Unmedicated type 2 -trouble with extra wt.!

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wa5ekh
Regular Member


Date Joined Nov 2005
Total Posts : 68
   Posted 1/22/2006 5:37 PM (GMT -7)   
I am 57 type 2, No medication, tight control, A1c 5.4-5.6, lost 60-80# originally(began at 360-380#!)-originally A1c if 8.7. Great! I feel much better, but I'm still 100# overweight(not all muscle either!), and this must be effecting my system and it's considered dangerous. I've been trying all kinds of stuff to get off this plateau that I've been on for 2 years! Got down to 292# once, got an irregular bundle branch EKG and increased exercise and intake and gained 20#. Now I starting back down to the original 300-310 range(my 2 year plateau level)

Anyone using diet and exercise control have any success getting down to their target weight(or near it)? Guess I'm going to have to go back to high frequency BG monitoring and journaling.(thats how I lost the weight before-ouch!!!).

steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/26/2006 4:25 PM (GMT -7)   
I mnitor weight like people monitor glucose. It's like baseball get too far off base you may never get back. I'm 5ft 7 145 pounds. When I gain weight I count calories. It always works. I never gain more that 5 pounds at the most. Get a diet scale get a whole bunch of calorie books and stat counting. I lieve on 1200 per day when I want to loose weight. Not much fun. Don;t be afraid of your bathroom scale it's your friend not your enemy. It will always tell you the truth. It never lies. I never could understand why everyone is afraid of their scale. I love my scale. It always tells me what to do and what to eat. You have to listen to it. I'm not trying to lecture you. The formula is energy in and energy out that is all. Anything more gets stored as fat..Move more and eatl less I run on a treadmill 7 days per week 1 hour per day. also

Post Edited (steven kreloff) : 1/27/2006 9:40:43 AM (GMT-7)


Peppertree
Regular Member


Date Joined Sep 2005
Total Posts : 116
   Posted 1/26/2006 5:21 PM (GMT -7)   
My husband is on meds,,actually one med, Starlix and it works wonderfully,. But he is also on a strict diet, and exercise routine. He drinks green tea twice a day, and it has been shown to help you lose weight. He is also 57, diagnosed,,, 4 yrs ago. He is hoping one day to just be able to use the diet and exercise, but right now we dont need his sugar  level going up to 400 without meds.  he cut his sugar out all toghter, and he eats lots of baked fish and chicken. you can find reciepes for diabetics on the internet, and they are actually very good, Hope this helps

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/27/2006 9:02 AM (GMT -7)   
Your post makes me think... I've been dealing with this diabetes for over 10 years now and my weight isn't dropping at all. Even when I was swimming three times a week I didn't lose an appreciable amount of weight... There must be something in our bodies that hangs on to fat for some reason... I have read (although I can't remember where) that diabetes is a form of survival mode that our bodies adapted to during times of famine. People who stored fat before using it for energy survived and many of the people who metabolized glucose as 'normals' didn't. This might account for the increase in diabetics now that we don't have famines in the western culture anymore...

Does anyone know if type 2 diabetes is a problem in develping countries where there are less refined carbs available? Is this just a disease of modern civilization where we have too much food and not enough need for it due to less physical activity?
~ Jeannie

"As one goes through life one learns if you don't paddle your own canoe you don't move."
-Katherine Hepburn


"Madness takes its toll.
Please have exact change."


steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/27/2006 9:38 AM (GMT -7)   
Jennie, Getting back to you on C.Peptide test. Not good Endo called me as I was about to leave work. According to her my beta cells are barely in the normal range. C Pepetide came back 1.4 whatever that means.? Also Anti bodies are high whatever that means? Caught off guard did not think of askng. She said my beta cells are failing. Looks like insulin sooner than later proably. I see her next month . Nothing changes even after I go on insulin. Congruity will continue with me. food,weight, exercise. Just need 1 more helper that's all. Thank you for your kind , compasionate words, and we can all empathize with each other.and try to use our collective knowlege to help each other I look at this , I perceive the reality of this and I do not believe my mind is playing tricks on me that we are biochemically locked in by our hormones. It's not our fault. Only if we take the head in the sand ostrich approach. I bet you half the diabetic people don't even know their last A1C

