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Thread: Diabetes, Revisited
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Welease Woderwick
 Sister Incubus Nightmare
# 10424
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Posted
HWMBO has recently been found to be diabetic, his mum and brother are, too - do any of you folks know any recipes for good cookies or cakes or similar that we can introduce into our repertoire that will be suitable? If so, can you pop them on the recipe thread in Heaven with a mention here as well?
Thanks.
-------------------- I give thanks for unknown blessings already on their way. Fancy a break in South India? Accessible Homestay Guesthouse in Central Kerala, contact me for details What part of Matt. 7:1 don't you understand?
Posts: 48139 | From: 1st on the right, straight on 'til morning | Registered: Sep 2005
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Taliesin
Shipmate
# 14017
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Posted
Is it type 2 diabetes?
If it's type 1, it's my understanding that you're better off eating occasional nice things with ordinary fat and sugar, and taking appropriate insulin. As for anyone, this shouldn't be more days than not.
If type 2, I don't know. My daughter made brownies that used ultra low fat mayonaise instead of butter.
Posts: 2138 | From: South, UK | Registered: Aug 2008
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Zacchaeus
Shipmate
# 14454
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Posted
But don't forget that the flour in cakes and biscuits and any other carbohydrates, when digested are basically sugar too, and have to be taken into account in working out a diabetic person diet. There is no point replacing sugar with other forms of sugar.
Posts: 1905 | From: the back of beyond | Registered: Jan 2009
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Zacchaeus
Shipmate
# 14454
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Posted
Yes, it was a very quick answer before going to bed - just trying to say diabetes is a complicated subject and it is not so simple as merely cutting out sugar..
Posts: 1905 | From: the back of beyond | Registered: Jan 2009
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Jengie jon
 Semper Reformanda
# 273
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Posted
Welease Woderwick
I spent sometime on this when my mum was diagnosed as type II diabetic. A friend who was in pancreas research (working on the anti-diabetic condition) suggested than when mum did bake that she used fructose instead of sucrose.
When I get home I will look up the cake I created at the time as a treat. It is ginger and sweet potato cake.
Jengie
-------------------- "To violate a persons ability to distinguish fact from fantasy is the epistemological equivalent of rape." Noretta Koertge
Back to my blog
Posts: 20894 | From: city of steel, butterflies and rainbows | Registered: May 2001
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Evangeline
Shipmate
# 7002
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Posted
quote: friend who was in pancreas research (working on the anti-diabetic condition) suggested than when mum did bake that she used fructose instead of sucrose.
I strongly suggest that anyone with any type of diabetes have a consult with a dietitian. Food and diabetes is pretty complicated as somebody else has mentioned. In my understanding there's little difference in terms of effect on blood sugar levels between sucrose and fructose-they both cause a quick spike in blood sugar if you've got diabetes. It's carbohydrate of all types that are the issue with diabetes, so potatoes, fruit, honey, glucose, sucrose, lactose, corn syrup, bread etc all need to be counted in a diabetic diet.
The Joslin website is a source of good info, also the ADA if you want to understand more about diabetes.
Posts: 2871 | From: "A capsule of modernity afloat in a wild sea" | Registered: May 2004
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blackbeard
Ship's Pirate
# 10848
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Posted
One very hacked-off Type 2 wussy reporting in. Recently diagnosed from blood sugar and HbA1c samples when "in" for a potentially more serious condition; they were a bit (not very) high. No other symptoms. And I am FURIOUS. Latest bloods were OK (that's with Metformin). I'm still furious. And, yes, I know that if one is going to have an incurable condition, Type 2 is a good choice; you can still do anything that's physically possible (happy thought!). And I'm still furious.
quote: Originally posted by Welease Woderwick: HWMBO has recently been found to be diabetic, his mum and brother are, too - do any of you folks know any recipes for good cookies or cakes or similar that we can introduce into our repertoire that will be suitable? If so, can you pop them on the recipe thread in Heaven with a mention here as well?
