Type II Diabetes

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Replies

  • Onaughmae
    Onaughmae Posts: 873 Member
    I'm a T1.5 diabetic. I was diagnosed in 2002. Eventually it got out of control and I was put on insulin, and eventually an insulin pump. After I had my first child, I hit rock bottom and knew my life had to change. I was taking massive doses of insulin and metformin. Within a year I was completely drug free.
    It can be done! I like to tell fellow diabetics that there IS a cure. It's them.

    I am also 1.5 I dont know about a "cure" so much...once a pancreas is damaged the only fix is getting a new one! But, the disease is very manageable. For T2's with no damage to the pancreas you can certainly improve or reverse your insulin resistance which will help you manage your blood sugar better. My insulin resistance that I had is pretty much gone now...but my pancreas still does not produce insulin and I will still require it for life.
  • VorJoshigan
    VorJoshigan Posts: 1,106 Member
    So, I'm reaching out to my MFP family to help me get started. Do any of you have Diabetes? What are some of your successes and struggles? Any tips? Any yummy recipes? I'd love to hear from you! Also, feel free to add me as a friend!

    I'm sorry to hear about your mom, but I'm happy she got diagnosed before anything worse happened. My mom was diagnosed with diabetes at around 45. It just makes everything harder.

    My biggest tip is to eat whole foods. Second biggest tip is for you two to lose any fear you might have of fats. SO many of the "low-fat" products out there just replace it with sugar, which is at least as bad. I'm a big fan of the "paleo" or low-carb thing (100g or so for me) but I don't proselytize.

    It ain't easy, but you can do it.
  • AbbsyBabbsy
    AbbsyBabbsy Posts: 184 Member
    So sorry about your mom. Glad she's starting to recover!

    The best advice I've come across is to eat to your meter. I don't have diabetes, but I have access to a meter and have learned what foods spike me. Like a previous poster, fruits, even bananas, have no adverse affect on me, but a piece of bread will send my blood sugar soaring.

    If she's looking for online support, Diabetes Daily has a good message board.
  • jjl0412
    jjl0412 Posts: 278 Member
    I am very sorry to hear about your Mom. The great news is it has been discovered and now can be controlled. Tell her to follow her doc's and dietician's instructions to get it under control. AND like already suggested, join MFP. Start logging every thing consumed. (Everything!) And DRINK WATER! Lot's of it. Good Luck! Listen, try not to stress too much. While very serious, It is manageable as long as the known care is followed and she does everthing the professionals tell her. Diet, weight, meds, exercise, followups, etc. Ok? Honest. It will be ok.

    One suggestion to you. Besides her fearsof what is happening and new instructions for a different life style for life, she will need your support more than ever, especially with eating habits. Try your best to avoid those 'treats' that are ok for you, but not her while in her presence. Diebeties is no joke. The sugery stuff of the past is over. Help in the new transition to her health by keeping temptations out of the picture. :smile:

    I was diagnosed with TypeII several years ago. I have been carrying 275 lbs plus for as long. I was put on 3 meds and sent to the Dietician. The labs run AIC every 3 months. I went to the doc today and was told now I lost 28 lbs since last AIC, my count went from 7+ to 5.6. Doc took me off glipizide and said see him in 2 weeks, if stable, he may stop the Janumet 2K to just metformin until next AIC. He said if I continue to lose it is possible I may be able to come off the meds by Christmas completely. Now that's a real nice bonus goal to work for. Feel free to ask any questions. Help is all around you. :wink:
  • susanaemendez
    susanaemendez Posts: 19 Member
    Thank you, everyone for all of your input and support! I'm going to set my mom up on the site and we'll get logging together!
  • I was diagnosed w/ Type ll diabetes a few weeks ago. AIC was 7 so at low end. Started MFP and have improved my eating tremendously as a result, and am starting to lose weight. i'm not on meds at this point and if i can control it thru diet/exercise, I may not have to be. I'm wondering though, how do other Type ll's spread out your carbs? How many do you each with each meal? Is there an ideal number per day? How many is too many?

    Thanks for any insight on that.

    Also, I lived on diet soda. I'm convinced it played a role in developing metabolic syndrome. I stopped when I heard I was diabetic, something i never thought I could do. Now it's water all the time, something else I never thought I could do as I never found it satisfying. But I've discovered it grows on you.

