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Old 04 March 2012, 07:02 PM
  #31  
jef
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your method of administation can also affect how quickly it enters bllod stream also

subcutaneous inj can sometime result in pooling of the solution in fat tissue and take a bit longer to act (fast acting novorapids ect) intra muscular seems to give more reliable onset times, but in general a bit quicker than sub-q. altho pens now seem much more geared to sub-q use in relation to needle size - but im sure its down to easing diabetics mental image of any injections tbh.
Old 04 March 2012, 07:09 PM
  #32  
The Welshman
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I have had Diabetes typw 2 for about 6 years or so now.

The problem with it is that everybody seems to get differing results from medication.

I also use Metaformin, also Victoza injections, and other meds for it.

I think someone said that the ideal blood sugar level for folk should be around the 4 mark... thats far too low for me.. if i get down to between 5 and 6 I start to feel shaky..get to 4 and it really hits.. we are all different.

If your pancreas cannot produce insulin the way you need it, then you really need to balance out your diet in every way, and not just stop eating the sweet stuff...
Old 04 March 2012, 07:17 PM
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Originally Posted by The Welshman
I have had Diabetes typw 2 for about 6 years or so now.

The problem with it is that everybody seems to get differing results from medication.

I also use Metaformin, also Victoza injections, and other meds for it.

I think someone said that the ideal blood sugar level for folk should be around the 4 mark... thats far too low for me.. if i get down to between 5 and 6 I start to feel shaky..get to 4 and it really hits.. we are all different.

If your pancreas cannot produce insulin the way you need it, then you really need to balance out your diet in every way, and not just stop eating the sweet stuff...
thats the actual truth, as blood sugar levels and insulin productivity is influenced by so so many outside factors there can never be a "one rule/number fits all" answer

it has to be through trial and error and also take into account that throughout progression of diease amongst many others facotrs, the levels needed will continually change.
thats why imo - a food diary and nutrition understanding is of absolute vital importance
Old 04 March 2012, 07:26 PM
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a quick question for those with diabetes if anyone can

how are you told to dose it by medics in relation to nutrient intake?

as in, if you have a breakfast of porridge and milk resulting in say 80g carbs - what would be the dose of insulin recommended? obv there is a varience in onset of condition, but is there a max/min figure mentioned and anything about fats ect in diet?
Old 05 March 2012, 12:38 PM
  #35  
SkullFudge
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My daughter has been a diabetic (type 2) from the age of 10 (now 23 yrs old) and the balance does seem very hard to maintain.

I was shocked to hear from the diabetic clinic that an estimated 3 million people in the UK are diabetic, but don't realise it !.
Old 05 March 2012, 03:17 PM
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David Lock
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[quote=SkullFudge;10519172]My daughter has been a diabetic (type 2) from the age of 10 (now 23 yrs old) and the balance does seem very hard to maintain.

I was shocked to hear from the diabetic clinic that an estimated 3 million people in the UK are diabetic, but don't realise it !.[/quote]


And the initial test - a finger ***** at the doctors - takes less than a minute to do

dl
Old 05 March 2012, 10:17 PM
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so whats initial insulin advice?

straight to endo and take from there?
Old 20 July 2012, 12:50 AM
  #38  
Fabioso
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I have been told on the phone that I am def type 2 diabetic following an extended glucose tolerance test looking for hypoglycaemia or dumping syndrome. What is confusing me is that I was told 9 months ago I was def not diabetic my HB1Ac was 5.2 and all fasting blood tests up to that point had been like (4.4 - 5.7). Since then I have lost 2 stone in weight and now the blood sugars are worse which doesn't make sense from what I have read although week on week I can see I am looking emaciated so something appears to be happening.

The thing is on the day of this test I was so fearful I was actually going to seriously keel over due to my fear of how I would react to such a large dose of sugar based on my experience of smaller doses at mealtimes. My resting pulse was like 130 due to the anxiety and as I understand it this can make sugar levels be higher than normal.