Thanks.
WW, there's a lot more to this than food. Even with type 2 there's a whole heap of bother; food, weight, exercise, drugs, regular blood tests, eye tests, you get to know your GP and the diabetes nurse; but, for my part, I am mostly pissed off by the feeling that my body has failed, let me down, is now imperfect. Illogical, I know, especially as there are so many people with real problems.
Food: so far as I can make out, I can eat anything but I have to watch when and how much. Green and Black's chocolate, OK but I must stop after a few squares, beer OK and red wine good, but again I must know when to stop (one pint or one glass, respectively).
This should apply to cake too. Better a slim slice of something good than several slices of something less tasty.
Meanwhile. Can anyone help me to become a bit less furious, a tad less upset? can someone remind me that I really should be grateful for the mostly good health I've got? and for escaping so lightly from my latest medical misadventure?
And you with proper type 1 diabetes; just tell me to stop bitching.
Blackbeard, wussy
Posts: 823 | From: Hampshire, UK | Registered: Dec 2005
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Welease Woderwick
 Sister Incubus Nightmare
# 10424
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Posted
I can fully understand the anger, it seems pretty reasonable to me.
We think there is a diabetic clinic at the local hospital and if not there is bound to be one at one of the others, not too far away. As diet is so very here from typical Western that is going to be our first port of call. He knows he has to reduce rice and has been advised by the GP to increase wholewheat foods and millet - he loves millet based stuff so no problems with that.
It should be an interesting journey.
-------------------- I give thanks for unknown blessings already on their way. Fancy a break in South India? Accessible Homestay Guesthouse in Central Kerala, contact me for details What part of Matt. 7:1 don't you understand?
Posts: 48139 | From: 1st on the right, straight on 'til morning | Registered: Sep 2005
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Uncle Pete
 Loyaute me lie
# 10422
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Posted
Reduce rice?
-------------------- Even more so than I was before
Posts: 20466 | From: No longer where I was | Registered: Sep 2005
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Sober Preacher's Kid
 Presbymethegationalist
# 12699
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Posted
As far as I understand, moderation period is better than picking and choosing foods. There is an old understanding that different types of sugar metabolize differently but that has been disproved. It is the total count and the general health of menu that really count, not rice over wheat or whatever.
I imagine a little more walking and a cut in portion size combined with good Indian cooking would be the best way. Don't pick favourites.
blackbeard:
You have my sympathy and I am a genuine Type I. You aren't a wuss at all. I have always though that Type II's have the harder time as you have to break a lifetime of habits. Young people have fewer ingrained habits to break and have parents to lean on them to do so.
Type II's often have more painful struggles of the mind, it seems.
-------------------- NDP Federal Convention Ottawa 2018: A random assortment of Prots and Trots.
Posts: 7646 | From: Peterborough, Upper Canada | Registered: Jun 2007
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Zacchaeus
Shipmate
# 14454
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Posted
Blackbeard - T2 diabetes is 'proper' diabetes, it may not be as dramatic at times and may not have the 'must be dealt with immediatley issues'. But make no mistake it is just as serious a T1, it too has long term effects,it can also cause blindness loss of limbs and kidney problems etc.
I'm T2 and the child of a long term insulin dependant mum. So have spent years with counting carbs and watching diets all around and in some ways mum had it easier, for example she could eat those cakes sometimes and cover it with insulin.
T2 have to watch and consider what they eat without that option - of course in lots of way mum had it much harder. I'm not trying to say one is easlier than the other, just to say that they are both serious even though there are differences.
And any sudden diagnosis is a shock and will bring out lots of feelings incuding anger.
My way of coping was to read up and get informed and take control of this damm condition, this is my body I know it best and I will be I charge, not the diabetes, it will not be doing things inside me that I am not aware of.
Others I know go to the oppoisite extreme - my brother-in-law's way is to say 'doctor knows best I will leave it to the medical proffesion' and eat what I like and just keep taking and increasing the medication that they give me. He refuses to lets the diabetes alter his lifestyle at all.
