Hi. Can anyone help?

Badboydavey1

Well-Known Member
Messages
163
Type of diabetes
Type 2
HELP NEEDED TO DIET
hi I was diagnosed type e 5 weeks ago the doctor put me on metformin 500mg once a day,no advice just stay away from sugar now while being on metformin my health decreased some what I lost 1 stone in a week,bouncing off walls,confused,hot and cold and I was rushed into hospital for 4 days now.im on metformin slow real ease also glitlazite 40mg (morning) and 80mg (with main meal) but there upping it to 80 morning and main meal next week but in the mean time my sugar levels are still high 32.0 and I'm still losing weight (9 stone 11) I have changed my diet I'd more veg,fruit whole meal. Bread etc what more can I do
(Also I suffer from chronic pancreatitis which I take freon 40.000 with every meal)

Can anyone help me?

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Jaylee

Oracle
Retired Moderator
Messages
18,231
Type of diabetes
Type 1
Treatment type
Insulin
HELP NEEDED TO DIET
hi I was diagnosed type e 5 weeks ago the doctor put me on metformin 500mg once a day,no advice just stay away from sugar now while being on metformin my health decreased some what I lost 1 stone in a week,bouncing off walls,confused,hot and cold and I was rushed into hospital for 4 days now.im on metformin slow real ease also glitlazite 40mg (morning) and 80mg (with main meal) but there upping it to 80 morning and main meal next week but in the mean time my sugar levels are still high 32.0 and I'm still losing weight (9 stone 11) I have changed my diet I'd more veg,fruit whole meal. Bread etc what more can I do
(Also I suffer from chronic pancreatitis which I take freon 40.000 with every meal)

Can anyone help me?

Edited by a mod to remove email address

Hi,

It's great that you are staying away from sugar..
What hasn't been said (yet) is carbohydrate is the "enemy" too!? Hence the high numbers.?
Bread, pasta, potato, fruit & cereal all increase the blood sugar levels by varying degrees..

I'll tag a few more T2s to explain further.. @Brunneria @KevinPotts @NoCrbs4Me @pleinster

Hope this helps..
 
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Daibell

Master
Messages
12,650
Type of diabetes
LADA
Treatment type
Insulin
Hi. It sounds very likely that you aren't a T2 but a Late onset T1 (LADA). The recent weight loss and very high blood sugar are strong pointers as well as the pancreatitis. There are two tests to help confirm T1 i.e. GAD and c-peptide. The Gliclazide should help a bit but if the blood sugar doesn't reduce enough then insulin may be needed. Do reduce the carbs significantly and be aware that any kind of bread, even wholegrain, is still a carb. Have enough proteins and fat to help you feel full. Do ask the GP for tests which I'm surprised he hasn't done as you have chronic pancreatitis. The c-peptide will measure how much natural insulin you are producing. Do keep testing and if your sugars stay in the high 20s/30s go to A&E if needed.
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
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Tablets (oral)
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Cruelty towards animals.
@Badboydavey1

Hello Davey and welcome to the forum :) Here is the information we give to new members and I hope this will be useful to you, especially with your food choices. Ask more questions 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

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


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.
 

Badboydavey1

Well-Known Member
Messages
163
Type of diabetes
Type 2
Thanks for all your advice, I have changed all my eating habits (getting rid of all the bad stuff and getting in more healthy stuff) eating at regular times and testing sugar levels before I eat (4 times A day) but levels just seem to spike from 12 noon


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Liam1955

Master
Messages
10,964
Type of diabetes
Type 2
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pleinster

Well-Known Member
Messages
1,631
Type of diabetes
Type 2
Treatment type
Diet only
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ignorance
Thanks for all your advice, I have changed all my eating habits (getting rid of all the bad stuff and getting in more healthy stuff) eating at regular times and testing sugar levels before I eat (4 times A day) but levels just seem to spike from 12 noon


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Hey Badboydavey. Out of interest, what do you define as "bad stuff" and "healthy stuff"? See, there are differing opinions and a whole lot of misinformed rubbish (much of it sadly from GPs). Also, are you on any other meds that might spike your blood sugar? Your level of 32 is really very high (if that is indeed in mmols)...what is it usually, are you self-testign regularly and noting the food you eat, and when do you next see a doctor? Also, I agree with what @Daibell has already said. Sorry to hear it's so hard atm. I hope you get it all under control soon. One more thing - make sure your fluid level is good (I drink c.2.5 litres of very diluted Robinsons, or water, a day). Good luck.
 
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Badboydavey1

Well-Known Member
Messages
163
Type of diabetes
Type 2
Thankyou first my doctor when first diagnosed said cut out all sugar but that's all the advice she gave me then I got so bad I was rushed into hospital when getting out the local district diabetes team got in contact with my nurse and she gave me a accu-chex nana home testing kit, I see the local district diabetes team next week for the first time.
Now I eat more vegetables, certain fruits, fish,chicken etc..all I used to eat was takeaways and microwave meals,maybe cook once a week)now I cook everyday (well trying) lol ,I went to my first juggle meeting last week and the next 2 weeks we will be talking about foods.
Now my medication is as follows epilepsy- sodium valproate,phenobarbital,clobazem, and levatiracetam
Chronic pancreatitis- creon 40,000 with every meal
Colestoral- atorvastatin
Siactecor-gabapentin
Diabetes - metformin 500mg (morning slow release) and gliclazide 40mg (morning) and 80mg with main meal (6pm)
Now I started self testing on the June 2nd and the readings are as follows
Before break,before lunch,before dinner,before bed
13.1, 19.8,22.3,25.9. (Keytones 1.5)
15.8/15.0/17.3/30.1
17.1/14.7/21.7/28.2 (Keytones 1.5)
18.6/17.1/27.5/27.3
17.2/17.6/24.5/26.9
17.8/19.5/16.5/23.6
13.2/18.9/25.2/32.0
14.9/20.4/18.5/21.4. (Keytones 1.5)
13.6/20.2/21.9/31.0 (Keytones 6am 1.5/ 7am 1.5/ 2 hours later 0.5)
15.6/20.5/17.8/24.7 and that was yesterday
When I took my testing kit into see the practice nurse she said my average is 20 now I don't know if that's right....also she read my food diary and that's ok , if you need anymore info plz ask


