Recently diagnosed and new to the forum

Hils72

Member
Messages
16
Type of diabetes
Prediabetes
Treatment type
Diet only
Hi all,

I have recently been told I am pre diabetic. I had an Hba1C result of 49 in Nov 15 then 43 in Jan 16. The Dr's receptionist simply said my results said come back in a year but as I felt I was having symptoms such as an increased thirst and extreme tiredness etc I would push for an appointment to see the GP and get numbers from him.
I am very glad I did as otherwise I would have carried on regardless as I was and not made any changes. To be fair I haven't made a whole lot of changes as my GP didn't really tell me what to do. Obviously I shouldn't be eating too much sugar etc but what other advice can people offer as to easy simply changes to make.
Also do other pre diabetics test themselves regularly? I was but since been told what was going on have stopped.

Thanks in advance,
Hilary
 
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urbanracer

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Hi @Hils72 ,

Welcome to the forums.

If only it was as simple as cutting out sugar! Sugar is a simple carbohydrate but there are other forms of carbohydrates ( complex carbs ) that include rice, pasta, bread and potato. Your body turns all these into glucose, so take a critical look at what you're eating. Keep a food diary and work out how many grams of carbohydrates you eat in a day.
 
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Liam1955

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Hello @Hils72 - Welcome to the Forum. You might want to check out the Food and Nutrition sections on this forum? Go to the top of this page and tap on Forums, scroll down until you come to FOOD and NUTRITION - there you will see: Low Carb Diet, Low Calorie Diet, Weight Loss and so on. Hope this is of some help to you? :) William.
 

Prem51

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Hi @Hils72 and welcome to the forum. I don't understand why you were told you are pre-diabetic, if you had a HbA1c of 49 in November. That would be in the diabetic range (HbA1c 0f 48 and above). You have brought it down to the pre-diabetic range (HbA1c 42-47) if you were 43 when you had your 3 month retest in January.
As I understand it, once you are diagnosed as diabetic you will always be diabetic, though you can bring your HbA1c level down to pre-diabetic or non-diabetic (below 42).
I was diagnosed as diabetic with a HbA1c of 49 last September. I brought my HbA1c down to 44 by my 3 month retest in November, but I am still classified as diabetic. I have been following a Low Carbohydrate High Fat approach to eating, which has worked for me (and others on this forum), and my morning readings now are around 6mmol/L, which would be in the non-diabetic range.

Who was it who told you were pre-diabetic? Was it the receptionist who gave you the results? If so, I think she has misinformed you. Did your GP clarify your classification when you saw him? If you are diabetic you should be referred to the practice nurse for foot test and some advice. You should also be referred for retinal eye test. And your GP should ask if you want to be referred to a diabetes management course. It seems you have not been much advice or support.
 

Hils72

Member
Messages
16
Type of diabetes
Prediabetes
Treatment type
Diet only
Thanks all. @Prem51 I was told when my first result came back that they have to do two blood tests at least 8 weeks apart to be able to diagnose diabetes and that it can't be done from just one test. I wasn't happy when the receptionist told me my result was ok so went to see GP who told me that as I had got my result down it now made me pre diabetic not diabetic and that if I felt symptoms getting worse go back for another test but not for at least 6 months. Other than that they gave me a leaflet and sent me on my merry way. I have stopped testing myself but do wonder if I should be. Any advice welcomed.
 

Mike d

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I have stopped testing myself but do wonder if I should be. Any advice welcomed.

Yes, you should test .... and that diagnosis of you being pre diabetic (whilst it refers to a range) doesn't change that Nov reading of 49.

Read around the forum and ask away :).
 

Prem51

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@Hils72 Below 42 is non-diabetic. 42-47 is pre-diabetic, 48 and above is diabetic. If you had an HbA1c of 49 you are diabetic.
You did well to lower your BS levels to 43 at your 3 month retest, but although your reading was in the pre-diabetic range, you are still diabetic unfortunately. Your GP should have referred you to the practice nurse for foot test and advice, and asked if you wanted to be referred for a diabetes management course. You should also have been referred for a retinal eye check.

If your GP practice has more than one GP there should be one who specialises in diabetes advice. I suggest you ask if there is a diabetes specialist and ask to see him/her next time.

As @Mike D says have a look round the forum and ask any questions. As someone who is diabetic you are going to have to control your condition or it could get worse. As you will see it is possible to control this. There is a lot of good advice and support on here.
 
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Hils72

Member
Messages
16
Type of diabetes
Prediabetes
Treatment type
Diet only
Oh probably shouldn't have eaten what I ate for lunch then!! . Will go back to testing myself and look at changing diet. Will have a look around the forum too. Thanks guys.
 
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Hils72

Member
Messages
16
Type of diabetes
Prediabetes
Treatment type
Diet only
So just to ensure I am understanding what you guys are saying, you would say the result of 49 would make me Type 2 diabetic and I should eat and live as such even though my GP didn't say I was? Re testing when should i do this? First thing in the morning? before meals after meals? Sorry still trying to get my head round all this.

Thanks
 
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Mike d

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Treat it with caution before your next HBa1C check and yes, assume that you are as that is the safe option.

Test as soon as you wake up. Then test before your first bite of all meals, then at 1 hour and two hours thereafter
 

Prem51

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@Hils72 I don't understand why your GP would say you are pre-diabetic. He/she might have said your retest showed you were now in the pre-diabetic range, and perhaps you misunderstood. It is difficult to understand all this if it isn't explained. When I got the results of my 3 month retest my GP only told me that she was happy that my HbA1c had come down to 44. She didn't say I was now in the pre-diabetes range, or that I was still diabetic. I only knew what it meant from this forum. I was just told I wouldn't need to be retested for 12 months.

As for testing yourself, that is up to you. I didn't test myself for the first 3 months. But after my 3 month retest, when I was told I didn't need to be retested for 12 months, I realised I needed to test myself so that I knew how I was doing. I don't test after meals as many on here do. I only test in the morning to get an idea of where I am. My readings were averaging 5.7 in January, but seem to have gone up lately into the 6s and today it was 7.6, so I know I need to be more careful with what I am eating.
 

bulkbiker

BANNED
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19,575
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Hi @Hils72
I'll tag @daisy1 so she can put up her very helpful intro page.Read around on this forum and the it all in and you'll find you can probably keep your sugars under control like a lot of us do. If you don;t understand anything just ask and someone will come along and help you out.
All the best Mark
 
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daisy1

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@Hils72

Hello and welcome to the forum :). Here is the information we give to new members and I hope you will find it useful. Ask more questions and you will get more answers in addition to the very helpful answers you have already received here.

BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 

Liam1955

Master
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@Hils72 - Hi:). The most important piece (and essential) of a Diabetic's equipment is a Meter. You need to know what foods you can eat and what effects they have on your blood sugars to keep tight control. If your surgery nurse does not provide you with a Meter - then you buy one.:)
 

muzza3

Well-Known Member
Messages
1,789
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Cauliflower pretending to be rice and any vegetable pretending to be pasta
@Hils72
Hi and Welcome.
This is a great place to ask all the questions you need answered. there are two things I think nearly all people on here agree with
  1. As @liam1955 indicated it is essential you have a meter
  2. If you need to bring down blood sugar levels reduce or avoid carbs particularly sugar, potato, pasta, rice and bread
Cheers