It is perfectly understandable if you are angry and confused, but only you can decide what ot do with this anger........
Posts: 1905 | From: the back of beyond | Registered: Jan 2009
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Mr. Spouse
 Ship's Pedant
# 3353
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Posted
quote: Originally posted by blackbeard: Meanwhile. Can anyone help me to become a bit less furious, a tad less upset? can someone remind me that I really should be grateful for the mostly good health I've got? and for escaping so lightly from my latest medical misadventure?
What Zacchaeus said. I coped by learning about the condition and deciding that I wanted to be in control of it, not the other way round.
My initial diagnosis was similar to yours - tests for something else discovered higher than normal blood glucose. A shock to the system (literally) but over time, I'm grateful that I have never been really ill solely due to my diabetes. There are times when it's made viruses and the like harder to shake but that's life, etc. I was originally diagnosed Type 2 then they said I was really Type 1 when tables stopped being effective - now there is a suspicion I may have been Type 2 after all; I'm waiting for tests to determine that.
Get yourself a decent blood test meter and stay in control. Ignore the myths about sugar being evil. And find people that will support you, both professionally and socially. Sounds like you have made a good start! ![[Cool]](cool.gif)
-------------------- Try to have a thought of your own, thinking is so important. - Blackadder
Posts: 1814 | From: Here, there & everywhere | Registered: Sep 2002
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Lamb Chopped
Ship's kebab
# 5528
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Posted
The anger is what forced me over the edge into weight loss surgery--given certain other issues, regular diet and exercise weren't doing it for me, and I was so angry at the diagnosis that I said "to hell with diabetes" and did the one thing supposed to be most effective (short term, anyway) for resolving it.
Not that that guarantees me a diabetes free life, or means I get to stop living like a diabetic, etc. unless I want it to come back full tilt.
But my chances are better now. Anger can be useful.
-------------------- Er, this is what I've been up to (book). Oh, that you would rend the heavens and come down!
Posts: 20059 | From: off in left field somewhere | Registered: Feb 2004
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Evangeline
Shipmate
# 7002
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Posted
quote: There is an old understanding that different types of sugar metabolize differently but that has been disproved. It is the total count and the general health of menu that really count, not rice over wheat or whatever.
Hmmm, it's certainly not disproved that glucose metabolizes a hell of a lot of faster, than say, the sugar in pasta. That has been scientifically proven as has the fact that carbs in certain food do cause a faster spike in bsl despite containing the same total quantity eg glucose versus the carbs in lentils metabolise or affect the blood sugar levels at very different rates.
There is a whole school of thought about the glyceamic index-(the speed at which carbs affect your blood sugar) it's not been disproven-it's been quite rigorously proven acutally see the University of Sydney website -it's just that in implementing diet recommendations people were saying "oh I can eat anything that's low Glyceamic index" whilst disregarding the total quantity of carbs they were eating which is pretty stupid, so the tr glyceamic index has fallen out of favour, probably for good reason.
Posts: 2871 | From: "A capsule of modernity afloat in a wild sea" | Registered: May 2004
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blackbeard
Ship's Pirate
# 10848
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Posted
Thanks, everyone. I will try to be furious in a constructive manner. A few weeks before I went down with pulmonary embolisms, which led indirectly to a diagnosis of type 2 diabetes, I completed a half marathon; current ambition is to compete in next year's running of the same event. Maybe - maybe - in a quicker time. The "other half" is on hold for the moment. We shall see. If I'm furious enough I might even take training a bit more seriously!
Posts: 823 | From: Hampshire, UK | Registered: Dec 2005
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Darllenwr
Shipmate
# 14520
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Posted
Backtracking a little (quite a lot, in fairness), was this what folk had in mind when we were talking about devices that might be vulnerable to computer hackers? Unfortunately the on-line version of the article does not include the photograph that was in the paper copy, but the 'handset' looks very much like an i-phone. The pump would appear to be little bigger than a matchbox.
