New member just told I have type 2

Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
Hi All,

Was just diagnosed on Tuesday with type 2, reading was 51 on the blood test, doc has put me on 500mg of metaforim for 1 week and then to increase it by one tablet every week with the aim to be on 4 tablets a day be week 4. So now i am just ploughing through multitudes of sites, tbh its all overwhelming and hard to take it, what diet to follow, what foods you can and cant eat, do I test blood etc
Glad I have found this site and hopefully it will help but finding it hard to figure out what I should do next, Doc seemed to think I should just concentrate on the tablets and he will see me again in a month and go into more details with me, he has also referred me to a clinic/group but no spaces/courses till Oct
 

Liam1955

Master
Messages
10,964
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
Anti-Gay People, Self Centre People, Two Faced People and Bad Language.
Hello @Discopants9 and Welcome to the Forum :).
I will tag @daisy1 who will post on this Thread some useful information for New Members.
Take the Metformin with food as it can cause some stomach upsets in some people and drink plenty of water.
 
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Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
Hello @Discopants9 and Welcome to the Forum :).
I will tag @daisy1 who will post on this Thread some useful information for New Members.
Take the Metformin with food as it can cause some stomach upsets in some people and drink plenty of water.
Thanks Liam, he did explain that they could cause stomach problems and best to eat with my main meal so far think I have been ok with them (touch wood)
 
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Rachox

Oracle
Retired Moderator
Messages
15,904
Type of diabetes
I reversed my Type 2
Treatment type
Tablets (oral)
Welcome! I'm three and a half months from diagnosis. Once I was over the initial shock, I saw it as the proverbial kick up the bum to get healthier. I was started on Metformin too and tolerate it well now after a bit of stomach upset in the early days. I wasn't advised to eat low carb, but stumbled on this forum by chance and took up low carb dieting and self monitoring. To date I've lost just over three stone and got my HbA1c down significantly, all due to the advise I got here :happy:
I'm sure you'll do it too!
 

Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
Welcome! I'm three and a half months from diagnosis. Once I was over the initial shock, I saw it as the proverbial kick up the bum to get healthier. I was started on Metformin too and tolerate it well now after a bit of stomach upset in the early days. I wasn't advised to eat low carb, but stumbled on this forum by chance and took up low carb dieting and self monitoring. To date I've lost just over three stone and got my HbA1c down significantly, all due to the advise I got here :happy:
I'm sure you'll do it too!
Thanks Rachox its stories like this that got me to this forum, well done on your journey so far, may need lots of tips from you in the future
 

Daibell

Master
Messages
12,652
Type of diabetes
LADA
Treatment type
Insulin
Hi. Yes, do get hold of a meter; the SDCodefree on the web is one of the lowest costs. Having a lower-carb diet is the best approach to food and have enough protein and fats to keep you feeling full. If the Metformin should give trouble then do ask for the Slow Release (SR) version.
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@Discopants9

Hello Discopants9 and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it helpful. Ask as many questions as 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 250,000 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.
 
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Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
Thanks will look to get one asap,
@Discopants9

Hello Discopants9 and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it helpful. Ask as many questions as 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 250,000 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.
 

Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
Thanks Daisy, lots of info for me to look into one quick question on the blood testing, I understand the ranges I need to be in, do people test to ensure the BS is in the range which then helps long term to ensure BS is brought down, also was wondering if you have x for a meal and you know the levels that will push your BS to, do people still test after having the same meal again or leave that testing because in theory you would know the levels
 

dbr10

Well-Known Member
Messages
2,237
Type of diabetes
Treatment type
Tablets (oral)
Hi All,

Was just diagnosed on Tuesday with type 2, reading was 51 on the blood test, doc has put me on 500mg of metaforim for 1 week and then to increase it by one tablet every week with the aim to be on 4 tablets a day be week 4. So now i am just ploughing through multitudes of sites, tbh its all overwhelming and hard to take it, what diet to follow, what foods you can and cant eat, do I test blood etc
Glad I have found this site and hopefully it will help but finding it hard to figure out what I should do next, Doc seemed to think I should just concentrate on the tablets and he will see me again in a month and go into more details with me, he has also referred me to a clinic/group but no spaces/courses till Oct
It is overwhelming at first but there is a lot of help and good advice here. Get a meter. Test before food and two hours afterwards. The post meal figure should be <7. Lower is better. Eliminate the foods that caused the higher spikes - bread cereal pasta root vegetables - you can see quite a drop in your bg numbers.
 

ringi

Well-Known Member
Messages
3,365
Type of diabetes
Type 2
That's a high Metaforim dose, most GPs stop at two tablets and wait for the next rond of blood tests (aftert 8 to 13 weeks) to see if a high dose is needed. Reducing the carbs you drink and eat will have much more benfit then any meds, but if you get on OK with Metaforim it will help you.

