13 Days wait to see practice nurse.

paul65cup

Newbie
Messages
4
Type of diabetes
Type 2
Hiya I’m a 68 years old, I was diagnosed with type 2 diabetes 10/02/17 by my GP. I was told to book an appointment with the practice nurse ASAP! I’ve been booked to see her on 23/02/17.
I would like to know what I have do for the rest of my life to stay as healthy as I can.
 
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Rustytypin

Well-Known Member
Messages
392
Type of diabetes
Prediabetes
Treatment type
Diet only
Welcome Paul to the forum, you will find great advice on here. I think the most important thing is to be determined to beat diabetes. Start off by reading around this site and ask questions, there are many people on here who are in the same boat as you and can give good advice. Many have improved their blood readings by following the Low carb High fat diet, but you must make up your own mind which is the best for you. Only you know your starting point and where you wish to end up. It's not easy, but you can help yourself with determination. Good luck!
 

kittypoker

Well-Known Member
Messages
285
Type of diabetes
Friend
Treatment type
I do not have diabetes
Hiya I’m a 68 years old, I was diagnosed with type 2 diabetes 10/02/17 by my GP. I was told to book an appointment with the practice nurse ASAP! I’ve been booked to see her on 23/02/17.
I would like to know what I have do for the rest of my life to stay as healthy as I can.

Welcome, Paul. I'll tag @daisy1 who will give some brilliant advice.

The first port of call is usually Metformin, ask for the slow release as it's easier on the tum. Or you may be able to head off meds by a change of diet.

I'm not diabetic but at risk so know it's all so confusing at first. Are you overweight, need to drop a few pounds?
 
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M

ME_Valentijn

Guest
How was your blood sugar or A1c at diagnosis? If it's too high, then waiting a couple weeks for an appointment might not be a good idea.

My GP sent me home with blood glucose of 22.2, no info, a low dose of a drug that takes weeks to start working, and a followup appointment in 2 months. After another week of misery, I was back in her office!
 
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Mbaker

Well-Known Member
Messages
4,339
Type of diabetes
Treatment type
Diet only
Dislikes
Available fast foods in Supermarkets
Hi @paul65cup, practically I would suggest you remove all fruit juices (replace with water, tea, herbal teas and coffee), remove all sugar (try not to replace with anything), remove bread, potatoes, pasta and rice (replace with kale / spinach, brockley, cabbage, leeks, tomatoes, red peppers, cauliflower).

For breakfast maybe Greek fat yogurt with anything with any strawberry, raspberry, blueberry, red /;blackcurrant, any nuts (minimal cashews as they are high in carbs). Or bacon / sausages, eggs, tomatoes.

Lunch could be mackerel / salmon / trout with vegetables (as above)

Dinner could be any meat / fish, plenty of vegetables and salad. This is basic set of foods to avoid in general and to eat until you are full - there are many more of course, but it is important to watch the foods to avoid. If you can build up to 10,000 steps a day (aim to walk after meals).
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@paul65cup

Hello Paul and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you need to and someone will be able to reply.


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 well over 147,000 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

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.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

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 blood glucose 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.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all free.
  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why :)
  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
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Prem51

Expert
Messages
7,393
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
*
Hi @paul65cup and welcome to the forum. Don't worry too much about the wait to see the DN. When I saw the DN after diagnosis all she did was weigh me, test my feet for feeling, and advise me to use foot cream, and wear shoes indoors to avoid stubbing my toes.
You will get more useful advice on here. Do you know what your HbA1c (blood sugar) test result was? If not you should get it from your GPm surgery so you know where you are starting from.
 
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paul65cup

Newbie
Messages
4
Type of diabetes
Type 2
I would like to thank everyone who has replied to my post giving me some good advice which is much appreciated.
I’m finding it hard to take in all the info that I’ve had in this short space in time, however, I’ve been told I’m a fast learner.
 

Prem51

Expert
Messages
7,393
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
*
Hi @paul65cup It is a lot to take in, but keep reading the forum and you will get your head around it all.
And feel free to ask any questions you want to.
 
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Art Of Flowers

Well-Known Member
Messages
956
Type of diabetes
I reversed my Type 2
Treatment type
Diet only
I had a five week delay from initial diagnosis to first seeing the diabetes nurse. I was prescribed metformin twice a day and I started to eliminate foods which contain a lot of sugar. I discover that my breakfast cereal Jordan's Country Crisp had 24% sugar and the powdered chai tea I was drinking was about 50% sugar.

I cut out the sugar, but then began to realise that carbohydrates are a major cause of high blood sugar, so I have tried to cut these out too. This means reducing or eliminating foods like bread, potatoes, rice, cereals. You begin to wonder what is left to eat, but there are plenty of recipes on this site and low carb diet sites out there with recipes such as ...

https://www.dietdoctor.com
https://thebloodsugardiet.com
 

Nikkim58

Member
Messages
8
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
People walking in front of my wheelchair, people talking to whoever is with me as I am obviously stupid! Lol, people moving me in my wheelchair out of the way, not asked, just moved! yes, it really does happen
Hiya I’m a 68 years old, I was diagnosed with type 2 diabetes 10/02/17 by my GP. I was told to book an appointment with the practice nurse ASAP! I’ve been booked to see her on 23/02/17.
I would like to know what I have do for the rest of my life to stay as healthy as I can.
Hi
When I was diagnosed about 2 1/2 years ago, I duly made an appt with the diabetic nurse. She was the practice nurse with little knowledge of diabetes. Couldn't have a monitor and when I asked for some info, I was told, we don't give out any, look up on the internet!
I haven't been back and been managing on my own!
 

miahara

Well-Known Member
Messages
1,019
Type of diabetes
Type 3c
Treatment type
Insulin
Hi Paul and welcome to the diabetes 'club'. You've come to the right place for support and advice, but bear in mind that that we are all different and what works for one doesn't always work for everyone. Having said that, you'll find that most folk here manage their D with a LCHF diet and monitor the effects of what they eat with glucose meters.
It's an unfortunate fact that many GPs and diabetic specialist nurses are a bit behind the times insofar as recent research and the experiences of D 'sufferers' goes.
Once you've spent a little time reading posts here you'll discover that it is possible for you to manage your diabetes, rather than letting diabetes managing you.
Actually all you need to do for the rest of your life is to learn to manage your blood glucose levels, and once you've learned how it really isn't all that difficult and after a couple of months it just becomes a (healthy) way of life.
 
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