sooperkool
Member
As a Type 2 Diabetic now on the kidney transplant list, take care of yourselves!
Pharmacological therapy =! Insulin. Not always.
Thanks for the link, Contra. I'd like to note, however, that I'm not arguing about DM2 patients' diet details. I do not disagree with that article nor, as I explained above, with Zefah -- regarding exercise-induced hypoglycemia and dietary management.
I'm simply pointing out - based on my experience as a doctor (and on what I see in clinical practice, for most patients with DM2) - that, while nonpharmacologic intervention is a fundamental, essential and vital part of Diabetes management, insulin resistance is generally progressive and most patients will require - at some point - pharmacological therapy (as an addition, not a replacement, to nonpharmacologic measures) in order to control glycemia and reduce (or, at least, delay) morbimortality.
But it actually has been adapted into practice. Diabetics are told to watch their carb intake as part of their intervention plan.The thing is LCHF is not part of nonpharmacologic intervention because in the treatment guidelines nonpharmacologic intervention is exercising & high carb low fat diet .. and from what you said it seems you meant all types of nonpharmacologic interventions
How is everyone? still going on ok.. does anyone else get what I would call Diabetes depression every now and then?
Not so much these days, but in the past I would often become depressed easily over the smallest things. For example having constantly high blood sugar levels would just be so frustrating and I would endlessly lay in bed thinking about how much I hate life haha...
Also congrats (a little late I know...) on the A1c!!! Are your blood sugars still doing good?
My bloodsugars are still really great yeah. my newest drama is the optomitorist saying that my eyes are pretty bad, there are raptured blood vessles in my macula. yay!!
hopefully it was just from my highblood sugar before diagnosis and its getting better, I wont know for 3 more months
Just got my second A1C results after another 3 months (total 9 months since diagnosis) another 5.1!!!
still just on metformin and eating low carb. Take that type 1.
The end of this month I go back in for an eye exam and I am hoping for good results, unlike last time.
It's been over a year since my diagnosis. My Honeymoon is probably about over my morning BS is creeping higher and higher. Time to see an en endo again and possibly start insulin.
How's everyone else doing? Thread has been dead since my last post.
Wait, are you Type 1 or Type 2? If you're Type 1 I'm *super* surprised that they've just put you on Metformin + Low carb. Type 1 CANNOT be treated without insulin. A metformin + low carb routine during the honeymoon phase might help, but Type 1's have to be on insulin. I've never really heard of cases where they didn't put you on insulin until after your honeymoon...sounds dangerous.
I am type 1. watching my blood sugars closely. Insulin will be the next step for sure.
Guess I'm just surprised it wasn't the first step. Let me know if you need any help or advice with your insulin regimen. I honestly felt so much better once I started insulin. It's a big lifestyle change to get used to, but once it becomes a habit it isn't all that bad.
I really appreciate it, I was surprised too. It was so sudden at the age of 32 that I got diagnosed. The doctor talked about insulin. We ran the GAD anti body tests and stuff and it was all type 1.
I started my oral pills (metformin) and eating low carb and within a week my sugars were normal with great a1c's 3 months in.. 6 months in..9 months in.. etc we just haven't gone to insulin yet.
I am not going to lie, if I cheat. it rockets up to 200 but I don't do that often.
the big problem im having now is my morning highs around 150-160
My wife was diagnosed with type 1 diabetes when she was 15. She almost died at 18 due to being in denial and not taking her insulin and checking like she should have been. She is doing much better now at 28. She uses an aviva combo insulin pump which helps alot and makes her feel like its more manageable.
Type 1 GAFer checking in. Diagnosed July 15th 1993. I was 19.
To be honest, I remember not being diabetic but I don't remember the somewhat non-tangible concept of utter freedom, to eat what I want and not worry about shit. It has all just been routine for twenty years now.
Yeah...I was diagnosed 5 years ago, so I do still remember that freedom. Dealing with insulin and blood sugar isn't too bad once it becomes routine and habit, but it can be tiring sometimes. Sometimes you just want to have a snack without having to worry about carbs and boluses and pricking your finger, you know?
Yeah...I was diagnosed 5 years ago, so I do still remember that freedom. Dealing with insulin and blood sugar isn't too bad once it becomes routine and habit, but it can be tiring sometimes. Sometimes you just want to have a snack without having to worry about carbs and boluses and pricking your finger, you know?
Totally. Especially in the office, we've got a couple of good bakers here and we quite frequently have random cakes appearing.
Which is a question for you guys. How open about this are you? I've always been massively open, I've considered it a good idea that people know just in case something goes down, so I chat openly, I do tests in front of anyone, I inject in front of anyone. One guy, once, in a pub asked me if I could go do my injection "somewhere else" and I straight up told him no, he didn't have to look. But for the most part everyone is really cool about it.