To begin with, use the testing just to find the meals that make your BG increase the most, so you can lean what not to eat again. Ignore the values, just look at the increase from before a meal to 2hr after you started eating.
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
Hi and welcome. I am surprised your doctor prescribed Metformin with an HbA1c of 51. The normal route with such a low level as that is to give you 3 months on diet and exercise only to see how you manage. I am also surprised he told you to rely on the pills. A suitable diet is the key to control, not Metformin alone. It will only help to a limited extent.

Hopefully you will find a way of eating that will help, and this will involve a reduction in carbs.
 
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Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
Hi and welcome. I am surprised your doctor prescribed Metformin with an HbA1c of 51. The normal route with such a low level as that is to give you 3 months on diet and exercise only to see how you manage. I am also surprised he told you to rely on the pills. A suitable diet is the key to control, not Metformin alone. It will only help to a limited extent.

Hopefully you will find a way of eating that will help, and this will involve a reduction in carbs.
@Bluetit1802 tbh I was thinking this after reading some of the posts on the forum, could the Metformin help with tiredness as previously I was constantly tired, the day after taking my first tablet I felt so much better which could be a placebo effect but 3 days in and I feel like I have so much more energy, do you reckon I should contact the GP again about the dosage or leave it till my review in 4 weeks time
 

Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
@Bluetit1802 tbh I was thinking this after reading some of the posts on the forum, could the Metformin help with tiredness as previously I was constantly tired, the day after taking my first tablet I felt so much better which could be a placebo effect but 3 days in and I feel like I have so much more energy, do you reckon I should contact the GP again about the dosage or leave it till my review in 4 weeks time
@ringi what would your thoughts be on this
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
The Metformin won't do you any harm (unless it upsets your tummy) so no harm in waiting the 4 weeks.
 

AM1874

Well-Known Member
Messages
1,383
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Not much
Hi @Discopants9 .. and welcome
You have certainly made a good move coming here. Since joining this forum, the folks here have given me so much info, advice and support that I am now much more confident about the journey ahead. So ask your questions and be assured that you will receive the answers that you need. It can all seem uphill to start with but, in my experience, it gets easier .. very quickly.

You will come across a lot of conflicting information around but the key point to take on board is that managing and controlling your diabetes (or pre-diabetes) through exercise, diet and testing your Blood Glucose seems to be the best way forward for many people. For me, committing to an LCHF (Low Carb High Fat) lifestyle and testing 3-5 times a day seems to be working and you'll find that there is a wealth of info, relevant advice and positive support about LCHF on the forum ..

I see that @ daisy1 has already been in touch with you and I suggest that you read up on the Low Carb Program in the information that she has sent you. You might also find the discussion on the Low Carb Diet forum helpful .. together with the following Diet Doctor websites, which will give you all the info that you need on what and what not to eat ...
Low Carb Intro and Information and Low Carbs in 60 Seconds

Unless you are prescribed a test meter and strips by your doctor (unlikely), it is a top priority that get yourself one and, for this, the following websites might help:
https://homehealth-uk.com/product-category/blood-glucose/
for the SD Codefree meter, which costs £12.98 or:
http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/
who distribute the TEE 2 meter, which is free.
I have both which I alternate for comparative purposes and I have never found any significant difference between them.

The costs of testing comes down to the ongoing charges for test strips and lancets. Make sure that you tick the appropriate box on the on-line order form and you won't pay VAT on your meter or strips.
For the SD Codefree, the strips are £7.69 for a pack of 50 and there are discount codes available for bulk purchases:
5 packs x 50 use code: 264086 .. cost is £38.45
10 packs x 50 use code: 975833 .. cost is £76.90
For the TEE 2, the strips are £7.75 for a pack of 50 .. but there are no discount codes currently available

I'm testing 3-5 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
 
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ringi

Well-Known Member
Messages
3,365
Type of diabetes
Type 2
If you are not getting the side effects from Metformin just keep taking them, as they are proven to reduce the risk of heart attaches etc in people with Type2 by about 40%. They don’t lower BG much, but they do make it a lot easier for some people to lose weight. Higher the dose the more people who get the side effects and then stop taking Metformin all together, as the benefits from a small dose are so much, most GPs stop at 2 tablets a day to reduce the risk of side effect. But you can always reduce the dose back down to 2 if you do get the side effects.

