Diabetes

[Jiggy-Z 3469]

Just got bloodwork back.

Blood sugar is 114 or pre diabetic.

If you read the other topics on this board you will see that I am under a tremendous amount of stress rigjt now:

Possible divorce.

Closing my business 

Looking for new job at 57

Possible sale of 2 properties.

Dad died last year and i need to care care if some things there.

Kids in house 16 to 18...not sure what to expect.

Been getting 3 to 5 hours sleep the last 2 weeks.

So I imagine my numbers are going to be elevated.

I already excercise and  could only lose 10 lbs max.

No sodas or sugary drinks in my life.

Cut out bananas, pasta, rice, breakfast cereal?

Any ideas on the effect of stress?

[Nice Guy Eddie 13556]

10 minutes ago, Jiggy-Z said:

Just got bloodwork back.

Blood sugar is 114 or pre diabetic.

If you read the other topics on this board you will see that I am under a tremendous amount of stress rigjt now:

Possible divorce.

Closing my business 

Looking for new job at 57

Possible sale of 2 properties.

Dad died last year and i need to care care if some things there.

Kids in house 16 to 18...not sure what to expect.

Been getting 3 to 5 hours sleep the last 2 weeks.

So I imagine my numbers are going to be elevated.

I already excercise and  could only lose 10 lbs max.

No sodas or sugary drinks in my life.

Cut out bananas, pasta, rice, breakfast cereal?

Any ideas on the effect of stress?

Don’t know but I have a similar situation so interested in replies.

Recent annual physical had glucose within normal ranges at 94 but my A1C was 5.7 just outside the normal range. My doc labeled this as prediabetic. The only advice I got was to eat healthier and exercise more. I’ve been relatively sedentary lately. And put on about 10 lbs this year.

[Dbeasy 15240]

On 7/8/2024 at 8:59 AM, jimmyjazz said:

Update:  wife is on Jardiance (once a day) and metformin (full dose, half each twice a day).  We don't have a useful A1C number yet but her blood sugar is routinely in the mid-100 range, which is a massive improvement.  She had gained "weight" over the years, going from tiny (when I met her) to classic 50 YO mom bod, but it turns out a bunch of that was just inflammation.  The reduction in said inflammation is astonishing -- she's not down to her dating weight yet but she's getting close enough that I'm starting to worry about getting my own shit together.  Dammit.

 

On 7/9/2024 at 12:23 AM, tx 3 putt said:

Her dr hasn’t told her diabetes type or A1C ? 
 

how is that even possible ?

Once you start treatment of Type 2 diabetes, either thru diet control, or meds, it is very typical for A1c to drop dramatically for a long time, even several years. Keeping up with good eating habits delays more aggressive treatments. Weight loss is also dramatic. I lost 25 pounds and I wasn’t that overweight to begin with. I was only 10 pounds overweight.

Doctors often won’t test for type1/2 if the diabetes develops later in life because the treatments are similar. I found out after 20 years that I was actually type 1/2, not type 2, after a doctor looked at my strange sugar charts and suspected something and ran blood tests. 
 

On 7/17/2024 at 3:55 PM, Horn of Gabriel said:

If she's on metformin it's 99.999% gonna be Type 2.   Which was always going to be anyway considering her age and genetics and the population at large.  9 out of 10 diabetics are Type 2.  Type 2 usually presents later in life, and can be managed via diet and lifestyle - sometimes even eliminating the need for drugs, but not always.  Type 2 is strongly genetically typed, so your kids will need to look out for it.  Certain populations (Native American, Hispanic) are more susceptible.  Type 2 you usually still make your own insulin, just your body becomes less and less sensitive to it.  Drugs like metformin can increase your sensitivity, as can weight loss and changing your diet.  Most Type 2's don't require supplemental exogenous insulin, but those who can't/won't make the lifestyle changes might require it.  Type 2 is where the diabeetus memes come from.   

