4 weeks on from diagnosis

abie6

Member
Messages
8
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
1. No "low carb" or "zero sugar" aisles in supermarkets. 2. Sugary "low fat" foods.
My first post. I was diagnosed 4 weeks ago, and like many, the whole experience has been quite bewildering.

Here's how it happened. 4/5 weeks ago I went to my GP about something else, and had my bloods taken. I then received a phone call from my GP who advised that the results suggested I had diabetes.

It all started to make sense. I had two fingertips that felt numb, which I put down to them being injured one weekend when I was DIY'ing. For some time I'd felt wretched, extremely thirsty, always pee'ing and couldn't cure my hunger. I was travelling 6 hours a day to and from work and working long hours, eating anything, especially bread, pasta and pastries, at all sorts of hours to make the feeling of being "hung-over" with tiredness go away, and put it all down to the pressures of work. There's a lesson re not realising what I had!

I went back, gave more bloods, and then went to see the "diabetes nurse" who confirmed I had T2D. She then said I had to lose weight, and cut down on portions and any alcohol consumption. By then I had read enough to work out that the ingestion of sugar raises BS (already starting to use the lingo) and that if the body turns carbs into sugar, the ingestion of carbs also raises BS. In simple terms of course. So I asked the nurse about a low carb diet, she said she didn't know, and suggested that if I wanted to know more I should see a dietician. She said I had to get my eyes and my feet checked. I was given a prescription for Metformin (I always want to say "Metaformin, seems to make more sense with an extra vowel). Take 1 tablet for a bit and then take 2. Run around a bit more. Since then I have had no further interaction with my GP. The feeling has very much been one of "You have type 2 diabetes, now off you go"!

Here are my initial thoughts, at an early stage:

The internet is so contradictory. There are crazy sites out there suggesting that T2Ds can tuck into sweets and cakes, just eat smaller portions. Even on this site there are occasional pro-sugar articles. All very confusing. And the forums....for anyone who posts what they think is a helpful message, there seem to be others who want to jump in and disagree and prove they are more "diabetes clever". All very confusing.

The day to day problem is- what to eat? As stated above, I have a job that takes up a lot of my time, working and travelling and things are about to get a lot busier. Anything convenient and pre-made has sugar packed into it, or is high in carbs. Yes, I know, I need to buy raw and develop a taste for hedge clippings with a low fat water dressing!!

And that leads me onto "low fat food". I have come to the view that we in the UK have been conned by the idea that we should eat "low fat". Eating fat doesn't make you fat. But supermarkets have "low fat" products in abundance. The NHS has adopted the "low fat" mantra. It all comes from a 1950s US study, which completely ignored a lot of its own findings. So we now have "low fat" food jam-packed full of sugar!! Poison for T2Ds. One supermarket's diet shakes' main ingredient is sugar!! Sugar!! There's a section of an aisle for "lactose intolerant". But where are the aisles for "sugar free" foods or "low carb" foods?? Nowhere!! Could the reason be that "low fat" allows the food/sugar industry to continue to pump out food packed full of cheap sugar?

So, again, what to eat? I don't know, I'm only 4 weeks in, and I'm already fed up with the question. Seems to me that, as a T2D, or to put it another way, sugar/carb intolerant, logically I need to avoid sugar and carbs (carbs being sugar-in-waiting), so that's what I've done. Endless trawls to supermarkets, up and down aisles, reading labels, shocked at the amount of sugar and carbs in anything pre-prepared, despair, and then I buy a cauliflower, three tins of tuna and a packet of kale. Bleugh!

On the bright side, I've lost 14 lbs in just under 4 weeks, which is a good thing. On the dark side, over the last 4 days I've had a pain in my left flank, around about the area where I would imagine my left kidney is. I'm seeing a GP on Tuesday. Since diagnosis I've noticed tingling in my fingers, and pins and needles in my feet, with my left foot's pins and needles verging on the painful.

That's it so far............
 
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Daibell

Master
Messages
12,652
Type of diabetes
LADA
Treatment type
Insulin
Hi and welcome. You already have an excellent understanding of T2 and of a suitable diet. Yes, GPs do refer most of us to a DN even when on insulin and in many ways nurses can be better. Diet is the key as you have discovered plus a good bit of exercise. Yes, carbs are the issue so search for the lower-carb products and yes, we have all been conned by the low-fat mantra and each large organisation copies stuff from the others without checking the validity. My wife now ignores most of the supermarket aisles and reads the labels. We have found Irish low sugar fruit yogurts which have sweeteners. Meat, fish and fats are OK which leaves quite a choice. You do need to have some sweeteners and trust that they are not harmful in the quantities we eat. Alcohol is OK in sensible quantities. I think you will find although there are disagreements amongst posters most of the time there is common ground (it used to be a lot worse) and it's up to the reader to make their own choice of what to take on board.
 
