Diabetes 2 / HBV (glipizide?) - Page 3

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Diabetes Treatment As there is currently no cure for the chronic, Diabetes mellitus – the emphasis must be on treatment and management to avoid complications. Please use this section to discuss how you carefully control and manage your Diabetes. Please let us know what is and isn’t working for you. Feel free to discuss all areas of treatment and management of Diabetes including diet, exercise, weight loss, insulin usage, oral drugs and more.


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Diabetes 2 / HBV (glipizide?) - Page 3


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Old 06-19-2015, 17:03   #21
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Diagnosed in 2001

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Tell your wife Sawadee Kha! I lived in Thailand for three years, 2006-2009, in Korat, with my also American husband. They don't really seem to teach the doctors there how to treat diabetes, so she may be accustomed to diabetics not having a glucometer, not altering their diet -you can't not eat rice there- and in general not being treated properly for diabetes. And the fatalistic mindset of Buddhism, that what will happen will happen, the sense of not being in control of events, is also unhelpful in this circumstance. This does put a different spin on things. I do hope she joins this forum. Is it possible to find a different doctor, one that is better at treating diabetes, or even a referral to an endocrinologist and dietician?

Also the change to Metformin will help even if diet does not change. It won't be as effective as diet change plus Metformin, but it will help. It may take a higher dose, and become ineffective sooner, requiring insulin sooner rather than later. But glipzide will absolutely have her on insulin sooner rather than later!

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__________________
Diagnosis: Type 2 2001?

Metformin 1000mg bid
Ranitidine 150 mg qd
Losartan 50 mg qd
Loratadine 10 mg qd
Pulmicort 180 mcg bid
Fluticasone 50 mcg qd
Ventolin 2 puffs prn
Tramodol 50 mg prn

A1C 6.6

Cinnamon, 1000 mg bid
Turmeric, 2000 mg qd
Vitamin D3 5000 mg qd
Fish oil 3000mg qd

Last edited by cathyy; 06-19-2015 at 17:08.
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Old 07-05-2015, 17:06   #22
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Thanks for your input cathyy.

Sorry for such delay in my response but my employment has me flat out near holiday times. Now it will be near dead until near Labor Day.

Yes for a Thai to not eat rice is like asking an Irishman to not eat potatoes or an Italian to not eat pasta,lol.

Reading in Thailand forums I picked up on the recommendation of brown rice instead of white rice for diabetes. Another dilemma I suppose.

Another worse case scenario is that Thai food generally is loaded with sugars. That's why it tastes so good..!! And fruits are a less expensive staple as rice is.

BTW I priced BGL supplies (test strips, meters) in Thailand and the cost is about double there, Tesco being probably the best place to buy.


My wife stopped eating rice with the carb scare.
Post meal BGL's are usually very much i9n good range even with some fruit in the diet. If her A1C has not dropped at next blood test, I will be confused.

She is also from Issan and worked in Korat for TOT some years ago.
I spent time in Udon Thani mostly.

She becomes reluctant to do things, as I have asked her to join this forum several times. Probably Thainess (shyness.) It gets them nowhere.

She is a Christian but that does not mean there is no strong influence within from the culture in general.


Nice talking with you cathyy. Looking forward to more of it with all of you out there in this forum..!!!

uncle larry

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Old 07-05-2015, 17:28   #23
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But brown rice tastes terrible compared to white rice. I know. I eat all my Asian ethnic food plain, which is to say not served with rice. And I make it myself, so I can leave out the sugar. I do admit to the occasional lapse when I make a batch of pork fried rice. My husband and I both just love it. I learned how when I lived in the Philippines, and I was proud when my maid thought the weekend maid had made it, not me.

Palm sugar has the lowest glycemic index of all the usual sugars, so she may be able to tolerate small amounts of that if she can eat fruit. It is easily available in Thailand, too.

Every diabetic is different. I can't eat rice without horrible blood sugar consequences, but I can eat small amounts of potato. My daughter in law can't eat potatoes at all, but can eat rice.

DO encourage her to use coconut milk as much as possible instead of cow's milk. It is very high in good fats, and does not have the natural sugar and carbs of cow's milk. Unsweetened coconut meat is an excellent high fiber, high fat, practically zero carb food.

There are recipes online for a "treat" made with melted dark chocolate, coconut oil, and grated coconut. They need to be refrigerated, as they will melt at room temperature, but they are a lovely low carb delight.

__________________
Diagnosis: Type 2 2001?

Metformin 1000mg bid
Ranitidine 150 mg qd
Losartan 50 mg qd
Loratadine 10 mg qd
Pulmicort 180 mcg bid
Fluticasone 50 mcg qd
Ventolin 2 puffs prn
Tramodol 50 mg prn

A1C 6.6

Cinnamon, 1000 mg bid
Turmeric, 2000 mg qd
Vitamin D3 5000 mg qd
Fish oil 3000mg qd
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