[/QUOTE]My only reservation here would be that I don't think they honestly know what to advise as the best way to deal with this condition. All the textbooks and experience suggests deterioration is inevitable but that is probably largely due to doing the opposite of what most here do/have done. Most of us would look askance at an HCP who said "frankly, I haven't got a scooby what is best" This may well be a case of honesty not being the best policy for the majority. This forum is not a representative sample of diabetics IMHO
Yes and with lots of T2's testing it is cause for a concern that doctors are going to get more and more demands for meters and strips and possible arguments with patients over this hence the anxiety I believe is felt by doctors regarding testing. Though I was being a little flippant with my previous post.I believe a major part of the rationale for us being told not to test is little more than a cost cutting exercise.
John they should see it as an investment...decent education courses rather than the pointless DESMOND course I attended...my GP offered me anti-depressants on two occasions...I refused them since I was not depressed...he didn't have to ask the CCG...he could refer me to whatever specialist necessary if I do not control my diabetes...he's twice suggested I take statins...again I refused since although my cholesterol at 7 is high my ratios are good...again he does not have to refer those to the CCG...for those that do take the medication (statins seem to be a policy decision for all diabetics) that rely on the archaic advice given by many HCPs/Educators to their detriment...it all costs John in more ways than one...far more than a repeat prescription for testing strips.Yes and with lots of T2's testing it is cause for a concern that doctors are going to get more and more demands for meters and strips and possible arguments with patients over this hence the anxiety I believe is felt by doctors regarding testing. Though I was being a little flippant with my previous post.
Absolutely agree it's so short sighted as T2 diabetes is fast becoming the scourge of the modern age they should do every thing in their power to combat it and that includes giving the tools and the support for us to do the job.John they should see it as an investment...decent education courses rather than the pointless DESMOND course I attended...my GP offered me anti-depressants on two occasions...I refused them since I was not depressed...he didn't have to ask the CCG...he could refer me to whatever specialist necessary if I do not control my diabetes...he's twice suggested I take statins...again I refused since although my cholesterol at 7 is high my ratios are good...again he does not have to refer those to the CCG...for those that do take the medication (statins seem to be a policy decision for all diabetics) that rely on the archaic advice given by many HCPs/Educators to their detriment...it all costs John in more ways than one...far more than a repeat prescription for testing strips.
Hi I went down the private route to get an interim fasting lipids panel test via Thriva they do offer a code for new customers of 50% off which brings cost down to 12 quid. You have to subscribe but can stop at any time ie just have the one test and cancel once you have the result. I found it a good way of checking I was heading in right direction. Hope this is useful I’m sure there are other private companies but this is one I used!So I've been thinking about why my cholesterol is up after two years of low carbing and has never been an issue before , ........
The variables I can think of are:
1) I am more active . : I now walk on average 5 miles per day and cycle to the shops each day rather than take the car.
2) I eat far less carbs - I now dont count but best estimate its 20 -30 grams per day from nuts and above ground veg.
3) I dont drink beer
4) I eat more meat .... During different stages of my life I've been vegetarian and vegan for short periods
5) I eat more eggs ...lots of them 2 for breakfast and often more during the day
6) I rarely eat fruit ....ok I have the occasional berry..... ( over the last 2 years I've tested and all fruit spikes me )
Its unlikely that it could be 1) But maybe , just maybe theres something in my diet I'm now missing out on in micronutrients
So having read a whole bunch of info on anthocyanin supplementation I've decided to add 300mg daily to see if it helps. Also to cut down on eggs
If you'd like to see my reasoning read these:
https://www.ncbi.nlm.nih.gov/pubmed/25833778
https://www.wellnessresources.com/news/brain-protective-effects-of-proathocyanidins
https://academic.oup.com/jn/article/145/4/742/4585720
https://www.hindawi.com/journals/cholesterol/2018/6303810/
Now all I have to do is find a reliable way of being tested in 3/4 months time....
Well done @geefull you must be delighted and your DN sounds like a keeper too. Great that she asked questions and was open to idea helpful for others you truly are an inspirational story well done you good idea to change to in remission As you’ve been two years with non diabetic hbaca1s congratulationsOK here we go
Latest Results from my DN visit earlier today.