Post Edited (steven kreloff) : 1/27/2006 9:44:52 AM (GMT-7)


Warren
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Date Joined Oct 2005
Total Posts : 534
   Posted 1/27/2006 12:33 PM (GMT -7)   

Hi steven,

If and when Byetta is available to you in your Area, it is a great way to go to preserve your beta cells and maybe even rejuvenate that function.

BYETTA works with pills like Glucophage (metformin) and/or sulfonylureas like Amaryl (glimepiride), Glucotrol (glipizide), Micronase (glyburide), and others to help with blood sugar problems in several ways:

  • Insulin production: BYETTA signals your pancreas to make the right amount of insulin after meals to help lower blood sugar closer to normal levels — then stops causing the pancreas to produce more insulin after blood sugar levels get closer to normal
  • Sugar production: BYETTA helps stop your liver from producing too much sugar when you don't need it — helping you avoid high blood sugar levels
  • Sugar digestion: BYETTA helps slow down the rate at which sugar enters your bloodstream — also helping you avoid high blood sugar spikes

Now if you can't get Byetta, Lantus insulin is a good way to give your system a base of insulin for 24 hours per injection to work off of.

The whole point is whatever you use...don't avoid it but use it to keep those numbers under control so you can live realtively complication free.

scool Warren

 


It's not that some people have willpower and some don't. It's that some people are ready to change and others are not. - James Gordon, M.D.
What some call health, if purchased by perpetual anxiety about diet, isn't much better than tedious disease. - George Dennison Prentice

I can only please one person per day, today is not your day...tomorrow doesn't look good either.


SnowyLynne
Veteran Member


Date Joined Apr 2004
Total Posts : 1539
   Posted 1/27/2006 2:29 PM (GMT -7)   
My hubby is on the Max of all diabetic meds.next is Insulin.He also needs to lose 75 lbs.
SnowyLynne


steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/27/2006 11:20 PM (GMT -7)   
To Warren. Thank you Warren. Everyone post I read everyone raves about Byetta. I did everything I could. I lost 35 pounds exercised 7 day per week on treadmill 1 hour. Monitored glucose 3-5 times per day. monitored weight, counted carbs. read everything I could and Learned everything I could especially this chat board was my greatest resource. People who are in the trenches with you. Endo said it was not my fault. I did not want to be labeled a non compliant or someone who mismaneged this disease. My primary Doctor mentioned 24 hour acting lantus. Even gave me the film 6 month ago. Just managed to duck and dodge it. I think the Endo seems to favor sometype of injection. Today the FDA approved inhaled insulin. I still say it's all about congruity and harmony between, your food intake and hormones. These gosh darn hormones just do not want to cooperate. Boy are they stubborn.. I 'll keep you posted let you know what happens.

Post Edited (steven kreloff) : 1/28/2006 5:23:41 AM (GMT-7)


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/28/2006 2:18 PM (GMT -7)   
Steven,

You are to be commended for staying on top of this situation. I am on insulin and don't really mind it at all. Travel and camping can be a bit of a hassle to keep everything nice and cool but it's a small price to pay for my prolonged health.