-------------------- If I've told you once, I've told you a million times: I do not exaggerate!
Posts: 1101 | From: The catbox | Registered: Jan 2009
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Janine
 The Endless Simmer
# 3337
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Posted
Had the quarterly blood & urine tests with the family doctor today, done for the meds I take and to check on my diabetes. A1C was not as fabulous as I'd like, at 6.3, though anything under 6.5 is OK with Doc. And the fasting sugar was 130, which is also higher than I'd like, though it's the high end of "OK" on the charts I look up. (Maybe having a couple of infections going and being on an antibiotic gives me an excuse? )
Year-end checkups all around; did dental yesterday, doing vision tomorrow, gastro next week and cardio @ month's end.
-------------------- I'm a Fundagelical Evangimentalist. What are you? Take Me Home * My Heart * An hour with Rich Mullins *
Posts: 13788 | From: Below the Bible Belt | Registered: Sep 2002
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Welease Woderwick
 Sister Incubus Nightmare
# 10424
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Posted
HWMBO seems to be managing to keep his blood sugar in some sort of control but his mum's figures continue to look pretty dreadful - and her vision was poor beforehand!
-------------------- I give thanks for unknown blessings already on their way. Fancy a break in South India? Accessible Homestay Guesthouse in Central Kerala, contact me for details What part of Matt. 7:1 don't you understand?
Posts: 48139 | From: 1st on the right, straight on 'til morning | Registered: Sep 2005
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Janine
 The Endless Simmer
# 3337
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Posted
I have a yearly vision check, due to the diabetes. So far every year it's no damage / "perfect vision". I fail to see how I keep testing at 20/20 when I really need at least a 1.50 or 1.75 magnification for reading or working with my computer on the job. (If I take up some fine sewing or crochet any time soon I'll have to go get some 2.00 glasses for that.)
I shouldn't worry about all that, I know, so long as there's a yearly report of zero damage happening.
-------------------- I'm a Fundagelical Evangimentalist. What are you? Take Me Home * My Heart * An hour with Rich Mullins *
Posts: 13788 | From: Below the Bible Belt | Registered: Sep 2002
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Sober Preacher's Kid
 Presbymethegationalist
# 12699
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Posted
quote: Originally posted by Welease Woderwick: HWMBO seems to be managing to keep his blood sugar in some sort of control but his mum's figures continue to look pretty dreadful - and her vision was poor beforehand!
That's why I say Type 2 is the harder disease. It's difficult to impossible sometimes to break a lifetime of habits. Children are more malleable.
-------------------- NDP Federal Convention Ottawa 2018: A random assortment of Prots and Trots.
Posts: 7646 | From: Peterborough, Upper Canada | Registered: Jun 2007
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Evangeline
Shipmate
# 7002
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Posted
quote: That's why I say Type 2 is the harder disease. It's difficult to impossible sometimes to break a lifetime of habits. Children are more malleable.
Warning Evangeline is feeling crabby because she's recently had her second eye operation-this one to correct a side-effect of the operation she had 10 years ago to save the sight of her left eye.
A lifetime of a disease and consequent complications is much worse IMO than a disease you get as an adult, especially an older adult. Statistically outcomes are worse and at a younger age for type 1s. Given that you should be able to get by for a long time on diet control alone, with type 2, I see type 2 as a nuisance, type 1 remains a tragedy.
Posts: 2871 | From: "A capsule of modernity afloat in a wild sea" | Registered: May 2004
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Janine
 The Endless Simmer
# 3337
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Posted
Just got the results from my quarterly bloodwork; all the cholesterols were acceptable, though I want to goose up the "good" cholesterol; liver & kidneys & thyroid doing well.
The A1C was acceptable at 6.6, although I don't like it that high and will work on it. Fasting sugar has been on the highest end of normal the last few times I tested it, and was again on bloodwork day.
None of the figures were worrisome to my doctor, not even the triglycerides, though they were about 14 points above normal. We blamed them on the somewhat higher-than-usual alcohol intake of my recent vacation.
