several diabetics who think they are doing fine, when they are obviously not.Last night I watched an episode of 'GPs: Behind Closed Doors'. I was shocked to see a DSN congratulating a fairly recent T2D who's A1c had come down to 84. Fair enough, he had made an "improvement" - but instead of explaining that it should be as low as possible or at least below 48mmol/mol, it was simply a case of: "Good work and I'll see you again in 6 months". There was no referral to a dietician or even a basic dialogue highlighting the importance of weight loss, diet and exercise. I can confidently say that there would definitely have been no mention of testing BG in this instance.
The poor guy probably left thinking that he'd done everything he had to and could continue perfectly fine the way he was. And as you've said @slip, complications will take hold - especially when sitting up at those numbers. It's not the diabetic's fault; they are blissfully ignorant when not fed the correct information.
Hi my bloods are tested daily and yes diet and exercise in place for a long time.Sadly true.
The only side effect I've experienced is ive added weight since starting insulin treatment. Many type1s argue that no weight gain on insulin. Ive added.Thank you all so much for the replies , this is day 4 on insulin, I have been started on low dose twice a day at moment as they said I don't eat enough carbs , I have to see the nurse again tomorrow as they will want increase she said , I don't know if there are any kind of side effects I just know I am extremely tired all the time and can't work out why ... Thank you all again for your support on here xxx
Hi I have been struggling so long on all tablets for my type 2, this morning the specialist nurse has said I have to go on insulin as none of the tablets are bringing sugar levels down , I have always worried if I went on insulin ,now I am terrified, I will be starting in the next five days .. Am I being foolish to be so scared ? x Thank you
I did panic when the nurse asked me to add more to my diet, she said its ok don't worry about weight gain we have a tablet we can add to stop that , I don't like this starting point I hope it works out , I just want some energy ..The only side effect I've experienced is ive added weight since starting insulin treatment. Many type1s argue that no weight gain on insulin. Ive added.
However I'd rather add the extra lbs than go blind or need an amputation.
Aww thank you for the reply, my biggest fear is hypo's and have had 2 this week,, I am wondering what I can add in between meals I have already added extra fruit but that is doing nothing at the moment, I will make sure I ask tomorrow Thanks again.Hi noidea21. I am in exactly the same place. Type 2, went on insulin 2 months ago. I was so scared of hypos, my blood kept going less than 4 and I was fatigued regularly. I recommend snacking about 10am to get you to lunch and again about 3:30pm to get you to dinner time. It helped me a lot to get through a very scary first month.
As for the injections, I find it doesn't hurt at all if you relax whilst doing it and don't forget to breathe.
All the best hun! Manda
Thank you , yes I am seeing nurse in morning will definitly be asking more questions ..Early days but you may have to lower your insulin dose slightly.. Discuss this with your nurse.
Oh yes I am on them I will mention it thanks so much .Also when you say you are taking tablets, Gliclazide? They are known to cause hypos ..... Mention this to your nurse too if you are on them.
Please let us know the outcome tomorrow.
I have this at 6pm which seems to have helped reduce the dawn phenomenon.
Thank you so much , I am so pleased they found a level that seems to have helped for you ,, I seem to be going very low in the night, the nurse asked me to have something before bed but also to take emergency hypo pack as she called it and leave it at side of bed also if I go out take hypo pack with me .. I will be telling them in the morning what has been happening over the weekend , I know it is trial and error it just is so hard not to be scared I try to be upbeat but it doesn't always work ,Thank you so much and best wishes ,,xxI went onto insulin - Lantus, in January, supported by Forxiga and Glibencamide. It took a little while to get things right but life is much better now with testing coming in around 5.5 most of the time. I found that once daily injections suit me, and unlike most people I have this at 6pm which seems to have helped reduce the dawn phenomenon.
By low carbing I have also been able to drop Glibencamide completely. I had started to reduce my insulin gradually, but unless I can reliably exercise currently I need to stay at 18 units. My BG dropped quite low at times when I was taking the Glibencamide, so perhaps this might apply to you too?
Insulin has given me a much better quality of life - that and the low carbing. Good luck with your next visit to the DN.
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