tag:blogger.com,1999:blog-5623537812609722663.post3569658811811043060..comments2024-03-28T17:11:52.333+00:00Comments on The Pub Curmudgeon: Sugaring the pillCurmudgeonhttp://www.blogger.com/profile/02558747878308766840noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-5623537812609722663.post-68609430037972496662017-08-28T17:24:02.277+01:002017-08-28T17:24:02.277+01:00I am perhaps fortunate that I haven't experien...I am perhaps fortunate that I haven't experienced the adverse reactions to Metformin that many other people have reported. <br /><br />I'm not a medical professional, and can't really comment on misdiagnosis, but I'd suggest that an HBa1C score of over about 60 would be a pretty sure-fire indicator of diabetes.Curmudgeonhttps://www.blogger.com/profile/02558747878308766840noreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-58584351356812701962017-08-28T16:58:32.546+01:002017-08-28T16:58:32.546+01:00I was diagnosed as diabetic about four years ago a...I was diagnosed as diabetic about four years ago and put on a course of pills, one of which made me ill and had to be changed. About two years ago I was in Poland and contracted food poisoning. My wife (who is Polish) took me to a hospital and they did a much more thorough check-up than I have ever had from the NHS. At the end of it, they told me that I was not in fact diabetic after all and advised me to drop the medication, which I did. I wonder if the NHS is over-cautious, or likes to 'big-up' conditions so as to help it press for more money?<br /><br />It might be worth thinking about what sort of sugar you are using. My father has sought for many years to avoid white sugar in favour of brown, and is still going strong at 92 with no sign of diabetes. Ian Wordennoreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-58202789920865055212017-08-28T15:10:55.133+01:002017-08-28T15:10:55.133+01:00Agreed - portions are often ridiculously big, espe...Agreed - portions are often ridiculously big, especially for us old 'uns, and it always looks a bit insulting to the chef if you leave a lot of food on the plate. Added to this (for reasons I won't try to go into here) I'm a rather eccentric and fussy eater, which makes conforming to the "ideal diabetic diet" effectively impossible.Curmudgeonhttps://www.blogger.com/profile/02558747878308766840noreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-34631554513554388032017-08-28T12:03:32.729+01:002017-08-28T12:03:32.729+01:00Dining out and eating in the real world is a big i...Dining out and eating in the real world is a big issue and it's very hard socially to comply with healthy eating regimes,regardless of whether they are for diabetes or not. Of course a big problem is also vast portion side,particularly for older generations who were 'taught'to consume everything on the plate,because of past history of older relatives,and food shortages elsewhere in the world. Leaving quantities of food does appear to be a shameful waste in itself,but portion sides are now so big,you have to leave or overconsume,or not go out.Diabetes wise of course it's all about the rate the sugars feed into the blood stream,the slower the better being the key criteria.Of course for most,if they can afford to dine out,it is culturally a time not to skimp on food,usually after a hard weeks toil.In summary,the advice and resource is very good,and you are right,proportionately much better than mental health support,but that doesn't assist with practical living in the real world often,I agree.IrishseaDavehttps://www.blogger.com/profile/15210995859042509244noreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-27357285253304171942017-08-28T11:49:26.657+01:002017-08-28T11:49:26.657+01:00I recently completed an “X-Pert” diabetes course, ...I recently completed an “X-Pert” diabetes course, which included a lot of useful information, but involved a commitment of time that would be difficult for anyone in full-time employment. The level of resources devoted to diabetes by the NHS cannot be criticised, for example in the <a href="https://www.diabetes.org.uk/Guide-to-diabetes/Managing-your-diabetes/15-healthcare-essentials/" rel="nofollow">15-point plan</a> offered to people with the condition. There is, however, a rather stark contrast with the often half-hearted and inconsistent response to depression.<br /><br />I would be the last person to criticise anyone over their weight, but it has to be said there was a rather Marjorie Dawes-like irony about being lectured about increasing physical activity by one of the two female presenters who would undoubtedly have qualified as clinically obese.