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Hi I joined today

raaeft1 said:
I wish to recalibrate my MySugr application and My NetDiary so far as blood sugar ranges are concerned for example before fasting/ after meals/ random. My doctors are unable to guide me.
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Recommended ranges in the UK for people with T2 diabetes used to be

4-7mmol/L before meals (70-125mg/dl approx)
and
no higher than 8.5mmol/L by 2hrs after meals (150mg/dl approx)
 
raaeft1 said:
Cottage cheese is Paneer.
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In the UK cottage cheese is often sold less pressed, more like scrambled egg. The paneer we have here can be cut into cubes or batons and holds together more.
 
Today I checked my blood sugar two hours after dinner/supper.
140 mg=7.8 mmol/l
Reduced metformin dosage from 1000 mg BD to 500 mg BD on the advice of my doctor.
Reduced intake of carbs.
my doctor said I should wait for a day or two for the wound on my right foot to heal fully and for the swelling to subside before resuming proper walking/exercise.
Tingling and sinking sensation in the right leg. Excessive weakness in the body and vitamins are not helping.
 
Specialist's Rx\
1. Check HBA1C and B 12 in the next 20 days. Thereafter every three months.
2. Continue with Metformin 500 BD.
3. Axoguard-SR one tablet at 6 pm ((Pregabalin SR 75 mg) and Methyl cobalamin 1500 mcg)
4. Check sugar fasting/ two hours after breakfast/meal on another day check before lunch and 2 hours after lunch and on another day before and after dinner.
5. Feet examined thoroughly.
6. Move after every 15-20 minutes. Walk up to 40 minutes and more. Use the English washroom. Bathe while standing. not to bend forward and sit cross-legged.
7. Get my eyes checked.
8. Low carb high protein high-fat diet as I have started following.
9. REVIEW after 20 days.
 
raaeft1 said:
Use the English washroom. Bathe while standing. not to bend forward and sit cross-legged.
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Intrigued to know what this advice is for, haven’t heard that sitting or standing in the shower affects blood sugars before
 
raaeft1 said:
Specialist's Rx\

4. Check sugar fasting/ two hours after breakfast/meal on another day check before lunch and 2 hours after lunch and on another day before and after dinner.
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Small observation: test immediately before 1st bite then 2 hrs after any meal. Then you are looking for a modest rise of 2-2.5 mmol and preferably not higher than 8 to give you confidence that your body has handled that meal well. If your starting point (ie after 1st bite) is already high(ish) then that is still work in progress, but at least the modest rise from high(ish) to even higher at least gives you some usable response data.

For many people breakfast is very similar every day and hence a meal that can be adjusted until you are eating a meal that your body will routinely cope with. Once you have got to that point you stop checking breakfast, other than a reassurance check occasionally perhaps. Then proceed to your next most predictable meal and repeat the process; for me that would be lunch, my evening g meals are so much more varied and often relatively unplanned until they happen!
raaeft1 said:
5. Feet examined thoroughly.
6. Move after every 15-20 minutes. Walk up to 40 minutes and more. Use the English washroom. Bathe while standing. not to bend forward and sit cross-legged.
7. Get my eyes checked.
8. Low carb high protein high-fat diet as I have started following.
9. REVIEW after 20 days.
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This whole process needs to be sustainable for the future, not just something that is done to get a better result and then abandoned AND has to be something you can adjust your lifestyle to accept and enjoy permanently.

All best done in small steps. Rapid changes can introduce other problems with eyesight and possibly neural difficulties. Akin to 'eating a whale' - one bite at a time!
 
I attended the press conference today, but I did not take my Glucose meter with me as it would have been impractical. I had a heavy lunch after several days and I will be checking my sugar two hours after the first bite.
will check sugar just before supper/dinner and two hours afterward.
fingers have become sore as I have been testing several days continously.
 
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raaeft1 said:
Can I pop a Gatorade pill immediately after the test and continue with the lunch when it is served?
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What is the Gatorade pill for?
 
raaeft1 said:
Can HBA1C and B 12 tests be done anytime or is fasting required?
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HbA1c looks at your last 3 months haemoglobin levels and definitely does NOT need fasting; sometimes I've been wrongly told it does by a nurse from my local surgery.

B12 I don't know.
 
Heavy lunch after many days. Several lessons to be learned.
Sugar two hours after the first bite 205 mg=11.4 MMOL/L
I should not have eaten more than two rotis. I should not have eaten rice, Rasam Vada, and Vanilla ice cream. In fact, I had two lunches. Reasons: Stress relating to finances, health, work, and family.
Must stick to low carb, high-protein, and high-fat diet.
 
Trust your BG meter to give you unbiased and individual information bout how you are doing! No doctor can do that without blood testing yet with your BG meter you can get that on a meal by meal basis.

Just a thought: Are test strips very expensive for all decent BG meters in India? Here in the UK several BG meters have strips that cost over £20 per pot of 50, but there are 2 others (both decent meters) which have strips at around £8 per pot of 50 - so many find it cheaper overall to switch to either of those 2 BG meters (Note for UK based readers of this, they are the SD Gluco Navii and the Spirit TEE2+ ).
 
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I have two meters ===Accuchek Instant and Gluco One. Strips of both are expensive. Accuchek Instant strips cost rs.1000 (9.51 Pounds sterling) for a box of 50 and Gluco One strips are similarly priced.
The Indian Prime Minister had launched the Jan Aushadi scheme to provide cheaper medicines. The BG meter marketed by them is cheaper and the strips are as well. However, the doctors advise against using that as its reliability and accuracy is still unknown.
 
raaeft1 said:
Glucose pill when sugar is very low
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Why are you taking Gatorade pills without low blood sugars and without being on any medication that causes dangerously low blood sugars? You shouldn’t need to take these.
 
raaeft1 said:
Thank you for pointing this out. Will stop using them
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They will be for people who are on blood glucose lowering medication or insulin to treat hypos (low blood glucose).
A medication like metformin or dietary managed regimes should not be causing such low blood glucose as to need to be taking glucose when your body is fighting to reduce glucose levels.
It is difficult when you are out and about but being sensible about what you eat will pay off in the long run.
I was at a funeral today and there was sandwiches and cake. I did have some sandwiches but left all the crusts on the bread and had no cake, well a mouthful from my other half's piece.
I was exasperated that a friend who has had Type 2 for several years had a plate piled high with sandwiches and 2 pieces of cake, he has had to have his car adapted for hand controls as he has severe peripheral neuropathy in his feet and can't feel them and is restricted in doing things because he can't stand for long. He than said he was going to his daughters for tea and cake.
 
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