HbA1c is 29 (4.8%) - up a little as expected because of weight stabilisation but I'm pretty happy, it was 27 last time
total cholesterol - 4.6 mmol/L
Triglycerides - 0.6
HDL - 1.4
Calculated LDL - 2.9
Non HDL cholesterol 3.2
Sodium/Potassium/Urea/Creatinine all within normal range.
Chloride was 109 showing high against the range 95-108 but, given the other results, the nurse says not worrying because probably a touch of dehydration after fasting.
eGFR >90 (normal)
All toes suitably ticklish
weight 68.2Kg fully dressed.
BP 110/72
Nurse was very pleased and says she wished she had more like meapparently I'm an inspiration.
I hadn't seen this particular nurse before and we had a good conversation about me doing LCHF and the benefits, she asked intelligent questions and seemed fairly open to the idea.
I'm really pleased I've managed to keep my weight and BG fairly stable and managed to push my HDL up a bit. Couldn't have done it without LCHF and the support of you friendly people, so thank you all
That's 2 years of non diabetic HbA1c's, so in celebration I'll change my description to 'in remission'
Just a urine sample to provide now. Next test in 6 months.
My only reservation here would be that I don't think they honestly know what to advise as the best way to deal with this condition. All the textbooks and experience suggests deterioration is inevitable but that is probably largely due to doing the opposite of what most here do/have done. Most of us would look askance at an HCP who said "frankly, I haven't got a scooby what is best" This may well be a case of honesty not being the best policy for the majority. This forum is not a representative sample of diabetics IMHO[/QUOTE]Bloody well done !!!!!!!!!!! Doctors are in a very well paid profession and it would appear they would prefer to spread rumours than speak honestly.....
My GP was happy to prescribe them Orson...he warned me the local CCG would intervene...were likely to stop him...we had a full discussion...then both agreed I should write to them...challenge their usual stance...so I did...I digested the minutes of my local CCG' s meeting on the T2 testing strips issue...their interpretation of the NICE guidelines on SMBG & T2's ( which was just plain wrong)...so on that basis & my results it would have been very difficult for them to say no...I challenged on a point of principle...those of us that want to test & make good use of that information should have some investment from our HCP's...many cannot afford the strips but want to test...it's makes sense socially & economically...if the CCG's will not listen to common sense & reason they should be challenged...I'd encourage more to do likewise.[/QUOTE]Bloody well done !!!!!!!!!!! Doctors are in a very well paid profession and it would appear they would prefer to spread rumours than speak honestly.....
Hi @Canvaspic Ketones will come quicker when you have been on LCHF for a bit longer the lower the carb intake the quicker your body starts using fat for fuel and you will also become fat adapted. What did you have on your 3 day fast?Yes, I looked at ketogains website, and their calculator is coming out at 25. When I did a 3 day fast I only got ketones on the 3rd day.
This week is mostly about getting my head aroud the ultra low carbs. I am also doing very long walks (10 to 12 miles) . All in the hope that next week a bit of a push will tip me into ketosis. That push may come with some calorie restriction and 18/6 fasting. Currently at 25 carbs today, BG is good but noting special.
Hi I went down the private route to get an interim fasting lipids panel test via Thriva they do offer a code for new customers of 50% off which brings cost down to 12 quid. You have to subscribe but can stop at any time ie just have the one test and cancel once you have the result. I found it a good way of checking I was heading in right direction. Hope this is useful I’m sure there are other private companies but this is one I used!
I’ll message you a link don’t want to advertise!I'm up for that would you have a link for me? Or should I just google it...
OK here we go
Latest Results from my DN visit earlier today.
HbA1c is 29 (4.8%) - up a little as expected because of weight stabilisation but I'm pretty happy, it was 27 last time
total cholesterol - 4.6 mmol/L
Triglycerides - 0.6
HDL - 1.4
Calculated LDL - 2.9
Non HDL cholesterol 3.2
Sodium/Potassium/Urea/Creatinine all within normal range.
