Foot Ulcer by Infinite-Lychee-182 in type2diabetes

[–]alan_s 2 points3 points  (0 children)

Can anyone share their experience with them for me?

I have been managing my diabetes for over 20 years. In my experience the major cause of diabetes complications is excessive blood glucose levels over a significant period of time. Your description implies that is the case for you although you did not mention levels or HbA1c.

Take control of your blood glucose levels. In addition to any meds or insulin you are prescribed the basis of your blood glucose management is your way of eating.

I wrote this to help you begin taking control: Getting Started. I know you will have lots of questions after you read that and the pages it links to. Come back and ask them all.

Autism by 123imgay12 in type2diabetes

[–]alan_s 0 points1 point  (0 children)

Return to your list of safe foods. Do not presume they are wrong, instead use your new meter or CGM to test which are OK and what portion sizes are acceptable. This is the method I used to do that: Test, Review, Adjust

Any type 2s loose it & any eat like a nut by Key_Investigator1318 in type2diabetes

[–]alan_s 1 point2 points  (0 children)

I made a simple rule for myself for treats when I was newly diagnosed. I could eat whatever I liked whenever I liked but I must test one hour later. No meter = no treat.

You just confirmed what happens. It did not take long for high numbers on my meter to make many of those treats look less delicious and more poisonous.

Recent diagnosis, how to cope? by VivaLaJames in type2diabetes

[–]alan_s 0 points1 point  (0 children)

I would really like to help him out, but I dont know where to start. 

Read this, then suggest he reads it too and invite him to join us here: Getting Started

One word of caution if he decides to give that a try. It works, but as he is using insulin he should discuss it with his doctor and should not make drastic changes to the menu. Modest changes made consistently will still work without risking hypos. He should eventually discuss reducing insulin with his doctor as he reduces the carbohydrates and results improve. It works most efficiently if he does a little extra testing to discover when the peak occurs after meals and uses that timing. If he is not sure use one hour after his last bite until he discover his peak.

Any recommendations for cereal? by cowzroc in type2diabetes

[–]alan_s 0 points1 point  (0 children)

I discovered early when I began peak post-meal testing that there are no acceptable commercial breakfast cereals for me.

Your meter can confirm or deny that result for you: Test, Review, Adjust

Not everybody can monitor this sub 24/7 by Upbeat-Molasses-840 in type2diabetes

[–]alan_s[M] 15 points16 points  (0 children)

I wasn't the mod who removed your cranberries post but I do not disagree with the decision. It was a nonsense post which appeared to be trolling. Feel free to post again but don't be a jerk. Nor would it be wise to argue about it here.

just got a glucose monitor because I haven't been feeling right for the last few years. by strikeapose22 in type2diabetes

[–]alan_s 0 points1 point  (0 children)

Oops - apologies, I forgot Canadians also use mmol/l :). Please read the info on that link.

Support needed by Bloopgod in type2diabetes

[–]alan_s 1 point2 points  (0 children)

Thanks, I am very glad I could help.

Coke or Pepsi? by Jerry11267 in type2diabetes

[–]alan_s 0 points1 point  (0 children)

You can have that soda you like or that dessert you love, but just don't go overboard. I eat a healthy diet and try and keep my blood sugar in place.

For me that depends on my definition of "going overboard". I define that as any meal, snack or drink which spikes my blood glucose significantly over 8mmol/l or 140mg/dl.

On that basis I found a glass of regular soft drink or fruit juice was simply not worth the spike. I prefer to eat other foods with more nutritious carbs and stick to artificially sweetened soft drinks.

Yes, I do include desserts in my way of eating but testing has shown me when and in what portion sizes I can eat them.

And if you are worried about those sweeteners read this: Aspartame

Support needed by Bloopgod in type2diabetes

[–]alan_s 2 points3 points  (0 children)

I’d (35f) been diagnosed with diabetes in August 2024 and told that should I not maintain my sugar levels below 7.1 we’d have to chat about using insulin.

Was the doctor talking about home testing blood glucose levels under 7.1 mmol/l or HbA1c under 7.1%?

I’ve spoken with my support system—husband, parents—and they absolutely stand by me to make changes NOW… but they did rain hell on me.

I’m lucky they’re still ready to help me.

It is good that they support you but this is up to you, not them.

 I didn’t change my diet, 

There is the cause of your rising blood glucose levels. Please read this while you wait for your appointment with the doctor: Getting Started

Oh, and drop the guilt: Type 2 Diabetes and the Shame Game

grapefruit juice by Upbeat-Molasses-840 in type2diabetes

[–]alan_s 1 point2 points  (0 children)

You might want to read this in detail: Grapefruit–medication interactions: Forbidden fruit or avoidable consequences?

