Too high

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Simon P

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Relationship to Diabetes
Type 3c
Hi all, does anyone know if theres a way to get my glucose down? Had sugar free whole grain cereal for breakfast 3 hours ago and my finger prick test says 16.6 now. Maybe im worrying too much, is that ok? Thanks Simon.
 
Hi all, does anyone know if theres a way to get my glucose down?
Drinking water (to allow it to be excreted easily), and exercise (so go for a walk).

(I think those are the main ones, with exercise being (I suspect) the more significant. Obviously if you take some kinds of medication (insulin being the obvious one) there are more potential options. For 16.6 I think I'd be happy relying on a brisk walk.)
 
Thanks, I'll do that, although I've not long been back from one, the dog will be happy to go out again.
 
I know you are actually Type 3c from your other post, so eventually, once you get onto insulin you will be able to eat a normal diet and just inject insulin to balance it but at the moment with your levels going so high, you might want to consider cutting your carbs. All breakfast cereals are high in carbs no matter whether they are wholegrain and sugar free. If you look on the box it will give you a value for the total carbohydrate content (in the nutritional information box, usually in small print on the back or side) which will probably be about 60%. All grains are high in carbs and cereal as the name suggests is made from grains. Depending upon the portion size and the milk with your cereal you are probably looking at about 40g carbs.
A lower carb breakfast would be a single medium slice of toast (approx. 15g carbs) with a couple of scrambled eggs and some mushrooms and maybe some ham/bacon or cheese ..... or creamy Greek natural yoghurt with a few berries and mixed seeds/chopped nuts, which is what I usually have..... Or sometimes I have an omelette usually with mushrooms and a few onions and cheese and maybe some peppers or courgette or ham/chicken with a large side salad and a dollop of coleslaw which is very low carb at probably less than 10g carbs... depends how many cherry tomatoes I have with my salad 🙄 and how sweet they are. It is very filling and will usually see me through until my evening meal, so I don't need to bother with lunch.

Hope you manage to walk your levels down a bit more or flush that glucose out by drinking plenty of water. As we have mentioned on your previous thread, you need to be getting more support with your diabetes management.
 
Hi all, does anyone know if theres a way to get my glucose down? Had sugar free whole grain cereal for breakfast 3 hours ago and my finger prick test says 16.6 now. Maybe im worrying too much, is that ok? Thanks Simon.
Your GP practice should have a Diabetes Nurse so I would ask to be referred for advice. Try eating a poached egg on wholemeal toast, bacon, sausage, tomatoes, mushrooms and using sweeteners with your teas and coffees.
 
Thanks folks, im obviously having way too much carbs at breakfast, mainly because im used to being quite active and getting hungry before lunch, i did also go through a period of very low sugars mid morning which was very unpleasant. From what folks are saying, and im sorry im not tech savvy enough to use this properly. From what you're saying it looks like i could change my breakfast and make a difference. So i will give that a go. Thanks.
 
Your GP practice should have a Diabetes Nurse so I would ask to be referred for advice. Try eating a poached egg on wholemeal toast, bacon, sausage, tomatoes, mushrooms and using sweeteners with your teas and coffees.
I have recently seen the diabetes nurse and she was not great, very dismissive of home testing and didn't seem interested in my symptoms.
 
Had sugar free whole grain cereal for breakfast 3 hours ago
Have bacon and eggs next time to stop the blood glucose rise?
All those carb's won't be doing you any favours.
 
i did also go through a period of very low sugars mid morning which was very unpleasant.
How low were your "low sugars"?

Could it be that they were normal and you just aren't used to them..
 
Have bacon and eggs next time to stop the blood glucose rise?
All those carb's won't be doing you any favours.
Yes im just realising that, I've been too focused on sugar and thinking whole grain cereals were ok because they are slow release.
 
I suspect your GP practice has very little experience of Type 3c diabetes and you should be asking for a referral to the hospital clinic. You may not respond to the usual dietary regime that people who are Type 2 will be following and you will most likely be getting that advice as your signature says Type 2 and unless people are on the ball and have seen your other posts they may not realise.
I think it is going to be very much trial and hopefully not too much error and be guided by your monitor until you you are able to talk to someone with more experience of Type 3c.
 
