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What to do with the Mother-in -law....
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<blockquote data-quote="Bluetit1802" data-source="post: 1086975" data-attributes="member: 94045"><p>Hi,</p><p></p><p>Firstly, Metformin doesn't help at all with post meal spikes. It works on the liver, helping to a limited extent in reducing the amount of glucose the liver produces naturally in times of stress, fasting, exercise and so on, and to a limited extent with insulin resistance. It is mainly an appetite suppressant. It also comes with (temporary) side effects in the form of tummy upsets, so needs to be taken with food. It isn't a miracle drug.</p><p></p><p>The course she was on may not have helped as the dietary advice is the usual NHS rubbish of eat carbs with every meal, low fat, swap to wholemeal. I have read on this forum that some T2s attending these courses were given biscuits and cakes for refreshments!</p><p></p><p>The only way your MiL can get her levels down and stop this disease from progressing is to cut the carbs (not just sugar/cakes/jam but all major carbs) It will be hard for her at her age to suddenly change her eating habits, but it is all she can do if she wants to avoid more serious medication and insulin. There is no harm in occasional treats, as long as they are occasional.</p><p></p><p>If she does the testing before meals and 2 hours after first bite she can see for herself what that food has done to her levels and it may frighten her into doing something about it. Make sure she knows what the safe levels are. (never above 8.5, preferably 7.8, post meal)</p><p></p><p>I wish you luck with this one. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="Bluetit1802, post: 1086975, member: 94045"] Hi, Firstly, Metformin doesn't help at all with post meal spikes. It works on the liver, helping to a limited extent in reducing the amount of glucose the liver produces naturally in times of stress, fasting, exercise and so on, and to a limited extent with insulin resistance. It is mainly an appetite suppressant. It also comes with (temporary) side effects in the form of tummy upsets, so needs to be taken with food. It isn't a miracle drug. The course she was on may not have helped as the dietary advice is the usual NHS rubbish of eat carbs with every meal, low fat, swap to wholemeal. I have read on this forum that some T2s attending these courses were given biscuits and cakes for refreshments! The only way your MiL can get her levels down and stop this disease from progressing is to cut the carbs (not just sugar/cakes/jam but all major carbs) It will be hard for her at her age to suddenly change her eating habits, but it is all she can do if she wants to avoid more serious medication and insulin. There is no harm in occasional treats, as long as they are occasional. If she does the testing before meals and 2 hours after first bite she can see for herself what that food has done to her levels and it may frighten her into doing something about it. Make sure she knows what the safe levels are. (never above 8.5, preferably 7.8, post meal) I wish you luck with this one. :) [/QUOTE]
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