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Advice

bryanfan

Member
Messages
13
Location
West Yorkshire
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Rude/ignorant people and those who don't clean up after their dogs no fun gettng poo stuck in wheelchair hels
Had type 2 for about 2 years first year managed diet only but then blood tests meant GP gave me metformin made me unwell, now on Glimepiride. Have other health poblems C.P osteo and psoriatic arthritis lots of meds Methotrexate, Humera, Baclofen. But last few weeks dont know whats happening had a big lot of steroids under xray few weeks ago which made daily finger prick results high which I expected. Last few days cant get them down below 9 nurse at GPs said they should be 5. Feel more tired than normal, constantly feeling sick, no appetite having to force myself to eat. Blood yesterday was 10.1 this morning 11.4 had slice of toast cup of tea at 9 tested again few min ago 12.6 any advice greatly appeciated.
 
Hi @bryanfan and welcome to the forum.

Have you read the advice for newly diagnosed that @daisy1 posts? This may help with your food choices.
A slice of toast is not a suitable breakfast for a diabetic as you are only eating carbohydrates. There are breads that some find suitable and if you add some protein, fish, eggs, cheese meat, to the toast and perhaps some fibre, mushrooms, you will find that it will be lower. You may have to ditch the toast and opt for something else.
There are plenty of breakfast ideas throughout the forum.
It is best to test 2 hours after foods to see if you have a big discrepancy between your pre and post levels.

Difficult to manage when you have other conditions and you could do a search on your other meds to see if they affect blood sugars.
 
Hi . Type to diabetes can be a progressive Illness so it maybe that your pancreas in not producing as much insulin as it did when you where first diagnosed . You should go back to your doctor and explain that you are having problems keeping your BG levels within range he may then increases you medication or send you to a diabetic dietitian hope this is helpful

Clive
 
@bryanfan

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find the information on carbs useful as you need to limit how many you eat. Ask more questions 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.
 
Had type 2 for about 2 years first year managed diet only but then blood tests meant GP gave me metformin made me unwell, now on Glimepiride. Have other health poblems C.P osteo and psoriatic arthritis lots of meds Methotrexate, Humera, Baclofen. But last few weeks dont know whats happening had a big lot of steroids under xray few weeks ago which made daily finger prick results high which I expected. Last few days cant get them down below 9 nurse at GPs said they should be 5. Feel more tired than normal, constantly feeling sick, no appetite having to force myself to eat. Blood yesterday was 10.1 this morning 11.4 had slice of toast cup of tea at 9 tested again few min ago 12.6 any advice greatly appeciated.
Welcome to the forum. Sorry to hear that you've got so much going on before even thinking about the diabetes.
Steroids affects BG, even been known to induce diabetes, known as steroid diabetes (Source: diabetes.co.uk)
I have read that Methotrexate has an affect on BG.
I have read that Baclofen may raise BG.
Humera or is it Humira, I have read that Humira has an effect on BG.
You could start by taking a look at diet, you will notice that there are many members of this forum who cut carbs to varying degrees to help manage BG.
I'm obviously no medic so although I have read that all the medications you mention seem to have an effect on BG, I have no idea by how much, that's something you would need to speak to your doctor about. You can google each of the meds and diabetes to get some more information before seeing the doctor.
All the best.
 
Thank you all for advice, when first diagnosed I manged to controll it with diet alone but last few weeks as I mentioned I am having problems. Usual days food intake is either slice toast or porridge small mug tea. Lunch time pack low fat rice cake snack and low cal cuppa soup, or rice cake things and fruit, evening meal either chicken salad sandwich or similar and either low fat yogurt or fruit. If I feel hungry later usually eat some fruit, grapes or small tangerine, the only type of treat I have is plain rich tea biscuit, never chocolate etc.
I saw specialised diabetic nurse who said what I was eating was ok try to eat oily fish which I do usually sardines on toast at least once a week. I am going to make appt with my GP try to find out what is happening I really don't want to take any higher doses of medication, but might not have any choice.
 
I think, if I wanted to raise my blood sugars, I would go onto your diet! Your usual food, as described above, is totally dominated by carbohydrates, which rapidly break down into sugars as soon as you eat them. I, and most "low carbers" wouldn't touch toast, porridge, rice, rice cakes, sandwiches, fruit (except berries, which have little sugar) or anything described as "low fat" as it almost certainly has sugars added to replace the fat.
Chicken is good, so are sardines.
Cut down on all those carbohydrates/sugars and you may well find much improved blood sugars.
Sally
 
sorry to hear you're having problems. I know steroids will raise your BGL's. Also baclofen has that as a side effect as well (http://www.drugs.com/cons/baclofen.html). I'm on baclofen myself and you've just triggered my question I've been asking myself as to why my sugar has been higher lately... it's been higher since being pulled off baclofen and coming back on... plus my pain has been worse all round. I've also suddenly gained weight. ugh. It's definitely not fun when you have several things to manage. I hope you find effective treatment however you do that.... whether it's changing diet, meds, etc. I wish you the best.
 
sorry to hear you're having problems. I know steroids will raise your BGL's. Also baclofen has that as a side effect as well (http://www.drugs.com/cons/baclofen.html). I'm on baclofen myself and you've just triggered my question I've been asking myself as to why my sugar has been higher lately... it's been higher since being pulled off baclofen and coming back on... plus my pain has been worse all round. I've also suddenly gained weight. ugh. It's definitely not fun when you have several things to manage. I hope you find effective treatment however you do that.... whether it's changing diet, meds, etc. I wish you the best.
 
