Hi I'm new to this forum....just diagnoised

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Scarred_for_life
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Date Joined Jul 2008
Total Posts : 1559
   Posted 3/17/2010 2:51 PM (GMT -7)   
Wanted to say hello.  Just diagnoised with type 2 diabetes two days ago.  My mom has this as well and has managed hers for the past 4 years quite well.  Confused a bit about the medications though.  I've never had a problem with high blood pressure, though my doctor has put me on BP meds, he says its to protect my kidneys.  I haven't been feeling badly for this diagnoises to come to the fore front of my life.  The only reason they found it was because I had a kidney and liver function test because I was on Percocet for such a long time ( 7 years) and had never been tested for any problems.  Until 10 days ago when I complained to my Pain Management Doctor that I was having to strain to urinate and she decided that I was way over due for a liver and kidney function test.
 
Anyway...what problems do I need to be aware of with my feet?  Diet changes I have started to make on my own, but I am going to go to a dietican for further help in that area.
 
Scarred
I live to "Tame My Pain!" 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 3/17/2010 3:24 PM (GMT -7)   
Hi Scarred.  Well, I'm on accupril, a BP medicine which is an ACE inhibitor, which protects the kidneys.  I did have high BP before I was diagnosed with 'pre'diabetes though and it was a coincidence that I was on accupril.  My doctor told me that if I hadn't already been on it, she would have put me on it when my blood sugar started to elevate because ACE inhibitors do protect the kidneys.   Diabetics, especially those with uncontrolled blood sugar, may end up with kidney disease and heart disease as well as circulation problems - mostly in the limbs but especially the feet and legs.  For these reasons, it's very important to have blood sugar controlled.  Neuropathy occurs when the nerve endings start to die.  Even though there are other reasons for this to happen, it is common in diabetics with uncontrolled blood sugar.  You would have tingling, numbness, loss of sensation - however you want to describe it - and that means you could be prone to injury that you don't even feel, sores that don't heal, etc.  It could lead to gangrene and amputation.  Because this is very serious (obviously), diabetics should always examine their feet for injury.   So!  Controlling blood sugar is important for all these reasons.  Being active is great in helping control blood sugar whether or not you're on meds.  Walking, swimming, biking helps the heart and lungs as well as circulation.  Your doctor will keep an eye on your blood and urine tests to make sure the organs are functioning ok and your job is to learn as much as you can about diabetes!  You have already come across this with your mom but now I'd encourage you to look over some of our past threads here, especially about diet and exercise.  If you have any question, no matter how small, ask away! 
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 3/17/2010 3:51 PM (GMT -7)   
Hi Lanie. I want to thank you for responding to my post, I really do appreciate it. I kinda feel alone with this new problem looming above my head. My sister is the one who takes care of our mom and goes to the doctor with her and stuff. So I haven't really dealt with the Diabetes end of things that much. As far as my diet, I have switched a few things to help keep the carbs down. Switched to a whole wheat bread, avoiding the sugar products as much as I possibly can, things like that. My doctor put me on Metformin, Pravastatin and Lisinopril, which I just began taking this morning along with my regular pain medications. The Pravastatin I won't take until bedtime; my doctor says that that works better at night when I'm sleeping to lower my Cholestoral.

I understand now better about the feet. In fact, I have been getting more pain on the sides of my toenails recently. I wonder if that has something to do with the Diabetes? My mom is using a product that she got at her foot doctor called Aquaphilic Ointment for her feet. She gets a lot of cracks and sores on her feet and this stuff really helps to keep her feet soft and free from sores. I too have had some problems with my feet, especially the heals cracking and bought some of the ointment when I got home from my moms.

Anyway, I just wanted to say hello and introduce myself.

