No idea where to put this, had the scare of my life!!!

mamax5
mamax5 Posts: 414 Member
Went with my hubby to his doctor's appointment. He has type 2 diabetes. They gave him an A1C test to see what his average blood glucose levels are...his average was running around 400-500 gah!!!! His doc said if this isn't under control in 6 weeks he will have to go on insulin. Insulin!!! I do not want him to have to be on freakin insulin!!! That feels like the kiss of death to me! I am so flipping scared for him...I mean when she was talking to him I had to leave the room...I had to go get a hold of myself :"( ....the good news is I think it scared my hubby too....he ate a salad from subway for lunch :huh: I didn't have to say a word to him about it. I was speechless. I am really hoping that this woke him up and he lays off the candy bars...fake wheat bread...and potatoes...Well, with 2 steps forward we still had one back....hotpockets, he bought hotpockets. 36 grams of carbs in one! ONE! It is just as bad as the freakin potato! Well at least he is beginning to read labels and is coming over to my side :devil:

We aren't done shopping we still have to get produce and chicken. Hopefully I will be able to talk him into sprouted grain bread!!
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Replies

  • booboo68
    booboo68 Posts: 302 Member
    Hang in there. As a nurse, I know that when a person receives a diagnosis of diabetes, they go through what we call a denial period before the reality and need for a lifestyle change kicks in. Kudos to him for the Subway salad. Baby steps on the hot pockets. Sit him down and tell him your fears, sometimes seeing that the reality of the situation effects not only them but their loved ones is the kick in the butt to get them on the right track for a permanent life change. Also be there for him. Do your research as well so that you can be supportive cooking healthy low carb, low sugar, high protein meals that benefit the whole family. Challenge him to join you on your journey and let him come to the realization that now he is literally fighting for his life. Best of luck to both of you through this difficult journey.
  • suv_hater
    suv_hater Posts: 374 Member
    Hi,

    I would highly suggest reading this book: http://www.amazon.com/Neal-Barnards-Program-Reversing-Diabetes/dp/1594868107

    Here is a review: http://www.vegparadise.com/vegreading97.html

    Watching your fat intake is just as, if not more important, than watching carbs. You want to follow a low-fat diet (this doesn't mean NO FAT AT ALL)... it just means you want small amounts of GOOD fats.
  • AlexT29
    AlexT29 Posts: 43 Member
    Most of my family has diabetes (one reason why I'm here), and with acceptance and a good diet, he can lead a healthy, normal life. I know it's scary - I remember how I felt when my parents were diagnosed - but both of you can get through this. Good luck.
  • bdubya55
    bdubya55 Posts: 506 Member
    Went with my hubby to his doctor's appointment. He has type 2 diabetes. They gave him an A1C test to see what his average blood glucose levels are...his average was running around 400-500 gah!!!! His doc said if this isn't under control in 6 weeks he will have to go on insulin. Insulin!!! I do not want him to have to be on freakin insulin!!! That feels like the kiss of death to me! I am so flipping scared for him...I mean when she was talking to him I had to leave the room...I had to go get a hold of myself :"( ....the good news is I think it scared my hubby too....he ate a salad from subway for lunch :huh: I didn't have to say a word to him about it. I was speechless. I am really hoping that this woke him up and he lays off the candy bars...fake wheat bread...and potatoes...Well, with 2 steps forward we still had one back....hotpockets, he bought hotpockets. 36 grams of carbs in one! ONE! It is just as bad as the freakin potato! Well at least he is beginning to read labels and is coming over to my side :devil:

    We aren't done shopping we still have to get produce and chicken. Hopefully I will be able to talk him into sprouted grain bread!!

    Hi there,

    I'm a Type 2 insulin dependent diabetic, and was diagnosed almost 30 years ago, and can empathize with you and your husbands fears and concerns. It's an extremely daunting experience when first learning of a diagnosis of diabetes.

    I'm happy to hear he's taking his new diagnosis seriously. Does your husband have a glucose meter? If not, he needs one. Eating to his meter, testing before meals and 2hrs after will tell him what specific foods raise his blood sugars and which ones don't.

    I echo booboo68's nutrition suggestions, adopting a lower carb lifestyle. As you mentioned, the white carbs, such as bread, rice, cereal and potatoes have high carb content and will need to be eliminated. Eat to your meter as we say.

