T2#Me
Well-Known Member
- Messages
- 136
Well done and good luck ... thanks for this thread as I was just about to ask about ketones myself ... cheers.
Well done and good luck ... thanks for this thread as I was just about to ask about ketones myself ... cheers.Hi all. My first post, although I have been lurking for some time learning so much from you all, so thank you. Diagnosed 3 years ago with a scary hba1c of 80. GP started me on metformin straight away along with the usual 'eatwell' nutritional advice and I've very much been up and down with my hba1c since, while I've battled some difficult mental health issues. A few months ago I finally took responsibility for my own health and embraced low carb high fat and intermittent fasting after reading of everyone's success on this forum. Its taken a while to beat my carb craving and find a new way of eating but as of my last blood test 10 days ago my hba1c is now 43. Saw a different GP to normal who gave me a gold star and asked how. I said I've really cut down on carbs, more exercise and test, test, test. I asked if any chance of testing materials on prescription (rather than drugs) and she promised to look into it. They're keeping a close eye on my progress and I have another DN review this week which I have been told is to assess me and make a decision about the testing materials. By the way I've cut out my evening metformin so am only on 500mg a day (without GP's knowledge I might add) as I'm fed up with the stomach issues. And anyway, I don't feel I need it now. My question today is about the DN review. The nurse is nice enough but has always been of the 'type 2 is progressive' way of thinking. Never discussed low carb with her so don't know her view on it. I am obviously very keen to get testing materials on prescription and appreciate how lucky I will be if this is the case. I've purchased some urine testers for ketones and they reveal the darkest colour, showing I am in ketosis. I know that the DN has always checked for ketones in my urine at a review and I have not even known what this meant until recently. I'm looking for tips on how to handle the review as according to my research ketones are only dangerous if accompanied by high readings. Is this correct? My readings are now usually around 5 or 6 so obviously I have things under control. Has anyone else on low carb had ketones detected at a review and was it an issue? I'm still so new to understanding it all so any advice very welcome. thanks
Your nurse is correct to some degree. Ketones are not a source of concern for most type2s to some degree.I was told by the Nurse when I asked her about keytones not to worry about them as I was type 2 and they affected type 1 who do you believe lol
Yes I too have succeded in getting a scrip. I am a driver so need to have extra checks for DVLA. I am also on a medication that can cause hypo's (Metformin is not one recognised as being hypogenic, so on its own will not help get strips) The turning point for me was as has been said above I was able to prove that I was being proactive with the results by reducing my bgl and BP meds in response to them. I also used the strips to improve my efficiency of what meds I was on by proving that for me at least, timing of the doses wrt mealtimes was important and significant. These adjustments are proven to save the practice on my meds and support needs, so my GP was able to interpret the NICE guidelines in my favour.I believe nice guidelines suggest strips are issued only when an integral part of control. Not sure of the exact wording. Maybe get a printout of it to take with you. Try and emphasise that the testing is precisely what has given you that control.
Also emphasise that the alternative to not testing would be more drugs, they pay either way and your health isn’t better with strips. No guarantees but I’d say using their guidelines against them is your best hope.
Somehow I got mine prescribed, at least for now, by my, discrete low carb advocate, dn just by asking for them and demonstrating I was motivated to use the results not just log them. You’ve already done that.
Whilst it is true that T2D tends to be less susceptible to DKA, it is not unheard of. If a T2D has very severe Insulin Resistance, then they may still be producing insulin themslves, but not enough to get their bgl levels down. As T2D progresses (which unfortunately happens to many but not all T2) then there comes the time when external insulin is required, and then there is a similar risk of DKA as T1D.I was told by the Nurse when I asked her about keytones not to worry about them as I was type 2 and they affected type 1 who do you believe lol
You have a greater risk than me that's sure. Please make sure you are aware of the symptoms of DKA.so me being on Insulin has the risk of keytones, thank you for that information
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?