Seeing my GP next week for a meeting to discuss, what should I be asking him? I'm totally confused by the whole situation and the strange thing is the underlying problems I've been having since Oct 2010 are no further forward being resolved and i'm tired of trying to manage these adrenaline attacks through restrictive activities and very limited food choices

Has anyone experienced adrenaline attacks after eating before they were diagnosed with type2? If not, what were your main symptoms ?

Last edited by Fabioso; 20 July 2012 at 12:51 AM.
Old 20 July 2012, 01:42 AM
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Blood sugar levels should be between 4 - 6 and the scale goes up to 30

About a year and a half ago I got checked and it came up as blood sugar level 11
so I was diagnosed as type 2 diet controlled diabetes ( I was drinking a lot of full suger drinks )
so I have cut them out and went sugar free drinks but I haven't changed my diet as much as I should
I was checked a week ago and my blood sugar is 7.1 so a hell of a improvement and thats when I had came back from holiday in turkey where at the all inclusive hotel I was drinking regular drinks as they didn't have sugar free drinks.
so it goes to show a small change can make a big difference.

The way I see it 1.1 over what is average is not too bad and possibly just borderline.
Old 20 July 2012, 08:54 AM
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shooter007
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dave you would probably be better joining diabetes.co.uk (for example) and posting on there with the exception of john banks of course lots of info on these forums
Old 20 July 2012, 10:00 AM
  #41  
john banks
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Fabioso, your story sounds a little out of the ordinary. It may be worth seeing an endocrinologist and/or considering further testing, cortisol and adrenaline levels etc, but of course I don't have all the information, so don't take this as advice. Certainly your anxiety and resting pulse of 130/min would affect glucose metabolism, skewing results. What weight were you, are you, what height?

Sometimes HbA1c and glucose tolerance contradict. If there was an HbA1c to go with your recent glucose tolerance that would be interesting.
Old 20 July 2012, 10:46 AM
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I am not diabetic as far as I am aware, had blood tests done the other week and it was fine apparently, as was Cholesterol and all the other stuff they did, blood pressure a bit high 130 odd over 60 to 70 but the doc did not seem overly worried and told me to continue my weight loss and exercise and come back in a few weeks and he would take a view then. I really sympathise with you guys living with this, I really don't want to be diabetic, I fit the profile being a bit overweight and bit high blood pressure. Must be reasonably fit with the cycling, resting pulse drops into the forties which was slightly alarming first time I saw it.

I am trying to eat and exercise as if I did have diabetes to a certain extent in a bid to avoid it, so am avoiding the sugary crap, never have drunk non diet drinks so that isn't an issue and try to go for low Glycemic Index foods like porridge, snacking on nuts and seeds instead of crisps and biscuits routinely and saving the odd treat to be just that, a treat, not a routine part of my diet. Will this make much difference or is it a case of if you get it, you get it, no diabetes in the family thus far, even my grandparents who are 88 and 91.

I cycle pretty much every day and am down a stone and a half, about half way through.

My grandad and grandma on my dads side died of heart issues aged about sixty nine, I was talking to my dad about stuff like this and he said, in his usual style "No need to worry about cancer in our family, nobody has died of cancer" which I found reassuring until he said "No, Heart attack will get you first"

Last edited by J4CKO; 20 July 2012 at 10:48 AM.
Old 20 July 2012, 10:18 PM
  #43  
Fabioso
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Originally Posted by john banks
Fabioso, your story sounds a little out of the ordinary. It may be worth seeing an endocrinologist and/or considering further testing, cortisol and adrenaline levels etc, but of course I don't have all the information, so don't take this as advice. Certainly your anxiety and resting pulse of 130/min would affect glucose metabolism, skewing results. What weight were you, are you, what height?