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Yes, it would seem i have a lot to learn, not just about diabetes but how this forum works.
 
How are your levels now? Hope they have come down a bit.
I would also be curious to know what they were before breakfast if you tested then?
 
Oh dear! I am concerned that you don't have a means of testing when your levels are running that high, particularly 3 hours after eating and that first dog walk, which suggests to me that your insulin production is running quite low.
Please do seek medical help if you start to feel unwell.... either 111 or go to A&E. Nausea/vomiting, abdominal pain and/or respiratory difficulty and a fruity/pear drops smelling breath are all symptoms of Diabetic Ketoacidosis (DKA) If you don't have a means of testing for ketones or high BG, then you need to seek medical help if you develop any of those symptoms. It may not be the diabetes causing them, but without a means to test, you have no way of knowing and you cannot afford to ignore them or assume it isn't anything to worry about. DKA is a type of blood poisoning which can lead to coma, organ failure and death if not treated. It is a very serious matter, so please don't ignore possible symptoms if they develop. It is rare but it happens when your pancreas can no longer produce enough insulin and your BG levels go high and your body starts producing ketones.
 
Hi all, does anyone know if theres a way to get my glucose down? Had sugar free whole grain cereal for breakfast 3 hours ago and my finger prick test says 16.6 now. Maybe im worrying too much, is that ok? Thanks Simon.
Just because it says sugar free doesn't mean it's carb free.
You need to look at how many carbs you are eating and obviously reduce it if not on insulin.
 
Yes, it would seem i have a lot to learn, not just about diabetes but how this forum works.
There is a wealth of experience here. One useful feature of the forum postings is the possibility of seeing what type of D a responder has. As @Leadinglights says there can be a tendency for those with T2 to see your narrative through their prism.

There certainly is an opportunity to reduce your carb intake in the short term and take some pressure off yourself at present.

If (once) you get onto an insulin regime you can and should plan on eating what suits you, rather than what keeps your BG down. At first it's easier to keep to standard (repeatable) meals, simply to give yourself the best chance of finding out what your immediate insulin needs are for any one meal at certain times of day. Many of us find our bodies natural resistance to insulin is greater at breakfast time than during the rest of the day. So cereal and milk might need more insulin at breakfast time to counter that resistance, than later in the day. But also, many of us need to prebolus (ie take insulin before eating: I often need 45 mins before b'fast but only 15mins before lunch). Every one of us has different metabolic needs and can respond to certain types of foods differently. D is complicated - T1, 2 or 3c. What works for me won't necessarily work for you. But, by being able to cherry pick other's experiences can give you a better insight into what is happening with you.

In due course your range of meals can be increased, along with experimenting with insulin to carb ratios and prebolus needs. Not necessarily all at the same time!

It is disappointing when GP Surgeries dismiss testing. Its slightly understandable, since NICE broadly do not support the provision of meters and strips for T2s, so GP Surgeries are, to some extent, managing patient expectations and not encouraging home testing. But I don't drive when I can't see through my windscreen and trying to find a workable eating regime needs some means of seeing what is going on. It would be better for some patients to be told the Surgery can't provide a testing capability but if the patient is interested and can afford to self-fund it - how to go about it. Of course, ideally, there should be more flexibility in GPs approving testing for T2s. Alas, I fear, even with that flexibility there will always be GP Surgeries who are out of date and out of touch: its always been like this, they need to be more forward thinking.... APOLOGIES, rant over.
 
Oh dear! I am concerned that you don't have a means of testing when your levels are running that high, particularly 3 hours after eating and that first dog walk, which suggests to me that your insulin production is running quite low.
Please do seek medical help if you start to feel unwell.... either 111 or go to A&E. Nausea/vomiting, abdominal pain and/or respiratory difficulty and a fruity/pear drops smelling breath are all symptoms of Diabetic Ketoacidosis (DKA) If you don't have a means of testing for ketones or high BG, then you need to seek medical help if you develop any of those symptoms. It may not be the diabetes causing them, but without a means to test, you have no way of knowing and you cannot afford to ignore them or assume it isn't anything to worry about. DKA is a type of blood poisoning which can lead to coma, organ failure and death if not treated. It is a very serious matter, so please don't ignore possible symptoms if they develop. It is rare but it happens when your pancreas can no longer produce enough insulin and your BG levels go high and your body starts producing ketones.