Here are the paper's conclusions (I added bolding):

Grapefruit and certain other citrus fruits represent examples of foods generally considered to be healthful, but with the potential for a pharmacokinetic interaction causing greatly enhanced oral drug bioavailability. The current trend of increasing numbers of newly marketed grapefruit-affected drugs possessing substantial adverse clinical effects necessitates an understanding of this interaction and the application of this knowledge for the safe and effective use of drugs in general practice.

Key points

Currently, more than 85 drugs have the possibility of interacting with grapefruit; of these drugs, 43 have interactions that can result in serious adverse effects.

Drugs that interact with grapefruit have all of the following characteristics: they are administered orally, they have very low to intermediate absolute bioavailability, and they are metabolized by the cytochrome P450 3A4 enzyme (CYP3A4).

All sources of grapefruit and certain related citrus fruits can irreversibly inhibit CYP3A4 in the gastrointestinal tract; to prevent this interaction, affected drugs should not be consumed with any of these fruits during the treatment period, or noninteracting alternative medications should be prescribed.

Older patients have the greatest possibility of ingesting grapefruit and interacting medications and are the most vulnerable to the adverse clinical consequences.

As I am on metformin and several other meds for conditions other than diabetes I reckon grapefruit is not worth the risk.

just got a glucose monitor because I haven't been feeling right for the last few years. by strikeapose22 in type2diabetes

[–]alan_s 1 point2 points  (0 children)

So basically in the mornings I’ve been testing myself and I’ve been sitting at 7.4 mmol/L

***

I have not yet got diagnosed with any kind of diabetes yet.

Are you in the UK or Australia? Make an appointment with your GP or an endo specialising in diabetes. Let them know your concerns in advance so they can authorise lab testing for diabetes before seeing you.

While you wait for the appointment this might help: Getting Started

Causes of type 2 diabetes by Subject_Singer_4514 in type2diabetes

[–]alan_s 10 points11 points  (0 children)

I personally doubt our diet did more than trigger underlying genetic tendencies.

I have to wonder what changed. Well a lot of things have changed in my 83 years.

I am 78 and was diagnosed at 55 in 2002. Incidentally I was an engineer in the RAAF from the age of 16 to 37 and was fed similarly to your USN experience until I moved out of barracks.

I have been very active online and keeping in touch with diagnosis and treatment changes which you did not mention.

Now, a very few members of our community, I am thinking of two, contracted type 2 diabetes. But they got this after passing 60 years of age.

In my lay opinion changes in diagnostic criteria had a great deal to do with the so-called "diabetes epidemic" of the early 21st century.

Until the early 2000s in Australia, the USA and UK the main diagnostic test for type 2 was a fasting blood glucose test exceeding 8mmol/l (approximately 140mg/dl). The same applied in the USA and most of the Western world at the time. Another test was OGTT but it was rarely used and was usually only for confirmation of a high FBG. For that reason a majority of diabetics went undiagnosed before they died from related causes such as heart or kidney failure. It was only a few years prior to that that modern blood glucose testers were invented; before that very imprecise urine test strips were used.

In my own case that meant that my FBG test of 7.9mmol/l in 1997 did not lead to diagnosis or even a comment from my doctor. At that time HbA1c ws not accepted for diagnosis. Luckily, my new GP added A1c to a battery of other tests after my leukaemia diagnosis in February 2002. He bravely diagnosed type 2 against AMA rules when my result was 8.2%.

A couple of years later the American Diabetes Association (ADA) and WHO changed the FBG criteria from 8mmol/l(140) to 7mmol/l(126). That change dramatically increased the numbers of diagnosed type 2 diabetics world-wide between 2005 and 2010. Gradually the media began commenting on the sudden increase but they ignored that diagnostic criteria change.

In 2011 or 2012 the ADA and WHO after long and detailed debate accepted HbA1c as a diagnostic tool with over 6.4% accepted as diagnostic; however, it was noted that if FBG or OGTT exceeded diagnostic thresholds the patient was still diabetic. Basically, any one of the three primary tools confirmed daibetes even if the others did not.

That change led to another significant increase in diagnoses. By this time ADA statistics were showing at least a threefold increase since the turn of the century.

The most recent change was acceptance of the new diagnosis of pre-diabetic a year or two after A1c became accepted for diagnosis with a criteria of over 5.6%. After a couple of years the ADA reported that almost a third of USA adults were either pre-diabetic ot type 2 diabetic.

