Good Morning Everyone. Today's the day!

Seyiauetta

Active Member
Messages
42
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cigarette Smoke. People who need to be reminded a gazillion times that I'm still Deaf even though I have a voice!
Hi all, It seems an appointment with my Doctor has already been made for me at 12 o'clock today (gulp) Apparently that will mean I can get the Metformin dose sorted out as I just feel that as a real newby being diagnosed at the hospital on Saturday it's a huge dose to be starting off on (2000mg a day). Then It seems I have ANOTHER appointment with a 'Diabetic Nurse' on Wednesday at 11:am gulp. Feeling Nervous...............:coldfeet:
 

Daibell

Master
Messages
12,650
Type of diabetes
LADA
Treatment type
Insulin
Hi and welcome. Yes, starting on 2000mg straight away is rather unusual; most times you increase it over 2-3 weeks. If it's the plain version it may initially cause some bowel problems. If it's the Slow Release (SR) version it should be fine. I would discuss with the nurse starting at, say, 500mg or 1000mg and increasing it a week or so later? Do note that diet is the single most important thing and I will tag @daisy1 to give you newbie info. If your nurse talks about having carbs with every meal or similar just ignore it (bad NHS advice) and follow Daisy's advice.
 
Messages
6,107
Type of diabetes
Type 2
Treatment type
Diet only
There's nothing to be scared of although I remember doing a bit of pacing before my first DN appointment. She knew when I got there and asked if I was nervous. She's too clever by half.

Let us know how it went when you get back.
 

daisy1

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

Hello 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 want 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 210,000 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.
 
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Reactions: Seyiauetta

Seyiauetta

Active Member
Messages
42
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cigarette Smoke. People who need to be reminded a gazillion times that I'm still Deaf even though I have a voice!
@Seyiauetta

Hello 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 want 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 210,000 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.
Thank you this was very helpful. Have been to the Dr this morning following Saturday's hospital trip & Bloods were in. My HbA1c (whatever that is) is 91 and she has now started the metformin from scratch with just 500mg in the morning for one week, then 500 morning and evening for another week then 500mg twice in the morning but once at eve meal until the last week I'm on 2 x 500mg twice a day at morning and eve meal. I have to go to the Diabetic Nurse on Wednesday at 11am and have no clue what to expect there either. I don't have any knowledge of any of this to be honest and I'm wishing I had paid more attention of My Sister's routine and Dad's routine etc but I didn't :-( Feeling sad and just a little frustrated. x
 

paganlass

Well-Known Member
Messages
125
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
nhs. religion for the sake of it.
U should of asked to try diet and exercise first. I did and my hba1c was 94. I refused tablets because I know the bowel problems metformin causes. Get yourself a bg monitor and try it for 3 months. I went on the lchf diet and lost 20 lb and brought my bg down to a range of 5.2 and 6.7 . Good luck.
 
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Reactions: Prem51

Seyiauetta

Active Member
Messages
42
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cigarette Smoke. People who need to be reminded a gazillion times that I'm still Deaf even though I have a voice!
I couldn't do that because I've apparently had it for at least a year untreated already she said and they need to get it down because untreated for several years can risk organ failure.
 

Seyiauetta

Active Member
Messages
42
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cigarette Smoke. People who need to be reminded a gazillion times that I'm still Deaf even though I have a voice!
There's nothing to be scared of although I remember doing a bit of pacing before my first DN appointment. She knew when I got there and asked if I was nervous. She's too clever by half.

Let us know how it went when you get back.
Here you go honey.
 

tigerlily72

Well-Known Member
Messages
516
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Thank you this was very helpful. Have been to the Dr this morning following Saturday's hospital trip & Bloods were in. My HbA1c (whatever that is) is 91 and she has now started the metformin from scratch with just 500mg in the morning for one week, then 500 morning and evening for another week then 500mg twice in the morning but once at eve meal until the last week I'm on 2 x 500mg twice a day at morning and eve meal. I have to go to the Diabetic Nurse on Wednesday at 11am and have no clue what to expect there either. I don't have any knowledge of any of this to be honest and I'm wishing I had paid more attention of My Sister's routine and Dad's routine etc but I didn't :-( Feeling sad and just a little frustrated. x

Please try not to worry too much. I was diagnosed as T2 a year ago.

There is a thread on here about what to expect and questions to ask when you first see the DSN (Diabetes Specialist Nurse). Try typing it into the search criteria field as hopefully you'll find the post (s).

From memory, the DSN will explain what diabetes is as well as your blood test results. You should get given leaflets and booklets (I think one of the two I was given was produced in conjunction with Tesco).

You will be weighed, your blood pressure and pulse rate will be checked and recorded. Your feet will also be checked thoroughly including the soles of feet, toes and the pulse in your foot/ankle. Your reflexes and sensation on the soles of your feet will be checked by using something that looks like a stick with a plastic wire attached to it. I have no idea what it's called!

