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Type 2 Diabetes
Uncontrolled Type 2 and hyper's happening....
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<blockquote data-quote="HSSS" data-source="post: 2101210" data-attributes="member: 480869"><p>I agree with all the above. As a type 2 despite being on the medications you are on you are eating way too many carbs which just keep putting your numbers up. It’s possible you could be a type 1 misdiagnosed so worth asking to be double checked by the doctor definitely, but with such high carbs it could easily still be type 2. </p><p></p><p>Is it alogliptin and gliclazide you are on? Both work to increase the amount of insulin your body makes. Gliclazide can cause you to go hypo if you don’t have the assumed amount of carbs in your body hence the advice to eat carbs. But it sounds like you are quite heavily overdoing it. The symptoms you give could easily be down to the high numbers. High carb food and frequent snacks will make these worse not better. I’d guess that it was insulin you were given by drip in hospital but it’s only a guess.</p><p></p><p>You need to ask medical staff what your numbers are and names of any tests they do and any medication they give you. Ask them to write it down if necessary. Sadly some advice out there even from specialist nurses is very outdated and frankly wrong in today’s knowledge. We have to be our own knowledgeable advocates to understand our condition and treatment not blindly follow orders without understanding them. You are entitled to copies of all blood test results from your surgery. Get them and keep them.</p><p></p><p>You really need to reduce carbs til you get decent numbers. So you need to be testing. Multiple times a day. Anyone on gliclazide usually gets meter, especially if they are a driver, to check for and avoid hypos. You really need one and to use it.</p><p></p><p>Test immediately before eating then 2 hrs afterwards. This will show you what the food did to your levels. Soda, crisps, bananas and toast are all likely to send it sky high! Fewer big meals are much better than lots of snacks. Make sure you check whilst lowering the carbs so that you don’t cut too many and go hypo. Be aware that as you’ve been running high for some time any reduction could give you a false hypo where it feels like one but is really just a protest at the sugar withdrawal. They stop when you get used to new better levels. So if you feel “off” then again check the actual numbers and react accordingly. Treating a false hypo with carbs will prolong the adjustment period</p><p></p><p>Once stable you can then discuss reducing medications and only then reduce carbs further. Medication needs to match diet not the other way around</p><p></p><p>This page explains what low carb eating involves <a href="https://www.dietdoctor.com/low-carb" target="_blank">https://www.dietdoctor.com/low-carb</a> and this one has some great visuals to guide you on what’s good to eat <a href="https://www.dietdoctor.com/low-carb/keto/visual-guides" target="_blank">https://www.dietdoctor.com/low-carb/keto/visual-guides</a></p><p></p><p>And <a href="https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/" target="_blank">https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/</a> to show it really works and for motivation</p><p></p><p>and <a href="https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/" target="_blank">https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/</a> for food ideas</p><p></p><p>I’m sorry this is long but you’ve had such uninformed care til now I desperately want to give you the knowledge to help yourself.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2101210, member: 480869"] I agree with all the above. As a type 2 despite being on the medications you are on you are eating way too many carbs which just keep putting your numbers up. It’s possible you could be a type 1 misdiagnosed so worth asking to be double checked by the doctor definitely, but with such high carbs it could easily still be type 2. Is it alogliptin and gliclazide you are on? Both work to increase the amount of insulin your body makes. Gliclazide can cause you to go hypo if you don’t have the assumed amount of carbs in your body hence the advice to eat carbs. But it sounds like you are quite heavily overdoing it. The symptoms you give could easily be down to the high numbers. High carb food and frequent snacks will make these worse not better. I’d guess that it was insulin you were given by drip in hospital but it’s only a guess. You need to ask medical staff what your numbers are and names of any tests they do and any medication they give you. Ask them to write it down if necessary. Sadly some advice out there even from specialist nurses is very outdated and frankly wrong in today’s knowledge. We have to be our own knowledgeable advocates to understand our condition and treatment not blindly follow orders without understanding them. You are entitled to copies of all blood test results from your surgery. Get them and keep them. You really need to reduce carbs til you get decent numbers. So you need to be testing. Multiple times a day. Anyone on gliclazide usually gets meter, especially if they are a driver, to check for and avoid hypos. You really need one and to use it. Test immediately before eating then 2 hrs afterwards. This will show you what the food did to your levels. Soda, crisps, bananas and toast are all likely to send it sky high! Fewer big meals are much better than lots of snacks. Make sure you check whilst lowering the carbs so that you don’t cut too many and go hypo. Be aware that as you’ve been running high for some time any reduction could give you a false hypo where it feels like one but is really just a protest at the sugar withdrawal. They stop when you get used to new better levels. So if you feel “off” then again check the actual numbers and react accordingly. Treating a false hypo with carbs will prolong the adjustment period Once stable you can then discuss reducing medications and only then reduce carbs further. Medication needs to match diet not the other way around This page explains what low carb eating involves [URL]https://www.dietdoctor.com/low-carb[/URL] and this one has some great visuals to guide you on what’s good to eat [URL]https://www.dietdoctor.com/low-carb/keto/visual-guides[/URL] And [URL]https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/[/URL] to show it really works and for motivation and [URL]https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/[/URL] for food ideas I’m sorry this is long but you’ve had such uninformed care til now I desperately want to give you the knowledge to help yourself. [/QUOTE]
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