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3 months no help

Alliva

Member
Messages
5
Hi,
Lovely to meet you all.
I was diagnosed type 2 diabetes over 3 months ago. I’m on 500g metformin and have some background retinopathy. I went to my doctors when I was first told I was diabetic all I was told was no more than 150g of carbohydrates a day and given a small leaflet. I’ve my eyes tested and that’s it not even a blood pressure check. Is this normal? I just feel confused at what to do and what my blood sugar levels are. Xx
 
You had what is called a HBA1C to confirm you're diabetic. You MUST ask what that figure was as a priority. Let us know
 
It was 52 I think. I’m not 100% sure because there seems to be different measurements for different tests.
 
@Alliva have you considered getting a test kit yourself? Then you would know what your levels are and how food affects you.
 
Hi Diakat,
Thank you I’ve been looking for one on amazon but not sure which one to get, there’s that many and the reviews are varied.
 
Sadly it’s not unusual. The level of 52 isn’t massively high (diagnosis is at 48). you should have been referred for education. The quality and usefulness of that varies a great deal. Also you should have had a urine sample checked and your feet too as part of an annual check. Your hb1ac should be done 3monthly til stable then 6 monthly according to NICE guidelines.


You’ll probably get more info from this site to be honest.

some info about how the majority of us type 2 in here handle it is below. It’s a lot so just work your way through it at your own pace.

****************
Can I suggest you take a good look at LCHF ie low carb higher fat (than typically recommended) methods of eating (keto is just a version of this). It’s how an awful lot of us get our blood sugar levels under control and for some even eliminate medications and achieve remission and also reduce or improve complications. It is often the easiest and most sustainable form of weight loss for a type 2 if you need that. Other conditions often improve including but not limited to blood pressure, joint pain, inflammation, PCOS, and despite the dire warnings of the last few decades it improves cholesterol for most, yes improves cholesterol. Some jump right on it, others edge their toes in a bit at a time.


Try clicking these links for more detailed explanations that are well worth readings.


http://www.diabetes.co.uk/forum/threads/basic-information-for-newly-diagnosed-diabetics.26870/


https://www.diabetes.co.uk/forum/blog/jokalsbeek.401801/ for info including low carb made simple


And https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/ to show it really works and for motivation


and https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/ for food ideas


also https://www.dietdoctor.com/ for more food ideas and general info of carb content of foods. Excellent site and first port of call for many getting their head round low carb.


Lots of other websites for recipes out there too. Just use the term low carb or keto with whatever you fancy.


Also it’s very important to be able to check for yourself what’s happening so you can make the necessary adjustments day to day and meal by meal rather than wait 3, 6 or even 12 months and then have no idea what had what effect. It also helps keep an eye out that any meds are working appropriately not too much or too little. Getting a blood glucose meter is the only way to do this (no matter what contradictory advice you may have heard - it’s usually budget based rather than anything more scientific). Test before a meal and 2hrs later hoping for a rise of 2mmol or less. More and the carbs eaten were too many! Please ask if you want any guidance on this.


IMPORTANT FOR ANYONE ON DIABETIC MEDS (other than metformin): if you lower your carbs then any glucose lowering meds or insulin increasing meds may need to be adjusted accordingly to make sure you aren’t taking more than your new diet requires. It can cause a hypo if you have more gliclazide or insulin etc than your new carb intake requires. (This is not a concern for metformin on its own). Keep a very close eye on your numbers and do this with your dr’s knowledge. Please don’t be put off by an ill informed out dated rubbishing of low carb diets or being told you should eat carbs to match meds, it should be the other way around.
 
Hi @Alliva and welcome to the forum!
Here’s some info on meters, and to be clear I have no commercial connections with any of the companies mentioned. For a meter with cheap strips go for the Tee2 + found here:

http://spirit-healthcare.co.uk/product/tee2-plus-blood-glucose-meter/ with the strips found here:

http://spirit-healthcare.co.uk/product/tee2-testing-strips/


With more expensive strips is the Caresens Dual which I currently use, this one has the advantage of glucose and ketone testing in one machine, it’s to be found here:

https://shop.spirit-health.co.uk/collections/caresens-dual


And to be totally transparent I used to use the SD Code Free which has the cheapest strips available. However I found it to be becoming less and less reliable, although I hear reliability may have improved now. Here it is for anyone wanting to give it a go:

http://homehealth-uk.com/product-category/blood-glucose/blood-glucose-monitor/

and here for the extra strips

http://homehealth-uk.com/all-products/sd-codefree-test-strips-to-be-used-only-with-the-sd-monitor/

There are discount codes if you buy in bulk.

