High Blood Sugar Levels / Type 2

High Blood Sugar Levels / Type 2

Author
Discussion

Red9zero

6,855 posts

57 months

Monday 19th September 2022
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P. ONeill said:
I went for a short walk this morning, 3k ish and tested my bloods about 30 minutes later. 6.2, not bad. Could be my new routine, walk before breakfast, not after. Or it could be a one off, we’ll see.
I walk our dog every morning before breakfast. It definitely helps.

mike9009

7,007 posts

243 months

Monday 19th September 2022
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Red9zero said:
Still struggling to get an appointment with the diabetic nurse here. Blood tests seem easy enough to get, phone appointments once in a blue moon, but not had a face to face appointment since before Covid. Luckily my levels seem OK at the moment, but a check up would be nice sometime.
This might sound disingenuous (and is), but I would phone and say you are worried about a particular aspect of your control.

I genuinely was having a series of hypos which there seemed no rhyme or reason about. I was seen in May 2020 very quickly and prescribed Libre.

PositronicRay

27,012 posts

183 months

Monday 19th September 2022
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mike9009 said:
This is me now. No exercise, bowl of porridge and 7 units of insulin, 30 minutes prior to eating...... Damn dawn phenomena

I've upped my basal +10% from 4am just to get insulin in my system early. I'll bolus (sometimes from bed) wait till BS starts to dip then catch the falling BS by eating. Sometimes it takes 15 mins, sometimes 45.

Red9zero

6,855 posts

57 months

Monday 19th September 2022
quotequote all
mike9009 said:
Red9zero said:
Still struggling to get an appointment with the diabetic nurse here. Blood tests seem easy enough to get, phone appointments once in a blue moon, but not had a face to face appointment since before Covid. Luckily my levels seem OK at the moment, but a check up would be nice sometime.
This might sound disingenuous (and is), but I would phone and say you are worried about a particular aspect of your control.

I genuinely was having a series of hypos which there seemed no rhyme or reason about. I was seen in May 2020 very quickly and prescribed Libre.
I was worried about an issue with my feet recently, so tried getting an appointment with a diabetic nurse for a foot check up. Best I could get was an appointment with a generic nurse at a surgery in the next town that is part of the same group. She had no idea what she was looking at and suggested I saw a private podiatrist. Tbf, the whole NHS in this area is struggling.

jagnet

4,111 posts

202 months

Monday 19th September 2022
quotequote all
mike9009 said:
This is me now. No exercise, bowl of porridge and 7 units of insulin, 30 minutes prior to eating......
Porridge? As a diabetic, if you can't properly control blood sugar levels, why feed your body a bowl of the one thing it can't handle? I don't get it.

Not trying to be an ass - genuine question because I just don't understand the reasoning.

RichTT

3,071 posts

171 months

Monday 19th September 2022
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I get checked every year for a company medical. 2 years ago my fasting glucose was at 5.3 mmol/l with recommended range at < 5.5 for fasting.

Work sprung a medical on me after a rather heavy weekend out and a lovely business class flight of which I took full advantage of a lovely Bordeaux they serve. Next morning, surprise medical.

What worried me was that even though I hadn't eaten that they measured my blood sugar at 142 mg/dl. I don't have any of the symptoms listed that I can see, have been back at the gym and am 5kg lighter than the physical 2 yrs ago and no real change in diet. I am borderline for BMI obesity but I'm a stocky wee lad. Working on that though.

Should I be concerned?

I'll be getting more tests done as soon as I'm home from this business trip. Any advice?

Phil.

4,763 posts

250 months

Monday 19th September 2022
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Blood sugar of 142 mg/dl is 7.9 mmo/l.

A heavy night will affect your liver function which obviously could affect the test outcome but it was only a one off test. I’m sure you are already on to this, but get a HbA1c blood test when home which will provide you average blood sugar level for the last 2-3 months and hopefully some reassurance.

mike9009

7,007 posts

243 months

Monday 19th September 2022
quotequote all
jagnet said:
mike9009 said:
This is me now. No exercise, bowl of porridge and 7 units of insulin, 30 minutes prior to eating......
Porridge? As a diabetic, if you can't properly control blood sugar levels, why feed your body a bowl of the one thing it can't handle? I don't get it.

