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Another newbie type 2

grimmfast

Member
Messages
5
Location
County Durham UK
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
Pricking my finger for a BG test. Been doing it for years, it doesn't really hurt - but I still hate it!
Hi fellow diabetics, it was good to find this place as I was quickly disappearing under a sea of online information, some of it contradictory but that's the web for you. I'm a type 2, just diagnosed 3 weeks ago - which made a fun Christmas! No symptoms that I'd noticed, it was picked up while I was being treated for a pulmonary embolism. I discussed treatment with my doctor, and he agreed that I could try diet and exercise only at first. If that doesn't work, then Plan B is to try drugs like MetFormin

Knowing that I'd have to change my diet, plus increase exercise (a lot), I bought a blood glucose meter (Roche Accu-Chek Nano) plus test strips and control solution; I've always been a sucker for some new tech :) Testing once a day 3 hours after my main meal I seem to baseline between 6.5 and 8.0, with some wild increases when I've tried foods just to see the effect. Rice seemed to be the worse; a small portion of wholegrain rice as part of a curry (no sugar, flour etc. in the curry sauce) and I was still at 15.2. Small baked potato? 10.3 . So coming up with a diet is going to be tricky; guess you can only try different foods (and combinations) to achieve a healthy balance and still keep meal times interesting
 
Welcome! @daisy1 can provide some info for you. She'll post something on this thread.

You've definitely found the right place!

My advice:

1. Get a print out of all your lab results (you'll thank me later).

2. Read this web site: http://www.phlaunt.com/diabetes/ Especially the "How to Lower Your Blood Sugar page.
When you're done, you'll know more about type 2 diabetes than your doctor (most likely, anyway).

3. As for diet, check out http://www.dietdoctor.com/lchf
Carbs turn to glucose and this web site explains how to eat in a healthy manner with reduced carbs. I reversed my type 2 following his advice.

Post any questions you have here and someone will kindly provide answers. More likely many people.

Personally, I wouldn't worry about exercise as much as diet. A little walking goes a long way..

Good luck!
 
Hi & welcome to the forum there is so much help and good advice here and lots of nice friendly people, you will soon feel at home. As you have discovered rice and potatoes are baddies as are pasta & bread they are all high carb and a good starting point to reduce carbs. You need to test everything you eat in order to find what are the best foods for you, not everyone is the same and their reactions to foods are different. You should test before the first bite of food then again after two hours, aiming for results between 4.5 and 8.5 which are the NICE guidelines hopefully you will soon see the figures begin to drop and will become more knowledgeable than your DN and GP. There is always somebody around that can answer a question so don't struggle, ask away.
It's also a good idea to keep a food diary, take a reading, eat, then two hrs later test again and log the readings, doing this made it a lot easier for me to remember what was safe and what wasn't good luck
 
Last edited by a moderator:
Welcome grimmfast! These forums are a fantastic place to grab loads of info. Good start with monitoring bloods.. It doesn't take long to realize how the carbs are the enemy!! Looks like your doing the right thing. I've been working on lowering mine and focus on one meal at a time. Test before then 2 hrs after . My Brek was spiking to 11+ but now they're never higher than7.5. I'm sure you'll soon settle in to a lifestyle that suits you. All the best
 
Hi grimmfast. Welcome to the Forum. Hope you soon settle in.:)
 
@grimmfast

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful. It will help you to learn about carbs which you need to restrict in your diet in order to keep your sugar levels down. You can help compensate with fats. Ask as many questions as you need to and someone will be able to help, in addition to the good information you have been given above.

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

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


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.
 
Hi. As has been said, low carbing is the thing to explore. I got round to it after discovering the evil impact of toast (any bread), spuds, pasta, cereal and rubbish in the guise of healthy food (like ryvita)...but recording what and when I ate and the level it produced was what helped me identify patters and take control. Good luck.
 
Thanks to all for the great welcome, and the advice. Trying an experiment today: had a blood glucose of 5.5 before eating (my lowest yet), then had a baked potato (small), salmon and salad. And I'll see how long it takes my BG to return to about the same level, testing hourly. Or at least until I start feeling too much like a pin cushion. I've learned that potato does seem to cause a spike for me, so this may be my last one!
 
