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Hybrid1000

New Member
Relationship to Diabetes
Carer/Partner
Hi, My Partner was diagnosed Type 2 in May last year, he is on Metformin, at first his Blood Sugars were going down nicely, (from 86 to 60 in the first 3 months), but since then it seems to have stalled, despite increasing his Metformin he doesn't seem to be able to get below 60, I am trying to care for him as best as I can, but his Blood Sugar levels are up and down like a yoyo, every time they go too high he gets angry about the least little thing, and when they go too low he gets Dizzy spells and really tired, he won't take responsibility for regulating his own Blood Sugars, he leaves that up to me, what am I doing wrong?
 
Hi @Hybrid1000, what kind of foods are you both eating? If he's having lots of carbs such as bread, pasta, rice and potatoes these convert quickly into glucose. As a Type 2 he should be reducing those carbs along with biscuits, cakes, sweets etc.
Did his surgery give him any indication about what not to eat? All too often the NHS just bangs on about low fat, whereas it is actually low carb which is better for us diabetics.
Anger is, I believe, quite common for people when spiking, as is dizziness in a low spell.
Best of luck
 
Your explanation of when his levels are too high or low cause behavioural issues suggests that he is testing his blood sugars. How often / when is he testing and what sort of levels is he getting? A type 2 on metformin shouldn’t be getting low blood sugars that cause these kind of symptoms, unless there is something else going on like running very high blood sugars most of the time.
 
Hi @Hybrid1000, what kind of foods are you both eating? If he's having lots of carbs such as bread, pasta, rice and potatoes these convert quickly into glucose. As a Type 2 he should be reducing those carbs along with biscuits, cakes, sweets etc.
Did his surgery give him any indication about what not to eat? All too often the NHS just bangs on about low fat, whereas it is actually low carb which is better for us diabetics.
Anger is, I believe, quite common for people when spiking, as is dizziness in a low spell.
Best of luck
The surgery just told him to reduce Sugar, Salt, and Fat, they didn't say anything about Carbs, every time we go to see the Diabetes Nurse she just rattles off a load of information about him needing to get his Eyes and Feet checked regularly, and how high the Blood Test said his Blood Sugars are, and if we try to ask her any questions about what type of foods he should/should not be eating she just says "We try not to tell people what they should or should not be eating, if you want some suggestions just look on the Diabetes UK Websites Recipe page, or Google it", which really isn't helpful, or she will suggest going to DESMOND, which apparently is very helpful, but he refuses to go as this would mean him having to take time off work due to when and where the DESMOND sessions are held.
You have been a lot more helpful than the Diabetes Nurse, although he has cut right down on his Sugar intake, he is eating a lot of Carbs, such as Bread, Potatoes, and Biscuits, he has Toast for Breakfast, and he only has that because the Nurse said the Metformin needs to be taken with food, otherwise he would skip Breakfast altogether, he takes Sandwiches and 2 packets of Crisps to work for his Lunch as they don't have a Staff Canteen where he works, then when he gets home, he has Biscuits and 2 packets of Crisps as a snack, then for his Evening Meal, he insists on having a "Proper" meal with Roast Potatoes, Chips, or Mashed Potato, unless I am in too much Pain to cook a full meal as I am Disabled myself, in which case he insists on ordering Takeaway, which is generally Doner Meat and Chips.
He is also on Pravastatin for High Cholesterol.
 
Has he spoken to his employer about time off for Desmond? I’m sure a letter can be provided to explain that the time off would be for medical purposes to help with how this is classified by his employer? Otherwise, if they won’t grant it as medical leave he could use holiday leave?
 
Your explanation of when his levels are too high or low cause behavioural issues suggests that he is testing his blood sugars. How often / when is he testing and what sort of levels is he getting? A type 2 on metformin shouldn’t be getting low blood sugars that cause these kind of symptoms, unless there is something else going on like running very high blood sugars most of the time.
He is only getting his Blood Sugars tested once every 3 months when he goes to the Doctor's Surgery for a Blood Test, I don't know how high or low they are going in between, I just know from his behaviour when his Sugar levels are too high or too low.
 
