Author Topic: i have no energy  (Read 1619 times)

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Offline Dr DeEath

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Re: i have no energy
« Reply #15 on: 13 May 2016, 02:04:44 PM »
My digestive system was a mess and I was very tired after a serious chest infection in February - the anti-biotics seeming to have done in my digestive system. What helped that was having yogurt (the plain one with the healthy bacteria) and avoiding processed food, and its E numbers. Going gluten free for a period might be worth trying - whilst my partner does not have an allergy to it she does have an intolerance. Unfortunately she likes her bread and cake too much. However if she consumes more than around two slices in a day the next day she is tired and moody, and often has an upset stomach.

I agree you need to see a specialist. Whether you are Type 1 or II is not really relevant. A friend developed diabetes shortly after retiring and after getting nowhere with Metformin was put on insulin. His GP still insists he is Type II as he has elder diabetes despite the fact that he lost weight in the weeks preceding diagnosis and has always been fairly lean.
T1 for over 50 years.  MDI on Porcine insulin.  Lisinopril and Atorvastatin.

Offline sedge

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Re: i have no energy
« Reply #16 on: 13 May 2016, 04:21:38 PM »
Well Dr D - unless he has a C peptide test, he'll never know!
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: i have no energy
« Reply #17 on: 13 May 2016, 08:33:40 PM »
Susie

Please forgive me, I need to think about what you have said and I just can't at the mo due to things I have to do.  Let me mull it over overnight?
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline himtoo

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Re: i have no energy
« Reply #18 on: 14 May 2016, 12:07:28 AM »
Hi Susie
a quick calc on your foods says you are eating circa 120-160 grams carb per day
on a mixed insulin regime this will be a difficult diet
your evening dose suggests a total daily carb intake of approx 100 grams might be more appropriate.
first thing would be to discuss this with your DSN.

are you able to get hold of a copy of the book carbs and cals -- it is a very visual book to help in seeing what you are eating.
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Pattidevans

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Re: i have no energy
« Reply #19 on: 14 May 2016, 12:54:33 PM »


Hi Susie

good morning :)firstly thank you for your replys ,for breakfast I always have porrage made with full fat milk and a spoon of sugar to give my sugar a boost before I walk my dog. dinner time I have a sandwich with some salad and ham ,tea time I love salad jersy royals and chicken ,before bed I have 2 Weetabix .because of my tummy problems I try to be carefull with my food .

I've highlighted in red the foods that will push your sugars up.  Generally what pushes people's BG up are the following, bread, rice, pasta, potatoes and cereals though you may be able to tolerate some things that other people can't and vice versa.  For example most people can get away with a few new potatoes, but not many can tolerate jacket potatoes.  The only way to know is by testing before meals and at 1 and 2 hours after. 

I am thinking that if you are only taking 3 units of Humulin M and still going low after porridge then it does sound like you do not need insulin in the morning and are indeed T2.  Because what you are doing in the daytime is feeding the insulin and insulin encourages fat storage.  So it should be possible, in theory, to stop the morning dose and perhaps eat a less carby breakfast because the combination of excess insulin and the high carb intake at breakfast is likely what's causing the weight gain.  The two Weetabix you are eating before bed are undoubtedly what's pushing your sugars up to 12 in the night.  Weetabix and other cereals are notorious for raising BGs.  I don't know what time you are injecting your dose in the evenings, but it may be that the rapid acting part of it is over and done with before you eat the Weetabix, so you are getting a double whammy.




Quote
I will have a word with my nurse but because I see a specialist I don't know if she will change my insulin he wants me off insulin but hes concerned my sugars will go to low :-\


I think your specialist thinks the insulin may well be bringing your BGs down too low and that's why he wants you off it.

Hope this helps.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline nytquill17

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Re: i have no energy
« Reply #20 on: 14 May 2016, 01:07:30 PM »
Well I'm not sure it's quite so formulaic as that - even on mixed insulin, everyone's needs will be different. But I agree that is a diet based mainly around carb-containing foods, from the sounds of it. On mixed insulin you will need some carbs to "feed the insulin" (this is one reason why a lot of us don't like mixed insulin - you have to eat to match the insulin rather than taking insulin to match what you feel like eating) but you may find that eating a bit less carbs may help you feel better, if the carbs are sending you high and leading to you feeling tired. On the other hand it does sound like you have some other issues going on at the same time, so definitely worth seeing a doctor about and not just assuming it's all down to diabetes.