Hi fellow diabetics, it was good to find this place as I was quickly disappearing under a sea of online information, some of it contradictory but that's the web for you. I'm a type 2, just diagnosed 3 weeks ago - which made a fun Christmas! No symptoms that I'd noticed, it was picked up while I was being treated for a pulmonary embolism. I discussed treatment with my doctor, and he agreed that I could try diet and exercise only at first. If that doesn't work, then Plan B is to try drugs like MetFormin

Knowing that I'd have to change my diet, plus increase exercise (a lot), I bought a blood glucose meter (Roche Accu-Chek Nano) plus test strips and control solution; I've always been a sucker for some new tech :) Testing once a day 3 hours after my main meal I seem to baseline between 6.5 and 8.0, with some wild increases when I've tried foods just to see the effect. Rice seemed to be the worse; a small portion of wholegrain rice as part of a curry (no sugar, flour etc. in the curry sauce) and I was still at 15.2. Small baked potato? 10.3 . So coming up with a diet is going to be tricky; guess you can only try different foods (and combinations) to achieve a healthy balance and still keep meal times interesting
Hi Welcome
Yes you are right you do have to find the foods that suit you best. We can't tell you what you can r can't eat as we are all different so eat different ways generally though most stop all sugar stuff and go low or stop the starchy foods like pasta rice and potatoes. If you want to eat bread then Burgen Linseed and Soya bread is a better option and also Lidl protein rolls lots here have those and they don't raise their BG. You will soon get the hang of it and get it under control
 
Mini experiment complete. I ate baked potato (100g) with butter, salmon and a salad (lettuce + 2 cherry tomatoes). So around 15g of carbs in total, if the figures on Google are correct. BG levels over the next few hours were:

Before eating: 5.5
+1hr: 12.7
+2hrs: 15.1
+3hrs: 12.7
+4hrs: 8.9
+5hrs: 7.2

So in my case, for this meal, the BG high water mark happened at around +3 hours, and even after 5 hours my BG level hadn't fallen back to the pre-meal level. Does this seem typical? From other posts I've gotten the impression that 2 hours after eating levels should be returning to normal

And high fibre or not. potatoes (and rice and wheat products) are off the menu from now. The Lidl protein rolls that Pinkorchid mentioned above sound promising, though

Thanks
 
Mini experiment complete. I ate baked potato (100g) with butter, salmon and a salad (lettuce + 2 cherry tomatoes). So around 15g of carbs in total, if the figures on Google are correct. BG levels over the next few hours were:

Before eating: 5.5
+1hr: 12.7
+2hrs: 15.1
+3hrs: 12.7
+4hrs: 8.9
+5hrs: 7.2

So in my case, for this meal, the BG high water mark happened at around +3 hours, and even after 5 hours my BG level hadn't fallen back to the pre-meal level. Does this seem typical? From other posts I've gotten the impression that 2 hours after eating levels should be returning to normal

And high fibre or not. potatoes (and rice and wheat products) are off the menu from now. The Lidl protein rolls that Pinkorchid mentioned above sound promising, though

Thanks
There really isn't a "typical" response. It's not a typical response for a non-diabetic, which would be a peak around 45 minutes to an hour and back to normal at 2 hours or sooner. However, your response isn't surprising for someone with type 2.

I think you can stop experimenting with carb laden foods for a while. They are definitely not good for your blood glucose levels.
 
That is about what i would get with that many carbs, but it would depend on the amount of fat and fibre i ate with it... 5 hrs back to base is typical for me too, if i eat a chunk of carbs like that - which i don't.

Remember, each 'test' is raising your bg to levels that may be harming you.
 
Potatoes are bad news for "us" generally...and I never eat them these days. Your testing method is a bit extreme and would be advised against by a lot of doctors (towing a "party" line), but...it's the one way of finding out what's happening, and its not unlike the way I tested when first experimenting with my diet after several months relying purely on the meds (to no effect). I'd cut down though to key times. I recorded the food I ate, the times I ate it and the level before and 2 hours after..until I established what was good and what was not. I also found that it takes about 2.5 - 3 hours for my system to return to pre-meal levels; we do have all kinds of factors that make us differ. Reading after an hour will maybe generally show you any real spike, but I saw little point in winding my self up that much. I'm not sure the testing was harmful to me in any way at all, and it did inform me...but I'd say ease right back on it once you're comfortable with a range of foods you can handle...
 
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