Hi and any advice gratefully received!

yellowrose87

Newbie
Messages
2
Hi,

My husband is a type 2 diabetic who is on metformin, simvastin and has now been put on Ramipril. I assume (thanks to google!) it is for high blood pressure - he wouldn't admit this when I asked him about it.

He is obese and works shifts 6am-6pm with a 1 hour commute either side. He isn't helping himself and as such I want to try and help him.

I'm afraid I'm not a very knowledgeable cook and I don't understand what he should be eating and what he should avoid. I do know he should be doing some exercise which is difficult due to shifts and sleeping on the sofa (!). He also hasn't had a decent sleep for years which has turned into this vicious cycle of sleeping during the day because he's tired and then not sleeping at night and getting up to drink and take toilet trips 4/5 times a night.

Sorry to go on, and if you have got this far, thanks for listening to my rant!

Yellow Rose x
 

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.
Hi @yellowrose87 ,

Welcome to the forums, let's ask @daisy1 to give you some information.

Can you tell us what his blood sugar levels are like? Does he use a meter to self test?

Generally you'll need to try and get him to reduce his carbohydrate intake as all carb's turn into glucose in the body. Foods like bread, pasta, rice and potato should be cut down to improve blood glucose control.

Other T2's can give you more info and I'm sure that some will be along soon.

Good luck!
 

yellowrose87

Newbie
Messages
2
Thanks - He doesn't test. I think he is in denial even though he has been diagnosed several years. I even borrowed a tester from a friend but he refused to try it :( If I can start the ball rolling with diet then hopefully it might help.
 

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.
Thanks - He doesn't test. I think he is in denial even though he has been diagnosed several years. I even borrowed a tester from a friend but he refused to try it :( If I can start the ball rolling with diet then hopefully it might help.

Going back to your opening message, high blood sugars and tiredness can be related. Basically, one's body cannot use the glucose in the system for energy and it builds up in the blood stream due to insulin deficiency. You haven't mentioned it, but for many people there can also be a negative effect on moods with high blood glucose levels triggering depression and/or being somewhat tetchy. If you're experiencing this then you need to try and get him to do something that breaks the cycle.
 

leslie10152

Well-Known Member
Messages
1,110
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
Ignorance
Hi,

My husband is a type 2 diabetic who is on metformin, simvastin and has now been put on Ramipril. I assume (thanks to google!) it is for high blood pressure - he wouldn't admit this when I asked him about it.

He is obese and works shifts 6am-6pm with a 1 hour commute either side. He isn't helping himself and as such I want to try and help him.

I'm afraid I'm not a very knowledgeable cook and I don't understand what he should be eating and what he should avoid. I do know he should be doing some exercise which is difficult due to shifts and sleeping on the sofa (!). He also hasn't had a decent sleep for years which has turned into this vicious cycle of sleeping during the day because he's tired and then not sleeping at night and getting up to drink and take toilet trips 4/5 times a night.

Sorry to go on, and if you have got this far, thanks for listening to my rant!

Yellow Rose x
Welcome to the forum. Yes, Ramapril is used for blood pressure, it keeps the levels down and must be taken regularly. You can't skip doses.
 

JRTwalker

Well-Known Member
Messages
67
Type of diabetes
Type 2
I feel for you yellowrose87. It seems difficult to me understanding how you can support your husband with positive diet changes if he is in denial and not wanting to take responsibility for his situation. How would he respond if you removed carbs from his meals?
My wife has been excellent in supporting me but this has only been possible because I have taken full responsibility and want to take control of my well-being.
I make no clinical comparisons here but wonder if someone with specific experience can comment on remedies and solutions you could try - in a way I have seen similar situation with alcohol where one party refuses to take control and the other party similarly suffers in wanting to provide support.
Hoping others can give some positive considerations.
 

Daibell

Master
Messages
12,650
Type of diabetes
LADA
Treatment type
Insulin
Hi. Yes, Ramipril is for blood pressure. Simvastatin is for high cholesterol but note that statins do increase blood sugar so he shouldn't take a higher dose than needed. Ask the GP for a full lipids blood test at his next blood test and ask that statins are prescribed based on those results and not just because he has diabetes. Keep all carbs right down and make up with proteins and fats so he feels full. It will be great if you can get him to use a meter.
 

Lazybones

Well-Known Member
Messages
397
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Firstly welcome to the Forum. You have found an excellent place from where to start in helping your husband and his Type 2 diabetes.
It's hard I know. but it's worth spending some time looking into the Low Carb High Fat Diet (LCHF) which we frequently refer to here on this site - simply because in so many cases it works !! also you might consider researching 'Diet Doctor' on google as they also promote a restricted intake of Carbs which to us Diabetics are best restricted or at best avoided altogether as it's Carb's (and also added Sugar) that generally cause our main problems and raise blood glucose levels.
You have one major asset that perhaps you at this stage you haven't realised can assist you with looking after your husband's health and diet - I suspect that like most ladies who run a home, you will be responcible for cooking the family meals, so armed with the knowledge you amend the things that you give him to eat and he may not even notice the suttle changes that you have made. Follow the LCHF diet or the Recipe's mentioned on the Diet Doctor website and this will be a good starting point.
Don't force anything onto him as he would probably resist or rebel against this, change his diet to avoid the obvious things and you too will soon benefit from this as well as your husband.
Please feel free to ask any question that troubles you and we'll try our best at advising you. - Good luck
 
Last edited:

AM1874

Well-Known Member
Messages
1,383
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Not much
Hi @yellowrose87 ..
You are a hero and I wish you all the success that you deserve ..

As a suggestion, maybe you could get him to have a look at the Success Stories and Testimonials forum and point out that the posts on here have mostly been generated from users who have managed and controlled their diabetes through exercise, Blood Glucose testing and an LCHF (low Carb High Fat) lifestyle ..you'll find that there is a wealth of info, relevant advice and positive support about LCHF on the forum. You might also find that the significant weight loss that can be achieved through LCHF could be a strong motivator for your husband

I see that @urbanracer has already tagged @ daisy1 for you and I would suggest that you read up on the Low Carb Program in the information that she will soon be sending you. You might also find the discussion on the Low Carb Diet forum helpful .. and the following Diet Doctor websites ...
Low Carb Intro and Information
Low Carbs in 60 Seconds

Hopefully this will be a trigger for your husband and, from this point, I strongly recommend that you get a test meter. I suggest that you try the website at:
https://homehealth-uk.com/product-category/blood-glucose/
for the SD Codefree meter, which costs £12.98 (you don't pay VAT) or:
http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/
who distribute the TEE 2 meter, which is free.
I have both for comparative purposes and I have never found any significant difference between them. Unless you are prescribed test strips by your doctor (unlikely), the costs of testing comes down to the ongoing charges for test strips and lancets. I'm testing 3-4 times a day which works out at around £10 to £12 per month for either of the two packages above but, more importantly, I now know what my BG levels are .. and I can now manage them
Hope this helps
 

lovinglife

Moderator
Staff Member
Messages
4,578
Type of diabetes
Type 2
Treatment type
Diet only
What's the dose of ramipril your husband has been given? Sometimes a small dose can be prescribed to protect kidneys without high blood pressure present - I'm on a low dose but have never had high blood pressure- it's to protect my kidneys
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@yellowrose87

Hello Yellowrose and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask more questions when 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 well over 235,000 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.
 

Mark_1

Well-Known Member
Messages
270
As above I'd recommend the dietdoctor web site and its 2 week starter program (it's free) and will give you some idea's for meals and you can build up from there. Hopefully when he sees you trying for him he will join in.