Hello - I'm Debbie

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Hello - I'm Debbie


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Old 09-26-2014, 14:14   #1
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Angry Hello - I'm Debbie

Hello...my name is Debbie...I have been diagnosed with hypoglycaemia and dumping syndrome...I have been really suffering with hypos and my GP has given me a meter to check my blood sugar and to keep a diary...Last night an hour after eating my reading was 14.5....I felt awful..then an hour afer that I was 5.5...
Im usually between 4.6-5.2...I have been given no information on what high/low or anything...I was given a Short Synacthen Test back in February and I was 1 point away from being diagnosed diabetic...the endocrine dept discharged me and said to follow a low carb diet and that a diet would control my many hypos...I have since rang them and explained that the diet isn't changing the hypos that im having and they said that unless im diagnosed with diabetes they cant help me???and to go back to my GP..Is this right??I am really struggling every day with this and have no idea what to do??what do I do when having a hypo(or my mum)as ive had no help whatsoever..Thankyou for reading xx

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Old 09-26-2014, 15:24   #2
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Hello Debbie and to the forum.

I've got to say that your blood glucose jumping from around 5mmol/L to over 14 in one hour suggests to me that your meal was not what we'd define as low carbohydrate. Perhaps if you give us a precise description of what you did eat we can say something more.

The pattern you describe of a high peak followed by an effective crash back to a normal number suggests reactive hypoglycaemia, frequently suggestive of serious insulin resistance. This often is a precursor to full blown diabetes.

Diabetes isn't a simple condition and unlike some, there isn't a simple line that says "diabetic/not". Once your blood glucose management starts to show evidence of problems, the safe approach is to follow the guidance that your endocrinologist gave you and reduce substantially your carbohydrate intake.

Here are a couple of interesting web sites to explore - Blood Sugar 101 - This site is written by a lady, herself diabetic since the 1990s and it covers the ground very helpfully. Worth exploring.

Another place to look is LCHF for Beginners - DietDoctor.com which discusses low carbohydrate eating. Many on the forum (including me) find this approach means that medication isn't needed.

On the forum you'll find a friendly nosy bunch - all with the same mindset - we don't plan to let diabetes rule us. We are in charge - and staying that way.

Again

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Old 09-26-2014, 15:49   #3
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Hello John,
Thankyou for your message..
As I said this is all new to me and I have had no guidance as to what to do...
I'm sure with help I can try to begin to understand whats best to not do..
Yes,the endocrinologist said Reactive Hypoglycemia and to reduce my carb intake,which I have done..since February..
When is best to check BG??I usually do it before a meal and 1-2 hours after...what to do you think is a normal BG reading??ie:whats normal and abnormal range??
Thankyou for reading..
All the best
Debbie Sinead

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Old 09-26-2014, 16:19   #4
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Hello again Debbie.

Testing blood glucose is something that most doctors sadly neglect. Only by testing can we see what is happening and more importantly why it is happening.

To start with you should be testing a lot. A very great deal more than your doctor will be happy about. When I started, I was thrifty and settled for testing about six times each day. Some members do a lot more. As you get to know what is happening, you'll feel safe to cut back. Currently I test just once each day in the morning - and my doctor still thinks that's too often.

Anyway, this is a link to a bit of that site I suggested to you earlier - How to Lower Your Blood Sugar . This page will give you a set of ground rules for your tests.

Basically, you need a starting point - before you eat, then check what the meal did one hour after you started. Normally this will give you the peak but not always. That's why a second test after two hours is useful and it should show your numbers getting back to something like normal. If the number is still high, test again after each additional hour until it does start to drop. And in that case you need to ask why. In other words, what was in the meal that was so slow to digest?

The British Diabetic Association suggests that getting your number below 10 in 2 hours is fine - sorry - but it's not. Get that number below 7.5 in one hour or you are inviting long term issues. Achieving this will take hard work and attention to detail so invest in a nice big notebook to act as your food log - and use it. Again to start, you need to be very exact, as you get to know your meals and your body, you will be able to relax on the log - but not on what you eat.

Diabetes is a pest - but managed, it's only an inconvenience. Let it control you and it's a disaster. You will need to accept that you have a lifelong (and a long healthy life) commitment.

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Old 09-26-2014, 16:35   #5
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Oh - sorry - didn't answer your question on what is 'normal'.

Again, this depends on whose rules you follow. Me? I insist that my aim is to deliver a non diabetic result every time. So my fasting figure - in the morning and more than two hours after eating wants to be below 5.5 mmol/ L . At one hour after eating, I aim for 6.5 and at two hours, 6.

It can be done - this year my fasting average is 4.8, at one hour (although now I test only when I eat something new to me) is 5.5 and at two hours 5.3. My HbA1c figure equates to 31 mmol/mol. And on that point, did your doctor do that test on you?

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Old 09-26-2014, 23:26   #6
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Welcome Debbie!

Learning to eat LC or LCHF takes time and practice and learning. Can you tell us what you ate before you had that 14.5 reading? We will be glad to help figure this out.

__________________
- Nancy

wf, 63yo, 5'4", 110 lbs
LCHF diet-controlled T2
DXd myself with PP BG over 270
DX 12/13 with A1C 5.9
8/26/14 HbA1c 5.5
avg BG: 90 - 95 before meals, 100 - 110 one hour PP, 95 2 hours PP
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