Treatment

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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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Old 11-29-2018, 16:23   #1
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Hi
I am Sudheer from India.
I am a type 2diabetic for 25years.
I undertook intermittent fasting. I followed 16/8 protocol daily and 24hour water only fast twice a week.
But I failed in my experiment of intermittent fasting, I stopped all medicine. The result was hbA1c of 13 .
I went back and started saxagliptin 5mg and glimeperide 2/500mg metformin on my doctor’s advice.
Right now my fasting is 270and pp is 289.
I am still following 16/8 intermittent fasting protocol.
Any suggestions?

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Old 11-29-2018, 18:09   #2
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I do have some experience in doing the 16/8 intermittent fast. It certainly was helpful for my diabetes. After about a week my fasting level was down in the 80s and post-meal levels 90s and low 100s (I started with levels in the 120-130s) It was a great success.

However, I also eat low-carb/high-fat. This is my first method of controlling blood sugar, and the fasting was secondary.

I would caution you about taking saxagliptin and glimperide. They have some serious side effect. You might want to search for these drugs. (Metformin is a much safer medication).

Another caution about the drugs is that they cause a lowering of the blood sugar whether or not it is needed - so if you do try reducing carbohydrates you must monitor your blood sugar closely and if you are finding your blood sugar going too low at any time, you may have to make adjustments in the dosage. If you do reduce carbohydrates, do it slowly so you can see how your blood sugar does.

Another concern is if you take the drugs during the day when you are fasting. You might experience a hypo and you should monitor your blood sugar for this, also. This may be the reason your doctor doesn't want you to fast.

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My low-carb recipe collection on Pinterest
https://www.pinterest.com/VRStudio1/...light-recipes/
70 yrs. Dx May 2010
Diet controlled: VLC/HF
BG steady with no highs or lows.
A1C in the 5% range.
____________________________________
Gluten intolerant, sensitive to dairy & eggs.
Eat no grains

Last edited by VeeJay; 11-29-2018 at 18:12.
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Old 11-30-2018, 06:44   #3
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Thanks all for your valuable suggestions. I live in India. Our diet mainly consists of carbs. The low carb options available here are very few. Besides they are not affordable for common man.
Nevertheless my diet consists of lot of vegetables. Around 125grams of carbs in the form of millet.
I will surely try to further reduce carbs.
While on intermittent fasting I don't take medication. The only problem I face is that I am unable to take longer fasts of three days and more.
I also exercise for more than 350 hours a week.
Thanks again to all who have replied.
I look forward to more inputs from you all.

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Old 11-30-2018, 13:04   #4
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Shridatta, it is true that a cuisine that is very heavily based on carbs could be a challenge. It might help to remember that:

1) not all carbs are the same. Non-root vegetables have fewer carbs for a given amount than root vegetables or processed grains. A dish that is primarily broccoli or cauliflower or string beans with seasonings (and maybe a little rice) is far better for people with diabetes than a plate of naan or a dish that is mostly potatoes.

2) eating low-carb does not necessarily mean increasing how much (expensive) protein you eat. In a low-carb or ketogenic eating plan, most of the calories come from fats: oils, some dairy products (if they're available, like ghee or eggs), some nuts, avocados, etc. And some vegetables contain surprising amounts of protein.

I realize some of those ingredients may not be commonly found or inexpensive in India. But if you can find a way to at least reduce your intake of processed grains, that could help reduce your blood glucose levels. However you can reduce your blood glucose helps you.

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A1c 10-30-2018 still 5.6 with no meds. Thank you LCHF!
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Old 11-30-2018, 14:47   #5
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I did an internet search for "low carb eating in India" and found several sites. This is one of them with dining out tips (first section) and low-carb recipes (further down). https://onedrop.today/2017/10/18/indian-recipes/

It is very common for today's cultures to be carb based. (In the U.S., it's potatoes and bread). It can be a challenge, but there are those who are successful in reducing carbs all over the world. Fortunately, they are more than willing to share what works on the internet. Just takes a bit of searching.

Making dietary changes is more than a physical thing. It takes a shift in one's attitude toward food. It doesn't happen overnight and takes some determination. We are here to help and support you in making the adjustments.