Oh dear! I am concerned that you don't have a means of testing when your levels are running that high, particularly 3 hours after eating and that first dog walk, which suggests to me that your insulin production is running quite low.
Please do seek medical help if you start to feel unwell.... either 111 or go to A&E. Nausea/vomiting, abdominal pain and/or respiratory difficulty and a fruity/pear drops smelling breath are all symptoms of Diabetic Ketoacidosis (DKA) If you don't have a means of testing for ketones or high BG, then you need to seek medical help if you develop any of those symptoms. It may not be the diabetes causing them, but without a means to test, you have no way of knowing and you cannot afford to ignore them or assume it isn't anything to worry about. DKA is a type of blood poisoning which can lead to coma, organ failure and death if not treated. It is a very serious matter, so please don't ignore possible symptoms if they develop. It is rare but it happens when your pancreas can no longer produce enough insulin and your BG levels go high and your body starts producing ketones.
Hi, thanks, i know its not ideal but im aware of the ketosis thing. Im fairly sure my pancreas is just giving up altogether which was the prognosis when i had my surgery originally and i think i should be getting better diabetes care, hopefully when we move to Suffolk in a couple of weeks ill be able to get everything sorted, up until then im going to have to do the best i can with diet and home testing. Obviously I've been having too many carbs especially at breakfast, so ill get that sorted , the test strips should arrive tomorrow and ill see how much i can bring things down. Thanks Simon
 
There is a wealth of experience here. One useful feature of the forum postings is the possibility of seeing what type of D a responder has. As @Leadinglights says there can be a tendency for those with T2 to see your narrative through their prism.

There certainly is an opportunity to reduce your carb intake in the short term and take some pressure off yourself at present.

If (once) you get onto an insulin regime you can and should plan on eating what suits you, rather than what keeps your BG down. At first it's easier to keep to standard (repeatable) meals, simply to give yourself the best chance of finding out what your immediate insulin needs are for any one meal at certain times of day. Many of us find our bodies natural resistance to insulin is greater at breakfast time than during the rest of the day. So cereal and milk might need more insulin at breakfast time to counter that resistance, than later in the day. But also, many of us need to prebolus (ie take insulin before eating: I often need 45 mins before b'fast but only 15mins before lunch). Every one of us has different metabolic needs and can respond to certain types of foods differently. D is complicated - T1, 2 or 3c. What works for me won't necessarily work for you. But, by being able to cherry pick other's experiences can give you a better insight into what is happening with you.

In due course your range of meals can be increased, along with experimenting with insulin to carb ratios and prebolus needs. Not necessarily all at the same time!

It is disappointing when GP Surgeries dismiss testing. Its slightly understandable, since NICE broadly do not support the provision of meters and strips for T2s, so GP Surgeries are, to some extent, managing patient expectations and not encouraging home testing. But I don't drive when I can't see through my windscreen and trying to find a workable eating regime needs some means of seeing what is going on. It would be better for some patients to be told the Surgery can't provide a testing capability but if the patient is interested and can afford to self-fund it - how to go about it. Of course, ideally, there should be more flexibility in GPs approving testing for T2s. Alas, I fear, even with that flexibility there will always be GP Surgeries who are out of date and out of touch: its always been like this, they need to be more forward thinking.... APOLOGIES, rant over.
Thanks for that, it is so helpful to speak to folk who are or have had the same experience, i should probably have got on here a year ago when i was first diagnosed! But even convincing the Dr in the first place that i was having syptoms was a bit of a struggle.
 
It might be worth considering the Libre free trial. That will give you 14 days of 24/7 levels rather than just the snapshots of finger pricking.

Free Trial

If you haven't already, start researching GP practices in the new area & see if they have web sites that may give you some idea what level of support they offer diabetics. At the very least you want a specialist nurse. In North Essex there's a specialist service as well independent of surgeries, so it would be worth enquiring if there's something similar.
 
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