Type 1 (formerly "juvenile") diabetes typically presents in childhood/teens, but over the past few decades later incidences in life have become more common.  I was diagnosed Type 1 at 29 years old, and didn't have symptoms until that year.  Type 1 is not strongly genetically typed, my kids have only a ~3% elevated chance of getting it because I have it.  They don't know the cause of Type 1, it's an autoimmune condition and theories range from a virus to environmental to stress.  Regardless in Type 1 your body attacks your insulin producing cells and kills them off so as someone said upthread you must take exogenous insulin - as I do via an insulin pump.  My insulin sensitivity however is fine, I just don't make any.

as per above there is now type 1/2 as well. 

28 minutes ago, Jiggy-Z said:

Just got bloodwork back.

Blood sugar is 114 or pre diabetic.

If you read the other topics on this board you will see that I am under a tremendous amount of stress rigjt now:

Possible divorce.

Closing my business 

Looking for new job at 57

Possible sale of 2 properties.

Dad died last year and i need to care care if some things there.

Kids in house 16 to 18...not sure what to expect.

Been getting 3 to 5 hours sleep the last 2 weeks.

So I imagine my numbers are going to be elevated.

I already excercise and  could only lose 10 lbs max.

No sodas or sugary drinks in my life.

Cut out bananas, pasta, rice, breakfast cereal?

Any ideas on the effect of stress?

I’ve seen huge positive impacts to meditation. Tried it myself dozens of time but couldn’t get hooked. The people that do have incredibly positive experiences dealing with stress. 10% Happier is an interesting book. 

[jimmyjazz 46501]

Weird followup -- our health insurance has hooked her up with a group that is "taking control" of her treatment.  Not all bad, she gets the continuous glucose monitor + smart watch for free, which would ordinarily be $450 per month.  BUT, they demanded she go off the Jardiance.  She tried it, her blood sugar immediately spiked from the low 100s to mid-high 100s, depending on time of day.  It really upset her.  I kept telling her to go back on the Jardiance, and yesterday she buckled and did it.  Wham, blood sugar back to the low 100s.  She's just not ready.  I have no idea how this will play out regarding the continuous monitor, they might stop provding it, but I don't care.  I'll either pay for it, or more realistically she can just go back to the old school blood measurement from her finger tip.  I seriously doubt she needs to do that 6X per day in perpetuity.

[closetohumping 17552]

On 9/29/2024 at 8:32 AM, jimmyjazz said:

Weird followup -- our health insurance has hooked her up with a group that is "taking control" of her treatment.  Not all bad, she gets the continuous glucose monitor + smart watch for free, which would ordinarily be $450 per month.  BUT, they demanded she go off the Jardiance.  She tried it, her blood sugar immediately spiked from the low 100s to mid-high 100s, depending on time of day.  It really upset her.  I kept telling her to go back on the Jardiance, and yesterday she buckled and did it.  Wham, blood sugar back to the low 100s.  She's just not ready.  I have no idea how this will play out regarding the continuous monitor, they might stop provding it, but I don't care.  I'll either pay for it, or more realistically she can just go back to the old school blood measurement from her finger tip.  I seriously doubt she needs to do that 6X per day in perpetuity.

I probably missed it, but how did she get one of those machines anyway?  Thought you had to be type 1.

[jimmyjazz 46501]

30 minutes ago, closetohumping said:

I probably missed it, but how did she get one of those machines anyway?  Thought you had to be type 1.

I'm not sure we're talking about the same thing, I wouldn't call it a "machine", it's a small surface-mount port in her tricep she changes out every 10 days.  Regardless, if that's what you're referring to, I have no idea what protocol might have been involved, because we haven't been told what "type" diabetes she has.  I suspect they are just going with the obvious -- the medication made a huge impact on blood sugar, and she's not on insulin.

[closetohumping 17552]

On 8/21/2024 at 6:29 AM, txduck87 said:

My doc is starting to give me shit about mine at 5.6.

I’m 58. Is he a quack?

I thought under 6.5 was good and I was doing well. Very focused on diet and exercise.

Yeah, that's interesting.  Skeptic in me goes back to "the money is in the treatment not the cure...." 

[jimmyjazz 46501]

So, some of you will appreciate the absurdity of this.  We are exactly 5 months out from diagnosis, and JUST TODAY we got the word on my wife's diabetes.