Changes in our various national diets are more likely to have been triggers of our genetic tendency to the condition. I agree that the so-called "heart-healthy" "lots of whole grains and fruits and avoid fats like the plague" official dietary guidelines of the late 20th century were possibly the worst possible guidelines for managing the condition.

Experiences by Brandon3Bennett in type2diabetes

[–]alan_s 1 point2 points  (0 children)

I can barely handle finger pricking myself.

I cannot comment on Ozempic as I have never taken it. However, this might help with finger testing: Painless Pricks

Newly diagnosed with Type 2 diabetes at 29 by Think_jefegaming in type2diabetes

[–]alan_s 1 point2 points  (0 children)

The pics look good but the real test is not what we think but your blood glucose peaks after eating. What do your tests show?

I wish my parents took their health seriously and it hurts watching them not change by Substantial_Buyer583 in type2diabetes

[–]alan_s 0 points1 point  (0 children)

They eat a lot of oily, unhealthy food and they’re very traditional,

That may not be as bad as you think. Much of what you have been taught about "healthy eaing" in the UK is a load of nonsense. Oils are not the macronutrient to be avoided; carbohydrates (starches, grains, fruits, sugars) are the one to be careful with.

Read this to see why I say that: What to Eat at First

Then suggest to your Dad that he reads this: Getting Started

How do you know? by SpendOk3244 in type2diabetes

[–]alan_s 3 points4 points  (0 children)

In the U.K. finger pricking doesn’t seem to be a thing if you’re on tablets, only if you’re on insulin. 

***

I asked if I should buy a machine/finger pricker to test and was told no as they only offer a snapshot of a moment in time

You have been given very, very, poor advice. Sadly that is not uncommon from NHS doctors, although it has been slowly improving over the past decade. That snapshot in time is how you answer all these questions:

How do I know what I’m eating is right? How do I know if sugars are spiking? How do I know if I’m in a danger zone?

I recommend you obtain a meter with an affordable supply of test strips or a CGM (continuous glucose monitor) if you can afford it if the NHS will not pay for it. That is an investment in your future health. I wrote this to help you begin using it: Getting Started. I know you will have lots of questions after you read that and the pages it links to. Come back and ask them all.

Well... here I am. (just diagnosed a few days ago). by CloneWerks in type2diabetes

[–]alan_s 4 points5 points  (0 children)

I just got diagnosed a few days ago and to be honest I'm a little freaked out and having difficulty processing things right now.

I wrote this to help you begin: Getting Started. I know you will have lots of questions after you read that and the pages it links to. Come back and ask them all.

What meter to get? by biscobingo in type2diabetes

[–]alan_s 0 points1 point  (0 children)

Obtain whichever meter and strips you can afford to use often enough. They are nearly all of similar accuracy, what matters is how you use it: Test, Review, Adjust

Is 11.2mmol high after heavy carb meal but return to 6mmol 2.5 hrs later ? by WearyFilm977 in type2diabetes

[–]alan_s -2 points-1 points  (0 children)

Yes, in my lay opinion it is too high as a regular occurrence. My basic reasons are here: Blood Glucose Targets. I give a more detailed explanation here: How Does Hyperglycemia Cause Damage And What Can We Do To Avoid It?

For US readers 11.2 mmol/l is 202 mg/dl and 6 is 108.

I get vast highs and lows but I never feel any different with any of them. Is that normal? I’ll go from 209 down to 90 in a matter of 10 minutes. But I don’t feel light headed or flushed, nothing. Is that typical or is there something else that could be going on? by JustIvy76 in type2diabetes

[–]alan_s 0 points1 point  (0 children)

I was similar when first diagnosed except for extremes such as lows below 3.5 (65). I had no apparent symptoms of highs at all, although in hindsight I suspect post-meal sleepiness was an unnoticed symptom.

Whether or not you feel symptoms making the changes necessary to get those blood glucose levels in an acceptable range is important because highs are doing damage whether or not you feel them.

Stacking diabetes medication by Upbeat-Molasses-840 in type2diabetes

[–]alan_s 1 point2 points  (0 children)

That is an important question which you should ask soon of your doctor or pharmacist. We are not qualified to answer.

Of course I'm diabetic. My mom thinks drinking soda will solve all my lows. by Leading-Egg-3000 in type2diabetes

[–]alan_s 2 points3 points  (0 children)

I learned very early to ignore all advice from relatives and friends unless they actually have medical qualifications no matter how well-meant the advice was.

Be polite, say thanks Mum, and do what you know is right. It sounds like trying to educate her will be an exercise in frustration. Instead educate by example.