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ceelyrd2nd said:
Hi, I just joined. I am hoping to share my experiences and maybe get some much needed information.
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Welcome to the forum. Would you like to say a bit about your diagnosis such as what your HbA1C is, are you taking any medication and what dietary regime are you following.
People are very willing to answer any questions and point you in the direction of useful links etc but is does help to know where you are at with managing your condition to make it appropriate.
 
Welcome to the forum @ceelyrd2nd

Hos long have you been living with T2? Do you take any medication? How have things been going?
 
Hi, Sorry for the confusion. I don't have a lot of time to come on here but it is obviously a good place for diabetes sufferers to gain knowledge of their condition.
I was told by my doctor many years ago that I was type 2 borderline, but I had no idea what diabetes even was and was too ignorant to ask. So I kept eating. Some time after that I eventuallly went back to the docs with symptoms and he diagnosed type 2 and sent me to the nurse who told me my feet could drop off!!! I was sixteen stone. I began to diet and lost about four stone. Nobody told me to go for a follow up. Down the line some thirteen years ago I went to my doctors, (after moving to another district), because I was tired all the time. I asked if it was the diabetes, he said "what diabetes?, You don't have it." So I started eating again....Then about six years ago my doctor did bloods and told me my HBA1C was 134 and I needed to diet. I was almost sixteen stone again. I got the weight down gradually but didn't really understand how it all worked and I had a lot of commitments and stress so my own health wasn't a priority. My doctor prescribed Metformin, aloglipta and a statin.
Then recently the nurse did another blood and a different doctor told me I was still 124 HA1BC and 19 on finger prick. He said the finger prick one should be 6.00 He gave me Glicaslide on top off my other meds. and an accu check blood sugar monitor. I had a book by Dr Michael Mosely on 8 week sugar diet recipes. My husband helped me to find sugar free meals and I bought Dr. Moselys book, the eight week sugar free diet.
I have been on the diet for eight weeks now having an average of 1000 calories a day, and my bloods have come down drastically, about 7.00 average. My recent visit to doc, he was very pleased with blood sugar going down but when I asked why the sugar levels were a lot higher in the morning after not eating for ten hours, he mentioned I may need insulin. Don't understand that bit?
 
It certainly sounds as if you have had a confusing journey into your condition.
The short term action with a low calorie regime can work for many people to give them a kick start but understanding the condition so you can then make the transition into a new way of eating that will be compatible with reducing HbA1C and maintaining a sensible blood glucose level. Those levels you were mentioning of over 100mmol/mol are very high so you must have been feeling rubbish so pleased to see they are coming down and that your GP has given you a means of testing.
The reason morning readings often remain higher is your liver is being super helpful and releases glucose to give you energy and for your organs to function until you eat breakfast, it is referred to a Foot on the Floor syndrome or Dawn phenomenon depending to just when it kicks in and that will vary in different people.
Obviously you are on a whole raft of medication which may mean you need to go cautiously with a low carbohydrate regime which may find successful at both losing weight and reducing blood glucose. This link may help you with some understanding of the condition and some menu ideas for moving forward. https://lowcarbfreshwell.com/
 
ceelyrd2nd said:
Hi, Sorry for the confusion. I don't have a lot of time to come on here but it is obviously a good place for diabetes sufferers to gain knowledge of their condition.
I was told by my doctor many years ago that I was type 2 borderline, but I had no idea what diabetes even was and was too ignorant to ask. So I kept eating. Some time after that I eventuallly went back to the docs with symptoms and he diagnosed type 2 and sent me to the nurse who told me my feet could drop off!!! I was sixteen stone. I began to diet and lost about four stone. Nobody told me to go for a follow up. Down the line some thirteen years ago I went to my doctors, (after moving to another district), because I was tired all the time. I asked if it was the diabetes, he said "what diabetes?, You don't have it." So I started eating again....Then about six years ago my doctor did bloods and told me my HBA1C was 134 and I needed to diet. I was almost sixteen stone again. I got the weight down gradually but didn't really understand how it all worked and I had a lot of commitments and stress so my own health wasn't a priority. My doctor prescribed Metformin, aloglipta and a statin.
Then recently the nurse did another blood and a different doctor told me I was still 124 HA1BC and 19 on finger prick. He said the finger prick one should be 6.00 He gave me Glicaslide on top off my other meds. and an accu check blood sugar monitor. I had a book by Dr Michael Mosely on 8 week sugar diet recipes. My husband helped me to find sugar free meals and I bought Dr. Moselys book, the eight week sugar free diet.
I have been on the diet for eight weeks now having an average of 1000 calories a day, and my bloods have come down drastically, about 7.00 average. My recent visit to doc, he was very pleased with blood sugar going down but when I asked why the sugar levels were a lot higher in the morning after not eating for ten hours, he mentioned I may need insulin. Don't understand that bit?
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Well done on getting your average down!