Chloride was 109 showing high against the range 95-108 but, given the other results, the nurse says not worrying because probably a touch of dehydration after fasting.
eGFR >90 (normal)
All toes suitably ticklish
weight 68.2Kg fully dressed.
BP 110/72
Nurse was very pleased and says she wished she had more like meapparently I'm an inspiration.
I hadn't seen this particular nurse before and we had a good conversation about me doing LCHF and the benefits, she asked intelligent questions and seemed fairly open to the idea.
I'm really pleased I've managed to keep my weight and BG fairly stable and managed to push my HDL up a bit. Couldn't have done it without LCHF and the support of you friendly people, so thank you all
That's 2 years of non diabetic HbA1c's, so in celebration I'll change my description to 'in remission'
Just a urine sample to provide now. Next test in 6 months.
Other people's experience may vary and I hold no brief for Drs in general but I am absolutely certain none have ever knowingly given me a load of hogwash.It is more than OK to say I dont know the answer. Or this may be the answer but I /we/ the NHS cant afford it...what is not acceptable is a lot of hogwash
OK here we go
Latest Results from my DN visit earlier today.
HbA1c is 29 (4.8%) - up a little as expected because of weight stabilisation but I'm pretty happy, it was 27 last time
total cholesterol - 4.6 mmol/L
Triglycerides - 0.6
HDL - 1.4
Calculated LDL - 2.9
Non HDL cholesterol 3.2
Sodium/Potassium/Urea/Creatinine all within normal range.
Chloride was 109 showing high against the range 95-108 but, given the other results, the nurse says not worrying because probably a touch of dehydration after fasting.
eGFR >90 (normal)
All toes suitably ticklish
weight 68.2Kg fully dressed.
BP 110/72
Nurse was very pleased and says she wished she had more like meapparently I'm an inspiration.
I hadn't seen this particular nurse before and we had a good conversation about me doing LCHF and the benefits, she asked intelligent questions and seemed fairly open to the idea.
I'm really pleased I've managed to keep my weight and BG fairly stable and managed to push my HDL up a bit. Couldn't have done it without LCHF and the support of you friendly people, so thank you all
That's 2 years of non diabetic HbA1c's, so in celebration I'll change my description to 'in remission'
Just a urine sample to provide now. Next test in 6 months.
Other people's experience may vary and I hold no brief for Drs in general but I am absolutely certain none have ever knowingly given me a load of hogwash.
Congratulations geeful well doneOK here we go
Latest Results from my DN visit earlier today.
HbA1c is 29 (4.8%) - up a little as expected because of weight stabilisation but I'm pretty happy, it was 27 last time
total cholesterol - 4.6 mmol/L
Triglycerides - 0.6
HDL - 1.4
Calculated LDL - 2.9
Non HDL cholesterol 3.2
Sodium/Potassium/Urea/Creatinine all within normal range.
Chloride was 109 showing high against the range 95-108 but, given the other results, the nurse says not worrying because probably a touch of dehydration after fasting.
eGFR >90 (normal)
All toes suitably ticklish
weight 68.2Kg fully dressed.
BP 110/72
Nurse was very pleased and says she wished she had more like meapparently I'm an inspiration.
I hadn't seen this particular nurse before and we had a good conversation about me doing LCHF and the benefits, she asked intelligent questions and seemed fairly open to the idea.
I'm really pleased I've managed to keep my weight and BG fairly stable and managed to push my HDL up a bit. Couldn't have done it without LCHF and the support of you friendly people, so thank you all
That's 2 years of non diabetic HbA1c's, so in celebration I'll change my description to 'in remission'
Just a urine sample to provide now. Next test in 6 months.
Every time a doctor told you not to test you believed it? I don't think so, so what was that if it wasn't hogwash?Other people's experience may vary and I hold no brief for Drs in general but I am absolutely certain none have ever knowingly given me a load of hogwash.
Sadly my respect for the doctoring industry is diminished too. disingenuous information is a far far cry from " firstly do no harm".Sorry, but on one or several occasions qualified medical practitioners have tried that approach with me when the are afraid to admit I don't know. I check and recheck if I didn't I would be dead. Blunt but true.
Goodnight KarenGoodnight everyone sleep well
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