There are really 4 keys to managing insulin so that you feel as well as possible as often as possible. The first is testing often to see where you are. Especially when you're feeling particularly unwell. This will help you to know, first off, whether it actually is high or fluctuating blood sugars that are making you feel that way (because it may not be!) It also helps you to judge how effective your insulin and diet choices are, so you can know what you have to modify.

The second is feeling at ease adjusting your own insulin dose. On mixed insulin, this can get a bit complicated because you're always injecting for this meal AND for the rest of the day, all at the same time. So you can't, say, take more insulin because you want a big breakfast, without getting into trouble later in the day because now you have too much insulin for the rest of the day! So everything has to be done in moderation. But whether you are on mixed insulin, or a basal-bolus regime, it's impossible to achieve your best results if you have to wait on a doctor or nurse to authorize each dose change. Getting comfortable adjusting your insulin, if you're not there yet, is a process, and should ideally be taken on with the help of your doctor, or at least with your doctor being under advisement that you intend to learn how to do it (personally, I figured it out on my own at home - it's not something that is so unthinkably complicated that you must have professional help to do it, but it's generally best to have some guidance when you're getting started!)

The third is knowing how to carb count. It's again, not very complicated or mysterious, just a matter of knowing how to look up information about the carb content of your foods and apply it to what you're eating. This will give you an idea of how many carbs your eating and whether and where you might need to reduce carbs in your diet to help make the insulin you take be more effective, and reduce the number of high blood sugars you have so that you feel at your best more often! The idea is to have a diet that is low to moderate in carbs and higher in protein and vegetables, so you're still getting good nutrition and feeling full but with fewer carbs (which are the things that push blood sugars up and generally require us to take more, rather than less, insulin).


And the fourth one, is doing just that - reducing carbs to a level that is on the one hand something  you can live with in your daily life (no sense being so restrictive that you're miserable) and on the other hand is a level that doesn't give you lots of high blood sugars that your insulin can't keep a handle on. Now you want to go at reducing carbs slowly and gradually, because if you reduce carbs too much without also reducing your insulin then your blood sugars really might go too low. So if you go slowly, then you can reduce both carbs and insulin, stepwise, using your testing (key #1!) to help you know when it's time to adjust your insulin downwards (key #2 - see how it's all interconnected?) For some people, when carbs in the diet are low enough ("low enough" being a different amount for each person!) they end up needing so little insulin that they can come off it.
T1 DX 1995
Levemir + Novorapid
 
  ~-~-~-~
"If you can't ride, can you fall?"
"I suppose anyone can fall," said Shasta.
"I mean can you fall and get up again without crying, and mount again and fall again and yet not be afraid of falling?"
"I - I'll try," said Shasta.
  ~C.S. Lewis, The Horse and His Boy
  ~-~-~-~
"There is no answer; seek it lovingly."

Offline susie1953

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Re: i have no energy
« Reply #21 on: 14 May 2016, 09:30:47 PM »
some interesting reading thank you :)I feel I must be honest and tell you that 2 years ago I had an abcess on my brain and was very ill I had sugry for this and thank god it saved my life along with my wounderfull husband and son .but because of the abcess I have a bad memory not very bad but I can get confussed ,I really would love to get my diet better keeping a count on carbs ect ,my specialist is very good he said if my sugars go a little high or low to alter my insulin dose .can you suggest a book I can buy to help me with carb counting and good things to eat .I am very gratefull for all your help thank you this forom is great :)

Offline sedge

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Re: i have no energy
« Reply #22 on: 14 May 2016, 10:23:23 PM »
Susie - the book himtoo mentioned - "Carbs & Cals" is actually the name of it! - is good because it shows you pictures of the food as well as the carb count.  If you have a smart mobile phone, there is also an App you can download. 

It doesn't tell you what to eat or not to eat though! - you have to test your blood glucose before eating, try eating stuff and see what it does to your BG meter reading about 90 mins to 2 hours after you ate it.  You are really aiming for meals which don't increase the readings by more than approx. 3.0 ish overall.

One Weetabix and milk is 20g Carb on it's own and would increase my BG by 6.0 without my injecting the appropriate amount of insulin prior to eating it - every 10g increased it by 3.0 and one unit of Novorapid (fast-acting insulin) reduces my BG by 3.0 which is brilliantly easy for me to calculate.  However I'm lucky - most people's calculations aren't that simple.

There are simple ways of finding out exactly how to do this when people are on the 'Basal Bolus' (or 'MDI') insulin regime - but I have no idea how to do it on mixed insulin (never found a reliable way when I was on it which was years) so can't advise you on that, I'm afraid.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4