    This great website below has a lot of easy read and understand information related to diabetes management and blood sugar control. I encourage you both to check it out, as it's been a huge help to me over the years.

    http://www.phlaunt.com/diabetes/index.php

    Another great diabetes site with low carb recipes and support forums for both you and him.

    http://www.diabetesdaily.com/forum/

    My Fitness Pal has a very supportive, encouraging and helpful Type 2 diabetic support group and I encourage him to join us.

    http://www.myfitnesspal.com/groups/home/1772-type-2-diabetes-support-group

    I've successfully managed my Type 2 diabetes for 30 years and have no complications. In fact, since joining MFP and working this program as intended, I've lost weight and significantly reduce my diabetes meds. A diagnosis of diabetes isn't a death sentence unless it's left uncontrolled.

    Please feel free to message me if you think I might be of help to you and your husband, and I wish you both much success on your new journey.
  • JaceyMarieS
    JaceyMarieS Posts: 692 Member
    Hi,

    I would highly suggest reading this book: http://www.amazon.com/Neal-Barnards-Program-Reversing-Diabetes/dp/1594868107

    Here is a review: http://www.vegparadise.com/vegreading97.html

    Watching your fat intake is just as, if not more important, than watching carbs. You want to follow a low-fat diet (this doesn't mean NO FAT AT ALL)... it just means you want small amounts of GOOD fats.

    I would have to seriously suggest you (your husband) NOT follow the above recommendation for Barnard's book. It's not-so-thinly disguised vegan propaganda

    I second the recommendations to check out http://www.phlaunt.com/diabetes/index.php. You can also access it at bloodsugar101.com Lots of research explained in an easy-to-understand way.

    And I also highly recommend http://www.diabetesforum.com/ The ADA website diabetes.org is semi-helpful. the forums have some really knowledgeable folks, especially the posters Alan (http://loraldiabetes.blogspot.com/) and Lizzy(http://lizzysdlounge.com/)

    Finally, if you want the opinion of a doctor rather than a layperson, I highly recommend Dr Richard Bernstein. He's an endocrinologist with Type 1 diabetes. Much of his book is available free online http://www.diabetes-solution.net/

    and, I almost forgot (OK. I did forget, but editted to add) http://www.dietdoctor.com/lchf
  • Jolene8992
    Jolene8992 Posts: 127 Member
    My diagnosis one yr ago is what kicked my butt in gear. I just stopped bad carbs that very day. One year later my hga1c went from 8.6 to less than 5. He has to hit that wall all by himself.
  • I was diagnose in 2008 with Type 2. Even with meds, lifestyle change (diet and exercise) my numbers continued to fluctuate. I began the SoloStar Lantus last Nov. (Pen syringe and smallest needle) Best thing I ever did. Within a month I began to feel 100% better. I still get 30 minutes min. most days of the week walking or cycling and I watch my food intake. Learn as much about it as you can..Most insurances pay for a CDE, Diabetes educator and nutrition classes. Good luck and search for the diabetes group here on MFP
  • ahamm002
    ahamm002 Posts: 1,690 Member
    Hi,

    I would highly suggest reading this book: http://www.amazon.com/Neal-Barnards-Program-Reversing-Diabetes/dp/1594868107

    Here is a review: http://www.vegparadise.com/vegreading97.html

    Watching your fat intake is just as, if not more important, than watching carbs. You want to follow a low-fat diet (this doesn't mean NO FAT AT ALL)... it just means you want small amounts of GOOD fats.

    Real research has never backed up low fat diets as being any better than any other kind of reasonable diet. However quite a bit of research has shown that low fat diets give worse results than other types.

    To the OP: read this link. If it's too long for you, just skip to the very last sections (11 & 12):
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299312/
  • JUDDDing
    JUDDDing Posts: 1,367 Member
    Well, it's not as bad as it could be.

    It's not an immediate death sentence.

    But it is bad. And as long as you don;t let this fear overwhelm you - it can be useful.
    Finally, if you want the opinion of a doctor rather than a layperson, I highly recommend Dr Richard Bernstein. He's an endocrinologist with Type 1 diabetes. Much of his book is available free online http://www.diabetes-solution.net/

    I'll happily second this recommendation - this is IMO, the best book on the market for diabetics.

