Newly diagnosed type 2

Goonergal

Master
Retired Moderator
Messages
13,465
Type of diabetes
Type 2
Treatment type
Diet only
Hi

Newly diagnosed with type 2 in December. Going to give low carb a try - successfully used it for weight loss several years ago and to me it makes more sense than the NHS recommended diet. Has anyone been on a DESMOND course? Have been signed up by mp GP, but no idea what to expect. Reading through it seems lots of people are testing their blood. Should I be doing this. All advice welcome.
 
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Hiitsme

Well-Known Member
Messages
2,987
Type of diabetes
Type 2
Treatment type
Diet only
Hi and welcome @Goonergal
I will tag @daisy1 who will post some helpful info for newcomers.
I found testing my blood really helpful as I could see what food did to my bloods, so found out what worked and what needed to be avoided.
I was given a meter and test strips to begin with but as I'm now considered under control I ended up buying my own meter and test strips. Not all carbs affect us in the same way so it's worth checking what your body can cope with.
I use the sdcodefree from Homehealth as the test strips are the cheapest people have found. I can post details if you are interested.
I went on Desmond about 9 months after diagnosis, but by that time I already had reasonable control. They did tell us to cut carbs and some of it was helpful. Good to meet others.
 

Goonergal

Master
Retired Moderator
Messages
13,465
Type of diabetes
Type 2
Treatment type
Diet only
Thanks @Hiitsme. I'll look into that meter. Glad to hear that Desmond might be useful - not going until March.
 

Hiitsme

Well-Known Member
Messages
2,987
Type of diabetes
Type 2
Treatment type
Diet only
The link for the meter is
http://homehealth-uk.com/product-category/blood-glucose/blood-glucose-monitor/
In UK we use mmol/L
You need to tick box that you're diabetic so you don't pay VAT
If you buy the strips in bulk the discount codes are
5 packs 264086
10 packs 975833
A lot of type2's on this site use them as the strips are the cheapest we have found.

I restricted the carbs my body couldn't cope with. You might like to look at the low carb program on this website. There will be a link in Daisy's post. I didn't do it as I had already found what I could eat and what was better avoided when it started but I've read lots of positive posts about it.

Do ask questions and people will try and help/
 

Maggie/Magpie

Well-Known Member
Messages
279
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Butternut Squash, Cabbage and confrontation.
Hi and welcome to the forum.
Testing and low carb is certainly the way forward - works for me any way although I know we are all different but I would advise giving both a go.
Maggie
 

daisy1

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

Hello Goonergal and welcome to the forum :) Here is the basic information, mentioned above, that we give to new members and I hope you will find it helpful. It contains advice about carbs and levels in particular and includes a link to the Low Carb Program. 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 220,000 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.
 

Goonergal

Master
Retired Moderator
Messages
13,465
Type of diabetes
Type 2
Treatment type
Diet only
Thanks very much @Hiitsme @Maggie/Magpie and @daisy1

I've already picked up a lot just by browsing the forums.

One thing what about diet drinks / sweeteners? Do they also raise blood sugar, or do I need to test to find out?
 

DeejayR

Well-Known Member
Messages
2,381
Type of diabetes
Treatment type
Diet only
Hello @Goonergal . Many of us use various sweeteners and diet drinks but you have to decide what you prefer as well as testing. By and large they shouldn't raise blood sugar levels. But some aren't very nice in my view and we're looking for pleasant things to encourage ourselves, not feeling we have to be consigned to second-best.
I use xylitol (which is poisonous to dogs, if you have one) and occasionally drink diet coke. Other people will explain their different choices.
 

Hiitsme

Well-Known Member
Messages
2,987
Type of diabetes
Type 2
Treatment type
Diet only
I personally don't use diet drinks or sweeteners but plenty on here do. I drink mainly plain water and coffee without sugar. My suggestion would be to test and see what works for you.
 

James1968

Well-Known Member
Messages
441
Type of diabetes
Type 2
Hi

Newly diagnosed with type 2 in December. Going to give low carb a try - successfully used it for weight loss several years ago and to me it makes more sense than the NHS recommended diet. Has anyone been on a DESMOND course? Have been signed up by mp GP, but no idea what to expect. Reading through it seems lots of people are testing their blood. Should I be doing this. All advice welcome.

Let me know how you get on with the DESMOND course, mine is not until June
 

Goonergal

Master
Retired Moderator
Messages
13,465
Type of diabetes
Type 2
Treatment type
Diet only
Let me know how you get on with the DESMOND course, mine is not until June

Hi @James1968

Promised to feed back on the Desmond course. Went today and in my opinion it's a waste of time for anyone that has spent any time on this site. Pace was very slow, delivered in a somewhat patronising manner and a huge emphasis on the general NHS 'healthy' eating - they even put out a huge packet of biscuits at the break. Also comments about inevitable progression of type 2.

For example, they did an exercise where you estimate how much sugar is in various portions of food by placing sugar cubes next to them. When it was indicated that there are 12 cubes in 3 tablespoons of rice, they asked what the conclusion was. I said that I just don't eat it, or other carbohydrates. The comment was brushed aside with a "well, that's a choice."

Kept quiet after that!