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<blockquote data-quote="JoKalsbeek" data-source="post: 1984945" data-attributes="member: 401801"><p>Hey Chris,</p><p></p><p>Quite a few of us self-fund here. Because you're right, you're flying blind and the NHS spiel is just an excuse not to have to pay up for the many thousands of T2's who'd otherwise be testing. In my first full year of being a T2 I spent 1000 euro's on strips, but I have an expensive meter (Or rather, the strips are. The meter's peanuts, but the only one my pharmacy carries). From what I understand there are cheaper options available in the UK. Worth checking out, especially since there's a discount for bulk purchases, I believe. </p><p></p><p>In any case, if you for some reason can't get a meter one way or the other, press the doc for a HbA1c test every 3 months. And if you're not on medication which can cause hypo's, like gliclazide, (metformin isn't a problem), you can just decide to go low carb and go from there. 100 grams, or 75 a day's a good place to start if you like, and will certainly have some sort of impact. </p><p></p><p>In case you're not sure how to go about your diet, (though I vaguely remember you were trying keto, right? Under 20 grams of carbs is as good as certain to drop a T2's levels to a HbA1c deserving of a party!) but, just to be on the safe side, here's a couple of things that may help:</p><p></p><p><em>There are 3 macro-nutrients. Fats, protein and carbohydrates. Those macro’s mean we get the micro-nutrients we need: that would be vitamins and minerals. So… <strong>If you ditch the carbs, you should up another macro-nutrient to compensate</strong>, to make sure you don’t get malnourished or vitamin deficient. Carbs make our bloodsugars rise. Protein too, but nowhere near as bad as carbs do, so they’re alright in moderation. Fats however… <strong>Fats are as good as a glucose-flatline.</strong> Better yet, they’ll mitigate the effects of any carbs we do ingest, slowing down their uptake and thus the sugar-spike. Contrary to what we’ve been told for decades; fats are our friends.</em></p><p><em></em></p><p><em>So what raises blood sugars? Aside from the obvious (sugar), starches raise blood glucose too. So bread, and anything made with grain/oats flour, rice, pasta, corn, cereals (including all the “healthy choices”, like Weetabix and muesli), most beans and most fruits. So you’ll want to limit your intake, or scratch them altogether.</em></p><p></p><p><em>Which food items remain on the shopping list? Well, meat, fish, poultry, above ground veggies/leafy greens, eggs, cheese, heavy cream, full fat Greek yoghurt, full fat milk, extra dark chocolate (85% Lindt’s is great!), avocado, (whole) tomatoes, berries, olives, nuts, that sort of thing… Meal ideas? Have a couple:</em></p><p></p><p><em>Scrambled eggs with bacon, cheese, mushrooms, tomato, maybe some high meat content sausages?</em></p><p><em>Eggs with ham, bacon and cheese</em></p><p><em>Omelet with spinach and/or smoked salmon</em></p><p><em>Omelet with cream, cinnamon, with some berries and coconut shavings</em></p><p><em>Full fat Greek yoghurt with nuts and berries</em></p><p><em>Leafy green salad with a can of tuna (oil, not brine!), mayonnaise, capers, olives and avocado</em></p><p><em>Leafy green salad with (warmed goat's) cheese and bacon, maybe a nice vinaigrette?</em></p><p><em>Meat, fish or poultry with veggies. I usually go for cauliflower rice or broccoli rice, with cheese and bacon to bulk it up. Never the same meal twice in a row because of various herbs/spices.</em></p><p></p><p><em>Snacks? Pork scratchings, cheese, olives, extra dark chocolate, nuts. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></em></p><p></p><p><em>Of course, there’s loads more on the web, for people more adventurous than I. (Which is pretty much everyone). Just google whatever you want to make and add “keto” to it, and you’ll get a low carb version. There’s a lot of recipes on the diabetes.co.uk website, as well as on <a href="http://www.dietdoctor.com" target="_blank">www.dietdoctor.com</a> where you’ll also find visual (carb content) guides and videos. And I can wholeheartedly endorse Dr. Jason Fung’s book </em>The Diabetes Code<em>. It’ll help you understand what’s going on in your body and how to tackle it, whilst not being a dry read. Not only that, but you’ll know what to ask your doctor, and you’ll understand the answers, which is, I believe, quite convenient. </em></p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 1984945, member: 401801"] Hey Chris, Quite a few of us self-fund here. Because you're right, you're flying blind and the NHS spiel is just an excuse not to have to pay up for the many thousands of T2's who'd otherwise be testing. In my first full year of being a T2 I spent 1000 euro's on strips, but I have an expensive meter (Or rather, the strips are. The meter's peanuts, but the only one my pharmacy carries). From what I understand there are cheaper options available in the UK. Worth checking out, especially since there's a discount for bulk purchases, I believe. In any case, if you for some reason can't get a meter one way or the other, press the doc for a HbA1c test every 3 months. And if you're not on medication which can cause hypo's, like gliclazide, (metformin isn't a problem), you can just decide to go low carb and go from there. 100 grams, or 75 a day's a good place to start if you like, and will certainly have some sort of impact. In case you're not sure how to go about your diet, (though I vaguely remember you were trying keto, right? Under 20 grams of carbs is as good as certain to drop a T2's levels to a HbA1c deserving of a party!) but, just to be on the safe side, here's a couple of things that may help: [I]There are 3 macro-nutrients. Fats, protein and carbohydrates. Those macro’s mean we get the micro-nutrients we need: that would be vitamins and minerals. So… [B]If you ditch the carbs, you should up another macro-nutrient to compensate[/B], to make sure you don’t get malnourished or vitamin deficient. Carbs make our bloodsugars rise. Protein too, but nowhere near as bad as carbs do, so they’re alright in moderation. Fats however… [B]Fats are as good as a glucose-flatline.[/B] Better yet, they’ll mitigate the effects of any carbs we do ingest, slowing down their uptake and thus the sugar-spike. Contrary to what we’ve been told for decades; fats are our friends. So what raises blood sugars? Aside from the obvious (sugar), starches raise blood glucose too. So bread, and anything made with grain/oats flour, rice, pasta, corn, cereals (including all the “healthy choices”, like Weetabix and muesli), most beans and most fruits. So you’ll want to limit your intake, or scratch them altogether.[/I] [I]Which food items remain on the shopping list? Well, meat, fish, poultry, above ground veggies/leafy greens, eggs, cheese, heavy cream, full fat Greek yoghurt, full fat milk, extra dark chocolate (85% Lindt’s is great!), avocado, (whole) tomatoes, berries, olives, nuts, that sort of thing… Meal ideas? Have a couple:[/I] [I]Scrambled eggs with bacon, cheese, mushrooms, tomato, maybe some high meat content sausages? Eggs with ham, bacon and cheese Omelet with spinach and/or smoked salmon Omelet with cream, cinnamon, with some berries and coconut shavings Full fat Greek yoghurt with nuts and berries Leafy green salad with a can of tuna (oil, not brine!), mayonnaise, capers, olives and avocado Leafy green salad with (warmed goat's) cheese and bacon, maybe a nice vinaigrette? Meat, fish or poultry with veggies. I usually go for cauliflower rice or broccoli rice, with cheese and bacon to bulk it up. Never the same meal twice in a row because of various herbs/spices.[/I] [I]Snacks? Pork scratchings, cheese, olives, extra dark chocolate, nuts. :)[/I] [I]Of course, there’s loads more on the web, for people more adventurous than I. (Which is pretty much everyone). Just google whatever you want to make and add “keto” to it, and you’ll get a low carb version. There’s a lot of recipes on the diabetes.co.uk website, as well as on [URL="http://www.dietdoctor.com"]www.dietdoctor.com[/URL] where you’ll also find visual (carb content) guides and videos. And I can wholeheartedly endorse Dr. Jason Fung’s book [/I]The Diabetes Code[I]. It’ll help you understand what’s going on in your body and how to tackle it, whilst not being a dry read. Not only that, but you’ll know what to ask your doctor, and you’ll understand the answers, which is, I believe, quite convenient. [/I] [/QUOTE]
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