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Insulin for Type 2 Yes or No?

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Sorry to hear you're having difficulty gaining the support you need @Catz63. I'm in a similar boat, only spoke to my GP and GP Nurse (once). Haven't been able to get a response from the Diabetes Clinic yet, it's tough times for everyone at the moment, but I'll keep trying!

There's been some great advice above. For me, reducing the carbs has significantly helped and to be honest, I haven't found it that difficult. Lots of advice out there regarding substitution of carb heavy food, and plenty of tasty recipes. It's really a case of change, more than anything!

My normal breakfast consists of 2 plain shredded wheat, 2 tablespoons of Greek yoghurt, 2 strawberries, raspberries and blueberries. Every other day, I change the fruit a bit, to plums, peaches, kiwi, blackberries. Once every week or so, I treat myself to a low carb 'grill up'. A rasher of bacon, 1 sausage, 1 egg, mushrooms and a tomato.

My lunch usually consists of salad and fish. The salad will nearly always contain spinach leaves, rocket, tomato, chia seeds, flax seed, sunflower seeds and 2 tablespoons of apple cider vinegar. To change it up a bit I will add avocado, grated carrot, grated cheese, a boiled egg, a rasher of bacon (cooked as crispy bits), mushrooms, bean sprouts or anything else that I have read up on. My fish is usually tinned mackerel, sardines, tuna or salmon (as a treat). With the tinned stuff you just need to keep an eye on the sauce/oil it's in. Again, to mix it up I will have an omelette with onions, tomato, peas, etc.

My evening meal is pretty much what I'm given. I'm very lucky though as Mrs Bazzlejet is a chef, so she has adjusted the family meal to suit. If I'm gonna have any carbs, this is where they will be. With this said though, portion size is everything, so a set of digital scales have been invaluable, as I can simply check what's going in.

Twice a month I will have a takeaway. One at work on a Saturday night shift and one on payday. I've not cut this out, I've just adjusted what I have. Where I would normally have a keema nan, a starter, rice and curry for an Indian Takeaway, I now just have rice and curry. Where I would normally have a 15inch pizza (please don't judge 😉) from our Kebab & Pizza place, I'm having a chicken shish kebab and leave the pita bread... so its basically grilled chicken and salad !

One point that's already been raised, and which cant be over emphasised is 'slow and steady'. Don't go cold turkey and get rid of the carbs to quickly. Gradually reduce them. My understanding is that reducing carbs to quickly can impact on the small blood vessels, especially the eyes. As my BG levels have reduced I have found that my eyesight changed quite significantly. Hopefully, having heard from others, my eyesight should get back to normal(ish) in a couple of months as my body gets used to my new, normal levels.

As for the medication, for me it looks like the Gliclazide (together with my diet change) was dropping me to low. I didn't take it yesterday and my readings all day were between 5.4 - 7.2. I will keep regularly checking to ensure my levels remain on track though, that's very important.

I feel like I've rambled on a bit here, so sorry about that :D. Well done on loosing the weight by the way, hopefully a change in eating will help you maintain it, as it has for me 🙂
 
Hope your experiments go well @Catz63

Do keep an eye on your BGs if you are trying to reduce carbs alongside meds which stimulate your pancreas to produce more insulin. 🙂
 
Thanks everyone for the feedback. I started cutting back on carbs Wednesday this week. I also started including more exercise into my day. Reducing the carbs showed an immediate effect on my sugars but not as much as the drop I got after 45 mins of low impact exercise. Yesterday my bloods were 7.1 before breakfast. I had some Greek Yogurt with a small portion of granola with my morning coffee (with blue top milk). 2 hours later I checked my bloods and BG was 8.4. By lunch I was hungry and so had cheese on a small piece of whole meal bread, toasted (my diabetic nurse insists I have some carbs in every meal) but before the meal I tested and the results made no sense, Bg was up to 13.8. I decided to do my 45 mins of exercise at half 2 and tested again before evening meal, Bg was down to 6.2. I had a salad with bacon and 3 small boiled potatoes and an oz of cheese over. I drank lots of water through the day. Checked it before bed I was down to 4.3, this seemed very low for me and I didn't want it to go any lower overnight so I had a cracker before going to bed. This morning before breakfast my Bg was 5.5 so something is working. If I can get hold of my diabetic nurse I will ask about reducing the Glicizide as the drop after tea was a tad extreme.
 