<br /><br />There remains an inconsistency between the dietary information I was given by the GP practice, which states carbohydrates are OK in moderation, but ideally should be of the whole grain variety, and that on the course, which rather stressed overall carb reduction and seemed to argue that all carbs are much of a muchness. I have to say I find it a bit hard to believe that 20g of refined sugar is no worse for you than the same amount of wholegrain cereal.<br /><br />There was an underlying assumption that people were able to prepare the vast majority of their meals themselves at home, which for anyone who travels a bit and has a social life is a touch unrealistic. On a related theme, I saw an article on a diabetes website entitled “9 ways to enjoy takeaways while staying healthy” that in fact offered recipes for home-cooked alternatives, which is totally missing the point. A bit of sensible advice about how to deal with eating-out scenarios would come in handy.<br /><br />On a personal note, I recently had a blood test which showed that my HBa1C figure, the key measure of long-term blood glucose level, had come down from a rather alarming 108 at the beginning of March to 36, which is within the “normal” range. Clearly this is good news, although it doesn’t mean that I am in any sense cured or can afford to let up on things. As described in the post, I have made a number of diet and lifestyle changes, which obviously must be working, but I certainly haven’t been taking things to extremes. Curmudgeonhttps://www.blogger.com/profile/02558747878308766840noreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-31338718940986220302017-08-08T08:57:55.377+01:002017-08-08T08:57:55.377+01:00Unprocessed porridge - not the instant stuff. It&#...Unprocessed porridge - not the instant stuff. It's got a low GI so you won't get such a spike. electricpicshttps://www.blogger.com/profile/09144970068645280352noreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-25454557070433619522017-08-08T08:39:36.564+01:002017-08-08T08:39:36.564+01:00Are any other cereals any better in that respect, ...Are any other cereals any better in that respect, though?Curmudgeonhttps://www.blogger.com/profile/02558747878308766840noreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-13010603658972551752017-08-07T22:46:53.261+01:002017-08-07T22:46:53.261+01:00If you buy pre packed orange juice it contains lot...If you buy pre packed orange juice it contains lots of added sugar bizarrely isn't declared and weetabix metabolises quickly because while it looks like whole grain, it's actually quite highly ground down then extruded as flakes. Hence your spike. electricpicshttps://www.blogger.com/profile/09144970068645280352noreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-5114041407244411132017-08-07T18:14:42.598+01:002017-08-07T18:14:42.598+01:00I think it's something where individual people...I think it's something where individual people's reactions can vary quite significantly, so it's difficult to generalise. I have been taking Metformin for five months and was a given a blood glucose meter at the beginning of May. Initially I had quite a scary HbA1C figure and blood glucose readings, but broadly speaking they've now come down to within the acceptable range. <br /><br />I've stopped eating chocolate and putting sugar in tea and coffee and on cereals, but otherwise not really made any drastic dietary changes. The one thing that was really spiking it was breakfast, despite only having a small glass of orange juice and a couple of Weetabix, which are about the lowest-sugar cereal around.Curmudgeonhttps://www.blogger.com/profile/02558747878308766840noreply@blogger.comtag:blogger.com,1999:blog-5623537812609722663.post-43017823636500926872017-08-07T17:31:24.987+01:002017-08-07T17:31:24.987+01:00I was diagnosed at 35, 5 1/2 years ago.
In my exp...I was diagnosed at 35, 5 1/2 years ago.<br /><br />In my experience, variation in diet and drinking only ever had a negligible effect on my blood sugar levels, both the immediate and long term measurements.<br /><br />The Metformin, however, had a very significant effect.<br /><br />So, basically, what worked for me is to take the pills and not worry about what I consume.<br /><br />Mind you, I'm not a slender, toned, lithe slip of a thing with a 26 BMI... <br />Ben Viveurhttp://www.benviveur.co.uknoreply@blogger.com