Not trying to be an ass - genuine question because I just don't understand the reasoning.
Porridge is a complex carbohydrate and slow releasing. I have just returned from a bike ride with the family, so one of the best things to have before cycling as it will release the 'sugars' over a long period of time. I find it works for me. A bit like marathon runners carb loading.....

Slow releasing carbs, even for a T2D, are better. Synthetic (or injected) insulin does not react as quickly or in the same profile as 'narural' insulin so complex carbs are recommended. For a T2D, they also put the pancreas under less strain, so it can cope with the slow release over a longer period of time. Similar to eating wholemeal pasta or bread over their white counterparts.

It still does not negate the dawn phenomenon though and perhaps exasperates it, but I need to eat......

This morning, I may have needed to inject slightly earlier, but you can see the blood sugar dropping slightly before it kicks upwards.

RichTT

3,071 posts

171 months

Monday 19th September 2022
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Phil. said:
Blood sugar of 142 mg/dl is 7.9 mmo/l.

A heavy night will affect your liver function which obviously could affect the test outcome but it was only a one off test. I’m sure you are already on to this, but get a HbA1c blood test when home which will provide you average blood sugar level for the last 2-3 months and hopefully some reassurance.
Thanks Phil. I'll be doing just that.

jagnet

4,111 posts

202 months

Monday 19th September 2022
quotequote all
mike9009 said:
Porridge is a complex carbohydrate and slow releasing. I have just returned from a bike ride with the family, so one of the best things to have before cycling as it will release the 'sugars' over a long period of time. I find it works for me. A bit like marathon runners carb loading.....
Cheers for responding. Like I say, not trying to be an ass* or trip you up, I just find different people's approaches to diet (and carbs in particular) really interesting.

* some would argue that I rarely need to try, it just comes naturally biggrin


mike9009

7,007 posts

243 months

Monday 19th September 2022
quotequote all
jagnet said:
mike9009 said:
Porridge is a complex carbohydrate and slow releasing. I have just returned from a bike ride with the family, so one of the best things to have before cycling as it will release the 'sugars' over a long period of time. I find it works for me. A bit like marathon runners carb loading.....
Cheers for responding. Like I say, not trying to be an ass* or trip you up, I just find different people's approaches to diet (and carbs in particular) really interesting.

* some would argue that I rarely need to try, it just comes naturally biggrin
Hey, no problem. T1D means you need to look after both sides of the blood sugar coin. That is, high blood sugars and low blood sugars. I frequently need lucozade/ dextrose to keep my blood sugar normal otherwise I will end up in a coma with low blood sugars. (Hypoglycaemia) This can happen with either too much insulin being injected or too much exercise or any other combo of things going on in life (not eating at regular times, lack of sleep, fluids, alcohol, etc.)

The control is never constant, so loads of things influence your blood glucose levels. Seasonally things change, temperature, go for a walk, sit on the sofa, ready salted pack of crisps versus smoky bacon crisps, etc. I have been diabetic for 41 years and still have not got the hang of it all - hence chatting about it can really help.

When you have a working pancreas, cherish it and look after it! Unfortunately, I did not have that option.....

jagnet

4,111 posts

202 months

Tuesday 20th September 2022
quotequote all
mike9009 said:
The control is never constant, so loads of things influence your blood glucose levels. Seasonally things change, temperature, go for a walk, sit on the sofa, ready salted pack of crisps versus smoky bacon crisps, etc. I have been diabetic for 41 years and still have not got the hang of it all - hence chatting about it can really help.
Really interesting, and I must admit I'd never even given thought to the issue being sensitive enough to be affected right down to the flavours of crisp being eaten. That's got to be hard work keeping on top of it.

