Can anyone help my husband has been type 2 for 9 years now and today went for his results and was seen by a very rude nurse ! Who went on to tell him that his bloods had gone up to 97 !! And his pancreas had packed in and these new tablets were his last chance saloon!! He’s not very happy at all he knows he’s got a problem with his weight etc but he now feels she’s given him a death sentence. He’s already on 2000 Metformin and 30mg pioglitazone HELP
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Please Help !!!!
- Thread starter Lisaa
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Sprogladite
Well-Known Member
- Relationship to Diabetes
- Type 1
Unfortunately nurses don't tend to be very helpful, especially with T2s. Did she give him any advice at all other than throwing tablets at him?
Does your husband self test his blood sugar levels? Has he ever been advised about lowering the amount of carbohydrates he is eating?
There is help out there so please don't panic. T2 is certainly not a death sentence. I wish health "professionals" would consider that their patients are often confused and scared about what they should be doing!
Does your husband self test his blood sugar levels? Has he ever been advised about lowering the amount of carbohydrates he is eating?
There is help out there so please don't panic. T2 is certainly not a death sentence. I wish health "professionals" would consider that their patients are often confused and scared about what they should be doing!
Hi he had high bloods towards the end of last year (96) but by January managed to bring them down to (76) but I have had major surgery and the stress etc his bloods have gone up again, I am going to try and get him on low carb , they have given him a new tablet Alogliptin?
Flower
Well-Known Member
- Relationship to Diabetes
- Type 1
Hi Lisaa,
Sorry to hear about your husbands results and appointment. An HbA1c of 97 coverts to an average blood sugar finger prick test of 14.9 mmol/L which is too high. Does your husband test his own blood sugar at home to see which foods he tolerates well or does he rely on a 6 monthly HbA1c at the surgery? If he is able to self test it really does help to see what is happening with food intake and where changes can be made to lower glucose levels.
I don't know why a nurse would tell him his pancreas has packed in then prescribe him a drug which increases insulin secretion by the pancreas such as alogliptin. Gliptin drugs are used to lower circulating glucose by upping insulin secretion by the pancreas and also reducing glucose production in the liver. Helping him to try and get good control by positive suggestions would be a whole lot more useful than threatening a last chance saloon. There is so much that can be done with drug combinations, reducing carbs, taking a bit of exercise- if that's an option.
Do you plan out meals where you can add up the carb value and have a look at reducing portions of the more carb heavy stuff?
There's a lot that can help to get control and as he's managed to reduce his HbA1c before there's every reason to achieve it again.
Sorry to hear about your husbands results and appointment. An HbA1c of 97 coverts to an average blood sugar finger prick test of 14.9 mmol/L which is too high. Does your husband test his own blood sugar at home to see which foods he tolerates well or does he rely on a 6 monthly HbA1c at the surgery? If he is able to self test it really does help to see what is happening with food intake and where changes can be made to lower glucose levels.
I don't know why a nurse would tell him his pancreas has packed in then prescribe him a drug which increases insulin secretion by the pancreas such as alogliptin. Gliptin drugs are used to lower circulating glucose by upping insulin secretion by the pancreas and also reducing glucose production in the liver. Helping him to try and get good control by positive suggestions would be a whole lot more useful than threatening a last chance saloon. There is so much that can be done with drug combinations, reducing carbs, taking a bit of exercise- if that's an option.
Do you plan out meals where you can add up the carb value and have a look at reducing portions of the more carb heavy stuff?
There's a lot that can help to get control and as he's managed to reduce his HbA1c before there's every reason to achieve it again.
Hi no he doesn’t test , he just has to rely on 6 month checks, I am looking at lowering his carbs for him , he will eat fruit and he loves veg so hopefully we can start to get him on the right path again! I think how the nurse put it too him this morning has frightened him !..
Drummer
Well-Known Member
- Relationship to Diabetes
- Type 2
I suggest obtaining a low cost meter, and trying to bring down his reading by eating fewer carbs - it is very effective, and will not hammer his pancreas - as most type twos are resistant to insulin taking the insulin increasing drug is flogging a dead horse. There is a meter available mail order - I think it is called 'Codefree' which will not break the bank.
A typical low carb meal might be roast chicken or lamb, or steak or a pork chop with a stir fry of low carb veges such as courgette mushrooms, sweet peppers, aubergine - or a fake curry with steamed cauliflower replacing the rice - I like cauliflower with smoked fish, or with melted cheese - low carb is just about the best possible diet imaginable.
My Hba1c was 91 at diagnosis and I was seeing normal numbers in a few months of low carbing.
Fruit, particularly the tropical ones, grain based foods, potatoes and other starchy veges are all going to be poor choices - why on earth the nurse could not give such advice in the first place just baffles me.
A typical low carb meal might be roast chicken or lamb, or steak or a pork chop with a stir fry of low carb veges such as courgette mushrooms, sweet peppers, aubergine - or a fake curry with steamed cauliflower replacing the rice - I like cauliflower with smoked fish, or with melted cheese - low carb is just about the best possible diet imaginable.
My Hba1c was 91 at diagnosis and I was seeing normal numbers in a few months of low carbing.
Fruit, particularly the tropical ones, grain based foods, potatoes and other starchy veges are all going to be poor choices - why on earth the nurse could not give such advice in the first place just baffles me.
Bubbsie
Well-Known Member
- Relationship to Diabetes
- Type 2
Lisaa I think you need to address your husbands BG levels first...then deal with the nurse at your surgery after that...her behaviour is not acceptable it's her role to care for her patients not scare the life out of them...first of all stress can increase our BGs and not all fruit & veg is suitable for diabetics...you can have a look at the 'What did you eat' thread for some ideas on what is a suitable diet...it is best to avoid anything high in carbs...starchy vegetables & fruit that contains a lot of sugar...the meter mentioned above is the codefree available on Amazon or from Home Health...it is fairly economical to buy and will show you what foods spike your husbands BG & which he can tolerate...is he able to exercise...any activity is beneficial...even a gentle stroll...if you do need specific advice...or have any questions post them here...I'm sure one of us will be able to help...good luck.
Flower
Well-Known Member
- Relationship to Diabetes
- Type 1
The blood glucose finger stick test guidelines for a Type 2 taken from the Diabetes UK site are as follows
Type 2 diabetes(Diabetes UK Council of Healthcare Professionals 2015)**
I wish you both well.
Type 2 diabetes(Diabetes UK Council of Healthcare Professionals 2015)**
- before meals: 4–7mmol/l
- two hours after meals: less than 8.5mmol/l.
I wish you both well.
That nurse should be ashamed to call herself a nurse!! How bloody rude! As the others have said, lowering carbs and testing will be a big help, something that made a difference for me was keeping a food diary showing my bg level before and after eating, then I could adjust for next time. I also noticed that on the days I took a little walk, my numbers were visibly lower than on the days I didn’t. Do keep posting any questions and keep us updated, we will all be here to help you 😉
Absolutely agree CathyB. There is no need for that behaviour. my friend is borderline diabetic and went to the DN. She told her she had been a naughty girl and spoke to her like she was a two year old child. She then proceeded to tell her to eat bread, potatoes and carbs with every meal. I told my friend it would be better not to do that and suggested she came here for advice. Don't think she has though as she is not used to Forums.
I am becoming very cross at the way some areas treat diabetic patients. My neighbour is under my surgery and she seems to get on OK and a couple of other friends at different surgeries feel they are treated fine but it certainly seems that some places treat people terribly.
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