32.5 reading

[OnNaturesCourse]

Is that a NHS11 or A&E job?

Otherwise OK aside from increase urine output and feeling slightly "off".

Has been high for 24 hours ranging from 16.2 to 32.5

gosh you must be feeling meh. Sorry for asking but have you washed and dried hands then tested again? Do you have a ketone meter? Are you unwell - & have you also tried some fresh insulin?

I can’t answer what course of support needed but hoped to clarify the situation.

It's my DH.

Hands etc all washed. Reading around the same. He's not insulin controlled, it's medicated type 2 he has. Apart from feeling a bit "off" with a bloated tummy he's been fine.

NHS24 ended up sending him straight to A&E as an emergency.

How is he doing now?

Sugars are still low 20s/high teens.

Still in hospital. Doctor on rounds this morning "doesn't know why he's been admitted" 🙄

Oh bless you all. I hope he’s feeling better soon and can get further treatment lined up. He will be feeling grotty at those numbers.

Despite his sugars still being high teens they are wanting to discharge him to GP care. He's pretty miserable. I'm pretty annoyed with his "treatment" which has been a trial and error type situation with no solution as yet. Can't believe they are happy to send him home in such a way

OK, so to follow on from this. His sugars are still floating around high teens to mid 20s. He is waiting on the diabetic clinic to contact him but in the mean time what do we do? It's effecting his mood (getting quite low and no energy) and he has little to no appetite.

I'm worried about the long term effects plus it's very difficult to live with someone who is constantly snappy especially with young kids in the house.

I just want him back on his feet again

Thanks for the update. I’ve only experience of t2 through dad (my ds has t1).

Dad got to the point that he needed insulin injections as well as metformin. He was grumpy and felt ill as he was running so high, like your dh.
Drink plenty of water to help flush the highs through. My ds runs high if he has carb-heavy foods or something sugary. Hopefully someone with more experience of t2 would be along but I know when my ds has a persistent high he has very low carb food. Once he’s in range he eats what he wants and covers it with insulin.

Worth contacting clinic and letting them know how rotten he is feeling and how stubborn the high is.

The GP has contacted him today and it's a few week referral time for the clinic 😭

We are at our wits end.

His diet is pretty good, we altered it when he was diagnosed and put on metformin. Since then his sugars have been good until recently. So it's not a diet issue I wouldn't think.

He has been under a bit of stress so I do wonder if that's come into play.

Gawd so sorry to hear of the wait. It’s not nice to run at that level. I’m sure he made the gp aware of it - is it worth contacting the clinic and asking for cancellations or to be put through to the consultant’s secretary to explain how unwell he is feeling?

do look at the carb value of what he’s eating. There’s a book called carbs and cals which we used which I think is in app form. It might be worth looking at when he is high and perhaps what he’s had to eat a couple of hours before. Fried/ roast food keeps my ds high for longer due to the fat value, stress also has an impact (& sometimes I think it’s the wind direction too!!)
disclaimer as ever that I am very experienced in managing insulin dependent t1 but have less experience of t2 via dad.

He has let them know and managed to get a GP appointment for next week but has been advised there wont be much they can do. He just stressed to them his concern around his long term health with the sugars being so high for so long.

He follows a pretty good diet already that is low in carbs and sugar. Occasionally he'd had a treat or a off day but all in all after his diagnosis he really shaped it up. At one point they considered reducing his medication as that with diet was making his sugars too low.

Just can't put our finger on what is going on. Poor guy

He may have an infection somewhere. It can cause this kind of spike. Is his temperature ok?

When he gets to see someone, makes sure he asks them to test whether he could actually be T1? Happened to me, diagnosed as T2 in my mid forties, got control initially by cutting out carbs plus Metformin ( I now know this was likely to be the honeymoon period) but then ended up like your DH. Turned out to be late onset T1 which is not as rare as they would have you believe.

This should definitely be checked out, remember Theresa May was diagnosed in her 60s.

Otherwise, I'm sorry to hear he's not received great support. If he feels up to it, he could try cutting out most carbs for a few days to see if that helps. I mean white carbs, starchy veg like carrots, and fruit. Leafy greens would be OK. Definitely make sure he is drinking adequate fluids, primarily water.

Did they test for ketones when he was at the hospital? With sugars that high he could be at risk of DKA. www.nhs.uk/conditions/diabetic-ketoacidosis/

If you don't have keto strips/test monitor, you can buy them over the counter at Boots etc or from Amazon. Follow the rules on that NHS site if his ketones are raised.

They did. He was super low at 0.4. They weren't concerned.