Type2 Diabetic

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JOHN D

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Type 2
🙂i Am New To This Site And Was Wondering Could Any One Tell Me What Is The Reading Of Your Blood Sugar Levels Two Hrs After Eating A Meal? You See I Am On Gliclazide Tablets Two A Day But They Are Effecting My Liver And They Want Me Two Go Onto Insulan, But I Have Refused To Do So So I Am Going To Try And Eat A Low Gi Diet And Excersise, I Have Started This Week And Have Stopped Taking My Medication, And To Begin With My Blood Sugars Were All Over The Place But They Seem To Have Settled Down The Last Two Days can Any One Tell Me What Level That The Gi Level Should Be 2hrs After Food Please? Thanks I Await Your Reply. Have A Good Day.🙂
 
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Hi John. Welcome. 🙂

I sounds like risky strategy you're taking but It's obviously your choice to do so.

As a type 1, I would aim for blood sugars below about 7 or 8mmols/l, from a pre-meal level of about 5 or so.

Why did you choose not to go onto insulin ?

Rob 🙂
 
Hi John, welcome to the forum 🙂 A great deal will depend on what you have eaten as to what your levels might be. However the following page shows what they ideally should be:

http://www.diabetes.org.uk/Guide-to-diabetes/Monitoring/Blood_glucose/Blood_glucose_targets/

Does your doctor know that you have stopped your medication? You need to be aware that, if your natural insulin supply from your pancreas is failing, there is no alternative to injecting it as it is needed not only for the digestion of food, but also to help use the glucose that is constantly released by your liver (it does this in order to keep things like heart and lungs etc, working in between meals). Is there any particular reason you are averse to insulin? Would it affect your employment, perhaps? If your body needs insulin, you shouldn't feel you have failed in any way - it's just how things sometimes happen, in the same way that you might need glasses if your eyesight is failing.

Please feel free to ask any questions you may have! Have a look at the 'Useful Links' at the head of this section

http://www.diabetessupport.co.uk/boards/showthread.php?t=10406

I look forward to hearing more from you 🙂
 
Hi Mate Thanks For Replying I Have Read Abit About The Insulin Dependancyand It Was Saying That You Can Have Hypo Attacks With This And I Dont Fancy Going Through That Expereince, Thanks Once Again For Replying, By The Way You Said It Was Abit Risky But Even When I Was On The Two Tablets A Day My Fasting Was Showing As 8mmols And I Took It This Morning And It Showed 8.4mmols So There Wasnt Much Differents In Taking The Tablets And As I Have Said They Have Told Me That The Tablets Are Starting To Effect My Liver. Thanks For Replying Mate Anyway, I Will Keep You Posted How My Low Gi Diet And Weight Loss Is Going And What My Blood Sugar Eventually Drops To Thanks Have A Good Day.
 
If you are having liver problems with the tablets, it may be that you'll be putting strain on your liver without them. The pancreas and liver are very closely linked and, as Northerner says, you need to be sure you have enough insulin in your system whatever diet you're on. This can only be made certain with blood tests from your doctor.

I would also urge you to work with your doctors than against them. Insulin has kept me alive for 33 years and hypos are not a great problem for me. As a type 2 you are far less likely to have them due to increased insulin resistance.
Again, don't be put off insulin by the fear of hypos. You may never have one and you only have on liver.

Rob
 
John, I would echo what Rob says - don't be put off insulin by a fear of hypos. As a Type 2 who is clearly still producing insulin, but insufficient for your needs, you would most likely be put on a once a day, slow acting insulin. Hypos on such a regime are far less common than when you are on a fast-acting insulin as well. As a Type 1 I am on both slow and fast and I have had over 300 hypos since I was diagnosed a couple of years ago. Whilst this may sound extremely scary, in actual fact it is nothing more than an inconvenience and can be quickly treated. Essentially, most of thos hypos were actually around the range that a non-diabetic would call 'low', around 3.5 mmol/l.

There may be alternatives to insulin, such as byetta or victoza, or some alternatives to gliclazide that act in a similar way, so please discuss these possibilities with your doctor if you find your levels deteriorating.
 