5 packs 264086

10 packs 975833


Don’t forget to check the box that you have diabetes so you can buy VAT free. (for all meters and strips)
 
Hi Diakat,
Thank you I’ve been looking for one on amazon but not sure which one to get, there’s that many and the reviews are varied.
I see you have the meter info now. Good luck!
 
Hello and welcome,

You asked if the way you were treated is normal- sadly many people have reported similar experiences.

I was not advised to get a meter but it was probably the best decision I made. If you don't test regularly you have no information to make decisions about what to eat.

You will probably test a lot in the beginning but it becomes less frequent.

It is usual to feel overwhelmed- but fortunately having found this site you have access to a lot of information and support. You don't have to learn everything immediately but I really encourage you to read around and ask questions.

I recommend that you limit the amount of. carbs you eat- you can slowly decrease or do something a bit more drastic- it's up to you. Once you have a meter you can start working out what your body can tolerate.

Welcome and good luck.
 
Hi Alliva and welcome to the Forum.
You may feel that you have been neglected by your Health service Professionals, but what you have received is actually better than average. Because at least your were given a suggested maximum for Carbohydrates.
Many of us are told to keep on eating lots of 'healthy carbs', when the truth is that for the majority of Type 2 Diabetics, all carbs are something to be wary of.

Here is an outline of the methods (excluding medication) for dealing with Type 2 Diabetes:

I have been criticized for not being precise enough on my posts, but there are only 3 general approaches (so far as I know) which have good success rates of remission for Type 2 Diabetes. I list them in order of how easy they are for the majority of people:

1. Low Carb way of life (counting Carbs not calories). This is an individual thing, some need to go very low carb or Keto, others just dip below 120gms of carbs per day, we are all different in how bad our reaction to carbs is. The success rate in an NHS GP's practice (Dr David Unwin in Southport) is between 40% and 50% at the 2yr mark. This method is made even easier for those who are bold enough to go Low Carb and Higher (traditional) Fat - because there is then no need to be hungry (since fat is very satisfying). Most of us who do this do so with the help of a Blood Glucose Meter, but at least one just followed what seemed to work for others.

2.Time Restricted Eating (or Intermittent Fasting, or 16:8, or OMAD). This approach has fewer studies supporting it, but the way it works is that it is almost impossible to burn body fat when you have recently digested a high Carb meal because it spike Insulin (which both stores fat and inhibits the burning of previously stored body fat). So maximising the time when both Blood Glucose and Insulin is low maximise the time your Blood Glucose is in normal levels and gives you a better chance of losing weight. Studies (both in peo9ple and in animals) have found that there is a natural unintentional Calorie reduction when eating in only a smaller time window.

3. Severe Calorie Restriction:
A). Longer term fasts - care is needed since supplements for electrolytes and vitamins will probably be required.
B). Crash Diets such as the Newcastle Diet (DIRECT study) or Dr Michaels Mosely's 'Blood Sugar Diet' or even Weight Watchers etc. But these conventional diets tend to result in yoyo results in weight, since the basal metabolic rate tends to slow making maintain weight harder and harder.
C). Bariatric Surgery. There are several forms of this and results are very good in the very short term, however after more than 1yr the results are only about the same as for Low Carb.

I suggest that you try using one which appears to suit you best.
 
Hi and welcome. All glucose meters meet an ISO spec so you just need to choose one that suits you e.g. size, cost of the meter and in particular the strips. Your GP has given you very good diet advice ref the low-carb. 150gm/day is certainly a very good start point. Just have enough fats and proteins to keep you feeling full. Ask to be added to your surgery online access and in particular your medical record for test result access. This way you can easily see all your test results. The 50mmol will be your HBA1C and it isn't bad.
 
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