here is another complete description of all the antibody tests
Both my doctor endocrinologist and my wife are convinced that I am not type 1. I donāt want to be type 1 and I genuinely believe that I am type 2.
There is a great deal of marital Strife right now. Iām having conflicts with my wife who believes that because the metformin has been increased I should now be able to expand my diet. This blossomed into a huge argument and I wonāt get into the details.
Iām also not feeling well today but still at work.
I do blame myself for this continued weight loss but I donāt know how to level it off without making myself physically ill. Either by raising my glucose which I have been commanded to increase during my lunch or dinner as an experimentā¦or continue.
Most of the drugs it would follow metformin seem to be geared toward a reduction in weight or so I understand.
A diabetic person I know was just put on Januviaā¦ heās quite big though. Not sure that would be right for me. Iāll have to let the endocrinologist decide when I see her on Dec 9th. I suspect my A1C will be near normal so no new prescription to what Iām expecting.
ā¦ things are out of my control this point. Thank you all for your knowledge so far and your support.
I know that you all mean well.
I understand Iām under duress. Time progresses and I just have to play this out. Donāt know what else to say.
I kind of wish the forum would try to stop convincing a person whoās clearly in a dark place right now that they have more or different diseases than the two actual doctors who actually examined him as a patient and diagnosed himā¦ think that might be in the persons psychological best interest
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Eat more protein and fat. Have you even tried this as a solution? Weight loss or gain is determined by total calorie intake (over a longer than 24 hour period), not the macros (fat, carbs, protein, alcohol, etc.). If you are losing weight and you donāt want to, you need to increase your calorie intake to match your TDEE. If you donāt want to eat fat, eat more protein. If you donāt want to eat protein or fat, and somehow think eating more carbs is your only possible solution, then you need to look into different medications than Metformin. Metformin isnāt going to help you too much with carb-processing, since it doesnāt affect your insulin production.
So, eat more calories (protein and fat), deal with higher Blood Glucose (which you clearly are concerned about), or ask for different medications if you arenāt willing to eat low-carb. There is no shame in asking your doctors for help. If you canāt manage your BG through diet and exercise and metformin, it doesnāt matter what type of diabetes you have. You need to change something: diet, exercise, or medication.
Simplest solutions, speaking from experience since Iāve been in a very similar situation (seriously, low insulin production, carb āsensitivity,ā negative on initial antibody tests, losing weight rapidly and undesirably):
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Increase daily calorie consumption while keeping your carb intake the same.
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Reduce your daily energy expenditure (probably not recommended).
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Ask for medications which will help you to metabolize higher carb consumption without raising your average BG. The medications that do that include insulin, incidentallyā¦ And they all require careful management and experimentation to get working properly. See pretty much every thread on this forum not specifically devoted to Type 2s on diet and exercise.
Edit: I even have a wife who is annoyed by my dietary restrictions and tight blood glucose targets, and thinks I should just have higher blood sugars and eat closer to a ānormalā diet.
Edit 2: And since I know youāre concerned about cholesterol and diet, you can always stick to eating chicken breast with no skin, baked or broiled fish, and low-carb tofu. There are many options to get more protein (and fats) without increasing your dietary cholesterol.
Iām trying to do all the calories I can. Iām physically backed up and having restroom emergencies. I am consuming as much fat as I can and it is making me ill.
Iām eating as much protein as I believe I can.
Had baked fish tonight. Chicken last night. Thanks!
Best of luck then. I sincerely wish you well, but I certainly donāt have any answers. Hopefully the doctors can help you out. Iād highly encourage you to see a counselor: you sound despairing, which is just going to make management of diabetes and your weight ever more difficult. Talking through issues with a disinterested third party has been enormously helpful to me over the years, and doesnāt require taking another pill.
Thanks. I know. Iām just telling you what I know. Talking isnāt going to take away the physical things Iām dealing with. I am seeing a councillor.
John, If you need to take family leave from work until you get a handle on this, itās been explained that thatās an option and a right you have.
Itās also been suggested repeatedly that you count calories to ensure youāre getting enough. I sincerely doubt you are getting enough. Have you tried this? Wouldnāt it be a relief to see that the reason youāre losing all this weight is because youāre only eating 1/3 of the number you need to maintain weight? A guy like you or me probably need at least 2400/ day to maintain especially if youāre active at work.
I understand how tough this is but youāre really making it as difficult as possible. eat normal balanced healthy meals that allow your body to digest food correctly. Your blood sugars are going to not be perfect for a whileā¦ thatās life. Youāre going to see your endo in a few days and figure out what an appropriate treatment plan isā¦ and even after that your blood sugars arenāt going to be perfect-- because you have diabetes. So does half of the rest of the country. At this point your psychological problems are a lot more alarming to me than your metabolic ones.
