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Posted: 4/28/2023 7:07:56 AM EST
[#1]
Quoted: I've been having hypo (low) blood sugar several times per day. I take Metformin twice daily. What do you recommend I eat to keep my blood sugar level stable? Any help would be appreciated. How low is “low”? This can be deadly. Call your doctor and see how quickly they schedule you. Use something super sugary for now. I keep a few of those little flavored sugar water bottles at work, home and in the car. But I’ve never had to use them. You gotta learn you. If metformin alone is dropping you into truly low BGL’s, you’re going to have to go the route of more frequent testing and observing how your body reacts to different things. But keep it simple in terms of food intake to isolate what happens. This is one of those conditions where education and an individualized plan will mean everything. The good news is that once you figure out how your body reacts to things, you can reliably predict what’s going to happen ahead of time. And forewarned is forearmed. I’m really curious that you’re on metformin only and it's pushing your BGL into the dangerously low territory. |
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Posted: 4/29/2023 6:04:48 AM EST
[#2]
 Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU |
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Posted: 4/29/2023 8:52:01 AM EST
[#3]
Quote HistoryQuoted: I will be the asshole I’m also type 2 What you need to do … you won’t because it’s hard There I said it out loud Edit : Sorry .. kinda .. maybe not But we type 2s are our worst enemy Step 1 change what you eat It’s fucking HARD So many people… most … don’t …. Won’t Or say yes. And lie to them selves while eating a carb ….cause they deserve it THIS |
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Posted: 4/29/2023 9:03:16 AM EST
[#4]
Quote HistoryQuoted: I've lost over 30 pounds in the last 3 months. I'm hoping...no, planning to... lose more weight. I exercise daily and have cut out candy, cake, pie, etc. I don't want to lose a foot because I couldn't control my eating habits. Were you started on metformin when you were heavier? I’ve had patients cure their DM2 with aggressive diet change then become hypogly cause theyre on the medicine I gave them when they were heavier. You really need to see your doc. |
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Posted: 4/29/2023 10:12:11 AM EST
[#5]
Well, I took the advice of several here who said to stop taking the Metformin. It was causing me to crash (blood sugar) all day long. I stopped taking it to see what would happen and my blood sugar stayed in the "normal" range the whole day. Not one crash!!! I've really changed what I eat and drink and I think I can regulate my blood sugar with that. If it happens to go high then I'll take the medicine. Thanks to everyone who participated here!
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Posted: 4/29/2023 10:41:01 AM EST
[#6]
Type 2 diabetes can be a warning sign of pancreatic cancer. I'd get a check if it were me. My dad suddenly got Type 2, was diagnosed with pancreatic cancer a year later and then died less than a year after that.
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Posted: 4/29/2023 10:51:55 AM EST
[#7]
How much do you weigh and what's your stats? Dr. Jason Fung's stuff is good. Fasting, if your doctor approves it, works wonders on insulin resistance, which is your problem. Walking for an hour a day, especially after a meal, is a great way to burn fat and control your weight. Cut out booze. There is another doctor on YT, the SugarMD, who is an endocrinologist that explains how your body works and other stuff, like glycemic index.
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Posted: 4/29/2023 10:58:44 AM EST
[#8]
Quote HistoryQuoted: I have the Freestyle Libre III blood glucose monitoring system. My cell phone makes a super loud alarm if my blood sugar drops below 60. When it does drop low I eat peanut butter (contains sugar) and drink a cup of milk. It's not catching it for me. I would love to have my blood glucose level stay steady instead of up and down. Quote HistoryQuoted: Quoted: Talk to your doctor -- now! Hypoglycemia can be fatal. I have the Freestyle Libre III blood glucose monitoring system. My cell phone makes a super loud alarm if my blood sugar drops below 60. When it does drop low I eat peanut butter (contains sugar) and drink a cup of milk. It's not catching it for me. I would love to have my blood glucose level stay steady instead of up and down. First thing to do is raise the alarm to 80. |
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Posted: 4/29/2023 11:03:55 AM EST
[#9]
I quit soft drinks cold turkey mild of December. I have very limited carbs. VERY LIMITED CARBS! I try to stay under 25 carbs a day. My A1C went from 7.4 to 5.9 in three months. It's not easy but it's worth it!