Robster65 said:
If you are having liver problems with the tablets, it may be that you'll be putting strain on your liver without them. The pancreas and liver are very closely linked and, as Northerner says, you need to be sure you have enough insulin in your system whatever diet you're on. This can only be made certain with blood tests from your doctor.

I would also urge you to work with your doctors than against them. Insulin has kept me alive for 33 years and hypos are not a great problem for me. As a type 2 you are far less likely to have them due to increased insulin resistance.
Again, don't be put off insulin by the fear of hypos. You may never have one and you only have on liver.

Rob
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HI MATE I HAVE CHECKED MY GI LEVEL THIS MORNING BEFORE I ATE AND I HAVE BEEN REALLY GOOD FORTHE FULL WEEK AFTER CHRISTMAS, DIETING AND EXERCISING AND AS I HAVE SAID I WAS 8.4 OR 8.6MMOLS BEFORE FOOD THIS MORNING I HAVE JUST CHECKED IT NOW AFTER HAVING A BOWL OF SPECIAL K AND A CUP OF TEA THIS MORNING AND IT HAS DROPPED TO 7.1MMOLS SO I AM MADE UP WITH MYSELF AS I HAVE REALLY BEEN VERY STRICT THIS WWEK IT HAS BEEN VERY HARD BUT I WILL KEEP YOU POSTED HOW I GET ON THROUGH THE WEEKS AHEAD, WOULD YOU MIND ME ASKING WHAT IS THE BEST DRINKS TO HAVE THROUGH THE DAY BESIDES WATER? AS I AM GETTING FED UP WITH WATER AND RESTRICTING MYSELF TO 4 CUPS OF TEA A DAY. THANKS ONCE AGAIN HAVE A GOOD DAY.
 
Hi again John.

Those BG levels don't sound too bad on the face of it but you don't know what might be happening with your liver. Did your doctor say why you would need insulin rather than any other form of treatment ?

There could be many reasons why he suggested it.

As for drinks, I tend to stick to tea, some coffee and sugar-free pop or squash. You can find a few sugar-free or very low sugar drinks by reading the labels in the shops and experiment to find something you like.

Rob
 
Robster65 said:
Hi again John.

Those BG levels don't sound too bad on the face of it but you don't know what might be happening with your liver. Did your doctor say why you would need insulin rather than any other form of treatment ?

There could be many reasons why he suggested it.

As for drinks, I tend to stick to tea, some coffee and sugar-free pop or squash. You can find a few sugar-free or very low sugar drinks by reading the labels in the shops and experiment to find something you like.

Rob
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HI ROB THANKS FOR THAT, YES THEY SAID THAT MY LIVER ENZYMES ARE GOING UP AND THEY SAID IT IS PROBALBLY TO DO WITH THE TABLETS I AM ON BUT I GO FOR A LIVER BLOOD TEST AT THE END OFTHIS MONTH SO IT WILL BE INTERESTING TO SEE IF HAS GONE ANY WORSE BETTER OR STAYED THE SAME WITHOUT THE TABLETS, THANKS FOR THE INFORMATION ON THE DRINKS, I WAS THINKING OF GIVING THE CRANBERRY JUICE A GO TO DETOX THE BODY SO I WILL LET YOU KNOW HOW I GET ON ON A FEW WEEKS TAKE CARE MATE HAVE A GOOD WEEK JOHN D.
 
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Welcome to the forum John. I was diagnosed as Type 2 ten years ago and have been on Gliclazide and Metformin ever since and I have never had a hypo. I know my levels go rather low sometimes but I always feel them (I get a bit shaky and irritable) but a sugary drink and something to eat soon gets me back to normal. I did have a liver enzyme problem but that was due to taking statins and that was changed for something else. Hope you get some good results from your tests.
 
Be careful of fruit juices. Although they may not contain added sugar, they can still be high in the fuit sugars and can cause a 'spike' in blood glucose. Best to have a read on here and see what other type 2s recommend.

I'm pleased you're still getting a liver enzyme test. It's always very tempting to steer away from the doctors' advice and hide the head in the sand, but it sounds like you're giving them a chance. If you do need to go onto insulin, there's lots of us about to help you adjust to it, or to any other regime you may end up on.

Good luck with it and don't let the scare stories put you off.

Rob
 
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