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Discussion Starter · #1 ·
Hello friends,

I am 18 months into this. I laugh now about my former ignorance, but no cause came to mind that explained my headaches (after downing my favorite 64oz thermos of irish creamer coffee), urination 16x per day, wobbling, weight loss.

(BTW, I also suffer from male ego, which prohibits me from admitting to problems or seeking help. Many men and some women are afflicted, and it really has it's effect when medical matters are involved.)

I mentioned my symptoms to my walk in clinic doctor, who took an A1c reading on her meter, but it was off the meter scale. A lab report showed it to be 13.9. She told me I was "diabetic", and gave me a perscription for Metformin, what ever that was, and told me to limit carbs to a quarter of my meal. I was told the upper limit for blood glucose was 125, but even my new mayo on cheese diet could not produce this result. 8 months into it, I learned that a glucose reading of 125 was the upper limit for a fasting non diabetic, and not the post prandial reading for a diabetic. This kind of thing was my learning curve for the first year.

My new endo added Byetta injections to my oral meds, but results are marginally satisfactory. Some useful information may come from the C-peptide test I am scheduled for at the end of April. It may involve a failing pancreas. Weight is normal, age at diagnosis was 48. I am disciplined in my 60 gram complex carb meals, but readings are sometimes 300+, especially with the dawn phenomenon. I finally started excercising again, and it is quite effective, but the diabetes has progressed over the last 18 months, and will likely continue to do so. The rate of the progression seems to be on the fast side, I am on all the type 2 orals and injections and when these max out, insulin is next.

Any observations. Thanks.




Diagnosed "diabetic" at my walk in clinic, with a 13.9 A1c.
 

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Welcome mate. You will love it here. I love reading other people's stories. I been a diabetic since 2004. Was only on tablets all that time. A month and a half ago they started me on insulin. I now have insulin twice a day.
Will teach me for not looking after it while I had the chance.
Anyways welcome again.

Sent from Lisa's iPhone using Diabetes App
 

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Well, "mel" . . . welcome to the club you never wanted to join. :eek: And thank you for joining US . . . we're always happy to meet new friends.

My initial observation is that you eat more carbs at one meal than I eat all day long. Whoever is planning your strategy needs a refresher course in Carbs 101: carbs raise blood sugar - period. Eat fewer carbs - better control of blood sugar levels. Build your meals around protein & fats - better control of blood sugar levels. Include enough really high-fiber carbs to keep regular, but ditch the fruit, juice, grains, pasta, potatoes, rice, etc. Ditch anything that raises your BS over 140 (7.7), and yes, this means for awhile you have to test one hour after every time you eat to see how high you went & then avoid whatever food you ate that raised it.

BG of 125 is a perfectly fine target for a PWD (person with diabetes), but you prob'ly won't get there eating like most docs/dietitians/diabetes educators advise. They continue to follow the ADA guidelines, and the ADA continues to cave in to political pressure from special interest groups like the grain growers lobby et. al.

Just prowl through our threads for awhile & you'll begin to see most of us lean toward a lower carb & moderate fats way-of-eating.
 

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Discussion Starter · #4 ·
Thanks Lisa, and for making the effort from the other side of the world. I wonder if the diabetes rate in Australia is different from other western counties?

Latinos have a high rate, but Cubans have a rate half that of other Latinos, because their gene pool was not much mixed, being island bound and then politically isolated. Has Australia developed that way? Perhaps it even has a higher rate that has not been diluted by international interaction.
 

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Discussion Starter · #5 ·
Thanks Shanny, for the reply.

I am impressed with your stats, that you list...60 grams per day. I increased from about 100 a day to 3 x 60 = 180 per day at the advice of a dietician. I no longer mind the lack of carbs, for the first year, it was tough, but I am glad I am no longer a slave to carbs. It's a matter of replacing them with something else...exercise, freedom, protein, tea; rather than mourning them. More life actually opens up, because you are forced to enlarge your boundries in seeking a replacement for carbs.
 