Scarred
I live to "Tame My Pain!" 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 3/17/2010 6:49 PM (GMT -7)   
Hi Scarred, my suggestion is to learn everything you can about the meds you're on and how to further control your blood sugar with diet and exercise.  Google the meds and get onto their websites.  Understanding how they work for you is important.  Read the two stickies above in the Diabetes Forum, Testimonial by TV Editor and the other sticky that has three posts including what makes our blood sugar rise.  Cutting way back on the carbs (the white food: anything made with flour or sugar) will not only help bring down the blood sugar naturally but help you lose weight if you need to.  And the other tactic is engaging in some sort of exercise.  Unfortunately, when we think of 'exercise' we think of sweating and feeling breathless, more or less miserable but think of it in another way: your life made longer and more healthy.  Walking is free and rather easy on the joints.  You can even do it in the house, marching in step in front of the TV, going up and down stairs a couple of times, etc.  And dry feet and heels!  Ugh.  I know what you mean.  I've read that severe problems with cracked heels could even be fungus, the same that causes athletes foot.  This is what I've done for my feet:  used one of those files specially made for feet in the shower.  Soaped up the feet and I even put soap on the file itself and worked on the heels.  Out of the shower, I used Vicks Rub (yeah, I know...) on the heels and then put on cotton socks.  After a couple of days, there was a noticeable difference in my feet but I have to do it a couple of times a week to keep them soft.  I'm not familiar with Aquaphilic Ointment but if you worked on your feet as I did and then used your ointment, that should work too.  You might want to show the doctor your feet during your next app't.  If feet are really badly cracked, maybe infection could start, so you do want to be careful.
 
Lastly, it would be a good idea to keep a food log.  Blood sugar monitors usually come with a booklet for you to keep a record of your readings.  This is a way to see how the food you're eating affects your blood sugar. 


Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet

Post Edited (LanieG) : 3/17/2010 7:52:02 PM (GMT-6)


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 3/17/2010 7:39 PM (GMT -7)   
Hey Scarred....it's ME...from the CP forum.... I hate that I have to see you here.  I was Diagnosed exactly 1 year ago...and my sugars are still out of control... My Dr. added Byetta 5 mcg. yesterday to my already large amount of meds... Currently I take:  2X10 mg. Glipizide in the am and the pm...then I have to do a shot of Byetta before I eat breakfast...then I do another shot of Byetta before dinner...then I take 2X850 mg. Metformin ER then a shot of 50 units of Lantus..... Wow!! That is too much.
 
Along with all of this I also have to take meds for my CP and now Fibro....
 
I hope you are ok with all of this added pressure...I am here if you need me..
 
Rhonda

I have been a spectator for so long..Now it's time to participate.......
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/  30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 35 units at bedtime with Solostar Pen                                                                   

 


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 3/19/2010 3:13 AM (GMT -7)   
Hiya Rhonda! It's a lot to digest. I mean it's silly to think that I was pretty healthy not but 11 years ago and then a downhill roll for the past 10 years. I don't know if the Diabetes diagnoisis has actually set into my brain quite yet, I mean I'm frightened to even use the new moniter. I can't help but wonder if tis is going to affect my trial for the SCS, or whether my Pain Doc is just going to tell me can't do it cause you have diabetes and high cholestrol. I'm angry, sad and totally confused with how this is going to affect my entire life.

On top of that......the menopase is in full swing. UGGGG

Hugsss

Scarred
I live to "Tame My Pain!" 


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 3/19/2010 8:32 AM (GMT -7)   
It takes a while to wrap your mind around this diagnosis. Just don't make the mistake I did. I spent 10 years taking my meds and pretty much ignoring my food plan. Didn't test, drank lots of alcohol, ate what I wanted and stuck my stupid head in the sand. I now have eye damage (and the glasses to show for it!) as well as kidney damage. And I have mild neuropathy in my feet... an itch under the skin that is unscratchable... and basically makes me nuts.

Many of us go through cycles where we are very good, test a lot, exercise and do generally what we are supposed to do. Then along comes a special event, a wedding, a funeral, family picnic, holiday party, something where food is part of the social-ness of the whole thing and BAM! We go off track for weeks. For me and many others this is the nature of the beast we call living with diabetes. We can attain normal blood sugars if we live within our guidelines. Because we self test we can feel shame for bad numbers, even when they are out of our control. Just have to try every day, every day to make the next snack, the next meal, the food we thaw for dinner be what we need, not what we want. Gotta read those labels and learn. My favorite example is Ranch dressing. Lite ranch is higher in carbs than regular ranch. The light has less oil and is filled with carbs to make it thick. We need the oils to smooth out our carb absorption and so the regular dressing, with oil is better for us than the lite....

