Hello and Newbie questions

[Leadinglights]

It is a bit, reminds me of thin cardboard although with the right toppings its not too bad. I haven't tried edamame noodles, I will do though as had a small quantity of regular noodles last week in a stir fry and it had a distinct effect on my BG! (I shouldn't be surprised really). I think red wine should be available on prescription! 😉

You could also try edamame bean or black bean pasta, much lower carb than normal pasta but on the other hand if Not Type 2 then I assume you will be on insulin so may be able to be more relaxed with carbs.

 

[richardbarnes]

Thanks, I've just ordered some along with some spaghetti from Amazon. I've been thinking about some food alternatives, I've eaten so much salad of late I am starting to think I might be a rabbit!

 

[richardbarnes]

You could also try edamame bean or black bean pasta, much lower carb than normal pasta but on the other hand if Not Type 2 then I assume you will be on insulin so may be able to be more relaxed with carbs

Thanks, not on insulin at the moment but I am guessing that day will be coming sooner rather then later! Trying to keep it low carb, interestingly, since being on low carbs my asthma has disappeared, makes me wonder if it was just inflammation caused by not being able to process sugars properly.

 

[Leadinglights]

Thanks, not on insulin at the moment but I am guessing that day will be coming sooner rather then later! Trying to keep it low carb, interestingly, since being on low carbs my asthma has disappeared, makes me wonder if it was just inflammation caused by not being able to process sugars properly.

It is all going to depend on your confirmed diagnosis and how they decide on if and when you may need to go on insulin. Some people do seem to start on a fairly inflexible regime and are told to eat a certain amount of carbs per meal to match the insulin dose.
But you will need to wait and see and not jump the gun.

 

[richardbarnes]

It is all going to depend on your confirmed diagnosis and how they decide on if and when you may need to go on insulin. Some people do seem to start on a fairly inflexible regime and are told to eat a certain amount of carbs per meal to match the insulin dose.
But you will need to wait and see and not jump the gun.

Agreed, I'd like to stay low carb and delay insulin as long as possible but it's out of my hands I suppose!

 

[EmmaL76]

Agreed, I'd like to stay low carb and delay insulin as long as possible but it's out of my hands I suppose!

I think, but I’m probably wrong, that during early stages insulin therapy can actually help retain your own production of insulin for a while longer. Maybe talking out my rear end tho

 

[richardbarnes]

You might be right, I seem to remember reading something around that. I also read that Sulfonylureas can increase beta cell destruction, so I'll be asking the consultant about stopping the Gliclazide as well.

 

[Leadinglights]

I missed the bit about you being on gliclazide, so I hope you are being careful about going too low with carbs as that medication can cause hypos so you should test before you drive and have hypo treatment to hand just in case.

 

[richardbarnes]

I missed the bit about you being on gliclazide, so I hope you are being careful about going too low with carbs as that medication can cause hypos so you should test before you drive and have hypo treatment to hand just in case.

Thanks, yes I am being careful, I am only on a very low 40mg dose, plus I am not sure it's having any effect tbh!

 

[rebrascora]

If

Thanks, yes I am being careful, I am only on a very low 40mg dose, plus I am not sure it's having any effect tbh!

If you are Type 1, then it is unlikely the Glic will have any effect, even at higher doses. It is like flogging a dying horse.... It won't make it go faster or work any better. Glic works by stimulating the pancreas to produce more insulin. But yours can't because it doesn't have enough beta cells left alive to produce a surplus and those ones you have left are already working at max capacity to keep you alive, along with your low carb diet taking some of the strain off them.

Of course it is important to keep yourself safe and test when appropriate but I don't think there is much risk of the Glic dropping you low even on a low carb diet, since you are Type 1 and hopefully they will take you off it soon.

 

[Inka]

Agreed, I'd like to stay low carb and delay insulin as long as possible but it's out of my hands I suppose!

I had the same two antibodies as you and I’m Type 1. Early in diagnosis I experimented with skipping insulin and got results in the 3s but this was simply a sign of a failing pancreas. @EmmaL76 is right - early introduction of insulin helps your own beta cells last longer. Gliclazide will squeeze the life out of your remaining beta cells. Not good.

