Type2 diabetes

[Pauljenny]

I've finally started to take notice of this Kev (as you've advised me to in the past) although I won't compromise on my weekend beer.

We've stocked up on Blueberries, Raspberries, Strawberries, Oats, Ryebread, Cheeses, Greek Yoghurt, mixed Nuts, loads of green Veg etc. etc. plus all the usual meats. My problem is that I am underweight and want to put weight on so I'm not going low fat just low Sugar.

Anyway, tonight's offering was a Chicken Massaman Curry with Cauliflower Rice and it was delicious. I was really surprised at the 'Rice' and I think I prefer it to real rice now. For breakfast I had Kippers and Poached Eggs on Ryebread, for Lunch a Ham Hock roll (seeded brown).

Last night I just had Beans on Ryebread toast but Julie put the beans in a sieve and washed the sauce out, replacing it with a bit of Butter and grated Cheese, tasted just as nice as with the Sauce I thought.

Between meals I'm snacking on the Berries and mixed Nuts.

Try a high protein breakfast, with only a little starch.. Nuts are a good source of protein too

A low carb lunch is recommended. Salads and the like.

Bulk it up with nuts, beetroot., raw mushrooms and a lite mayonnaise .
Do you test, Rob? You can have it checked at a pharmacy.

Are you on insulin?
Do you have a diabetic practitioner at your doctors?
It's a sneaky illness.
If you lose your eyesight, you might have difficulty getting to and from the pub.

 

[Robmac]

Try a high protein breakfast, with only a little starch.. Nuts are a good source of protein too

A low carb lunch is recommended. Salads and the like.

Bulk it up with nuts, beetroot., raw mushrooms and a lite mayonnaise .
Do you test, Rob? You can have it checked at a pharmacy.

Are you on insulin?
Do you have a diabetic practitioner at your doctors?
It's a sneaky illness.
If you lose your eyesight, you might have difficulty getting to and from the pub.

Thinking of Oats for Breakfast Paul with Greek Yoghurt and fruit, either that or Mackerel on toast with the odd fry up now and again. I don't test but am looking into it and will probably ask for the monitor at my next appointment (the one where you prick your finger). Not on Insulin, just Metformin at the moment.

As far as I know we don't have a Diabetic Practitioner at our surgery but I will ask.

 

[Pudsey Bear]

Stay away from bread Rob.

 

[Pudsey Bear]

I have one these.

GlucoRx Q Blood Glucose Meter VAT FREE | eBay UK

Simple to use, with backlit screen. The GlucoRx Q blood glucose meter kit includes 10x GlucoRx Q Test Strips, 10x GlucoRx Lancets, lancing device, control solution, batteries, instructions, monitoring diary, warranty card and carry case. Compatible with GlucoRx Q Test Strips and GlucoRx Lancets...

ebay.us

 

[Geek]

The thing that amazed me is how much less glucose spike you get if you start your meal with salad, and if you eat slowly.

 

[Pudsey Bear]

The thing that amazed me is how much less glucose spike you get if you start your meal with salad, and if you eat slowly.

We discussed this at the meeting last week. Someone had read that the order you eat your meal can change the way you absorb carbs, but both doctors dismissed it.

However, how you eat can make a slight difference; the slower you eat is possibly a factor, but how much you chew also makes a difference more being better.

Although this group thing is being done at the doctors, it all runs contrary to NHS advice.

 

[Geek]

Whether or not the doctors dismissed it, I know it worked for me because I tested it when using a CGM. Of course, that doesn't mean it will work for anyone else.
In my experience, doctors are even less reliable as a source of information than chatGPT.

 

[Pudsey Bear]

Whether or not the doctors dismissed it, I know it worked for me because I tested it when using a CGM. Of course, that doesn't mean it will work for anyone else.
In my experience, doctors are even less reliable as a source of information than chatGPT.

Each to their own, innit, we are all individuals, so what works for me may not work for you.

 

[Geek]

I have one these.

