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All Change please....all change

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Superheavy said:
Really useful info guys, will pose the question about types 1 and 1.5...
@Northerner - I wasn't actually trying to lose weight, and if I'm honest I didn't really monitor my weight much, so until someone mentioned my shirt was looking baggy I hadn't even thought of weighing myself. My dad has had a few thyroid problems - how does that link in to diabetes?

Had my first challenge this weekend trying to balance going out with friends with not pushing the boat out too far and keeping on top of my diet. It's not as bad as it could be.
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Thyroid problems can be autoimmune in origin, and are often found alongside Type 1 diabetes - also autoimmune. Type 2 is not autoimmune in origin.
 
Hi Superheavy, you can be diagnosed with T1 even if there is no history of it in the family.
There is no evidence of any autoimmune condition I my family, but I got T1 at the age of 53.
Picked up due to the 4Ts: Toilet, Tired, Thirsty and Thinner (lost 1 1/2 stone in one week) along with ketones.
 
Going to be pumping....my diabetes nurse for information tomorrow morning, got a list of questions that I want to discuss. Was really inspired by @Mark Parrott and his thread about getting his diabetes under control enough to maybe consider that it could be 'cured'. Heck, if I can avoid increasing my medication any further I would consider it a good start.

Been going to the gym on really light sessions (15 minutes gentle bike, 15 minute brisk walk), and it feels like I'm not trying properly if I don't leave a sweaty mess at the end. Hopefully I'll get the details as to what I have to manage to be able to get to sweaty mess gym sessions! 😛

Thanks for the info @SB2015 - I assumed for several months that the toilet was simply a side effect of the increased thirst, but didn't really notice being tired, and it was only the weight loss that really forced me to go to the doctor's, although it wasn't anywhere near as dramatic as yours.
 
Okay, so after the visit I now have a blood glucose monitor, a sharps bin, about four pounds of paper and am being retested to clarify whether or not it actually is Type 1 or Type 2. Apparently the original doctor didn't do the HbA1c blood test, so that should give more information about whether it is likely to be 1 or 2. The ketones in the urine had dropped from 3 to 1, and blood glucose this morning was at 7.3 around 90 mins after breakfast. Got to do the evening test in about an hour.
This may be a total newbie mistake, but I was told not to over-cut carbs from the diet, and that a small amount of carbs in each meal is required. Whatever the reviewed diagnosis, I'll have to deal with it as it comes. 🙂
 
Good to hear they are on the ball and reviewing your diagnosis - important so you get the appropriate treatment and education 🙂
 
Superheavy said:
This may be a total newbie mistake, but I was told not to over-cut carbs from the diet, and that a small amount of carbs in each meal is required.
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Not a newbie mistake but a common thing to be told by dr/nurse/dietician. And really, a loads of cow excrement. It would be almost impossible to remove all the carbs from your diet anyway (most veg have at least a small amount) unless you were trying to survive off water...
I often have 'carb free'meals (probably 2g carbs ish) for lunch (suits me to do so) and it certainly does me no harm. Search on LCHF on here for some thoughts on this...
 
Blood glucose came in at 6.3 tonight - i guess its when i start eating foods I maybe shouldn't that the fluctuations in the levels might start to kick in. Lunch is when I usually don't have much carbs - either a chicken or tuna salad, mainly because its being thrown together in around a minute!
 
Okay, so test results are back and the picture comes into focus. The Doctor and the Diabetes Nurse are 95% sure it is Type 2, as the ketones have dropped off quite quickly after medication kicked in, which they don't think would have happened if it was type 1. HbA1c came in at 99. Pretty high so plenty of work to do on that front.

In terms of what I can do, I'm cleared for exercise that's a little more strenuous, which is good, as the low intensity stuff was a little boring. Chest muscles are nice and achy after the rowing machine tonight. Also, they've added gliclazide into my medicine cocktail along with the metformin, so we'll see what that does when I start on Saturday. Anyhow, my salmon is nearly done, so off for some food!
 
Sounds like good news, Did they explain how Gliclazide works and the possible affects regarding low blood sugars? If not you should read up on it.
 
Alan.tnh said:
Sounds like good news, Did they explain how Gliclazide works and the possible affects regarding low blood sugars? If not you should read up on it.
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Yup, the full downlow on hypos and how I need to be more careful about them once I'm on the drug. Starting it on Saturday morning, so will report back on how its going. Can't say they sound particularly good side effects, so hopefully its not a permanent prescription that I will be having.
 
Just going back to @Ljc on Page 1 - Metformin is usually prescribed to young ladies (whether they are diabetic or not!) too, to treat a condition abbreviated to PCOS !
 
I've been on them since Feb this year, by keeping carb intake low 50 to 60 a day, my bloods are very good and consistently 4.5 to 7 range, however if I exercise i.e. more than 2 mile walk at 20 min per mile pace I do drop into the 3's so I need to up carbs prior to walks.
 
trophywench said:
Just going back to @Ljc on Page 1 - Metformin is usually prescribed to young ladies (whether they are diabetic or not!) too, to treat a condition abbreviated to PCOS !
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Indeed, we have a rather open office when it comes to discussing just about everything, and I got the full discussion about what Metformin was going to do to my stomach and bowels from a friend who has exactly that. However, until now I've never googled it to find out what it is! It doesn't look to be a nice condition, although hopefully the treatment doesn't affect my ability to grow facial hair....I have little enough as it is!
 
I don't fink you look like a pre-menopausal lady, or were born with the parts affected by the condition - so I shouldn't stress if I were you!
 
Superheavy said:
Okay, so test results are back and the picture comes into focus. The Doctor and the Diabetes Nurse are 95% sure it is Type 2, as the ketones have dropped off quite quickly after medication kicked in, which they don't think would have happened if it was type 1. HbA1c came in at 99. Pretty high so plenty of work to do on that front.

In terms of what I can do, I'm cleared for exercise that's a little more strenuous, which is good, as the low intensity stuff was a little boring. Chest muscles are nice and achy after the rowing machine tonight. Also, they've added gliclazide into my medicine cocktail along with the metformin, so we'll see what that does when I start on Saturday. Anyhow, my salmon is nearly done, so off for some food!
Click to expand...
I'm still not convinced with the Type 2 - but that your pancreas is still producing erratic amounts of insulin. There are tests that can be done, which they are no doubt reluctant to do at this stage, which can determine whether the cause of diabetes is an autoimmune attack and also to quantify how much insulin your pancreas is producing - if you are producing lots of insulin then Type 2 is likely, but if it is less than normal then autoimmune/Type 1.5.

Something to bear in mind if the gliclizide appears to stop working in the coming months.
 
I'm pretty sure I'm going to hold off on the Gliclazide for now, at least so that I can do my testing before and after my gym sessions this week, and take them to the nurse on Friday to get some more information about what I'm worried about - namely that the medicine will push my sugar levels too low and threaten hypos after the gym. I don't really want to be adding food into my diet just to get the levels up before the gym, as weight loss is the aim, which rarely happens by eating more.
 
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