    Anyone else have any thoughts on diet soda and metabolic syndrome?

    Thanks for your feedback!
  • jjl0412
    jjl0412 Posts: 278 Member
    I was diagnosed w/ Type ll diabetes a few weeks ago. AIC was 7 so at low end. Started MFP and have improved my eating tremendously as a result, and am starting to lose weight. i'm not on meds at this point and if i can control it thru diet/exercise, I may not have to be. I'm wondering though, how do other Type ll's spread out your carbs? How many do you each with each meal? Is there an ideal number per day? How many is too many?

    Thanks for any insight on that.

    Also, I lived on diet soda. I'm convinced it played a role in developing metabolic syndrome. I stopped when I heard I was diabetic, something i never thought I could do. Now it's water all the time, something else I never thought I could do as I never found it satisfying. But I've discovered it grows on you.

    Anyone else have any thoughts on diet soda and metabolic syndrome?

    Thanks for your feedback!

    From Livingstrong.com:
    Carbohydrate Counting
    Patients with diabetes often need to count the amount of carbohydrates that they consume each day in order to keep their blood glucose levels low. Because each person is different, you may need to determine the amount of carbohydrates that work for your body via trial and error. Aiming for between 45 g and 60 g of carbohydrates at each meal is a good starting point, the American Diabetes Association notes.

    Research which carbs are good or not so good for us, based on how they break down and affect the insulin levels. Choose what works best for you. Choose what you like. Limit carbs each meal so they are shared through the day. I choose carbs that break down slowly. Do not cause ‘Spikes’. I know if I do not have enough carbs. I will experience hypoglycemia and must get my blood/sugar level up. I keep glucose tablets handy in case I have too few, or wait too long. They are only a ‘fix’ and appropriate food must follow very soon after.

    But it is a learning process. I eat salad, vegetables with meals. I may have a small portion of fruit for dessert. I avoid potatoes which convert fast. I keep steamed broccoli in the fridge all the time. Nice snack very low in caI but small carb boost. keep peanutes handy in case i need an occasional quick boost.(just a few, chew completely, they will help). Light colored fruits generally contain less sugars than reds or purples. Be very careful with fruits. They convert fast. Again research and if it helps, print out a list of those foods you will likely use on a daily bases, showing the carbs, sugars, & glycemic effect . There are charts available on line with all of this. Do what works for you. A fellow diabetic. Good Luck.
  • yarwell
    yarwell Posts: 10,477 Member
    Is there an ideal number per day? How many is too many?

    As diabetes is an inability to handle carbohydrates, generally speaking the less the better. 60-100g per day will keep you away from ketosis but relatively low carb. Low GI carbs have less impact, the less you eat at once the better. So 3 meals at 20-30g max each or 3 meals at 15 each and 3 snacks at 5g each.

    Beware of mainstream diet advice being offered to diabetics by organisations funded by cereal companies and the like. I plugged my data into the ADA web site and nearly cried when I saw it's recommended menu. Having met a woman with the bottom of her leg amputated through diabetes, and a man blind in one eye, I am appalled that better information is not made available - see http://www.drbriffa.com/category/diabetesmetabolic-syndrome/

    Type II diabetes was reversed using a rapid weight loss diet protocol in clinical trials - http://www.ncl.ac.uk/press.office/press.release/item/diet-reverses-type-2-diabetes/
    this replicated the effect often seen with gastric surgery.
  • Thank you! Very helpful. I do have that sense of low vs. high glycemic carbs, tho not as clear about it when it comes to fruit. I adore fruit, and now realize I ate way too much of it leading up to pre and now "post" diabetes. So I've cut way back and pick and choose carefully for a variety of nutrients. Your color code on this is helpful. I will look for info online for more specifics.

    Thank you for your feedback!
  • Thank you for your reply. I'm very interested to take a look at your links. I see there is a rather wide discrepancy in advice on carbs so it's clear there isn't one perfect answer and I'll have to aim low and judge by my blood counts. Because MFP allows us to alter our Goals, I've lowered the carb limit to reflect my restrictions as a diabetic.