Has he spoken to his employer about time off for Desmond? I’m sure a letter can be provided to explain that the time off would be for medical purposes to help with how this is classified by his employer? Otherwise, if they won’t grant it as medical leave he could use holiday leave?
I have suggested this to him, but he won't even ask them about it.
 
@Hybrid1000 you are doing nothing wrong - it is all the nurses fault for putting your husband on the wrong track right from the start - I an really dismayed that a professional person should not provide essential facts to a patient.

High carb foods such as potatoes, bread, some other starchy vegetables, all grain products, all are digested into simple sugars which are absorbed into the blood and they can do damage to small blood vessels - in the eyes and kidneys - and they can also result in erectile disfunction - I bet that would get your husband's attention.

I found reducing my intake of carbs very easy and quickly returned to normal numbers and lost weight, felt so much better. I am 71 now and have gone back to work - it is more effort than before, as I service knitting machines and they do seem a bit heavier than before - but I am becoming stronger, I can feel it month on month.

I don't use salt in my cooking so I find I must ensure to add salt to a couple of things every day in hot weather or I get terrible cramps at night. I don't eat anything low fat, as they are often higher in carbs - and we need fats to make into essential things in our bodies, nerve coverings, brains, making hormones and other chemicals all have building blocks taken from dietary fats. I am not advocating using loads of fat just the natural amounts found in our natural diet.

To control blood glucose, for a type 2 diabetic with no other issues - and a correct diagnosis, simply taking account of the carbohydrates, the starches and sugars in the daily diet and reducing them down until they no longer cause high spikes in glucose levels will do the job.
Using a blood glucose meter to check on specific foods can then help to fine tune things - some people find that sweet potatoes are better than ordinary - I found no real difference, but I have always been very sensitive to carbs.
Would making dinner earlier help reduce the snacking?
I use swede rather than potatoes, I make stir fries from low carb vegetables, breakfast is often steak or a pork chop with mushrooms, and I can then go all day without eating again. I do indulge in bubble and squeak made from swede rather than potato, I mix in eggs and leftover veges, or sometimes I defrost a frozen mixture and use that, but it needs to drain - I melt it in a sieve over hot water so it has no chance to get waterlogged.

It is always advised that, if eating a high carb diet the reduction is done slowly as such sudden change to consistently lower levels is a significant shock.

A low carb diet can be very easy to do with some planning - and I really prefer it, I use herbs and spices to pep up blander dishes - the packs of frozen stir fry from Lidl are good - three different ones, though I only get the two with the lowest carbs I am sure the third one will be just as good for your husband. - other supermarkets must have similar things.
 
This link https://lowcarbfreshwell.co.uk/ provides some good advice for a dietary approach that has proved successful for many but it obviously needs somebody to be on board to take the action needed to reduce blood glucose. Advice from the GP surgery can vary from no dietary advise to cut all carbs which is neither helpful nor beneficial.
The approach in the link is a low carb but with real food which might be easier to incorporate into family meals so you hubby doesn't feel as if he is having something different so may be able to accept the changes which he really need to make. The high carb diet is going to do him no favours as I can see you realise.
 
@Hybrid1000 you are doing nothing wrong - it is all the nurses fault for putting your husband on the wrong track right from the start - I an really dismayed that a professional person should not provide essential facts to a patient.

High carb foods such as potatoes, bread, some other starchy vegetables, all grain products, all are digested into simple sugars which are absorbed into the blood and they can do damage to small blood vessels - in the eyes and kidneys - and they can also result in erectile disfunction - I bet that would get your husband's attention.

I found reducing my intake of carbs very easy and quickly returned to normal numbers and lost weight, felt so much better. I am 71 now and have gone back to work - it is more effort than before, as I service knitting machines and they do seem a bit heavier than before - but I am becoming stronger, I can feel it month on month.