    My other recommendation is for him to get a meter and test a LOT.

    Beyond basic education (What is a carb?, etc) it's important for him to listen to his body (and his meter) much more than any of the "experts" you'll run into (and you'll get lots of opinions - including mine). :)

    In my experience, he should have 3 goals right now:
    1. Control his blood sugar
    2. Exercise
    3. Lose weight (fat)

    For #1 - I immediately stopped eating carbs. Not forever, but until my blood sugar was back to around 120 fasting, post meals and before bed. It took a few weeks. After that you can reintroduce carbs but test well to see what they do to you. #2 and #3 will enable you to add even more carbs if you need (I like carbs). For many guys - low carb is not that bad. Eat the steak - skip the potato. Eat the bacon and eggs, skip the toast or pancakes. I think it is do-able for a few weeks.

    One thing you can do for him that is very important is to be his cheerleader and assistant. Diabetes can be exhausting especially early on. And "fatigue" is a constant danger where diabetics stop taking care of themselves and slip back into their old habits. Do your best to help prevent this (it's not easy).
  • halleymw
    halleymw Posts: 246 Member
    An 8 percent weight loss has been shown to markedly improve diabetes, as long as you are insulin resistant and not insulin deficiant. I watched a tv show on pbs the other day about HIIT exercise. In the show, the host had borderline insulin resistance. After a 6 week exercise program of HIIT (this was relatively modest, with 20 seconds of intense exercise x3 per session, three times a week) he imporved his insulin sensitivity by 25 percent. Of course, he should not t do any exercise until he gets his doctors ok, especially HIIT!!!!!
    Mike
  • _Zardoz_
    _Zardoz_ Posts: 3,987 Member
    Has he been referred to a dietician? If not I would be going to see one. Much better than dodgy internet recommendations
  • AdviDaddy
    AdviDaddy Posts: 207 Member
    Hey, I am a diabetic too. But I've been working out and eating clean. My GI score is come back to 'prediabetic' range.

    Its not much.. but small changes lead to great result.

    Diet, drill and drugs. That's the key.

    Don't expect miracles to happen overnight. It will take time but the result would definitely be long lasting.
  • mamax5
    mamax5 Posts: 414 Member
    Well, it's not as bad as it could be.

    It's not an immediate death sentence.

    But it is bad. And as long as you don;t let this fear overwhelm you - it can be useful.
    Finally, if you want the opinion of a doctor rather than a layperson, I highly recommend Dr Richard Bernstein. He's an endocrinologist with Type 1 diabetes. Much of his book is available free online http://www.diabetes-solution.net/

    I'll happily second this recommendation - this is IMO, the best book on the market for diabetics.

    My other recommendation is for him to get a meter and test a LOT.

    Beyond basic education (What is a carb?, etc) it's important for him to listen to his body (and his meter) much more than any of the "experts" you'll run into (and you'll get lots of opinions - including mine). :)

    In my experience, he should have 3 goals right now:
    1. Control his blood sugar
    2. Exercise
    3. Lose weight (fat)

    For #1 - I immediately stopped eating carbs. Not forever, but until my blood sugar was back to around 120 fasting, post meals and before bed. It took a few weeks. After that you can reintroduce carbs but test well to see what they do to you. #2 and #3 will enable you to add even more carbs if you need (I like carbs). For many guys - low carb is not that bad. Eat the steak - skip the potato. Eat the bacon and eggs, skip the toast or pancakes. I think it is do-able for a few weeks.

    One thing you can do for him that is very important is to be his cheerleader and assistant. Diabetes can be exhausting especially early on. And "fatigue" is a constant danger where diabetics stop taking care of themselves and slip back into their old habits. Do your best to help prevent this (it's not easy).

    This is what I am aiming for in my cooking...I cannot control what he eats outside the house no matter how much I would love to! I personally think a low-fat way of eating is not the way to go. Fat doesn't make you fat....sugar does! (refined carbs and such) Thanks for all the input!
  • lithezebra
    lithezebra Posts: 3,670 Member
    Your honey is going to need a glucose meter and plenty of testing strips. I like the Relion Ultima because the strips are cheap and you can test after every meal, which lets you keep a log of which foods raise your blood sugar to unacceptable levels.
  • Lupercalia
    Lupercalia Posts: 1,857 Member
    Yeah, low carb + low fat = FAILEO diet. Glad you're not afraid of fat, OP. I'd avoid that weird vegan book.