GlucoRx Q Blood Glucose Meter VAT FREE | eBay UK

Simple to use, with backlit screen. The GlucoRx Q blood glucose meter kit includes 10x GlucoRx Q Test Strips, 10x GlucoRx Lancets, lancing device, control solution, batteries, instructions, monitoring diary, warranty card and carry case. Compatible with GlucoRx Q Test Strips and GlucoRx Lancets...

ebay.us

Interesting that the postage is slightly more expensive than the device, which is admirably cheap.
Presumably because it comes with 10 test strips it is good for ten tests. What do replacement test strips cost?
The good thing about a CGM is that it runs 24/7 recording changes more or less* as they happen, without having to jab yourself with a pin. The bad thing is that they are quite expensive (because they only last a fortnight), but without knowing the comparative cost of test strips, I'm not clear about how expensive.
*Not quite in real time, because they monitor the glucose in the fat the probe is in, not the blood itself, which puts a 10 to 15 minute delay in the readings. But you can see the trends on a nice graph, and allow for the lag.

 

[Geek]

Each to their own, innit, we are all individuals, so what works for me may not work for you.

That is half of the problem. The patients aren't allowed to be individuals and the practitioners aren't allowed to be individuals.
When I was working at Glaxo-Wellcome, there was a lot of research being done on genotyping for drug treatment to optimise for groups of individuals. This was before the SmithKline Beecham merger, though. I'm not sure they continued it.
When it comes to doctors, they are slightly constrained (and financially incentivised) by what the NHS tells them to say. That's why the "eat a low fat diet" myth persisted for so long. Entirely inappropriate for most diabetics, but it is only now being removed from official NHS guidance.

 

[Pudsey Bear]

I dunno about low fat, but on my list of green food, full fat milk and butter are allowed, all in moderation.

My glucose was still high last night @9.4 I'm happy sticking pins in me, it's the only pleasure I get these days

 

[Robmac]

I have one these.

GlucoRx Q Blood Glucose Meter VAT FREE | eBay UK

Simple to use, with backlit screen. The GlucoRx Q blood glucose meter kit includes 10x GlucoRx Q Test Strips, 10x GlucoRx Lancets, lancing device, control solution, batteries, instructions, monitoring diary, warranty card and carry case. Compatible with GlucoRx Q Test Strips and GlucoRx Lancets...

ebay.us

How often do you test Kev?

 

[Pudsey Bear]

When I feel I may have overdone the carbs Rob, but the same time, when I do it, around 4:30, I tend to fast after the evening meal at around 6:30 until my breakfast which is normally between 9 to 10am.

 

[Robmac]

Interesting that the postage is slightly more expensive than the device, which is admirably cheap.
Presumably because it comes with 10 test strips it is good for ten tests. What do replacement test strips cost?
The good thing about a CGM is that it runs 24/7 recording changes more or less* as they happen, without having to jab yourself with a pin. The bad thing is that they are quite expensive (because they only last a fortnight), but without knowing the comparative cost of test strips, I'm not clear about how expensive.
*Not quite in real time, because they monitor the glucose in the fat the probe is in, not the blood itself, which puts a 10 to 15 minute delay in the readings. But you can see the trends on a nice graph, and allow for the lag.

Apparently you can get a prescription CGM on the NHS - easier for type 1 but possible for type 2 as well if you are on Insulin.

 

[Robmac]

When I feel I may have overdone the carbs Rob, but the same time, when I do it, around 4:30, I tend to fast after the evening meal at around 6:30 until my breakfast which is normally between 9 to 10am.

So do you need to replace the equipment periodically? - Obviously the Lancets are single use but what about the reader and lancing device?

 

[Pudsey Bear]

So do you need to replace the equipment periodically? - Obviously the Lancets are single use but what about the reader and lancing device?

Must have had mine at least 5 years, before we moved here, so must be, I get the test strips and lancets on prescription.

I think I only test once or twice a week.

 

[Robmac]

Very helpful thanks Kev.

I'll ask about the prescription at my checkup in a couple of weeks. I like the idea of the CGM's but they seem to be expensive to run and the lancet system is in real time.

 

[Pudsey Bear]

Google which is the best one, Which magazine may have done a test, and get the doc to prescribe one you like.

 

[Geek]

My glucose was still high last night @9.4

So many scales. So much bafflement
HBA1c tends to be measured in a number between about 30 and 90. I think that is mmol/mol
Then there is mmol/L - which tends to be in the range 5 to 13
And DCCT percentage - around 5% to 10%
In addition, there is mg/DL - around 95 to 250

 

[Geek]

Must have had mine at least 5 years, before we moved here, so must be, I get the test strips and lancets on prescription.

I think I only test once or twice a week.

If they give the test strips and lancets on prescription, why not the device as well?