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Introduce yourself / Re: A lost stray is returning ...
« Last post by Alan on Yesterday at 10:29:41 PM »
THanks for the encouraging words, everyone.

Alan - yes, I did have a meter but I had to buy it myself and pay for the strips.

I snipped for brevity but read it all. As an outsider looking in I'll say nothing about the NHS, just sympathise. Did they ever do the extra testing for T1?

Quote
I still have my meter and use it but can't do the intensive testing I did when first diagnosed because I'm now retired and on a much smaller income.

This may help: Testing on a Budget
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Insulin and medication / Re: Insulin & Tablet Combunation
« Last post by Alan on Yesterday at 10:23:44 PM »
Hi Alan,

My typical daily diet consists of the following:
Breakfast - Porridge, unsalted and unsweetened
Lunch - Home made bread (so I can control salt and sugar portions), meat and salad, Tortilla crisps and fruit like green banana and apple.
Dinner - Meat, mixed veg, 3 small potatoes (sometimes no potatoes)
Supper - May have some dark chocolate or a small treat.
Booze - Guinness (depending if im out) or a bottle of wine at weekends. 


Hope this helps  :)

Please consider finding when you peak after meals and testing to see the effects of those meals, especially the porridge, bread and potatoes. That does not mean you should not eat them but portion size is critical. Starch matters just as much as sugar. So does fruit, especially bananas.

Also note the carb content of Guinness. I like it but have to be careful when I drink it and limit myself to a half-pint. Similarly, I have no problem with dry wines but there can be significant carbs in sweet wines.

My limits may not apply to you; the only way to know is to test after meals or drinks at your peak time.

These are the techniques I use:

A cautionary note. As you are on insulin-stimulating meds and may go on insulin if you decide to give that a try do not make drastic changes to the menu. Modest changes made consistently will still work without risking hypos. You may need to discuss reducing meds or insulin with your doctor as you reduce the carbs. If you are not sure of your peak time use one hour after your last bite until you discover your peak.
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About the forum / Re: It's probably a very silly question but ...
« Last post by Pattidevans on Yesterday at 07:18:12 PM »
Not a silly question Nellie.  At the top of the page, going across, you will see a list of links.  Choose “Profile”and 3 menu items will drop down.  Choose “Forum Profile” and you can fill in a signature there, upload an avatar and have a strap line (quotation under your avatar).  If you have difficulties let me know and I will try to help.  You really don’t need date of joining, but up to you.  Meds’ are always welcome so that advice/help given is appropriate.
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About the forum / It's probably a very silly question but ...
« Last post by nellie on Yesterday at 06:07:06 PM »
I can't see the details at the bottom of my posts - date I joined and medication etc - but I know the medication bit needs updating. How do I find it and change it?

I've looked in my account details and can't find anything.  ???
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Introduce yourself / Re: A lost stray is returning ...
« Last post by nellie on Yesterday at 01:51:37 PM »
THanks for the encouraging words, everyone.

Alan - yes, I did have a meter but I had to buy it myself and pay for the strips. If I mentioned that I was testing at home, I got a lecture about ho there was no need for T2s to test, we didn't understand what we were seeing, blah blah  :banghead:  My old practice in the Midlands eventually agreed that testing was the way to go for T2s but still wouldn't or couldn't issue meters unless we were on insulin. I still have my meter and use it but can't do the intensive testing I did when first diagnosed because I'm now retired and on a much smaller income.

I'm surprised my pancreas has got anything left to give, quite frankly. I apparently showed severely raised BGs during my pregnancy with my daughter but nothing was said at me at the time. Or at any time until 2013 (I think it was) when I was diagnosed. Not even in 1999 when I was doing a return to practice nursing course and we were testing each other and I threw up a result of 12.something 2 hours after a cheese salad lunch and I saw my GP the next day, begging to be tested. I was told to stop lying about what I'd eaten for lunch and stop wasting the doctor's time! When I got to the stage of thinking I was going to die, I again begged to be tested and was then asked why I hadn't sought help earlier. I could give myslf a nasty headache with all the  :banghead:.

I feel very let down by the NHS. There have been tell-tale signs for years and years - the regular skin infections, cellulitis that incapacitated me for weeks at a time following the slightest scratch to my legs to name but 2. I've learned that one of the major causes of cartiledge destruction is uncontrolled hyperglycaemia - I've had both knees replaced because of osteoarthritis. But the worst of it is that at least 3 doctors along the way told me that they hated having nurses as patients because 'you think you know the answers and are constantly asking to be tested when there's clearly nothing wrong'. That's not  :banghead:, that's ground for either murder of spontanous combustion.

