bumbershoot
DIS Legend
- Joined
- Mar 5, 2007
- Messages
- 69,750
Bumbleshoot, I would love to hear more specifics about how your DH is managing so well with diet and exercise- that is fantastic! I take Metformin for high blood sugar/ PCOS. I try to walk 5 times per week and have kept my weight down until recently- I have gained around 15 poundsIs he on a special plan or just eating healthy? My problem is I know what I need to do, but I'm not good about follow through.
I'll tell you first why he hadn't wanted to take the metformin.
He was diagnosed with the 443 at urgent care. They told him that due to how he presented, they would be shocked if it was NOT type 1. They gave him a shot of insulin it was so bad. 2 days later he went to the family doc on the other side of the clinic (multicare), and the family doc didn't want to hear it. He saw an overweight male and said it was type 2. He was rude and condescending, telling hubby that hubby needed half an hour of walking each day, and that he could "break it into 10 minute intervals" if he needed to. Although hubby's schedule for the past 2 months had precluded him from walking, BEFORE that he was walking a mile each morning to catch the lightrail to catch the bus to walk from the stop to work, and then back again in the evening. The doc REFUSED to believe that hubby was capable of walking that much.
The doc put him on 500mg metformin twice a day. Hubby started that, though he was furious at the MD, and had horrible side-effects. Horrible and embarrassing and absolutely unpalatable for hubby. It also made him nauseated and feel worse than he did the weekend before his diagnosis!
He powered through though, figuring that the differences he was seeing in his numbers was caused by the metformin.
The the pharmacist had told us, during the question/answer time when getting the prescription, that it took at least 2 weeks to build up in your system to start seeing results. Hmm, that's odd, he's getting good results only a couple days into walking walking and more walking (and his schedule had now changed back so he's walking morning and evening again) and changing his diet to a GOOD vegetarian diet, not the junk veggie diet we had been following.
The family doc told him that it takes FOUR weeks to build up enough to see results. This doc did not even test hubby's blood sugar at that followup appointment, by the way. Which is scary, since hubby had been so sick and at 443 not even a full 48 hours before.
That day I did some power research, and found that the multicare people (who are very covered by our insurance) had a big diabetes education program, and I called the hospital up the hill from us to find out more. They were shocked by the family doc's treatment of hubby, and said that they had a variety of monitors that hubby could choose from, for free, and to come on up!
Their program involves an hour with a nurse and an hour with a dietician, but they didn't have anyone available that day, so we made an appointment with the dietician for the next week. We went up for the monitor, and although they didn't have appointments, there was a nurse floating around, and she took us back for a quick talk and to show hubby how to use the monitor, etc. Also explained, in a really great way, everything to our 4 year old, who was completely freaked out by the massive bruise the family doc's nurse had done on his arm when getting blood, and had nearly screamed "why do they have to take papa's blood? why are they taking it all?" when I had calmly explained the bruise (and didn't expect that reaction!). It was GREAT to have her help with DS.
During that conversation, she said it take SIX weeks for metformin to build up enough to show results!
Well that did it. Hubby's levels had already dropped by over 100, and by the next week with the dietitian it was down in the 200s. And even according to the pharmacist, it was NOT the metformin doing it. So after a couple days of reading about any negative effects of stopping it (can't find anything), talking about what he would do if his levels started rising again (go back on it), and so on, he stopped taking it.
It has been about 6 weeks since his dx, and he has hit 97 twice so far. His 7 day average is 130 as of last night.
It is 2 miles to walk from our apartment, through downtown, to the transit center. He doesn't always do the full 2 miles home, b/c there is a sketchy area leaving the transit center. So he'll often take lightrail to a better area, where DS and I meet him, and we all walk approx 1.5 miles back home. He often walks TO that safe area in the mornings, to catch the lightrail to the transit center. So he's getting 1.5-3 miles a day, not including walking from the stop to his office in Seattle and walking to the train on his way home.