But I started thinking about this a while back when a workmate approached me and asked "how I do it?" I was a bit confused, but it turns out he was diabetic and very secretive about it, he was shy about telling anyone. And then I had a think and realised that for all the diabetics there are in the world, I have hardly ever seen someone do a blood test or inject themselves, whereas I'll happily do that shit on the train.
Am my a normal diabetic? Is this unusual?
Totally. Especially in the office, we've got a couple of good bakers here and we quite frequently have random cakes appearing.
Which is a question for you guys. How open about this are you? I've always been massively open, I've considered it a good idea that people know just in case something goes down, so I chat openly, I do tests in front of anyone, I inject in front of anyone. One guy, once, in a pub asked me if I could go do my injection "somewhere else" and I straight up told him no, he didn't have to look. But for the most part everyone is really cool about it.
But I started thinking about this a while back when a workmate approached me and asked "how I do it?" I was a bit confused, but it turns out he was diabetic and very secretive about it, he was shy about telling anyone. And then I had a think and realised that for all the diabetics there are in the world, I have hardly ever seen someone do a blood test or inject themselves, whereas I'll happily do that shit on the train.
Am my a normal diabetic? Is this unusual?
And depending on the situation, it may be a good idea to educate your co-workers or friends just a bit on diabetes...there's so much misconception around. In particular, people need to know that if someone is having hypoglycemia THEY SHOULD NOT BE GIVEN INSULIN. The number of people I've talked to with that misconception is really scary. In fact, people should know that you should NEVER EVER EVER give a diabetic insulin. If they actually are in DKA or whatever then the hospital will handle that. You could kill a diabetic by giving them insulin.
Glad to see this thread pop up. I am three months into Type 1. It's certainly been tough, but my 3 month A1C just came back at 6.5% (was 13% when diagnosed), so I know I am doing okay so far.
I am not very open about it. I've told my family and close friends, but I try to keep it to myself. I've started to open up to some more people as I become more comfortable, but I'm not quite at the level of fully testing in public yet.
Does anyone here struggle with paying for the cost of test strips?
Do you not have insurance? Most (if not all) will cover it.
If not you can find them on eBay pretty cheap.
Does anyone here struggle with paying for the cost of test strips?
Does anyone here struggle with paying for the cost of test strips?
Do you not have insurance? Most (if not all) will cover it.
If not you can find them on eBay pretty cheap.
No I have insurance and don't have a problem personally but am curious of others stories or struggles with the insane costs of strips.
Update on me: Its been a real struggle the last ~3 months.. Diet and working out with oral meds (Metformin) isn't really working anymore. No matter what I do I wake up 180-220. Then have to work my diet all day to get back to 120. I can be fine all day and wake up again the same. Frustrating!! on top of that its the holidays and you just kind of give up.
anyways I am seeing a proper Endo tomorrow for the first time and laying it all on the table and see what treatment she wants me to go with.
Please check out the video in the link. https://www.youtube.com/watch?v=YpllomiDMX0
Thanks for the link but what are you getting at? I currently eat very low carb (almost keto) and I am not overweight?
I have type 1 diabetes.
diagnosed in March of 2015 I have had amazing A1C's and control the entire time leading up to about 3 months ago.
As type 1 you absolutely need to be on insulin, not metformin. You're not going to get your sugars in control otherwise. I'm still really surprised your doctor has you on metformin. Metformin improves insulin sensitivity, but with type 1 your pancreas eventually stops producing insulin ALL TOGETHER, so sensitivity won't help.
If the endo you're seeing tomorrow confirms that you are type 1 and doesn't put you on insulin I would immediately seek a second opinion.
Following up with my post form above, this is likely due to the type 1 diabetes honeymoon period. There's usually a period of time (around a year) where a type 1's pancreas will still be producing insulin. You can sort of get away with metformin / excercise / diet during that period (but honestly a T1D should still be on insulin during the honeymoon period). Once it's over you're pancreas no longer produces insulin and you HAVE to start taking insulin injections.
Thank you for the posts! I agree with all of it. I am under no misconceptions that I wont need insulin and its always been the "end game" of my diagnosis. For whatever reason my original doctor just let me go with D&E and metformin.
Gotcha -- glad you're going to see an endo tomorrow. Getting used to doing injections takes some work, but I can guarantee you'll feel better once you're in the swing of it.
Thanks! I am a little nervous about the dosing and stuff not so much the needles. I already poke myself a million times a day.
Do you have a CGM? should I ask for one? I have a friend that uses one and its seems awesome.