Newly diagnosed & confused

Mummyofthree

Member
Messages
17
Type of diabetes
Treatment type
Diet only
Hi, I'm newly diagnosed type 2, strong family history & was on insulin with all 3 children so not a shock but my GP said not to bother checking bg levels. I've still got my meter & do check when I'm feeling poorly (like now). I had a bowl of tomato soup 3 hours ago & meter reading of 14.9. How do I get it down? It's constantly about 10 in the morning & gp said to keep it between 4-6! I'm tired, moody (sorry family) & feel like I've done 100,s of sit-ups. My tummy feels very achy & sore. Sorry for rambling, I don't know whether to go back to my GP as they wasn't very helpful. Just told me to eat low GI foods! Any advice helpful! My hba1c was only just over at 50. Thanks in advance.
 
  • Like
Reactions: 2 people

noblehead

Guru
Retired Moderator
Messages
23,618
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
Disrespectful people
Hi and welcome to the forum @Mummyofthree:)

I'm going to tag @daisy1 as she has some excellent information that you should find useful.
 

Bluetit1802

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

The first thing that jumped out at me in your post was the tomato soup. Was it a tin/packet? If so, have a look at the nutrition label at the number of Total Carbohydrates per 100g or per tin. I bet anything it is high. Anything above 10% is high, and it is better to stick to under 5% unless it is something you only have a teaspoon of. Manufacturers use flour and even potatoes to thicken soups, and tomatoes themselves can be dicey for diabetics if eaten in quantity. If you like soup it is much better to make your own using ingredients you know have very few carbs, steering well away from flour. You can use cream instead.

All carbs turn to glucose once inside the system. Even low GI ones. They just take a little longer. Bread, potatoes, rice, pasta, cereals and flour are the worst culprits, and we must also be careful with milk and fruit.

A low GI diet can work for some people, but even low GI diets mean cutting right down on the amounts of carbs you would normally eat.

As you have a meter you can use it to test before you eat and again 2 hours after your first bite. If the rise is more than 2mmol/l (ideally less than 1.5mmol/l) there is something in that meal your body can't cope with and either needs avoiding or seriously smaller portions. You will then learn which foods you can manage. If you keep a food diary and record your levels alongside, patterns will emerge.

Have a good read round, and ask as many questions as you like.
 
  • Like
Reactions: 2 people

Mummyofthree

Member
Messages
17
Type of diabetes
Treatment type
Diet only
Hi, I've just checked tin & it's 4.9. It was a small Heinz tomato soup. I've just started a food diary & im struggling to get it down as its high in the mornings. I'm unsure whether the tummy aches are related but hubby is a bit fed up of me nodding off all the time! I've so much to learn! I seem to be ok with porridge & all bran tho!
 

daisy1

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

Hello and welcome to the forum :) Here is the information we give to new members as mentioned above and it will give you a lot of information about carbs, which you should reduce as much as possible. Ask more questions if you need to and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

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.
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
I've just checked a tin of Heinz tomato soup. Its the 300g size. Carbs 6.7 per 100g. 20.1 per tin. It has been in my cupboard since I started this game 18 months ago and tried a tin. I haven't had one since as the rise frightened me to death!

You are lucky to be able to manage porridge and All Bran.
 

Daibell

Master
Messages
12,652
Type of diabetes
LADA
Treatment type
Insulin
Hi. Yes, you need that low-carb diet and you must test. The GP doesn't appear to understand what low-GI means. Low-GI reduces spikes but doesn't really reduce the carbs at all and that's what diabetics need to do. If you have excess weight then the GP probably needs to start you on Metformin which many T2s have; discuss with him. If you are still fairly young and slim then T1 rather than T2 becomes possible
 

Mummyofthree

Member
Messages
17
Type of diabetes
Treatment type
Diet only
I must be looking at the wrong numbers! Right no soup, I'm 43 & on the chunky side. Not in the obese bracket but overweight.
 

Daibell

Master
Messages
12,652
Type of diabetes
LADA
Treatment type
Insulin
I must be looking at the wrong numbers! Right no soup, I'm 43 & on the chunky side. Not in the obese bracket but overweight.
Hi. 43 is quite young for T2 rather than T1. Try to reduce the weight thru low-carbing and if your blood sugar doesn't come down to near normal then come back to the forum for more guidance on options including T1.
 