Doctor suggested I could raise my metformin/glucophage to 1000 mg daily, from the 500 I've been on.
One thing comes to mind: Since I do, in general, eat what's good for me; Since I do get a basic reasonable amount of exercise, and Since it seems as if the bulk of the excess weight I've piled on in the past 10 years has fallen in a pattern consistent with insulin-resistant weight gain...
Wouldn't it be fantastic if I did raise the metformin and it resulted in better weight loss? Seriously considering this.
Any opinions or past experience with glucophage & weight?
-------------------- I'm a Fundagelical Evangimentalist. What are you? Take Me Home * My Heart * An hour with Rich Mullins *
Posts: 13788 | From: Below the Bible Belt | Registered: Sep 2002
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Lamb Chopped
Ship's kebab
# 5528
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Posted
quote: Originally posted by Janine: I fail to see how I keep testing at 20/20 when I really need at least a 1.50 or 1.75 magnification for reading or working with my computer on the job.
I'm so jealous. You can stay 20/20 forever, that's your distance vision. What's changing for you is your close-up stuff, and that's not measured in the 20/whatever format. And it's due to a different cause anyway--lens flexibility or lack thereof. Says the woman who was just advised to get trifocals, .
-------------------- Er, this is what I've been up to (book). Oh, that you would rend the heavens and come down!
Posts: 20059 | From: off in left field somewhere | Registered: Feb 2004
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Janine
 The Endless Simmer
# 3337
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Posted
Trifocals? Yeesh. I avoid bifocals 'cause they make me nauseated. Trifocals would probably give me projectile vomiting.
-------------------- I'm a Fundagelical Evangimentalist. What are you? Take Me Home * My Heart * An hour with Rich Mullins *
Posts: 13788 | From: Below the Bible Belt | Registered: Sep 2002
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Lamb Chopped
Ship's kebab
# 5528
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Posted
Yep, that's what I'm afraid of. I told the optical shop I wanted two pair of glasses, one for distance only and one for computer/print, and they told me It Couldn't Be Done. In a very superior tone of voice, with lots of yaffling about powers and whatnot! When I got stubborn, they sighed and promised to ring my ophthalmologist, hoping he would put me straight.
Today I got a most conciliatory voicemail asking me for my credit card details. Apparently it's possible after all. ![[Two face]](graemlins/scot_twoface.gif)
-------------------- Er, this is what I've been up to (book). Oh, that you would rend the heavens and come down!
Posts: 20059 | From: off in left field somewhere | Registered: Feb 2004
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Evangeline
Shipmate
# 7002
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Posted
quote: Originally posted by Janine: I have a yearly vision check, due to the diabetes. So far every year it's no damage / "perfect vision". I fail to see how I keep testing at 20/20 when I really need at least a 1.50 or 1.75 magnification for reading or working with my computer on the job. (If I take up some fine sewing or crochet any time soon I'll have to go get some 2.00 glasses for that.)
I shouldn't worry about all that, I know, so long as there's a yearly report of zero damage happening.
I'm sure you and everybody else already knows this but it's worth saying again, a huge amount of eye damage can occur BEFORE it affects your vision, that's why it's really important to have a retinal specialist examine your retinas with dilated pupils so that action can be taken to treat any wayward blood vessels or fluid in the macula before it affects your vision.
Posts: 2871 | From: "A capsule of modernity afloat in a wild sea" | Registered: May 2004
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Evangeline
Shipmate
# 7002
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Posted
quote: Originally posted by Darllenwr: Backtracking a little (quite a lot, in fairness), was this what folk had in mind when we were talking about devices that might be vulnerable to computer hackers? Unfortunately the on-line version of the article does not include the photograph that was in the paper copy, but the 'handset' looks very much like an i-phone. The pump would appear to be little bigger than a matchbox.