Sorry for the rant but I've had the T2 depression for 2 long and today's anger is helping me climb back out of it. Today's anger burns.
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Insulin and medication / Re: Insulin & Tablet Combunation
« Last post by Venomous on Yesterday at 12:53:36 PM »
I asked about the meds - my apologies, I missed reading your sig:

4 x 500mg Metformin per day
4 x 80mg Gliclazide per day
1 x 100mg Stigliptin per day

The doc should review the need for the glic and the sitagliptin if you add insulin.

Depending on what insulin they introduce, I think they will remove the glic and sitagliptin and keep you on metformin Waldo.
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General discussion / Re: Sedge has had an accident
« Last post by Venomous on Yesterday at 12:43:13 PM »
Unfortunately Avocado it hasn't!!  They gave me one tiny bottle which is now gone and I am using a natural remedy, a Baking Soda paste which is definitely doing more than the sugar laden  Nystan.  I'll give it a couple of days.  Thank you.
Another vote for fluconazole here. I was on 6 weeks antibiotics following my surgery and I have just got rid of the thrush though poor hubby still has it, it is a pain to get rid of!
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General discussion / Re: Sedge has had an accident
« Last post by Venomous on Yesterday at 12:39:39 PM »
Oh no!!! I hope she feels better soon, that sounds awful.

When you read this Jen I hope you are in good spirits and giving all those doctors and nurses hell if they do anything wrong :)
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Insulin and medication / Re: Insulin & Tablet Combunation
« Last post by waldo65 on Yesterday at 11:07:54 AM »
Hi Alan,


My typical daily diet consists of the following:
Breakfast - Porridge, unsalted and unsweetened
Lunch - Home made bread (so I can control salt and sugar portions), meat and salad, Tortilla crisps and fruit like green banana and apple.
Dinner - Meat, mixed veg, 3 small potatoes (sometimes no potatoes)
Supper - May have some dark chocolate or a small treat.
Booze - Guinness (depending if im out) or a bottle of wine at weekends. 


Hope this helps  :) [size=78%]   [/size]
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General discussion / Re: Fiasp evaluation.
« Last post by Pattidevans on Yesterday at 10:43:32 AM »
Paul


Mike’s blog is very analytical and in detail, it might answer some of your questions.  Definitely worth a read, written well with some wry asides 😀.  Read it here ]http://www.everydayupsanddowns.co.uk/2017/08/


Apart from Mike’s curious decision to aim for 50/50 TDD at the start of the trial (sorry Mike, but it was curious,I’d have thought a direct comparison with Novo doses would have been more appropriate but you did explain your reasons) his findings run more or less parallel with the other blog I read about Fiasp.


I am using Apidra which is marginally quicker than Novorapid, though not really that much, and it is fairly predictable for me.  Though any high carb meal will see me rise quite high before coming down to a nice level hours later.. Use more to try to eliminate that spike and I will be hypo in 3 - 3.5 hours.


Last weekend we went to Bristol, mainly to visit Ikea for bits and bobs for the new house, but as a pleasant adjunct to the visit we were able to meet up with and share an evening meal with Mike.  We had traipsed around Ikea most of the day and then returning to our hotel in the City Centre we’d gone out again shopping for shoes (for Julian not for me, before those comments about women and shoes!),returning to the hotel in time for a quick cuppa and change before meeting Mike at 7pm and another smart walk to the restaurant.  We went to a tapas restaurant, so guessing carbs was a bit iffy... but when we both tested before dinner I was 3.6....obviously the exercise had dealt a little too effectively with the stodgy lunch of Swedish meat balls in gloppy over-thickened sauce as proffered by Ikea.  My pump won’t allow me to dose if under 4, so I had to wait until into the meal to do it.  For quite valid reasons which Mike will explain himself, he was a fair bit higher (9ish Mike?).   Anyway after a pleasant evening of waving our pumps at each other, discussing their ins and outs and consuming some rather tasty morsels of indeterminate carbiness, accompanied by rather nice red wine, we both tested almost identically in the 11s.  Leaving aside my later dosing, Mike had only risen by about 2mmol whereas I had shot up something like 8mmol, all too frequently the norm for me with higher carb meals.


Next morning- presumably due to the red wine and a nice Spanish brandy I was happy with my FBG of 5.5 and never went much above 6.8 all day. 
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