Question

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Start Here > New Member Introductions

New Member Introductions Please start by introducing yourself to the rest of our community. We would be grateful if you could tell us a little bit about yourself and your experiences with Diabetes. The main aim of our community is to share experiences, knowledge and help increase the understanding and awareness of Diabetes. The introductions forum is a great place to start with the community. ■ RulesGetting Started With DiabetesForum.com


Like Tree127Likes

Question


Closed Thread
 
Shared Thread Thread Tools
Old 10-02-2014, 02:14   #1
Active Member
 
Join Date: Oct 2014
Location: michigan, usa
Posts: 32

Member Type
Type 2
Diagnosed in 2013

27 likes received
1 likes given
Default Question

Hi

I'm Adam dx type 2 last 2013. I had a go re section on 2011 which brought on metabolic syndrome and have struggled since. I'm glad to be alive but want to lower my A1c badly.

I've been trying different morals at the direction of my endocrinologist. First onglyza, then tradjenta, then to metformin XR. I like the metformin but don't achieve adequate glycemic control e it (A1c 8.4). Recently the ends added Amaryl or glymeperide 2mg and I am having lower readings, but also getting blurred vision. It scares the hell out of me!!!

I've read some thread here on 'false hypos' and decided to join and seek wisdom from the community. The blurriness is intermittent. It comes and goes and is not tied to either hypo or hyper episodes. I usually have an am fasting around 130 and run to 200 after big meals, but then drop quickly w both meds. I'm afraid to take the Amaryl any more and am considering asking the endo to go up on the metformin instead but wanted opinions from other diabetics.

Any advice would be greatly appreciated

Adam

adam1972 is offline  
Old 10-02-2014, 02:49   #2
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23930 likes received
32255 likes given
Default

Hello Adam, welcome aboard. I think where your docs are going wrong is relying solely on meds to fix your blood sugar, when they should be teaching you how to eat to fix your blood sugar. It is food that sends your levels so high (as you have noticed with your postprandial readings), and once you limit your carbohydrate intake, your blood sugar will stay where it belongs, and need only perhaps the metformin to remain stable. Of the three main micronutrients, only protein and fats are essential. Carbs are NOT essential nutrients, so you can drop them as low as possible without repercussions. I know this runs counter to what the self-styled experts say, but those experts are just plain wrong, and/or they're pushing an agenda of their own.

We promote a method called eat-to-your-meter, and when exercised along with this way-of-eating, allows you to compile your own safe foods list whereby you can plan your menus without fear of spiking over the moon.

Keep reading - check out the introductory threads from other members - there are some great success stories being played out every day around here. You will be one of them - just visit us often & let's get acquainted.



Shanny is offline  
Old 10-02-2014, 03:02   #3
Senior Member
 
Join Date: Nov 2009
Location: Iowa, USA
Posts: 297

Member Type
Type 2
Diagnosed in 2003

312 likes received
594 likes given
Default

Quote:
Originally Posted by adam1972 View Post
Hi
I'm Adam dx type 2 last 2013. I had a go re section on 2011 which brought on metabolic syndrome and have struggled since. I'm glad to be alive but want to lower my A1c badly.
What type of resection did you have done? There are several types and we need to be sure we are talking about the same type.

Quote:
Originally Posted by adam1972 View Post
I've been trying different morals at the direction of my endocrinologist. First onglyza, then tradjenta, then to metformin XR. I like the metformin but don't achieve adequate glycemic control e it (A1c 8.4). Recently the ends added Amaryl or glymeperide 2mg and I am having lower readings, but also getting blurred vision. It scares the hell out of me!!!
Happy to see that you are on metformin (extended release) and away from some of the riskier medications.

Quote:
Originally Posted by adam1972 View Post
I've read some thread here on 'false hypos' and decided to join and seek wisdom from the community. The blurriness is intermittent. It comes and goes and is not tied to either hypo or hyper episodes. I usually have an am fasting around 130 and run to 200 after big meals, but then drop quickly w both meds. I'm afraid to take the Amaryl any more and am considering asking the endo to go up on the metformin instead but wanted opinions from other diabetics.
First, you need to revise what you are eating. I suspect you are still consuming too many carbohydrates and thus the vision blurriness. This happens when glucose levels remain too high and with the range you are taking about the vision problem will come and go until you bring your blood glucose down and remain consistent at or below 140 mg/dl. If you have been reading many of the threads on this site, you will find that many strive for less than 125 mg/dl.

Amaryl is a sulfonylurea and forces your pancreas to produce insulin and thus adding to the strain on it. Increasing the metformin should be a goal and if that does not help, along with lowering your carbohydrates and increasing your fat, then you need to consider using insulin.

Also please answer this - how often do you test? The reason for this is because it does not sound like you are testing before your meals (preprandial). A reading only after a meal (postprandial) tells you nothing, nada, zip. With a preprandial and a postprandial test about 2 hours after first bite, then you will know how much of an increase in blood glucose your meal has caused. This tells you if you can consume the food and not have it drive your blood glucose into the stratosphere or that you need to consider eliminating some carbohydrates and replacing them with fat.

Most people on this forum eat very low-carb to low-carb, moderate to high fat, and medium protein.

Continue to read and ask questions!

Shanny also said some things better than I have.