You may or may not be offered the flu jab at this appointment. I was offered it and talked into it by my hubby who accompanied me. I'm not a fan of needles but have gradually become less fearful of them. I'm glad I had the flu jab that first year as I completely avoided any bugs, germs and colds throughout the winter. I've just had this year's flu jab earlier today.

Good Luck :) x
 

Seyiauetta

Active Member
Messages
42
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cigarette Smoke. People who need to be reminded a gazillion times that I'm still Deaf even though I have a voice!
Here you go honey.
Please try not to worry too much. I was diagnosed as T2 a year ago.

There is a thread on here about what to expect and questions to ask when you first see the DSN (Diabetes Specialist Nurse). Try typing it into the search criteria field as hopefully you'll find the post (s).

From memory, the DSN will explain what diabetes is as well as your blood test results. You should get given leaflets and booklets (I think one of the two I was given was produced in conjunction with Tesco).

You will be weighed, your blood pressure and pulse rate will be checked and recorded. Your feet will also be checked thoroughly including the soles of feet, toes and the pulse in your foot/ankle. Your reflexes and sensation on the soles of your feet will be checked by using something that looks like a stick with a plastic wire attached to it. I have no idea what it's called!

You may or may not be offered the flu jab at this appointment. I was offered it and talked into it by my hubby who accompanied me. I'm not a fan of needles but have gradually become less fearful of them. I'm glad I had the flu jab that first year as I completely avoided any bugs, germs and colds throughout the winter. I've just had this year's flu jab earlier today.

Good Luck :) x
Thank you, I've already had a flu jab and I have MS and Hyper mobility so I have zero reaction in the soles of my feet. I'm just unsure about everything at the moment and just doing as I'm told to do as a result :(
 
Messages
6,107
Type of diabetes
Type 2
Treatment type
Diet only
There is something in what @paganlass says although none of us would go against your doctor's advice. In short, now you have the tablets, take them as prescribed until such time as your nurse or doctor changes them.

The pills can be taken at the same time as you alter your diet as Daisy suggested. For many of us our blood glucose levels responded significantly to lower carb foods.
 

Seyiauetta

Active Member
Messages
42
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cigarette Smoke. People who need to be reminded a gazillion times that I'm still Deaf even though I have a voice!
Hi and welcome. Yes, starting on 2000mg straight away is rather unusual; most times you increase it over 2-3 weeks. If it's the plain version it may initially cause some bowel problems. If it's the Slow Release (SR) version it should be fine. I would discuss with the nurse starting at, say, 500mg or 1000mg and increasing it a week or so later? Do note that diet is the single most important thing and I will tag @daisy1 to give you newbie info. If your nurse talks about having carbs with every meal or similar just ignore it (bad NHS advice) and follow Daisy's advice.
Ok, I had a look at some carbs on some products in the supermarket today afterwards and it seems that if the carbs are low then the fats are high :( The problem is I still feel pretty awful and wish I could have stayed looking longer but I just couldn't.
 
Messages
6,107
Type of diabetes
Type 2
Treatment type
Diet only
Ok, I had a look at some carbs on some products in the supermarket today afterwards and it seems that if the carbs are low then the fats are high :( The problem is I still feel pretty awful and wish I could have stayed looking longer but I just couldn't.
If the carbs are low and the fat high then that is just what you want. The evidence that fat is bad for you has been debunked since it does not give you heart trouble etc. One benefit of fat is that is slows the absorption of carbs and another is that it causes the production of leptin a hormone that can help weight loss if you wish it to.
 

tigerlily72

Well-Known Member
Messages
516
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Ok, I had a look at some carbs on some products in the supermarket today afterwards and it seems that if the carbs are low then the fats are high :( The problem is I still feel pretty awful and wish I could have stayed looking longer but I just couldn't.

This may help . . . see if you can get on the next one in your area.

http://www.xperthealth.org.uk/Courses

I attended in Jan/Feb this year and thought it was excellent. It will teach you about good and bad carbs, good and bad fats (fat is also good), portion sizes etc. and dispel myths.
 

Seyiauetta

Active Member
Messages
42
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cigarette Smoke. People who need to be reminded a gazillion times that I'm still Deaf even though I have a voice!
If the carbs are low and the fat high then that is just what you want. The evidence that fat is bad for you has been debunked since it does not give you heart trouble etc. One benefit of fat is that is slows the absorption of carbs and another is that it causes the production of leptin a hormone that can help weight loss if you wish it to.
Thank you. Talk about confused....... :-(
 

Seyiauetta

Active Member
Messages
42
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cigarette Smoke. People who need to be reminded a gazillion times that I'm still Deaf even though I have a voice!
Yes, quite enough for one day I think.
lol, Thank you so much for the course contact though. There is one in Gillingham which is quite a way from where I live here in Folkestone, kent as I live on the coast. However, My Dr today did mention 'something' about a 'course' that would help teach me all I need to know and she said I can take someone with me because I'm Deaf. I'll definitely ask at the Diabetic clinic Wednesday, so thank you again so much.