I appreciate the insight from the T1D perspective; T2D being so common where I live (it's practically a national pastime now) that my interest in diabetes has very much been focused on that side of things. Lots for me to ponder on, so thank you.

mike9009 said:
When you have a working pancreas, cherish it and look after it! Unfortunately, I did not have that option.....
yes Definitely a big fan of my pancreas and I don't like to dwell too much on what I used to put it through. Long working days, lots of energy drinks... urgh.

Ruskie

3,989 posts

200 months

Tuesday 20th September 2022
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I saw someone today at work with a BM of 33.1!

Brainpox

4,055 posts

151 months

Tuesday 20th September 2022
quotequote all
jagnet said:
mike9009 said:
The control is never constant, so loads of things influence your blood glucose levels. Seasonally things change, temperature, go for a walk, sit on the sofa, ready salted pack of crisps versus smoky bacon crisps, etc. I have been diabetic for 41 years and still have not got the hang of it all - hence chatting about it can really help.
Really interesting, and I must admit I'd never even given thought to the issue being sensitive enough to be affected right down to the flavours of crisp being eaten. That's got to be hard work keeping on top of it.

I appreciate the insight from the T1D perspective; T2D being so common where I live (it's practically a national pastime now) that my interest in diabetes has very much been focused on that side of things. Lots for me to ponder on, so thank you.

mike9009 said:
When you have a working pancreas, cherish it and look after it! Unfortunately, I did not have that option.....
yes Definitely a big fan of my pancreas and I don't like to dwell too much on what I used to put it through. Long working days, lots of energy drinks... urgh.
This chart shows all the factors that affect blood glucose, and what T1Ds have to deal with trying to balance it all out. Notice how many of them can make it go higher or lower, or one a certain period after the other!


P. ONeill

Original Poster:

1,455 posts

52 months

Monday 24th October 2022
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HBA1c now at 45, slightly higher than normal but going in the right direction, I was at 71 not that long ago. I’ve another set of bloods booked in eight weeks so I’ll hopefully be well under 42 by then. I’m following a pretty strict diet over the last while and it’s starting to pay off. Look better, feel better, moving better, moving a lot more. About half way with my weight loss, but I know from experience the second half will take longer.
Onwards and upwards, or hopefully downwards on the scales.


Phil.

4,763 posts

250 months

Monday 24th October 2022
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Brilliant result. We’ll done for making the lifestyle changes thumbup

P. ONeill

Original Poster:

1,455 posts

52 months

Monday 24th October 2022
quotequote all
Phil. said:
Brilliant result. We’ll done for making the lifestyle changes thumbup
Liver tests are still a touch on the high side, they’ve come down, but they’re not where they should be. I lost my best friend to liver disease a few years back, that what scared me into action.

PositronicRay

27,012 posts

183 months

Tuesday 25th October 2022
quotequote all
Brainpox said:
This chart shows all the factors that affect blood glucose, and what T1Ds have to deal with trying to balance it all out. Notice how many of them can make it go higher or lower, or one a certain period after the other!

Thank you for that chart.

PositronicRay

27,012 posts

183 months

Tuesday 25th October 2022
quotequote all
P. ONeill said:
HBA1c now at 45, slightly higher than normal but going in the right direction, I was at 71 not that long ago. I’ve another set of bloods booked in eight weeks so I’ll hopefully be well under 42 by then. I’m following a pretty strict diet over the last while and it’s starting to pay off. Look better, feel better, moving better, moving a lot more. About half way with my weight loss, but I know from experience the second half will take longer.
Onwards and upwards, or hopefully downwards on the scales.
Well done.

mike9009

7,007 posts

243 months

Tuesday 25th October 2022
quotequote all
P. ONeill said:
HBA1c now at 45, slightly higher than normal but going in the right direction, I was at 71 not that long ago. I’ve another set of bloods booked in eight weeks so I’ll hopefully be well under 42 by then. I’m following a pretty strict diet over the last while and it’s starting to pay off. Look better, feel better, moving better, moving a lot more. About half way with my weight loss, but I know from experience the second half will take longer.
Onwards and upwards, or hopefully downwards on the scales.
Cracking result. That must have taken some real life style changes to achieve, do not underestimate what you have done! I don't know the chances of reversal, but you must be on the way......