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Newbie Introduction

DevonPete

Member
Messages
9
Type of diabetes
Type 2
Hi, my name is Pete. I live in west Devon but originally come from Birmingham.

Two days ago I had a phone call from my GP's secretary to tell me I am now Type 2 diabetic with a reading of 48, which meant nothing to me, but I suppose it was no surprise.
I am 65 now, but I have been on a long journey with metabolic syndrome, starting with high blood pressure and medication since I was 25. My weight has been a life long problem but I have been in the normal range several times thanks to Scarsdale diets, then around 2005 my GP told me I had very high Triglycerides measuring 22 and put me on 267mg Fenofibrate to bring it within a normal range.

In 2010 I had a minor heart attack, a couple of stents popped in after stress testing showed the need, and the consultant started me on Atorvastatin (commenting he didn't understand why my GP had not already done so). I took the opportunity to retire after this and did a 3 times a week monitored course at the hospital Action Heart Gym for just over 15 months.
Early in 2012 I was hospitalised with SVT and a pulse of 220 bpm but was treated only by increasing my Bisoprolol (one of my 3 blood pressure medications then) to 7.5 mg which seems to have sorted the SVT since.

Over the past couple of years we have been moving down to Devon involving temporary relocation, house searching and virtually no exercise, hence my weight has ballooned from an already heavy 16 stone to 19 st. 12 lbs a few days ago (my heaviest ever and not good for a 5' 11" male). Then in November 2016 I developed swollen legs and ankles and cellulitis. Legs are still somewhat swollen despite 25mg Spironolactone tablets I have been on since.

My diagnosis has explained a lot of the symptoms I have been experiencing over the past few years, particularly so many night time trips to the bathroom!
I have been following the research and critiques on statins for the past year or so, and this has overlapped things like LCHF diet and healthy fats. I stopped using PUFa's and reverted to butter, lard, dripping and olive oil about a year ago, then gradually cut down and stopped taking Atorvastatin two months ago. My GP doesn't like this, but I have had no cramps since stopping and we will review the cholesterol figures and research when we meet in November.

I'm totally up for the challenge of reversing my type 2 diagnosis by LCHF diet alone, but my first diabetic clinic appointment is not until 12th June so I will wait to see what they suggest/offer. Would love to hear views of forum members on this question.
In fact, I have been doing LCHF for a couple of days already and pleased to see the loss of 5 pounds.

This will be tough for me haha. I am a keen 'foodie' and my main hobby is cooking, particularly baking bread and pastry lol. I buy my flour in 16Kg bags from Shipton Mill. Add to that my other half is Filipino and hence heavy rice and pasta lover and you get an idea of the challenge :)
My worst fear was that I would have to give up alcohol. I gave up whiskey after my heart attack but a few beers and wines have crept back into my diet over the years. Research yesterday seems to show beer has got to go, but wine is fine - relieved (pheew)!

Finally, from reading forum posts, sounds like we have to buy our own monitors and test strips due to NHS lack of funding. Your recommendations here would be particularly welcome. I would quite like a machine that could also test ketones as well as blood glucose to see when I am burning fat - or is that a waste of time/money? Are the test strips proprietary to the brands of machine or can any strips be used in any machine?

The forum here is packed with so much information and I have been reading for hours in the past few days. What a great resource! Congratulations to you all.
Hope to get to know a few of you as my journey progresses,

Pete
 
Hi and welcome @DevonPete
I will tag @daisy1 who will post some very helpful info for newcomers.
I found a meter very helpful in sorting out what different foods did to my blood sugars. I was given one by my surgery but when I had got my readings down they told me I only needed to test a few times a week so I ended up buying my own, The expense is in the strips so the cheapest ones people on here have found are the sdcodefree and the Tee2. Neither test ketones and I have no experience of a meter that does, hopefully others could recommend. The stripes are specific for each meter. The Tee2 meter is offered free so that might be a first option.
http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/

You will need extra strips and lancets. Also state you are diabetic then no VAT.
 
If 48 is your Hba1c result than you are really only just diabetic.
Mine was 91, but it dropped to 47 at the second test, and that was easy for me doing Atkins - so hopefully it should not be difficult for you to lower your numbers - you are so nearly not diabetic that simply reducing carbs a bit should do the trick - with any luck, and your weight should drop too.
Carbohydrates are the culprit, they cause insulin to be produced and things get out of hand, fewer grams of carb reduces the signal to produce insulin. Your pancreas gets less upset at being ignored and your cells become more cooperative again, - hopefully.
The usual advice is to reduce the heavy punchers - densely carb things such as grains and potatoes and the high fructose fruits. A meter will show you how you are doing, and help to identify foods which spike you.
 