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I increased from about 100 a day to 3 x 60 = 180 per day at the advice of a dietician.
I saw two 'Diabetes Educators'. The first told me I didn't need to test more than once/day, the second disappeared behind the curtain and returned with a personalized meal plan that had me eating 185 carbs/day. By the time I went to the second one, I had already spent some time online and was eating under 100 carbs/day. I questioned the amt of carbs and she said, "I have to follow the ADA guidelines" then added, "you're doing great, keep on doing what you're doing just don't do Adkins." I thanked her for her time and that was that.

I've no idea where I'd be if I'd've followed the ADA guidelines but am guessing in the mid 200's (at least) vs averages now in the low 100's.

The ADA left shocking in the rear view mirror.
 

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welcome to the boards.

imo, the lower the man-made carb intake, the better
 
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Thanks Lisa, and for making the effort from the other side of the world. I wonder if the diabetes rate in Australia is different from other western counties?

Latinos have a high rate, but Cubans have a rate half that of other Latinos, because their gene pool was not much mixed, being island bound and then politically isolated. Has Australia developed that way? Perhaps it even has a higher rate that has not been diluted by international interaction.
Welcome Mel :) you'll find lots of support and info here. Keep us posted on how you're doing. I live across the Nullabor from Lisa (the other side of the country).
Here is the link to facts & figures on diabetes in our country:
Diabetes in Australia - Diabetes Australia
Our population info (bureau of stats "population clock"): http://www.abs.gov.au/ausstats/[email protected]?OpenDocument
 

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Discussion Starter · #9 ·
Thanks Only, Moon, and BackPages

BGL this morning was only 150, down from 250-300 last week. I credit the decrease to an exercise program I started 5 days ago. It's weight lifting and eliptical machine. Here is my theory: metabolism (that is the use of sugar) is increased 24/7 by the muscle being built, maintained and repaired. The cells glucose transporters make more necessary trips to the cell membrane to hunt for the glucose the cell needs. The dramatic sugar drops may be a sign that my main problem is glucose intolerance, and not decreased pancreas output, although the pancreas (I read) can supply the needed levels even when 70% destroyed.

I like the exercise. If I connect a goal to it, I will be more likely to continue it, so I have. I want to bulk up into a 5'10" Schwartzenegger, and be a glucose metabolic machine. I can see it now...all the 40 year old type 2 babes will be hanging around my weight machine in my living room waiting for me to make my workout! Oprah will want me on her show, books, speakers fees...
 

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Discussion Starter · #10 ·
I appreciate the reply Moon,

Our profiles are similar. I liked the Glipizide ER, but my endo wants me to take Starlix (nateglinide). Problem is Starlix has a half life of 1.5 hours. Glipizide's half life is on the order of 3 hours. I do illustration from my home studio, and am able to eat small amounts every 2-3 hours, which further necessitates an ER type med. I will make my case again at the next appt.

I love central California, I was born in east L.A. (48 years ago) when it was a commuter ville. lived twice in the bay area, chased jobs around the country and am now in northern Virginia near Washinton D.C.

Do you ever paint the coast or the Sierra Nevadas, or the farmland?
 

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Actually, my endo wanted me off glipizide as soon as possible and I was able to cut back to 2.5 mg ER this week. I'm seeing him again in 2 months, but he said I should stop it altogether once I'm stable in the low 100's and can continue working to bring my bg down w/out it. He's not a fan of that class of drugs if one can avoid them.

Do you ever paint the coast or the Sierra Nevadas, or the farmland?
Is this like 'paint the town red' but different? I hate not being au courant with references, or maybe just plain thick-headed! I'm quite sure you don't think I'm a painter, so you must mean do I ever visit them?

I live on the coast in Santa Cruz County and have several friends in the Sierras so do visit from time to time. Farmland? Not so much. But I do live maybe 30 minutes from Driscoll's and go weekly to get a flat of assorted organic berries from the company retail store. Otherwise, I tend to hug the coast. I'm in Western NC now caring for my mom w/ alzheimer's for a few months but intend to high-tail it back home in late June before the worst of the heat/humidity. I love the 70s/80s, dry climate, and cool evenings of the coast where air-conditioning is nearly unheard of and we keep the windows/sliders open 24/7 :)

I love DC! As a kid I thought domestic history was boring in favor of older cultures and didn't appreciate the times I had in DC. Then several years ago I went for 10 days and was captivated! Maybe we should do a vacation house trade :)
 
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