Numbers Running Way Too High...

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Numbers Running Way Too High...


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Old 11-30-2017, 15:17   #1
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Question Numbers Running Way Too High...

Just started testing this week and my numbers have been between 233 down to 159 with my fasting numbers hovering around 200.

I am concerned about diabetic damage and have been off of Metformin since August as I ran out. Didn't know I could afford them without insurance.

Called Walgreens today and they said they could give me a refill of Metformin for 30days after which point I would be on Medicare A, B & D.

I am hoping this is a smart move until I can sustain numbers <140 and preferably <100, what do you think?

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Old 11-30-2017, 15:55   #2
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skypeace....welcome!

I am sorry you are having problems with your blood sugar. You are right to be concerned as those blood sugar readings will, in time, bring on some of the complications that we all fear. But the fact that, you are concerned and reacting to those concerns, will lead you towards getting control of your diabetes...and we can help you find that road...

You probably already understand that when you joined this website, you surrounded yourself with a very large community of fellow diabetics. We will share our experiences and what works and does not work for us. We all know that each of us have different experiences with our diabetes and none of us are exactly the same, but this community is large enough that regardless of what experiences you have, someone can probably share their experience with the same issue.....and that can be priceless information!

First all diabetics must focus on what we eat as the primary way we control our diabetes! That is the most effective and first line of defense to fight diabetes. The primary culprit with diabetics having high blood sugars is caused by eating carbohydrates....e.g. food with high sugars/ carbs such as fruits, root crops like potatoes, turnips, etc. , most nuts, corn, rice, foods with wheat flour, etc. etc.
If you are a diabetic, these foods fill your blood with sugars, which our bodies can no longer handle....that is what being diabetic is all about! Of course when you severely cut your carbs, your body needs a new source of energy, which we provide by increasing our fats...all types of fats...cheese, meats, heavy whipping cream, avocados, etc. etc.

Metformin is probably the most common medication diabetics take. It is a slow acting drug that helps your body deal with sugars, but it is not a cure all. Your doctor will only allow you to take a certain amount. It has been used for years and have very few side affects, although some struggle with upset stomach, gas, and lower bowl issues when they start on Metformin. I had that problem for about 3 weeks but in time my body adapted and now it is not a problem. Generally, I would say that many on this website have controlled their blood sugars by following the LCHF eating and taking metformin. For me it has been eating LCHF, taking metformin, and insulin at night.....I have had control of my diabetes since July of 2015.....

The next most common drug is either fast acting insulin taken before meals and/or slow acting insulin taken once per day before bed. Both of these are good at helping control blood sugars and are relatively safe. They have been used for a long time and have minimal side affects.

After that, most of us shy away from other drugs, especially the new ones, as the list of side affects are large and scary! And almost all of us, control our blood sugar by eating Low Carb High Fat (LCHF)! Only supplemented by metformin and/or insulin.

Now I have presented a lot of stuff here....but if you have not read and studied the websites noted below...go no further until you have! These will give you the same basic information that most of us on this website have. Then you will speak the same language since you will have the knowledge base we all work with. Read them and come on back with questions for us....


Blood Sugar 101

http://www.dietdoctor.com/lchf

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Old 11-30-2017, 16:04   #3
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Sounds like a good plan. Metformin certainly helps, but diet is a large contributing factor.

I'd also suggest that you take a good look at your total carbohydrate consumption. If you use your meter too see what happens after you eat X amount of carbs, you can make adjustments to get your BG lower the next time you eat.

http://www.diabetesforum.com/diabete...ng-method.html is what most of us follow.

When a person eats, that sends a signal to the pancreas to provide some of it's stored insulin (Phase 1) to keep BG down until more insulin can be made (Phase 2) which takes about an hour.

Diabetics have little or no Phase 1, so BG can spike during that first hour after the first bite of food occurs. When you test your BG before eating, that establishes a baseline, and then when you test 1 hour after the first bite, you will see how many points X carbs (in the meal) caused your BG to rise. When you test two hours from the first bite, you can see how well your Phase 2 insulin response is doing. Whether or not BG goes down to near pre-meal levels at the 2hr pp mark is determined by several factors, one of which is just how much insulin your pancreas can make at a time, and also the makeup of the meal - carbs digest quicker but fats take longer and can slow digestion in the stomach so the spike can be delayed 30 minutes or more.

Through this kind of testing I determined that my body cannot handle more than 10g carbs per meal and keep BG below 130. If I go over this limit, my 1hr pp spike can go well over 140. So I have determined that I have little Phase1 to depend on. My Phase 2 is a bit sluggish and it can take an additional hour or two to bring BG down after a spike. However, most of the time my pre-meal BG is around 100-110, sometimes even below 100, so all's well.

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Old 11-30-2017, 16:29   #4
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@VeeJay and @div2live
Excellent advice, I have been limiting my carbs considerably for the last two months but this is the first week I have been able to test, only started with 20 test strips from two new Contour Next One meters and I am running out fast, but I have two separate orders arriving soon.

I am only testing 3 times a day until I have more strips so I can't do all of the testing I'd like, but I will get on the "Eat to My Meter" program shortly as I need the feed back. I've got like 8 strips left until I receive my shipment.

I have been on Metformin for quite a few years, haven't had any since August, when I really began to research keto, raw foods, LCHF and exercise as the path and journey to control and reverse diabetes.

