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Fooling Myself?

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Diabetes
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tdnjam
Veteran Member
Joined : Jan 2013
Posts : 586
Posted 3/31/2022 11:30 PM (GMT -8)
I have Type Two Diabetes. My doctor has been of very little help in answering my questions about my condition. I currently take Farxiga and Metformin and the medication is doing an excellent job of keeping my A1C under 7...no thanks to me. When I started this journey I was doing a fair job of trying to manage my diet. It isn't easy to do when everything you like is everything you shouldn't eat. Well, it is very easy to slip back into bad habits especially when my A1C keeps telling me I am doing a good job. I just visited my doctor where she praised me because my A1C just dropped again and my diet is atrocious for someone who is diabetic. I told her it is hard for me to do anything about my diet when my A1C is pretty good and actually drops. I asked her if I am fooling myself and if this is a false sense of security. She really could not give me an answer. She said it is always smart to try and have a proper diet and exercise but at the same time she acknowledged my diabetes is under control with medication. So, any help from anyone? Despite my A1C, am I doing myself harm by not eating better?
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Lanie G
Forum Moderator
Joined : Nov 2006
Posts : 6976
Posted 4/1/2022 7:02 AM (GMT -8)
Welcome to the Diabetes Forum, tdnjam. I understand what you're saying and the best I can do is give you my thoughts because I'm not a doctor (you already know that).

First the serious news:
High blood sugar, even elevated blood sugar averaging over 145, can damage the heart, kidneys, eyes, nerve system and other things in the body. Check out the hot link in my signature for more information. So, keeping blood sugar as close to normal should be a goal. "Normal" would be an average in the 80's. Long term higher blood sugar (even just "elevated") can damage the retina and also cause glaucoma which is why diabetics should always have eye annual exams by ophthalmologists. Your doctor should make sure your A1c is under 7 (better to be 6, actually, or under) and that your kidney and liver functions are within those normal parameters on the lab results. GFR is one of those lab results for kidneys and is very important. Uncontrolled blood sugar can lead to dialysis. It can also lead to heart attacks and poor circulation - which killed my own mother after they had to amputate her leg.

The good news is that these complications can be avoided if blood sugar is completely controlled. I understand what you're saying about depending on meds to control blood sugar. I don't know the answer. I do know that our mindset is important about not giving up or giving in. I see by your sig that you're also a PC patient. You have a lot on your mind and I get that. At the same time, you can decide to eat better for the diabetes and that would also affect your overall health.

Yeah, everything *I* like is what I shouldn't eat for diabetes. I've always loved bread and ice cream. sad But there are some kinds of substitutes for sweets and even 'bread' products that satisfy a craving so it's not like we can't eat good and tasty food.

I'm 73 (which is always a shock when I think I'm that old, lol) and I'm just on metformin so my eating plan must be good so far. yay I have a husband and two adult kids who worry about me and I don't want to be stupid about my health. That sort of reins me back.

Want to talk about food? My favorite subject.... I'm glad you posted. Hope you post again!
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tdnjam
Veteran Member
Joined : Jan 2013
Posts : 586
Posted 4/1/2022 10:19 AM (GMT -8)
Thanks for all the information. Other than following a proper diet, I am doing all the things you suggested. WHen I was first diagnosed, it was a shock and I did a fairly good job with my diet. But it is so easy to slip into bad habits again. And it doesn't help when I get my A1C checked and find that it is under 7 and it actually goes down. Naturally I ask myself why give up the foods I love when medication is helping me control my diabetes. Like I told my doctor, regardless of how I feel, I just need to get my head right and realize I do need to change my eating habits. Thanks again!
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NJFred
Regular Member
Joined : May 2020
Posts : 205
Posted 4/3/2022 6:52 AM (GMT -8)
When it comes to diet discipline, I am incorrigible. Not proud of it - - just being candid.

When my Endo admonishes me, I forthrightly tell him that eating/drinking (soda, etc.) are my only vices. I make my choices and weather any consequences.

Farxiga has been a Godsend in my case. Along with Tresiba and Amaryl.

I'm 73 y/o and when I go - I will go like Sinatra - "My Way."