    My physician said that diabetes can't really be "reversed", it can be put into sort of a "remission." If you get back into the normal range for blood glucose, it will should stay there, but will lurk in the background if you relapse into eating hi carbs again and getting overweight. So it is incumbent eat right and exercise to stay in "remission". I quote it bc he used that term as an analogy.

    MFP makes all of this so much easier in terms of tracking and data. Which, if i had to do all that manually, I would quickly give up. Lost about 10 pounds slowly so far and am delighted. Tho apparently that's not enuf to see a significant change in my blood glu numbers. But I'm assuming patience is everything! I have another question I'm going to post separately about wake up glucose numbers. Thanks again for your reply.
  • Does anyone with T2 D have high fasting blood counts? I seem to have that... my highest GLU counts tend to be when I wake up in the morning before breakfast. That seems counterintuitive to me. Should be lowest, I would think. So I'm wondering about other ppls experience with waking glucose counts. Are yours lowest, middle or highest when you wake up? Do you know what it might mean (in laymen's experience) to have high fasting counts? Of course, if you're a doctor, a response to this would be nice as well. Thanks! :smile:
  • Akimajuktuq
    Akimajuktuq Posts: 3,037 Member
    See if the hospital has nutrition services and set up an appointment with a dietician/nutritionist. Many insurances will help pay for it. Some hospitals also have diabetes education classes, you might check into those. Once she's out of the hospital she'll need to see a doctor regularly and they can recommend classes or nutritionists if you don't know where to start.

    This... ^^^^^^^^^^^^^^^^^^^

    Just be careful. If the nutritionist is encouraging diabetics to eat 60g carb per meal, and several snacks a day... RUN AWAY! I learned the hard way that a controlled carb diet is better than a high carb one.
    Check out http://www.marksdailyapple.com/primal-blueprint-101/
    I've learned so much about insulin and hormones just from living the Primal Blueprint.

    ETA:
    This one even more specifically:
    http://www.marksdailyapple.com/diabetes/#axzz23AptoGAa

    This ^^^

    Many Type 2 diabetics are being told to eat far too many non-veggie carbs. Type 2 diabetes can totally be controlled (and prevented in most cases) by diet if a person wants to. You can do your own research and use your own body and experience to see how you respond to different foods and different macro-nutrient levels.

    I eat a diet that is very good for diabetics (I'm "pre-diabetic" when I don't eat right), and when I stay with it, my health is incredible. Super Woman!
  • CyberEd312
    CyberEd312 Posts: 3,536 Member
    See if the hospital has nutrition services and set up an appointment with a dietician/nutritionist. Many insurances will help pay for it. Some hospitals also have diabetes education classes, you might check into those. Once she's out of the hospital she'll need to see a doctor regularly and they can recommend classes or nutritionists if you don't know where to start.

    This... ^^^^^^^^^^^^^^^^^^^

    Just be careful. If the nutritionist is encouraging diabetics to eat 60g carb per meal, and several snacks a day... RUN AWAY! I learned the hard way that a controlled carb diet is better than a high carb one.
    Check out http://www.marksdailyapple.com/primal-blueprint-101/
    I've learned so much about insulin and hormones just from living the Primal Blueprint.

    ETA:
    This one even more specifically:
    http://www.marksdailyapple.com/diabetes/#axzz23AptoGAa

    This doesn't apply to all Diabetics though... I was 560 lbs. and diagnosed Type 2 Diabetic and had A1c of 10.0 and my Endo Dr. set me up with a nutritionist and from day one we never talked about a low carb diet.. We talked about the crap that I was eating (over 8000 calories a day) and the foods that I needed to be eating... I literally brought 2 - 32 gallon trash cans into the house and we threw everything out and replaced it all with healthy choices, complex carbs, fruits, veggies, nuts, lean meats, etc. I was put on a meal plan of 2400 calories a day and 240 grams of carbs a day. (60 grams @ 3 main meals and 20 grams @ 3 snacks) that was 3 years ago and I have lost a few pounds since then, and my exercise and diet today has me eating 3200-3400 calories a day and 320 grams of Carbs a day (80 grams @ 3 main meals and 25 grams @ 3 snacks) and the last 14 months I have been pre-diabetic with A1c of 5.3 average... I am only on metformin today and will be for life but my diabetes is in check and it wasn't from a low carb diet... I am not saying this will work for all but there are Diabetics out there that will respond differently, no one plan works for all.... Just my 2 cents...
  • CyberEd312
    CyberEd312 Posts: 3,536 Member
    Does anyone with T2 D have high fasting blood counts? I seem to have that... my highest GLU counts tend to be when I wake up in the morning before breakfast. That seems counterintuitive to me. Should be lowest, I would think. So I'm wondering about other ppls experience with waking glucose counts. Are yours lowest, middle or highest when you wake up? Do you know what it might mean (in laymen's experience) to have high fasting counts? Of course, if you're a doctor, a response to this would be nice as well. Thanks! :smile:

    I don't have this problem as my morning BS numbers range from 85-95 in the mornings, the one thing I had a problem with was if I went to bed on am empty stomach, then I would wake up around 3 or 4 a.m. with low blood sugar and felt like absolute crap (would be in the 40-50 range) I could barely get to the kitchen to get something, so I started going to bed with a bedtime snack, I found a small glass of 1% chocolate milk and a golden delicious apple sliced with some all natural peanut butter on them. This keeps my blood sugar good til morning and haven't had any issues since.. every so often I might have a low morning (60-70 range) but it doesn't happen to often...

    I did find this on one of my diabetes websites in response to your question:

    In the early morning hours, hormonal changes in your body will naturally cause blood glucose to rise. For people who don't have diabetes, the increase in blood glucose is offset by increased insulin production. For people with diabetes, this can be a problem.

    There are a couple of things going on that make your glucose rise in the morning. One of these is insulin resistance—a condition that means your body's muscle and fat cells are
    unable to use insulin effectively to lower blood glucose. However, insulin resistance also affects how your liver processes, stores, and releases sugar, particularly at night. The liver is supposed to release small amounts of glucose when you're not eating. But in type 2 diabetes, the liver dumps more glucose than is needed into the bloodstream, especially at night. So, while your hormones are causing a natural rise in blood glucose, your liver is releasing even more sugar into your system. And because your insulin resistance prevents your muscle and fat cells from using the sugar, your blood glucose level rises.

    Best of Luck...
  • Crochetluvr
    Crochetluvr Posts: 3,324 Member
    I sent you a couple emails
    Definately see a nutrionist - it was the first thing they sent me too. I pretty much eat paleo and that has solved alot of problems for me.

    And I found out I have sleep apnea. And the sleep doctor says every body that has diabetes has sleep apnea. And he's right - every diabetic I know has sleep apnea. Sleep affects how we metablize insulin and sugar. If I sleep badly, my blood sugar the next morning is a good 40-100 points higher then normal.

    I do not have sleep apnea. Interestingly, none of the diabetics I know have sleep apnea. Your doctor needs to re-read his medical books.

    You have type 1 daibetes. I was referring to type 2.

    I have T2 and I don't have sleep apnea. However, my b/f, who doesn't have diabetes and isn't overweight, does.
  • sunrize_sc
    sunrize_sc Posts: 157 Member
    I am a Type II. Low carb is the best way to control. Paleo is my suggestion. Feel free to add me if you'd like. Good luck!!
  • sunrize_sc
    sunrize_sc Posts: 157 Member
    Does anyone with T2 D have high fasting blood counts? I seem to have that... my highest GLU counts tend to be when I wake up in the morning before breakfast. That seems counterintuitive to me. Should be lowest, I would think. So I'm wondering about other ppls experience with waking glucose counts. Are yours lowest, middle or highest when you wake up? Do you know what it might mean (in laymen's experience) to have high fasting counts? Of course, if you're a doctor, a response to this would be nice as well. Thanks! :smile:

    This is referred to as "liver dump" and is very common for diabetics. Type I and II.

