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Gromit

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Relationship to Diabetes
Type 2
It's tough. No one believes I have type 2 diabetes either, it's frustrating. "You don't look like you have diabetes", "How can you have diabetes?"... The diagnosis was a real kick in the teeth to be fair. I'm not overweight, never been big on junk food, I'm pretty active (less so now though), never really drank, and never touched drugs. Pretty boring.

I was diagnosed in January. Getting the initial diagnosis was absolute torture. If you're under 40 and look "fit" you're just a hypochondriac looking for attention. I was drinking gallons of water all day and night, constantly going to the toilet, every workout session was an absolute disaster and progressively getting worse. I was so incredibly lethargic all of the time I was losing steam far too quickly. One of my ankles would swell up quite a fair bit randomly too. I knew something was wrong and I had to get quite forceful with the surgery in the end to take it seriously... Well, as serious as a 60 second phone call with a GP counts. At least it got the ball rolling.

Eventually, I got my first HbA1C and it was about the same as yours, 91 or something ridiculous. My diet was heavy in carbs from cereal, potatoes, sweet potatoes, bread, and pasta. I was eating even more of it at that point too to bulk up. I was making it so much worse and washing it all down with apple juice was the icing on the cake.

When I saw the specialist I was encouraged to try and put weight on. Additional tests were done to confirm it was type 2 and not type 1. My second HbA1C was around 40 something and I'm due my third test soon. I did end up putting some weight back on but nothing like as quickly as I lost it.

I was on gliclizide initially and it seemed to work ok. Once it ran out, they couldn't wait to get me on Metformin, which just made me ill and tired. I ended up refusing to take it as a result. Getting them to swap me back to gliclazide was an absolute ordeal of course and I got attitude because I wouldn't take metformin.

The low-carb, high-fat diet does seem to work quite well for me for keeping my levels down. I switched to it asap. Eggs and bacon first meal, soups, dairy, vegetables, (not potatoes), lots of chicken, fish and other meats are also good. It's fairly basic I know and tea with no sugar takes a bit of getting used to as well. Honey isn't a replacement for sugar. I don't know why that's recommended for diabetics.

I avoid anything with too many carbs in it (I still have them in some things, just not in the quantities as I was before). Avoiding sugar alone wasn't enough. Standard greek yogurts (not the vile low-fat variety) are ok and mixed nuts for snacking too are ok, cashews are a bit higher in carbs than mixed but should be fine. Never been a big salad eater, most people tend to blunt salads anyway by smothering them in salad cream and the like.

Recently my mmo/l levels have started being wild but I think that's mainly down to me being less active at the moment and my inability to sleep all that well (this will spike your results too). I've suffered from my inability to sleep for over a decade now. It's particularly bad at this time of year.

I take the gliclazide occasionally to help bring down the levels but sometimes they work and other times they don't, it's only 80mg though and I only take the one. The readings from the monitors aren't constant and bounce around quite wildly. I have several brands of monitors and they'll vary from 8 to 18mmo/l at the same time on the same finger. I'd recommend not relying on one brand of meter as a result so you don't end up getting stressed over bogus readings like I did.

Reducing your carb intake is a good first step I think and then you can start looking at changing your diet in the future to suit your needs. It's miserable right now for sure, it's a big change but it does get easier. You'll have off days, possibly even a week or two. It's like that with anything like this. It just takes time.
 
Welcome to the forum @Gromit 🙂

Sorry to hear you’ve had such a slog with your surgery, glad you’ve found an approach that works for you
 
Welcome to the forum @Gromit 🙂

Sorry to hear you’ve had such a slog with your surgery, glad you’ve found an approach that works for you
Is it worth spinning @Gromit ’s post out to a new thread?
I’m wondering if others could weigh in on whether they’re likely to be T2 or if other tests might be in order?
And that the discussion might get lost.

