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Type 2, Diet controlled, Playing football spikes

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
rebrascora said:
Have you double checked those high levels with a finger prick because Libre can exaggerate at higher levels?

You said that you have a phone appointment with the specialist today, so they are the person to ask about this, so write down a list of questions and make this a priority because it is a safety issue.

Personally I would not do high intensity exercise if my levels were that high because I know it puts a strain on my body.
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Thank you agian - it is difficult to finger prick at football. I have done a couple of finger prick versus Libre and they were within 0.5 of each other - albeit pre-breakfast the finger prick was lower and after eating the Libre was lower!
 
eddymyers said:
Thank you agian - it is difficult to finger prick at football. I have done a couple of finger prick versus Libre and they were within 0.5 of each other - albeit pre-breakfast the finger prick was lower and after eating the Libre was lower!
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Once you get well above range the Libre is usually less accurate.
It only takes a minute to do a blood test and if I can do one whilst I am sitting on a horse then I am sure you can do one at half time or when the game ends. I usually just wipe away the first drop of blood and test the second if I don't have access to hand washing facilities.
It does need to be a priority question for the specialist though.
 
rebrascora said:
Once you get well above range the Libre is usually less accurate.
It only takes a minute to do a blood test and if I can do one whilst I am sitting on a horse then I am sure you can do one at half time or when the game ends. I usually just wipe away the first drop of blood and test the second if I don't have access to hand washing facilities.
It does need to be a priority question for the specialist though.
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will do - so long as dr says its ok for me to play this weekend
 
I take it, you have a big match on this weekend!
 
rebrascora said:
I take it, you have a big match on this weekend!
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They are all big games at my age! Running around after young 20 year olds.....God i feel old!
 
eddymyers said:
Drummer - I didn't have any protein with my salad lunch - in the original post, what i wrote is what i had.
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Perhaps try regarding plant foods as subsidiary to the protein and fat of what is often the basic diet for type 2s, meat, fish seafood, eggs, cheese and full fat dairy seem to provide me with long lasting nutrition - I eat every 12 hours or so, and even on days when I go out to do a lot of work I seem to manage just as well as when pottering about at home.
In the morning I often have no more than 10 gm of carbs, but I eat a meal, and that keeps my BG from rising.
 
Hi Eddy

How did you get on with the phone appointment yesterday?
 
rebrascora said:
Hi Eddy

How did you get on with the phone appointment yesterday?
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Hey Barbara,

It weasn't the most brilliant to be honest! It seems there is no real advice for 'normal' weight people with type 2! The phone call turned into a face-to-face yesterday. I showed her my graphs on the Libra 2 and she said it was all perfect - that is with me on a pretty restrictive low carb diet. This is something i wanted to address as the diet (meaning way of eating rather than lose weight diet) is the difficult part of trying to reduce my BG levels through the day and balancing it with the previous norms of eating (such as bread, pastry, pasta etc). There is little to no research/evidence as to advice for normal weight people and how to turn type to into remission - she told me.

She is having a word with our specialist diabetic clinic about testing for genetic forms of diabetes but doesn't think so as really, the only history is my dad with type 2 controlled by diet.

I have come away from the meeting with a diabetic specialist GP not really knowing what I am aiming for or indeed whether it is even possible for me to turn my type2 into remission - ie get my HBA1c below....well whatever!

I am going to be less strict with my diet, eat some carbs and have fun. She said it wil lnot be dangerous if i continue to play football - she encoraed me to due to the other health benefits of the exercise. She told me to eat banananas as the other health benefits outweight the fact that they can make my BG rise be 2.0mmol.

It is quite discouraging when the advice is well, there isn't really anything i cna tell you to do or not do. I asked what my 'range' should be - she couldn't tell me, I asked her what sort of 'spike' i should be avoiding/allowing - she couldn't tell me. I asked whether there was any advice - if i didn't have the libre (self funded) for me to try and reduce my HBA1c----not really! The only advice they give is to lose 12-15lb of weight quickly - because most of their newly diagnosed people are obese, but she defo doesn't want me to lose any weight!!!!