How high are they in the morning? Some people who go on low-carb diets can see elevated fasting levels, but it's not very much.

The reason is thought to be a combination of numerous things: the liver producing too much glucose, heightened insulin resistance and/or lack insulin from the pancreas. (The liver produces glucose when we are not eating, but in many people with T2D it doesn't stop when there's already a suitable amount in the blood and this causes high levels - not helpful when combined the insulin resistance and/or lack of insulin being produced.)

Most of the medication doesn't really help, but I believe research has shown that some 'basal' insulin in the evenings can help to lower morning levels. Maybe this is what your doctor is referring to?
 
Inka said:
How high are your levels in the morning @ceelyrd2nd ?
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Hi, in the morning my levels were about 10 up until 14th November but are now about 8. My before lunch are below 6, 5.4 or even 4.7. Then before tea is 6.1 and before bed is about 6.8. Thank you for your interest.
 
Those
ceelyrd2nd said:
Hi, in the morning my levels were about 10 up until 14th November but are now about 8. My before lunch are below 6, 5.4 or even 4.7. Then before tea is 6.1 and before bed is about 6.8. Thank you for your interest.
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Those all look not too bad at this stage, but it may be worth testing 2 hours after each of your meals as well so you can see how well you are tolerating what you are having by seeing if the increase is less that 2-3mmol/l or no more than 8-8.5mmol/l.
The important thing is to find a dietary regime which is sustainable whilst keeping good levels.
Looks like your combination of meds and hopefully your diet is getting you back on track.
 
Leadinglights said:
Those

Those all look not too bad at this stage, but it may be worth testing 2 hours after each of your meals as well so you can see how well you are tolerating what you are having by seeing if the increase is less that 2-3mmol/l or no more than 8-8.5mmol/l.
The important thing is to find a dietary regime which is sustainable whilst keeping good levels.
Looks like your combination of meds and hopefully your diet is getting you back on track.
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What I would like to know is, because I had such high sugar levels for so long, has it messed up my insulin production to the point I need insulin on prescription? I am not happy having to take the extra glicaslide tablet.
 
What I would like to know is, if your blood sugar levels are so high for so long can it mess up your insulin production permanently. And is it really possible to reverse diabetes?
 
ceelyrd2nd said:
What I would like to know is, because I had such high sugar levels for so long, has it messed up my insulin production to the point I need insulin on prescription? I am not happy having to take the extra glicaslide tablet.
Click to expand...
No one can really say, but it is down to you to get your carbohydrate intake where it is not too much for your body to cope with. The problem is often insulin resistance so the insulin you do produce does not work efficiently so your pancreas overproduces insulin to cope with the excessive carbs you eat which in turn results in insulin resistance.
The whole thing is a balancing act and not straight forward as everybody is different in how their body tolerates carbohydrates.
 
ceelyrd2nd said:
What I would like to know is, if your blood sugar levels are so high for so long can it mess up your insulin production permanently. And is it really possible to reverse diabetes?
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I think the expression is more that some people can put their diabetes if Type 2 in remission rather than reversal. Though there are some theories that it is possible.
 
ceelyrd2nd said:
And is it really possible to reverse diabetes?
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Some T2s have been able to bring their BG levels down to below 48 (diabetes) and in some cases below 42 (pre-diabetes), without medication. This is classed as remission, which in clinical terms means no signs or symptoms. It doesn't happen for everyone, even though they do all the right things.
 
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