The Doc had me on Lisinopril 2.5mg and Glipizide 5mg, but I stopped taking them last year as I just didn't care for what they did to me, and reading the contraindications totally freaked me out.

Metformin on the other hand initially makes me sluggish, gives me some diarrhea which eventually subsides along with the farts, but it also does help to lower my BG and helps with appetite. I do not want to stay on Metformin, but use it to get me under 140 with the hope that lifestyle can take me the rest of the way.

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Old 11-30-2017, 21:05   #5
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You are well on your way to finding a way to take control of your diabetes. Do not fear metformin, of all the diabetic drugs it has been in the market place for a long while and very few bad side affects seem to be occurring. Many on here have worked their way off of metformin over time. Being disciplined about testing and learning what food and carbs you can take and still be safe and slowly dropping your carb intake until you BS levels are consistently really low. Then and only then should you start backing off of metformin, a little bit at a time. It is slow acting so as you drop a pill, wait 2-3 weeks and watch how your sugar reacts...if it is ok, then drop another pill....etc. etc. I was able to drop my nightly dose of slow acting insulin over my first year on LCHF. I was taking 126u when I started and slowly dropped 3-4 u and waited 2-3 weeks, then if my BS was good, I dropped another 3-4u, until I got down to 26u. I stopped their because my BS was in good shape and I do not mind taking small amounts of insulin to help my body process sugars....

Keep going and good luck...

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Old 11-30-2017, 22:55   #6
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@div2live
Roger that, and thanks for the encouragement. I was hoping I could stay off the meds and just do diet and exercise, but the numbers are too high for me. My first weeks avg is 204 and from all that I have read, that is dangerous. So if I can use the drugs to get to a good place and then ween myself off that would be miraculous. If it wasn't for keto and HFLC I think my numbers would be 300 to 400.

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Old 12-01-2017, 12:34   #7
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You are learning and putting it all together now. What you have already done in learning how your body reacts to various situations is an important part of your efforts. Keep it going...

Be advised that exercise over the long run helps you in many ways, but when you exercise with intensity, your blood sugar will spike, frequently over 200 or even 300+! I get a spike anytime I break a sweat, even doing garden work...

Our livers always hold a store of sugar, just in case! When you start burning it out of your body, the liver naturally dumps sugar in your blood. The only way I know to avoid this is lowering your time and intensity of working out. For some that is not an option, so they just 'take the hit' hoping that the spike, over the long run, will not damage enough cells to bring on diabetic complications.

I cannot tell you what is best or even safe on this topic. But being aware and testing your blood after working out is the first step as we all react differently.

Good luck....you can do this LCHF will lead you to good places in your life!

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Old 12-01-2017, 21:51   #8
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@div2live,
I don't know if there is any way for you to know and understand just how inspirational your last post was, but it came at a time when I just had my lowest reading so far of 141, and it just helped to reinforce everything I am trying to do. Thank you,

I feel like Rocky Balboa!

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Old 12-01-2017, 23:10   #9
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It is just like working out, once you do it consistently for a while it get's easier...and you will find your body will start healing in many ways over 2-3 years. I hear about this from many and I experienced it myself.

Good Luck 'Rocky'...

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Old 12-01-2017, 23:24   #10
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Cutting carbs reduces the amount of glucose that winds up in your bloodstream after eating. All or some of that glucose will be taken in by the cells to be used for energy. For us Type 2 diabetics, it is less than non-diabetics for various reasons. Some of the excess glucose is converted to glycogen and stored for future glucose needs in the liver, some is converted to triglycerides and stored as fat, and some of it remains in circulation in your blood doing damage if it is a high enough level. If your BG is allowed to stay high, your body gets accustomed to the higher levels (even damaging levels) and tries to keep it there by converting that stored glycogen in the liver back into glucose and releases it back into the blood stream. So cutting carbs should reduce the amount of excess glucose that is converted to glycogen and stored in the liver, and one would think that your BG would come down correspondingly, but the body is still trying to maintain the higher BG levels you have become accustomed to. As the stored glycogen needs replenished and the glucose is not available, a process called gluconeogenesis that can convert excess amino acids (from excess protein you eat) into glycogen. So that means that although you've cut carbs, and your BG after eating numbers have come down, your glycogen stores are trying to be maintained at maximum levels, and your fasting and random BG is still staying up. As you do things to reduce what is available to be converted to glycogen and the glycogen stores are being used faster than replenished, and your BG numbers get lower over time, your body readjusts what levels it tries to maintain.

The metformin is supposed to help dampen the gluconeogenesis process which should help get your overall BG numbers lowered closer to normal if you continue to keep the excess carbs and proteins to a minimum in your diet.

I quit taking metformin when I got my BG levels down. I saw a slight tick up in my BG and I either paid a little more attention to what I was eating or my body readjusted and soon returned to the lower BG numbers. I started taking metformin again because of the other potential benefits that come along with its use. Right now I kind of think of it as "Vitamin Met" and don't see that I will stop taking it in the near future, even though I am about as anti-med as it gets.

This all takes place at different speeds and amounts for different people, so if it seems to take longer, you just have to be patient and it should come around and make a difference. If not, then you may need to be tested to see if it just might be Type 1.5 you have instead of Type 2.

Sorry for the long windedness.

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