He has been doing Weight Watchers for 2 years, and had slowly lost over 40 lbs (the family doc refused to believe this, also). But even with that, his portion sizes were out of control (as were mine). Portion sizes are a big part of our lives now, thankfully! We are eating veggies like we can't believe. Salads, steamed veggies (he was living with his mom after she had a heart attack during his macrobiotic diet, and she would BOIL broccoli within an inch of his life, and he thought he hated broccoli but it turns out he loves it! as does DS, and as do I), etc.
Being vegetarian, going low carb is a bit more difficult, and his endocrinologist felt bad for him when we told him that we're veggie. But they have all sorts of "fake meats" as DS calls them, which have helped us all. Portion control has been so important, again, with the carbs.
The endo looked at hubby's diet and agrees that although hubby is NOT eating as many carbs as the dietician wanted, hubby is not hungry, is losing reasonable amounts of weight, and is doing VERY well, so it's OK. The endo is scared hubby is going to fall off the wagon b/c he's made so many changes, but honestly, hubby was SO sick that weekend he thought he was about to die. It scared him to pieces (more than the tumor 15 years before, actually) and he NEVER wants to feel that bad again.
Hubby also found out that cinnamon has AMAZING results with his blood sugars! He had seen an ND 2 years ago, had all the bloodwork, and wasn't even pre-diabetic then. But the ND was concerned with hubby's weight, and sold him all sorts of supplements (which annoyed Robert, b/c R wanted a diet plan), and when we look at the bottles now (R never finished them) we realize it was almost all things that have blood sugar effects! He was on cinnamon with a bit of ginseng, both of which have blood sugar lowering effects (CinnDrome X is the name of it). Also some cholesterol lowering supplements (though hubby's LDL and HDL levels are *barely* into the bad realm, nothing like you would normally expect in a man of his size) and so on.
We realized the cinnamon thing b/c of Disneyland, actually. Disneyland's site posted their pumpkin muffin recipe in the AP holder section. I made them, and they have cinnamon all through, even in the cream cheese frosting. Hubby had one, and his levels were LOWER the next morning than normal. He realized it was the cinnamon, and started taking the supplements again.
Now in full honesty, after the meeting with the endo, I think he decided to try the metformin again. But this time just 500 mg per day, b/c the side effects were so bad he just coudln't deal with it.
But the endo is great (matthew davies, for anyone in the Seattle area in need of one) and is VERY much in favor of diet and exercise changes, and ENJOYS stopping drug protocols when they prove to not be needed anymore. Everyone else seemed to be "it's met for life now", but not this guy, and that gave hubby good feelings.
Since he's gotten it down to 130 average with diet and exercise (and cinnamon), if the metformin can squeeze him under 100, it will help him. Then as he loses the weight, as the endo explained it, his body will need to make less insulin naturally, and his blood sugar levels will likely continue downwards, and once they are at a good level, the drugs can stop.
But I'm not sure if he IS taking it...he said he was going to, then had the side effects again and stopped for a couple days (he knows he needs it to be consistent, he just has a hard time with those side effects), and I'm not sure if he is taking it.
And that's the saga!
Oh, forgot to mention that hubby's mom, a very slim woman, has Type 1. She refuses to use insulin b/c her older son said "once you start on insulin you're always on it" and so she walks and works out (at 70 years old) for about 2 hours every day, is VERY careful with her diet, and I guess keeps it at an OK level. She's Korean and isn't fluent, and hubby isn't fluent in Korean, so medical conversations like that are very difficult at best, and we don't know the specifics. Even if we asked BIL to help (he lived in Korea until he was 9 and is fluent) he lies and exaggerates and puts his own spin on things, so we'd still never get the true story from him.
Since she is type 1 it adds suspicion that hubby is too. It would be a rare type of type 1 indeed, for the two of them to be NON insulin dependent type 1s, but from my research I've found that diabetes goes FAR beyond just type 1 and type 2. There are MANY subtypes (they just aren't common) out there, and maybe they are their own little subtype.

I highly recommend a rice cooker, by the way, to make lovely brown rice. We use about 3/4 brown rice and 1/4 barley, use our Aroma rice cooker, and it's delish and very filling. Just follow their instructions (the rice industry's "cup" is actually 3/4 of a standard cup!) when making it.