Not that it’s wrong or anything to run the two threads together but just to make it easier to follow
 
It's tough. No one believes I have type 2 diabetes either, it's frustrating. "You don't look like you have diabetes", "How can you have diabetes?"... The diagnosis was a real kick in the teeth to be fair. I'm not overweight, never been big on junk food, I'm pretty active (less so now though), never really drank, and never touched drugs. Pretty boring.

I was diagnosed in January. Getting the initial diagnosis was absolute torture. If you're under 40 and look "fit" you're just a hypochondriac looking for attention. I was drinking gallons of water all day and night, constantly going to the toilet, every workout session was an absolute disaster and progressively getting worse. I was so incredibly lethargic all of the time I was losing steam far too quickly. One of my ankles would swell up quite a fair bit randomly too. I knew something was wrong and I had to get quite forceful with the surgery in the end to take it seriously... Well, as serious as a 60 second phone call with a GP counts. At least it got the ball rolling.

Eventually, I got my first HbA1C and it was about the same as yours, 91 or something ridiculous. My diet was heavy in carbs from cereal, potatoes, sweet potatoes, bread, and pasta. I was eating even more of it at that point too to bulk up. I was making it so much worse and washing it all down with apple juice was the icing on the cake.

When I saw the specialist I was encouraged to try and put weight on. Additional tests were done to confirm it was type 2 and not type 1. My second HbA1C was around 40 something and I'm due my third test soon. I did end up putting some weight back on but nothing like as quickly as I lost it.

I was on gliclizide initially and it seemed to work ok. Once it ran out, they couldn't wait to get me on Metformin, which just made me ill and tired. I ended up refusing to take it as a result. Getting them to swap me back to gliclazide was an absolute ordeal of course and I got attitude because I wouldn't take metformin.

The low-carb, high-fat diet does seem to work quite well for me for keeping my levels down. I switched to it asap. Eggs and bacon first meal, soups, dairy, vegetables, (not potatoes), lots of chicken, fish and other meats are also good. It's fairly basic I know and tea with no sugar takes a bit of getting used to as well. Honey isn't a replacement for sugar. I don't know why that's recommended for diabetics.

I avoid anything with too many carbs in it (I still have them in some things, just not in the quantities as I was before). Avoiding sugar alone wasn't enough. Standard greek yogurts (not the vile low-fat variety) are ok and mixed nuts for snacking too are ok, cashews are a bit higher in carbs than mixed but should be fine. Never been a big salad eater, most people tend to blunt salads anyway by smothering them in salad cream and the like.

Recently my mmo/l levels have started being wild but I think that's mainly down to me being less active at the moment and my inability to sleep all that well (this will spike your results too). I've suffered from my inability to sleep for over a decade now. It's particularly bad at this time of year.

I take the gliclazide occasionally to help bring down the levels but sometimes they work and other times they don't, it's only 80mg though and I only take the one. The readings from the monitors aren't constant and bounce around quite wildly. I have several brands of monitors and they'll vary from 8 to 18mmo/l at the same time on the same finger. I'd recommend not relying on one brand of meter as a result so you don't end up getting stressed over bogus readings like I did.

Reducing your carb intake is a good first step I think and then you can start looking at changing your diet in the future to suit your needs. It's miserable right now for sure, it's a big change but it does get easier. You'll have off days, possibly even a week or two. It's like that with anything like this. It just takes time.
It’s tough when you’re first diagnosed. I’m not fit any more but it still came as a bit of a shock to me when I was diagnosed.
 
It's tough. No one believes I have type 2 diabetes either, it's frustrating. "You don't look like you have diabetes", "How can you have diabetes?"... The diagnosis was a real kick in the teeth to be fair. I'm not overweight, never been big on junk food, I'm pretty active (less so now though), never really drank, and never touched drugs. Pretty boring.

Were the checks you had for GAD antibodies and cPeptide?

Were the results conclusive or borderline?

The NICE guidance for T1 errs on the side of caution when interpreting results as there is the chance of false negatives.

Most often T1 seems best diagnosed based on the clinical presentation.
 
Thanks, I wasn't expecting this to get made into its own thread. Sorry for that.

I had the GAD test done back in Feb I believe and it came back as clear but I haven't had any other tests like that since.

