Basically it's very common for patients with heart failure to get diabetes, as the heart failure causes changes in metabolism which increase the production of ketones to use as fuel.
Far more likely that people with diabetes get heart failure and not the other way round.
" type 2 diabetes mellitus (T2DM), obesity or chronic kidney disease, all highly prevalent in HF populations, have shifted from being innocent bystanders to drivers of HF."
I think you may find that is specifically not what it says at all?
"However, whether enhanced ketone body metabolism is a cause, a consequence, a bystander or a compensating mechanism in HF is presently unknown."
Hi Quentin
I hope this helps you
6 weeks ago to the day I was admitted to hospital.
I had had a blinding headache for two weeks prior. I went to the doctors who said my BP was high (I had a pulse rate of 120 per min)
I was very short of breath
I had a blotchy rash over most of my body
I ticked every box for sepsis... (Which I did not have... we did not know this to be the case then)
Doctor said not to worry !!!
This was on the Wednesday.
Over the next two days I became far far worse, dizzy, disorientated, I fell over backwards I totally lost my balance.
I had NO food for a total of 7 days.
Two days later my wife said she was going to take me to hospital, I said lets go back to the doctors (we live literally 2mins from the doctors) as we walked in, the doctor (a different doctor) took one look at me and said go immediately to hospital (he was going to 'blue light' me) that means call an emergency ambulance.
My wife drove me there where I was seen and admitted.
I was placed on a saline drip for 2 days and nights
The first thing the consultant did was stop my metformin and started me on 100 units of insulin and 2 80mg Glicaside a day.
Several blood tests, 3 days and 3 consultants later the general consensus was that I had a very virulent virus.
I have never felt so ill in my life.
Now
Over the last 6 weeks I have reduced my carbs from 100g a day 6 weeks ago, to 80g them 70, and a couple of weeks ago down to 50g a day.
I had to reduce my insulin (in stages to 70 units) as I drive for a living and have to keep above 5 to drive (DVLA rule) It is the law here.
I have never felt so well. in just 6 weeks I have gone from being at deaths door to feeling really well.
I dropped my morning tablet as I was still hitting low readings during the day. (below 5)
As things stand at the moment I am averaging a daily total of 6.1 on the screen.
(I am testing around 10 times a day every day) So that I can see exactly what my BG levels are doing.
It may be that 'you' have a similar virus????
The only other thing of note is I was/am low on folic acid and have today picked up a 5mg pack of tablets to take one a day.
I have found a low carb approach is easy to maintain thus far. I have not felt hungry once over the last month and a half.
I have read and read and read and watched video after video and found so much helpful advice here and some amazing facts from posters who 'walk the talk' NOT experts but normal people like you and me. People who live this life everyday.
KEEP ASKING QUESTIONS! KEEP READING.
BUT MOST OF ALL... KEEP LOW CARB.
I am not a doctor or expert nor am I in a position to offer you any medical help or guidance in any way, as that is the job of the medical experts, whose advice you MUST seek and follow (or not)
It seems that a low carbohydrate and high fat diet is for some of us a great way forward in helping to reduce BG levels.Once you get those under control, in time, the rest will naturally follow.
I hope and pray you found this of some comfort
Po
Hi Po, hoping the day is finding you well. Thank you for such a detailed reply, it must have taken you ages to type, I found your story fascinating Po, truly grateful for sharing the details. You're more brave than I. Funny enough they gave me antibiotics as soon as I went to resus.
My mission is to keep my diabetes under control, my cardiologist was candid about my outlook with heart failure AND diabetes, he said the best thing I can do for my heart is control diabetes.
I'm sure many have heard of the XPERT course for diabetics. Its half day session for 8 weeks. They trained us to eat carbs and abandon diets of any kind. They talked about what they called ' The eat well plate' 1/3rd carbs, 1/3rd protein and 1/3rd veg (fruit included). So I have baby potatoes in skins which you can buy preprepared at supermarkets and they are scrummy. Portion control was discussed, sugar free foods, diabetic marketed foods and a partridge in a pear tree.. The course was excellent but polarised views on carbs to what I read on hear. They gave as a glossy book to take away with pictures on different meals as they would look on your plate. I followed it to the letter for 6 months and my Hba1C came down to 40 so technically in remission, I was so delighted.
I don't understand why the xpert course pushed us to this balanced eat well plate and changed all our views on carbs (all the delegates were trying and failing to low carb) - this forum, which is an ever flowing font of knowledge for me, tells me to low carb low carb.