It is hard, again, to work out exactly what i should be doing or aiming for or indeed if there is any point in my doing anything at all!!!

Thanks for reading and showing interest in little old me 🙂
 
Drummer said:
Perhaps try regarding plant foods as subsidiary to the protein and fat of what is often the basic diet for type 2s, meat, fish seafood, eggs, cheese and full fat dairy seem to provide me with long lasting nutrition - I eat every 12 hours or so, and even on days when I go out to do a lot of work I seem to manage just as well as when pottering about at home.
In the morning I often have no more than 10 gm of carbs, but I eat a meal, and that keeps my BG from rising.
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I think i do need more meat/fish etc.

You eat every 12 hours? I have breakfast (purely to keep my weight up) 8am, lunch 12pm, tea 7pm but then i don't really eat anything after that.
 
Sorry to hear you have come away from the appointment without any real answers. That is very frustrating and demotivating I imagine. Was this a GP at your practice or a specialist consultant at a diabetes clinic? I am assuming the former as she seems to have very limited knowledge and not able to think outside the box. My gut feeling is that you are a slow onset Type 1 and your very restricted diet and exercise is keeping it at bay for now, but I really am concerned about your levels going so high during football. It would have been better if she was going to refer you for Type 1 testing rather than MODY, which is very rare and the testing expensive.

I think it is a good idea to be less strict with your diet because I think it is preventing you from getting a correct diagnosis. It seems wrong that you need to let your body get to crisis point in order to get the help and support you need but we see it quite frequently on the forum, particularly with slim people who are doing their best to control it through diet and exercise. I was lucky that my nurse was open to the possibility of me not being a straightforward Type 2 from the start and thankfully after 6weeks I was started on insulin and referred to the diabetes clinic for a consultant appointment.

Please keep a close eye on your BG levels and if they start to go really high as you loosen up your diet and eat a few more carbs, go easy on the football and if your levels hit 30 or above or you start to feel unwell, get yourself to A&E.
 
Barbara - i think she is asking the diabetes clinic to look into all sorts of types of diabetes due to my not typical situation for type 2. I am going to keep an eye on my BG levels and not go crazy with the carbs - we actually liked a lot of the evning meals we have been doing without the pastas rices etc. so they will ocntinue.

I am concerned about the range i should be setting for myself. I currently have it at 4-8.5 but even an apple will push me above 8.5! A banana makes my BG rise by about 2.0mmol! So i am thinking i should be raising my range to 10???
 
I think she may be correct, I don't think they know what causes T2 in slim people with no visceral fat. The work in Newcastle did show that slim T2s could lose weight and improve it, though, in a recently published paper. It seems to be more common in certain ethnic populations.
 
Yes, absolutely raise your range to 10. You have to remember that the 8.5 guideline is for finger pricking 2 hours after food when your levels would generally be coming back down from a higher spike. Non-diabetic people spike higher than 8.5 and occasionally a bit higher than 10, so 10 as an upper limit is reasonable as long as you accept that occasionally you will go above 10 and that is OK as long as you come back down promptly. Going up to 24 during exercise is absolutely not OK in my book and I believe potentially dangerous. I think that will be putting a lot of strain on your heart and vascular system in general.
 
rebrascora said:
Yes, absolutely raise your range to 10. You have to remember that the 8.5 guideline is for finger pricking 2 hours after food when your levels would generally be coming back down from a higher spike. Non-diabetic people spike higher than 8.5 and occasionally a bit higher than 10, so 10 as an upper limit is reasonable as long as you accept that occasionally you will go above 10 and that is OK as long as you come back down promptly. Going up to 24 during exercise is absolutely not OK in my book and I believe potentially dangerous. I think that will be putting a lot of strain on your heart and vascular system in general.
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When i put my range up to 10 - my time in range is 97%
 
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