    Best wishes to you and your husband. :flowerforyou:
  • Mustang_Susie
    Mustang_Susie Posts: 7,045 Member
    Has he been referred to a dietician? If not I would be going to see one. Much better than dodgy internet recommendations

    Agree. I'm also a nurse who has taken care of diabetics for 25 years.
    Type 2 DM and insulin does not need to be seen as the kiss of death.
    Insulin can be a temporary tool until he can control his sugars with dietary alterations.
    The bodily devastation caused by uncontrolled blood sugars should be much more alarming to you than insulin injections.
  • kimosabe1
    kimosabe1 Posts: 2,467 Member
    I have been type one (shots) for almost 30 years and what he needs to do is drop some weight. This would benefit him to where he can avoid shots. A blood glucose monitor would help but strips are super expensive and lowering his carbs to drop weight is the best thing he can do. EXERCISE would greatly benefit him as well. good luck!
  • redladywitch
    redladywitch Posts: 799 Member
    It's so scary. I was recently diagnosed as a type 2. Although I am on oral meds, I use my food intake and exercise to help control my blood sugars. A referral to a dietician is a smart thing to do. There is so much advice out there and in here. Try not to be swayed by fear (which is normal) and then duped into some weird diet. There really is no such thing as a diabetic diet. I hope the stress eases a bit. Carbs, fruits, etc.....a dietician and even a diabetic nurse or endocrinologist can help you and your husband understand what to do. The ADA site is fabulous and has the most current information. My heart goes out to you and to your husband. Peace and Blessings.....
  • d_Mode
    d_Mode Posts: 880 Member
    My A1c was 16.3 when I was first diagnosed with Type2 Diabetes back in Oct. 2010. I was put on Metformin and two different types of insulin, one I took before each meal (Novolog) and one at bed time (Humulin N). It's NOT a Death Sentence.

    He will need to make some changes to his diet and should begin some sort of exercise, at least start walking, 20 minutes a day...

    I was able to get off my insulin through moderate changes to my diet and by keeping my carb intake between 30-60g per meal. It's good that he is starting to read labels.

    I measure and weigh my food as best I can. Get some measuring cups and a food scale. The biggest thing that has helped me get off my insulin was losing weight. I have been sticking to 1700 calories per day and have lost 41 lbs so far...and I don't hit the gym day after day or anything like that. I just walk as much as I can.
  • 2hobbit1
    2hobbit1 Posts: 820 Member
    Hi,

    I would highly suggest reading this book: http://www.amazon.com/Neal-Barnards-Program-Reversing-Diabetes/dp/1594868107

    Here is a review: http://www.vegparadise.com/vegreading97.html

    Watching your fat intake is just as, if not more important, than watching carbs. You want to follow a low-fat diet (this doesn't mean NO FAT AT ALL)... it just means you want small amounts of GOOD fats.

    I would have to seriously suggest you (your husband) NOT follow the above recommendation for Barnard's book. It's not-so-thinly disguised vegan propaganda

    I second the recommendations to check out http://www.phlaunt.com/diabetes/index.php. You can also access it at bloodsugar101.com Lots of research explained in an easy-to-understand way.

    And I also highly recommend http://www.diabetesforum.com/ The ADA website diabetes.org is semi-helpful. the forums have some really knowledgeable folks, especially the posters Alan (http://loraldiabetes.blogspot.com/) and Lizzy(http://lizzysdlounge.com/)

    Finally, if you want the opinion of a doctor rather than a layperson, I highly recommend Dr Richard Bernstein. He's an endocrinologist with Type 1 diabetes. Much of his book is available free online http://www.diabetes-solution.net/

    and, I almost forgot (OK. I did forget, but editted to add) http://www.dietdoctor.com/lchf

    ^^^^ all of this!^^^^
    Do your homework - go on line and read every thing Alan and Lizzy have to say on the ADA website!
    Be sure of the type 2 diagnosis - did they do any other testing other than the A1C? I was just diagnosed the end of January - had sugars in the high 400's and was in diabetic ketoacidosis(DKA). The ER doc assumed since I was 60 that I had to be a type 2 - not the case - I was a LADA Late onset Autoimune Daibetes in the adult - I am a type 1 and am insulin dependent. The treatments are totally different and if I had not had the sense to insist on additional testing i might not be here now. They did not pickup on the fact that type 2's do not usually present in DKA, that 10 units of insulin will not bring a type 2 down to 120 from 450 in 2 hours not to mention that my BMI was 23! I learned a lot from the ADA site, and from Lizzy and Alan. Lots of good info and they will answer your questions too!