Any advice would be greatly appreciated

Adam[/QUOTE]

__________________
Bob
DX 10/03 - T2 - Lantus/Novolog
http://www.bobsdiabetes.blogspot.com/

Last edited by RobertIA; 10-02-2014 at 03:05. Reason: After reading Shanny post
RobertIA is offline  
 
Old 10-02-2014, 03:18   #4
Active Member
 
Join Date: Oct 2014
Location: michigan, usa
Posts: 32

Member Type
Type 2
Diagnosed in 2013

27 likes received
1 likes given
Default

Thank I will do exactly that and keep you posted on the changes that occur

adam1972 is offline  
Old 10-02-2014, 03:31   #5
Active Member
 
Join Date: Oct 2014
Location: michigan, usa
Posts: 32

Member Type
Type 2
Diagnosed in 2013

27 likes received
1 likes given
Default

I had a gi resection. Sorry this darn auto correct is a pain sometimes. I had diverticulitis and wore a colostomy 6 months prior to a reversal.

Blessedly, my plumbing is vastly improved. But since the reversal I have has Classic sx of 'metabolic syndrome,' I e high sugar blood pressure and cholesterol.

I've changed my diet radically but am likely still eating way too many carbs. We eat whole foods, multi grains fresh veggies etc.

After hearing your words my tentative plan is this: I will ask the endo to go up on the metformin XR, continue to cut back on carbs aggressively, and ramp up the exercise regimen over the winter months. I'm thinking that the sulfanyureas are poison to me and would be better off using insulin if these changes don't work. Ergo I will ask he dc the Amaryl...

God bless you guys for hearing me and understanding.

adam1972 is offline  
Old 10-02-2014, 03:33   #6
Active Member
 
Join Date: Oct 2014
Location: michigan, usa
Posts: 32

Member Type
Type 2
Diagnosed in 2013

27 likes received
1 likes given
Default

I haven't been testing pre meAl but will start that tomorrow. Thank you!

Shanny likes this.
adam1972 is offline  
Old 10-02-2014, 12:02   #7
Moderator
 
mbuster's Avatar
 
Join Date: Sep 2011
Location: SW Arkansas
Posts: 9,289

Member Type
Type 2
Diagnosed in Feb. 2012

11225 likes received
6510 likes given
Default

The carbs are driving up your BG, the sulfonylurea is driving it down. Less complications from the drug's potential side effects will occur if you don't drive your BG up to begin with.

You've said you are eating less carbs, which should make your BG start getting lower. Coming down from higher numbers is what is making the blurry vision. That should clear up as your BG stabilizes at a lower number, so don't go spend money on new glasses.

Welcome to the forum.

silvertiger likes this.
__________________
Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
mbuster is offline  
Old 10-02-2014, 12:42   #8
Moderator
 
VeeJay's Avatar
 
Join Date: Jan 2012
Location: Midwest USA
Posts: 9,415

Member Type
Type 2
Diagnosed in 2010

11984 likes received
4455 likes given
Default

Welcome

Glad to meet you. Your determination will do you well in controlling your blood sugar levels. "Eat to your meter" is the tool for success.

We have been misled to think that eating low-fat will lower our cholesterol and that it is a valid treatment for diabetes. The opposite is the truth - as experienced by so many members of this forum, myself included. LCHF will usually normalize blood pressure in addition to lowering cholesterol. The key is to eat few carbs and lots of fats.

There are three threads in the diet section of this forum where members post what they are eating which can help you "see" what a LCHF way of eating looks like.

http://www.diabetesforum.com/diabete...breakfast.html
http://www.diabetesforum.com/diabete...ats-lunch.html
http://www.diabetesforum.com/diabete...ts-dinner.html
http://www.diabetesforum.com/diabete...at-snacks.html

This WOE is very satisfying, and one need never be hungry, even when one is losing weight (which is one of the nice "side-effects" of this WOE)

gotsomeold likes this.
__________________
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
VeeJay is offline  
Old 10-02-2014, 17:00   #9
Senior Member
 
silvertiger's Avatar
 
Join Date: Nov 2011
Location: Saskatchewan, Canada
Posts: 3,861

Member Type
Type Pre
Diagnosed in 2011

4282 likes received
5061 likes given
Default

Welcome!

Remember to add more fat to your diet to stay full. I also agree that you should go for regular eye checkups, but don't bother with new eyeglasses until your BG has stabilized at a lower level.

__________________

View silvertiger's full Diabetes Forum profile here.
silvertiger is offline  
Old 10-02-2014, 22:49   #10
Active Member
 
Join Date: Oct 2014
Location: michigan, usa
Posts: 32

Member Type
Type 2
Diagnosed in 2013

27 likes received
1 likes given
Default

Day one low carb diet: am bs 140. Breakfast eggs and yogurt. Prelunch bs 138. Lunch. grilled chicken breast wrapped in lettuce w cheese. Bs 2 hrs after 178 Pre dinner bs 138. dinner taco salad w turkey burger minus tortillas.

I am craving carbs, vision is CRYSTAL clear w/o the Amaryl and w the low carb menu today, so relieved.....

Questions: what are good low carb tortillas or breads I can have? I eat sandwiches I pack for lunch to save money. Also, what are good fatty foods I can snack on so I feel full? I am HUNGRY because I am used to eating wheat bread on my sandwiches (21g carbs per slice), can't do that any more for certain.

Very positive start to my new regimen. Going to store later to read labels and see what's good and what's bad....

adam1972 is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 20:07.




Powered by vBulletin®
Copyright ©2000 - 2020, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.