Diagnosed of Type 2 Diabetes 5days ago

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sabobi

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Type 2
Hi,
I'm new to this forum. Got diagnosed over the weekend with T2D.
Now on Metformin 500mg and Humulin M3 100/mi: both 2times daily.
I don't feel so bad when I wake up in the morning, but few hours after having them I feel really bad - not just emotionally.
My vision seems blurred. I'm quite confused. Everything is new and strange. Could these be side effects or maybe I don't need both and/or dosages? I also don't understand why I didn't feel so awful the first few days I was discharged. Everything started yesterday.
 
Hello & welcome im sure a long term member will be along to help answer your questions x

Type 2 as well diagnosed last year. BG readings are always 10 or above apart from a 9.0/8.9 on occasion. GP increased Metformin and despite doing low carb although admittedly few mess ups here and there - (porridge isn’t for me !!) I cannot get into desired range. How or why did the Drs start you on 2 meds, were readings really high? I am wondering whether to talk to the GP about this, what do others think?

I’ve done 8K steps today so this hasn’t helped readings to stay around 10-13 all day but without exercise they would be much higher.

Anyway, just to say I’m in the same boat and learning loads from here and so sure you’ll get the help you need here 🙂

MissDaisy
 
MissDaisy said:
Hello & welcome im sure a long term member will be along to help answer your questions x

Type 2 as well diagnosed last year. BG readings are always 10 or above apart from a 9.0/8.9 on occasion. GP increased Metformin and despite doing low carb although admittedly few mess ups here and there - (porridge isn’t for me !!) I cannot get into desired range. How or why did the Drs start you on 2 meds, were readings really high? I am wondering whether to talk to the GP about this, what do others think?

I’ve done 8K steps today so this hasn’t helped readings to stay around 10-13 all day but without exercise they would be much higher.

Anyway, just to say I’m in the same boat and learning loads from here and so sure you’ll get the help you need here 🙂

MissDaisy
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Exactly what I want to do: to talk to GP. The only issues are problems with GP appointments in this season, and perhaps I haven't got enough test to press for reduction of doses or place on one medication. As regards to BG readings before meals, they are not all that too high. I've had only one reading above 11 within the 5days. I test at least 4 times a day. On the average the readings could be 7 (with few cases of approaching 4 when I exercise). On what to eat, I haven't done more than reducing the quantity. I'm really wondering. One of the nurses said she will call me next week. Perhaps, it's good to ask why am I on 2 medications?
 
Well what was your HbA1c test result, are you overweight, have you had a C-peptide or GAD antibodies blood test? Plus - what doses of insulin are you taking?

I wonder if (maybe), they weren't able to tell which Type of diabetes you actually have so they are hedging their bets.
 
sabobi said:
On what to eat, I haven't done more than reducing the quantity.
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Try cutting out the carbs altogether for a few days and see what that does for your BG. You can always reintroduce the things you like best but in much smaller quantities. Test before and after meals - one hour and two hours.

For example, I love Indian food and like to have rice. Likewise pasta. By keeping a food diary, along with testing, I’ve established that I can, a couple of days a week, have 60g of pasta or rice and remain well within BG targets.
 
HenryBennett said:
Try cutting out the carbs altogether for a few days and see what that does for your BG.
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This really isn’t a good idea for someone who is on insulin, it could lead to sudden and frequent hypos.
I agree that carb reduction may be a long term goal, but @sabobi would need to reduce her insulin to match, so doing it gradually and having the confidence to reduce insulin doses is a must.
 
Robin said:
This really isn’t a good idea for someone who is on insulin, it could lead to sudden and frequent hypos.
I agree that carb reduction may be a long term goal, but @sabobi would need to reduce her insulin to match, so doing it gradually and having the confidence to reduce insulin doses is a must.
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OK, thanks for the clarification
 
I'm pleased to be a member of this forum. Members are giving honest contributions. I feel more confident already.
Thanks to all the contributors
 
Welcome to the forum @sabobi

Are you checking your BG when you feel confused? It would be a good idea to know what your levels were like at the time, just in case low blood glucose is the cause?

Blurred vision can be caused by elevated BG at diagnosis, and will usually settle down within a few weeks as the pressure in the eyes normalises when BG returns towards more normal ranges.

Glad you are finding the forum helpful! Keep asking questions 🙂
 
trophywench said:
Well what was your HbA1c test result, are you overweight, have you had a C-peptide or GAD antibodies blood test? Plus - what doses of insulin are you taking?

I wonder if (maybe), they weren't able to tell which Type of diabetes you actually have so they are hedging their bets.
Click to expand...