You managed to do your job just fine when you were 70lbs overweight and had an A1C of 14. Iām pretty sure youāre going to figure out how to do it just fine at a healthy weight with controlled blood sugars-- and Iām pretty sure youāll feel a hell of a lot better doing it at the end of the day.
Take a deep breath. And take some more Metamucil. And when you look around your mailroom at workā realize that A LOT of your coworkers have diabetes too. Itās not like you are dying of cancer, this is long term condition that just requires some management.
Ditto.
I know what Iām about to say will result in some folks thinking Iām cold and unsupportive (and even worse) but:
When you repeatedly do not take advice from the knowledgeable PWD on this Forum or come up with reasons why you canāt follow this advice, people begin feeling dismissed and frustrated.
And when you make it sound like your D is all but a death sentence, it eventually annoys the PWD that work hard each day to live a ānormalā life and are repeatedly trying to help you do the same.
I canāt help but wonder whether there is some secondary gain involved hereā¦
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I didnāt mean to dismiss anybody. Iām frustrated with my situation.
The people here are knowledgeableā¦
Thatās it. Thanks.
While metformin is associated with weight loss, most thinking is that this is due to loss of bodyfat (which probably is due to increased insulin sensitivity and decreased preference for storing bodyfat).
With few exceptions (GLP-1), none of the T2 medications really have been found to result in weight loss. Most experts will tell you to lose/gain weight by modifying your diet.
You also need to develop a perspective. This is a marathon and none of us with diabetes should expect we will have perfect blood sugars. I would encourage you to develop achievable expectations with your blood sugar control. Reduce the friction with the wife. Maybe you can set some looser after meal targets? Simply keeping your 2 hour after meal blood sugar below 180 mg/dl and keeping your fasting blood sugar at 100 mg/dl can still result in an A1c of 6.5%.
Would this not be perfectly reasonable and help your life right now? It would expand what you can eat, help you gain back weight and make your household more harmonious. Most importantly it will reduce the stress and anxiety you feel because you are not perfect.
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That would be nice.
I didnāt get much help from the dieticianā¦all I know is 1/4 apple and a slice of bread brings me to 180+ā¦with an omelette.
When I had what I thought was a balanced diet before ā¦ I was averaging 355 glucose according to the initial A1C. I got to a point where I couldnāt stay awake a half hour after a meal.
I used to think I ate a ābalanced dietāā¦definitely the most multi-grain ā¦etc guy in the house.
My replies to other peopleās questions are just making people angry. Iām trying to listen to divergent opinionsā¦and questions. Iām imperfect at this. Thanks for giving me non-judgemental advice.
I feel directionless outside of this forum at times.
Iāve been asked how many calories Iām taking in. Iāve only been able to estimate 1400 to 1500 at most. Thatās with trying to cook with coconut oilā¦using olive oil on salads ā¦butter on veggiesā¦eating eggs and chikenā¦beef. You name it. I have difficulty estimating things that my wife has cooked for us.
Iām aware Iām not taking in enough calories.
Iāve looked online to see what 2000 calories actually looks like and I canāt imagine I was eating that many beforeā¦but obviously I was.
Concerning counciling. Iām seeing a guy on Tuesday. He wants to hypnotize me to address my ringing in my ears. Thatās the best I can get here. Iāll talk to him about these emotions.
This forum is mostly geared to people already living and understanding pumps ā¦mdiā¦cgmā¦
I donāt know where else to go. Iām sorry.
My fasting on 2000mg metformin has finally Gone down to the 99/100 range. It was moving up in the 110s. That number seems to move up slowly. Donāt know what to do about that.
I have to be honest. I donāt think much of most nutrition advice from dieticians. In my case, after I was diagnosed I had conflict with my wife. I could not tolerate the amount of carbs in her cooking. Over that first year after diagnosis I eventually took over cooking and even shopping. My wife would still have tantrums at some meals asking āwhere are my carbs!ā Over time we have worked through the issues. I learned to offer carbilicious selections for those in my family that want and could eat them. And over the years my wife has adopted low carb eating and lost weight.
I dramatically up my calories by eating lots of fat. For instance, if you have fish, then top it with this sauce which can add a add another 500-1000 calories per serving. I know you are saying that you are having digestion problems with fat. It may be that you have had some sort of gut isses. I might suggest trying to use probiotics and fermented foods to see if you can get your gut working better. You can get some basic probiotics in the vitamin aisle at the grocery store. I also eat all kinds of fermented foods like sauerkraut, pickles and yogurt. Another thing to do is up your fiber. On really good source of fiber is a type of noodle called shirataki (search the forum for this term). Shirataki has no carbs and is basically all fiber. It can be substituted for noodles, it makes a passable replacement for spaghetti noodles and really shines in pan fried noodles or in noodle soups.
