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Hi, just back from the diabetic clinic after seeing the dietitian and it's been confirmed that i have type 2. also my insulin dose has been increased so looking forward to seeing those BS numbers dropping. so.......
Hmm - as a type two you are amongst the insulin resistant crowd, so you'll probably get advice on cutting out carbs - I have seen quite a few people report that their need to inject, or take glucose removing drugs is much reduced by stopping eating the high carb foods - I'll just warn - low carb can be really effective and result in low glucose quite quickly.
I agree. When taking insulin you need to balance your food with the doses you are taking, so suddenly reducing carb intake without adjusting insulin doses risks hypoglycaemia.
Do you drive? You should have been told to contact the DVLA and (I think) your insurer.
Hmm - as a type two you are amongst the insulin resistant crowd, so you'll probably get advice on cutting out carbs - I have seen quite a few people report that their need to inject, or take glucose removing drugs is much reduced by stopping eating the high carb foods - I'll just warn - low carb can be really effective and result in low glucose quite quickly.
hi both @Drummer and @Kaylz, the dietitian has said i should aim for 30g of carbs per meal so there is more consistency as the mixed insulin i am on 'locks me in' and is less flexible. they will look at dosage and if i should come off insulin at a later date
It is eating low carb which made all the difference to me - enabling normal levels etc.
A regime which dictates eating so many carbs at every meal could result in a lack of progress as you eat to counteract the consequences of the medication and then medicate to counter the carbs - resulting in perpetual pong pong.
Metformin isn't a problem, but Insulin or Glic, or any other med that raises the Insulin production is a problem in that the dosage need to be reduced to match the carbs in the diet
Their could be a problem with Metformin if you have liver problems , though I am no medic , often these things depend not only on what the problem is but the severity too.
Here is the patient info leaflet for Metformin.
@Drummer . With mixed insulin the person has to eat to the insulin.
Reducing carbohydrates needs to be done under supervision, which is is very different for those of us on MDI who have learned how to adjust their bolus (mealtime) insulin units to carbs eaten.
@Oblivious . Please don’t attempt to reduce your carbohydrate intake below what you have been advised without first seeking professional advise as you could risk going severely hypo ( low blood glucose) which putting it mildly is dangerous. your insulin dose (units) will need to be adjusted and probably the mixture of fast and slow acting insulin , too, so you do need professional advise if you want to lower your carb intake.
The majority of us on here both insulin and non insulin users find that by reducing carbohydrates we gain far better control , lose weight or are able to maintain a good weight. I am on insulin but a different regime to you , it’s often called MDI ( multiple daily injections) which I find very flexible as I don’t have to eat to the insulin and don’t have to eat if I don’t want to.
There should be a rule for those that have no insulin experience whatsoever to not jump in with cut the carbs down, Its not the first time this has happened and I do worry when I see it as if no insulin user has commented then it could already be too late, I dont mean to offend but if you dont know about insulin and someone is using it you could put them in a highly dangerous position
There should be a rule for those that have no insulin experience whatsoever to not jump in with cut the carbs down, Its not the first time this has happened and I do worry when I see it as if no insulin user has commented then it could already be too late, I dont mean to offend but if you dont know about insulin and someone is using it you could put them in a highly dangerous position
it happens all the time and it really isn't safe, it is kind of suggested here that they reduce their carb intake, people just need to stop and think that they have no insulin experience so shouldn't try and advise where insulin is involved
Hi Oblivious. Kaylz makes a good point and since it seems you have been put on Insulin straightaway as a type 2 suggests that those treating you either don't follow the NICE guidelines and should be censured for it or they are modifying their approach because of other factors. My thought for you is that you take things slowly and carefully and work with your HCP's to get things under control.
Just to make it clear, the rough target of 30g of Carbs is to keep my intake consistent as previously my blood sugar was all over the place sometimes jumping between 8.3 and 20.5 depending on what i was eating. i now have the Carbs and calories app and will be following it closely.
The second reason is that because my insulin is a long acting one there is no way for me to adjust it or take additional injections if i fancy splurging and having a whole tub of ice cream for dinner (extreme example).
I know it's more restrictive but i like only having to take 2 injections a day and it keeps it simple for me until i get a better grip on things and understand how my body reacts to the new situation.
Hi Oblivious. Kaylz makes a good point and since it seems you have been put on Insulin straightaway as a type 2 suggests that those treating you either don't follow the NICE guidelines and should be censured for it or they are modifying their approach because of other factors. My thought for you is that you take things slowly and carefully and work with your HCP's to get things under control.
Hi @Docb, i mentioned in another post that my doctor recommended i go on insulin after speaking to a consultant dealing with a severe kidney infection i was suffering from in January. they thought it would be the quickest way to reduce the blood sugar which was at 21.5. peeing blood and pus was no fun (sorry for the awful mental image there)
I was pointing out that lowering carbs isn't possible on that insulin regime, despite it being the best treatment for ordinary type twos, which the OP might be, but could never find out.
Hi @Docb, i mentioned in another post that my doctor recommended i go on insulin after speaking to a consultant dealing with a severe kidney infection i was suffering from in January. they thought it would be the quickest way to reduce the blood sugar which was at 21.5. peeing blood and pus was no fun (sorry for the awful mental image there)
Yeah but since most of my meals are pretty low carb anyway - salads, stir fried veg, veg soup etc - it means i have more choice of what i can add into the mix or top the carbs up with. And I can't say how handy i have found the C&C app, this is the most comfortable I feel since my diagnosis
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