Type 2 Why oh why???

So, how much have you actually lost in the last, say, month? And where does that leave you on the BMI scale? Of course I realise BMI isn't the reatest metric, but it adds a small amount of context.

I am so sorry you are feeling so low. With your erratic blood sugars and your fast weight loss If I were you I would visit an urgent care/walk-in clinic if there is one near you, or A&E, rather than wait another 3 weeks for your appointment. Your health is important.

koukla said:

My BMI is 21 now. The weight is coming off quickly. I'm in a state of permanent exhaustion and frankly sick of the whole thing, not to mention worried. I'm not doing any exercise and my home is suffering and that gets me down too because I'm very houseproud.

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A BMI of 21 isn't a worryingly low number in itself. How much weight have you actually lost in that month? Personally, I have found my physical appearance deteriorates most dramatically, and quickly, when I get dehydrated. I can go from looking great to ghastly in a couple of hours. Are you taking enough fluids on board?

But, trust me on this one. There are far, far worse things in this life than dusty skirting boards.

koukla said:

I should have said I was 78 kilos and I'm now 51 kilos.

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That's quite a weight loss, but that can't be over the last month, surely? What has been your most recent month's loss?

Just adding a well done, assuming you needed to lose at least a chunk of that weight, ideally.

You will still see the consultant in 3 weeks, but maybe the hospital or urgent care unit can help you in the meantime. Maybe they can't, but it must be worth a try. You are clearly very stressed about all this, and that will not be doing your blood sugars or your general health any favours at all.

koukla said:

AndBreathe, I haven't checked my weight month by month. I've just hopped on the scales when I've dared because it seems to be running away with me. I'm only 5ft 2lbs so I was way overweight before and that was put down to the underactive thyroid. Yes I'm drinking but not excessively. I'm sure I'm not dehydrated, just exhausted.

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OK. So, you have 3 weeks to go before your scheduled appointment, which you can't change. So, it seems to me like you have to make an interim plan for that period. None of what I am going to write is well formed. I'm sort of shooting from the hip, so anybody please feel free to comment or challenge as you see fit.

So, firstly a comment: If you say you have changed nothing from the period you were bringing your bloods into range, you may simply not be eating enough (and if that was the case, you would continue to lose weight). Have you increased your calorie intake along the way to stem the weight loss? Whilst the blood scores you quote (10+) would freak me out too, I can also state categorically that if I don't eat enough my bloods get worse, not better. It seems my body goes into starvation mode and my bloods go up. Could this be happening at all?

So, what would I do?

If I were continuing to lose weight, I would eat more, but clearly trying to avoid increasing the carbs too much a long the way. So, that really means increasing fats. Could you add butter to your veg at mealtimes, or add lashings of butter when you eat bread? Add the odd snack of raspberries with full double cream? Add some cheese regularly? When I wanted to stop losing weight I had to add some cheese to my lunchtime meal, and also a small portion of peanuts. I chose those particular foods as they are high calorie, but and don't add massive amounts to the volume I was consuming. I would also suggest you consciously try adding at least one extra glass of water a day, just to see if that makes a difference. Not being thirsty isn't a sign you are hydrated.

If your bloods continue to be high, I think, bearing in mind it's 3 more weeks, you have two choices. Either accept it, on the basis you will see someone in 3 weeks, or speak with your GP. I can always talk to someone on the same day of calling, if I am unwell (as opposed to wanting to see someone for a routine consultation). If you can talk to your GP, you could ask if he could influence anything with your specialist, as you are feeling so unwell. He may want to see you before he contacts your clinic, but that shouldn't be any hardship?

And thirdly, you could consider asking if there is a community diabetic nurse you could talk to? Even if she doesn't know your whole history, if she is a specialist diabetic nurse, as I understand they usually are, then she should have a view on the best way forward over these few weeks.

But, as sure as eggs are eggs, becoming more and more stressed about things is going to be counter-productive and is likely to add to your feelings of exhaustion.

None of what I say is in any way having a go, or challenging the validity or voracity of what you are doing. I'm just emptying my mind, and sort of overlaying some of the challenges I had myself when I needed to stop losing weight. I lost 3kg after I wanted to stop. I haven't gained it again. For now, I have accepted I run at just under 50kg.

And finally, record everything you eat and drink, along with your bloods and weight. Not weighing yourself isn't helping matters now. You have no way of actually knowing if or what you are losing. When you get to the clinic (whenever that is), you need to have your records with you, as your evidence of what you say. If things are going a bit weird, having the daily documented evidence will help you get the attention you feel you really need.

Keep us in the loop.

koukla said:

I'm going to wait I think because he's really the guy to see. I've stuck it out this long, I don't think I'll expire in the interim.

I keep copious notes in my diary so I'll take that with me. I'll also try drinking a bit more. It's strange because I thought diabetics had a raging thirst but I haven't.

I know I'm steadily losing the weight because of how often I'm having to buy new clothes. I love that aspect of it but that's about all!

Yes I eat cheese and sometimes blueberries but I can't bear cream. Speaking of eggs, I get through an awful lot of those too but they have a binding effect which I try to offest with broccoli but it doesn't always work and funnily enough, all laxatives seem to contain something with "ose" so I steer clear of those too.

Maybe today just got me to a really low point with the 10.8. It really freaked me, especially when it was there so long after just one slice of bread.... so maybe these kind words were just what I needed to spur me on to get to September 30th.

Thank you AndBreathe and Bluetit1802. I'm very grateful

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Koukla - You haven't answered my question (which may have been well hidden in that long post.....) when you decided you didn't want to lose any more weight, did you increase the amount you are eating?

koukla said:

I'm going to test now. I'll go wash my hands and report back....

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I don't want to scare you because it's not a medical emergency because you have a meter and are stopping your bg going too high by not eating
This isn't medical advice and I'm not trying to replace your Dr etc etc..to my uniformed opinion,, to allow you to eat.
you can't do this for another 3 weeks, you are only going to lose more weigh. it's not going to fix it's self

@jack412 - I honestly cannot honestly see A&E being particularly welcoming to Koukla, based on a reading on 10 or 11. It doesn't work that way in the UK. We might wish it did, but it doesn't.

AndBreathe said:

@jack412 - I honestly cannot honestly see A&E being particularly welcoming to Koukla, based on a reading on 10 or 11. It doesn't work that way in the UK. We might wish it did, but it doesn't.

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on a slice of bread, 10 at 2 and 4hr afterwards, is more than enough, treatment on a sunday? there should be someone oncall. and will be at least an appointment set up for tomorrow

koukla said:

AndBreathe, I didn't decide I didn't want to lose more weight. I was always very petite and played tennis most days until I had a Stroke at the age of 56 and was wheelchair bound for quite a while, then the weight piling on with the thyroid. I'm happy at this weight, in fact I'd go a touch lower but my children don't think I look right and they're shocked that it's come off so quickly. I'm sorry, I tried to incorporate all of your questions into my reply.

I've just done my blood and it's 7.8 now.

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But, surely if eating as you do and you are losing weight, it makes sense you have to change something to stop the weight loss? Just as you would (albeit the opposite) if you were gaining an unacceptable amount of weight? You need to balance the food you eat with the energy your body is burning.