I'm a Newby to this forum, but have been diagnosed Type 2 for almost ten years. My former Dr. had me just do a fasting test every day, and my AIC's were tickety boo: according to him I was a model patient. I've been going to a new Dr. since relocating, this one claims to be a diabetes specialist. Again just daily fasting test, and this fellow told me not to worry as long as numbers are less than 180. He has not been happy with my last two AIC's.
Started testing six times per day, and found that my levels soared after meals, and didn't come down till next morning. Tried high Glycemic diet, and this seemed to make things worse! Read here about the low carb regime; began having meals with as close to 0 carbs as I can. The spiking settled down immediately, but my fasting numbers started coming as high as 220! It seems that two hrs. after my evening meal and a 40 minute walk I'm about 150; somtimes it is still in that range when I go 'jammies & nppies', and sometimes much higher; with one exception it has been very high every morning for the last two weeks that I've been doing the low carb routine.
Not sure what is going on here, nor what to do about it. Any and all advice would be appreciated.
Worth mentioning this to your Doc and in respond to your comments about Doc dismissiing ??
" Poorly managed blood glucose levels can lead to:
Severe toothaches due to impaired circulation to your teeth.
More severe gum disease and at an earlier age.
Thickening of the small blood vessels of the gingiva (gums) which can lead to infection of the gum and bone tissues.
Periodontal disease that, in turn, can make it hard to manage blood glucose levels. Because periodontal disease is an infection, bacteria produce toxins that affect the carbohydrate metabolism in individual cells. It is also thought that the host response to periodontal bacteria can increase insulin resistance and, therefore, blood glucose levels."
Thank you for that information. I'm close to giving up on training my physician.
What eating to my meter taught me is there are some foods,no matter how healthy I just cannot have. Foods like yogurt, bran cereal, raisins, any type of bread or even oatmeal are all banned on my low carb diet. I think a lot of doctors take the attitude if you are diabetic, then you will spike quite high and that is OK. Well any spike above 140 will do internal damage to your body. This is something doctors rarely tell you. It took me several months of low carb diet before my bgs started to lower on a regular basis. Just one higher carb meal will raise my bgs for days.
Progress is, well ...progressing. My numbers apres meals are almost the same as pre-meal, and that is a good thing. My fasting numbers are still much higher than last thing before bed numbers. The unfortunate thing about all these things is that, in the intervening time between my first post and now, I've began a new med. (Diamicron MR 60), had an infected tooth pulled with a course of anti-biotics to remove infection, and I've been following the lo-carb routine faithfully. The combinaation makes it hard to see where the effect of any one of the three variables is attributable.
I saw my Dr. today and showed him my numbers for the last two weeks; he liked what he saw. I told him I was uncomfortable with the possible long term effects of Diamicron on Beta cells. He seeme to take this as personal criticism, and wanted to know where I had gotten this information. He went on to explain that this was the best option for my stage of diabetes progression. I again stated that I was interested in the use of basal insulin for control of my fasting numbers, as well as preservation of my pancreas function.
He didn't take that well, and stated that he viewed the battle with diabetes much as a good general regards engaging in war: that you don't engage your best weapons immediately, but escalate one stage at a time. I told him that I couldn't disagree with his analogy, but that my main concern was that I not fall victem to, 'friendly fire'. He then told me that insulin was overkill, but, that I, as a patient, was entitled to some say in my treatment, provided that I realized I was taking some reponsibility for same. Then he said he'd arrange for me to talk to a diabetes nurse specializing in insulin useage; this, he said, would take some time to arrange.
Then, out of the blue, he began to tell me of some other poossible medications. He suggested Victoza as his best possibility, and, failing that, Gluconorm. I said that I'd read up on them. Dr. Bernstein seems to like Gluconorm, but dismisses it if you are already on Glucophage. At the same time he seems to be quite positive about Victoza. I realize that Victoza is quite a recent addition to the diabetic armaments, but it does sound like it might flatten my phenominal Dawn syndrome, and, well ...a little weight loss couldn't be a negative thing.
I'm thinking about taking him up on that; see what happens, and look into insulin if this new med seems ineffective. I'm just coming into the busy part of my year, and will be spending much time hundreds of miles from home which makes it difficult to arrange not just appointments with my Dr., but even moreso with specialists. I'll take the weekend to study up on the possibilities and see what feeback amounts to.
Have a great Easter, and ...make sure the eggs are all poultry!
ps: As I was leaving his office my Dr. commented that I, "read too much; most of my patients don't".
How are you doing now? Joanne
I'm doing quite well with the low-carb, diamicron combination. When I queried the Dr. on diamicron he was a little dis-gruntled, but gave me a prescription for Victoza; I was pleased until I saw that I couldn't really afford the cost of it. Yesterday I saw an artcle which states that the ADA is attemping to get Victoza de-listed due to the high rate of thyriod cancer lab rats using it are contracting. In the mean-time I will be setting up an appointment to see a nurse/specialist for information on insulin possibilities for myself. This may take some time. In the meantime, how's the Mother/child situation developing?
Congrats James. Good to hear you are doing well.
BTW Supersally is the mom.
Sorry about the mistaken identity; I've read so many screen names & discussions, that I have trouble keeping my name & circumstances straight.
I've been back working, and my shedule is a little more hectic lately. On my last vist to my dentist she suggested that I should really get a different Dr. for my DII!
Well done James! Don't be too frustrated - unfortunately all of this diet/med/exercise balance takes a lot of experimentation. Sounds as if you're well on the road to getting those am numbers under control. Battle on!