 Attached File |
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Posted: 4/29/2023 11:06:47 AM EST
[#10]
I’ve been type 2 diabetic for 20 years. I always keep lifesavers handy. Since I’m not crazy about them I never eat more then 2. If I used something really good like Twix bars I’d be eating them all the time.
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Posted: 4/29/2023 11:06:50 AM EST
[#11]
Quote HistoryQuoted:
Eat small amounts multiple (more than 3) times a day. If you eat only 1, 2 or 3 times a day, you get a huge spike in blood sugar an hour after a meal and a giant drop in blood sugar 4 hours after that. By eating smaller amounts of foods allowed by your diet every 2-3 hours, you avoid the huge peaks and valleys in blood sugar. Chicken, fish and vegetables are good to go. No Everything else like breads or pasta or crackers or sugar are verboten. |
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Posted: 4/29/2023 11:08:18 AM EST
[#12]
Quote HistoryQuoted: I want advice from ya'll and not make an apt with my doctor to ask such questions such as what food to eat, thank you very much. Then ask your doctor to refer you to a nutritionist. Substituting GD for qualified medical advice is a great way to lose toes. |
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Posted: 4/29/2023 11:11:05 AM EST
[#13]
If you eat carbs the body will respond like it is sugar
If you eat eggs and not have a sugar low event you may need to look at what your eating Eat nothing that is diet. Aspartame is the devil Drink only water unsweet tea/ coffee and see how things go |
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Posted: 4/29/2023 11:14:40 AM EST
[#14]
Type 2 is environmental (diet) and curable in a matter of weeks to months. Fasting and complete and total elimination of carbs will get your blood sugar, and your health, back to normal.
Do you research and fact check everything your doctor tells you, and NOT on government websites like CDC, FDA, etc. I can't believe Type 2 is even around still. There is so much information out there on how to eliminate it completely. Big food and big pharma are your enemies and want you sick and addicted. Adjust accordingly. |
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Posted: 4/29/2023 11:29:00 AM EST
[#15]
If I was in this situation I’d drop the meds and lose weight via caloric deficit and exercise.
Lift weights 3 days per week and do 30 mins of moderate intensity cardio every day. Take a few 10 minute walks after meals as well. |
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Posted: 4/29/2023 1:20:57 PM EST
[#16]
Quote HistoryQuoted: Are you taking the readings to confirm that the measurements are really that low? Your cellphone isn’t doing that alarm based on an actual measurement, it does that based on a prediction and trend of your latest data readings. It only receives data when you trigger a measurement. Quote HistoryQuoted: Quoted: I have the Freestyle Libre III blood glucose monitoring system. My cell phone makes a super loud alarm if my blood sugar drops below 60. When it does drop low I eat peanut butter (contains sugar) and drink a cup of milk. It's not catching it for me. I would love to have my blood glucose level stay steady instead of up and down. Are you taking the readings to confirm that the measurements are really that low? Your cellphone isn’t doing that alarm based on an actual measurement, it does that based on a prediction and trend of your latest data readings. It only receives data when you trigger a measurement. not for a Freestyle Libre 3. the FL3 is a continuous glucose monitor that uses Bluetooth to send your glucose measurement to your phone every minute. it is not a Flash glucose meter that uses NFC to transmit data to your phone/reader only when you initiate a reading. |
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Posted: 4/29/2023 1:29:08 PM EST
[#17]
