a bit confused

[susie1953]

its now 2 months since I found out I had type 2 I was really ill my sugars was 69 and was in the HDU in hospital .I was started on insulin twice a day I test my sugar 4 times a day and watch my diet .I was told to aim for my sugar between 9 and 13 .but after reading the posts on here a lot of you aim for below 9 .I have lost a stone and half so that's good but confused about the sugar level bit

 

[Squire Fulwood]

The only official guidance that I know of is that your sugar level should be less than 8.5 two hours after eating. To make sure that they get inside this figure some people aim lower. Some more people just think that the 8.5 target is too high anyway. My opinion is that if you are a type 2 then you should aim to stay under the 8.5 figure.

 

[sanguine]

What's your diet Susie?

 

[jack412]

that should have been for the initial period, for you to get use to it all and have a wide buffer so you don't hypo, ring the nurse, your next target may be 6-10 then 5-9 and finally 4-8

 

[Bluetit1802]

The 9 to 13 was probably an initial target so as not to put you under too much stress to get them lower whilst you were getting used to it all. The NICE guidelines (for the NHS) say for Type 2's 4 to 7 before eating, and under 8.5 at 2hrs after eating.

Many people on here aim for lower. The lower the better.

EDIT post crossed with @jack412

 

[susie1953]

thanks for your reply it isn't easy is it

 

[jack412]

as T2 you also need to get your carbs under control and your weight in normal range


http://www.dietdoctor.com/lchf it’s a long page and a video

http://lowcarbdiets.about.com/od/lowcarbliving/a/Food-Cravings.htm For me, the more carbs we eat the more carbs we want. they don’t give up easy.

http://lowcarbdiets.about.com/od/lowcarb101/a/firstweek.htm

http://www.lowcarbdietitian.com/blog/carbohydrate-restriction-an-option-for-diabetes-management


blood testing

http://www.phlaunt.com/diabetes/14045524.php

http://www.homehealth-uk.com/medical/blood_glucose_monitor_testing.htm

food counting

http://www.myfitnesspal.com/


Newcastle diet aims in 8+ weeks to mimic or better the rate of ~80% remission, for surgery T2

http://www.ncl.ac.uk/magres/research/diabetes/

http://www.diabetesforecast.org/2010/mar/weight-loss-surgery-and-type-2-diabetes.html


American diabetic association ( http://www.professional.diabetes.org/)

http://www.professional.diabetes.org/admin/UserFiles/0 - Sean/dc132042 FINAL.pdf

Evidence is inconclusive for an ideal amount of total fat intake for people with diabetes;

therefore, goals should be individualized; fat quality appears to be far more important than quantity.

In people with type 2 diabetes, a Mediterranean-style, MUFA-rich eating pattern may benefit

glycemic control and CVD risk factors and can therefore be recommended as an effective alternative to a lower-fat, higher-carbohydrate eating pattern.

 

[Bluetit1802]

thanks for your reply it isn't easy is it

No, it isn't easy, but it is easier if you follow a suitable diet. Can we help you with this?

 

[susie1953]

I always worry if I go to low I will give the nurse a call thanks again

 

[susie1953]

if you can help me on my diet that would be greatok im 61 have some weight to loose but I struggle on what to eat

 

[Bluetit1802]

if you can help me on my diet that would be greatok im 61 have some weight to loose but I struggle on what to eat

I expect you have been told to cut out all sugar, but have you been told about carbohydrates? Carbs convert to glucose once inside the system, so it is best to reduce these, especially potatoes, bread, rice, pasta and cereals. Fruit and milk are also difficult for us as they contain a lot of sugar. By how much you reduce them is up to you and what your body can tolerate. You can learn this by testing out your meals. Test before you eat then again 2 hours after your first bite. Ideally, the difference between the 2 readings should be no more than 2mmol/l.


However, as you are on insulin, I don't know how this affects matters so maybe someone else can help with this.

 

[andcol]

if you can help me on my diet that would be greatok im 61 have some weight to loose but I struggle on what to eat

I recommend the newcastle diet. @jack412 gave a link in his post. Worked wonders for many. Make sure you invoolve your nirse/doctor if you are going to do it as your medication may need to be reduced/stopped as you progress through it. Take the leaflets in for them to read as there is little knowledge of the research in the GP surgery!!!

 

[Brunneria]

Hi susie, hopefully an insulin injecting type 1 or 2 will be along soon.

I know that insulin can be prescribed in different ways, and sometimes newly prescribed people are told to eat a set amount of carbs, to suit a standard insulin dose. If that is you, please don't go changing you menus without consulting with you diabetic nurse!

On the other hand, if they have started you on a more flexible regime, then you may be able to adjust carb quantities and tweak your insulin to match. Experienced insulin users will be able to explain it much better than me.

I shouldn't worry about the blood glucose targets you've been given. I'm sure that as you get more in control, your diabetic team will adjust your goals downwards.

How are you feeling?
It is one h*ll of an adjustment to make, isn't it?

 

[susie1953]

hi and thank you for your reply ,im feeling much better now im sure I will find it more easier as time goes on how are you you seem to be doing very well this forum helps dosnt it take care sue