Hi all, been diagnosed for 2 months and still very confused by it all!

lindyg52

Newbie
Messages
3
Type of diabetes
Treatment type
Tablets (oral)
Does it get any easier? I have been given Metformin and have had some bad reactions to it has anyone else found this?
 

teagan

Member
Messages
22
Hi i have been a type 2 for 18 months i could not tolerate metformin in any dosage the worst is contstant tummy problems go back to the doctor there are many other drugs they can give you without all the unpleasant side effects best advice is get a meter {with luck the doctor will prescribe one] if not get one from the manufactures ring them they will usually send you one for free i find supercheck2 works well for me strips cost £8.50 for 50 i only test once a day 2 hours after dinner to find out what affects my levels are it is different for each of us i got very confused about low carb so the way i did it was to take a third of high carb food off my plate {if you have 6 small potatoes only eat 4 i have lost 3 1/2 stone and my blood levels are good } we all have to find what works for each of us good luck
 
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Sancho panza

Well-Known Member
Messages
465
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi lindy welcome to the forum,
Unfortunately Metformin seems to have a bad effect on many people there is a slow release version that many seem better able to tolerate have a word with your Dr as teagan suggests.

There's some great informative posts on here have a look round and please come back with any questions you have I'm sure someone will be able to help
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
Hi Lindy and welcome to the forum.

I agree the best tool we have is a blood glucose meter. Use it to test out your foods, test before you eat and 2 hours after your first bite. If you record your food and the portions, then record the levels alongside, you will soon see a pattern emerging and will discover which foods (and portion sizes) need attention. Once you get your diet sorted, it will get much easier.

If you have any questions, please do ask. Good luck.
 
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Reactions: 2 people

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
Hi Lindy and welcome to the forum :)

In addition to the advice you have already received, here is the information we give to new members and I hope you will find it useful.

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 100,000 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

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.
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
Hi Lindy and welcome to the forum :)

In addition to the advice you have already received, here is the information we give to new members and I hope you will find it useful.

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 100,000 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

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.
 
K

Kat100

Guest
Hello and welcome ...I have just switched to the SR metformin ....after my first 18 months on the non SR ones ...
It is to early for me to say yet if they will make a difference to my gastric problems ...I will give them a go ...
Sorry you are suffering the side effects , and it is early days ...but go back to,your GP if you need to , or give them a little while longer to see if your body can tolerate them ...taken care ..Kat
 
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lindyg52

Newbie
Messages
3
Type of diabetes
Treatment type
Tablets (oral)
Hi lindy welcome to the forum,
Unfortunately Metformin seems to have a bad effect on many people there is a slow release version that many seem better able to tolerate have a word with your Dr as teagan suggests.

There's some great informative posts on here have a look round and please come back with any questions you have I'm sure someone will be able to help
Thank you I will, have signed up to a one day course called DESMOND not sure what it stands for but hopefully having completed it I will have a better understanding.
 

MikeR71

Member
Messages
7
Type of diabetes
Treatment type
Tablets (oral)
Hi Lindy - not much I can add to the advice you've already received. There was a time I could have told you what DESMOND stood for, but it's been too long since I was on it myself. All I do remember is that it's likely to be the most useful day you'll spend learning about this stuff. I was lucky to get on it within a couple of weeks of my diagnosis (4 years ago), and found it really informative - some of it is, at face value, quite scary (you won't believe how much sugar is in so much of what we all eat regularly), but if confronting the reality of those facts is what it takes to convince us to cut them out, it can't be a bad thing. One really useful aspect of my course (and I'm sure it's the same everywhere) was that they'll book you two places, so you can bring a partner who might need to be aware of some of what they tell you.
 

DeejayR

Well-Known Member
Messages
2,381
Type of diabetes
Treatment type
Diet only
Have signed up to a one day course called DESMOND not sure what it stands for but hopefully having completed it I will have a better understanding.
Diabetes Education and Self Management for Ongoing and Newly Diagnosed
There you are. I'm in the middle of one. They tell you to eat plenty of carbs, and then you come back here and don't do it :) But there's also some useful background info and of course meeting fellow-travellers is always nice, don't you think?
 

MikeR71

Member
Messages
7
Type of diabetes
Treatment type
Tablets (oral)
Oh, and DESMOND is Diabetes Education and Self Management for Ongoing and Newly Diagnosed... Ah.... Deejay got in while I was checking it.
 

lindyg52

Newbie
Messages
3
Type of diabetes
Treatment type
Tablets (oral)
Hi Lindy - not much I can add to the advice you've already received. There was a time I could have told you what DESMOND stood for, but it's been too long since I was on it myself. All I do remember is that it's likely to be the most useful day you'll spend learning about this stuff. I was lucky to get on it within a couple of weeks of my diagnosis (4 years ago), and found it really informative - some of it is, at face value, quite scary (you won't believe how much sugar is in so much of what we all eat regularly), but if confronting the reality of those facts is what it takes to convince us to cut them out, it can't be a bad thing. One really useful aspect of my course (and I'm sure it's the same everywhere) was that they'll book you two places, so you can bring a partner who might need to be aware of some of what they tell you.
Thank you so much for taking the time to reply, I really appreciate it. I have recently been taken off Metformin as I had severe reaction to it bowel problems!- I have now been put on gliptins do you know anything about them? Thanks
 

MikeR71

Member
Messages
7
Type of diabetes
Treatment type
Tablets (oral)
Sorry, I don't. I'm on 2500mg Metformin daily, and fortunately haven't had any issues with it, so I've never encountered any of the alternatives. There's bound to be someone else out there who does know something, though...