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Thank you Hannah to you & your colleagues for all the help, advice & support given on the forum. It is appreciated. I find reading other forum members messages interesting too because they discuss matters that haven't 't even entered my head! So I've been enlightened as to some other aspects re: T2. So thank you too peeps.
Thanks for your kind words @wirralass, it is very much appreciated. I have to say though, I'm here mainly to answer any questions people have about Diabetes UK, the work we do or any suggestions of events, research or anything like that - I'm all ears! :D But it is the incredible dedication of the moderators and members on here, who really make this forum what it is. Their continuous support and the welcoming & inclusive atmosphere they have created is all thanks to them! (You know who you are!) Delighted to hear that you have already got so much from reading the posts on here, I hope many others feel the same.
And- fantastic HbA1c and BG levels, welcome to the forum! 🙂
 
Hi im new to the forum so hi, just a silly question, this evening I cant remember if I have taken y metformin or not any advice please.
Hi Kateita. I echo trophywench's suggestion re a pill organiser. (I have three) Without mine I would forget what I have or haven't taken. Handy useful things, one of which I keep in sight on the kitchen worktop. I also have a smaller circular tab organiser which I keep in my handbag for when I travel some distance, to visit my younger daughter....and a rather sweet little tablet organiser which holds one days supply of tabs which I carry with me when I go out locally. Take care.
 
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Thanks for your kind words @wirralass, it is very much appreciated. I have to say though, I'm here mainly to answer any questions people have about Diabetes UK, the work we do or any suggestions of events, research or anything like that - I'm all ears! :D But it is the incredible dedication of the moderators and members on here, who really make this forum what it is. Their continuous support and the welcoming & inclusive atmosphere they have created is all thanks to them! (You know who you are!) Delighted to hear that you have already got so much from reading the posts on here, I hope many others feel the same.
And- fantastic HbA1c and BG levels, welcome to the forum! 🙂

Thank you Hannah, I apprec, take care
 
Enter "chocolate" in the search box at the top right of any forum page, or into the Advanced Search (or Search Tags — yes, the tag "chocolate" has been used a few times) page, and behold what comes up in the search. 😉
Robert@fm. Sorry late responding but thanks for that little bit of info. re search Chocolate. I apprec. Take care. Wirralass
 
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Hey, thanks for answering questions! My question is - when can we expect CGMs to be funded/partially funded by the NHS? And who/where do we get in contact to speed this process along? Cause systems take far too long to change, are nearly always out of date, and I'd like to stop paying through the nose for my CGM as soon as humanly possible. On the subject of which, I've just bought myself a Libre and my control is already significantly better, as well as the fact that I've now noticed that I've been having consistent lows during the night but waking up with OK blood sugars (wondered why I always felt shit when I woke up)... something I never would have picked up on by doing conventional tests. Not only that, but (in my case at least) using a combination of a CGM & a few testing strips for certain situations will actually cost the NHS (and me) a lot less money considering the amount of testing strips I was using to try and maintain reasonable blood sugars beforehand (unsuccessfully, I might add). I can do the calculations if need be. I look forward to your reply - thanks!
 
Hey, thanks for answering questions! My question is - when can we expect CGMs to be funded/partially funded by the NHS? And who/where do we get in contact to speed this process along? Cause systems take far too long to change, are nearly always out of date, and I'd like to stop paying through the nose for my CGM as soon as humanly possible. On the subject of which, I've just bought myself a Libre and my control is already significantly better, as well as the fact that I've now noticed that I've been having consistent lows during the night but waking up with OK blood sugars (wondered why I always felt shit when I woke up)... something I never would have picked up on by doing conventional tests. Not only that, but (in my case at least) using a combination of a CGM & a few testing strips for certain situations will actually cost the NHS (and me) a lot less money considering the amount of testing strips I was using to try and maintain reasonable blood sugars beforehand (unsuccessfully, I might add). I can do the calculations if need be. I look forward to your reply - thanks!