The injections are very simple, almost painless and after the second day or so, very routine. With your positive attitude I'm sure you will do very well. Take care and let us know how you progress.
~ Jeannie

"As one goes through life one learns if you don't paddle your own canoe you don't move."
-Katherine Hepburn


"Madness takes its toll.
Please have exact change."


steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/28/2006 11:46 PM (GMT -7)   
Thank you Jennie. I'm starting to think I just might be better off with insulin. I especially do not like my 2 hour testing. Never even close to where it should be. Endo may be waiting for my next A1C from my primary.doctor I take that before I see endo again. No matter what food, insulin, and TSH hormone must stay in harmony. I now have enough, knowledge insight, awareness and practical selp help to avoid diabetic complications. I feel very confident about that much. I aprectiate all the support that we give each other here I literally take it 1 day at a time. Just continue to utlize everything at my disposal. I think with something like this you have to combine persistenty with flexibility as youl learn and continue to make adjustments. It's just a never ending educations, with so many facets, food, exercise, behavior modification,self knowledge,montoring. This is just not something you can learn in a book. Experience is the best teacher. I think the great aim of education is not knowledge but action. Thank you once again for your reply and kind words.

Warren
Veteran Member


Date Joined Oct 2005
Total Posts : 534
   Posted 1/29/2006 9:34 AM (GMT -7)   

Hi Steven,

Im like you.  I reached a point where I had finally maxed out on orals and they just weren't doing the job and finally landed in the hospital from a tiny simple staph infection that got way out of control simply because my diabetes wasn't in control.  The Endo guy was really nice and didn't lecture me.  He knew I knew.  But he started me on Lantus when I got out of the hospital.  That once a day shot was what I needed to suddenly have numbers that worked again.  The lantus is 24 hour insulin that provides you a base all day long.  Using really really tiny needles I overcame any fear of taking an injection and wow!!  the benefits were immediate.

I do want to point out that one of the drawbacks to any kind of insulin is your ability to put on weight, particularly belly fat.  IF YOU ARE AWARE of this, you can take steps to make sure it doesn't happen, but for many people this is an unfortunate side effect. The satisfaction, however, of suddenly seeing your numbers "work" is immediate and will make you say, "why didn't I do this sooner".  The 2 hour numbers are important as you know since this shows how long your body is staying in a range where your sugars could do damage to the rest of your body.  Above 150 for a prolonged period of time is NOT a good thing.

IF YOU have insurance and can get Byetta, its worth a try in that it will preserve the beta cell function.  However, if it is not available, by all means start the Lantus.  Remember what I was trying to ignore; Its not your lifestyle but your genetics that has caused you to fail with oral meds, so do something about it NOW and preserve the quality of your life!!  Good luck and let us know where you end up.

scool Warren
It's not that some people have willpower and some don't. It's that some people are ready to change and others are not. - James Gordon, M.D.
What some call health, if purchased by perpetual anxiety about diet, isn't much better than tedious disease. - George Dennison Prentice

I can only please one person per day, today is not your day...tomorrow doesn't look good either.


MCollier
New Member


Date Joined Jan 2006
Total Posts : 1
   Posted 1/29/2006 1:21 PM (GMT -7)   
Here is Rule # 4 from the Forum Rules
 
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This post was deleted for violating this rule!

scool  Warren

Post Edited By Moderator (Warren) : 1/29/2006 5:25:59 PM (GMT-7)


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/29/2006 7:27 PM (GMT -7)   
One more thing I wanted to add... I found that I can get my Lantus at Sam's Club for about $60 (and I imagine Costco is similar). It was $90.00 at Walgreens... If you're on meds be sure to shop around for the best price. This is good even if you have insurance. Saving money for your insurance company keeps health costs down for all of us.
~ Jeannie

"As one goes through life one learns if you don't paddle your own canoe you don't move."
-Katherine Hepburn


"Madness takes its toll.
Please have exact change."


steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/29/2006 9:11 PM (GMT -7)   
I'm going to call my primary Doctor tomorrow and see what she says. If finger pokes hurt more than I should have no trouble with the insulin. I do have very good medical insurance U.S. Halthcare. I'm sure it is proably covered. I'm going to mention Byetta. She all ready suggested 24 hour lantus 6 month ago. I'll see what she says. I took a home A1C . It was 7.1 I'm very careful with weight control. I do not take the head in the sand ostrich approach with that either. I don't want to be taking hopefully more than 1 shot per day. My program stays the same just, need a little insulin, or byetta. My endo said it's not my fault She did not lecture me.. In fact she told me not to exercise so much.. Maybe some people think just because you are on insulin they get let their food intake run amuck. I certainly don't feel that way. I's still trying to get food intake, insulin, tsh homone working together in harmony. Thank you Warren. I'll get back to you and Jennie and lt you know how it goes.

