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Wondering...what's next?

Discussion in 'Type 2 Diabetes' started by ichabod78, Aug 29, 2011.

  1. ichabod78

    ichabod78 · Newbie

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    Hi to everyone.I'm new to the forum.I was diagnosed type2 a year ago.My hba1c at the time was 8.5.They prescribed me x2 500mg metaformin daily.After cutting out sugar and cutting back on the white flour products 3months later my hba1c was 6.5,the nurse said that was bang on target and was no need to go back till after another 6 months.So in may when i last had a check up i was shocked to find out my hba1c had increased back up to 7.The nurse wasn't happy and noted i had poor control,she wanted to increase my medication but i was a bit reluctant so she said to come back in 3 months to check again.I have been doing random blood readings and they have been high between 11-15 2 hours after meals.So anyway i have to go back in september and i am worried the hba1c is going to be higher.I am wondering if anyone will know what the next step will be,meaning what will be the increase in medication?Kind regards to all.
     
  2. Eilean13

    Eilean13 Type 2 · Active Member

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    Hi Ichabod,

    Welcome to the forum, its probably the most useful place you'll ever find for information. Your readings do seem high, and you've made a start with getting rid of the sugar and white flour.

    My DSN (Diabetic Specialist Nurse) said to eat starchy carbs, when first diagnosed, which when I did sent the figures rocketing like you.

    With the information from this forum I learned to cut out or drastically reduce not only sugar but all carbs to levels which keep me stable. So very little bread - two slices per day max, pasta and rice in very small amounts, so I made the decision to have them because it wasn't worth it. Watching the amount of fruit I eat and eating more veggies, but not grown underground ie carrots, parsnips, potatoes etc. And most importantly for me no chocolate.

    I do regular testing for blood sugar levels, much to the DSN's displeasure, but at the present time, eight months from diagnosis I am running about 6.5 fairly consistently which for me is okay. When diagnosed I was 22 or 23 consistently. So much progress has been made. I don't think I could have managed it without testing as it let me see what was messing up the blood sugar.

    Sounds like a lot but I worked it out a bit at a time and so far haven't found it too awful, although I do miss the chocolate. But we're all different so what works for me might not work for anyone else.

    Hope this helps

    Diane (aka Eilean13)
     
  3. daisy1

    daisy1 Type 2 · Legend
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    Hi Ichabod and welcome to the forum :) By changing what you eat you may be able to bring your levels down without an increase in medication. It isn't enough to just cut out sugar and white flour products, you need to reduce all carby foods. When you test, take a test before the meal, then two hours after the meal. If, as you have been getting, your after-meal level is higher than your before-meal level, it means that you will have to look at what you have been eating and reduce the portion size, or even eliminate that food, until you get down to the pre-meal level. You have to do the testing as different foods affect people differently so no-one can really tell you which foods you can eat.

    Here is some information which has been written for new members and I think you will find it helpful. If you have any questions then ask and someone here will have an answer for you.

     
  4. ichabod78

    ichabod78 · Newbie

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    Thanks for the replies.Looks like i'm going to have to cut my carb intake even more then.I'm pretty sure my hba1c will be higher next time from the readings ive been having.So from now i'm going to be on a mission to get my readings lower!I cycle to and from work each day which is 10 miles each way.What i find is if i don't have many carbs when i get home my readings are really low(between 3-4)and it gives me a really big appetite and then i end up eating loads!So i gotta find a way to control that better.
     
  5. viviennem

    viviennem Type 2 · Well-Known Member

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    If you increase your fat and protein intake they'll fill you up more quickly and you'll feel fuller for longer. If you're doing "normal" cycling rather than sprint racing you shouldn't find any effect on your stamina and energy from lowering your carbs a bit more.

    Having a look at my Viv's Modified Atkins Diet sticky thread at the top of the Low Carb Diabetes Diet forum on here. It may be too low carb for what you want, but if you use it as a basis and just add on a few more low GI carbs to suit you, it should be useful. Note - more carbs, less fat. I work on an 'unrestricted' fat basis, rather than 'high' fat.

    It's worth a try. Happy to discuss.

    Viv 8)
     
  6. pianoman

    pianoman · Well-Known Member

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    Hi Ichabod and Welcome :D Please stay around, read, share and ask questions.

    As above, I also try to replace carby foods (especially refined carbs) with natural fats and proteins, by focussing on real whole foods with a natural balance -- nuts and cheese for example. There is no need to starve, and I find these days that I have more stable energy (and BGs) all day even when physically active, or if I skip a meal every now and then.
     
  7. ichabod78

    ichabod78 · Newbie

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    Thanks for the extra advice people.I'm noticing the results already!I cycled home at a steady pace the other night and when i got in i wasn't hungry!Just had a protein shake(only 1.3g carbs per serving)and then i was fine for the night.Checked my blood on waking this morning and it was 4.7,lowest ive had since being diagnosed. :eek:
     
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