If you already have undefined neuropathy, you should consult an endocrinologist. More emphasis is now being placed on 2-hour levels than on fasting levels.
Severe neuropathy would reflect years of hyperglycemia, and would generally manifest first as peripheral neuropathy. "Severe" implies that you already have a loss of sensation, compromised sight, etc. If this describes you, and you have not been referred to specialists before now, a referral is long overdue. Nutritional supplements can be prescribed. B vitamins and magnesium are compromised with neuropathy and should be taken together with a nutrient-dense diet. All diabetic diets are not equal in terms of balance and nutrient quality. Choose your practitioners now carefully; seek second opinions as necessary.Show Less
An Oral Glucose Tolerance Test should be performed. You are experiencing hyperglycemia, which, as an initial diagnosis, generally manifests as slowly elevating fasting glucose. Ideally, your fasting glucose should be closer to 80. 100 is pre-diabetes.
Your breakfasts should consist of more protein and fewer carbs. Good choices include egg, yogurt, nut butter, cheese, meat, oatmeal, etc. The target is 20-30 grams of protein at each meal. Any carbs you eat should have fiber: whole-grain toast, fresh fruit, etc. Breakfast cereals generally don't fit these criteria unless you search for a type with higher fiber. An overabundance of plant foods can be recommended to clean out your system and give your liver a work break. This should help to improve your metabolism. Make sure you have essential fatty acids in your intake: fish/plant foods are the main sources.Show Less
While there is a genetic component to type 1 diabetes, environmental factors play a role as well. Research suggests that genes account for less than half of the risk for developing type 1 diabetes. 90% of children who develop type 1 diabetes do not have a relative with this disease, and it is reported that only 15% of people with type 1 diabetes have a first-degree relative, such as a parent, with diabetes. There are certain genes called HLA markers associated with diabetes risk, which can be identified at birth. Research is ongoing and very active in the field of diabetes and genetic markers, so updated information could be available in the near future.Show Less
Maintaining a healthier lifestyle can slow down and possibly arrest further damage. It sounds like you may need to start with nutrition and overall management. Appropriate vitamin/mineral supplementation can also be helpful. It is better late than never.Show Less
Yes, you can become type 1 after years of being type 2. What this would mean is that you cannot live without taking insulin. It sounds as though you had a C-Peptide test, and discovered that your insulin reserves are low. If you have a practitioner in your area who understands nutritional therapies, this may help preserve and improve what insulin production you have. Eat whole, unrefined, organic foods as much as possible. Stay active, and work on the "tough" one: stress reduction.Show Less
Changing your lifestyle which will ultimately result in body composition changes and weight reduction can certainly keep diabetes in check. If tests show high numbers, get guidance in eating and begin a regular exercise program. Be most dedicated to yourself now. With perseverance, you can stay in control.Show Less
Diabetes in and of itself does not generally cause you to retain weight. Sometimes the medications a person is taking will often interfere, contributing to levels of fluid retention. Be as active as you can, striving to become a "lean machine", even if the numbers on the scale don't immediately change. Be very honest with yourself about your food intake/portions vs. activity levels. If you can locate a nutritionist in your area who can suggest appropriate vitamin/mineral compounds and carbohydrate vs. protein amounts, that may be the boost you need.Show Less
The stress that caused you to be placed on the morphine pump, the probability that you have a genetic disposition to diabetes, triggered by weight gain, can be surfacing as diabetes. After returning to your normal weight and following a healthy lifestyle, blood sugar can decrease. Many people have had blood sugars over 100 but under 126 for years - known as pre-diabetes. Pre-diabetes is just now being more aggressively focused upon diabetes prevention. A good plan right now is to align yourself with someone who understands healthy eating for diabetes, and become as active as you can.Show Less
With or without diabetes, when blood sugars are not in balance, fatigue, dizziness, "fuzzy" thinking, mood swings, and other symptoms may occur. With insulin-requiring diabetes, this can be an even greater challenge to maintain stable blood sugars but is very achievable with the right monitoring and support. Having a disease like diabetes does provide greater challenges for stable health and mood, but does not negate the ability to attain and maintain them.Show Less
With blood sugars over 300, it is now the thought of many endocrinologists to start a person on insulin to detoxify the beta cells of the pancreas. This may only be for a short period if lifestyle changes are diligently made. Sometimes, it is a shift to oral medication or none at all. Over the years, one may need a return to insulin and/or other medications. Take charge of your lifestyle habits and get all the education you can on managing this disease.Show Less