Yes, it's confusing. Yes, it takes time, but if you stick with us we will walk you thru the minefield and then when you are an old pro you can help another newbie along. It's all choices, good, better and best, and we need our online buddies to keep on making those best choices. Take care.
~ Jeannie
Moderator for Fibromyalgia and Diabetes


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10392
   Posted 3/19/2010 9:16 AM (GMT -7)   
Jeannie, you're so right about "light" foods. Most of the time, that means they're low in fats. In order to replace the flavor and texture lost by removing fat, they have to up the carbs. Even skim milk is higher in carbs than full, simply because the volume that would be milk fat is now filled with carbs and proteins.

My husband worked in the food industry for years, so we learned to read labels long ago. You really have to walk a fine balance when you need to watch both carbs and fats.
As for your feet, wash them daily, dry well and apply a non-greasy moisturizer. Be sure your socks don't bind and are clean every day. Ditto with shoes; no tight shoes which could cause pressure. Visually check your feet when you wash them each day, and let your doctor know if you have blisters, reddened areas or other sores. Be sure to wear shoes outside, to protect your feet from cuts and scrapes.

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 3/22/2010 6:49 AM (GMT -7)   
Thanks all for the wealth of information that I have found from each of you. I'm still trying to wrap my head around this diagnoises, but I am keeping the sugars down to basically none; keeping my fats low and watching labels so that I know what I can eat and can't. I am keeping an eye on my feet (of course hard to really peer at the bottoms when you have a 3 level fusion and in gobs of pain) as best as I can. Lucky I can pretty much tell when they aren't feeling right.

Anyway....I'll write more later, I'm tired (long sleepless night) and am in much need of sleep


hugs

Scarred
I live to "Tame My Pain!" 


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10392
   Posted 3/22/2010 7:38 AM (GMT -7)   
For the soles of your feet, try using a mirror. Magnifying mirrors are really good, and if you look at places that serve people with disabilities, you can even find mirrors angled on long handles to help.

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 3/23/2010 9:54 AM (GMT -7)   
Scarred, come and post here for any reason.  We listen and try to help.  yeah
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 3/30/2010 3:50 AM (GMT -7)   
Thank you so much everyone. I really do appreciate the ideas and all. I'm doing pretty good right now. I have actually lost weight tooo!!!!! Went from a size 38 jeans to a size 36 YAY!! I also haven't had any sugar for at least 3 weeks! At first I thought it would be really hard, but its not. I have just decreased my meal sizes and instead of sugary goodies for snacks, I have been substuting fresh fruits and fat free, sugar free goodies to the mix. I am hoping that this will show when I go in for my next round of tests.

Anyway, I have an appointment next week with a diabetes cousler and maybe she can help me with a diet plan. :-)

Scarred
I live to "Tame My Pain!" 


TVEditor
Regular Member


Date Joined Aug 2008
Total Posts : 481
   Posted 3/30/2010 5:10 AM (GMT -7)   
Good for you scarred :turn:   You're on the right track!
 
Just my experience talking here -- keep an open mind when talking to the diabetes counselor.  Mine recommended a lot of carbs in my diet and when I told her that I found this raised my blood glucose, she said "That's OK, we have lots of drugs to fix that."  I didn't like that answer.  I took some of what she said and some of what I knew and made my own plan.  As you've already learned, smaller portions, reading labels, exercise and common sense can go a long way towards making improvements.
 
By all means, see a dietician and/or counsellor, but take what they say with a grain of salt ... a virtual grain of course tongue
Chris - Forum Moderator, Diabetes

~ Diagnosed Type 2 in July 2008 ~ Dropped 53 or so pounds after following HealingWell advice ~
~ Diabetes under control / no meds - so far - knock on head

I used to eat 100% wrong -- now I eat 95% right


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 4/12/2010 12:26 PM (GMT -7)   
I have to do the diet gal next week. I have already lost at least 25 pounds just by taking out the fats and sugars!!!! I can now get into my skinny jeans, but they are still a bit tight LOL!!!! Thanks for the wealth of information everyone I have taken quite a bit from here and incorperated into life.

Hugsss

Scarred
I live to "Tame My Pain!" 

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