Hi @Smiric - apologies in advance for my lengthy reply!
Unfortunately getting a new technology onto the NHS is a slow process, but not an impossibility and there has already been some progress with the Freestyle at least!
Up until recently, the Freestyle could only be purchased privately, but it can now be purchased by the NHS, however its not yet avaiable on prescription. This means that the NHS could purchase the libre for extreme cases, eg. patients who are unable to finger prick, but it isn't widely available for all on prescription. This is because, the decision for medication to be available on prescription comes from the BSA (NHS Business Service Authority). Manufacturers have to apply for reimbursement and the BSA will need evidence of effectiveness. Diabetes UK have invested in and completed two large clinical trials to demonstrate the same value to payers that patients and physicians are experiencing now with FreeStyle Libre. We are actively pursuing reimbursement and Abbott Diabetes Care has submitted to the BSA to have FreeStyle Libre Flash Glucose Monitoring System Sensor assessed for listing in the NHS England and Wales Drug Tariff - which would mean that it could be made available on prescription.

Progress is much slower for CGM's. Currently funding is available for CGMs to accessed by children through the NHS, although eligibility is strict and families may only recieve partial funding.

We have worked alongside JDRF and Input Diabetes to provide support for those trying to access the technology. Input Diabetes is an organisation who specialise in helping people access diabetes technology, including accessing funding for CGMs and they have outlined the progress and the barriers around CGM's becoming available throught the NHS on their website:
http://www.inputdiabetes.org.uk/cgm/cgm-nhs-funding/
http://www.inputdiabetes.org.uk/cgm/cgm-funding-bigpic/

Ultimately, all new technology has had to go through similar processes to become more widely available. It can be frustrating when we know that the technology is there, and certainly some technology, such as insulin pumps for example, have been processed faster. But there's hope for the future - over the years they have been many advances - things like blood glucose monitors or insulin pens were not so widely available. I am positive that it will eventually be more accessible, it will just (frustratingly) require a bit of time.
 
Good morning I am in my 4th month since diagnoses can anyone tell me just how important the FBG is on waking I have tried to get my head round it,this morning I tried an experiment I took my reading at 5am =6.0mmol at 5.05am=5.4 at 5.10am=56 is their a point to doing this and which is the true reading,or shall I just test before meals and after meals which I can understand🙂
 
I do waking, pre-meal, and 2 hours post meal. That's six times a day, usually.
I have only tested a second time if I don't like the first result. 🙂 Not very often. I'm not sure if that answers your question.

PS I love the pictures on your blog spot from yesterday.
 
Good morning @SadhbhFiadh and thank you my friend ,much appreciated,I'm not sure it can be answered ,and thank you for looking at my blog and for your kind and friendly comments🙂
 
Good morning I am in my 4th month since diagnoses can anyone tell me just how important the FBG is on waking I have tried to get my head round it,this morning I tried an experiment I took my reading at 5am =6.0mmol at 5.05am=5.4 at 5.10am=56 is their a point to doing this and which is the true reading,or shall I just test before meals and after meals which I can understand🙂
Hi@wiseowl. In answer to your Q, what is the importance of taking a waking bgl:

A. To monitor how well the body regulates blood glucose in the absence of of food.

Blood glucose tests give an indication of the amount of glucose in the blood but only at the time when the the blood sample is taken. A blood glucose reading can be taken when:- a) fasting b) before a meal c) two hours after a meal

Diagnosed T2 April 2016
Sukkarto SR metformin withdrawn
Atm diet & exercise only
 
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Good morning @SadhbhFiadh and thank you my friend ,much appreciated,I'm not sure it can be answered ,and thank you for looking at my blog and for your kind and friendly comments🙂
@wiseowl. Please see my response following your query. Hope it is helpful, take care

Diagnosed Type2 April 2016
Sukkarto SR withdrawn
Diet & exercise only
 
Dawn Phenomenon. I found a great metaphor to explain this, I think, on an American (I think) website. I'll put that below.
I am looking for a graph about this, about normal vs type 2 and the liver dumping, but this is my main question: I've always been an early riser, 5-6am. But someone who is never an early riser (late morning, 10-11am) would the liver still be on or close to the same sore of body clock/schedule?

