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<blockquote data-quote="Daibell" data-source="post: 2396866" data-attributes="member: 21149"><p>Hi. Usual poor NHS advice I'm afraid. Yes you must get him down at least below 20 mmol peak meter readings if you can. As others have said he will be insulin resistant with that excess weight. The insulin will be fighting the fact that his body may already have too much as a T2. He must seriously reduce the carbs in his diet but fats, proteins, veg and non-tropical fruit are fine. There are weekly injectables in the 'Glutide' group e.g. Ozempic that can help with weight reduction and quite a few T2s are on them so discuss with the nurse if relevant. The insulin could be increased with nurse guidance but be careful to check meter readings when reducing the carbs at the same time as insulin resistance should fade as weight goes down.</p></blockquote><p></p>
[QUOTE="Daibell, post: 2396866, member: 21149"] Hi. Usual poor NHS advice I'm afraid. Yes you must get him down at least below 20 mmol peak meter readings if you can. As others have said he will be insulin resistant with that excess weight. The insulin will be fighting the fact that his body may already have too much as a T2. He must seriously reduce the carbs in his diet but fats, proteins, veg and non-tropical fruit are fine. There are weekly injectables in the 'Glutide' group e.g. Ozempic that can help with weight reduction and quite a few T2s are on them so discuss with the nurse if relevant. The insulin could be increased with nurse guidance but be careful to check meter readings when reducing the carbs at the same time as insulin resistance should fade as weight goes down. [/QUOTE]
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