Type 2 - Tablets or Not???

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sankey46

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Relationship to Diabetes
Type 1.5 LADA
Hi
I am recently diagnosed as type 2, told to control with diet, sugars are 7 in the morning and up to 14 after meals.
There is so much conflicting information out there, can anyone offer any pearls of wisdom???
Not to sure if i am being fobbed of by the doctor or not!
 
your post prandial readings sound too high, what changes have you made to your diet? have you seen a dietician?
If you can control your diabetes without medication then thats great, but if you can't then it's not a failure of you type 2 diabetes is generally progressive
 
your post prandial readings sound too high, what changes have you made to your diet? have you seen a dietician?
If you can control your diabetes without medication then thats great, but if you can't then it's not a failure of you type 2 diabetes is generally progressive

I wholeheartedly agree. I think medics try to control with diet first and only if things are not controlled start you on oral medication.
 
Hi
Thanks to all for responding,
I have seen a dietician and informed that diet is pretty good so have had minimal changes to my diet.
I dont particularly want to take tablets, but should i push for them?
once again thanks to all
 
Your levels were very similar to mine when I was put on metformin, (which gave me stomach pains you don't want to know about!) then Gliclazide. Strangely the morning levels and after eating levels have stayed more or less the same but my HBA1c levels have dropped quite a bit. So somethings happening !.
One thing I have learned over the last year is patience, Try the diet changes and a bit more exercise and see how it goes, cos it will take time to sort out !.
 
Hi
Thanks to all for responding,
I have seen a dietician and informed that diet is pretty good so have had minimal changes to my diet.
I dont particularly want to take tablets, but should i push for them?
once again thanks to all

tablets is entirely up to you. Maybe you can try adjusting the diet a bit more and see what you can do there.

are your meals based around lots of starchy carbohydrates?
 
I read an excellant book called the first year of Type 2 diabetes by a Gretchen Becker, when I was first diagnosed.
I have been on diet and Exercise for nearly 4 years.
 
Hello

I was started on Meformin 4 weeks after diagnosis in April 08. 1 a day building up to 4 a day. I got my blood sugars to 4 in the moring and about 7 in the evenings, my HbA1c went down to 5.5 from 8.3 . Then I started not sleeping very well, having nightmares so my GP suggested to reduce medication to 3 a day. Unfortunately after visiting my specialist last week he has asked me to up my medication back to 4 a day as my bloods went to 6 in the morning and my hbA1C rose to 5.7 (not much).

I think personally I would rather take extra medication and have very goods bloods. I have a very good diet and execise 3 times a week. I just keep thinking to myself there is no way I want to end up with any of the other complications you can get can get with diabetes.
 
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One thing to look at would be the kinds of food yyou are eating and what each food does to your BGs.

Personally I find bread and cereals (of any kind) will just go straight into my blodstream as glucose. Some people find that, for example, wholemeal bread will raise their BG less than white bread.

Sometimes what the dieticians tell you just wont work for you. Test lots and work out what works for you.
 
Hi
I am recently diagnosed as type 2, told to control with diet, sugars are 7 in the morning and up to 14 after meals.
There is so much conflicting information out there, can anyone offer any pearls of wisdom???
Not to sure if i am being fobbed of by the doctor or not!

Something you might look into is getting a book about the Glycaemic Factor. This is similar to those Glycaemic Index books, but goes a stage further. Basically, the idea is that certain foods will release their energy slowly into the bloodstream so that you don't get that big 'hit' that you'd get with simple sugars, and also takes into account the fact that foods are eaten in combination.

I try to do this, and my results do tend to be OK on the whole.
 
Hi
Many thanks again for all the responses, i cant believe what a helpful bunch of people you all are.
I had a scheduled visit to the doc yesteray and naturally discussed my levels, i am now prescribed metformin.
I would like to say what an informative site, definately on for me to keep visiting.
Thanks again for all your help
 
medication

Hi everyone, medication is something else, can I say that in my 11 years of experience the only person I take notice of with regard to changes in diabetic medication is the consultant I see at the hospital, it is no good speaking to your GP because most have not the slightest idea about the condition other than the basic requirement (and why should they ?), most GP's surgery's have a diabetic nurse but it is difficult for her to deal with anything other than standard cases, in my case on seeing a different GP within the practice he reduced my medication much to the annoyance of my Consultant, he said there can only be one captain of the ship and it has to be him, and so I am only allowed to see my proper GP, which keeps things running fairly well.
The other major problem is depression, GP's seem to have an ad version to diabetic depression, but a lot of the time it is the GP's practice that is to blame, they talk about assisting you along the road and say support is available but when you leave the surgery it is sad to say but you are often forgotten, lack of Hba1c tests, blood pressure and other related important tests are missed, in many cases patients have to remind surgery's that they are due a yearly check, Primary Care Trusts do not carryout retnotherapy tests unless pushed, my local one has only managed 63% of diabetic patients that they have, the cost to the health service is I believe ?10 million per day, thats just all they know about but we well know that many more people with diabetes are unfortunately un diagnosed, this a problem that the Health Authorities will and have to deal with, it is no good saying that the condition can be always self managed but it can't, it needs education and support to attain a good blood glucose level and to be able to live life to the full, now I will get off my soap box and I am off to bed.
 
You are not being fobbed off by your doctor, he/she believes that you should delay medications for as long as possible. The bad news: medications will be inevitable, especially if you eat plenty of carbs. The good news: you can delay the inevitable if you lower your carb intake. (how can you have high post-prandial blood sugar if you don't eat carbs?). Please be aware that my opinion is not to be taken as medical advice. You should talk to a professional who knows about this approach if you want to take this further
 
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