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LolPer

Member
Messages
6
Type of diabetes
Treatment type
Tablets (oral)
Hi Abie6. What to eat is a minefield. I can manage fine when I am at home and sticking to my usual routine, I haven't found anything yet that is pre packed which doesn't have tons of carbs/sugar in it. Even pre made coleslaw had added sugar! I can only suggest that you take a home made salad to eat on your travels. Include a good portion of protein, such as chicken or ham, a good portion of cheese and a handful of nuts (brazils, walnuts, almonds). You can make coleslaw using good quality, full fat mayo. I have similar issues when we go rambling, what do I put in my rucksack to eat during the day? My BG control is much better now and I can eat a few carbs, particularly if I am burning calories. I can now manage a banana (I don't eat it in one 'meal') and a small satsuma, but again not eating them together. I tend to substitute the carbs I would have eaten with fat but 'good' fat. Avocados are a great source of good fat and easy to transport.

Your weight loss is very good, so you must be doing something right. It is early days for you and no doubt you will still be on that emotional roller coaster ride. Most forum members recommend the LCHF diet and I too follow this. I would also recommend that you obtain a meter to test your BG. You can then establish which foods do not suit you (everyone is different) and spike your BG.

I too have nerve damage in my toes with no feeling in one. I find this very painful when wearing shoes and it feels as if my toes cramp. It plays havoc when we go walking and I have to take my boots off and massage my toes to ease the pain. I have a meeting with a foot specialist in April and it has been suggested that I have a cortisone injection to ease the nerves in the base of my toe. You are doing the right thing by seeing your GP.

Good luck
 

abie6

Member
Messages
8
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
1. No "low carb" or "zero sugar" aisles in supermarkets. 2. Sugary "low fat" foods.
Thanks to both for your replies. Yes it has been a bit of an emotional roller coaster. I was going to ask about blood testing machines. Not something discussed so far at the GPs and I understand strips not available on NHS. Can it be costly? I suppose the question back to me is- how much do you value your health? Are some machines better than others? What about the offer Diabetes UK promotes- the type 2 testing programme, blood glucose machine and 400 strips and lancets over a year for £120?
 

steveninag

Newbie
Messages
2
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Thanks to both for your replies. Yes it has been a bit of an emotional roller coaster. I was going to ask about blood testing machines. Not something discussed so far at the GPs and I understand strips not available on NHS. Can it be costly? I suppose the question back to me is- how much do you value your health? Are some machines better than others? What about the offer Diabetes UK promotes- the type 2 testing programme, blood glucose machine and 400 strips and lancets over a year for £120?
Hi Abie
Great on your weight loss. I tried to speak to my Dr about a BG meter and he said I did not need to test. A week later I went to see the Nurse and mentioned that I needed a meter to test my BG levels. She opened a draw and pulled out a meter complete with all the info and instruments. I also get replacements at our local surgery when I run out. When you see the nurse, insist that you need one. I have a repeat prescription for testing strips and lancets when I need them. Good luck..
 

muzza3

Well-Known Member
Messages
1,789
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Cauliflower pretending to be rice and any vegetable pretending to be pasta
Hi @abie6

Welcome to the forum. I have tagged @daisy1 who will post for you some great information for newbies that is well worth reading.
I have been on here for over three months now as it has been fantastic to educate myself and get advice and answers to questions that I needed. Here are just two things that nearly everyone on here agrees with to get you started
  1. Get a meter and self test. This puts you in control as you know where your blood glucose levels are at and can see what impact food you eat has on them
  2. Reduce the amount of carbs that you eat eg: Sugar, Sweets, Bread, Pasta, Rice and sugary drinks
Other than that look around the forums on Diet and What people are eating to find out what will work for you and if you are not sure ask questions on here
Cheers
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@abie6

Hello and welcome to the forum :) Lots of very useful info above. Here is the basic information we give to new members and I hope it will be helpful to you. 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 over 150,000 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

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

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

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


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 bloodglucose 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.
 

lorsand

Well-Known Member
Messages
52
Type of diabetes
Type 2
My first post. I was diagnosed 4 weeks ago, and like many, the whole experience has been quite bewildering.

Here's how it happened. 4/5 weeks ago I went to my GP about something else, and had my bloods taken. I then received a phone call from my GP who advised that the results suggested I had diabetes.