She's Type 1.  She's been popping metformin and Jardiance like they were skittles for months, and yes, they "worked", but that's not the first line of defense.  I mean, I just can't fathom how it took this long to identify her root disease.

So, I demanded she see an endocrinologist, and she's doing so this week.  I'd be shocked if they don't put her on insulin, and I have no idea if they'll take her off the other meds.  At least she was able to get her blood sugar down into the 100-150 range through diet and the (wrong) meds, but christ on a cracker this just seems like classic Austin bullshit medical practice.  

[blacklab 11998]

On 6/18/2024 at 6:33 AM, Herbie Hancock said:

If, based on the information you quoted, you still have to ask if it’s Type 1 or Type 2 then you aren’t qualified to be providing any input on the matter.

So which did you think it was?

[troph 24929]

sounds like you are all over it but I'll chime in that I've been on an anti-inflammatory, low histamine diet and it's been a game changer for my weight, and blood work. mine was already pretty good but it just went next level. 

It's lean proteins (poultry, fish), most vegetables (green is good), and most fruits. whole grains are fine, eggs yes, try to avoid other dairy (some mild cheeses). I did add back plain yogurt (none of the fruit added yogurts). I also mixed up oat milk with 2% dairy milk to avoid daily intake of emulsifiers but I could easily leave milk out and drink less oat milk. I season with salt, pepper and olive oil.  big things to avoid - added sugar, saturated fat from animal sources, and anything processed.

I avoid almost all breads, pastas, rice, etc. though some in moderation is fine and I was using more heirloom pasta grains too. Rice was fine.

The low histamine part makes it more restrictive and I've let that go a lot. so avacados, garlic, strawberries, some citrus is back. I avoid any and all higher calorie juices and opt for super low calorie lettuce type juices. other than that, sugar is all from fruit and then I'm avoiding oranges and citrus. so apples, pears, peaches, watermelon, berries of any type, pomegranate. Also seeds and nuts are great on this diet. 

I recall reading that under 20 grams of added sugar is the goal. I was down to under 5 grams added sugar per day and it was all in my muesli and spoonful of organic honey peanut butter as an indulgence. 

I also upped my supplement game - with less but more focusing on the basics and heart health. I find body health branded whole food supplements to be really great and easy to consume (tastes pretty good not like grass). I take coQ10, quercetin, curcumin, full spectrum hemp oil, b complex, c (multiple times a day), zinc, calcium and magnesium, and a few things for sleep.

I've relaxed a little bit, but this diet helped me drop 30 pounds and realize that a decent American diet is still pretty trash. On this diet I didn't count calories, I ate when  I was hungry and  often ate a lot. But a plate of sweet potatoes, broccoli and a lean protein is high in volume and low in calories. 

the resistant carbs is big, root veggies are fantastic so is the chilled potato thing. weird but it seems to help. if you can get the undigested fiber to your large intestine then that's winning.

The walk after eating is HUGE. avoiding alcohol is a big thing. sucks but I've not had a drink since july with very few exceptions. I've all but committed to never drinking alcoholic beer again. red wine and scotch will be the problem.

anyway, it should have been hard but for some reason it really wasn't. maybe because I felt like my health depended upon it. and while my health is still a tad bit complicated I can say I feel healthier than I have since I was in my late teens.

I'm 100% convinced added sugar and animal based saturated fats are the number 1 and number 2 enemies in our diet.

we should have a longevity thread, I might start one.

Edited November 17 by troph

[tigol 2421]

6 hours ago, troph said:

sounds like you are all over it but I'll chime in that I've been on an anti-inflammatory, low histamine diet and it's been a game changer for my weight, and blood work. mine was already pretty good but it just went next level. 

It's lean proteins (poultry, fish), most vegetables (green is good), and most fruits. whole grains are fine, eggs yes, try to avoid other dairy (some mild cheeses). I did add back plain yogurt (none of the fruit added yogurts). I also mixed up oat milk with 2% dairy milk to avoid daily intake of emulsifiers but I could easily leave milk out and drink less oat milk. I season with salt, pepper and olive oil.  big things to avoid - added sugar, saturated fat from animal sources, and anything processed.

