Diagnosed with prediabetes

BillyF85

Newbie
Messages
2
Type of diabetes
Prediabetes
Treatment type
Diet only
I had a urine test the other day and it shows I am pre-diabetic. Now I was hoping somebody could tell me about diets for pre-diabetics, that will help me prevent full blown diabetes.

I suppose I should lay off the sugar as much as possible, but what else can I do? I would hate to have to go on medication.
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@BillyF85

Hello Billy and welcome to the forum :)

Even though you are not diagnosed with diabetes, it would be helpful to you to reduce the carbs you eat, not just sugar. Here is the information we give to new members and I hope you will find it helpful especially as the diet information could help you from progressing to full diabetes. Ask all the questions you want and someone will be able to help.



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 140,000 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.
 

Pasha

Expert
Messages
8,558
Type of diabetes
Type 2
Treatment type
Other
Google "blood sugar 101" there is a wealth of excellent information there.
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
Hello Billy and welcome,

A urine test to diagnose pre-diabetes? Is that the only test you had? It is normal to have blood tests before anyone can be certain about this. Have you been given another appointment at your surgery? I think you should be asking for a diagnostic blood test.

In the meantime, yes, cut out all sugary foods and anything with added sugar. You need to read the food nutrition labels on all the packets, boxes, tins etc. All foods have these on the packaging. It is an eye opener how much sugar there is in ordinary every-day food stuff. Things like breakfast cereals, tinned soups, tinned vegetables, fruit yogurts, puddings, low fat products such as spreads, yogurts, skimmed milk, salad cream, drinks, and many more. You could also look at your carbohydrate consumption, particularly potatoes, rice, pasta, bread, and cereals. It is the carbs that cause blood sugars to rise, and sugar is only one sort of carb.

If you are carrying extra weight then losing this will help enormously.

Once you have had your blood test results come back and let us know how things stand, and if you get a firm diagnosis we will help you through it.