Constant high readings even with medication and modified food intake.

[Tezzamoo]

Hi guys.

New to diabetes UK. I've been diagnosed T2 for about 10 years now. Sadly I didn't take my condition seriously until this year when I changed GPs and overhauled my dietary habits. I am currently on Gliclazide, Metformin, Ramipril and Atorvastatin. Im also wearing a Libre sense 2 sensor, tracking my bloods constantly along with occasional finger prick tests to back up the libre sense readings.

I'm finding that 1st thing in the day my readings register around 10 - 13 in the mornings but as soon as I've had some breakfast, say 2 x sesame crackers or some bran flakes with skimmed milk or wholemeal toast with olive spread my bloods start to spike with readings in the late teens or even in the mid 20's !!.

I've brought this to the attention of my GP but they suggest that I carry on taking my meds and along with my adjusted food intake they should come down.... but sadly it's not happening.

Any help or advice would be very much appreciated as this roller coaster ride with my health is beginning to get me down.

Tel.

 

[gail2]

do you keep a food diary with before leves and 2 hours after ones as well That might help you spot which foods trigger your high levels its worth a try
Wellcome to the forum please feel free to post as much or as little as you want, no question to small,large or to silly
gail

 

[Leadinglights]

When do you take your gliclazide, I believe it is recommended to take 30min before eating to give your pancreas a chance to start producing more insulin to cope with the carbs in your meal.
As suggested keeping a food diary with everything you eat and drink with an estimate of the carbs together with noting before eating and after 2 hours readings as that will help identify any problem foods and also provide evidence for your GP that the current meds regime is not working for you.
Maybe replace you high carb breakfast with something with more protein like eggs or Greek yoghurt and berries.

 

[victorhamesse]

Your high readings in the mornings are (IMO) the remains of the readings from last night. As has been said you need to keep a diary of what and how much you eat and when. Check these timings/quantities against your Libre readings and you will start to see a pattern of what causes the rises and by how much. I found that I'm better off (less spiking) by eating less at a time but more often.

Try a different cereal than Bran Flakes. Waitrose lists the Kellogg version at 65% carbs of which sugar is 14% - much too high in both. If you can, look for another cereal. Lizi's low sugar nuts & seeds granola cereal from Waitrose is 48.5% and 3.3%. I now eat the Paleo low sugar gluten free granola at 15.2% and 4.6%. Have a look around and read the ingredients list and see what works better for you. I found that wheat/oat based stuff sends my sugars bonkers so I have these nut/seed based cereals. (Used to love porridge - no longer)

Another thing is to remember that Gliclazide takes 2 hours to reach peak effectiveness - so delay any fruit intake until the late AM and eat small quantities at a time (e.g. quarter of an apple at once - 3 berries at a time). Then you can enjoy the taste several times a day !!

That's what works for me but for you it may well be different. Luckily you have a Libre so you can experiment easily.

Good luck and keep the forum informed please.

Regards.

 

[Leadinglights]

Your high readings in the mornings are (IMO) the remains of the readings from last night. As has been said you need to keep a diary of what and how much you eat and when. Check these timings/quantities against your Libre readings and you will start to see a pattern of what causes the rises and by how much. I found that I'm better off (less spiking) by eating less at a time but more often.

Try a different cereal than Bran Flakes. Waitrose lists the Kellogg version at 65% carbs of which sugar is 14% - much too high in both. If you can, look for another cereal. Lizi's low sugar nuts & seeds granola cereal from Waitrose is 48.5% and 3.3%. I now eat the Paleo low sugar gluten free granola at 15.2% and 4.6%. Have a look around and read the ingredients list and see what works better for you. I found that wheat/oat based stuff sends my sugars bonkers so I have these nut/seed based cereals. (Used to love porridge - no longer)

Another thing is to remember that Gliclazide takes 2 hours to reach peak effectiveness - so delay any fruit intake until the late AM and eat small quantities at a time (e.g. quarter of an apple at once - 3 berries at a time). Then you can enjoy the taste several times a day !!

That's what works for me but for you it may well be different. Luckily you have a Libre so you can experiment easily.

Good luck and keep the forum informed please.

Regards.

Having had the Lizi's low sugar granola for ages I discovered a new Lizi's high protein granola nuts and seeds which is 40.7g carbs per 100g but also M & S grain free nut and fruit granola at 9g carbs per 100g so a couple of other alternatives instead of Bran flakes and work well with Greek Yogurt and berries.

 

[victorhamesse]

Having had the Lizi's low sugar granola for ages I discovered a new Lizi's high protein granola nuts and seeds which is 40.7g carbs per 100g but also M & S grain free nut and fruit granola at 9g carbs per 100g so a couple of other alternatives instead of Bran flakes and work well with Greek Yogurt and berries.

Yes, I saw that but the Lizi's has 10.3% sugar so I fear the effects are going to be the same - low other carbs but high sugar.

FYI I leave my greek yogurt and berries until 11am to let the Paleo effects diminish (Paleo eaten at 8am). I also sometimes have the Paleo with Alpro soya milk not cow's milk.

I'll look for the M&S one to try. Thanks.

 

[Leadinglights]

Yes, I saw that but the Lizi's has 10.3% sugar so I fear the effects are going to be the same - low other carbs but high sugar.

FYI I leave my greek yogurt and berries until 11am to let the Paleo effects diminish (Paleo eaten at 8am). I also sometimes have the Paleo with Alpro soya milk not cow's milk.

I'll look for the M&S one to try. Thanks.

You are right, I hadn't spotted that. I only have about a desert spoonful on the yoghurt.

 

[victorhamesse]

You are right, I hadn't spotted that. I only have about a desert spoonful on the yoghurt.

Probably just under your threshold for reacting ! I have two scoops of Paleo (not heaped - it sparks a reaction ! )

 

[harbottle]

Hi guys.

New to diabetes UK. I've been diagnosed T2 for about 10 years now. Sadly I didn't take my condition seriously until this year when I changed GPs and overhauled my dietary habits. I am currently on Gliclazide, Metformin, Ramipril and Atorvastatin. Im also wearing a Libre sense 2 sensor, tracking my bloods constantly along with occasional finger prick tests to back up the libre sense readings.

I'm finding that 1st thing in the day my readings register around 10 - 13 in the mornings but as soon as I've had some breakfast, say 2 x sesame crackers or some bran flakes with skimmed milk or wholemeal toast with olive spread my bloods start to spike with readings in the late teens or even in the mid 20's !!.

I've brought this to the attention of my GP but they suggest that I carry on taking my meds and along with my adjusted food intake they should come down.... but sadly it's not happening.

Any help or advice would be very much appreciated as this roller coaster ride with my health is beginning to get me down.

Tel.

Sounds like Dawn Phenomenon kicking in.
And then fairly high carb breakfasts on top of that.