NJ Fred
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tdnjam
Veteran Member
Joined : Jan 2013
Posts : 586
Posted 4/3/2022 10:04 AM (GMT -8)
NJFred, I know where you are coming from. At my age and with my health conditions there aren't too many vices I can do and handle these days. So, like you I do enjoy my food. But I also want to be around for a while longer. Farxiga has been really helpful in that regard. I am actually losing some weight and it obviously is helping my A1C. I know how devasting diabetes can be and the biggest thing that scares me most is blindness. So, if my yearly eye exam begins to show my bad habits are starting to affect my eyesight that may be what it takes to convince to start eating more healthy.
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Lanie G
Forum Moderator
Joined : Nov 2006
Posts : 6976
Posted 4/3/2022 5:16 PM (GMT -8)
So, you guys need to read the link in my signature, especially the section "The Damage Done by High Blood Sugar".

As far a damage to eyesight, yes, blindness is a possibility if you do have uncontrolled high blood sugar. Every diabetic (in fact, I would say every person over 50) needs to see an ophthalmologist for a complete eye exam and I don't mean exams like the ones the optometrists do for glasses. Ophthalmologists have special apparatus to see behind your eyes and can take pictures of. If your eye pressure is too high, you have glaucoma and if that's not treated, that will cause blindness. Caught on time, it's controlled with eye drops.

Of course there are other complications to high blood sugar. Keep in mind that doctors will tell their patients that their goal is for an A1c to be under 7 but a normal A1c is under 6.

Diabetes will affect different people differently. Eating better (which means cutting down on carbs, eating a variety of vegetables, healthy protein...) and getting some regular, sustained exercise in will help avoid complications.

I can't get you motivated. Motivation has to come from within you.
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tdnjam
Veteran Member
Joined : Jan 2013
Posts : 586
Posted 4/3/2022 5:35 PM (GMT -8)
I don't disagree with a thing you said. I am not asking anyone to get me motivated. I simply asked a question because no one, including my doctor, seems to be able to answer my question. I simply can't understand how my diet can be so bad and yet my A1C actually goes down. No pun intended, but the message it sends me is I can have my cake and eat it too. As I said in a previous response, with the exception of my diet, I am doing all the things you suggested. I appreciate the information you have provided.
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NJFred
Regular Member
Joined : May 2020
Posts : 205
Posted 4/3/2022 11:25 PM (GMT -8)
Lainie,

Your info is appreciated. And I am not disputing it. Online, Doctor Google is a bottomless pit of info, differing opinions, etc.

I speak only for me. I share my choices for what they are worth. What others think of my choices is not significant to me. I am not out to sell anyone the Brooklyn Bridge.

My lifestyle is just that - - MY lifestyle. I do/do not do things based on informed decisions. And that "informed" includes possible detriments. I fully understand that physical detriments from diabetes rarely reverse themselves.

I am not a druggie. I am not a gambler. I am not a drinker. And I am a loyal, satisfied husband. As aforementioned, my dietary choices are made by me, no one has a gun to my head. I realize that diabetes can be a slow ending to life.

In other words, I understand and accept the risks and proceed as I choose. Thus far, I have been fortunate. My A1C is down to 7.4 and my senses, limbs, and the rest of my 73 y/o carcass are working well. If that changes (due to diabetes) I will blame only the person I see in the mirror.

BTW, I continue working full-time, as well. Not because we scrape to make ends meet - - but, rather, because AI enjoy it. I could pack-it-in tomorrow and our lifestyle will not change.

Like tndjam, I, too, am a prostate cancer survivor. My PSA used to be 8.7 with a Gleason of 3+4=7. Following 45-IGRT treatments, I am down to a PSA (last week) of 0.9. Que sera sera.

People make choices and bear responsibility for them. I do not preach for others to follow my modus operandi. Quite the contrary, I preach for all afflicted with diabetes to get the facts and - - think.

NJ Fred
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tdnjam
Veteran Member
Joined : Jan 2013
Posts : 586
Posted 4/3/2022 11:48 PM (GMT -8)
Fred, glad to know you are doing well being a prostate cancer survivor. Sounds like we both have had journeys we had not rather taken but we are doing are best to survive.
I guess one big reason I am the way I am with my diabetes is because of my dad. In addition to prostate cancer, he too had diabetes and heart disease to boot. His last months on earth were miserable because, as I remember, the list of foods he couldn't eat because of diabetes and heart disease were very unsatisfying. He was trying to do his best to follow doctors orders but it took a lot of the joy out of living. While I want to be here a good long time, I want quality in that time. And as you may attest, my quality of life has been severely impacted already by my health conditions.
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Lanie G
Forum Moderator
Joined : Nov 2006
Posts : 6976
Posted 4/4/2022 5:21 AM (GMT -8)
NJFred, this Queens girl already bought the Lincoln Tunnel. Good Luck.
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