I don't use salt in my cooking so I find I must ensure to add salt to a couple of things every day in hot weather or I get terrible cramps at night. I don't eat anything low fat, as they are often higher in carbs - and we need fats to make into essential things in our bodies, nerve coverings, brains, making hormones and other chemicals all have building blocks taken from dietary fats. I am not advocating using loads of fat just the natural amounts found in our natural diet.

To control blood glucose, for a type 2 diabetic with no other issues - and a correct diagnosis, simply taking account of the carbohydrates, the starches and sugars in the daily diet and reducing them down until they no longer cause high spikes in glucose levels will do the job.
Using a blood glucose meter to check on specific foods can then help to fine tune things - some people find that sweet potatoes are better than ordinary - I found no real difference, but I have always been very sensitive to carbs.
Would making dinner earlier help reduce the snacking?
I use swede rather than potatoes, I make stir fries from low carb vegetables, breakfast is often steak or a pork chop with mushrooms, and I can then go all day without eating again. I do indulge in bubble and squeak made from swede rather than potato, I mix in eggs and leftover veges, or sometimes I defrost a frozen mixture and use that, but it needs to drain - I melt it in a sieve over hot water so it has no chance to get waterlogged.

It is always advised that, if eating a high carb diet the reduction is done slowly as such sudden change to consistently lower levels is a significant shock.

A low carb diet can be very easy to do with some planning - and I really prefer it, I use herbs and spices to pep up blander dishes - the packs of frozen stir fry from Lidl are good - three different ones, though I only get the two with the lowest carbs I am sure the third one will be just as good for your husband. - other supermarkets must have similar things.
Thanks for your advice, unfortunately it isn't possible to do dinner earlier at this time of the year because of the hours he works, between April and October he doesn't get home from work until 6.30pm, then he needs a Shower because he works at a Recycling Centre which is a very dirty, smelly job, and once he's finished his shower it's time to Video Call our Autistic Grandson, and we can't move the Video Call to a later time because our Grandson goes to bed at 7.30 as he's only 6 and won't sleep until he's told us all about his day, during the Winter months it is easier because my Partner gets home at 4.30pm so we can get Dinner before the Video Call.
The Stir Fry suggestion is definitely one I will be looking into though, he likes Stir Fry, and it's one meal he will actually help with, and it's quick and easy for the days when I am in too much pain to be able to cook, and could possibly replace the Takeaway, making it healthier for him while saving money at the same time.
 
This link https://lowcarbfreshwell.co.uk/ provides some good advice for a dietary approach that has proved successful for many but it obviously needs somebody to be on board to take the action needed to reduce blood glucose. Advice from the GP surgery can vary from no dietary advise to cut all carbs which is neither helpful nor beneficial.
The approach in the link is a low carb but with real food which might be easier to incorporate into family meals so you hubby doesn't feel as if he is having something different so may be able to accept the changes which he really need to make. The high carb diet is going to do him no favours as I can see you realise.
Thanks for the link, I will definitely check it out.
 
@Hybrid1000 I was just thinking that if there was no time for the crisps etc - but the frozen stir fry saves time - oh, and if you like them, I get the frozen mushrooms too as I had several lots of fresh ones spoil as I am the only one who eats them and I'm not eating much at the moment.
 
@Hybrid1000 I was just thinking that if there was no time for the crisps etc - but the frozen stir fry saves time - oh, and if you like them, I get the frozen mushrooms too as I had several lots of fresh ones spoil as I am the only one who eats them and I'm not eating much at the moment.
Yes, I need to find something else for him to snack on, he was having Crisps because they only have 0.5g of Sugar per packet, but of course we were going on the advice given by the Diabetes Nurse, but after hearing everyone who has replied to me on here saying that it is Carbs that are more important, when we checked the Carbs content of the Crisps we found that there are 14g of Carbs per packet, which means that he is having 56g of Carbs per day from the Crisps alone, which is a lot, but I don't know how many Grams of Carbs per day he needs to get down to, i'm going to have to research that a bit more.
 
