newby

gizy

Newbie
Messages
3
Type of diabetes
Type 2
Treatment type
Diet only
hi every one three months ago on a routine heart check i was told i had type two diabetes ,it had shown up in a blood test the previous year,but they never said anything, i was given a little book and told to read it ,being used to our health service i had an idea it would take time but is it usual to wait all this time for a first contact ,or am i just being a little bolshy
 
Messages
6,107
Type of diabetes
Type 2
Treatment type
Diet only
The attitude of the NHS is a little strange. They don't hurry where type 2 is concerned. They tell you it's a progressive disease and not to bother to test your own blood sugar levels.

Since it has been three months I suppose it might be worth phoning them just to make sure you haven't fallen down a crack in the floor.
 
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poohtiggy

Well-Known Member
Messages
1,365
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Getting old and diabetese
I have discovered over the past year (since diagnosis) that if you don't make a noise nobody can hear you. Did they tell you that you will (eventually) get an appt to see a dietician and also one for a Retinopathy eye check? From most people's experience the dietician is a let down, they advise you to eat more pasta based meals, brown bread, potatoes and rice, and carbohydrates with every meal which will only do more damage. You would do well to go back over the forums and see how most people eat, check the food & recipe threads there are lots of good ideas there. Cut tbe carbs, follow the advice here and you will get good results, good luck
 
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C

catherinecherub

Guest
You will find that some Drs are proactive and others take their time @gizy.

Have a good read around the forums and you will find a lot of information. Take it slowly as information overload can become a problem and remember that this is a marathon rather than a sprint.

I will tag @daisy1 to give you the basic information that she gives to newbies and this will help.
Ask any questions, nothing considered silly,
 
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urbanracer

Expert
Retired Moderator
Messages
5,186
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Not being able to eat as many chocolate digestives as I used to.
Welcome gizy, welcome to the forums. Can't add much to the above, so good luck managing your diabetes.
 
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daisy1

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

Hello Gizy 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. Ask as many questions as you like 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 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

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.
 

4ratbags

Well-Known Member
Messages
3,334
Type of diabetes
Treatment type
Diet only
Welcome to the forums. Definately give them a call to see what is going on it shouldnt take that long. In the meantime at least you are in the right place
 

gizy

Newbie
Messages
3
Type of diabetes
Type 2
Treatment type
Diet only
@gizy

Hello Gizy 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. Ask as many questions as you like 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 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

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.
thanks for the advise Daisy but problems with the dieting could arise i had my colon and a few other organs removed because of cancer a few years ago so a lot of foods i do not digest ,especialy fruit with with skins and quiet a lot of vegies ,i wonder if this has caused the delay
 

SueB743

Well-Known Member
Messages
376
Type of diabetes
Type 2
Treatment type
Diet only
Hi and welcome. I don't think it is unreasonable after this length of time to chase them up. You may be due a repeat blood test to check whether you are managing ok or if medication might be needed, worth asking also if they have a diabetes specialist nurse you can see at the practice.
Sorry to hear that you have had such a rough time, if anything, surely this should push you up the queue for the dietician? It might be worth paying to see a private dietician/nutritionist as they should take on board your history and then devise something tailored specifically for you, although I fully appreciate that this will not be practical or affordable for everyone.
It is worth getting your own meter, so that you can check your own levels and see what foods are having an effect on your blood sugars to possibly cut these back, and maybe increase things which don't affect you as much as long as they don't affect your digestion adversely.
Hope you get some good care soon, but at lest you have found us now for support.
 

Daks

Well-Known Member
Messages
407
Type of diabetes
Type 2
Treatment type
Diet only
Best advice you will ever receive is right here on the forum!
 
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gizy

Newbie
Messages
3
Type of diabetes
Type 2
Treatment type
Diet only
Hi and welcome. I don't think it is unreasonable after this length of time to chase them up. You may be due a repeat blood test to check whether you are managing ok or if medication might be needed, worth asking also if they have a diabetes specialist nurse you can see at the practice.
Sorry to hear that you have had such a rough time, if anything, surely this should push you up the queue for the dietician? It might be worth paying to see a private dietician/nutritionist as they should take on board your history and then devise something tailored specifically for you, although I fully appreciate that this will not be practical or affordable for everyone.
It is worth getting your own meter, so that you can check your own levels and see what foods are having an effect on your blood sugars to possibly cut these back, and maybe increase things which don't affect you as much as long as they don't affect your digestion adversely.
Hope you get some good care soon, but at lest you have found us now for support.
Thanks for the reply all information helps ,i have had delaysin the nhs before i had my cancer operation delayed because i had previously had two heart bypasses and they probably thought i would not survive another but i did get a reply today for an eye screen in six weeks time ,it seems things eventually come if you can wait long enough but i have learned such a lot from whats printed on these pages am in a better position for when i get the next apppointment thank youi