... and here I am.
I joined his forum when I was first diagnosed and was very well-controlled by diet alone at first. THen there was a series of big personal events and my control went AWOL. One of the events was a move to a new area and a new GP practice. I got off to a bad start with the DN at the new surgery and got told basically to do 'do what I say, eat what I say and let me prescribe any medication I think will work'. It didn't fit very well with me when she started to explain in words of one syllable what DM is, despite her knowing I'm a retired nurse.
I was put onto Metformin which had no effect at all. I tried to keep to my VLCHF diet with a 'treat' once a week (rotated between a piece of cake, small portion of chips or an ice-cream on Sundays). My BG kept on going up and up. I also started to find keeping the carbs so low nauseating - I've been craving an occasional baked potato or 'proper' sandwich with a slice of wholemeal bread instead of just a slice of cheese for lunch.
I saw Nursey Nightshade
again 2 days ago and was amazed at the difference in attitude. I've been bad and instead of having the potato I craved, I've denied myself it but lost control when I was at WI meetings with all that cake ... And when my husband had chocolate in the house, I ate it and bought more while he was at work to replace it. I know from past experience that if I have a tiny bit of what I crave, I'm okay but if I resist it, I eat anything in sight for days. Okay - confession over.
Nursey has give me a meter and strips and wants me to test - this after telling me that I 'shouldn't be testing at home because it's no good for you' a year ago. I'm still on Metformin (500mg tds) with added Trajenta. She's also said we should be aiming at a pre-breakfast level of between 5 and 6, which is a considerable improvement on the 'less than 9.5' she wanted last year. Her last suggestion was that if Trajenta doesn't give a good result, we'll try short-term insulin to get the BG down so we can then see how much pancreatic function I still have.
I feel so much better - I feel as though the local NHS Trust has finally come into the 21st century. I've added a bit more 'allowable' carb to my diet in the form of porridge for breakfast and one piece of fruit as part of lunch. I'm happy with this level and the biscuit cravings have gone. I know how stupid I was but it was so scary arriving here and being told that there'd be no support for my chosen way of taking some control of my condition - I got into the rut of thinking if the NHS didn't care, why should I because they were seemingly on track to kill me anyway.
Back to trying to get my control back, although my new GP has suggested diet alone won't be enough now as my pancreas may have less to give. Going to be trying hard now, back to testing, head out of the sand and keeping a food diary until I get some stability back. Thanks for reading xxx