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Type 2 / Type 1 how long after treatment starts before blood sugar starts to drop

K

k1elec

Member
Messages
9
Type of diabetes
Treatment type
Tablets (oral)
Hi All

Been having symptoms for around 4 weeks the other week had my bloods checked by a friend and it was 21 stopped sugary drinks and added sugar and managed to drop levels to around 16
Been to doctors on Monday and had keytones in urine and was sent to hospital where they ran a number of tests and decided I was most likely type 1 but due to my job they have run extra tests to double check if I am type 2 while in hospital I was given a insulin injection to drop my keytones were high when I left they were 0.8
I am on 1 80mg Gliclaxide twice a day and 1 500mg Metformin once a day for 4 days then twice a day the DN has given me a blood tester that does sugar and keytones and has asked me to check blood sugar 4 times a day pre meals and before bed and has asked me to also check 2 times a day my keytones which I am doing pre breakfast and pre dinner blood sugar readings seem to be in between 12.9 and 16.5 while keytones readings I have taken 1.1(dinner) 0.2(morning) 0.7(dinner) 0.2(morning)
2 questions do people think I am type 2 or type 1 (slightly overweight by 10Kg age 43)
And how long before I can expect to see my blood sugar starting to drop
Sorry for the long post
 
Was you told to modify your diet? It could be your getting high blood sugar because your eating to much carbs./sugars.
I believe up to .6 on keytones is considered normal.
Can't say whether your type 1 or 2, but I would have thought if they had you marked as type 1 you would have been put on insulin injections.
 

have already changed diet but now trying to get the wife to make portion size smaller
The reason they suspect type 1 due high levels of keytones in blood when tested but they seem to be staying low for the time being a type 1 would have a major impact with work so hoping for type 2 controlled on oral meds or diet have follow up with DN on Friday
 
Hi,

It isn't just a question of dropping sugary drinks and added sugar. If only it were that simple. You need to adjust your diet to really cut down on carbohydrates. Carbs are sugar, and once digested will turn to sugar in your body and cause as much havoc as refined sugars in drinks, cakes, biscuits etc. The worst offenders are potatoes, rice, pasta, bread, pastry and batter.

How long it takes to get your levels under control will depend entirely on you and what you eat. Oral medication helps type 2's but only to a limited extent. The rest is diet combined with losing weight and exercise. If you eat the wrong food (ie too many carbs) your levels will never drop without the help of insulin.

Please have a good browse round these forums and see how others are managing to control their levels. You will find most people follow a low carb diet, making up the lost energy (calories) with extra fat and/or protein.

Good luck with your DN on Friday, you will need it! Most of them don't have a clue. Ask as many questions on this forum as you like. No question is daft.
 

have been watching the carbs but will keep a closer eye on them and will try and cut them down some more shame as I like carbs
 
k1elec said:
have been watching the carbs but will keep a closer eye on them and will try and cut them down some more shame as I like carbs
Click to expand...


One thing I forgot to say, and perhaps the most important. You must get yourself a blood glucose meter so you can test yourself at home and eat to your meter. You may be lucky and get one from your DN, but if not you should buy your own. It can get expensive. The meters are cheap enough, but the test strips are expensive so shop around. I believe the cheapest are Codefree from Amazon. I myself have an Accu-chek Mobile, but the strips are very expensive.
 

I have 2 meters one I got myself a couple of weeks ago it's an Aviva nano meter managed to get some strips from the doctor on Monday when I went to the hospital they gave me a Glucomen lx plus meter as it also does keytone testing only testing pre meal at moment as this is what the DN asked but think I will start testing post meal as well
 
You are most likely Type 2, but it will be up to your health care team to give a diagnosis. It's rare for someone to develop T1 at age 43, but it does happen with some variants. Note that even with Type 2, insulin or other glucose-lowering drugs might be needed, which sounds like it would cause problems for you.

Carbs are the thing you need to watch. Every gram of carbs you eat turns into blood glucose at some point - some go faster, some go slower. Only fibre doesn't convert from my understanding. If you dramatically reduce carbs, you should see the levels come down in a few days, but it won't be stable for a while as the body takes time to reach a new equilibrium. Metformin can take up to 3 weeks for full effect, and if you go off, about 3 weeks to fully clear.

Do lots of research. You are most likely in it for the long term, so it's good to understand as much as possible. I really like this site: http://www.phlaunt.com/diabetes/. I bought the book as well, which had even more detail.

Good luck, and I hope that you find it doesn't affect your job.
 
Hi. It's not as rare as the HCPs think. A good proportion of the 15%-20% of those diagnosed as slim T2 are suspected of or will turn out to be LADA; it's just that the HCPs guess T2 and don't do the tests. I was a LADA at age 60, having never been overweight, and the oldest I've heard of was in her 90s. Many others on these forums have been thru a similar route. I agree that being overweight the OP is more likely to be T2 and low-carbing should reduce both weight and blood sugar
 

I believe they have done some extra blood tests to check if I am type 2 or type 1 but I don't know what tests they are doing but they took quite a large amount of blood as Tony Hancock would have said "That's very nearly an armful!"
 
HI. The tests that are standard for T2 are the GAD for anti-bodies and c-peptide for levels of insulin. They may also be doing an HBa1C.
 
Don't forget starches are also glucose not just carbohydrates. As you cut out starches and carbs you will find you don't crave food and rubbish like you did. Read Vivs modified Atkins Diet in the low carb forum.
And test 2hrs after a meal not just as you are about to take your first bite.

Oh and your dn and team will probably try tell you to eat carbs and unless you have a medical reason you cannot go LCHF ignore them keep reading this forum also dietdoctor.com
 
When I was diagnosed my BG was 28mmol. I responded to insulin right away, and dropped into the low teens, then managed to get back to roughly the recommended range of 4-7 before meals over 3 weeks.

Hope that helps
 
well last night before bed my blood had dropped to 9.9 an all time low but this morning my blood had gone up to 13.1 pre breakfast but all being well my bloods seem to be dropping down
 
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