Hi everyone , I was diagnosed in 2011 with type 2 with very little support Tuesday I became T2 Insulin Dependent and now have to inject 3 times a day plus all my tablets as you can imagine I'm not feeling that great at the moment but onwards and upwards , I hope you all keeping well
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good morning Type 2 insulin dependent
- Thread starter Micah T
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trophywench
Well-Known Member
- Relationship to Diabetes
- Type 1
Hi Micah - tell us a bit more about yourself if you would, so we can answer any questions you have appropriately.
Firstly exactly what tablets you are taking for either diabetes or anything else, what's been happening with your blood glucose levels since your diagnosis, whether you made any changes to your diet and exercise levels during the last 9 years, whether you've been testing your blood glucose yourself prior to now, what insulin you've now been prescribed, what instructions they've given you about testing your blood and what your latest HbA1c result is?
Firstly exactly what tablets you are taking for either diabetes or anything else, what's been happening with your blood glucose levels since your diagnosis, whether you made any changes to your diet and exercise levels during the last 9 years, whether you've been testing your blood glucose yourself prior to now, what insulin you've now been prescribed, what instructions they've given you about testing your blood and what your latest HbA1c result is?
Oh gosh where to start ....
so I take daily
4 x Sukkarto SR Metformin 500g
1 x 10mg Ramipril
1 x 30mg Gliclazide ( 1 year )
1 x 40mg Atrovastin
2 x 50mcg Cyanocobalamin Vitamin B12 ( was on an injection every 3 years but due to Covid now on tablets )
oh and I'm Asthmatic
as of Tuesday 13th 10units of Insulin 3 x a day 10.mins before food
I test my BGL 10 mins before food and 2 hours after and then just before bed
Diet .... started really well then wobbled then back on the wagon then off then on and so on then fully back , I was swimming every week and my job is a property manager in London so a fair amount of walking and climbing stairs then I was hit by a cyclist and had both knees operated on and hip ..... oddly enough I came of the the wagon .
so since March 20 I work from home in front of a laptop all day from 9 - 5 take 30 mins for lunch or just have lunch and carry on working
when I was first diagnosed in 2011 the said I have probably been undiagnosed for at least 5 - 10 years
This morning my BGR was 16.8 at 9.46 all I had was a mug of tea with skimmed milk no sugar
I then tested at 10.41 and it was 12.6 I then had 10 units of insulin and had breakfast 10 mins later 2 eggs scrambled and 1 slice of granary bread with olivio spread
due to take my BGR at 12.40
I don't actually know what my HbA1c result is I think they told me but was I was not able to take all the info in
I have a phone consultation on Friday so I shall ask then oh I have also been referred to the Renal Team
Micah
KARNAK
Much Missed Member
- Relationship to Diabetes
- Type 1
Hello @Micah T welcome to the forum.
As @trophywench has asked more info please.
You responded just as I was posting.
As @trophywench has asked more info please.
You responded just as I was posting.
Hi @Micah T welcome to the forum.
A great deal has changed regarding dietary options for Type 2 diabetics since 2011.
I hope that at least you know that it is all carbohydrates that raise BG levels, not just 'sugar'.
It would be useful to know if you are now 'Insulin Dependent' because you no can no longer produce a normal amount of insulin, or just because you can't produce enough to overcome your Insulin Resistance.
In the first case, you will always need Insulin injections even though you can keep the dosage low by cutting carbohydrates.
In the second case you still have the possibility of coming off all diabetic medications through a Low Carb way of eating.
I note that you are consuming carbs both in your skimmed milk (cream is better) and in your granary bread (ordinary brown or whole grain carbs are still carbs). You might be interested in this new video about a real life experiment to show that carbohydrates are not necessarily required for energy.
A great deal has changed regarding dietary options for Type 2 diabetics since 2011.
I hope that at least you know that it is all carbohydrates that raise BG levels, not just 'sugar'.
It would be useful to know if you are now 'Insulin Dependent' because you no can no longer produce a normal amount of insulin, or just because you can't produce enough to overcome your Insulin Resistance.
In the first case, you will always need Insulin injections even though you can keep the dosage low by cutting carbohydrates.
