Type 2 Low Carb diet

Colsie

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I've just been advised to try a low carb diet for three months to see if it helps with regulating my diabetes. I'm finding it a bit confusing in deciding just what level my carb level per day should be. I hope this isn't a silly question but would be grateful for any advice.
 
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bulkbiker

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19,575
Type of diabetes
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Diet only
When I first was diagnosed I tried to eliminate as many carbohydrates form my diet as possible. As someone who had done Atkins before I found it relatively easy.
There is lots of info on this site

http://www.diabetes.co.uk/forum/category/low-carb-diet-forum.18/

and a great resource here

https://www.dietdoctor.com/low-carb

With those two on your side things should become clearer. Have a good read around and then please come back and ask any questions you may have. If you want to get your blood sugar levels down quickly I would cut carbs as much as you can. I am assuming you test before and after meals so you can see what effect what you ate is having?

Hope this helps

Regards
Mark
 
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Avocado Sevenfold

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chalup

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Hi and welcome to the forum. There are many ways to approach this and I will tell you the two that I, personally, think are the best or at least the easiest to figure out. You will NEED a glucose meter and strips however you do this so if you don't have one, get one ASAP. First I will tag @daisy1 for you and she will send you an info package for newbies that you should read thoroughly as well as follow the links in it. At the bottom of her post will be a link to the low carb program on this site which is free to join. Second and what I believe to be the best way is to set a limit of 20 grams per day. This will mean the only carbs you eat will be leafy and above ground veggies. NO low fat products and no processed foods. So meat, chicken, fish, cheese, heavy cream (no milk) butter, olive oil, olives, avocado, coconut oil, nuts, and lots of veggies. No potatoes or other root veggies, no fruit and no grains. Do this for a few weeks and you should see a dramatic improvement in your blood levels and also some weight loss. Once your blood sugar levels are stable comes the fun part. Start introducing new foods one at a time and testing them. Test before eating, at 1 hour to see the spike, and at 2 hours to see how well your body handles the spike. If you can kep your levels below 7.8 at all times that food is good to go. This is eating to your meter and how you design a diet that is tailor made to you. Good luck.

I am not a doctor, this is my opinion only.
 

Neohdiver

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366
Type of diabetes
Type 2
Treatment type
Tablets (oral)
My targets are meal targets, not daily targets - and I determine them by very frequent (at the beginning) testing to see how my body reacts.

I don't want my BG to go above 7.78. I test at 1 hour, 2 hours, and (if 2 hours is higher than 1 hour) at 3 hours. If it is higher than 7.78 at any of those times, I either cut back or cut out that food.

Generally, I can consume 20 net carbs in any 2 hour period.
 

Brunneria

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Hi and welcome!

I see that you are on Metformin, Gliclazide, Pioglitazone.
So it is important to realise that you can't just slash the carbs in your diet without seeing some serious drops in your blood glucose. With those meds on top, you could risk hypoing.

Have you been given a meter to test your blood glucose? And how many g of carbs have you been eating a day? And what have your blood glucose reading been on that many carbs?

You may find that gradually reducing your carbs, watching your blood glucose reduce and then reducing your medication (with the advice of your health team) is a better way of doing things.

In which case, the diabetes.co.uk low carb programme may be a gentle way into low carb eating (link in my signature, or at the bottom of the main site webpage). It is a free 10 week course, and there have been some fantastic success stories out of the programme. :)
 
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Bluetit1802

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People on here have different carb level targets because everyone has a different idea of how they want their levels to be, some have help from medication, others don't, some can eat certain higher carb foods, others can't, some have more advanced diabetes before they start, some have far more insulin resistance than others. You will only find out where you personally stand by obtaining a meter and eating according to what it tells you. In other words, eat to your meter, then work out whether you are eating too many carbs for your body to handle.
 

chalup

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My apologies as I did not know you were taking insulin stimulating drugs. Brunneria is right in her caution about hypos. Going very low carb suddenly when on these drugs can cause problems. You will need to work with your doctor if you go low carb to reduce the drugs as needed.
 
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bulkbiker

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Agree with @Brunneria Sorry didn't see you were on so many meds @Colsie. Has your HCP recommended the diet and did they give you advice about reducing them if low carbing?
 

daisy1

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@Colsie

Hello Colsie and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful. It contains a lot of advice on carbs and a link to the Low Carb Program. Ask as many questions as you need to and someone will be able to help.


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 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.
 

Colsie

Newbie
Messages
3
Type of diabetes
Treatment type
Tablets (oral)
Dislikes
Cricket
Hi and welcome!

I see that you are on Metformin, Gliclazide, Pioglitazone.
So it is important to realise that you can't just slash the carbs in your diet without seeing some serious drops in your blood glucose. With those meds on top, you could risk hypoing.

Have you been given a meter to test your blood glucose? And how many g of carbs have you been eating a day? And what have your blood glucose reading been on that many carbs?

You may find that gradually reducing your carbs, watching your blood glucose reduce and then reducing your medication (with the advice of your health team) is a better way of doing things.

In which case, the diabetes.co.uk low carb programme may be a gentle way into low carb eating (link in my signature, or at the bottom of the main site webpage). It is a free 10 week course, and there have been some fantastic success stories out of the programme. :)

Yes I do have a meter for testing. For nearly a week now I have been having between 60 and 70 carbs a day and my blood levels have dropped from highs of 13 to around 4.5. I've also lost about half a stone in weight. So I guess I must be doing something right!
 
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Brunneria

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21,889
Type of diabetes
Type 2
Treatment type
Diet only
Yes I do have a meter for testing. For nearly a week now I have been having between 60 and 70 carbs a day and my blood levels have dropped from highs of 13 to around 4.5. I've also lost about half a stone in weight. So I guess I must be doing something right!
Sounds like it might be time for that first conversation with your doc or nurse about reducing your meds!

Well done!

Just in case you do go hypo, are you familiar with the symptoms, and are you carrying any glucose, or jelly babies to raise your bg back up a bit?

Maybe some on the bedside table, and in a pocket?

Sorry if I seem a bit clucky over this, but I wouldn't wish a hypo on anyone, and if you do get one, you may not be thinking clearly enough unless the treatment is close to hand. :)

Having said that, it is a Type 2 dream to get off the meds and manage on diet, so I am really chuffed that you are making such fab changes!