I'll say I'm in the range of overweight with BMA 29. The doses of insulin are 32units in the morning and 16units in the evening. Metformin is 1 tablet morning and evening. Haemoglobin A1c level, blood was 97mmol/mol. I haven't had other tests.
 
everydayupsanddowns said:
Welcome to the forum @sabobi

Are you checking your BG when you feel confused? It would be a good idea to know what your levels were like at the time, just in case low blood glucose is the cause?

Blurred vision can be caused by elevated BG at diagnosis, and will usually settle down within a few weeks as the pressure in the eyes normalises when BG returns towards more normal ranges.

Glad you are finding the forum helpful! Keep asking questions 🙂
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I'll start checking my BG within those hours. Good to see the relationship between blurred vision and elevated BG. Thank you
 
sabobi said:
I'll say I'm in the range of overweight with BMA 29. The doses of insulin are 32units in the morning and 16units in the evening. Metformin is 1 tablet morning and evening. Haemoglobin A1c level, blood was 97mmol/mol. I haven't had other tests.
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But your (home) test results still look just OK rather than too low, so I doubt the advice would be to reduce any medication.

As others suggest: test when you feel weird. High and low blood glucose can affect vision and change mental state.

(And it's worth questioning the diagnosis. Type 1 is unusual at your age (by the looks of it about 1% of people diagnosed 60-70 are Type 1) but it's not impossible. There's a chart here,
https://twitter.com/x/status/1279385389632040960
)
 
Bruce Stephens said:
But your (home) test results still look just OK rather than too low, so I doubt the advice would be to reduce any medication.

As others suggest: test when you feel weird. High and low blood glucose can affect vision and change mental state.

(And it's worth questioning the diagnosis. Type 1 is unusual at your age (by the looks of it about 1% of people diagnosed 60-70 are Type 1) but it's not impossible. There's a chart here,
https://twitter.com/x/status/1279385389632040960
)
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Hi I’m wondering as Metformin is doing very little to help whether I’m Type 1 or LADA as Barbara on the forum mentioned - as possibly have rare autoimmune condition although awaiting diagnosis.

My blood test was 87 and on Metformin increased to 2 twice a day, yet OP was started on insulin too. Is there any guidelines to what’s is prescribed & when? (for reference maybe)

I was started on Metformin, once a day and practically sent home with BG above 16. Told to increase dose slowly after that and no HbA1c takeb and late on a Friday, so begged surgery for a meter to get through weekend. Plus told GI diet which didn’t help!!

Seems strange I have a similar situation to OP and started on insulin. Is this normally practice?

I plan to speak to GP next week and I hopefully the OP can clarify their situation.

MissDaisy 🙂
 
MissDaisy said:
My blood test was 87 and on Metformin increased to 2 twice a day, yet OP was started on insulin too. Is there any guidelines to what’s is prescribed & when? (for reference maybe)
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There is. (I'm not sure what happens when a patient has diabetes but of unknown type. Presumably there's guidance on that too, though it's also possible that this is less formulated clinical judgement.)

Overview | Type 2 diabetes in adults: management | Guidance | NICE

www.nice.org.uk www.nice.org.uk
 
MissDaisy said:
I thought it was odd as usually I thought Type 1 on the whole are on insulin.
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Some Type 2 people use insulin. (As you suggest, the guidance for people with Type 1 medication always includes insulin since it's required. The question is more the kinds and how they're delivered and managed.)
 
Bruce Stephens said:
But your (home) test results still look just OK rather than too low, so I doubt the advice would be to reduce any medication.

As others suggest: test when you feel weird. High and low blood glucose can affect vision and change mental state.

(And it's worth questioning the diagnosis. Type 1 is unusual at your age (by the looks of it about 1% of people diagnosed 60-70 are Type 1) but it's not impossible. There's a chart here,
https://twitter.com/x/status/1279385389632040960
)
Click to expand...

Fascinating stats Bruce - especially with the number of 20-30-somethings we have arrive on the forum who are later reclassified. Looks like diagnosis with T2 in 30s and below only accounts for 10% of cases!
 
Hi Sabobi
After consulting your doctor, try to make modifications to your diet and fitness regimen.
Endeavour to reduce your intake of carbohydrate rich foods ,and endeavour to undertake moderate exercise each day. Physical activities such as walking , swimming , dancing and cycling can be beneficial for sufferers of diabetes . Regarding the issue of your medication , I would advise you go back to your specialist ,tell them about your current situation and ask them for advice on how to proceed next.
Best Wishes
 
everydayupsanddowns said:
Looks like diagnosis with T2 in 30s and below only accounts for 10% of cases!
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Oh yes, I wasn't really looking at those bits. But yes, those diagnosed T2 under 40 are about 10% of all people with T2, which is really striking. (Doesn't mean T2 is particularly rare if you're young compared with T1 since overall T2 is about 10 times more common than T1.)
 
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