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pre-diabetes, fasting blood sugars.

Discussion in 'Prediabetes' started by catherinecherub, Jan 4, 2017.

  1. daisy1

    daisy1 Type 2 · Guru
    Retired Moderator

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    Hello and welcome to the Forum :) For those members who have not read this already, here is the Basic Information for new members (tagged above) and I hope you will find it useful. Ask as many questions as you want and someone will be able to 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 245,000 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
     
  2. phonic2k

    phonic2k Other · Well-Known Member

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    4.8@8am ... Back to eating my normal higher carb diet. I was eating lower carbs and found it's true it does increase base levels. Interesting, and but worrying. Glad it did no damage. Not doing that again.
     
  3. Alison Campbell

    Alison Campbell Prediabetes · Well-Known Member

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    @phonic2k I appreciate low carb does not work for you. There needs to be more research on low carb diets full stop and also why it works for most and not others.

    I know I would be 6 stone heavier and diagnosed type 2 if I did not moderate my carbs to approx 100g a day over the last 5 years.
     
  4. phonic2k

    phonic2k Other · Well-Known Member

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    I was just sharing my findings, as I don't post here that much anymore.

    Low carb does indeed work in lowering overall HBA1C results, but I'm talking about very low carb diets. From research it is found very low carb diets has a negative affect on base line glucose levels, and was simply trying it out. You need to go very low apparently, well lower than your 100g, but interestingly changing to higher card diet after very low, can also bring about higher after meal readings like its shocked with the higher carb meal, so best to increase slowly.

    If you are able, it's also good to try HIIT cardio workouts, and resistance training to prevent muscle loss, it works wonders in the long term aim of reversing insulin resistance and with it diabetes, it's hard work, and not a overnight fix, but well worth it.
     
    • Informative Informative x 1
  5. phonic2k

    phonic2k Other · Well-Known Member

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    4.5mmol/l this morning.
     
  6. phonic2k

    phonic2k Other · Well-Known Member

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    Fasting: 4.7 at 8am, and 5.0 and 4.5mmol/l after food today.

    I've been eating Lidl Low GI rolls with my food misread them for low carb, and was shocked when I found out that they contain 39g carbs in each roll, so yesterday was around 300g carbs, and today is looking the same... but interestingly my levels are even lower today.

    I've been trying to cut down to give my body a rest before I go on holiday..oh well!. Anyway, I've done testing until September, holiday time.

    Have a great summer everyone !!
     
    • Like Like x 1
  7. phonic2k

    phonic2k Other · Well-Known Member

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    Is everyone on holiday already? Last one I promise...

    Fasting: 3.8@9am(Checked twice and got 3.8 on second test on different meter)
    After eating: 3.9(same on two tests)@2 hours and 40 minutes after eating lidl Low GI rolls(30-39g carbs), and 165g(25g carbs) blueberries, and some chocolate 30 minutes after with milk coffee.

    I was expecting it to be lower than the normal 4s, as I did some late night HIIT exercise, but interestingly it continued to be 1mmol/l lower than normal even after breakfast even on a high carb breakfast.
     
    #467 phonic2k, Jul 20, 2017 at 4:31 PM
    Last edited: Jul 20, 2017 at 6:49 PM
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