That word picture:
"In the Dawn Phenomenon, the body is under orders to release some of the stored sugar into the bloodstream. Like the over-inflated balloon, the liver puts forth prodigious amounts of sugar in order to relieve itself of this toxic sugar burden. It’s like trying to hold a fart inside. As soon as we get to the bathroom, it’s ‘Fire in the Hole!’. When our liver gets the ‘go’ signal to release sugar, it does so in huge amounts, overwhelming the pitiful attempts of the insulin to keep it bottled up inside. That’s the Dawn Phenomenon." (ref click this)
 
Well - hang on - there's no-one in the human race who doesn't have their liver release some glucose into their blood stream first thing of a morning! It's a bit like blinking - it's autonomic.

Man's normal lowest BG is in the early hours of the morning - around 2 - 3 am (the 'suicide hour' as it's known in A&E/ambulance service circles for absolutely obvious and true reasons) sooo - in order to have the energy to rise, and sally forth to hunt the woolly mammoth - or even to hunt and gather - we need a boost. And that's what Mr Liver still does. Insulin users see more of this at other times of day so it becomes more obvious - if we go low enough - hypo enough - the liver should and will, help out. Trouble is - we never know when or how much so we can't just rely on it to help us out every time. If we've had alcohol beforehand anyway - it simply won't, because it is incapable of doing two jobs at once and it always prioritises processing the alcohol before it even considers doing anything about our BG. We could actually be at least in a coma if not dead, by that time.

For some reason, T2 people much more than any other Ts, sometimes have livers that are particularly over-active in a morning and help out too much. How on earth do we stop the liver in its tracks? - by eating!!! It knows - again primevally - that as soon as its body eats, it isn't needed any more - cos the food will do the trick. So - it stops!

You don't have to feed it carbs. Your body can make glucose (which is what your cells are craving) out of carbs, protein and fat. When you feed it enough carbs to do enough, it doesn't bother too much converting the other two - it's much harder work for it! So - for quick and easy increases in BG - choose carbs. Hence why we insulin users - use something super quick and the quickest is glucose itself - when we're hypo.

And of course - diabetics are the only humans in the world - who even know their bodies DO it !
 
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Thanks, Jenny. So I guess that explains why I wake up with 8s or sometimes 9s and the rest of the day, including after breakfast, I've got 5s & 6s. But is it a reasonable goal to bring that waking finger prick down into the 6s too? I don't really have to worry about hypos, even the phantom ones, but I worry quite a lot about the long term effects of high sugars. I asked the pharmacist yesterday if it would be ok to move my sitiglipton to bedtime and she said as long as I kept it about the same time each day, that would be fine.
I love the last line: it rather gives it a bit of perspective. 🙂 Maybe I should just relax and give the whole thing more time.
Thanks again.
 
Some people apparently, find a snack before bed reduces it a bit Sadhbh. One T2 we knew used to say when they went to bed, his wife went on up and his routine was to check all the doors and windows were secure, so whilst checking the back door he'd grab ONE Nairns mini Oatcake (think that's 5g carb), butter it and stick a bit of cheddar on top, and literally eat it on his way up the stairs. It was said, that you needed the mixture of slower carb. fat to slow that down even more, and protein do do enough of a job - theory being if your BG doesn't plummet so far during that hour - it won't shoot up so high in the morning.

You won't have lost anything if you wanted to try it - and you never know - it might work for you!
 
I will try that. I used to have a bit of egg on an oatcake with mayo while my husband had his supper.
I just looked at my food diary and there was a week in January that I was struggling to keep 80g carbs, landing every day around 100g carb a day that my waking bloods were high 6s- low 7s that was always that late supper, around 9pm. I'll give that a try for 2-3 weeks before I move my meds around. Thanks again.
 
Hi I am new here. Don't understand measuring units really. I used to know diabetes measurement are like on the scale 1 to 6 the normal range should be. But my doctor measured mine one which comes up 68 !!!!. She said normal range is below 42. my question is how come it be 42 or 68 whatever ? what kind of scale/units are those. how do I know how much is my glucose level in in scale of 1 to 6. Does anyone have any Idea about the testing methods or units.. thanks
 
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