In the second case you still have the possibility of coming off all diabetic medications through a Low Carb way of eating.
I note that you are consuming carbs both in your skimmed milk (cream is better) and in your granary bread (ordinary brown or whole grain carbs are still carbs). You might be interested in this new video about a real life experiment to show that carbohydrates are not necessarily required for energy.
trophywench
Well-Known Member
- Relationship to Diabetes
- Type 1
Don't worry Micah - nobody's going to jump down your throat for what you did or didn't do in the past - fact is none of us can change that - so today it's a new notebook with blank pages and a nice new pen.
Firstly, your last comment re being referred to the Renal Team. From that it is apparent that your kidney function tests (Urea & Electrolytes) are not quite as they need to be, but how severely your kidneys have thus far been affected would be pure guesswork at this point.
The Humulin I insulin which you now take, does not work directly on the food which you eat. It is there to prop up how ever much insulin your body is now producing - has anyone checked (with a C-peptide blood test) how much insulin your body is actually producing now, though? It's better to know that in order to properly prescribe whatever type of insulin and what dose of it, to help you properly. Can you tell us whether so far all diabetes treatment has been under the care of your GP surgery, or whether you see your hospital expert diabetes clinic team for that? In any event clearly your HbA1c test ain't as that should be either, hence the addition of insulin in the first place. It is not a brilliant idea to reduce too high BG very suddenly anyway since that can often cause complication of diabetes eg retinopathy, neuropathy etc - so I certainly wouldn't query the Humulin I prescription as yet. Yes your BG needs to reduce, but in this case better to do it gently.
I assume the comment already made about it being 'all carbohydrates not just sugar itself which are the problem' does not come as news to you - am I correct?
What exercise are you physically able to undertake at the moment? Not talking about installing a home gym or training to run a marathon here - I mean physical activity of any and all kinds, be it seated exercise, vacuuming the floor or walking to the dustbin or the bus stop outside the front gate.
Firstly, your last comment re being referred to the Renal Team. From that it is apparent that your kidney function tests (Urea & Electrolytes) are not quite as they need to be, but how severely your kidneys have thus far been affected would be pure guesswork at this point.
The Humulin I insulin which you now take, does not work directly on the food which you eat. It is there to prop up how ever much insulin your body is now producing - has anyone checked (with a C-peptide blood test) how much insulin your body is actually producing now, though? It's better to know that in order to properly prescribe whatever type of insulin and what dose of it, to help you properly. Can you tell us whether so far all diabetes treatment has been under the care of your GP surgery, or whether you see your hospital expert diabetes clinic team for that? In any event clearly your HbA1c test ain't as that should be either, hence the addition of insulin in the first place. It is not a brilliant idea to reduce too high BG very suddenly anyway since that can often cause complication of diabetes eg retinopathy, neuropathy etc - so I certainly wouldn't query the Humulin I prescription as yet. Yes your BG needs to reduce, but in this case better to do it gently.
I assume the comment already made about it being 'all carbohydrates not just sugar itself which are the problem' does not come as news to you - am I correct?
What exercise are you physically able to undertake at the moment? Not talking about installing a home gym or training to run a marathon here - I mean physical activity of any and all kinds, be it seated exercise, vacuuming the floor or walking to the dustbin or the bus stop outside the front gate.
- Relationship to Diabetes
- Type 1
- Pronouns
- He/Him
Welcome to the forum @Micah T
Sorry to hear you’ve not had the support up to now that would have helped you. But I’m glad you have found the forum and hopefully being able to compare notes and ideas with members here will give you practical and emotional support as you begin to refocus on your diabetes management.
We all have out up days and down days... days where diabetes behaves, and others when it doesn’t... and sometimes life gets in the way.
Keep in touch and let us know how things are going.
We have a number of T2s on insulin who will be able to share their experiences.
Sorry to hear you’ve not had the support up to now that would have helped you. But I’m glad you have found the forum and hopefully being able to compare notes and ideas with members here will give you practical and emotional support as you begin to refocus on your diabetes management.
We all have out up days and down days... days where diabetes behaves, and others when it doesn’t... and sometimes life gets in the way.
Keep in touch and let us know how things are going.
We have a number of T2s on insulin who will be able to share their experiences.
- Status