Backtracking a whole lot more, sorry I missed this before. No that's not the sort of device that might be vulnerable to computer hackers that we were discussing before. It seems the think in your link is a way of virtually communicating blood sugar tests to your health care team. Not a life-threatening situation although not great if that got hacked.
An insulin pump is a device that delivers insulin via a tiny teflon catheter inserted under the skin, this is connected to plastic tubing and a device about the size of a deck of cards that contains the insulin and required hardware. These devices also come with a little remote control , which can be used to deliver insulin without touching the pump. Hence the major worry that a hacker could deliver you a huge dose of insulin without you knowing-murder by remote control.
Link to Medtronic insulin pump info.
Posts: 2871 | From: "A capsule of modernity afloat in a wild sea" | Registered: May 2004
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Niteowl
 Hopeless Insomniac
# 15841
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Posted
quote: Originally posted by Lamb Chopped: Yep, that's what I'm afraid of. I told the optical shop I wanted two pair of glasses, one for distance only and one for computer/print, and they told me It Couldn't Be Done. In a very superior tone of voice, with lots of yaffling about powers and whatnot! When I got stubborn, they sighed and promised to ring my ophthalmologist, hoping he would put me straight.
Today I got a most conciliatory voicemail asking me for my credit card details. Apparently it's possible after all.
That's what I have for glasses and have had for years. Wonder what they were thinking.
-------------------- "love all, trust few, do wrong to no one" Wm. Shakespeare
Posts: 2437 | From: U.S. | Registered: Aug 2010
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Janine
 The Endless Simmer
# 3337
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Posted
Now that I've kicked my Metformin up to 1000 mg, and now that I'll be powerwalking uphill and down over the big bridge spanning the Intercoastal Waterway, we'll see how the weight loss goes.
When I first started the Metformin, I found I didn't really want the fun carbs any more, not even chocolate. Now, with double the dosage per day for only three days, already I notice I'm not ravenous any more.
Too soon to tell if it's really the Metformin making a difference in the sugar being processed and the insulin being over-produced, or if it's only a placebo effect. Food and I have a long and tumultuous love affair going, so it'll take more than a little reduction in appetite to make a substantial difference.
-------------------- I'm a Fundagelical Evangimentalist. What are you? Take Me Home * My Heart * An hour with Rich Mullins *
Posts: 13788 | From: Below the Bible Belt | Registered: Sep 2002
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Evangeline
Shipmate
# 7002
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Posted
Good luck with it Janine!
Posts: 2871 | From: "A capsule of modernity afloat in a wild sea" | Registered: May 2004
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Zacchaeus
Shipmate
# 14454
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Posted
Janine, I recognise that relationships with food - good luck with it all.
Posts: 1905 | From: the back of beyond | Registered: Jan 2009
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blackbeard
Ship's Pirate
# 10848
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Posted
quote: Originally posted by Janine: .....Wouldn't it be fantastic if I did raise the metformin and it resulted in better weight loss? Seriously considering this.
Any opinions or past experience with glucophage & weight?
Haven't checked weight for a while, but it seems to be going down along with waist measurement.
500 mg Metformin twice daily.
However weight was going down a bit before I was diagnosed so I suspect Metformin has little to do with it; exercise probably has more effect. Realising the effect of weight on health may also have an appetite suppressant effect.
But I'm not very heavy anyway, my BMI is boring.
And having written above reminds me that I'm getting lazy and should get back to doing more exercise.
Posts: 823 | From: Hampshire, UK | Registered: Dec 2005
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Janine
 The Endless Simmer
# 3337
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Posted
I can say that my (normally ravenous) appetite has quieted. It's not that I don't enjoy my meals -- good God, I love to eat! -- but I'm not driven to it, since starting the 1,000 mg on Sunday. I'd split it into 500 am/pm, but I know I won't successfully comply with that, would always be forgetting the pm or taking it at wildly different times. Staying with the whole 1,000 a.m. for now.
-------------------- I'm a Fundagelical Evangimentalist. What are you? Take Me Home * My Heart * An hour with Rich Mullins *
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