“Low carb”, “intermittent fasting” and “very low cal diets” (Newcastle diet) all give people great results, much better then what any medication can do on its own. I think it is best to start with low carb, as even when Type2 has been reversed most of us benefit from eating much fewer carbs then we used to for the rest of our lifes.

Exercise also helps, the best exercise is the little you can fit into your life every day, not the lot that people tell you to do and you ignore. Just standing up every hour walking 5 steps then sitting back down has been proven to reduce BG. A 20 minute walks before or/and after a meal has great benefit, if done every day, the benefit is more than going for a 2hr run once a week. Resistance training and HIT are great, but the short walk at least once a day should be your first aim.
 
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Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
If you are not getting the side effects from Metformin just keep taking them, as they are proven to reduce the risk of heart attaches etc in people with Type2 by about 40%. They don’t lower BG much, but they do make it a lot easier for some people to lose weight. Higher the dose the more people who get the side effects and then stop taking Metformin all together, as the benefits from a small dose are so much, most GPs stop at 2 tablets a day to reduce the risk of side effect. But you can always reduce the dose back down to 2 if you do get the side effects.

“Low carb”, “intermittent fasting” and “very low cal diets” (Newcastle diet) all give people great results, much better then what any medication can do on its own. I think it is best to start with low carb, as even when Type2 has been reversed most of us benefit from eating much fewer carbs then we used to for the rest of our lifes.

Exercise also helps, the best exercise is the little you can fit into your life every day, not the lot that people tell you to do and you ignore. Just standing up every hour walking 5 steps then sitting back down has been proven to reduce BG. A 20 minute walks before or/and after a meal has great benefit, if done every day, the benefit is more than going for a 2hr run once a week. Resistance training and HIT are great, but the short walk at least once a day should be your first aim.
Thank you some very good tips I will follow
 

Discopants9

Active Member
Messages
34
Type of diabetes
Type 2
Hi @Discopants9 .. and welcome
You have certainly made a good move coming here. Since joining this forum, the folks here have given me so much info, advice and support that I am now much more confident about the journey ahead. So ask your questions and be assured that you will receive the answers that you need. It can all seem uphill to start with but, in my experience, it gets easier .. very quickly.

You will come across a lot of conflicting information around but the key point to take on board is that managing and controlling your diabetes (or pre-diabetes) through exercise, diet and testing your Blood Glucose seems to be the best way forward for many people. For me, committing to an LCHF (Low Carb High Fat) lifestyle and testing 3-5 times a day seems to be working and you'll find that there is a wealth of info, relevant advice and positive support about LCHF on the forum ..

I see that @ daisy1 has already been in touch with you and I suggest that you read up on the Low Carb Program in the information that she has sent you. You might also find the discussion on the Low Carb Diet forum helpful .. together with the following Diet Doctor websites, which will give you all the info that you need on what and what not to eat ...
Low Carb Intro and Information and Low Carbs in 60 Seconds

Unless you are prescribed a test meter and strips by your doctor (unlikely), it is a top priority that get yourself one and, for this, the following websites might help:
https://homehealth-uk.com/product-category/blood-glucose/
for the SD Codefree meter, which costs £12.98 or:
http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/
who distribute the TEE 2 meter, which is free.
I have both which I alternate for comparative purposes and I have never found any significant difference between them.

The costs of testing comes down to the ongoing charges for test strips and lancets. Make sure that you tick the appropriate box on the on-line order form and you won't pay VAT on your meter or strips.
For the SD Codefree, the strips are £7.69 for a pack of 50 and there are discount codes available for bulk purchases:
5 packs x 50 use code: 264086 .. cost is £38.45
10 packs x 50 use code: 975833 .. cost is £76.90
For the TEE 2, the strips are £7.75 for a pack of 50 .. but there are no discount codes currently available

I'm testing 3-5 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
Thank you very much lot of useful info, just need a deep breath relax and take it all in now