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Indy51

Expert
Messages
5,540
Type of diabetes
Type 2
Treatment type
Diet only
As @Daibell said, you need to be tested to make sure that you are really Type 2 and not LADA/Type 1.5. You may very well need insulin.
 
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Badboydavey1

Well-Known Member
Messages
163
Type of diabetes
Type 2
Well saying that the doctor when I was admitted into hospital he said I should be type one but cause he couldn't get my pancreas scans up from 2014 when they thought I had a tumour in the pancreatic duct he has requested another one but what he did do is put a seven day plan into action and if my levels are still high he recommends insolin at night time but the nurse wants to up my gliclazide upto 80mg morning and 80mg with main meal 6pm


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KevinPotts

Well-Known Member
Messages
2,606
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Unkind people, failure to take personal responsibility.
Hi,

It's great that you are staying away from sugar..
What hasn't been said (yet) is carbohydrate is the "enemy" too!? Hence the high numbers.?
Bread, pasta, potato, fruit & cereal all increase the blood sugar levels by varying degrees..

I'll tag a few more T2s to explain further.. @Brunneria @KevinPotts @NoCrbs4Me @pleinster

Hope this helps..

I'm sorry you're having a rough time I can understand that it must be confusing, overwhelming and a little frightening.

I am only just coming up 10 weeks since diagnosis and so far so good... All my markets have dramatically improved (see my signature), so I am confident there is real and significant hope for you:)

Check out the Low Carb programme on here and also check out www.dietdoctor.co.uk

If you like reading paper or Kindle get hold of two books to start with:

1. Michael Moseley - 8 Week Blood Diet

2. Phinney & Volek - The Art And Science of Low Carb Living

Cutting carbs, exercise (cardio and resistance) and perhaps even intermittent fasting are all part of my strategy, BUT most importantly, you have to flip your psychological switch accept the disease and then commit to a lifestyle change. This aspect is the most critical and will set you up for success:)!




Diagnosed 13/4/16: T2, no meds, HbA1c 53, FBG 12.6, Trigs 3.6, HDL .75, LDL 4.0, BP 169/95, 13st 8lbs, waist 34" (2012 - 17st 7lbs, w 42").

6/6/16: FBG AV 4.6, Trigs 1.5, HDL 2.0, LDL 3.0, BP 112/68, BPM 66, 11st 11lbs, waist 30".

Regime: 20g LCHF, run 1 mile daily, weekly fasting.
 
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Badboydavey1

Well-Known Member
Messages
163
Type of diabetes
Type 2
Thx for that I have accepted that I'm diabetic I have wholegrain bread , porridge,new potatoes also I walk everyday to local shops which is half a mile return and that takes it out of me cause I've lost all muscle and get tired very easy but I do drink plenty of fluids....its just that I don't want to lose too much weight as I'm only 9 stone 11 pounds (I'm like a Skeleton)


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KevinPotts

Well-Known Member
Messages
2,606
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Unkind people, failure to take personal responsibility.
Thx for that I have accepted that I'm diabetic I have wholegrain bread , porridge,new potatoes also I walk everyday to local shops which is half a mile return and that takes it out of me cause I've lost all muscle and get tired very easy but I do drink plenty of fluids....its just that I don't want to lose too much weight as I'm only 9 stone 11 pounds (I'm like a Skeleton)


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Well done in the exercise... That's terrific. To stop the weight loss increase your intake of good fats: abs ado, nuts, seeds, eggs, oily fish etc

If I were you Id significantly back off on the whole grain bread, porridge which could send your Blood Sugar spiking first thing and potatoes.

Keep pressing on:)


Diagnosed 13/4/16: T2, no meds, HbA1c 53, FBG 12.6, Trigs 3.6, HDL .75, LDL 4.0, BP 169/95, 13st 8lbs, waist 34" (2012 - 17st 7lbs, w 42").

6/6/16: FBG AV 4.6, Trigs 1.5, HDL 2.0, LDL 3.0, BP 112/68, BPM 66, 11st 11lbs, waist 30".

Regime: 20g LCHF, run 1 mile daily, weekly fasting.
 

Badboydavey1

Well-Known Member
Messages
163
Type of diabetes
Type 2
Now my nurse has read my food intake and she says wholegrain bread is good and also porridge now potatoes I thought just a couple of fresh new potatoes where good (not mash)


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Prem51

Expert
Messages
7,393
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
*
Now my nurse has read my food intake and she says wholegrain bread is good and also porridge now potatoes I thought just a couple of fresh new potatoes where good (not mash)
That is the standard NHS advice. I can eat wholemeal bread, porridge and any potatoes without getting high bs, but they do effect others. Our bodies all react differently. If you are getting high readings you might need to cut them out and see if the readings come down.
 

Badboydavey1

Well-Known Member
Messages
163
Type of diabetes
Type 2
I think that's what I will try and tomorrow go and see the nurse and ask for blood for late onset T1 (LADA) and c-peptide test see how much insulin my pancreas is producing


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