Sometimes HbA1c and glucose tolerance contradict. If there was an HbA1c to go with your recent glucose tolerance that would be interesting.
John, height is 5 ft 10 and I now weigh 13 st 5 pounds (down from 15st 9). Hopefully my GP will be doing another HbA1c to see what that indicates. I think I might ask if he can repeat the glucose tolerance now I know the reaction wasn't as bad, I will be less worried about it and perhaps give a better representation of the true situation. If it still shows the same that's fine, I just don't want to have on my record something that might not be totally accurate. From what I have read a formal diagnosis of diabetes has certain legal and insurance implications.
Old 23 July 2012, 09:10 PM
  #44  
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Originally Posted by Fabioso
John, height is 5 ft 10 and I now weigh 13 st 5 pounds (down from 15st 9). Hopefully my GP will be doing another HbA1c to see what that indicates. I think I might ask if he can repeat the glucose tolerance now I know the reaction wasn't as bad, I will be less worried about it and perhaps give a better representation of the true situation. If it still shows the same that's fine, I just don't want to have on my record something that might not be totally accurate. From what I have read a formal diagnosis of diabetes has certain legal and insurance implications.
as a suffererer of white coat hyper tension, im sure my stress induced state affects others feelings and possibly readings if i had to go for medical testing that was of significant importance to me.
imo its undrplayed slightly the effect of cortisol levels/and other influencing factors, though john banks maybe able to explain better.

but from experience i know from just being my natural state to beggining to think about my next CBT session, it immediaetley increases anxiety. even if lying in bed a week before my next appointment, the thinking of it makes me loose sleep.
yes its been explained to me why these feelings happen, how best to tackle them ect ect, breathing/thinking techniques which i can totally understand and apply logic to how they work/help - but come they time, the reason is put behind anxiety.

now ive had great success through graded exposure - but imo ther is a genetic link here. neither my mother nor my father experienced these same feelings as me, but both there parents did.
so imo there is a link somewhere be it secondry generations or whatever (as neither my sisters suffer as i do) imo there is a link i can relate to there lifes and lifestyles.

slightly o.t there but imo you need to delve quite deeply to understand these things, and sometimes just accept them, not as character flaws but characterisitics.
i beleive this thought process should be applied to a single blood sample used to analyse a persons metabolic activity. even multiple tests and a taken mean maybe skewed by the perons state.

so to combat this? home testing over a long time frame, recording results, taken at home/alone or whereever you want?
Old 23 July 2012, 09:34 PM
  #45  
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Originally Posted by shooter007
dave you would probably be better joining diabetes.co.uk (for example) and posting on there with the exception of john banks of course lots of info on these forums
good advice
i'm type 1 and have been for 16 yrs now and i still find it hard at times to control but with time and regular checking you can get yourself sorted mate.
i now alter my own amounts of insulin (with doc's permission) and my levels have got alot better in resent mths.
but to the op Q i would say anything below 4 is a problem or above 9 .
Old 23 July 2012, 09:42 PM
  #46  
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Thanks for the info jef yeah there's a lot of background as to why I was so keyed up for that test. Saw my GP today and he wants to do a HbA1c test to see how it compares to the indicated glucose tolerance test findings. Being sent on a DESMOND? course anyway regardless of result, he is not convinced this is the cause of my adrenaline rushes either. Not really sure if I'm any further forward overall with what I am trying to get to the bottom of. All I want to do is eat a reasnoably normal diet and go about day to day activities without wandering when the next adrenaline attack is going to spring from.
Old 23 July 2012, 09:56 PM
  #47  
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Originally Posted by Fabioso
Thanks for the info jef yeah there's a lot of background as to why I was so keyed up for that test. Saw my GP today and he wants to do a HbA1c test to see how it compares to the indicated glucose tolerance test findings. Being sent on a DESMOND? course anyway regardless of result, he is not convinced this is the cause of my adrenaline rushes either. Not really sure if I'm any further forward overall with what I am trying to get to the bottom of. All I want to do is eat a reasnoably normal diet and go about day to day activities without wandering when the next adrenaline attack is going to spring from.
no prob mate. as all will say follow professionals advice. it can be frustratiting and much of the time it may feel like your being dismissed or belittled. As said john b maybe able to point you in right direction, but if you feel your not being treated adequately or a gp is not understanding or appreciating yout feelings, you do still have other avenues
i really dont know or understand the complex relationships between hormones, there production and there subsequent knock on effect onto other systems. but im sure ive felt these in my self.

but it does sound like your spending your time "waiting" for the next attack - and the naturally youll pick up on any body feeling that may mimic the start of these anticipated feelings. sounds like the best thing would be to try treat the reason behind the anticipation of these feelings. possible or not??
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