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Introduce yourself / Re: New member - first post
« Last post by sedge on Yesterday at 09:16:36 PM »
Meanwhile back at the ranch - how ARE you, Jibber ? - be assured that what is right for one of us is not always the only way of tackling something - and thought lots of the time we agree entirely - other times we agree to differ - and try very hard not to fall out with each other, since at heart - all we're trying to do is help each other!
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Insulin and medication / Re: is 6 mmols rise after meals ok
« Last post by himtoo on Yesterday at 08:27:08 PM »
Hi Victoria -- I am hoping I have this right -- you are on levemir as your long acting and take it at night, but are worried about DP ( dawn phenomenon ) and your breakfast

have you thought about splitting the levemir dose ( for example 50% at 9pm and 50% at 7am )
just a thought...............
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Introduce yourself / Re: New member - first post
« Last post by Paulines7 on Yesterday at 06:41:56 PM »
Steven, looking at the figures at the bottom of your posts, you HbA1c figures are excellent up to and including Dec 2014.   I am sorry to hear that it has got so much worse now. 

It sounds as though you are really addicted to carbs, Steven and that is probably why you struggle with your mental health.  At the end of the day, it can only be up to you what you eat.

Did you read the link to the post that I wrote to Victoria? 
http://diabetes-support.org.uk/diabetes_forum/index.php/topic,7357.15.html

If so, you will know that I too had kidney failure.  In fact a year or so ago, one of the GP's at the Health Centre was talking to me about dialysis and saying that at some future date I may well have to have it.  It really frightened me!  Twelve months ago my HbA1c went up to 56 and my own GP said she would not give me Metformin because of my kidneys. 

I agreed to be a bit stricter with my diet as I had begun to stray from it at times.  I was eating a lot of milk chocolate flake bars and ice cream, though I had already cut out the starchy things from my diet. I replaced bread with protein rolls from Lidl and eat cauliflower rice fried in coconut oil with with Pilau Rice seasoning.  Instead of pasta, I have courgette either spiralised or cut into rounds and fried.  A good curry with it or some lovely bolognese and I am more than happy.  I still have my little treats in the form of a Mini Magnum and some dark chocolate just before bed.

Last Friday at my review, my GP showed me my kidney results for the past 2 years and they had improved every time I was tested and they are now almost back to normal.

I too would like to apologise for hijacking Jibber's post but what it does prove is that we are all different and all have our different ways of treating our diabetes.

Patti, I did understand what you were saying but maybe my reply was not quite what I meant to say. Sorry! 
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Introduce yourself / Re: New member - first post
« Last post by Pattidevans on Yesterday at 05:04:59 PM »
Quote
Patti, prednisolone may push up BGs artificially but isn't that even more reason to go low carb?  Perhaps if someone is underweight it would not be a good idea to go low carb, but if they have weight to lose then it could help them.

I didn't say low carb wouldn't help Pauline, just that it may not be as effective bearing in  mind the steroids are working against it.  For anyone not on steroids we often see dramatic changes when people go low carb.  No reason not to adopt a LC diet whilst on steroids, but you may not see such dramatic changes.
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Introduce yourself / Re: New member - first post
« Last post by Steven on Yesterday at 04:21:17 PM »
Pauline, I rarely post because it just turns into a bad-tempered rant.

I've been taking prednisolone almost continually since 1993. My kidneys went wrong when I was 16, blasting it with steroids for about 4 years eventually brought on 15 years or so of remission, but eventually I relapsed and now have to take steroids all the time. My weight is under control, <75kg fully clothed, and I feel hungry all the time keeping it that way. I try to sensible carb, not low carb, because I struggle with my mental heath whenever I cut out too many carbs. What's more I can't think straight without carbs. I play serious bridge to a good club level and if I'm not carbed up, I can't play to the standard I desperately want to play. Sometimes I know I'm getting light headed, so I head into the kitchen and eat a biscuit or two of the type I know I shouldn't, but my brain needs the glucose. (Of course, there are loads of other diabetics in the club. They just guzzle the biscuits regardless.)

I'm single, effectively retired (or unemployed, take your pick), and don't enjoy cooking for one. I don't have a sweet tooth but I don't enjoy green veg either, but love my breads and rice, etc.. I go nuts trying to feed myself seven days a week, and sometimes almost burst into tears in Tesco when I can't see anything I remotely want to eat, except, of course, for the Chinese range, and the ready meals with pasta that aren't big enough, so I'd have to do even more carbs to pad them out. So I don't buy them. Then I look at all the gorgeous looking breads and it's even worse, knowing it'll never change.

I had a rotten HbA1c in December, it had shot up from the low 7s to mid 8s over a year. So we doubled the gliclazide (and I'm back on 6 monthly checkups). I was diagnosed in 2006, and am still only on metformin (which I can't take fully, because it adversely affects my kidneys) and gliclazide, so I feel I've done quite well, having being on steroids all the time. But it means I'm being as strict as I can bear on my diet, dropping all the ways I've let it slide, and I'm hating it.

But I have nothing good at all to say about being diabetic, which is why I normally prefer to say nothing. Apologies to the long-term regulars, who have read all this before, and to Jibber for hijacking his thread.
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Other / Re: Flour and icing sugar alternative for low carb cooking
« Last post by Paulines7 on Yesterday at 04:08:58 PM »
Thanks Avocado.  I didn't think they would have that sort of thing.  I have been shopping in Waitrose this morning too.   ::)
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Introduce yourself / Re: New member - first post
« Last post by Paulines7 on Yesterday at 03:16:00 PM »
Patti, prednisolone may push up BGs artificially but isn't that even more reason to go low carb?  Perhaps if someone is underweight it would not be a good idea to go low carb, but if they have weight to lose then it could help them.

I misread the number of likes against Steven's name as the number of posts, sorry.   :banghead:
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Other / Re: Flour and icing sugar alternative for low carb cooking
« Last post by Avocado on Yesterday at 03:12:21 PM »
Avocado, I like the idea of coconut cream but do not think I would be able to find it in Salisbury.
Waitrose is where I get it: https://www.waitrose.com/ecom/products/waitrose-cooks-ingredients-organic-coconut-cream/623798-88490-88491  Sainsburys do it too : https://www.sainsburys.co.uk/shop/gb/groceries/sainsburys-coconut-cream-250ml 
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Introduce yourself / Re: New member - first post
« Last post by sedge on Yesterday at 03:07:14 PM »
True Stephen - steroids increase BG whether you are diabetic or not (and even causes diabetes for some folk) but that leaves you with no alternative BUT to also reduce your carbohydrate as well as increase diabetes medication - and the addition of insulin is almost inevitable and by far the best way of lowering BG in this case - but again unless you reduce the carbs, all that will happen is increasing amounts of insulin the longer you go on - so in essence you have no choice except reduce carbs - and all the advice that goes with that is therefore likely to be helpful, don't you think?   Though by no means will it entirely solve the situation in its entirety.
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Introduce yourself / Re: New member - first post
« Last post by Pattidevans on Yesterday at 02:18:41 PM »
Hi Pauline

Steven has been a member almost ever since the inception of the first forum, but doesn't post often.  I think the point he's making (and Steven please correct me if I am wrong) is that Prednisolone is a steroid and as such will push up BGs artificially rendering a low carb, high fat approach less effective.  It also may well have an affect on a person's weight and adrenal function.
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