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Theory and some questions

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

Slippylizard

Member
Relationship to Diabetes
Type 2
I have a rather long question to ask and would value other’s opinions on it. Apologies for the length however I have taken so much information from this forum I value its reaction.

9 weeks ago I was DX with a Hba1c of 94. (FBG of 14.1) Bit scary, came out the blue during a pre op. Op didn’t happen however the treatment had involved me taking steroids for 2 of the three months previously and stopping 3 weeks before the DX. No one looked at this or mentioned it at the time. I’d spent time in hospital last summer for something unrelated and no issues were identified then. I remember them checking my blood sugars a couple of times.

My reaction was the usual complete shock however I felt I needed to understand it a lot better and this forum is where I came. The advice seemed second to none.

So I decided to test and quite a lot, maybe 6-10 times a day until I could see and understand patterns. The first one that came out was that within 4 days I had no more waking up above 7. In fact since then I’ve not had a reading anywhere near that, for the last 6 weeks the average has been 5.3, in the last 3 average has been 5. I have also measured before and after meals. For the last 6 weeks my average post breakfast reading is 6.1, for lunch 5.3 and for tea 5.2. At night it drops to around 4.7 to 5 ish. I have peanut butter before bed. I have checked it in the middle of the night a couple of times and it’s never been below 4.5. I have had a couple of 4’s after exercise but now eat before I exercise not after. I felt absolutely fine, I deliberately left it once and within 20 mins was back to 4.4 having done nothing.Everything is on a spreadsheet. 🙄

I walk at least 10,000 steps a day and have also increased my exercise by doing at least 30 mins in the gym or 50 lengths in the pool every day, doing more at the weekend. Given what I am eating, low carbs but loads of vegs and salads I have also lost nearly 2 stone, very deliberately. Still just in the BMI obese range but nearly “just” overweight. Before my diet especially leading up to DX was horrendous & I think that may well have contributed. I feel in really good health but had no symptoms previously. Although I do seem to feel the cold slightly more. I have eaten chips twice, don’t eat bread now and not had any rice/potatoes or pasta. Cauliflower has been a real saviour. I actually eat really well. One friend said “so you now eat a healthy diet”. But I learnt most of it from here.

So 9 weeks ago Nurse wanted to put me on Metformin and I said no. I wanted to try my own route first of all, however she said come back in 8 weeks and expect to go on it. I’m going back to have bloods taken in 3 weeks (12 weeks since first time) and I’m not sure if the “residue” from the first time will still be in there? I believe it is weighted slightly more to the last 6-8 weeks or so, is this right? The other major point I have though is I started reading about the side effects of steroids on blood sugar levels and it can be quite a lot, especially the steroid I was on. I’d been taking it for 2 months. I don’t think the nurse or anyone else has taken this into account as my numbers came down so quickly. (I’ve not been over once since 4 days after DX). I was also absolutely hyper over my “procedure” that didn’t happen eventually. Steroids & major stress I feel contributed to a fairly big change is BG levels.

I’m not claiming to be non-diabetic but I do think the initial numbers were inflated by circumstances and medicines. Any thoughts on the above and where my Hab1c may land? I’ve decided to go and see my Dr before I go back to the nurse on a couple of points one being my current levels, progress and the desire not to go on medication. Sorry for the length and thank you for all your help. 🙂
 
Hi. Your levels seem fantastically good to me, I’m sooo jealous :D:D:D.
I know steroids can raise your BG levels as can stress and illness.
As for the nurse saying come back in 8 weeks and expect to be on medication, well , it looks like she’s is way wrong, remember they don’t know everything and she’s probably used to giving out the standard nhs dietary advice which is too carb heavy for us to do any good and also people not doing much to help themselves.
She can’t force you to go on meds and to be honest with lovely number like that I don’t think you need them.

To be honest I’m hoping that you will soon have some wonderful news, but as I’m no medic and I don’t want to tempt fate . . . . .
 
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Hi slippylizard
Sounds like you’ve done a great job. I really hope you have a good hba1c which shows all the hard work you’ve done. I tend to find my hba1c is very close to my meter average calculation, but there are so many factors that contribute it can be really hard to tell. I’d suspect you’ll see a drop, but the key thing is not to be disheartened if you don’t, and prepare yourself for what course of action you want to take if the drop isn’t as much as you would like. It can take a long time for a hba1c to drop, depending on how quickly your body turns over red blood cells, so it isn’t always as quick to respond as we’d like. Since it’s an average over 12 weeks it can be a little behind your progress. Your progress sounds amazing and you should be proud of everything you’ve done so far and I’ve got my fingers crossed for a hba1c stunner, let us know how you go on 🙂
 
Hi slippylizard

I think what’s happened here is that your course of steroids turned a pre-diabetic into a proper T2, but what you are doing for yourself is returning to your pre-steroid self and starting to very successfully sort yourself out. Great work, well done🙂

There is absolutely no point to you starting Metformin. It’s main function is to improve cell uptake of insulin in cases of insulin resistance. Some folk will tell you it’s main function is to keep Andrex in business. You don’t need it because exercise will do the same job. Keep up the good work.🙂
 
Well - you are an ample demonstration of the effect that steroids and stress have on the BG - and also of course how being overweight affects the functioning of the human body!

ie you absolutely are - a perfectly normal human being! LOL

HbA1c - the 4 weeks prior to the blood being taken have the highest influence on the result, the previous 4 weeks to that less, and the last 4 weeks, the least effect. Hence - I wouldn't be surprised if your result wasn't very close to 'normal' if not completely. However - stray back to your 'old' ways for any length of time and you could be struggling again cos it takes your insides a long time to completely recover from trauma, and yours has had a triple whammy. (overweight, steroids and stress)

No medic worth his salt would be hell bent to get you onto drugs - unless he's a complete idiot - and I most likely know nobody at your surgery so don't have an opinion on that!
 
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