Type 2 and ileostomy

[Rose and Percy ileostomy]

I’ve been told today I’m diabetic type 2 and I’m only month 4 post surgery Ileostomy. I’m fast output and very limited diet just carbs so now confused as to what to eat and getting no help.
Any advice I have no weight issue accept im losing weight as not eating .

 

[rebrascora]

I’ve been told today I’m diabetic type 2 and I’m only month 4 post surgery Ileostomy. I’m fast output and very limited diet just carbs so now confused as to what to eat and getting no help.
Any advice I have no weight issue accept im losing weight as not eating .

Hi and welcome.

Sorry to hear that you now have diabetes to contend with on top of your ileostomy. Do you know what your HbA1c result is? This is the blood test used to diagnose diabetes? Have you been on immunotherapy or perhaps steroids which might have caused your diabetes?
As regards managing it, if your HbA1c is quite high, then you would be best asking for insulin, so that you can inject insulin to match the ileostomy diet you need to follow.... I am guessing you need quite quick digesting foods like white bread and white rice and mashed potato etc? If your body is no longer able to produce enough insuin to cover these foods and you need these quick digesting foods because you have lost some of your digestive system, then you need to inject insulin to make up what you are unable to produce in order to get the nutrition you need to survive.
What if anything, have the medical professionals suggested so far to manage your diabetes? Presumably whoever is treating you for diabetes is aware of your ileostomy?

 

[Rose and Percy ileostomy]

Hi beautiful people, I’m Rose and Percy is my Stoma. We are new just 4 months post surgery. Due to surgical Mesh implant erosion damaging bowel etc. I had open surgery after a few years extremely poorly. My output is under 30 mins and I’m struggling with constant Dehydration . Now today I’ve been told I’ve developed Type 2 after phone call results blood tests . Readings are 49 due to see Dr etc next week.
Right now my brain is . I have no idea what to eat. Symptoms are I’m exhausted and my glasses suddenly arnt working . I also got told only last week I had cataracts I’m 63 in august.
Someone shoot me or take me to the VET. ‍♀️

 

[Leadinglights]

Welcome to the forum
It always tricky to juggle multiple issues but luckily your HbA1C at 49mmol/mol is not desperately high, just over the diagnostic threshold of 47mmol/mol so you will likely only need to make some modest changes to your diet.
Reducing sugary foods and carbohydrates will be important but that will need to fit in with your needs with the stoma.
What foods are you currently able to eat?
I would ask to be referred to a dietician but in the meantime you may get some ideas from this link https://lowcarbfreshwell.com/
Symptoms if due to diabetes are not usually apparent unless blood glucose is a lot higher but may be due to vitamin deficiency if you are not absorbing them from foods.
The website of the charity Guts.UK may have information to help you as well.

 

[Leadinglights]

Hi and welcome.

Sorry to hear that you now have diabetes to contend with on top of your ileostomy. Do you know what your HbA1c result is? This is the blood test used to diagnose diabetes? Have you been on immunotherapy or perhaps steroids which might have caused your diabetes?
As regards managing it, if your HbA1c is quite high, then you would be best asking for insulin, so that you can inject insulin to match the ileostomy diet you need to follow.... I am guessing you need quite quick digesting foods like white bread and white rice and mashed potato etc? If your body is no longer able to produce enough insuin to cover these foods and you need these quick digesting foods because you have lost some of your digestive system, then you need to inject insulin to make up what you are unable to produce in order to get the nutrition you need to survive.
What if anything, have the medical professionals suggested so far to manage your diabetes? Presumably whoever is treating you for diabetes is aware of your ileostomy?

@Rose and Percy ileostomy posted another thread and said her HbA1Cwas 49 so not too bad really.

 

[everydayupsanddowns]

Welcome to the forum @Rose and Percy ileostomy (I love that you have given your stoma a name!)

I’ve taken the liberty of merging your posts on that older thread with your ‘newbie’ thread, because the thread you added to was quite a few years old.

Sorry to hear about your diabetes wading in to the party, when you already had a lot on your plate to be dealing with

It’s not at all unusual to feel a bit knocked sideways with a new diagnosis of diabetes. So be kind to yourself, and give yourself time to adjust. Diabetes is a serious condition, but it’s also one that can usually be managed well with a few changes and adaptations - it’s something that you can learn to live well with, and it shouldn’t stop you doing things you enjoy.
High glucose levels can change the shape of eyes, so this should settle over time as your levels come back into range. Don’t get any new glasses until you’ve got into your stride a bit.

One of the biggest questions when trying to get to grips with your diabetes is often ‘what can I eat’ and while there are obvious things like cakes, biscuits, sweets and sugary drinks that you will want to cut out straight away, you might be surprised how much *all* carbohydrate affects your BG levels, including rice, pasta, potatoes, bread, pastry, grains, cereals and many fruits.

That doesn’t mean you have to avoid all those things entirely, but getting portion sizes right, choosing the sources of carbs and how they are prepared, plus adapting any dietary approach to be ‘stoma-friendly’ will be important considerations.