    Insulin is not something to be afraid of - it can/is a life saver. It is not so difficult to figure out and is not painful to use!
    Have your Doc write for a glucose meter and test strips and follow Lizzys advice on how/when/how often to test. Knowledge of you numbers and what the foods you eat do to them is vital.
    If he is a type 2 insulin use can be a temporary assist in getting his sugars down while the dietary changes and oral meds kick in.

    Getting over the initial shock can take a while - but remember that there are worse things that can happen to you than needing to poke fingers frequently and use insulin. He will feel so much better when he gets things under control. I'm sure he will be glad to see the fatigue, thirst, constant urination, vision changes, joint pain, lack of libedo, balance issues, etc disapear when he gets his number down.

    You may need to be his advocate - and you need to be more educated than he is so you can lead him in the right direction. The diet changes will be good for both of you!
  • fittocycle
    fittocycle Posts: 827 Member
    He's lucky to have you in his corner, fighting for his health. Keep in mind it's a lifestyle change and not a death sentence. My dad has been a diabetic since he was 28. He's going to be 74 in August. He does have macular degeneration but it is stable and so is his blood sugar. He's worked hard to keep it under control for many years. It can be done and it makes a huge difference in the quality of life for a diabetic.

    Exercise and staying active is key to maintaining a healthy lifestyle, regardless of whether you have diabetes or not. It is important for your husband to get up and move as much as possible. If he won't or can't work out, park as far from the door at the grocery, shopping mall, etc. Buy him a pedometer and challenge him to walk a certain amount of steps each day.

    Also, whole food and clean eating is really the way to go. No one likes to hear it but processed foods are not our friends! Think of how your grandparents might have eaten. Desserts, sweet, and such were rare and far between. Meals were generally simple with foods cooked from scratch. Try to make up your meal with lots of veggies, lean protein, and some whole grains. My dad tells me that corn raises his blood sugar so he has pretty much eliminated it from his diet. Oatmeal keeps it stable for hours, especially if he adds in some walnuts or almonds. Have your husband test his blood sugar and find out what spikes it.

    Don't give up-you can do this. Once you make the changes you need to make, it will become routine and easy to live with. You all can do this!:flowerforyou:
  • mamax5
    mamax5 Posts: 414 Member
    Yeah, low carb + low fat = FAILEO diet. Glad you're not afraid of fat, OP. I'd avoid that weird vegan book.

    Best wishes to you and your husband. :flowerforyou:

    Hahahaha....FAILEO...oh that's good....thanks for the laugh, I needed that...! :laugh:
  • jmadams111
    jmadams111 Posts: 145 Member
    On the bright side, he can beat it. I was diagnosed as Type 2 about 10 yrs ago and mildly moderated my diet, took my meds....and finally. in the last year, dropped 100 lbs. Dr says I can stop the meds.
  • Sharonks
    Sharonks Posts: 884 Member
    I was diagnosed T2 14 years ago. I have to say that the big goal is to get BG under control however that needs to be done. If it means he needs to be on insulin then that is what he needs. It doesn't mean he will need to stay on it forever. When BG is elevated it causes a host of problems that many people generically refer to as rot since that is more or less what it does to your body. You can go blind, lose circulation in your extremities and end up having to have them cut off. Ultimately, you can stroke out or have a heart attack. Your risk is greatly reduced if your BG stays in optimal range.

    So do not freak out about any meds. I have to say that for many T2s they can be on meds and get off as they improve their health. If he is overweight he can improve his BG by losing weight, exercising, and watching carbs. It is not failure if you cannot get off meds. I am not terribly heavy but my BG control continues to get worse despite a lot of exercise and eating fairly decently. I am in a normal range for weight and often get very obsessive about running. I have lived on 20 carbs a day before and still had high BG. In my case, it requires lots of drugs to keep me healthy but if you ever met me you would never know I was diabetic unless I told you.

