Hi from South Africa

Deon

Member
Messages
6
Hi from Pretoria, South Africa. I've finally registered here because this site is so immensly useful and have helped me find answers to a number of questions I had. There is nothing like this available locally, so apologies for gate-crashing (lol). I'm male, 47 years of age, diagnosed 6 years ago (T2), but I believe I was diabetic for a number of years prior to diagnosis. Here's how it happened.

At the time I was in a highly paid, high-stress job, I was was 41 and in the prime of my life, had the benefits of (excellent) medical insurance, the fancy car, no bond on my house, frequent travel - I was having the time of my life!

Then one day, I ended at the Emergency Ward with chest pains. It turned out not to be too serious, only angina (heart cramps), but the Cardiologist requested he perform an angiogram just to make sure everything was okay. A date for the procedure was set, authorisations obtained from the medical insurance and I booked into the hospital the following week for what turned out to be an angiogram from HELL!!!!!

During the procedure a catheter is inserted into the main artery in the right groin and after the procedure is completed, one must remain flat on one's back for at least 8 hours, with a pressure bandage over the incision site. Normally this is a day procedure - no need to stay in hospital overnight. I however, remained there for 4 days and 4 nights, knocked out on a mixture of Rehipnol and Pethedine. The cut in my groin did not seal and I bled internally for the full 8 hours I was on my back - it was only noticed when I was given to go ahead to get up. To make a long story short, the Cardiologist was (and still is) one of best around and there really was no reason to blame him for what happened. He personally apologised to me for the "complications", and at the same time suggested he test me for diabetes. His suspicions were confirmed and we had our answer to why the wound did not seal. Diabetics heal slower.

I was put on Glucophage (Metformin) straight away and I committed fully to a healthy eating plan. I lost 25kg, but Metformin and I did not get along. I suffered INCREDIBLE tummy upsets which DID NOT get better with time and Metformin simply caused havoc in my body. I was feeling (and looking) so much better and although highly stressed at work - life was good again and I stopped taking all medication, including my meds for Hypertension. I would on occasion check my BG and it would be somewhere between 6 & 7. That's okay, I reconed - diet is working. I was in such denial. This denial lasted nearly 18 months, ending twelve days before my 45th birthday, when on Monday the 8th of June 2009 I suffered a stress induced heart attack, coming awfully close to clocking out. How was that for a wake-up call?

Naturally I was off work for some time, during which I was put onto insulin - Levemir & Novorapid. I gained weight and really started feeling "old and diseased". My employment was contract based and when the time came three months later, the Company chose not to renew my contract and I suddenly found myself unemployed. Salary, luxury company car, free fuel, company credit card, company travel, and medical aid all gone in one day - at a time that I needed my medical insurance the most.

And then I did it again - I went of my insulin again because this time I had an excuse - I could not afford it. And then one day, a single act of random kindness pulled me back fom the edge of self-pity and possibly another round of denial. I started having terribly sore feet and went to see my GP about it. Her opinion was that it was peripheral neuropathy - it wasn't quite what I wanted to hear, but I thanked her for the script nevertheless. Upon wanting to pay for the consultation at reception the receptionist handed me a zero invoice and a box of Levemir and a box of NovoRapid pens, and said: "With compliments, from Dr. - no excuses." This doctor has been my GP for the past fifteen years, so she knows everything about me and I immediately got the message. No more words were needed. I think I finally made peace with the fact that I have diabetes that day. I've remained on my meds since, lost some weight again, and have good BG control because I realise that diabetes does not only affect oneself, but every other person that loves you. Not taking care of yourself is selfish, and foolish.
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
Hi Deon and welcome to the forum :) I enjoyed reading your post and am glad that you are now looking after yourself well having accepted your diabetes. We have members from all over the world, myself included, and we all learn and contribute here.

I think you might be interested in this information that we give to new members. I hope it is helpful to you although parts of it only apply in the UK. If you have any questions, please ask as you will receive some useful replies on here.

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 30,000 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 ... rains.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 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.