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I made it to my first appointment yesterday. I did find out though I am not seeing an indocrinologist but an Advanced Practice Nurse/Diabetic Educator which she SHARES an office with an indocrinologist. Not sure if I should swap or not. I do like her, she performed a full blood panel, urine sample, talked to me for an hour, discussed meds. I am taking to see if they are okay to take with the metformin, went over my 2 weeks of readings I had kept and discussed the carb intake. She agreed to put me on metformin extended release which I wanted to start out on, 1 pill @breakfast and supper. So far no nausea-taking it in the middle of the meals as someone suggested here on the forum. Anyone on this med--how long before you saw lowered numbers? My morning fasting #'s have typically been from 160-200. This morning it was 157. Lower yes! On target, No! Will it continue to lower in the next few days?
We agreed to disagree on the low carb high fat diet. She wanted to add lisinopril (blood pressure med) because it helps protect the kidneys. My blood pressure usually runs 117/71 and was told if it lowers it to much to discontinue and let her know. I think because I wanted the low carbs high fat diet she wanted to make sure my kidneys were protected. Has anyone else had their physician prescribe this?
I go back in 2 weeks for my test results and go over the meals I ate, along with my bg.
I have read on here everyone seems to have an A1C #. She took 4 viles of blood and I am going to assume that was taken too. If not I will request it when I go back. Is there anything else I should bring up with her? I know this is long and I really do appreciate the time everyone takes to read it. Looking for advice to make the most of my new lifestyle!:)
 

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Not sure what your lipids will be, but they will probably want to put you on statins just to protect you because you're diabetic. Smile and say thank you when they give you scripts..

Ask what the BP medicine is protecting your kidneys from. I'm not a doctor but don't see the issue. If its protein, keep your calorie ratios about 75 / 20 / 5 % from good fats / protein / carbs and smile and say thank you for BP meds. There is a calculator here on the forum that Daytona made that figures out how much protein you need to maintain your body. Maybe someone will post a link or you can search for it. Everything should hinge on protein requirement.

After you smile and say thanks, you simply don't get the scripts filled. Do lots of research on how a lot of people treat their diabetes here and you will be convinced that most of the medical advise is not really what gets you the best control.
 
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Hi Ranita

Well I think the fact that she did not freak out when you told her you were trying a low carb diet is a plus in her favor, even if she doesn't like it (and apparently does not understand it). Your blood pressure is fine and I cannot understand why she would prescribe a BP med. There is a misconception in the medical field that a low-carb diet will cause ketacidosis which is a severe complication, but not from a low carb diet. They confuse it with the ketones that are in the urine when one is on a very low carb diet because they are burning fat. I just explain low carb to my family this way -- "Look, my body cannot process sugar correctly. Carbohydrates are converted to sugar in the body, and my body cannot handle the sugar. So I have to eat a low carb diet so that there is less sugar in the blood." That seems to get the point across to them, even if it is a rather simplistic explanation.
I am on Metformin 500 mg 2x a day. I know once I took it before breakfast and it did cause some intestinal upset. So I take it just 1 minute before eating breakfast with no problems. The Metformin will help to lower your blood sugars but as I understand it, it takes about a month to reach the optimal levels in your blood stream. It will help to lower it gradually. Don't expect great numbers in a few days. A sudden drop in blood sugars will cause your body to think it is hypoglycemic because it is used to higher levels. I dropped 200 points in less than 3 weeks, mostly by cutting out excess sugars, and my body thought I was hypo. (Dizzy light-headed headachy). I seem to have stabilized now.

I have always felt we have to research our own health issues. I remember many years ago, my father-in-law was developing Alzheimer's. We in the family researched it, read the 36-hour day, were convinced he had it. But his doctor said, Oh, it's just hardening of the arteries. But my mother-in-law insisted that he see a neurologist, who diagnosed Alzheimer's. The fact that we knew what it was, learned how it progresses, made it much easier for family members to deal with it as his disease progressed, than it would have had we not known. To his doctor's credit, after my father-in-law's Dx, he went to seminars and learned all he could about it and became the gerontologist specialist at the local nursing home. This was back in the early 80's.

I told my doctor I was going to go on the LCHF diet, and about this forum where so many have achieved control of their blood sugars, and she was all for it, glad that I am "taking control of my disease". However she did prescribe a statin because my LDL is a bit high. I am not happy about that and think about stopping that soon. I have another fasting cholesterol test in a month and if the numbers are down I will talk her into letting me get off the statin. (I have read that statins can cause diabetes, so why prescribe it to a diabetic?).

Anyway you can sure they are doing an A1C. When you go back to see her, you might take along a print-out of some of the more pertinent facts from Blood Sugar 101. On the lower right or the home page, is a link to a one-page flyer you can print out that summarizes how the LC diet works. That might be helpful to show her.

Good luck Ranita!!
Gretchen
 
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I have a press report somewhere, from a study that says (nutritional) ketosis reversed kidney damage in mice. I will try to locate it and post it here.
 

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Smile and Say Thank You!

Not sure what your lipids will be, but they will probably want to put you on statins just to protect you because you're diabetic. Smile and say thank you when they give you scripts.
LOL good advice, as she gave me a script for it and i smiled and said thank you. Wanted to research it first as my dad was on a statin for a few years and it severely wasted away all his muscles.

I will look for the chart Datonya made and see if I understand it.
Thanks for all the info!
 

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Study

I have a press report somewhere, from a study that says (nutritional) ketosis reversed kidney damage in mice. I will try to locate it and post it here.
Thank you I look forward to readying it.
 

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All Good Info

Hi Ranita

Well I think the fact that she did not freak out when you told her you were trying a low carb diet is a plus in her favor, even if she doesn't like it (and apparently does not understand it). Your blood pressure is fine and I cannot understand why she would prescribe a BP med. There is a misconception in the medical field that a low-carb diet will cause ketacidosis which is a severe complication, but not from a low carb diet. They confuse it with the ketones that are in the urine when one is on a very low carb diet because they are burning fat. I just explain low carb to my family this way -- "Look, my body cannot process sugar correctly. Carbohydrates are converted to sugar in the body, and my body cannot handle the sugar. So I have to eat a low carb diet so that there is less sugar in the blood." That seems to get the point across to them, even if it is a rather simplistic explanation.
Gretchen
Actually we had a phone consultation and she freaked about it, but I was adament when I went for my first visit that I was going to stick to it. So we just agreed to disagree. I like the way you describe your diabetes and will stick with that explanation.
Was happy today after my lunch 1 hour reading was 126 2 hour reading was 125 but then after my snack (v-8 small single can) of 7 carbs it jumped to 160 after 1 hour. Guess it will take some time to adjust and meds get in my system.
Thank you for all the information. HELPFUL for sure!!
 
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I love vegetable juice. But I fear it is somewhat like drinking fruit juice, it just goes straight to the blood stream. But I drink a small glass (like 4 oz) with my breakfast of bacon and eggs and that way it doesn't seem to spike me.

I am testing after every meal now, in the process of learning which foods I can handle best.

Good luck Ranita!
Gretchen
 
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