N17
Regular Member


Date Joined Oct 2005
Total Posts : 87
   Posted 1/30/2006 6:26 PM (GMT -7)   
I'm a NIDDM (age 41), diagnosed type 2 just over 4 months ago.  I was 139kg, now down to about 125kg.  I completely stopped eating fast food and guzzling soft drinks, which has probably been one of the main reasons for the weight loss.  I try to get a 3km walk in every day, if I'm not playing soccer.  My blood sugars are averaging high 5s to low 6s.  This rapid weight loss has now slowed and the rate of loss has diminished significantly.  This was to be expected and I now have to enter what I call Phase 2, where I further refine my diet and up the exercise regimen.  As it happens, I have been a little more slack with my diet and some fatty foods have crept back in.  Time to be a little more strict!  I must lose at least another 15kg to try to ward off complications for as long as possible.  That to me is a huge motivation.  Once again, I'm sorry to be an optimist, but I think we are maybe a decade and a bit away from massive advances in science which will bring a great deal of relief to all of us.

"I love Italian.......and so do you"
"Yes"


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/30/2006 9:16 PM (GMT -7)   
Please don't be sorry to be an optimist! I think your outlook is admirable! And playing soccer, no less! WOW!
~ Jeannie

"People are like stained glass windows: they sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."

- Elizabeth Kubler-Ross


Flopsie
Veteran Member


Date Joined Jun 2005
Total Posts : 1361
   Posted 1/31/2006 8:34 PM (GMT -7)   
I just wanted to add to what everyone has said about weight loss. As most of you know last summer I was in terrible shape, my numbers were up in the 300-400 range and I was feeling bad all the time,I was on 3 different oral meds and I even had to start a sliding scale. Around August or so, forgot to remember exactly when, I was sent to classes to teach me the correct way to eat. I have lost 52 pounds since then and have gone from a size 18 to a size 2-4. It can be done, but I was and am still monitored by my doctor. My Blood sugars range around 70-90 and I am on absolutely NO MEDS. I feel so much better, I can not even begin to tell you the difference it has made.

I really did not have to give up a lot of the foods I loved, just mix the right amount of carbs, protien, fats etc... It worked for me.

Good luck to you,

flopsie

Warren
Veteran Member


Date Joined Oct 2005
Total Posts : 534
   Posted 2/1/2006 8:43 AM (GMT -7)   

Hi Flopsie,

Isn't it amazing!!! You would have been diagnosed as a full blown type 2 diabetic with those numbers and put on tons of meds maybe even insulin.  And with a lifestyle change, not only have you shed the "diabetes" but all the nasty long term complications that can accompany it. 

And one more benefit you may not have considered.  For insurance purposes you are "normal".  This is a huge plus!!  This shows what can sometimes happen if you take your life back!!

Good Work
scool  Warren


It's not that some people have willpower and some don't. It's that some people are ready to change and others are not. - James Gordon, M.D.
What some call health, if purchased by perpetual anxiety about diet, isn't much better than tedious disease. - George Dennison Prentice

I can only please one person per day, today is not your day...tomorrow doesn't look good either.


Flopsie
Veteran Member


Date Joined Jun 2005
Total Posts : 1361
   Posted 2/1/2006 9:34 AM (GMT -7)   
Thanks Warren, but there is one down side, I AM clssified as type 2 Diabetic, diet controlled now, and it is on my Life ins. Oh well, some things we just can not controll. Have a great day..btw, congrats on the mod status (better late than never) and great job!

flopsie

steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 2/4/2006 11:55 AM (GMT -7)   
To Jennie & Warren Going to see my primary Doctor 2/6 ,take A1C than start on 24 hour lantis, with opticlick. Will let you know how everything goes.