Quote HistoryQuoted: Best post so far. My Libre 14-day requires fingersticks the first few times I read it. It self-adjusts to correlate more closely with the fingersticks. Tends to stabilize around 10 points higher or lower. Both the CGM and blood glucose meters have fairly high margins of error. I rely more on recognizing the signs of hypoglycemia, namely headaches and irritability. I get a lot of that surfing GD. how does that adjustment work? when I was using the L-14, there was no way to enter in fingerstick values to "teach" it. the only thing I remember is that for the first day on a new sensor, the app would show a symbol reminding you to verify readings with a fingerstick since the sensor is known to be less accurate the first day. I actually insert my new FL3 sensor 24-hours before the old one expires. I don't activate it until the first one expires so it gets a full-day to "soak" before I actually use it. common consensus seems to be that by letting it soak before using, day-1 readings are closers to fingersticks since your body has time to "heal" from the trauma. |
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Posted: 4/29/2023 2:09:08 PM EST
[#18]
Despite what you will read on GD, do not under any circumstances go in a ketogenic diet if you are on an SGLT-2 inhibitor such as:
Invokana (canagliflozin) Farxiga (dapagliflozin) Xigduo XR (dapagliflozin/metformin) Jardiance (empagliflozin) Glyxambi (empagliflozin/linagliptin) Synjardy (empagliflozin/metformin) Steglatro (ertugliflozin) There is a significant document risk of Ketoacidosis with these medications and a ketogenic diet, and this can be fatal. |
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Posted: 4/29/2023 2:14:06 PM EST
[#19]
Quote HistoryQuoted: Type 2 is environmental (diet) and curable in a matter of weeks to months. Fasting and complete and total elimination of carbs will get your blood sugar, and your health, back to normal. Bullshit. You can probably keep your sugars in a euglycemic range with diet and exercise, but you won’t “cure” type 2 diabetes. Go back to the old diet, and you return to elevated blood sugar - because nothing has been cured. |
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Posted: 4/29/2023 2:34:12 PM EST
[#20]
Quote HistoryQuoted: Bullshit. You can probably keep your sugars in a euglycemic range with diet and exercise, but you won’t “cure” type 2 diabetes. Go back to the old diet, and you return to elevated blood sugar - because nothing has been cured. How many people do you think in America are walking around diabetic ,pre diabetic or elevated insulin levels right now? The OLD DIET is the disease the diabetes is the symptoms. |
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Posted: 4/29/2023 2:53:12 PM EST
[#21]
Quoted: I've been having hypo (low) blood sugar several times per day. I take Metformin twice daily. What do you recommend I eat to keep my blood sugar level stable? Any help would be appreciated. Carnivore Diet. Stop eating carbs and sugar. Drink only water. You're welcome. |
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Posted: 4/29/2023 3:23:14 PM EST
[#22]
LOL I just went to my doctor yesterday and got my blood drawn, got the results this morning. My glucose is 209 and my A1C is 10.8. Oops!
 Weird thing is I feel fine for the most part. |
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Posted: 4/29/2023 3:26:06 PM EST
[#23]
As the doctor told me. I will give you a pill and you will keep putting shit in your body. Or you can eat right, loose weight and we can take you off the pills.
So i lost the weight. Eat healthy or healthier and i was taken off all medicine. |
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Posted: 4/29/2023 3:30:09 PM EST
[#24]
Quote HistoryQuoted: How many people do you think in America are walking around diabetic ,pre diabetic or elevated insulin levels right now? The OLD DIET is the disease the diabetes is the symptoms. Tell me you have no fucking clue what diabetes is without telling me you have no fucking clue what diabetes is. |
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Posted: 4/29/2023 3:32:26 PM EST
[#25]
Quote HistoryQuoted: LOL I just went to my doctor yesterday and got my blood drawn, got the results this morning. My glucose is 209 and my A1C is 10.8. Oops! Weird thing is I feel fine for the most part.That is why diabetes is so insidious, and why people who tell you you can cure it are so dangerous. Because you get used to hyperglycemia and feel fine while you are damaging your peripheral nerves, heart, kidneys, and eyes. |
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Posted: 4/29/2023 3:32:42 PM EST
[#26]
Go keto, 10,000 steps a day if you want to live. Life sucks sometimes.