I avoid almost all breads, pastas, rice, etc. though some in moderation is fine and I was using more heirloom pasta grains too. Rice was fine.

The low histamine part makes it more restrictive and I've let that go a lot. so avacados, garlic, strawberries, some citrus is back. I avoid any and all higher calorie juices and opt for super low calorie lettuce type juices. other than that, sugar is all from fruit and then I'm avoiding oranges and citrus. so apples, pears, peaches, watermelon, berries of any type, pomegranate. Also seeds and nuts are great on this diet. 

I recall reading that under 20 grams of added sugar is the goal. I was down to under 5 grams added sugar per day and it was all in my muesli and spoonful of organic honey peanut butter as an indulgence. 

I also upped my supplement game - with less but more focusing on the basics and heart health. I find body health branded whole food supplements to be really great and easy to consume (tastes pretty good not like grass). I take coQ10, quercetin, curcumin, full spectrum hemp oil, b complex, c (multiple times a day), zinc, calcium and magnesium, and a few things for sleep.

I've relaxed a little bit, but this diet helped me drop 30 pounds and realize that a decent American diet is still pretty trash. On this diet I didn't count calories, I ate when  I was hungry and  often ate a lot. But a plate of sweet potatoes, broccoli and a lean protein is high in volume and low in calories. 

the resistant carbs is big, root veggies are fantastic so is the chilled potato thing. weird but it seems to help. if you can get the undigested fiber to your large intestine then that's winning.

The walk after eating is HUGE. avoiding alcohol is a big thing. sucks but I've not had a drink since july with very few exceptions. I've all but committed to never drinking alcoholic beer again. red wine and scotch will be the problem.

anyway, it should have been hard but for some reason it really wasn't. maybe because I felt like my health depended upon it. and while my health is still a tad bit complicated I can say I feel healthier than I have since I was in my late teens.

I'm 100% convinced added sugar and animal based saturated fats are the number 1 and number 2 enemies in our diet.

we should have a longevity thread, I might start one.

On the beer thing, this may get me in trouble on this site, but there are some outstanding non-alcoholic beers.  I find that one with dinner scratches the itch and they are usually well under 100 calories.  Karbach, Athletic, and Dechutes are all carried by HEB.  This is my favorite:  https://deschutesbrewery.com/products/black-butte-non-alcoholic?selling_plan=7851442486

 

[troph 24929]

50 minutes ago, tigol said:

On the beer thing, this may get me in trouble on this site, but there are some outstanding non-alcoholic beers.  I find that one with dinner scratches the itch and they are usually well under 100 calories.  Karbach, Athletic, and Dechutes are all carried by HEB.  This is my favorite:  https://deschutesbrewery.com/products/black-butte-non-alcoholic?selling_plan=7851442486

 

If empty calories are to be avoided it wouldn’t matter, but yeah I love all day brewing, Karbach, and the new corona NAs. I’m still careful because they are empty carbs. NA beers are just going to keep coming given younger generations don’t drink as much 

Edited November 17 by troph

[jimmyjazz 46501]

9 hours ago, blacklab said:

So which did you think it was?

The assumption was type 2,  since that's more common when diabetes occurs in adults.  She went on medication for type 2 and changed her diet radically, and her blood sugar responded very well, leading everyone to believe it was type 2 because of the medication.  I suppose it's possible she corrected things with the diet change only.

 

7 hours ago, troph said:

sounds like you are all over it but I'll chime in that I've been on an anti-inflammatory, low histamine diet and it's been a game changer for my weight, and blood work.

Yeah, your diet and hers are pretty similar at this point.  She hates it.  I don't know if she'll be able to loosen the reins a bit if/when she starts on insulin.  I'm confident she'll never go back to her previous carb-heavy diet, and all things considered she ate pretty healthy (lots of lean protein, green veggies, no alcohol or soda), but the carbs were her weakness (breads, crackers, pastas, some sweets).

[blacklab 11998]

12 hours ago, jimmyjazz said:

The assumption was type 2,  since that's more common when diabetes occurs in adults.  She went on medication for type 2 and changed her diet radically, and her blood sugar responded very well, leading everyone to believe it was type 2 because of the medication.  I suppose it's possible she corrected things with the diet change only.

