Newbie from Hampshire

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JustJules

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Hello!
I’m a new member here although I have been lurking for a while. I’m based on the south coast in Hampshire.

I was diagnosed with type 2 diabetes in Nov 2022 after having an NHS 60yo health check. I knew I had not been feeling well and had various symptoms but didn’t know I was T2D. Quite shocked actually. No idea.

In Nov 2022, my HbA1c test result came back as 127 mmol/mol.
The doctor immediately contacted me and issued a monitor for measuring blood glucose mornings and evenings. I was measuring 26.7 mmol/L.
He said I should be aiming for 5-7 mmol/L in the mornings and 7-11 mmol/L in the evenings.
He prescribed 2 x Metformin 500mg and 2 x Gliclazide 500mg, both to take twice a day, with breakfast and evening meal. He did warn me the Gliclazide would likely increase my weight so not to worry too much if I put weight on.
He told me to read Moseleys book and to follow a low carb diet and cut out sugary sweets and crisps. I have been doing this.

In March 2023, my HbA1c test result came back as 55 mmol/mol.
This I feel is going in the right direction but still needs improvement to get to between 48-53 mmol/mol.
My morning readings are usually about 9 mmol/L but I have got them as low as 4.8 mmol/L later in the day. I haven’t managed to go below 4.8 mmol/L.
On the lower readings between 5-6 I feel shaky and not quite right.

I do feel a lot better and some of my symptoms disappeared overnight but to be truthful, I don’t really understand what I’m doing or about how to get into remission. I would like to stop taking the medications and manage it by diet alone.

I kinda understand the whole cell fat bucket scenario and visceral fat around the liver/pancreas has to go first before the blood glucose in the blood can start getting in the cells but it’s still a bit confusing how to actually tell my body to take and reduce the visceral fat.

I’ve reduced the HbA1c and the blood sugar by eating high protein, good veggies and low carbs and walking for 30 mins each day. Some mornings the monitor shows I’m in the 5-7 range but some days it’s as high as 11 but it is much better than the original 26.7 reading.
My weight has not increased but it’s also not reduced much. I’ve lost about half a stone so my BMI hasn’t really changed.

Anyway, I have rambled on enough. It is nice to meet you and I value any tips or information you can share to help me with my T2D journey ☺️

Jules
 
Hi Jules and welcome to the forum.
Don't be concerned about having never seen a BG finger prick test of below 4.8 mmol -neither have I and I have been in T2D remission for over 2 yrs achieved without medication or additional exercise - primarily through very Low Car and only eating when hungry, which effectively means skipping breakfast in my case( it has been that way ever since my body accepted that I didn't need carbs to fuel me and I became 'fat adapted').
It's any BG peaks of over 8.0 (usually around 2hrs after a meal) that you need to concentrate on. You need to test before and then 2hrs after first bite and aim to limit the difference to no more than 2.0 mmol. If you eat a meal and find the 2hrs after first bite BG reading is say 3.0 mmol then you ate more carbs (or the wrong carbs) than your body can deal with.

Very few doctors understand how to put Type 2 in remission. It's quite simple by controlling our BG by testing which foods work best for us - we are different and so you can never tell exactly how much of which food s are OK without testing them!
 
Hi Jules! Welcome to the forum. I'm so glad to hear that you are feeling better and that you're making progress with your HbA1c readings, exercise and diet, sounds like your efforts are paying off. As said above, we are all different and our bodies react differently to different things! I'm sure you will continue to find things that work for you, but the forum is a great place to find inspiration from other people's experiences. You could also have a look at the learning zone which has some really great resources on diet (you can find it at the top of the page, it's an orange tab).
 
Welcome to the forum @JustJules

Congratulations on your great progress so far. Getting down into the 50s from the 100s is great work - and will have helped massively. Onward and downward!
 
Hi @JustJules you have done really well to get your HbA1c down so much! The shaky feeling between 5-6mmol/l may be what are called "false hypos" because your body had got used to your blood glucose being so much higher. If so, you should find that you stop getting that feeling with time as your body gets used to more normal levels of blood glucose again.

Hopefully if you maintain your changed diet you will find that your HbA1c does go that little bit further down to under 48. You could then discuss with your GP whether to continue all the medication or not.

Do you drive? If so, then because glicazide can cause (true) hypos, you should be testing before driving to make sure that it is above 5 (or if between 4-5 that you eat some carbs then can drive). Especially now that your numbers are improving so there is probably a higher chance of it starting to dip down.
 
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