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Posted: 4/29/2023 3:34:11 PM EST
[#27]
Quote HistoryQuoted: Tell me you have no fucking clue what diabetes is without telling me you have no fucking clue what diabetes is. Quote HistoryQuoted: Quoted: How many people do you think in America are walking around diabetic ,pre diabetic or elevated insulin levels right now? The OLD DIET is the disease the diabetes is the symptoms. Tell me you have no fucking clue what diabetes is without telling me you have no fucking clue what diabetes is. People who have been thin and fit their entire lives can get it also. Try convincing GD of that simple fact. |
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Posted: 4/29/2023 3:37:16 PM EST
[#28]
Quote HistoryQuoted: Bullshit. You can probably keep your sugars in a euglycemic range with diet and exercise, but you won't "cure" type 2 diabetes. Go back to the old diet, and you return to elevated blood sugar - because nothing has been cured. Quote HistoryQuoted: Quoted: Type 2 is environmental (diet) and curable in a matter of weeks to months. Fasting and complete and total elimination of carbs will get your blood sugar, and your health, back to normal. Bullshit. You can probably keep your sugars in a euglycemic range with diet and exercise, but you won't "cure" type 2 diabetes. Go back to the old diet, and you return to elevated blood sugar - because nothing has been cured. GD thinks you can cure all type 2 diabetics. Most of GD is below the national average for IQ. There is no cure for type 2 diabetes. But it may be possible to reverse the condition to a point where you do not need medication to manage it and your body does not suffer ill effects from having blood sugar levels that are too high. It's not always possible to reverse type 2 diabetes. But even if you can't get your blood sugar levels down with lifestyle changes alone and still need medication or insulin, these healthy habits help better manage your condition and may prevent complications from developing. |
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Posted: 4/29/2023 3:38:58 PM EST
[#29]
Quote HistoryQuoted: Low to no carb. Lose weight. This. I saw my mother suffer from diabetes to the end. It’s a way worse than you will ever imagine, probably up there with some of the worst diseases out there. Having seen how bad the disease is first hand with all of the emergency calls, hospitalizations, etc.., I had a come to Jesus moment and have ditched all carbs and losing the little extra weight I had. If I didn’t change my habits, I would become pre diabetic and then full blown diabetes. The thought of going blind and having my extremities cut off scares the shit out of me. Drop the carbs, don’t settle for diabetes and lose the weight. |
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Posted: 4/29/2023 3:41:56 PM EST
[#30]
I get my types confused - but did watch a video on hyper. They said they could cure it for most people by getting them to loose 30lbs.
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Posted: 4/29/2023 3:43:27 PM EST
[#31]
Quote HistoryQuoted: I get my types confused - but did watch a video on hyper. They said they could cure it for most people by getting them to loose 30lbs. I lost over 30 lbs recently and I was diagnosed T2D. |
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Posted: 4/29/2023 3:44:34 PM EST
[#32]
Quote HistoryQuoted: I get my types confused - but did watch a video on hyper. They said they could cure it for most people by getting them to loose 30lbs. Don’t believe everything you see. |
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Posted: 4/29/2023 3:46:28 PM EST
[#33]
the video was for people with too much blood sugar. You are having blood sugar dips, not spikes. I have dealt with high blood sugar for years now. Diet can work. I don't know shit about low blood sugar. Likewise, I keep forgetting which is type 1 and which is type 2 - I don't recall types. I do recall my mother in law had the opposite problem of mine. She kept things around to raise her blood sugar.
--- Type 1 - your body does not produce insulin. I think this one causes low blood sugar Type 2 - your body is insulin resistant. This one causes high blood sugar. That said, low blood sugar can be a result of medication taken for Type 2. Anyway, keto or fasting can force an insulin cycle (at least in theory, if you cycle between high and low insulin, there is a chance to lower insulin resistance. If there is always too much, you become resistant to it). Make sure if you do either to drink lots of water. If you go into Diabetic ketoacidosis (DKA)- you can really fuck yourself up. I went through it, lost about 20lbs in 2 weeks - was drinking 2 gallons of water a day and staying thirsty. Piss stunk of ketones. Later on one of these threads someone had a father or uncle do keto while diabetic, forget if it was coma or convulsions - but dead in about 2 days. Anyway, hindsight, I was lucky. Apparently drinking a ton of water (with some electrolytes), is a treatment for DKA - can flush some of it out of your system. On a second note. I was interested in doing an ultra paddling race. Did a lot of research. Found a mother load of info in a thread. Paddler said he always drank tons of water. In the back of my mind, I recalled his story - just did not realize I was reading it in the thread, posted by him. He died about 20 miles from my house. Pissed and sweated out all his electrolytes during the race and went into convulsions. It was odd, reading a thread about him training, seeing his last post right before the race started - and realizing I was reading the thread of a dead man who killed himself in the race. Afterwards I wondered if he was diabetic, and his water cravings were DKA). |
