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Where to go from here?

Thank you to everyone who has commented, made suggestions and offered help and encouragement. There is a lot to digest (no pun intended). It does seem that a low carb diet is the way to go and should make some improvements to my condition. I did get a low carb cook book last Christmas and cooked quite a few meals from it. I have to say they were mostly horrible and were never cooked again. I will have to find some other ways of reducing the carbs. So once again thanks to one an all and good luck with your own conditions.
 
I agree that it is not helpful / appropriate to regale people with warnings of losing limbs / sight etc - people who have read anything about diabetes or indeed been lectured by any DSN or GP, will be very aware of the dangers / risks and bashing them over the head with it is not likely to help
By the same token I think it equally inappropriate to hold out dietary changes as a cure for diabetes (post #17) particularly to someone with longstanding diabetes where the prospect of a cure is more unlikely although significant improvements in blood sugar control and reduced risks of complications are certainly both possible & likely
The OP has not needed insulin until very recently, so why do you think a low carb diet won't help reverse T2? What should we say then? 'Oh dear, too late....?' In post 17, I didn't say low carb would be a cure, the OP asked where to go from here and I gave a suggestion. I notice that you haven't given a positive suggestion yourself, like another poster on this thread you have only criticized me. Why don't you answer the OP and suggest where to go from here? The more suggestions he gets the more chance he has of finding something that suits him.
 
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In my experience not all insulin taking type2s can reverse their condition if they've burnt out their pancreas cells.
Also in my experience a doctor can get it wrong so best to double check with blood tests. C-peptide and GAD test.
If insulin just to replace bad diet then YEP.!
Diet (low carb) is best, no brainer.
 
Posts have been deleted & sanctions will be brought on anyone persisting a pursuit in this bickering behaviour..

Desist now, please.

Peace out!
 
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Thank you to everyone who has commented, made suggestions and offered help and encouragement. There is a lot to digest (no pun intended). It does seem that a low carb diet is the way to go and should make some improvements to my condition. I did get a low carb cook book last Christmas and cooked quite a few meals from it. I have to say they were mostly horrible and were never cooked again. I will have to find some other ways of reducing the carbs. So once again thanks to one an all and good luck with your own conditions.

If you do give it another go, and even if you don't, best of luck.

I've done some 'low carb cooking' in the past and things like fathead pizza are amazing. I also tried my own recipe for cheesecake - baked almond flour & butter for the base, a very tiny bit of high quality lemon curd on that, then full fat soft cheese on that. It was amazing and something like 6g of carbs.

If you really didn't get on with LCHF the first time you tried, the second time round you could make it easy on yourself by avoiding having to learn recipes, and going round a supermarket trying to find very simple low-carb stuff that takes no effort. Reading round this forum helps a lot, people have found quite a few readily-available foods that are an absolute treat and surprisingly low in carbs.

My personal favourite 'treats', all of which have a small amount of 'unnecessary carbs' but much less than one might expect, are:

* Mixed nuts and a tiny amount of raisins (just 3, chopped up) with double cream. A sort of high-fat, low carb muesli. Since you don't need to lose weight, you can afford to be eating high fat stuff. Unfortunately for me, I need to lose weight, and this is very addictive for me so I only have it rarely!

* Some snacks from Aldi. Their honey roast peanuts, and https://www.diabetes.co.uk/forum/threads/surprisingly-tolerable-snacks-from-aldi.132531/

* Oppo ice cream (only tried the chocolate and hazlenut so far) e.g. from Sainsbury's

* LivLife bread e.g. from Waitrose - about a third of the carbs per 100g of a normal bread, and the slices are smaller, meaning less than 4g carbs per slice.

* Aldi's prawn cocktail, spooned into avocados. Neither of those things are things I used to like, but now they seem like a real treat.

* English mustard.

* Not pork scratchings, but very similar stuff that's much lighter / airier and doesn't break your teeth. Tesco for example have a few types, including flavoured ones. It took me a while, but now these seem like a reasonable replacement for crisps!

* Certain bags of flavoured nuts, e.g. some of the "Graze" - branded ones (especially when they are on offer)

* Aldi's dark chocolate

* Aldi's falafels (I do a lot of shopping at Aldi!).

* Humus

* Aldi's version of pepperami

* Mayonnaise, plain and e.g. garlic flavoured.

Then of course there's the normal, simple, commonly available stuff: bacon, eggs, beef, belly pork, cheese, flavoured cheeses, full fat soft cheese, pate (to go on the low carb bread!), chicken etc. Non-starchy veg like broccoli, sprouts, spinach. Mushrooms, peppers etc.

Since you don't need to lose weight, you can really enjoy replacing the carbs with fatty stuff. Belly pork, lots of butter, full fat cheese and mayonnaise etc. And when you have chicken, go for the thighs with skin on, lots of fat.