Thanks everyone for the feedback. I started cutting back on carbs Wednesday this week. I also started including more exercise into my day. Reducing the carbs showed an immediate effect on my sugars but not as much as the drop I got after 45 mins of low impact exercise. Yesterday my bloods were 7.1 before breakfast. I had some Greek Yogurt with a small portion of granola with my morning coffee (with blue top milk). 2 hours later I checked my bloods and BG was 8.4. By lunch I was hungry and so had cheese on a small piece of whole meal bread, toasted (my diabetic nurse insists I have some carbs in every meal) but before the meal I tested and the results made no sense, Bg was up to 13.8. I decided to do my 45 mins of exercise at half 2 and tested again before evening meal, Bg was down to 6.2. I had a salad with bacon and 3 small boiled potatoes and an oz of cheese over. I drank lots of water through the day. Checked it before bed I was down to 4.3, this seemed very low for me and I didn't want it to go any lower overnight so I had a cracker before going to bed. This morning before breakfast my Bg was 5.5 so something is working. If I can get hold of my diabetic nurse I will ask about reducing the Glicizide as the drop after tea was a tad extreme.
Well done for sticking on it, you are doing really well

My GP appointment is 3 weeks away, so am keeping off Glicizide, I still havent got it right as my reads in the evening are a low and guess that is down to very little carbs in the evening.

I do agree that exercise is also key and makes a difference, for me not just my BG levels but reduction of my high blood pressure.

I am not an expert, but is your high BG spike due to slow release of your medicine or perhaps the food?

Good luck, hope you can get hold of the DN.
 
The only downsides to insulin that I’ve found are all the carbohydrate counting and the driving restrictions. You have to test before driving, if under 4 then you have to eat something, wait 15 minutes until over 4, then wait a further 45 minutes. Sitting in the car for an hour in the freezing cold, without being able to start the engine to put the heating on, late on a dark night, and all because of a bg of 3.9 when you just want to be at home is a total pain.
Lucy - I always tested my blood before leaving wherever I was before I walked to the carpark to come home. Middle of a shop standing up or sitting at my desk in the office, inside people's houses - just wherever. No point going out in the cold till I have to, mate! I've always been nesh.
 
Well done for sticking on it, you are doing really well

My GP appointment is 3 weeks away, so am keeping off Glicizide, I still havent got it right as my reads in the evening are a low and guess that is down to very little carbs in the evening.

I do agree that exercise is also key and makes a difference, for me not just my BG levels but reduction of my high blood pressure.

I am not an expert, but is your high BG spike due to slow release of your medicine or perhaps the food?

Good luck, hope you can get hold of the DN.
Hi when I got hold of my DSN she was impressed with my readings and agrees 4.2 before bed was too low and adjusted my Glicizide.I now have 1 and a half tablets before breakfast and take them before a meal not with, This seems to be working better. She actually said she would rather me be in the 6's before bed. Well some nights I'm high 5's so that should keep her happy. Mostly my BG is within the 4- 7 range. I don't test 2 hours after a meal any more as the slow release medication affects these readings. I usually test before break fast, before tea and before bed. My breakfast has changed recently I was on the Greek Yogurt with granola and fruit but the diary has begun to turn on me so I have gone continental and I'm having ham,cheese and a hard boiled egg with my morning coffee. Its working, I'm not looking for snacks and quite often not really hungry at lunch time.
My joints have been giving me a lot of pain lately so not done as much exercise but still go for a walk each day weather permitting. My weight has dropped a few pounds even with the high fat so it's all looking positive for now.
Thanks again to everyone;s contributions to this thread they have all been helpful.
 
