Type 2 hi mmol

tonymajor68

Member
Messages
14
Type of diabetes
Type 2
Treatment type
Tablets (oral)
every morning i test at 6.30am gmt and get the same reading of exactly 13mmol.
average 90 minutes after lonch 15.5 mmol
and evening at 9.3

no idea what my hba1c is as not had it done for about 8 months.
im on metformin 2x500mg a day
antstatin
fluorexatine
daily
i try to eat well,
take home made pack up for lunch etc
do i need to see gp as concerned about high levels
diagnosed type2 almost a year ago
 

MelissaC

Well-Known Member
Messages
106
Type of diabetes
Type 1
Treatment type
Insulin
Hi @tonymajor68

Those levels are a bit high so I would recommend getting in touch with your diabetes consultant to arrange a chat about how you can reduce them. It would also be a good idea to book a blood test so you can see what your current hba1c is.

Melissa
 
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Mep

Well-Known Member
Messages
1,461
Type of diabetes
Treatment type
Insulin
hi @tonymajor68 - I agree with @MelissaC that your sugars are too high. You really need to get your hbA1c done and focus on how to lower your BGL's. It may be you need to review your diet and/or your meds you're on. It could also be that you need diagnostic testing done again if you've not had them done for a while. I wish you the best. :)
 

Bluetit1802

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

Those numbers are quite high. The cause may be your food choices. Can you tell us what you eat in a typical day? We may spot something.
 

tonymajor68

Member
Messages
14
Type of diabetes
Type 2
Treatment type
Tablets (oral)
normal day food intakes,
breakfast bar, belvita bar
10am banana or other fruit
lunch sandwich with ham, cheese, peanut butter filling, etc.
dinner meal with veg mash sausages, oven chips with fish, odd chinese takeout.
probably seems boring
 

Mep

Well-Known Member
Messages
1,461
Type of diabetes
Treatment type
Insulin
normal day food intakes,
breakfast bar, belvita bar
10am banana or other fruit
lunch sandwich with ham, cheese, peanut butter filling, etc.
dinner meal with veg mash sausages, oven chips with fish, odd chinese takeout.
probably seems boring

Do you know what your carb intake is per meal? Eg. I usually have about 30-40g per meal, but sometimes only 20g. From what you've listed you're eating quite a bit of carbs and that could explain your high sugar readings.
 

Prem51

Expert
Messages
7,393
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
*
I can't remember what the Belvita Breakfast Biscuits carb content were, but probably higher than preferable.
Bananas and most fruit (except berries) are high in fructose sugars.
The bread in your lunch sandwich would have highish carbs.
And the sausages, unless they are high meat content, oven chips and chinese takeout would have a lot of carbs.
The portion sizes would also be relevant.
 
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tonymajor68

Member
Messages
14
Type of diabetes
Type 2
Treatment type
Tablets (oral)
portion size could be the biggest issue as i do like my food....
have been offered desmond course but not heard yet with an offer of an appointment.
wife is worried i may end up type 1 but dont even know if thats possible.
thanks for your support tho everyone
 
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azure

Expert
Messages
9,780
Type of diabetes
Type 1
Treatment type
Pump
portion size could be the biggest issue as i do like my food....
have been offered desmond course but not heard yet with an offer of an appointment.
wife is worried i may end up type 1 but dont even know if thats possible.
thanks for your support tho everyone

You can't 'progress'' to Type 1. Type 1 is a different condition (auto immune). A Type 2 who needs insulin is a Type 2 on Insulin.

Perhaps you could chase up that DESMOND course? There may be a waiting list but at least you'll have an idea when you might get on it.
 
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Mep

Well-Known Member
Messages
1,461
Type of diabetes
Treatment type
Insulin
portion size could be the biggest issue as i do like my food....
have been offered desmond course but not heard yet with an offer of an appointment.
wife is worried i may end up type 1 but dont even know if thats possible.
thanks for your support tho everyone

Perhaps learning to count carbs would be helpful? The following online course is free and it may help you get an idea how much carbs are in your food.... it's designed for insulin users although it does have info about how to carb count your food which you do really need to know how to do regardless of whether or not you're on insulin. https://www.bertieonline.org.uk/admLogin.asp

But basically the less carbs in your meal the lower your BGL's should be.... also eating too much protein can raise BGL's so you'd have to watch your portion for protein also.
 
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Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
normal day food intakes,
breakfast bar, belvita bar
10am banana or other fruit
lunch sandwich with ham, cheese, peanut butter filling, etc.
dinner meal with veg mash sausages, oven chips with fish, odd chinese takeout.
probably seems boring

I suggest it is your food choices causing the high blood sugars. There are a lot of carbohydrates in your meals. It isn't just sugar we have to cut right down on. Sugar is just one type of carb. All carbs turn to glucose once inside the system, and it seems you have far too much in your bloodstream. If you cut down on those carbs you will see much better blood glucose levels. The worst culprits are bread, potatoes, rice, pasta, breakfast cereals (including most breakfast bars) and anything made with flour such as pastry, batter, tinned soups, gravy and sauces. We also need to be careful with fruit and milk. The worst fruits are the tropical ones such as bananas. Berries are normally fine.

If you use your meter to test out your meals you will see what your food choices have done to your levels. Test immediately before you eat and again 2 hours after your first bite. Look at the rise from before to after. Anything more than 2mmol/l means there are too many carbs in that meal. It is preferable to keep any rise under 1.5mmol/l if you can. Doing this you can learn which carbs are causing the problems and either seriously reduce the portion size or eliminate completely. This is called "eating to your meter".

You also need to start reading the nutritional details on packaged foods - look for the Total Carbohydrate amount. (ignore the of which sugars). Anything more than 10g per 100g is normally too much, depending how much of it you will be eating at one go. All packaged foods have this information on by law.

I will tag @daisy1 who has some very useful information for newcomers. Meanwhile, read round the forums and ask questions.
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@tonymajor68

Hello Tony and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask questions if you need to and someone will 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.
 

tonymajor68

Member
Messages
14
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Thanks everyone. I have a go appt next week to see what's going on. I believe my problem as you quote rightly say is my carb intake. I just like my food and gotta retrain myself. Many thanks
 
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Johnjoe13

Well-Known Member
Messages
398
Type of diabetes
Type 2
Treatment type
Tablets (oral)
normal day food intakes,
breakfast bar, belvita bar
10am banana or other fruit
lunch sandwich with ham, cheese, peanut butter filling, etc.
dinner meal with veg mash sausages, oven chips with fish, odd chinese takeout.
probably seems boring


Ditch the belvita mate that stuff really is bad for diabetics, I used to eat them as a healthy choice to keep me full on a morning before I started testing or new about the carbs in them. One morning I had three jaffa cakes after as well just to see what the combination would do and I was at 17.6 two hours after,and the following day 14 without the jaffa cakes. Needless to say I haven't eaten either since.