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Confused and in denial

Benluce0uf

Member
Messages
17
Location
Eastbourne
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi, my name is Carol, 6 weeks ago I was told by my GP over the phone that I am Diabetic! To which I replied, no I think you have got that wrong, I can't be diabetic.
My fasting blood glucose was 8.5, is that really bad? GP started me on Metformin 500mg 1 a day.
I am so confused and in denial, I have high BP and an under active thyroid, I went to the gym twice a week until I went for a BP check and was told to stop going as BP was very high. The diabetic nurse told me what I should be eating, to be honest I eat most of it anyway, I don't eat meat, sweets or cakes or biscuits..... I have changed my bread however from white to whole meal, she also said I could loose a bit of weight, which really annoyed me as no one in any of my appointments have actually weighed me. And it doesn't matter what I do I never loose weight, it stays the same, doesn't go up or down! I have a HBA1c Blood test booked in for May.
I really don't know what I should be doing and any help or advise would be greatly received..
 
Welcome!
AH...you received the 'standard' NHS 'treatment' which really is not very helpful at all :banghead: If you 'dare' to go against hospital dietary advise (like most of us over here have done), you can do yourself a BIG favour...have a look at our 'low carb' dietary advise section...'LowCarbHighFat = LCHF" has been such a success for many to bring down our blood sugar levels AND bringing down weight too.. without heading to the GYM nor sweating even a drop!!! Trust me..I've always been in same situation, weight doesn't change much either way...until now.
How you adjust your diet is totally up to you...slowly or drastically but it is perfectly maintainable way of 'living'...not a crash diet and then back to old ways ;) Have a look....
 
Welcome to the forums, I am tagging @daisy1 who will be along with lots of information that will help you understand your diabetes. As Finsky has advised the LCHF way of eating is the easiest way to keep blood sugars down.
 
Welcome!
AH...you received the 'standard' NHS 'treatment' which really is not very helpful at all :banghead: If you 'dare' to go against hospital dietary advise (like most of us over here have done), you can do yourself a BIG favour...have a look at our 'low carb' dietary advise section...'LowCarbHighFat = LCHF" has been such a success for many to bring down our blood sugar levels AND bringing down weight too.. without heading to the GYM nor sweating even a drop!!! Trust me..I've always been in same situation, weight doesn't change much either way...until now.
How you adjust your diet is totally up to you...slowly or drastically but it is perfectly maintainable way of 'living'...not a crash diet and then back to old ways ;) Have a look....
Welcome!
AH...you received the 'standard' NHS 'treatment' which really is not very helpful at all :banghead: If you 'dare' to go against hospital dietary advise (like most of us over here have done), you can do yourself a BIG favour...have a look at our 'low carb' dietary advise section...'LowCarbHighFat = LCHF" has been such a success for many to bring down our blood sugar levels AND bringing down weight too.. without heading to the GYM nor sweating even a drop!!! Trust me..I've always been in same situation, weight doesn't change much either way...until now.
How you adjust your diet is totally up to you...slowly or drastically but it is perfectly maintainable way of 'living'...not a crash diet and then back to old ways ;) Have a look....
Thank you, will look now.
 
What is your BP, your BMI, what do you eat (portions incl), do you take BP tablets and why the fear in getting some scales?

Welcome by the way :)

Mike
 
@Benluce0uf

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful and especially the advice about diet. Ask as many questions as you like 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

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.
 
What is your BP, your BMI, what do you eat (portions incl), do you take BP tablets and why the fear in getting some scales?

Welcome by the way :)

Mike
Hello Mike,
My BP was 189/100, I am on medication for it and it is much lower now, my BMI is 30!
I eat salad, veg, pasta, jacket potatoes and the only meat I eat is chicken every now and again. I've got scales and keep an eye on my weight but the GP and DN never one weighed me but kept going on about loosing weight and eating healthy... Reading people's comments they seemed to have a good check over but I never did, so I'm slightly confused as to what I should be doing, my first Hba1c blood test is due in May but don't really know what that is either.
Thanks Mike
 
@Benluce0uf

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful and especially the advice about diet. Ask as many questions as you like 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

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.
@daisy1 thank you so much, will have a look.
 