I would suggest buying the SD Codefree meter as the strips are the cheapest and a separate meter for testing ketones. You should be tesitng your blood sugar multiple times a day whereas you'll probably test your ketones less often so the cost of test strips should be the main driver.
The SD Codefree is available here
https://homehealth-uk.com/all-products/codefree-blood-glucose-monitoring-system-mmoll-or-mgdl/

I just bought 10 boxes of strips (500 in all) for £58.98 using the bulk buy discount code,
5 packs = 264086
10 packs = 975833
which is less than 12p per test..
For ketone measurement I got a CareSens Dual from Spirit Healthcare where 10 ketone strips cost £9.95. As you can see they are more expensive.. also the glucose strips for this meter which does measure both are also £9.95 for 50 so 20p per test.
If you are interested in/aiming at being in ketosis then you will need to restrict your carbohydrate intake quite drastically. Most people have to consume less than 20g of carbs a day to ensure they are in the right range.
 
Hi @DevonPete ,

A warm welcome to the forum from me too.

Lovely part of the world Devon. Been there for a break myself the other week.! :cool:
 
Hi, my name is Pete. I live in west Devon but originally come from Birmingham.

Two days ago I had a phone call from my GP's secretary to tell me I am now Type 2 diabetic with a reading of 48, which meant nothing to me, but I suppose it was no surprise.
I am 65 now, but I have been on a long journey with metabolic syndrome, starting with high blood pressure and medication since I was 25. My weight has been a life long problem but I have been in the normal range several times thanks to Scarsdale diets, then around 2005 my GP told me I had very high Triglycerides measuring 22 and put me on 267mg Fenofibrate to bring it within a normal range.

In 2010 I had a minor heart attack, a couple of stents popped in after stress testing showed the need, and the consultant started me on Atorvastatin (commenting he didn't understand why my GP had not already done so). I took the opportunity to retire after this and did a 3 times a week monitored course at the hospital Action Heart Gym for just over 15 months.
Early in 2012 I was hospitalised with SVT and a pulse of 220 bpm but was treated only by increasing my Bisoprolol (one of my 3 blood pressure medications then) to 7.5 mg which seems to have sorted the SVT since.

Over the past couple of years we have been moving down to Devon involving temporary relocation, house searching and virtually no exercise, hence my weight has ballooned from an already heavy 16 stone to 19 st. 12 lbs a few days ago (my heaviest ever and not good for a 5' 11" male). Then in November 2016 I developed swollen legs and ankles and cellulitis. Legs are still somewhat swollen despite 25mg Spironolactone tablets I have been on since.

My diagnosis has explained a lot of the symptoms I have been experiencing over the past few years, particularly so many night time trips to the bathroom!
I have been following the research and critiques on statins for the past year or so, and this has overlapped things like LCHF diet and healthy fats. I stopped using PUFa's and reverted to butter, lard, dripping and olive oil about a year ago, then gradually cut down and stopped taking Atorvastatin two months ago. My GP doesn't like this, but I have had no cramps since stopping and we will review the cholesterol figures and research when we meet in November.

I'm totally up for the challenge of reversing my type 2 diagnosis by LCHF diet alone, but my first diabetic clinic appointment is not until 12th June so I will wait to see what they suggest/offer. Would love to hear views of forum members on this question.
In fact, I have been doing LCHF for a couple of days already and pleased to see the loss of 5 pounds.

This will be tough for me haha. I am a keen 'foodie' and my main hobby is cooking, particularly baking bread and pastry lol. I buy my flour in 16Kg bags from Shipton Mill. Add to that my other half is Filipino and hence heavy rice and pasta lover and you get an idea of the challenge :)
My worst fear was that I would have to give up alcohol. I gave up whiskey after my heart attack but a few beers and wines have crept back into my diet over the years. Research yesterday seems to show beer has got to go, but wine is fine - relieved (pheew)!

Finally, from reading forum posts, sounds like we have to buy our own monitors and test strips due to NHS lack of funding. Your recommendations here would be particularly welcome. I would quite like a machine that could also test ketones as well as blood glucose to see when I am burning fat - or is that a waste of time/money? Are the test strips proprietary to the brands of machine or can any strips be used in any machine?

The forum here is packed with so much information and I have been reading for hours in the past few days. What a great resource! Congratulations to you all.
Hope to get to know a few of you as my journey progresses,

Pete
Welcome to the forum. I am well versed in symptoms of diabetes. I woke up in hospital only to be told I would be on insulin for life. That was a real shock! Make sure you get yourself a glucose meter and diabetic diary to record your readings. Keep the carbs low, maintain your fluid intake to keep your kidneys healthy. I wish you well. Remember, you are not alone.
 
Welcome to the forum. I am well versed in symptoms of diabetes. I woke up in hospital only to be told I would be on insulin for life. That was a real shock! Make sure you get yourself a glucose meter and diabetic diary to record your readings. Keep the carbs low, maintain your fluid intake to keep your kidneys healthy. I wish you well. Remember, you are not alone.
Thanks for the welcome Leslie. What is a diabetic diary? Is this a special thing we can buy or can I just keep a note of my readings and what I ate before?
 
Thanks for the welcome Leslie. What is a diabetic diary? Is this a special thing we can buy or can I just keep a note of my readings and what I ate before?
You should be able to get one from the chemist, it is a log of day to day glucose readings to assist with your control. You can take it to your gp to demonstrate the effectiveness of treatment.
 
