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Advice needed. So confused...

Discussion in 'Prediabetes' started by spanielsmum, Oct 20, 2015.

  1. spanielsmum

    spanielsmum Prediabetes · Member

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    Hi everyone. Thanks for having me. This site is absolutely full of useful information. I need some advice if you don't mind. I've been told I'm pre diabetic. My HbA1c level is 47 mmol/ mol. It says diabetes is >47 so I'm right on the edge. I've ordered a glucose monitor after reading up on here but do you think I should also talk to Gp re medication too? I've just been told by the nurse to go away and lose weight and go back next year. I've been trying but am still the same weight.

    I already have a lot of the symptoms for diabetes. (High BP, Night time urination, thirsty, dark joined up patches on my arms and neck ( sorry can't remember what it's called) blurry eyes and dizziness, plus genital itchiness and regular thrush.) I find exercise nigh on impossible as I have had both knees replaced and I have bulging discs in my spine as well as bone spurs.
     
  2. 13lizanne

    13lizanne Type 2 · Expert

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    Welcome @spanielsmum you will get lots of help, encouragement and support here. I'll tag @daisy1 who'll be along shortly with lots of good advice and information which will answer a lot of your questions. Getting a meter and test strips to monitor your blood sugar levels and trying to cut the amount of carbohydrates you eat will go a long way to normalising your blood glucose levels and deal with these symptoms you're experiencing. Try not to worry you can learn how to do all that from the site and forum. Ask anything and someone will try to help. X
     
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  3. daisy1

    daisy1 Type 2 · Legend
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    @spanielsmum

    Hello and welcome to the forum. Here is the information we give to new members and I hope you will find it helpful. You will get plenty of advice from other members. 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

    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.
     
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  4. spanielsmum

    spanielsmum Prediabetes · Member

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    :) thanks I'll have a thorough read...
     
  5. ButtterflyLady

    ButtterflyLady Type 2 · Well-Known Member

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    As far as I know, in the UK people don't get given medication for T2 diabetes when their blood test shows they are prediabetic. The medication doesn't help much anyway, because most of us have found the best way to reduce our blood glucose (BG) levels is to reduce the amount of carbs we eat, and our portion sizes if needed. Do you remember what your blood pressure level was? I would expect your symptoms to improve over a few weeks as your BG levels come down, but if they don't, then it may be a good idea to see your GP, as they could be caused by something else. At times when I find exercising difficult because of my joints, I go aquajogging.
     
  6. Kat100

    Kat100 · Guest

    Yes in the uk you can indeed be on medication for pre diabetic levels .. Levels may go high or low ..
    Yes I think talking to your GP about your symptoms is a very good idea ..
    Did you have a second test to see what your hba1c blood glucose was , it's quite normal to have two tests one after the other to check your levels .. GP discussion required ,,
    Would be good to know if your numbers went high or low after your first test , that's when a secind test is usually done .. After a few weeks gap ..
    For some , medication does help with diet and weight loss .. This can include pre diabetic levels .. Which may have been higher in the past or lower ... I think you need to have a think and further discussions about your way forward ..
    Best wishes .. Kat
     
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  7. ButtterflyLady

    ButtterflyLady Type 2 · Well-Known Member

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    I agree with those suggestions. I was offered medication while prediabetic (in NZ). I've read about UK people on the forum who said they wanted to try medication but their doctor would not give it to them unless their HbA1c was over 48, which I think is a shame. Maybe it is something that varies depending on your doctor's views or where you live. Worth asking about it, as if you and your doctor believe it will help, it could be a good thing.
     
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  8. Kat100

    Kat100 · Guest

    Aguajogging sounds like a good idea ..
    I walk and jog a bit .. But my blood needs my meds as well as my own diet to suit my needs ..
    Yes it's true , it's a mixed bag re the medication .. But often meds are offered or can be offered , depending on the person ..and GP of course .. Best wishes to you :)
     
  9. 4ratbags

    4ratbags Type 2 · Well-Known Member

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    If you can possibly try diet and lifestyle changes first that would be great as its a lifetime type of thing. If at your next Hb test there is no change then possibly look at medication to see if it helps.
     
  10. spanielsmum

    spanielsmum Prediabetes · Member

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    Thanks for the replies. I actually went to see the GP this morning and she said to carry on as you've all suggested and retest in 3 months if my diabetic symptoms don't lessen.

    Apparently I was prediabetic last year (HbA1c level was 44 mmol/ mol) but nobody thought to let me know!! .)
     
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