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Newly Diagnosed
Another slightly freaked out newbie
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<blockquote data-quote="HSSS" data-source="post: 2096940" data-attributes="member: 480869"><p>Welcome. You’ve done really well already with your actions and I’ll try answer some of your questions</p><p></p><p>First off the awful feeling you’ve had this week could also be a false hypo. When you dramatically drop the carbs your body effectively throws a tantrum and behaves as it it’s having a real hypo. It feels much the same but doesn’t actually involve hypo numbers. Only testing can differentiate the two. If it was a false hypo they will pass as your body gets used to new lower levels.</p><p></p><p>Hb1ac is a 3 month average cleverly worked out from the effect the glucose has had on the red blood cells that last about that length of time. It’s weighted a bit towards more recent weeks as a result. The meter you bought tests the here and right now level. Both are mmol but meters are mmol/l and hb1ac is mmol/mol.</p><p></p><p>Hb1ac of 52 isn’t too far into diabetes and can be tackled quite realistically by diet alone, I. Fact is quite common to be given 3 or even 6 months to try it that way first before medication is introduced. I think it very much depends on the nurse/dr and how motivated they think you might be. Some are a little jaded to say the least and outdated in their knowledge. Some believe it’s profressive and not much to be done. Others are aware how much difference diet (carbs!) and lifestyle can make and advised accordingly. They can only suggest medications. It is your choice entirely whether to take that advice. </p><p></p><p>Cholesterol is another large area and quite controversial in that it’s really it as simple as a total number, or even if it’s actually damaging or just another symptom of problems. This thread <a href="https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/" target="_blank">https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/</a> will tell you more than any gp ever will. Ratios are much more important than total figures even if you believe in what many consider to be a myth.</p><p></p><p>Keto is fantastic for type 2. If carbs are you’re problem then not eating them solves the immediate problem. It allows insulin levels to fall and insulin resistance to improve. As you lose weight (by any method) your lipids may rise as they “escape” from your body via blood. Once weight stabilises the good numbers are almost always higher and triglycerides lower. LDL isn’t calculated accurately on low carb and should be separated into damaging small particles and harmless large particles but it never is. On low carb the large particles increase and the small decrease in studies. </p><p></p><p>Testing is best done in a structured way. On waking for a fasting reading. This will often be the last figure to fall into line. Being aware of that helps prevent disappointment. Dawn phenomenon also has an effect. Then immediately before eating and 2 hrs after. You want a rise of no more than 2mmol. Ideally less. More means the carbs in the meal were mor Ethan you could cope with. Either ditch them or reduce the amount. Some foods will rise and fall at different rates but this is a good first method to get to grips with what’s good to eat and what’s not.</p><p></p><p>Highly likely to cause big rises are sugars of any type, bread (any type), potatoes (any colour), rice (all types), cereal, grains, flour, underground veg that’s starchy including parsnips for example, some overground like peas and carrots to some extent for some people, fruit with the exception of a few berries. When we ditch these carbs we fill up on fat to keep us full and give energy. It doesn’t have to be huge amounts, it’s up to you what you need. It won’t make you fat or raise your cholesterol if you aren’t also eating carbs.</p><p></p><p>Eating out is doable. Your tastes will change though so what’s desirable now won’t always be the same. Cheating has the risk of starting up the cravings and carb rollercoaster. Only you know if it’s worth it and can truely be a one off.</p><p></p><p>Yes numbers can drop very quickly</p></blockquote><p></p>
[QUOTE="HSSS, post: 2096940, member: 480869"] Welcome. You’ve done really well already with your actions and I’ll try answer some of your questions First off the awful feeling you’ve had this week could also be a false hypo. When you dramatically drop the carbs your body effectively throws a tantrum and behaves as it it’s having a real hypo. It feels much the same but doesn’t actually involve hypo numbers. Only testing can differentiate the two. If it was a false hypo they will pass as your body gets used to new lower levels. Hb1ac is a 3 month average cleverly worked out from the effect the glucose has had on the red blood cells that last about that length of time. It’s weighted a bit towards more recent weeks as a result. The meter you bought tests the here and right now level. Both are mmol but meters are mmol/l and hb1ac is mmol/mol. Hb1ac of 52 isn’t too far into diabetes and can be tackled quite realistically by diet alone, I. Fact is quite common to be given 3 or even 6 months to try it that way first before medication is introduced. I think it very much depends on the nurse/dr and how motivated they think you might be. Some are a little jaded to say the least and outdated in their knowledge. Some believe it’s profressive and not much to be done. Others are aware how much difference diet (carbs!) and lifestyle can make and advised accordingly. They can only suggest medications. It is your choice entirely whether to take that advice. Cholesterol is another large area and quite controversial in that it’s really it as simple as a total number, or even if it’s actually damaging or just another symptom of problems. This thread [URL]https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/[/URL] will tell you more than any gp ever will. Ratios are much more important than total figures even if you believe in what many consider to be a myth. Keto is fantastic for type 2. If carbs are you’re problem then not eating them solves the immediate problem. It allows insulin levels to fall and insulin resistance to improve. As you lose weight (by any method) your lipids may rise as they “escape” from your body via blood. Once weight stabilises the good numbers are almost always higher and triglycerides lower. LDL isn’t calculated accurately on low carb and should be separated into damaging small particles and harmless large particles but it never is. On low carb the large particles increase and the small decrease in studies. Testing is best done in a structured way. On waking for a fasting reading. This will often be the last figure to fall into line. Being aware of that helps prevent disappointment. Dawn phenomenon also has an effect. Then immediately before eating and 2 hrs after. You want a rise of no more than 2mmol. Ideally less. More means the carbs in the meal were mor Ethan you could cope with. Either ditch them or reduce the amount. Some foods will rise and fall at different rates but this is a good first method to get to grips with what’s good to eat and what’s not. Highly likely to cause big rises are sugars of any type, bread (any type), potatoes (any colour), rice (all types), cereal, grains, flour, underground veg that’s starchy including parsnips for example, some overground like peas and carrots to some extent for some people, fruit with the exception of a few berries. When we ditch these carbs we fill up on fat to keep us full and give energy. It doesn’t have to be huge amounts, it’s up to you what you need. It won’t make you fat or raise your cholesterol if you aren’t also eating carbs. Eating out is doable. Your tastes will change though so what’s desirable now won’t always be the same. Cheating has the risk of starting up the cravings and carb rollercoaster. Only you know if it’s worth it and can truely be a one off. Yes numbers can drop very quickly [/QUOTE]
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