Hello, all

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Steve1122

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I broke a toe doing DIY. I had no idea I was type 2, but a non-healing wound raised the hospital's suspicions. I lost the toe, then the toes, and then the foot. Thankfully, the wound is now slowly healing (or my lower leg is next). I'm here because clearly there's a lot to learn about diabetes, and I'm hoping I can occasionally pick the brains of people like yourselves who've been there done that.

Thanks in advance,

Steve
 
Steve1122 said:
I broke a toe doing DIY. I had no idea I was type 2, but a non-healing wound raised the hospital's suspicions. I lost the toe, then the toes, and then the foot. Thankfully, the wound is now slowly healing (or my lower leg is next). I'm here because clearly there's a lot to learn about diabetes, and I'm hoping I can occasionally pick the brains of people like yourselves who've been there done that.

Thanks in advance,

Steve
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Hello @Steve1122, welcome to the forum.

I am T3c and don't know enough about the finer points of T2 management to feel I should say too much right now. But the fact that you've progressively lost a toe, toes then a foot clearly means you have extra vulnerability with your BG management and there is a considerable breadth of experience within the membership of this forum that should be able to offer guidance or suggestions for your bg stability. I am clear in my mind that the greater stability you can achieve the better chance you will have in saving the rest of your leg.

But reading in your other thread that you have a Libre 2, my perception was that you are self-funding that. Is that correct? Has your GP provided you with finger prick testing meter and strips?

Also what other meds are you on for your T2 management and how long ago were you diagnosed? Did you have an HbA1c blood test then and perhaps since? This gives you and forum members if you are happy to share an understanding of your immediate bg challenge!
 
Proud to be erratic said:
Hello @Steve1122, welcome to the forum.

I am T3c and don't know enough about the finer points of T2 management to feel I should say too much right now. But the fact that you've progressively lost a toe, toes then a foot clearly means you have extra vulnerability with your BG management and there is a considerable breadth of experience within the membership of this forum that should be able to offer guidance or suggestions for your bg stability. I am clear in my mind that the greater stability you can achieve the better chance you will have in saving the rest of your leg.

But reading in your other thread that you have a Libre 2, my perception was that you are self-funding that. Is that correct? Has your GP provided you with finger prick testing meter and strips?

Also what other meds are you on for your T2 management and how long ago were you diagnosed? Did you have an HbA1c blood test then and perhaps since? This gives you and forum members if you are happy to share an understanding of your immediate bg challenge!
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Yes, self funding. I was given a testing meter and strips by the hospital, and was using it regularly before I got the Libre. I was diagnosed in June in hospital (I was in for six weeks). I did have a A1c test in hospital but they didn't say what it was (and I didn't even know what a HbA1c test was at that point to ask). I had another in October that came back as 37, and I'm taking that as a good indicator that I'm doing something right in managing my condition. I'm on Metformin and Gliclazide twice a day.
 
Steve1122 said:
Yes, self funding. I was given a testing meter and strips by the hospital, and was using it regularly before I got the Libre. I was diagnosed in June in hospital (I was in for six weeks). I did have a A1c test in hospital but they didn't say what it was (and I didn't even know what a HbA1c test was at that point to ask). I had another in October that came back as 37, and I'm taking that as a good indicator that I'm doing something right in managing my condition. I'm on Metformin and Gliclazide twice a day.
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The HbA1C is a test to diagnose diabetes and simplistically is the average blood glucose over the previous 3 months. below 42mmol/mol is normal, 42-47mmol/mol is termed 'at rist' or prediabetic and over that is diabetic, it does not tell you if you are Type 1 or Type 2 or any other Type other tests would be needed so diagnosis is usually on clinical presentation as well. Some people don't fit the usual profile which is why you may see that people are misdiagnosed.
Whatever you have been doing has certainly paid off, the effect of the medication and diet has worked well.
As your HbA1C is now in the normal range it may be worth a discussion about your meds as there may now be more risk of low blood glucose.
But well done on that result.
 
Thanks, yes I have an appointment booked with the GP to review medications. My BG does occasionally go low. The lowest I've seen it is 3.1. Sometimes it goes low and I feel no ill effects. Other times I feel 'wobbly' and clumsy, and flashy in the eyes like a migraine. Just another oddity of sometimes this/sometimes that with the joys of diabetes! 🙂
 
Steve1122 said:
Thanks, yes I have an appointment booked with the GP to review medications. My BG does occasionally go low. The lowest I've seen it is 3.1. Sometimes it goes low and I feel no ill effects. Other times I feel 'wobbly' and clumsy, and flashy in the eyes like a migraine. Just another oddity of sometimes this/sometimes that with the joys of diabetes! 🙂
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It would be worth making sure you have some hypo treatment to hand so you can act quickly when you feel 'wobbly'. Many find jelly babies or a small carton of fruit juice or 150ml can of full fat coke is good or dextrose tablets.
 
Leadinglights said:
People have commented that as the sugar content of Lucozade has been reduced it is not as useful as it used to be for treating hypos as you need to drink more.
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Yes, though I'm not sure what the new sugar content of Lucozade is (it might still be acceptable even if the reduction is/was a bit confusing). Orange juice is ~20g for 200ml (a common size for bottles in pubs and little lunch cartons).
 
I prefer the Lucozade orange. It's 380ml per bottle and says it's 32g of carbs with 17g of sugar. I drink about half a bottle and find it does the trick quite quickly. I'm not sure how that compares to what it was before.
 
If you were having problems with healing wounds, the hba1c may have been 65+ as it's around this level when the sugar in the blood stops wounds from healing.
 
harbottle said:
If you were having problems with healing wounds, the hba1c may have been 65+ as it's around this level when the sugar in the blood stops wounds from healing.
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It was uncontrolled at that point, so I think you're most likely correct.
 
Steve1122 said:
I prefer the Lucozade orange. It's 380ml per bottle and says it's 32g of carbs with 17g of sugar. I drink about half a bottle and find it does the trick quite quickly. I'm not sure how that compares to what it was before.
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It used to be 60g of carbs in the same sized bottle! But now it has far less glucose and they added a bunch of artificial sweeteners. 😡

Original recipe full-sugar Coke is slightly more sugary at 10.6g sugar per 100ml (I think Lucozade is 8ish).

Don’t get ’full sugar’ Pepsi, they reduced that to only 5g-ish per 100ml.

Still annoys me that Lucozade couldn’t even leave us with one ’proper’ formulation! And now we need double the quantity, and meanwhile they’ve hugely increased the price. Bah!
 
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