Confused going forward

[andyp64]

Hi - could use some advice from anyone....
Diagnosed as T2 in November.
Have moderated diet and lost 2 stones - BMI now 24.7 or thereabout.
Was pit on metformin originally but this upset my bowels so moved onto canagliflozin (Invokana).
My bloods keep spiking post-meals (2 hours) and reach 11-16.
I've had a C-peptide test which has confirmed it's T2 and not late-onset T1.
Nurse wants to keep me on Invokana for two more weeks and see how it goes.

My questions are that I'm still feeling rotten a lot of the time (tiredness, headache, dizziness). What would be the next step meds-wise if the spikes still persist? Insulin, perhaps? Or will I have to work through numerous other shades of meds until finding one that works?
Feeling a bit despairing at the moment - like I'm stuck!
Any advice please?

 

[Windy]

Hi Andy, sorry to hear that you're feeling rotten. If your BG levels are up, that'll make you tired, less sure about the dizzyness and headaches - are you drinking plenty of fluids to keep hydrated? I get banging headaches if I'm a bit dehydrated. Also, if you're BG is up, you might be urinating more, and that'll make you a bit dehydrated possibly too.

What sort of meals are you having? What's your fasting BG reading like?
There's two ways that you get glucose into your blood, as far as I'm aware; by eating something that your body digests and converts into glucose, or from your liver metabolising it's stores of glucogen or fat to make glucose. You can't do a lot about your liver, apart from lose weight, which you've done, but you can address your diet.
I'm wondering if there's something in your meals that's causing the spikes that you could identify by a process of elimination, ie if you had the same meal two days in a row and cut out one of the components of the meal the second day and saw what difference it makes to your BG level?
Are there any meals you eat that you don't get a spike after? ie if you had an omelette for breakfast, do you get a spike after that? Eggs have no carbs in them, so shouldn't spike your BG.
Congratulations on your weight loss, it sounds like you're doing well there.
I can't advise on the meds except to say that I'm aware that there's other meds they can try first before they look at insulin. If you can identify and tackle whatever is in your meals that's causing the problem, that'll be a start in getting your BG down without changing your medications.
Sarah

 

[Leadinglights]

Hi - could use some advice from anyone....
Diagnosed as T2 in November.
Have moderated diet and lost 2 stones - BMI now 24.7 or thereabout.
Was pit on metformin originally but this upset my bowels so moved onto canagliflozin (Invokana).
My bloods keep spiking post-meals (2 hours) and reach 11-16.
I've had a C-peptide test which has confirmed it's T2 and not late-onset T1.
Nurse wants to keep me on Invokana for two more weeks and see how it goes.

My questions are that I'm still feeling rotten a lot of the time (tiredness, headache, dizziness). What would be the next step meds-wise if the spikes still persist? Insulin, perhaps? Or will I have to work through numerous other shades of meds until finding one that works?
Feeling a bit despairing at the moment - like I'm stuck!
Any advice please?

I think that medication need you to drink 3 litres of water a day and it works by removing glucose from your body by urination so unless you drink enough then you may be getting dehydrated.
It also works in conjunction with diet and exercise so you high levels could be you are still having too many carbs for your body to cope with.
What typically are you having for meals?

 

[andyp64]

I think that medication need you to drink 3 litres of water a day and it works by removing glucose from your body by urination so unless you drink enough then you may be getting dehydrated.
It also works in conjunction with diet and exercise so you high levels could be you are still having too many carbs for your body to cope with.
What typically are you having for meals?

Thanks for the water idea - I'll try it.
I've seriously cut down on any carbs and am trying to keep below 130g a day. Getting fed up with meat and eggs all the time, however.

 

[Windy]

Can you expand what you eat to include other things? What about soup, or roasted Mediterranean veg with halloumi cheese, yogurt and mint sauce, stir fry with fish/chicken/tofu/quorn or garlic mushrooms, sausages with mashed cauliflower and grated cheese or tandoori chicken or curried chicken kebabs?
I know it's a faff to cook if you're not feeling well though.
I hope you're feeling a bit better soon.

 

[Mrs Mimoo]

Can you expand what you eat to include other things? What about soup, or roasted Mediterranean veg with halloumi cheese, yogurt and mint sauce, stir fry with fish/chicken/tofu/quorn or garlic mushrooms, sausages with mashed cauliflower and grated cheese or tandoori chicken or curried chicken kebabs?
I know it's a faff to cook if you're not feeling well though.
I hope you're feeling a bit better soon.

You can make pasta out of Konjak and then put in 2 low cal porky-white sausages chopped as meatballs and serve with a half tin of tomatoes spiced up with italian herbs peppers and a grating of low cal cheese. Yums. 250 calories.

Fry half a block of paneer cheese, or a small chicken breast chopped, with a big pinch of turmeric, cumin and ginger and some oil. Add red peppers and chopped onion. Fry till golden, add some tomato puree and a bit of greek yoghurt - low cal curry. Serve with cauli rice or konjak rice.

 

[everydayupsanddowns]

Welcome to the forum @andyp64

Sounds like you are off to a good start with the weight loss. Have you noticed whether some sources of carb are spikier than others?

Hope you can find a way to balance the meds with your menu, or find an alternative option that works for you and keeps those spikes down. Erratic BG levels can be so exhausting!