This topic is about managing high blood sugar levels for someone with a colostomy, especially when certain vegetables cause digestive issues. The person has a history of high blood sugar due to steroid use and is currently dealing with elevated levels, possibly linked to recent antibiotic use. They face dietary challenges because many vegetables cause discomfort, leading to a diet high in carbohydrates. Additionally, they have limited exercise options due to health conditions and are concerned about weight gain and managing potential type-2 diabetes.

Here are some helpful insights and advice:

1. Consider trying a vegetable juice substitute like V8, which is a mixed-vegetable drink available in supermarkets.

2. It's important to consult with medical professionals. Don't hesitate to see a GP or ask for a referral to a dietician or diabetes nurse, as diabetes can interact with other health conditions.

3. Practice moderation. It's okay to enjoy tea with non-sugar sweeteners occasionally.

4. Focus on low-glycaemic-index (GI) foods. The Diabetes UK website offers a list of suitable options.

5. For a high-fiber, lower-carbohydrate approach:
- Remove or trim tough stalks from greens, as the leaves are usually easier to digest.
- Introduce problem foods gradually and chew thoroughly. Small, frequent meals can aid digestion.

6. Be aware that stress and illness can raise glucose levels through cortisol. Monitor your readings and address any underlying stressors or infections.

7. Some people with ostomies have found success with exenatide injections when other medications cause issues.

8. For sweetening and anti-inflammatory benefits, consider:
- Green tea with a dash of milk as a substitute for black tea.
- Using cinnamon and turmeric for flavor and their potential anti-inflammatory effects.
- Agave nectar or fruit sugars as lower-GI sweeteners, but remember all sugars convert to glucose.

9. Consider taking a quality multivitamin or immune support supplement to make up for limited vegetable intake.

10. For weight control when exercise is limited:
- Eat slowly and chew well.
- Opt for smaller portions more often.
- Prioritize protein over refined carbohydrates.
- Treat high-sugar "trigger" foods like chocolate and regular cola sparingly.

11. For ostomy appliance management:
- If diarrhea leads to frequent changes, ask your supplier for drainable pouches to reduce skin trauma.
- Protect your skin with a barrier film like Cavilon, allowing it to dry for 30 seconds, and be prepared for occasional output surprises.

12. During the holiday season, enjoy Christmas in moderation and focus on spoiling your grandchildren rather than yourself.