Eating low carb is a distraction IMO. Often all it does is delay getting the right treatment. Type 1 needs insulin and early introduction is a good thing, even if you only need tiny amounts to start with. Type 1 is often thought of as a childhood condition but that’s not true - more adults are diagnosed with it than children.

 

[richardbarnes]

I had the same two antibodies as you and I’m Type 1. Early in diagnosis I experimented with skipping insulin and got results in the 3s but this was simply a sign of a failing pancreas. @EmmaL76 is right - early introduction of insulin helps your own beta cells last longer. Gliclazide will squeeze the life out of your remaining beta cells. Not good.

Eating low carb is a distraction IMO. Often all it does is delay getting the right treatment. Type 1 needs insulin and early introduction is a good thing, even if you only need tiny amounts to start with. Type 1 is often thought of as a childhood condition but that’s not true - more adults are diagnosed with it than children

 

[richardbarnes]

Thanks that's good advice. I am tempted to stop the Gliclazide now as I don't like the idea of it damaging what is remaining!

 

[Proud to be erratic]

Thanks Adrian, I'll use the meter as a guide rather then an absolute representation in that case.

Hi @richardbarnes; regarding high intensity exercise there is a sophisticated medical explanation that clarifies why your BG goes up, rather than down - whereas down after moderate or light exercise.

I don't remember the fine detail, but it's to do with our innate "fight or flight" mechanisms. During high intensity exercise your body thinks you are in danger and raises your BG to help you escape! But some time after your BG will fall as a result of the exercise; how long that takes depends on the individual and how accustomed they are to high intensity activity. There is a further factor, whereby your BG can still be affected by any activity, but particularly high insensitivity activity, for 2 or 3 days afterwards.

 

[Kkayy]

These are the ones I have and they have very little effect on my BGs. You get 4 boxes, when I got mine they were £12 but I noticed they are now £6. You get 4 individual meals out of each box. Obviously the wine to go with it bumps the bill up !

Hi Emma
I bought these on your recommendation and I absolutely love them, thank you so much. I had them for lunch today as leftovers and they were just as delicious. This will allow me to keep striving to be lower carb without feeling like I am missing out on noodles

 

[richardbarnes]

Hi all, thought I'd post an update. I had my appointment with the consultant at the start of December who confirmed I am type 1 LADA, he suggested I increase carbs and increase Gliclazide to compensate, I haven't done this as I am managing quite ok at the moment. I asked the diabetes specialist nurse re. the study that indicated that sulfonylureas can accelerate beta cell destruction and she said that the study didn't have a big enough sample to take as a medical guidance. So, I decided to stay on the low dose at the moment.
I have just started trying the free Libre freestyle and I have to say scanning my arm is becoming addictive! 🙂
@EmmaL76 good call on the noodles, I've been having loads of those and don't really notice much difference.
Hope everyone managed over Christmas, it was a new experience for me but luckily I prefer savoury to sweet things so cutting out the desserts and sweets wasn't too bad.

 

[EmmaL76]

So pleased you have an official diagnosis! And glad your enjoying the noodles. My Christmas has to go down as the worst yet (and I’ve had some bad ones) started with catching covid a few days before Christmas, which meant I missed a few days of my holiday in Padstow. When I did join my extended family I managed to slip down a flight of stairs holding two cups of tea! I landed on my bum and it hurt so bad I passed out, family heard the commotion and tried to feed me chocolate thinking I was having a diabetic episode lol. Honestly I should come with a warning label. On the bright side, I managed to keep hold of the tea cups

 

[richardbarnes]

Oh no, sounds an eventful Christmas, at least you were able to make some of the holiday and didn't spill the tea, could have been worse and been two glasses of wine spilt everywhere you would have been accursed of being a) diabetic and b) drunk 🙂

 

[rebrascora]

So pleased you have a correct diagnosis at last but disappointing to hear of your team's, in my view, unenlightened policy with Gliclazide. Good that you are managing OK low carb and providing you are happy with that situation, that it continues for some considerable time.

 

[Inka]

@richardbarnes Thanks for the update 🙂 I’m glad your diagnosis has been confirmed. I echo @rebrascora about the Gliclazide. I don’t believe it was just one study. Many experts have said similar. Of course, there’s a second part to that - the early introduction of insulin to help preserve your remaining beta cells. You’d need to eat more carbs for that but that’s a good thing not a bad thing.