    community.diabetes.org/t5/Adults-Living-with-Type-2/Liver-dump-question/td-p/215360
  • wftiger
    wftiger Posts: 1,283 Member
    Have you thought about a primal lifestyle? It has worked great for me. Still hasn't gotten my blood sugar where I want it but it has certainly gotten better. A few sites I frequent:

    http://www.marksdailyapple.com/
    http://www.diabetes-warrior.net/

    I keep my carbs under 75 net per day. Yup, it can be hard somedays but I feel so much better and I certainly cannot complain about the weight loss I have had in just 9 months.
  • DrBorkBork
    DrBorkBork Posts: 4,099 Member
    Personally I try to keep my carbs under 100, and usually come in at 25-50g per day.
  • lilacsun
    lilacsun Posts: 204 Member
    I second what the others have said, and I'd also like to add my personal experience. Not all bodies are alike, so not all diabetics are alike. I can eat fresh fruit all day and have perfect sugar readings, but others might have spikes from eating fruit. Listen to your body, experiment, and keep at it. It's worth the hard work to get your/your mother's numbers in line! I wish you the best :smile:

    Yes this is true. I can eat fruit but no potatoes (except sweet potatoes) and no white flour at all.
  • Sharonks
    Sharonks Posts: 884 Member
    I'm a T1.5 diabetic. I was diagnosed in 2002. Eventually it got out of control and I was put on insulin, and eventually an insulin pump. After I had my first child, I hit rock bottom and knew my life had to change. I was taking massive doses of insulin and metformin. Within a year I was completely drug free.
    It can be done! I like to tell fellow diabetics that there IS a cure. It's them.
    Really, I have never heard of a 1.5 getting off insulin since in reality a 1.5 is a slow 1. T1s are just insulin dependent and 1.5's ultimately are. Please make sure you continue to check your BG since 1.5 includes pancreas failure. It just happens slower than for T1s. In fact, most 1.5s I have known find that as they get on insulin they don't need met since they aren't resistant.
  • Sharonks
    Sharonks Posts: 884 Member
    I sent you a couple emails
    Definately see a nutrionist - it was the first thing they sent me too. I pretty much eat paleo and that has solved alot of problems for me.

    And I found out I have sleep apnea. And the sleep doctor says every body that has diabetes has sleep apnea. And he's right - every diabetic I know has sleep apnea. Sleep affects how we metablize insulin and sugar. If I sleep badly, my blood sugar the next morning is a good 40-100 points higher then normal.

    I do not have sleep apnea. Interestingly, none of the diabetics I know have sleep apnea. Your doctor needs to re-read his medical books.
    I also don't have sleep apnea. i agree that poor sleep can greatly impact your BG since stress will cause it to spike. Also, many people get dawn phenomenon and either spike because of a night time crash or spike in preparation for waking up. Many T2s are overweight and many overweight people have apnea. Since I am within my normal weight range I don't have apnea. I dislike how drs. say things like this. Not all T2s are overweight. I have never been particularly large.
  • Sharonks
    Sharonks Posts: 884 Member
    Does anyone with T2 D have high fasting blood counts? I seem to have that... my highest GLU counts tend to be when I wake up in the morning before breakfast. That seems counterintuitive to me. Should be lowest, I would think. So I'm wondering about other ppls experience with waking glucose counts. Are yours lowest, middle or highest when you wake up? Do you know what it might mean (in laymen's experience) to have high fasting counts? Of course, if you're a doctor, a response to this would be nice as well. Thanks! :smile:
    Morning has always been some of my worse times. For some people, it is caused by having a big drop in BG caused by not eating all night. Then your liver tries to compensate by doing a glucose dump. Your liver stores glucose for just such emergencies. It helps to eat a snack at bedtime. For many half a sandwich is good because you get a combo of protein and carb. For others the problem is that their body over does the glucose dump in preparation to wake up. I guess everyone's body does a bit of a dump to give you the energy to wake up but T2s often go overboard. For me, the improvement came when I started taking Amaryl which increases the insulin production from your pancreas. I make a very low amount of insulin and I guess it isn't enough to handle the dump. For others, metformin is good because it increases your insulin sensitivity and keeps the dump from causing problems. For others it takes insulin or some other drug that will increase the insulin levels in your body.
  • CRody44
    CRody44 Posts: 774 Member
    Scrubjay67,

    I have had T2D for 9 year and always had high A1c and Morning BG. It wasn’t until the last year that I got serious about it and started using my meter 2 hours after every meal, logging the results as well as what I had. I found that I spiked with bread, pasta, grains and a lot of processed food (including sugar), so I quit them. I then found that I was eating too much fruit, up to 8 cups of fresh berries a day and that set the meter off.