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Posted: 4/29/2023 3:50:43 PM EST
[#34]
Quote HistoryQuoted: My stepdad is having his leg amputated at the knee on tuesday. I don't know everything happening with him medically but the weight was definitely a factor. Quote HistoryQuoted: Quoted: I've lost over 30 pounds in the last 3 months. I'm hoping...no, planning to... lose more weight. I exercise daily and have cut out candy, cake, pie, etc. I don't want to lose a foot because I couldn't control my eating habits. My stepdad is having his leg amputated at the knee on tuesday. I don't know everything happening with him medically but the weight was definitely a factor. Tuff way to lose weight. It happens often. Some people won’t give up the sugar. |
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Posted: 4/29/2023 3:56:52 PM EST
[#35]
Quote HistoryQuoted: Eat small amounts multiple (more than 3) times a day. That's the opposite of how you "cure" insulin resistance i.e. type 2 diabetes Fasting lowers insulin resistance. "Grazing" raises insulin resistance. OP, you really need to work with a doctor who understands type 2 diabetes (not just a GP who had one class on nutrition 30 years ago). If you pick and chose what AR15.com medical advise you want to believe, it could be deadly. |
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Posted: 4/29/2023 4:06:10 PM EST
[#36]
Keto.
That one word can and will get you off meds and probably prolong your life, if you’ll just do it. It will be hard. It’s worth it. Start here: https://youtube.com/@KenDBerryMD |
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Posted: 4/29/2023 4:08:01 PM EST
[#37]
Quote HistoryQuoted: I want advice from ya'll and not make an apt with my doctor to ask such questions such as what food to eat, thank you very much. Nobody here can be as accurate as your doctor though, and these questions are exactly what they should expect and want to help with. They’d always rather you ask them than guess or ask the internet. |
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Posted: 4/29/2023 4:10:04 PM EST
[#38]
If it is insulin resistance - first thing is to get rid of all simple sugars. They cause blood sugar spikes very quickly. Now I have noticed that too much carbs and my blood sugar is fucked the next day. I can throw a 350 blood sugar count the day after a heavy sushi meal fairly easily. When intermittent fasting, I could manage a hair over 100 at the end of my fasts.
--- if you have insurance, you can get a break on monitoring strips. I think learning your body is probably a good thing. You might consider keeping a log of what you drink and eat, and looking for patterns. FWIW, diet drinks can cause insulin responses even though they don't have sugar. I think the nastier part is the insulin response causes cravings. Keeping track of what causes cravings is probably good to log too. I found intermittent fasting far easier if I stayed near keto than a normal diet. Too much carbs one evening would cause a lot worse cravings the next day. If I had higher fat with almost no carbs - there were hardly any cravings. But that was me - you are different. |
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Posted: 4/29/2023 4:11:18 PM EST
[#39]
Quote HistoryQuoted: Tell me you have no fucking clue what diabetes is without telling me you have no fucking clue what diabetes is. Your right I've only lost 150 pounds so far and came off ozempic, januvia and glimepiride. My a1c for some time now has been below 5.4 so obviously I know nothing about it. How about yourself because if you're not a diabetic or a doctor yourself I don't see how you're qualified to lecture me. |
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Posted: 4/29/2023 4:15:08 PM EST
[#40]
Quote HistoryQuoted: Keto. That one word can and will get you off meds and probably prolong your life, if you’ll just do it. It will be hard. It’s worth it. Start here: https://youtube.com/@KenDBerryMD Great plan. What happens when a person with uncontrolled diabetes goes on a ketogenic diet? Here’s a hint - DKA. Randomly advising diabetics to adopt a ketogenic diet is just idiotic. Any adoption of a ketogenic diet by a diabetic needs to be medically supervised - and not by internet experts. |
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Posted: 4/29/2023 4:17:05 PM EST
[#41]