Mummyofthree

Member
Messages
17
Type of diabetes
Treatment type
Diet only
Thanks for all your advice & pointers, bg level is now 9.6 before bed, it doesn't usually change much overnight but at least I'm in single figures! Night all
 
  • Like
Reactions: 2 people

ButtterflyLady

Well-Known Member
Messages
3,291
Type of diabetes
Treatment type
Tablets (oral)
Dislikes
Acceptance of health treatment claims that are not adequately supported by evidence. I dislike it when people sell ineffective and even harmful alternative health products to exploit the desperation of people with chronic illness.
Hi, I'm newly diagnosed type 2, strong family history & was on insulin with all 3 children so not a shock but my GP said not to bother checking bg levels. I've still got my meter & do check when I'm feeling poorly (like now). I had a bowl of tomato soup 3 hours ago & meter reading of 14.9. How do I get it down? It's constantly about 10 in the morning & gp said to keep it between 4-6! I'm tired, moody (sorry family) & feel like I've done 100,s of sit-ups. My tummy feels very achy & sore. Sorry for rambling, I don't know whether to go back to my GP as they wasn't very helpful. Just told me to eat low GI foods! Any advice helpful! My hba1c was only just over at 50. Thanks in advance.
Welcome :)

How long has your tummy been sore, and where exactly is it sore? The tiredness and moodiness are typical symptoms of high BGs but the tummy pain could be caused by something else or it could just be a less common symptom of high BGs.
 

ButtterflyLady

Well-Known Member
Messages
3,291
Type of diabetes
Treatment type
Tablets (oral)
Dislikes
Acceptance of health treatment claims that are not adequately supported by evidence. I dislike it when people sell ineffective and even harmful alternative health products to exploit the desperation of people with chronic illness.
Hi, I've just checked tin & it's 4.9. It was a small Heinz tomato soup. I've just started a food diary & im struggling to get it down as its high in the mornings. I'm unsure whether the tummy aches are related but hubby is a bit fed up of me nodding off all the time! I've so much to learn! I seem to be ok with porridge & all bran tho!
It will take a good few days to get your BGs down so don't panic too much at the moment.

Tell hubby to be patient, and that you have a medical condition. How long have you been nodding off all the time? What is your sleep like, ie how many hours are you getting? And do you feel refreshed when you wake up?
 

Mummyofthree

Member
Messages
17
Type of diabetes
Treatment type
Diet only
Tummy pain has been about a month, it feels like I've done loads of sit ups. I'm nodding off every other day which is why I went to Drs & as I was IGT they did a fasting blood that was high, my OGTT didn't happen as my fingerprint test was 10.5 so they went straight for the hba1c. I woke up at 3am this morning, took my level & it had gone up to 14? At 6am it's back down to 9.6. Don't know what made it go up overnight! I usually manage 8 hours sleep but I do wake about 3 for no reason, I don't feel refreshed this morning!
 

ButtterflyLady

Well-Known Member
Messages
3,291
Type of diabetes
Treatment type
Tablets (oral)
Dislikes
Acceptance of health treatment claims that are not adequately supported by evidence. I dislike it when people sell ineffective and even harmful alternative health products to exploit the desperation of people with chronic illness.
Tummy pain has been about a month, it feels like I've done loads of sit ups. I'm nodding off every other day which is why I went to Drs & as I was IGT they did a fasting blood that was high, my OGTT didn't happen as my fingerprint test was 10.5 so they went straight for the hba1c. I woke up at 3am this morning, took my level & it had gone up to 14? At 6am it's back down to 9.6. Don't know what made it go up overnight! I usually manage 8 hours sleep but I do wake about 3 for no reason, I don't feel refreshed this morning!
I've never done loads of sit ups so I'm afraid I don't know what that would feel like, but I'm guessing muscle tightness? I really have no idea what that could be... I could ask a bunch of the usual questions but it's probably going to be better if your doctor asks those and also examines you. A month is a long time to have pain like this - you don't need to suffer with this on top of everything else so do speak up and ask your doctor to look into it. Although they weren't very helpful with T2 advice, they might be ok with other things. If not, then it's ok to ask to see someone else. We need to be able to trust our doctors.

What did you eat yesterday? Maybe there were some carbs that pushed it up to 14. Fatigue is common with high BGs. Excessive sleepiness can be part of that, or it can be due to other things, such as obstructive sleep apnoea, which often goes hand in hand with T2. It is often missed, especially in women. I often ask people about it in case they have it and it has been missed. It's easily treated, and treatment can really help with managing diabetes better, losing weight, and not feeling so tired and sleepy.

If there is an infection somewhere, that can push BGs up. Or it is due to eating too many carbs. The reason it is high in the morning is that the liver releases glucose after we haven't eaten for several hours... it's an evolutionary thing; it enabled us to chase sabre toothed tigers or something. One of the things that Metformin medication does it to reduce this "liver dump" or "dawn phenomenon".
 

BlueTwist

Well-Known Member
Messages
60
Type of diabetes
Other
Treatment type
Other
Welcome to the forum. Like you I have high BS, I am especially shocked at how much they go up overnight when I am asleep! Often my morning readings are over 10, sometimes 16+

I hope this forum helps guide you in the right direction. I am new here also!
 

eddie1968

Well-Known Member
Messages
3,661
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
Pasta, sorry to me it's vile, yeuch lol (and full of nasty carbs)
Welcome to the forum ! :)