I had my HbA1C in the summer and it was in the high 40s. I only took gliclazide briefly during that time as they didn't prescribe many. Only had a hypo once and that was when I took metformin and it dropped to around 4mmo/l. Weirdly enough, hypos were something I would get very regularly before this all happened. If I over-exerted myself or the gap between meals was a little too long, I'd get the shakes and cold sweats. I always had to have a Mars bar in the car because of it.

The surgery seemed pretty confident it's type 2 so I'm not sure.

Thanks
 
I thought I'd update this, what a nightmare the NHS is now.

I had another HbA1C done early January which was 60 something. A locum doctor managed to get this all taken more seriously and sent me off for a CT Scan as like some members here, he wasn't convinced this was type 2. He felt it is far more likely I have LADA or something else is behind this.

The results of the CT scan found a white area on my pancreas less than 1cm which had the GP worried and the radiologist couldn't confirm what it was. I have an appointment with a cancer team as more tests seem likely to get to the bottom of what that is.

I requested a second GAD a couple of weeks ago and another HbA1C I believe. I've had to chase up the results for this despite being promised I'd be called last week with them. Unsurprisingly, no call came.

A gone in 60 seconds phone call with a completely different nurse earlier (my diabetic specialist was and is still on holiday again and only does a couple of days now. Unfortunately my locum is gone too) revealed I supposedly have type 2 and the medication I hadn't even started taking when that test was done was clearly working great and everything is wonderful. I don't know any specific details because too busy to answer questions.

I'm dreading the appointment with the cancer team now, I know something isn't right and it's getting worse. I'm repeatedly hitting a brick wall with the NHS and I'm worried it's going to happen again here. I'm definitely getting weaker and I'm struggling to manage a meager 3 minutes on the treadmill now. Last year I could do well over an hour, I got bored before I got tired.

All I'm taking now is dapagliflozin because it's the only thing that drops the sugar levels, but considering my intake of carbs is extremely low, it should already be low. None of the other medication tried so far works.

Not an ideal update.
 
I thought I'd update this, what a nightmare the NHS is now.

I had another HbA1C done early January which was 60 something. A locum doctor managed to get this all taken more seriously and sent me off for a CT Scan as like some members here, he wasn't convinced this was type 2. He felt it is far more likely I have LADA or something else is behind this.

The results of the CT scan found a white area on my pancreas less than 1cm which had the GP worried and the radiologist couldn't confirm what it was. I have an appointment with a cancer team as more tests seem likely to get to the bottom of what that is.

I requested a second GAD a couple of weeks ago and another HbA1C I believe. I've had to chase up the results for this despite being promised I'd be called last week with them. Unsurprisingly, no call came.

A gone in 60 seconds phone call with a completely different nurse earlier (my diabetic specialist was and is still on holiday again and only does a couple of days now. Unfortunately my locum is gone too) revealed I supposedly have type 2 and the medication I hadn't even started taking when that test was done was clearly working great and everything is wonderful. I don't know any specific details because too busy to answer questions.

I'm dreading the appointment with the cancer team now, I know something isn't right and it's getting worse. I'm repeatedly hitting a brick wall with the NHS and I'm worried it's going to happen again here. I'm definitely getting weaker and I'm struggling to manage a meager 3 minutes on the treadmill now. Last year I could do well over an hour, I got bored before I got tired.

All I'm taking now is dapagliflozin because it's the only thing that drops the sugar levels, but considering my intake of carbs is extremely low, it should already be low. None of the other medication tried so far works.

Not an ideal update.
Sorry to hear your not such good news but hopefully something will become clearer soon. The Antibody tests can take a while to come back as there are only a couple of labs that do them, it may even be only the 1 at Exeter so they have a lot of samples to process and then they need specialist interpretation.
It took a friend 2 years to get a proper diagnosis of Type 1 as she was just dismissed as being Type 2 being in her late 70ies but the meds were not working and she was losing weight and muscle strength. As soon as she was on insulin, what a difference.
 
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