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Advice on injectable treatment

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Alist33

New Member
Relationship to Diabetes
Type 2
Hi thanks for adding me here. I have been advised by my gp to start an injectable treatment for my type 2 diabetes. I have been diagnosed for 5 years but think I have been in denial until I recently got quite poorly in November with shortness of breath and fatigue. So I am after some advice really. I started a low carb low calorie diet since new year and cut out all alcohol. My GP says my blood sugar is way too high - tested in late December but she can’t start the new injectable treatment without the support of a community nurse who are unavailable. It is making me quite stressed any advice out there? TIA
 
A low calorie diet is possibly not the best - many on the forum eat low carb, but do not restrict calories.
I feel great eating this way and my diabetes went off in a sulk so I am classed as in remission now. You might find that you don't need medication if you get your levels down with diet.
 
When you say quite high do you know how high? This is useful so people can tailor their advice to you. Going low carb is a good start as carbs are broken down by our bodies into glucose. Losing weight (if you need to) and establishing a healthy exercise plan will also help.
 
A low calorie diet is possibly not the best - many on the forum eat low carb, but do not restrict calories.
I feel great eating this way and my diabetes went off in a sulk so I am classed as in remission now. You might find that you don't need medication if you get your levels down with diet.
Thank you I would love to achieve what you have, this is the first time I have seriously adjusted my diet since diagnosis I have not had much help from various GP practices I have been with. I am 3 weeks in to my healthy eating regime and starting to feel the effects. I will heed your advice about low calorie I think I just wanted to get an initial boost and kick start.
 
When you say quite high do you know how high? This is useful so people can tailor their advice to you. Going low carb is a good start as carbs are broken down by our bodies into glucose. Losing weight (if you need to) and establishing a healthy exercise plan will also help.
Hi yes my latest test score said 74. Which is the highest it has ever been and I am frightened by it. I have never really adjusted my diet or lifestyle before now - but this is serious and I am determined to manage this and get well. As I don’t feel well now excercise is limited to a walk around the garden and general self care but I have a busy job that I love and want to get back to it as soon as I am able so any advice gratefully received
 
@Alist33 so at 74 you are starting from around the same place as me. I switched to low carb (no potatoes, rice, bread, sugar etc) and started regular exercise. I try and do three days on my exercise bike and then a day of yoga to give my legs a rest and develop some flexibility. Then repeat. A BG monitor is extremely useful as that way you can check your overall progress (test first thing in the morning as an approximate fasting level). I also test just before a meal and two hours afterwards to see the effect that the things I eat has on my BG. I did this religiously at the start but now I have a feel for what I can tolerate (and what I can't) I only do the eating test if I'm cooking with something new
 
When you say quite high do you know how high? This is useful so people can tailor their advice to you. Going low carb is a good start as carbs are broken down by our bodies into glucose. Losing weight (if you need to) and establishing a healthy exercise plan will also help.
Hi yes my latest test score said 74. Which is the highest it has ever been and I am frightened by it. I have never really adjusted my diet or lifestyle before now - but this is serious and I am determined to manage this and get well. As I don’t feel well now excercise is limited to a walk around the garden and general self care but I have a busy job that I love and want to get back to it as soon as I am able so any advice gratefully recie
@Alist33 so at 74 you are starting from around the same place as me. I switched to low carb (no potatoes, rice, bread, sugar etc) and started regular exercise. I try and do three days on my exercise bike and then a day of yoga to give my legs a rest and develop some flexibility. Then repeat. A BG monitor is extremely useful as that way you can check your overall progress (test first thing in the morning as an approximate fasting level). I also test just before a meal and two hours afterwards to see the effect that the things I eat has on my BG. I did this religiously at the start but now I have a feel for what I can tolerate (and what I can't) I only do the eating test if I'm cooking with something new
that is amazing. The diet and food aspect I can manage excercise is tricky as I love to swim but have no access to a pool. I am trying walks around the garden until lockdown eases. Intrigued by yoga.
 
What medication are you already using in respect of your diabetes?
 
My Hba1c was 91 at diagnosis, 47 at the next test and 41 at 6 months - low carb is very effective.
 
Hi yes my latest test score said 74. Which is the highest it has ever been and I am frightened by it. I have never really adjusted my diet or lifestyle before now - but this is serious and I am determined to manage this and get well. As I don’t feel well now excercise is limited to a walk around the garden and general self care but I have a busy job that I love and want to get back to it as soon as I am able so any advice gratefully received
Hi, I started at 74 but after working out the low carb foods, keeping a food diary and blood testing until I knew what worked my Hba1c dropped and now I stick to low carb and test every now and then (just to keep an eye on things).
 
Do you know what the name of the injectable treatment is so that you can read about it to decide if you want to try it?
 
Welcome to the forum @Alist33

There may be an argument for taking things fairly gradually - partly because any changes you make need to be sustainable long term, but also because very rapid and sudden changes to blood glucose levels are harder on the fine blood vessels, and changing things more gently will give your body time to adapt.

As you can see we have lots of members who have started where you are, and been able to make very successful and sustainable changes - so keep asking questions and pick the brains of members here who will have lots of hints and tips to support you 🙂
 
Do you know what the name of the injectable treatment is so that you can read about it to decide if you want to try it?
Hi so it was due to be Ozempic but after two weeks of very low carb eating my BG has halved!! My DN has advised a short prescription of Gliclazide https://www.nhs.uk/medicines/gliclazide/ to kick start my pancreas to get my BG down then a proposed shift to Dapagliflozin and 2 litres of water a day in a months time. I feel positive about it all but any advice welcome
 
Hi so it was due to be Ozempic but after two weeks of very low carb eating my BG has halved!! My DN has advised a short prescription of Gliclazide https://www.nhs.uk/medicines/gliclazide/ to kick start my pancreas to get my BG down then a proposed shift to Dapagliflozin and 2 litres of water a day in a months time. I feel positive about it all but any advice welcome
I hope it goes well for you
 
Congratulations on your reduction in your HbA1c @Alist33

Hope the Gliclazide works well for you - there was a member posting today who had been taking glic with a fairly low carb diet and who had experienced unexpected low BG, so keep an eye on your levels.

 
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