Has anyone any views on this polorised view on carbs? All I know at the moment is no matter what I eat, I can't get my bgs below 10. I had three stents so less likely to have another MI and more likely to have a stroke unless I can control my sugar, yes I'm panicking, I can't have a stroke - I'd have to take care of business if I did. BTW my nickname is "Q" , not James Bond more like Brooke Bond. Qx
Fabulous response, I'm listening to you loud and clear. I only have a few moments I'm actually off the the see the GP (PATIENT PREVENTION OFFICER) and then its my diabetic review this afternoon. I've seen her before and plan to bring all the new stuff to the review I've read from the replies on here. I will read your reply again as its worthy of it, when I get back. I'll message you then. Must dash chat later, hope you're well. Q (Q is my nickname, no one ever gets Quentin right) lol..Q You will find a stack of information here about HFLC I did not know what that even was a couple of months ago.
Now I can not sing its praises loud enough.
I do not yet know what next HbA1C is going to be... however I am fairly certain it will have more than halved in the last two months. I have not been hungry once in this time. I have found that I feel so much brighter, more energy, more drive, more libido. + NO more insulin!
If I could Q may I strongly urge you to look seriously at meditation.
Please trust me when I say, it will have a profound effect on your well-being!
I have added a couple of video links here somewhere on site that will give you some insight. I will see if I can find the link for you.
Have a read of my profile it may give you some reassurance that I am NOT a new age hippy freak... well perhaps I am a little bit. What I am not is one of the love and light brigade dressed in purple and full of new age clap trap and nonsense.
Love and light (just kidding)
Po. Walking the mystical path with practical feet.
Today is the start of you taking full control of YOU!Fabulous response, I'm listening to you loud and clear. I only have a few moments I'm actually off the the see the GP (PATIENT PREVENTION OFFICER) and then its my diabetic review this afternoon. I've seen her before and plan to bring all the new stuff to the review I've read from the replies on here. I will read your reply again as its worthy of it, when I get back. I'll message you then. Must dash chat later, hope you're well. Q (Q is my nickname, no one ever gets Quentin right) lol..
Evening everyone, I hope today has found you well. Haven't been on here for a few years, some questions if I can.
I got my Hba1C down to 40 through diet. Last week, I get an urgent call from GP to come straight over. My Hba1C was 101, cholesterol up from 3.9 to 5.5, triglycerides up to to 5.5. What would make this giant leap and is it truly dangerous.
I was put on metformin had a very bad reaction so had to stop. Is it worth trying a similar drug or they all the same.
Was given a machine, strips and told to monitor 3 times a day. Can't stop the spiking 15.5 after a sensible meal, lowest after night fast is 9.2, why?
It all went wrong for me last Thursday, I felt unwell, my bp had dropped very low pulse was high. Taken to hospital where I deteriorated very quickly, oxygen SATs v low, bp dropped further, breathing laboured, QTC prolonged to 550ms and bg 10.5. So I spent 8 hours in resus and 2 days in hospital and released with no diagnosis. I should say I have heart failure so not the best combination with diabetes.
I'd be so truly grateful if anyone can give me any answers to all or just some of my symptoms. I think if I hadn't had resus intervention I would have lost consciousness because that's how I felt. Never felt like that before, never fainted or passed out before, so scary.
Thank you in advance, kind regards Quentin.
Hey Quentin
Hope your feeling much better.
I am T2 also and was diagnosed in 2008. I had everything under diet control until 2016 when I also passed out and fell ill with sepsis and was hospitalised for over 2 months. At the same time my blood sugar spiked dangerously high.
Fully recovered now but was put on Metformin which immediately which didn’t agree with me initially but eventually settled.
As it hate taking any kind of medicine I am currently doing 16:8 intermittent fasting to see if it had the healing impact it is proposed to have on T2 diabetics. I’m only only in my 2nd week of 16:8 but lost 3lbs in body fat in my first week.
I’m due my 6 monthly check at the end of June, so hoping I can come off the medicine if the 16:8 lifestyle works.
Hope you get things sorted and find your answers.
Paul
Has anyone any views on this polorised view on carbs?
I do. I am trying to go about resolving it a surgery level. This came up today at my local PPG meeting, as in are all of the GPS at the local surgery singing with one voice on LCHF as a means to reversing T2 diabetes.
The degree of high fat appears to be a source of disagreement. I wrote something up on that in a thread of mine some weeks back. But low carb as I have seen so far. I need to drill down further to see what others say. There are umpteen of them. I am hoping they all think low carb.Are they LCHF (low carb high fat) or are they low carb without the high fat bit? It would be very interesting indeed if they were up for high fat. Even Dr. Unwin steers clear of this in his presentatiions.
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