Just some thoughts.
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1500 cal, there is your problem, no matter what diabetes you have, you will lose weight on that.
to put on weight, I would be eating a lot more. 100-120g protein content of food.per dayā¦I would be eating 200-240g of fats, including fat bombs and bulletproof coffee.
I would eat enough carbs to bring me up to 140-160 2hrs after a meal, it will also stay a bit high at 3 hrs because of the proteins and fats take longer to digest.
240g fats = 2100 cal ā¦provide energy. and 10% or 24g ā¦goes to glucose
120g protein = 480 cal build flesh, (provide heat, I read that and it made sense), and 58% about 70g ā¦goes to glucose
30g low carb veg and saladā¦ = 120 cal and 30g to glucose
starch carbs, ?? = xx cal and all the grams to glucose
without what starch carbs you can eat addedā¦thatās 2600 cal, and 120g of glucose ā¦
exampleā¦when you have 30g protein meal and vegā¦ you work out how much fats are in it with one of the counters and top it up to 60g fats and then add the starch you can have
you will soon get the idea of how much fats are added to what is already in your dietā¦ a tablespoon/dobb/patt of butter on your veg is 15g
OR
You go onto oral meds/insulin to let you eat a lot more carbs, I would choose insulin, as I think itās safer and will help preserve what pancreas function is left. If I went down this path.
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jack16 pretty much hit the nail on the head! 
It was hard work getting to 120 grams of glucose to keep the dietitian happyā¦you know your brain dies and your legs fall off if you donāt get 120g of glucose. (they have never heard of ketones and such being alternative fuels, so I left them out.) 
Nuts are a great option for increasing calories on a LCHF diet. For many of us, that makes them a bit dangerous, heh, but if youāre looking to increase calories, snack on them throughout the day and itās amazing how quickly that adds up (plus they fill that crunchy snacky void a lot of carby things have). Peanuts have more carbs than real nuts (almonds, cashews, pecans, etc), but they still might work ok in moderation, since they also have a lot of protein/fat. Seeds are good too (sunflower etc).
I add macadamia, walnuts. Almonds to every mealā¦and snack occasionally on them in small quantities. But like everything elseā¦Iām always so focused on those carbs as well.
Thx!
Ideal Weight for a Toned 5ā10" Male
A 5-foot, 10-inch male should weigh between 129 to 173 lbs. to have a BMI of 18.5 to 24.9. Weighing less than 129 pounds at 5 feet 10 inches tall classifies you as underweight, (but probably what a lot weighed in 1950, if you walk down the street now and compare that to old photos of people in the street)
ever heard of the super hero, flash gordon? he (the one with the spear) would have been 140lb dripping wet
https://thebrotherhoodofevilgeeks.files.wordpress.com/2013/02/flash-gordon.jpg
you should get hungry when you hit your genetic weightā¦you arenāt underweight yetā¦ doing a manual job, you should be able to eat 2000-2500 without much trouble.,you were eating a lot more before
if you arenāt hungry, ā¦you need to pick nutrient dense food and feed yourself with that first, before you fill up on veg and saladā¦
you may need to buy whey protein, buy the cheapest per 1g of protein without much carbā¦ to supplementā¦you could add it to bulletproof coffee, or buy a flavored one and use it instead of coffee.
bulletproof coffee is whatever coffee you drink, in a jug with a tablespoon of butter and coconut oilā¦use a stick blender to mix it all upā¦it really tastes better than it sounds and you may need to build up to 30g fat and 270 calā¦start with a good teaspoon of each. you may need to put it into a microwave to reheat.
I use āfat bombsā for sweets, desiccated coconut, ground almond meal, cocoa powder (cooking type), vanilla and coconut oil and butter mix. mixed into a ball then rolled in desiccated coconut again and into the fridge to setā¦it is my favourite one.
you need insulin to put on weight and protein needs insulin. so itās a win win and itās digested slowly and doesnāt spike like carbā¦
google stick blender Hollandaise sauce, thatās a very tasty, gourmet food that is so easy to make. turn plain eggs into a luxury.
If you are T2ā¦I think you can do it without insulin and the orals that make your pancreas work harderā¦the insulin resistance is still there and you will find it hard not to get fat again with high carb.
Youāre completely right but we live in a culture where virtually everyone is overweight now and they take great offense to references of āhealthy weightā and try to portray healthy weights as some kind of sickly disease stateā¦ people at ideal weights are made to feel unhealthyā¦ fit-shamingā¦ which is unfortunate
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