I've been making a lot of simple stuff recently. Just putting belly pork or fatty (pre-cooked) chicken in a pan, adding a couple of vegetables (sprouts, mushrooms etc), putting a lid on it, turning the meat once, maybe adding one crumbled up falafel in, then serving with mayonnaise on top or English mustard on the side.

Anyway I'm rambling, but the point is, you don't need to be a purist - do everything you can to enjoy it at the start, so you don't feel deprived. Don't get hung up on tiny amounts of sugar in things like mustard etc. It's surprising how big the list of things you like can become, and even if you don't take the purist whole-food approach, you'll be radically cutting your carbs. The purist approach can come later, if it's even needed at all, you may find it isn't.
 
That's an impressive list Adam, unfortunately with the exception of the eggs and bacon, chicken and cheese I cannot eat the rest, they cause digestion issues or I simply don't like them. It makes it hard to sort out a menu, but I'll work on it.

Leaving the low carb issue aside for now and having thought about the numerous posts in the thread it seems to me that I don't know what type of diabetes I have. I'm fairly certain its type 2, but is it because I'm producing insulin, but my body doesn't know what to do with it or is it that I'm just not producing enough insulin? If I understand correctly a C-Peptide test would sort that out, I've never had one before. Is the treatment the same in both cases?

With regard to Lantus, leaving out the food, mood, general well being and colour of my shirt as I increase the amount of Lantus should I expect a proportional decrease in BS? or will it just kick in when I get to a certain point?

I am due to talk with the diabetes nurse on Thursday, is there anything I should be asking her?

It may be relevant at this point to say I'm 65 years old.
 
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That's an impressive list Adam, unfortunately with the exception of the eggs and bacon, chicken and cheese I cannot eat the rest, they cause digestion issues or I simply don't like them. It makes it hard to sort out a menu, but I'll work on it.

Leaving the low carb issue aside for now and having thought about the numerous posts in the thread it seems to me that I don't know what type of diabetes I have. I'm fairly certain its type 2, but is it because I'm producing insulin, but my body doesn't know what to do with it or is it that I'm just not producing enough insulin? If I understand correctly a C-Peptide test would sort that out, I've never had one before. Is the treatment the same in both cases?

With regard to Lantus, leaving out the food, mood, general well being and colour of my shirt as I increase the amount of Lantus should I expect a proportional decrease in BS? or will it just kick in when I get to a certain point?

I am due to talk with the diabetes nurse on Thursday, is there anything I should be asking her?

It may be relevant at this point to say I'm 65 years old.

Some people say a purely meat and water diet has worked for them, but I have to admit, if managing Type 2 via diet only left me with a tiny list of things I could eat, I'd probably take the medication and enjoy eating whatever.

Re the type of diabetes you have and suggestions about insulin, that's not something I can safely make any suggestions about. Just tell the nurse everything and raise all the concerns you have. Best of luck.
 
@NoCrbs4Me eats mostly meat I believe. I wouldn't be able to do that as I don't like meat enough to live solely on that.
 
Leaving the low carb issue aside for now and having thought about the numerous posts in the thread it seems to me that I don't know what type of diabetes I have. I'm fairly certain its type 2, but is it because I'm producing insulin, but my body doesn't know what to do with it or is it that I'm just not producing enough insulin? If I understand correctly a C-Peptide test would sort that out, I've never had one before. Is the treatment the same in both cases?

As you have been diabetic 8 years, your T2 could have started off as "insulin resistant", which is when you produce enough natural insulin but your cells have become resistant to it, and this could still be the case. Or it could have started out that way and over the years your pancreas has started to wear out and produce too little insulin. Only an insulin test or c-peptide test can tell you this. Certain drugs given to T2s can make the pancreas work too hard, which leads eventually to a reduction in insulin production and make these drugs redundant. In these cases only insulin injections will work well. This does not apply to Metformin.
 
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With regard to Lantus, leaving out the food, mood, general well being and colour of my shirt as I increase the amount of Lantus should I expect a proportional decrease in BS? or will it just kick in when I get to a certain point?

I am due to talk with the diabetes nurse on Thursday, is there anything I should be asking her?

Good morning @SuttonRider ,

Your DN will have a better idea of a course of action with meds if you log what you eat along with blood meter results & dosage. Even if you make a diary between now & Thursday.

Using insulin to manage BS is not a "magic bullet" or pasport to eat what one wants. It's a balancing act.
There are so many variables that come into play.

(Have a look in the T1 section as we talk about bolusing for meals. The "pizza effect" etc..? To give you an idea.)

Wishing you the best of luck with your nurse on Thursday!
 
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