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high blood sugar count

Discussion in 'Greetings and Introductions' started by bignic147, Nov 11, 2017.

  1. bignic147

    bignic147 Type 2 · Member

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    hi anyone just been given bad news type 2 arrr bs level started at 27 had gliclazide for 2 days now still at between 19-21 read should i be worried ??
     
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  2. Guzzler

    Guzzler Type 2 · Well-Known Member

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    Could you tell us a little more? What dosage are you on and is glic your only med? How about your HbA1c result, do you know what it was on diagnosis/the latest?

    This will help members to help you. Welcome to the forum, you are in good company.
     
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  3. bignic147

    bignic147 Type 2 · Member

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    hi thanks for reply i am on 80mg gliclazide and that is all i have been given no dietry reqs ect, i dont know what my hba1c is never heard that mentioned ???
     
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  4. Guzzler

    Guzzler Type 2 · Well-Known Member

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    The HbA1c is a blood test to find out the average glucose levels there are in your blood. Two blood tests are done and the second one is just to confirm the result of the first. The average is calculated over roughly a three month period. It takes the second test to confirm a diagnosis of T2 Diabetes and then a treatment plan is put into place.
    May I ask if your Diabetes nurse or your gp has referred you for an eye test? Did anyone check your feet yet?

    You may ask for a copy of all your test results and I suggest you ask for a printout of them as you will be able to understand from members just what those test results mean.

    Sorry, I can't advise you on your medicine as I do not take it but your diet will be key to improving your blood glucose levels and in that way you can improve your health.

    I will tag @daisy1 who will swing by with more info, it is really useful. Good luck.
     
  5. Hammer1964

    Hammer1964 Type 2 · Well-Known Member

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    Hi bignic147 I was on 80mg of gliclazide when I was diagnosed in April. My HbA1c was 78 when diagnosed and after 4 months my gliclazide was reduced to 40mg and now I have been taken off it as giving me too many hypos. Put on metformin and playing havoc with my tummy! It did take about 3-4 days before my levels dropped below 10. Hope it sorts out for you.
     
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  6. Daibell

    Daibell Type 1.5 · Expert

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    Hi. Those BS levels are very high. You need to go back tot the GP. Perhaps the Gliclazide should be increased if the GP/DN agrees? What is your BMI and how old are you? You do need to ask the GP for an HBa1C test as your BS is so high.
     
  7. daisy1

    daisy1 Type 2 · Guru
    Staff Member Retired Moderator

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    @bignic147

    Hello Bignic 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 when you need to 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 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 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.
    • 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.
     
  8. bignic147

    bignic147 Type 2 · Member

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    thanks for reply maybe it will take time to have effect
     
  9. bignic147

    bignic147 Type 2 · Member

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    hi appreciate effort will ask for print of result, and let u know. had eye test all good ty, no one checked feet yet i loose sensation in middle toes though when cold and is sometimes painful. nic
     
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  10. bignic147

    bignic147 Type 2 · Member

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    hi Daibell thanks for reply bmi hmm big but lost 2 stone in short time so that is improving ha thanks for advice 57yr old :( bs today 20.1
     
  11. Hammer1964

    Hammer1964 Type 2 · Well-Known Member

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    Hi Nic, I think you need to go back to your doctor, sometimes drugs don’t suit us and they need to be changed. Good luck Tracy
     
  12. Daibell

    Daibell Type 1.5 · Expert

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    Thanks for the reply. The reason I asked is that sometimes if you are slim at diagnosis you can be T1 and not T2 but it sounds like T2 is probably correct and a continued low-carb diet and the tablets should bring you down albeit gradually.
     
  13. bignic147

    bignic147 Type 2 · Member

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    hi checked feet today found i had fallen arches and flat feet ha better than other option i suppose :0 hba1c 120mmol bs just now still high 16.5
     
  14. Hammer1964

    Hammer1964 Type 2 · Well-Known Member

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    Hi Nic, what did your doctor say about your bs being high and Gliclazide?
     
  15. bignic147

    bignic147 Type 2 · Member

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    Hi she said it would be reviewed at 3 months ??? should i be worried or should review be sooner.
    many tks for continued support scarey of chart numbers eh
     
  16. bignic147

    bignic147 Type 2 · Member

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    120mmol reading gulp
     
  17. Hammer1964

    Hammer1964 Type 2 · Well-Known Member

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    Well yes it is on the high side. We do place our faith and life in the hands of the medical practitioners but we also have to help ourselves. You have said that you have lost two stone, are you following a diet? Reviews are normally done at 3 months for HbA1c as it gives an account of your last three months of eating, health etc. If you have had an infection or cold in the last three months then that will result in higher levels.
    Tell me to bug off if I am being too nosey!
     
  18. bignic147

    bignic147 Type 2 · Member

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    no set diet plan just cut out a lot of bad stuff ha u name it i ate it in abundance lol, r u in a good place at the moment then ??
     
  19. Hammer1964

    Hammer1964 Type 2 · Well-Known Member

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    Mmm well, started off in April 17 with a HbA1c of 78 and put on 80mg of Gliclazide a day. (had two infections at the time, sinusitis and costochondritis) two months later another test and HbA1c of 60, another month later and HbA1c of 44 (3 months clear of infections) Gliclazide then lowered to 40mg a day, then fast forward to mid October and HbA1c 37 and went back last week as I had had a hypo every day for 5 days. So diabetic nurse said we are stopping Gliclazide and putting you on Metformin. I had only taken it for two days and had enough - doubled over with stomach cramps, wanting to bite People’s heads off, nausea so I decided to stop it, going back on the 23rd Nov. I do believe in listening and knowing my own body and eating to my meter.
     
  20. bignic147

    bignic147 Type 2 · Member

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    hba1c at 120mmol when first checked last thursday
     
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