Yeah, I assumed type 2 as well. I'm assuming Herbie Handcock did as well. I was giving him shit because he called out Prong for asking if it's 1 or 2.

[Herbie Hancock 7393]

Yeah, I assumed type 2 as well. I'm assuming Herbie Handcock did as well. I was giving him shit because he called out Prong for asking if it's 1 or 2.

I would have bet my paycheck (no Rocko) that it was type 2. Literally all of the symptoms are that of type 2. I must have overlooked the fact that her father had diabetes as that would increase the odds of developing type 1 later in life, but I’m still not convinced that it isn’t type 2 given the aforementioned physician fuckery. I applaud JJ for seeking out an endocrinologist to truly get a handle on this. I also highly doubt that DildoProng is learned enough on diabetes to have asked a legitimate question on purpose. I regret nothing with regard to my response to that person.

[Bevo 13655]

On 11/17/2024 at 12:52 AM, troph said:

we should have a longevity thread, I might start one.

 

Last I heard, the world is ending in like 5 years.

[Bevo 13655]

1 hour ago, Herbie Hancock said:

 

I would have bet my paycheck (no Rocko) that it was type 2. Literally all of the symptoms are that of type 2. I must have overlooked the fact that her father had diabetes as that would increase the odds of developing type 1 later in life, but I’m still not convinced that it isn’t type 2 given the aforementioned physician fuckery. I applaud JJ for seeking out an endocrinologist to truly get a handle on this. I also highly doubt that DildoProng is learned enough on diabetes to have asked a legitimate question on purpose. I regret nothing with regard to my response to that person.

 

 

[troph 24929]

“breads, crackers, pastas, some sweets”

I think we all should avoid these foods with religious zeal.  whole grains are a must in a well rounded diet but they don’t show up in these foods. 

[Bevo 13655]

2 hours ago, Herbie Hancock said:

 

I would have bet my paycheck (no Rocko) that it was type 2. Literally all of the symptoms are that of type 2. I must have overlooked the fact that her father had diabetes as that would increase the odds of developing type 1 later in life, but I’m still not convinced that it isn’t type 2 given the aforementioned physician fuckery. I applaud JJ for seeking out an endocrinologist to truly get a handle on this. I also highly doubt that DildoProng is learned enough on diabetes to have asked a legitimate question on purpose. I regret nothing with regard to my response to that person.

 

 

[jimmyjazz 46501]

14 hours ago, Herbie Hancock said:

I would have bet my paycheck (no Rocko) that it was type 2. Literally all of the symptoms are that of type 2. I must have overlooked the fact that her father had diabetes as that would increase the odds of developing type 1 later in life, but I’m still not convinced that it isn’t type 2 given the aforementioned physician fuckery. I applaud JJ for seeking out an endocrinologist to truly get a handle on this. I also highly doubt that DildoProng is learned enough on diabetes to have asked a legitimate question on purpose. I regret nothing with regard to my response to that person.

 

What I probably didn't disclose, not being a doctor and not knowing shit about shit, is that she had gestational diabetes with two of our four kids.  That said, she disclosed all this to her docs, so, you know . . .

[Herbie Hancock 7393]

 

I mean, you don’t have to read between the lines to see I admitted I was wrong. That said, would it make you feel better if I said the words “I was wrong”?

[Bevo 13655]

33 minutes ago, Herbie Hancock said:

I mean, you don’t have to read between the lines to see I admitted I was wrong. That said, would it make you feel better if I said the words “I was wrong”?

 

[jimmyjazz 46501]

Well, the medications would seem to indicate they had diagnosed Type 2, but it was just a guess.  Five months later, "oh look it's Type 1".  Ridiculous.

[Bevo 13655]

1 minute ago, jimmyjazz said:

Well, the medications would seem to indicate they had diagnosed Type 2, but it was just a guess.  Five months later, "oh look it's Type 1".  Ridiculous.

 

Hey, you are making it tough for me to give HH a hard time.

[Goofyboy 3323]

I’m sitting at a 5.7 A1C, so I guess I’ll be following along this thread as well.