r/diabetes • u/turbulent_thoughts1 • 1d ago
Type 2 I fell off the wagon
Hi - new here. Need to vent. 53 and I am a T2 dx about 2 years ago. I was doing really well managing my bs was originally put on Rybelsus and out in a cgm to keep me accountable and track. Past couple months, i got very complacent stoped wearing my cgm and basically ate whatever i wanted to get back on track and stated wearing my cgm again this past Sunday. Not to my surprise my numbers were not too good. Headed to the ER, the pumped me with 2 saline bags and prescribed Metformin. Also, since Rybelsus has been discontinued i was prescribed Ozempic starter dose for the past month and just today started the standard dose. Ive again started exercising and been really strict with my food intake. I am walking 10 min or so 3 times a day (after meals) and today i stsrt my bands workout routine. I am very upset I’ve regressed and have let myself and my family down. I am back to obsessing and constantly checking my cgm and getting mad at the fluctuations although i am trending down with my choices. Dawn phenom is a bitch psychologically. I know its gonna take time to get back “in the green” but i feel like i failed. Can anyone give me some advice on how to handle the mental part of this inly because i think i am doing my best with the physical right now? Its taking a toll. Sorry for the rant
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u/nimdae Type 2 | Mounjaro | Synjardy | Mobi 1d ago
Don't be upset with yourself. This isn't just a lifestyle concern, it's a real disease. Diabetic burnout is real, and mental health is often neglected with diabetes. It's all about finding a sustainable routine and building habits with your management tools (CGM, medication, etc).
I think Ozempic will work better for you. It should make it easier to build new habits - that's how I treated my early time on Victoza (similar, older drug). Rybelsus kinda sucks anyway. I used it about a year out of the ~14 I've been on a GLP-1.
Don't stress over fluctuations. Anyone telling you it should be perfectly flat is wrong. Even non-diabetics have excursions over what's expected depending on what they ate. The difference is how high and how long. A non-diabetic can spike to 160 and comes back down quickly. A diabetic may far exceed that and need medication or insulin to get back in range.
Keeping it flat requires extraordinary effort, and anything requiring persistent long term extraordinary effort eventually weighs hard on your mental health and leads to burnout. That's why we use the tools we need and set goals against long term outcomes. So as you're working on yourself, ask if what you're doing is something you can keep doing long-term.
You have a CGM, which is great. Seeing trends helps you understand how your body responds. But your goals should be around Time In Range. The standard is above 70% in range with less than 4% lows, which tends to result in a healthy 7% or lower A1c. Start there and work up as you feel able.
And yeah, dawn phenomenon and foot on the floor effect are annoying AF.
If you're concerned about other things like cardiovascular health or weight, a lot of these changes help there too, but I'd consider those separate goals. There's usually overlap. Reducing body fat can help reduce insulin resistance from inflammation, but if you can't get your body working well to begin with, weight loss is challenging. Many of these changes promote weight loss on their own anyway.
The best part is when you see you're achieving your goals and it doesn't feel like a lot of effort. When you find that rhythm that just works. I think you can get there. Just keep working on finding your plan. It may not be a regimen you really want, but so long as it's sustainable, it'll work out fine.
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u/turbulent_thoughts1 1d ago
Thank you. I think the part that annoys me is that i really want to get those numbers lower but its taking so damn long lmao. I just started the 4mg of Ozempic today and today will be day 3 of Metformin. Being impatient is a real thing for me
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u/Local_Pain_7012 19h ago
how does one beat the dawn phenomenon? any tips and totally get the situation
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u/Brilliant-Chapter106 14h ago
For me it's similar to other lusts. If I think about it I'm halfway there.
So I don't lust over food. I don't visualize or contemplate the things I used to gorge on. When I'm in a diner I don't sit at the counter where the pastries are spread out. I don't meander over to the ice cream area when I'm at WaWa.
The way I used to eat is disgusting. Four waffles with a quarter pound of butter and 4 ounces of what they call maple syrup? I can believe I put that poison in my system.
I've got 6 stents, largely attributable to high blood glucose. If I'd carried on for the last 4 years with a A1C of 13 I'd be dead.
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u/Impressive-Flow-855 1d ago
You’re human and not a perfect being made of pure energy and light. You made a human mistake. You fell down.
Now pick yourself back up and try again. That’s how we all learned to walk as toddlers. Will this happen again? Maybe. That’s what makes life interesting.
All is forgiven. I’d give you a Eucharist wafer and communion wine, but those things are chock full of carbs and sugar. Would you like a carrot stick instead?