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 2/4/2006 1:55 PM (GMT -7)   
Ok.. Steven... what's opticlick? (Jeannie shakes her head over her lack of education and feels dumb.)
~ Jeannie

"People are like stained glass windows: they sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."

- Elizabeth Kubler-Ross


Warren
Veteran Member


Date Joined Oct 2005
Total Posts : 534
   Posted 2/4/2006 2:58 PM (GMT -7)   
Jeannie,
 
Opticlick is a prefilled "pen" dispenser for Lantus.  I prefere syringes but perhaps the pen is more convenient for traveling.
 
scool  Warren
It's not that some people have willpower and some don't. It's that some people are ready to change and others are not. - James Gordon, M.D.
What some call health, if purchased by perpetual anxiety about diet, isn't much better than tedious disease. - George Dennison Prentice

I can only please one person per day, today is not your day...tomorrow doesn't look good either.


steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 2/4/2006 11:12 PM (GMT -7)   
To Jennie. It's a pen. You just turned the dial on the pen and it regulates the amout of insulin. My doctor gave me a whole kit, Pen, Needles, traveling case, instruction VHS. I see her 2/6. You may want to look into the pen. Ask your doctor about it. Might be easier to set the dose. You can get needles that are 31 gauge hair thin and short. I'm sure most Pharmisist are aware of the opti click made for lantis

whoa182
Regular Member


Date Joined Aug 2005
Total Posts : 128
   Posted 2/5/2006 5:53 AM (GMT -7)   
Flopsie said...
I just wanted to add to what everyone has said about weight loss. As most of you know last summer I was in terrible shape, my numbers were up in the 300-400 range and I was feeling bad all the time,I was on 3 different oral meds and I even had to start a sliding scale. Around August or so, forgot to remember exactly when, I was sent to classes to teach me the correct way to eat. I have lost 52 pounds since then and have gone from a size 18 to a size 2-4. It can be done, but I was and am still monitored by my doctor. My Blood sugars range around 70-90 and I am on absolutely NO MEDS. I feel so much better, I can not even begin to tell you the difference it has made.

I really did not have to give up a lot of the foods I loved, just mix the right amount of carbs, protien, fats etc... It worked for me.

Good luck to you,

flopsie
It' good to see the effort some people make to make themselves better. Type two diabetes is very controllable without any meds, it's just that a lot of people either don't know this, or havent taken the time to educate themselves on nutrition.
 
Good job !
23/12/05
Blood Pressure = 90/60
Total Cholesterol = 120mg ( 3.1)
Triglycerides = 35mg
Fasting glucose = 83mg
White Blood Count = 3.1

Matt


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 2/6/2006 10:21 AM (GMT -7)   
Matt,

Don't want to be argumentative here, but for some of us Type 2 is only controlled with proper diet, exercise AND medication. If nutrition alone were the answer I would have been cured about nine years and 11 months ago... (sigh!) Proper nutrition is indeed the key to helping ourselves but if your body isn't metabolizing and transporting glucose correctly all the great nutrition in the world won't do the trick.

My dear neighbor was having elevated sugars and didn't want to start medication. She went on a very spartan diabetic diet for almost 2 months, got a cold that turned into pneumonia, and she was admitted to the hospital with a blood sugar of 780! She is darned lucky to be still with us with her limbs intact...

Please, don't restrict yourself to the 'diet only' thinking. If you do then you will feel like a failure if your numbers move up. Diabetes is a nasty disease that has a way of changing on you when you least expect it. Some of this stuff is regulated by factors outside our control like heredity, stress and the financial ability to be able to afford all the best foods and medications. I am very happy for you with your great numbers, but we are all just trying to do our best and for some of us, diet alone just won't do it.
~ Jeannie

"People are like stained glass windows: they sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."

- Elizabeth Kubler-Ross

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