Quote HistoryQuoted: I get my types confused - but did watch a video on hyper. They said they could cure it for most people by getting them to loose 30lbs. I do not believe diabetes can be ‘cured’. It really depends on how much damage has been done to your pancreas. But few ‘cured diabetics’ will ever be able to safely eat a high carb diet again. |
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Posted: 4/29/2023 4:18:04 PM EST
[#42]
Quote HistoryQuoted: Great plan. What happens when a person with uncontrolled diabetes goes on a ketogenic diet? Here’s a hint - DKA. Randomly advising diabetics to adopt a ketogenic diet is just idiotic. Any adoption of a ketogenic diet by a diabetic needs to be medically supervised - and not by internet experts. Keto and diabetic ketoacidosis are not the same thing. Thanks for your concern. |
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Posted: 4/29/2023 4:19:31 PM EST
[#43]
Quote HistoryQuoted: Well, I took the advice of several here who said to stop taking the Metformin. It was causing me to crash (blood sugar) all day long. I stopped taking it to see what would happen and my blood sugar stayed in the "normal" range the whole day. Not one crash!!! I've really changed what I eat and drink and I think I can regulate my blood sugar with that. If it happens to go high then I'll take the medicine. Thanks to everyone who participated here! Sounds like you are on the right path. Fuck taking drugs forever while stuffing sugar down your gullet. |
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Posted: 4/29/2023 4:19:57 PM EST
[#44]
An actual doctor explains the difference between ketosis and ketoacidosis, for dummies:
 KETOSIS vs Ketoacidosis: A Doctor Explains the Difference |
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Posted: 4/29/2023 4:23:48 PM EST
[#45]
Quote HistoryQuoted: Your right I've only lost 150 pounds so far and came off ozempic, januvia and glimepiride. My a1c for some time now has been below 5.4 so obviously I know nothing about it. How about yourself because if you're not a diabetic or a doctor yourself I don't see how you're qualified to lecture me. I’m a diabetic myself. Your claims that you can “cure” type 2 diabetes tell me, and everyone else, that you don’t truly understand it. Congratulations on the weight loss and tight glucose control. But your underlying beta cell issues and resulting issues secreting insulin still exist. You are simply managing the symptoms very well. The underlying disease is still there. |
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Posted: 4/29/2023 4:24:52 PM EST
[#46]
Quote HistoryQuoted: Bullshit. You can probably keep your sugars in a euglycemic range with diet and exercise, but you won’t “cure” type 2 diabetes. Go back to the old diet, and you return to elevated blood sugar - because nothing has been cured. You mean if you go back to eating a bunch of sugar you'll have high blood sugar and that means something is wrong with you? I suppose i wouldn't call it a cure but alleviating all symptoms and not taking any medication is close enough. |
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Posted: 4/29/2023 4:27:14 PM EST
[#47]
Quote HistoryQuoted: Keto and diabetic ketoacidosis are not the same thing. Thanks for your concern. True. However, in the setting of elevated ketones from chronic hyperglycemia, further increasing ketones via diet may well move the person from ketosis to DKA. And if you really want to see something interesting, look into the combination of SGLT-2 inhibitors and the keto diet. |
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Posted: 4/29/2023 4:30:22 PM EST
[#48]
Quote HistoryQuoted: Ask your doctor. |
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Posted: 4/29/2023 4:30:41 PM EST
[#49]
Quote HistoryQuoted: You mean if you go back to eating a bunch of sugar you'll have high blood sugar and that means something is wrong with you? I suppose i wouldn't call it a cure but alleviating all symptoms and not tacking any medication is close enough. No, what I mean is if you go back to eating a somewhat higher amount of sugar that would not cause elevated blood sugar in a non-diabetic, you will go back to high blood sugars. Because the underlying disease is still there. The symptoms are just well controlled. |
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Posted: 4/29/2023 4:46:49 PM EST
[#50]
Quote HistoryQuoted: No, what I mean is if you go back to eating a somewhat higher amount of sugar that would not cause elevated blood sugar in a non-diabetic, you will go back to high blood sugars. Because the underlying disease is still there. The symptoms are just well controlled. A lot folks once having lost the weight and lowered insulin resistance can start eating more carbs than a keto diet. The shit diet is what made you diabetic in the first place though. Would be pretty dumb to start eating like that again. Also pretty dumb to reintroduce carbs without monitoring glucose. As for the ketoacidosis comments thats probably easier to monitor than blood sugar. |
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