Hi Mep...new to the forum so forgive me if i am not dong this right....

I searched this thread because I take 20mg of Prednisolone daily and while I knew it had an effect on diabetes I wanted to talk to people with some REAL experience..however, I saw that you are taking Baclofen.and was hoping you cd give me some advice...

I am using an anti-biotic cream of the same name...is it the same medication? I was only diagnosed 2 months ago but am taking 2000mg of Metformin (4x500mg) carb watching/sugar reducing etc and my readings are incredibly high...17 is my average figure for the last month and my lowest fasting was 12.9 before breakfast and my highest reading has been 39.4!!!! Apparently my long term blood test came in at 134 (Don't know exactly how high that is but DN looked well shocked when she shared that.)

I am worried and wonder if this Baclofen cream could be contributing???
 
Hi Mep...new to the forum so forgive me if i am not dong this right....

I searched this thread because I take 20mg of Prednisolone daily and while I knew it had an effect on diabetes I wanted to talk to people with some REAL experience..however, I saw that you are taking Baclofen.and was hoping you cd give me some advice...

I am using an anti-biotic cream of the same name...is it the same medication? I was only diagnosed 2 months ago but am taking 2000mg of Metformin (4x500mg) carb watching/sugar reducing etc and my readings are incredibly high...17 is my average figure for the last month and my lowest fasting was 12.9 before breakfast and my highest reading has been 39.4!!!! Apparently my long term blood test came in at 134 (Don't know exactly how high that is but DN looked well shocked when she shared that.)

I am worried and wonder if this Baclofen cream could be contributing???
Hi, 134 is very, very high. I think you should see your GP asap and probably be referred to a specialist for further testing. Those sort of levels don't sound like T2 to me. What is your BG level today? What meds are you on (for all conditions)?
 
Hi Mep...new to the forum so forgive me if i am not dong this right....

I searched this thread because I take 20mg of Prednisolone daily and while I knew it had an effect on diabetes I wanted to talk to people with some REAL experience..however, I saw that you are taking Baclofen.and was hoping you cd give me some advice...

I am using an anti-biotic cream of the same name...is it the same medication? I was only diagnosed 2 months ago but am taking 2000mg of Metformin (4x500mg) carb watching/sugar reducing etc and my readings are incredibly high...17 is my average figure for the last month and my lowest fasting was 12.9 before breakfast and my highest reading has been 39.4!!!! Apparently my long term blood test came in at 134 (Don't know exactly how high that is but DN looked well shocked when she shared that.)

I am worried and wonder if this Baclofen cream could be contributing???
Yeh if you're on the topical cream of baclofen it is the same thing as the oral med as it would still be getting into your blood stream... it could be contributing to high BGL's for you. It's a good idea to speak with your doc about it though. But of course you're on the prednisolone too which means you're on at least 2 drugs that can interfere with sugar levels. :)
 
I take 90mg Baclofen daily for muscle spasms didn't know they could affect my blood sugars. I have seen GP about feeling unable to eat and feeling sick all the time he has prescribed some anti sickness medication fingers crossed so far started to work. He didn't say he was concerned about my blood sugars but they are slowly coming down 6.8, 6.6 this morning 6.2
 
Hi Mep...new to the forum so forgive me if i am not dong this right....

I searched this thread because I take 20mg of Prednisolone daily and while I knew it had an effect on diabetes I wanted to talk to people with some REAL experience..however, I saw that you are taking Baclofen.and was hoping you cd give me some advice...

I am using an anti-biotic cream of the same name...is it the same medication? I was only diagnosed 2 months ago but am taking 2000mg of Metformin (4x500mg) carb watching/sugar reducing etc and my readings are incredibly high...17 is my average figure for the last month and my lowest fasting was 12.9 before breakfast and my highest reading has been 39.4!!!! Apparently my long term blood test came in at 134 (Don't know exactly how high that is but DN looked well shocked when she shared that.)

I am worried and wonder if this Baclofen cream could be contributing???

Steroids will certainly be part of your high blood sugar problem. I've been on prednisolone for years and am steroid dependant, it creates problems in regulating blood sugar levels. Do you test your own bloods? Normally with steroids your bloods will start off relatively OK in the morning and raise throughout the day and evening. Can I ask, are your steroids long or short term? Sue x
 
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