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My low-carb recipe collection on Pinterest
https://www.pinterest.com/VRStudio1/...light-recipes/
70 yrs. Dx May 2010
Diet controlled: VLC/HF
BG steady with no highs or lows.
A1C in the 5% range.
____________________________________
Gluten intolerant, sensitive to dairy & eggs.
Eat no grains
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Old 11-30-2018, 15:17   #6
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Thanks Vije
I will surely try to reduce carbs by visiting link provided by you. I am indeed grateful to you for your sympathy and support. 😊

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Old 12-03-2018, 05:41   #7
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Quote:
Originally Posted by Shridatta View Post
Thanks all for your valuable suggestions. I live in India. Our diet mainly consists of carbs. The low carb options available here are very few. Besides they are not affordable for common man.
Nevertheless my diet consists of lot of vegetables. Around 125grams of carbs in the form of millet.
I will surely try to further reduce carbs.
While on intermittent fasting I don't take medication. The only problem I face is that I am unable to take longer fasts of three days and more.
I also exercise for more than 350 hours a week.
Thanks again to all who have replied.
I look forward to more inputs from you all.
Hey Sudheer, this is Tony from Gurgaon....

I agree with you that a low carb diet is relatively expensive... See thats the whole reason why our diets (not just in India, but globally) has gravitated towards carb centric... Wheat, Bread, Rice, Corn etc are mass produced, have a much higher farm land utilization (amount grown/ area of farm land) and are therefore what defines the main component of our meals.

But let me tell you from my exp, I have been able to reduce my insulin costs from 75k to 14k a year (indian currency) primarily because of a low carb diet. So I think most of the incremental costs for the fat and protein have been offset by the reduced insulin requirement... the benefits of possibly lower future medical costs and
complications could be counted as potential savings as well.

I have eliminated
1. All grains and grains based products (biscuits, rotis, breads, pastas, noodles, corn, maida etc)
2. Most dals and legumes
3. Fruits
4. Sugars
5. Few vegetables (starch vegs like - potato, carrots, green peas etc.)

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HbA1c 5.9 (Feb 2019)
Medication
Novarapid = 4-5 at breakfast (no other insulin)
Metformin 1000 mg

Lifesytle: LC, exercise most days


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Old 12-03-2018, 05:54   #8
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Thank you Tony for your advice.
I don't eat any wheat products. I don't eat any processed foods or sugar. My food mainly consists of vegetables, sprouted pulses, millets. I would be obliged if you could share your diet so that I could make necessary changes.
Eventually I follow a 16/8 intermittent fasting protocol. I have come down to a bmi of 23.
Please help me to evolve a dietary protocol.
Thanks again.

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Old 12-04-2018, 20:06   #9
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Quote:
Originally Posted by Shridatta View Post
Thank you Tony for your advice.
I don't eat any wheat products. I don't eat any processed foods or sugar. My food mainly consists of vegetables, sprouted pulses, millets. I would be obliged if you could share your diet so that I could make necessary changes.
Eventually I follow a 16/8 intermittent fasting protocol. I have come down to a bmi of 23.
Please help me to evolve a dietary protocol.
Thanks again.
I dont follow a plan, but here are the things i eat

1. Eggs - cooked in anyway
2. Chicken - roasted, baked, lemon sauteed, tandoori, tikkas
3. Kababs - have to check carb content if ready made packs
4. Most Veggies cooked in different ways - all green leafy vegs, Brinjals, Lady finger, karela, lauki, cauliflower, broccoli etc
5. Flaxseed bread
6. Almond bread
7. no issues with butter, cream
8. Salads

here's what i ate today
breakfast
2 eggs, 2 cheese slices, 5 walnuts

lunch
subway salad (veggies with 2 servings of roasted chicken breat and meat balls) - no sauces at all

Dinner
Palak Paneer with 3 slices of flaxseed bread
cauliflower veggie dish (no potatoes)

I am assuming all this was under 30 gms of carbs for the day

as I said, i dont bother about what my "diet plan" should be...I know what I can eat and what I cant based on experiments with food and the meter

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HbA1c 5.9 (Feb 2019)
Medication
Novarapid = 4-5 at breakfast (no other insulin)
Metformin 1000 mg

Lifesytle: LC, exercise most days


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Old 12-04-2018, 23:10   #10
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Quote:
Originally Posted by tony0611 View Post
...I know what I can eat and what I cant based on experiments with food and the meter
Our meter is our friend. Keeps us from straying - no matter what anyone else says about this or that, the meter doesn't lie.

__________________
My low-carb recipe collection on Pinterest
https://www.pinterest.com/VRStudio1/...light-recipes/
70 yrs. Dx May 2010
Diet controlled: VLC/HF
BG steady with no highs or lows.
A1C in the 5% range.
____________________________________
Gluten intolerant, sensitive to dairy & eggs.
Eat no grains
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