Newly diagnosed diabetic

twixer

Newbie
Messages
3
Hi folks, just been diagnosed with diabetes, I now have a meter and test strips, yesterday I received my prescription of metformin and upon reading the information leaflet, it says to be wary about taking diuretics, strong painkillers and anti inflammatory drugs, well I take all 3, what do I do ?
 

Dexterdobe

Well-Known Member
Messages
305
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Being unwell and seeing BG levels soar
Hello
Hi folks, just been diagnosed with diabetes, I now have a meter and test strips, yesterday I received my prescription of metformin and upon reading the information leaflet, it says to be wary about taking diuretics, strong painkillers and anti inflammatory drugs, well I take all 3, what do I do ?
Hello. You have found the right site. Ask as many questions as you like. I did and it helped me get my HBa1C down from 53 to 40 without medication. What is your HBa1C reading? There's lots of advice here that will help you get it down.
 

briped

Well-Known Member
Messages
947
Type of diabetes
Type 2
Treatment type
Non-insulin injectable medication (incretin mimetics)
I mean HBa1C ! What is that? and how do I find out what it is ?
Hi and welcome :) HBa1C is an average of your blood glucose over the last 10-12 weeks. Your GP should know the answer, and apparently you should be able to get hooked up to get your lab results online.
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
I mean HBa1C ! What is that? and how do I find out what it is ?

It is the blood test that doctors use to diagnose diabetes. You absolutely need to know what yours is. It is vital. If you are in England you can ask your surgery if they put test results on line and how to register for this. Or you can just ring the receptionist and ask for a print out of your test results. You are entitled to these. If you don't understand what the results mean all you have to do is ask on here.
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@twixer
Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it both interesting and helpful.

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 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. Most of these are 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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Kinnek

Member
Messages
7
Type of diabetes
Type 2
Hi All,

I have been diagnosed as Type 2 for 18 months. My latest Hbac was 93 which was an increase from the last time. I am supposed to be on Metformin twice a day - I say supposed to be because I have been on and off metformin for a number of years (pre diabetes) and it has not done anything for me. What potentially are the next steps for me to try and get sugars down?

Best Wishes
Kathryn
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
Hi All,

I have been diagnosed as Type 2 for 18 months. My latest Hbac was 93 which was an increase from the last time. I am supposed to be on Metformin twice a day - I say supposed to be because I have been on and off metformin for a number of years (pre diabetes) and it has not done anything for me. What potentially are the next steps for me to try and get sugars down?

Best Wishes
Kathryn

If you tell us what your normal typical day's food and drinks are we may be able to help. Diet is the key. Metformin only helps to a limited extent and should be used alongside a suitable diet.
 

ianwj

Newbie
Messages
4
Type of diabetes
Prediabetes
I used to be on Metformin (smallest dose) a couple of years ago. I stopped taking it and my glucose was still OK. Now I’m in the range of 6.8 - 7.6 pre pandial. I would make the comment that Metformin comes in four strengths. I was on the lowest one.
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
I used to be on Metformin (smallest dose) a couple of years ago. I stopped taking it and my glucose was still OK. Now I’m in the range of 6.8 - 7.6 pre pandial. I would make the comment that Metformin comes in four strengths. I was on the lowest one.

Are you happy with a range of 6.8 to 7.6 pre-prandial? What are you post-prandial?