It all started to make sense. I had two fingertips that felt numb, which I put down to them being injured one weekend when I was DIY'ing. For some time I'd felt wretched, extremely thirsty, always pee'ing and couldn't cure my hunger. I was travelling 6 hours a day to and from work and working long hours, eating anything, especially bread, pasta and pastries, at all sorts of hours to make the feeling of being "hung-over" with tiredness go away, and put it all down to the pressures of work. There's a lesson re not realising what I had!

I went back, gave more bloods, and then went to see the "diabetes nurse" who confirmed I had T2D. She then said I had to lose weight, and cut down on portions and any alcohol consumption. By then I had read enough to work out that the ingestion of sugar raises BS (already starting to use the lingo) and that if the body turns carbs into sugar, the ingestion of carbs also raises BS. In simple terms of course. So I asked the nurse about a low carb diet, she said she didn't know, and suggested that if I wanted to know more I should see a dietician. She said I had to get my eyes and my feet checked. I was given a prescription for Metformin (I always want to say "Metaformin, seems to make more sense with an extra vowel). Take 1 tablet for a bit and then take 2. Run around a bit more. Since then I have had no further interaction with my GP. The feeling has very much been one of "You have type 2 diabetes, now off you go"!

Here are my initial thoughts, at an early stage:

The internet is so contradictory. There are crazy sites out there suggesting that T2Ds can tuck into sweets and cakes, just eat smaller portions. Even on this site there are occasional pro-sugar articles. All very confusing. And the forums....for anyone who posts what they think is a helpful message, there seem to be others who want to jump in and disagree and prove they are more "diabetes clever". All very confusing.

The day to day problem is- what to eat? As stated above, I have a job that takes up a lot of my time, working and travelling and things are about to get a lot busier. Anything convenient and pre-made has sugar packed into it, or is high in carbs. Yes, I know, I need to buy raw and develop a taste for hedge clippings with a low fat water dressing!!

And that leads me onto "low fat food". I have come to the view that we in the UK have been conned by the idea that we should eat "low fat". Eating fat doesn't make you fat. But supermarkets have "low fat" products in abundance. The NHS has adopted the "low fat" mantra. It all comes from a 1950s US study, which completely ignored a lot of its own findings. So we now have "low fat" food jam-packed full of sugar!! Poison for T2Ds. One supermarket's diet shakes' main ingredient is sugar!! Sugar!! There's a section of an aisle for "lactose intolerant". But where are the aisles for "sugar free" foods or "low carb" foods?? Nowhere!! Could the reason be that "low fat" allows the food/sugar industry to continue to pump out food packed full of cheap sugar?

So, again, what to eat? I don't know, I'm only 4 weeks in, and I'm already fed up with the question. Seems to me that, as a T2D, or to put it another way, sugar/carb intolerant, logically I need to avoid sugar and carbs (carbs being sugar-in-waiting), so that's what I've done. Endless trawls to supermarkets, up and down aisles, reading labels, shocked at the amount of sugar and carbs in anything pre-prepared, despair, and then I buy a cauliflower, three tins of tuna and a packet of kale. Bleugh!

On the bright side, I've lost 14 lbs in just under 4 weeks, which is a good thing. On the dark side, over the last 4 days I've had a pain in my left flank, around about the area where I would imagine my left kidney is. I'm seeing a GP on Tuesday. Since diagnosis I've noticed tingling in my fingers, and pins and needles in my feet, with my left foot's pins and needles verging on the painful.

That's it so far............
Hi, I'm newly diagnosed too. Your post made me laugh as it could have been me writing it with how I was recently spoken to by the GP. I like your sense of humour and hope that this helps get you through the minefield of being T2 diabetic. My diagnosis was three weeks ago. I too love pasta, rice and bread but had to say goodbye to them in the quantity I like. Good luck and please keep posting.
 

prettydimples

Member
Messages
6
Type of diabetes
Type 2
Hi @abie6

Welcome to the forum. I have tagged @daisy1 who will post for you some great information for newbies that is well worth reading.
I have been on here for over three months now as it has been fantastic to educate myself and get advice and answers to questions that I needed. Here are just two things that nearly everyone on here agrees with to get you started
  1. Get a meter and self test. This puts you in control as you know where your blood glucose levels are at and can see what impact food you eat has on them
  2. Reduce the amount of carbs that you eat eg: Sugar, Sweets, Bread, Pasta, Rice and sugary drinks
Other than that look around the forums on Diet and What people are eating to find out what will work for you and if you are not sure ask questions on here
Cheers
Thanks for the welcome. I never thought I would be on here for myself but here I am so that I can learn how to take care of myself.