Hi when I got hold of my DSN she was impressed with my readings and agrees 4.2 before bed was too low and adjusted my Glicizide.I now have 1 and a half tablets before breakfast and take them before a meal not with, This seems to be working better. She actually said she would rather me be in the 6's before bed. Well some nights I'm high 5's so that should keep her happy. Mostly my BG is within the 4- 7 range. I don't test 2 hours after a meal any more as the slow release medication affects these readings. I usually test before break fast, before tea and before bed. My breakfast has changed recently I was on the Greek Yogurt with granola and fruit but the diary has begun to turn on me so I have gone continental and I'm having ham,cheese and a hard boiled egg with my morning coffee. Its working, I'm not looking for snacks and quite often not really hungry at lunch time.
My joints have been giving me a lot of pain lately so not done as much exercise but still go for a walk each day weather permitting. My weight has dropped a few pounds even with the high fat so it's all looking positive for now.
Thanks again to everyone;s contributions to this thread they have all been helpful.

Ths sounds great @Catz63! Well done on your amazing progress, and congratulations on those levels.

Sorry to year about the joint pain, hopefully this will begin to ease as the weather warms. Is joint pain something you have had before or is it new?
 
Ths sounds great @Catz63! Well done on your amazing progress, and congratulations on those levels.

Sorry to year about the joint pain, hopefully this will begin to ease as the weather warms. Is joint pain something you have had before or is it new?
I have very loose joints and have suffered all my life with wrists slipping in and out when just getting up out of a chair the knees have been a problem since my teenage years. My shoulders, neck and elbows have become more painful since turning 40 when I had frozen shoulder aggravated by trapped nerves in my neck. So yes I have lived with pain for most of my life. It is always more painful during damp weather but can also play up with changes in barometric pressures both summer and winter. I don't sleep comfortably and sometimes need to take pain medication just to start the day. It comes in waves sometimes just the knees but at the momeny they are all joining force against me. I have lived a long time with pain and I am still unable to get the Dr to prescribe anything useful that I wont get addicted to.
 
I use a fair few spice and herbs, and I am told that turmeric is good for joints - I add a half teaspoon of it to my stews so it either works very well or I don't need it.
You might like to experiment, just in case it is the former.
 
I don't come across many people who have the classic spices - no curry powder here.
 
I used to do my own curries with all the spices but I mainly use Tumeric these days to add colour to rice and veg and either that or cumin in soups and stews.

I used to take glucosamine for a long time but it didnt seem to help but I was carrying a lot of extra weight at the time so I might give a few thing another go now the weight is coming down.
 
Hi when I got hold of my DSN she was impressed with my readings and agrees 4.2 before bed was too low and adjusted my Glicizide.I now have 1 and a half tablets before breakfast and take them before a meal not with, This seems to be working better. She actually said she would rather me be in the 6's before bed. Well some nights I'm high 5's so that should keep her happy. Mostly my BG is within the 4- 7 range. I don't test 2 hours after a meal any more as the slow release medication affects these readings. I usually test before break fast, before tea and before bed. My breakfast has changed recently I was on the Greek Yogurt with granola and fruit but the diary has begun to turn on me so I have gone continental and I'm having ham,cheese and a hard boiled egg with my morning coffee. Its working, I'm not looking for snacks and quite often not really hungry at lunch time.
My joints have been giving me a lot of pain lately so not done as much exercise but still go for a walk each day weather permitting. My weight has dropped a few pounds even with the high fat so it's all looking positive for now.
Thanks again to everyone;s contributions to this thread they have all been helpful.
Well done @Catz63,

Am glad you are getting there, it is very hard and you are determined and that is half the battle.

Well done and keep up the good work.
 
I used to take glucosamine for a long time but it didnt seem to help but I was carrying a lot of extra weight at the time so I might give a few thing another go now the weight is coming down.

Since writting the above I have come accross information re Glucosamine in relation to diabetes and also glucoma. It can complicate both so we are advised to avoid it.I'm still waiting for a hospital appointment at eye clinic to confirm my Glucoma but my optician is monitoring it.
 
I used to take glucosamine for a long time but it didnt seem to help but I was carrying a lot of extra weight at the time so I might give a few thing another go now the weight is coming down.

Since writting the above I have come accross information re Glucosamine in relation to diabetes and also glucoma. It can complicate both so we are advised to avoid it.I'm still waiting for a hospital appointment at eye clinic to confirm my Glucoma but my optician is monitoring it.
I took Glucosamine for a number of years never noticed any effect of my glucose levels, but also not noticed any difference when I stopped taking it on my knee pain.
 
err, is it not the chondroitin that can help rather than the G - but there again depends what's actually the matter with the joints ......
 
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