    My last A1c was 6.1 (from a high of 7.9), but my morning BG was seldom under 130 (on my meter), until I started eating low carb. I try to eat 10% of my calories (48g) in carbs. Since I started doing that, the first of the month, I have been up to 132 only once, the rest between 112 and 122. I have mushrooms with my morning omelet, a piece of fruit after my morning workout, usually a salad of 1 cup of romaine lettuce, three mushrooms, three cherry tomatoes, 60 grams of walnuts and ½ avocado drizzled with 2 tbsp of olive oil and 1 tbsp of balsamic vinegar. If I have carbs left over, I will have some sautéed green beans with dinner.

    T2D can’t be reversed but it can be put into remission, where you always test around 100. It’s like being an alcoholic. Just because you quit drinking (almost 27 years for me) you are still an alcoholic.

    I went for a period of time when my morning BG was higher than 2 hours after dinner, but that has stopped now and my morning BG is lower than after dinner.
  • Sharonks
    Sharonks Posts: 884 Member
    Here is a nice supportive T2 group on MFP http://www.myfitnesspal.com/forums/show/1789-type-2-diabetes-support-group

    I am sorry your mother has T2 but it is good that she has found out and is getting it under control. Some damage can be reversed after a few years. I had signs of deterioration in my eyes and after a few years it improved and has not returned.

    I was diagnosed 14 years ago. I was 34 years old, worked out 2 hours a day, was on the high side of normal weight and in general considered very healthy. I have never been diet controlled. At the time I was diagnosed I ate whole grains, lean meats, fruits and vegetables. The first month I was diagnosed they put me on the standard diet and I had minimal improvement. I have been on metformin since. For people who say that it is all about diet do not know what they are talking about. I was eating 25 grams of carbs a day and exercising, totally hitting a wall because of lack of carbs, for several months. It minimally improved my BG even with an increase in my met. I am somewhere around 5 to 10 lbs over my desired weight so it isn't always about weight, carbs, and exercise. Sometimes it is just bad genes. The goal is to stop the rot so if you need to take drugs to do that then don't feel bad. i will always have to take drugs and likely it will continue to increase every few years.

    That being said, for many people their BG will improve if they take care of what they eat and how they exercise. For some, they may be able to get off drugs for years by losing weight etc. The only way to really know what you should be doing is to test regularly. Test when you try new foods or exercise. Test after your meals. bloodsugar101.com has a great explanation on how to do that. Your body is unique and what one T2 can eat another can't. So you need to find what is right for you.

    if you both can attend a diabetes class that would be great. It is an excellent place to start and they will give you lots of information that will help you plan your diet. I personally think walking is one of the greatest things you can do for yourself. It is a great starter exercise and for some people it is all the exercise they ever need. For many T2s walking a bit after each meal helps them stay in control.

    Good luck and feel free to add me.
  • Agator82
    Agator82 Posts: 249 Member
    Your concerns strike a cord with me because I too have a family history of diabetes and so I work aggressively to keep it in check. At two points in my life I have been in the pre-diabetic range and the first time I was able to get it under control with moderate weight loss, I am currently working on the second time, but I am only 4 points above the pre-diabetic thresh hold so I am almost past it again.

    An excellent resource is the American Diabetes Association, diabetes.org, thy have an active community and a 'Newly Diagnosed' message board. Additionally, I have gone so far as to own blood glucose monitors (I have a couple) to make sure that I am not in the diabetic range. It is a small investment for a bit of confidence, this can also be used to learn how different foods affect your glucose levels.

    Diabetic classes also would be useful to help manage your mom's condition and it will give you a feeling of control of your own life. The biggest things have already been hit on here watch out for sugars (ketchup is really bad) and simple carbs (no white bread) and otherwise have a well rounded diet. Exercise also helps to keep blood glucose under control. Please emphasize to your mom the importance of managing this, sometimes people live in denial. The effects of this disease can be really horrible and often times people will ignore it until they have the onset of nerve damage or some other negative result. Good luck as you go down this road.
  • onyxgirl17
    onyxgirl17 Posts: 1,722 Member
    Lucky, you're mother is blessed she found out. My mom died this January from undiagnosed diabetes, her levels were 1700...