Hi and welcome @DevonPete
I will tag @daisy1 who will post some very helpful info for newcomers.
I found a meter very helpful in sorting out what different foods did to my blood sugars. I was given one by my surgery but when I had got my readings down they told me I only needed to test a few times a week so I ended up buying my own, The expense is in the strips so the cheapest ones people on here have found are the sdcodefree and the Tee2. Neither test ketones and I have no experience of a meter that does, hopefully others could recommend. The stripes are specific for each meter. The Tee2 meter is offered free so that might be a first option.
http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/

You will need extra strips and lancets. Also state you are diabetic then no VAT.
Many thanks, I will just start with a blood glucose meter then and work out what foods are getting me higher
Hi and welcome @DevonPete
I will tag @daisy1 who will post some very helpful info for newcomers.
I found a meter very helpful in sorting out what different foods did to my blood sugars. I was given one by my surgery but when I had got my readings down they told me I only needed to test a few times a week so I ended up buying my own, The expense is in the strips so the cheapest ones people on here have found are the sdcodefree and the Tee2. Neither test ketones and I have no experience of a meter that does, hopefully others could recommend. The stripes are specific for each meter. The Tee2 meter is offered free so that might be a first option.
http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/

You will need extra strips and lancets. Also state you are diabetic then no VAT.
Thanks, that is really useful information. Dreading my first testing haha - have to turn away when they take blood, and doing it to myself will be weird.
 
If 48 is your Hba1c result than you are really only just diabetic.
Mine was 91, but it dropped to 47 at the second test, and that was easy for me doing Atkins - so hopefully it should not be difficult for you to lower your numbers - you are so nearly not diabetic that simply reducing carbs a bit should do the trick - with any luck, and your weight should drop too.
Carbohydrates are the culprit, they cause insulin to be produced and things get out of hand, fewer grams of carb reduces the signal to produce insulin. Your pancreas gets less upset at being ignored and your cells become more cooperative again, - hopefully.
The usual advice is to reduce the heavy punchers - densely carb things such as grains and potatoes and the high fructose fruits. A meter will show you how you are doing, and help to identify foods which spike you.
Many thanks, story of my life being just about (diabetic) lol but I hope this is just because my GP practice picked it up early instead of discovering me in serious trouble later.
As you say, it's about time I discovered what my body really likes and dislikes....the journey continues.
 
Hi and welcome @DevonPete
I will tag @daisy1 who will post some very helpful info for newcomers.
I found a meter very helpful in sorting out what different foods did to my blood sugars. I was given one by my surgery but when I had got my readings down they told me I only needed to test a few times a week so I ended up buying my own, The expense is in the strips so the cheapest ones people on here have found are the sdcodefree and the Tee2. Neither test ketones and I have no experience of a meter that does, hopefully others could recommend. The stripes are specific for each meter. The Tee2 meter is offered free so that might be a first option.
http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/

You will need extra strips and lancets. Also state you are diabetic then no VAT.
Great advice - thanks!
 
Hi @DevonPete ,

A warm welcome to the forum from me too.

Lovely part of the world Devon. Been there for a break myself the other week.! :cool:
Yes Devon is beautiful. We decided to move here after my mom passed away in 2012 leaving us with no close relatives in the Midlands. Walking country here in the southern foothills of Dartmoor - but I need to get fit for that now lol :)
 
I would suggest buying the SD Codefree meter as the strips are the cheapest and a separate meter for testing ketones. You should be tesitng your blood sugar multiple times a day whereas you'll probably test your ketones less often so the cost of test strips should be the main driver.
The SD Codefree is available here
https://homehealth-uk.com/all-products/codefree-blood-glucose-monitoring-system-mmoll-or-mgdl/

I just bought 10 boxes of strips (500 in all) for £58.98 using the bulk buy discount code,
5 packs = 264086
10 packs = 975833
which is less than 12p per test..
For ketone measurement I got a CareSens Dual from Spirit Healthcare where 10 ketone strips cost £9.95. As you can see they are more expensive.. also the glucose strips for this meter which does measure both are also £9.95 for 50 so 20p per test.
If you are interested in/aiming at being in ketosis then you will need to restrict your carbohydrate intake quite drastically. Most people have to consume less than 20g of carbs a day to ensure they are in the right range.
Masses of really useful advice there! Thank you so much!
 
Yes Devon is beautiful. We decided to move here after my mom passed away in 2012 leaving us with no close relatives in the Midlands. Walking country here in the southern foothills of Dartmoor - but I need to get fit for that now lol :)

All my remaining family live/ have moved down there now. But I have to keep "sane" logistical reference for my wife's folks visit from Suffolk.. Lol, me & my siblings were all born in the West Midlands.. My T2 dad too.

But I digress... It's great to see you here Pete!
 
Good luck Pete, but breads, pasta, beer, rice and many (white wines) ... forget them or cut back big time. Your weight is what you must get down along with a good balanced diet
 
@DevonPete

Hello Pete and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. 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 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.
 
@DevonPete

Hello Pete and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. 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 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.
Thanks Daisy, I had already read through that information which I found on the forum, but I am sure I will have lots of questions as time goes on :)
 
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