    He needs a meter and a visit with a dietitian. Go with him so you know what he is being told to eat. Realize that you cannot make him do anything and it will be a battle to get him to do something he doesn't want. He should go to the bloodsugar101 site that has been recommended. There is a good description of how to eat to your meter which is very important. What works for me may not work for someone else. It is an ongoing experiment even now after all these years.

    The diabetes group here at MFP is great and supportive. I used to participate in it but I'm pretty busy and don't have time to post there anymore.

    Good luck!
  • mamax5
    mamax5 Posts: 414 Member
    I think the biggest reason I am freaking out is I think that if my hubby goes on insulin it will give him an excuse to quit trying to be under control. You know without meds, diet and exercise....I just hope he gets this under control!
  • I am a type 1 diabetic so I understand how scary this is! I would recommend also to check out www.diabetesforum.com.

    I just recently joined there and here, and there are so many type 1 and 2 diabetics who are so friendly and helpful. That site is the reason why I found and joined this one and the reason why I am trying to work on being healthier.

    Good luck with everything, it's scary but he can do it!

    Also, trust me, the insulin is not an excuse to not try to eat well. I've learned that the hard way because I tried to do that for the past several years, and now I am 27 with beginning stage retinopathy and slight neuropathy from uncontrolled diabetes. It may seem like you can just take as much insulin needed to eat whatever you want, but it comes back to get you. :(
  • SlinkySpencer
    SlinkySpencer Posts: 139 Member
    Someone has probably already suggested this, but... Call a few different hospitals (or call your doc and ask if they know which hospital would have it), and find out if they offer free diabetes classes. Most of them do. It is indeed completely free and you'll learn quite a bit about how to handle this change (and you'll also get free coupons, a glucose meter, etc). Make sure you go with your husband to it so you can know all the info, too. Hope this is helpful.

    Take this news as a wake up call for your family, not a death sentence. You'll be surprised how much you can change your lives for the better.
  • MelsAuntie
    MelsAuntie Posts: 2,833 Member
    It's not a death sentence! My hubby is type 2 diabetic, has been for 30 years, and he's on daily insulin. He leads a normal life, he's active and happy.
  • SlinkySpencer
    SlinkySpencer Posts: 139 Member
    I think the biggest reason I am freaking out is I think that if my hubby goes on insulin it will give him an excuse to quit trying to be under control. You know without meds, diet and exercise....I just hope he gets this under control!

    I get that fear. Hopefully it'll sink in for him that insulin isn't a magic wand that makes bad food choices go away (I've seen people use it that way). Over the last four months, I lost two great people in my life, and the root of their health problems was diabetes, which led to heart and kidney issues for both of them, which led to a weakened state they couldn't recover from. (Sorry, I didn't bring that up to scare you, but I know that scaring my mom with the truth really helped her when make a change she was diagnosed a year ago.) A healthy diet and exercise program is *even more important* to him if he's on insulin.
  • 2hobbit1
    2hobbit1 Posts: 820 Member
    I think the biggest reason I am freaking out is I think that if my hubby goes on insulin it will give him an excuse to quit trying to be under control. You know without meds, diet and exercise....I just hope he gets this under control!

    It is actually the opposite - there is a lot involved with taking and dosing insulin properly so you do not go too low or too high.
    You need to time your insulin properly so your insulin peak matches you food peak. You need to match the amount of insulin to the amount and type of carbs. So there is a lot more to this than just "throwing" insulin at things.
    I find to keep good control I have to be totally accurate with my carb, fiber and protein counts for each meal, then calculate dosing based on what my current BG level is and then factor in how much insulin might still be working from prior doses. It takes attention to detail and honesty with what you eat and drink, it takes a lot of testing to see how foods effect your numbers.
    This will be a work in progress - and your understanding of the process and support will help him a lot.

    A good book to read again and use as a reference is "Using Insulin" by Walsh, et al. it is the best book I have seen.

    http://www.amazon.com/Using-Insulin-Everything-Need-Success/dp/1884804853/ref=sr_1_1?s=books&ie=UTF8&qid=1366026176&sr=1-1&keywords=using+insulin