Yes, I need to find something else for him to snack on, he was having Crisps because they only have 0.5g of Sugar per packet, but of course we were going on the advice given by the Diabetes Nurse, but after hearing everyone who has replied to me on here saying that it is Carbs that are more important, when we checked the Carbs content of the Crisps we found that there are 14g of Carbs per packet, which means that he is having 56g of Carbs per day from the Crisps alone, which is a lot, but I don't know how many Grams of Carbs per day he needs to get down to, i'm going to have to research that a bit more.
Yes - that is why I had to rewrite my comment about the advice given by the nurse so as not to be on the carpet before the moderators - and why people were getting a bit agitated about the number of carbs being eaten.
You can't really tell how many carbs someone should be eating by looking at what others eat - I am quite happy to eat under 40 gm of carbs a day, but my Hba1c will not go down into the 30 range, it remains teetering on the very top edge of normal - even after reducing my intake of carbs from no more than 50 gm - my Hba1c was 42, after a year of no more than 40 gm a day my Hba1c was 42. It isn't an exact science.
I used a blood tester, a Tee 2 + from Spirit healthcare. It seems accurate for my purposes, though the price of a pot of strips might have gone up since I was buying them - someone on here will know the cheapest and if is worth getting that brand. I could see just how low I needed to go with my choice of carbs to be getting into the normal range after meals.
I used to read everything, just about, but now I have gone back to work I don't have time.
Your husband will need to be careful and reduce his intake of carbs gradually as he's been on a rather high amount each day and there can be problems making a sudden alteration downwards - not to mention feeling wobbly. I only had a few such episodes - the brain gets used to a nice warm sugary bath and doesn't like it being taken away. It is called a false hypo and usually a drink and small amount of carb - I used three grapes when it happened to me, and it faded away very quickly.
 
but I don't know how many Grams of Carbs per day he needs to get down to, i'm going to have to research that a bit more.

Welcome to the forum @Hybrid1000

There isn’t a one-size-fits-all answer to that, and different people find different dietary strategies work well for them. sometimes that’s moderate or low carb… for others concentrating on calories is a better approach.

There are a number of different meal plan suggestions here that might give you some ideas.

There aren’t any hard and fast definitions, but a low carb diet is generally considered to be one that aims for 130g of total carbs a day or less.

And as you’ve discovered… you can easily add a whole extra main meals’ worth of food in a day through snacking.
 
Welcome to the forum @Hybrid1000

There isn’t a one-size-fits-all answer to that, and different people find different dietary strategies work well for them. sometimes that’s moderate or low carb… for others concentrating on calories is a better approach.

There are a number of different meal plan suggestions here that might give you some ideas.

There aren’t any hard and fast definitions, but a low carb diet is generally considered to be one that aims for 130g of total carbs a day or less.

And as you’ve discovered… you can easily add a whole extra main meals’ worth of food in a day through snacking.
Thanks for that information, that will make it much easier to work out, I don't know how much difference that will make to his next Blood Test, since that is only 17 days away, but overall it should make a big difference.
 
Thanks for that information, that will make it much easier to work out, I don't know how much difference that will make to his next Blood Test, since that is only 17 days away, but overall it should make a big difference.
It may make a small difference but the HbA1C test is an average of the previous 3 months but I do believe it is weithed to recent weeks when changes may be starting to show. But never too late to make those changes and hopefully the work will show in the test after the next one.
 
Thanks for that information, that will make it much easier to work out, I don't know how much difference that will make to his next Blood Test, since that is only 17 days away, but overall it should make a big difference.

Small, steady, sustainable changes can be a very successful approach, so don’t feel you have to suddenly leap into a vastly different menu.

More gradual changes in overall BG levels are generally kinder on the nerve endings and fine blood vessels in the eyes 🙂
 
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