Hi @BenluceOuf and welcome! You have found the right place for lots of support :-)

I was diagnosed on the 15th and went into a complete denial as well, I then found this place asked some questions did some research and felt a lot better.

First things first you have probably been told not to test your blood sugars by your GP? Ignore this advice and get yourself a meter and start testing. This gives you knowledge and knowledge is power :-)

I have decided to go down a LCHF and intermittent fasting route (look up and read some articles and watch some video's of Jason Fung which should make you feel like there is light at the end of this tunnell).

If you are interested in LCHF got to the dietdoctor.com webiste, which is really user friendly and also offers a free two week low carb challenge that gives you exactly what to eat for two weeks, it may be worth trying this along with testing to see what this does to your blood sugar levels..

I know at the moment you will have information overload, you need to take some time for yourself to read things and decide the best way forward for you.

And don't stress over it all......stress does horrible things to your blood sugar :-)

Take care and keep asking the questions

Lindy x
 
my first Hba1c blood test is due in May but don't really know what that is either.
Hi @Benluce and welcome to the forum. An HbA1c blood test measures your blood sugar level over the last 8-12 weeks. It is more accurate than the finger prick test which you presumably had, which showed your bs as 8.5. The finger prick tests give an indication of your bs level at that moment, but don't conclusively show you have diabetes as the test can be affected by various factors including what you have recently eaten, stress or an infection/illness.

An 8.5mmol/L reading isn't very high. The diabetes range is 7 or above. If you read round the threads you will see that many of us on here have reduced our bs level (and weight) by adopting a LCHF approach to eating. You need to be aware that apart from cutting out sugar and sweet things you should avoid or limit starchy carbohydrates like bread, potatoes, rice and pasta, including the brown wholemeal types, as carbs will turn to sugar in your bodies.

You have done well to find this forum, there is a lot of good advice and support on here. Ask any questions you want, the people on here are friendly and someone will answer your questions.
 
Hello Mike,
My BP was 189/100, I am on medication for it and it is much lower now, my BMI is 30!
I eat salad, veg, pasta, jacket potatoes and the only meat I eat is chicken every now and again. I've got scales and keep an eye on my weight but the GP and DN never one weighed me but kept going on about loosing weight and eating healthy... Reading people's comments they seemed to have a good check over but I never did, so I'm slightly confused as to what I should be doing, my first Hba1c blood test is due in May but don't really know what that is either.
Thanks Mike

No worries at all @Benluce0uf / Carol

If BP is dropping, then good.and yes, they should have weighed you, at least initially IMO. No bother on that front either as it's in the scheme of things, not the final target and if you have scales (and yes, I get the sensitivities from the ladies) then use them as you see fit.

Your HbA1c is a measure of your blood glucose over the previous 3 months weighted toward the last month. THAT number is important. Who did that 8.5 test? You? May is your 1st HbA1c? In other words, they pronounced you diabetic on the basis of a finger test?

BTW, pastas and potatoes will (for many diabetics) jump figures but we'll get to that when we need to. Keep coming back Carol :)

Mike
 
If you haven't done so already, do buy yourself a glucose testing metre and use it to work out what different foods do to your BS levels. We are all unique and what causes a spike in levels in one person has no affect on another. It's a lot of trial and error and don't expect to get it right over night. For me I found it easier to instantly stop eating carbs (bread, pasta, rice, potato, anything with sugar, other root veg, fruit except berries, grains, pulses) and after a period of time once my body had adjusted to LCHF, test what effect these have. Happy to report that red wine seems to have the effect of lowering my BS levels:happy:. Bread and potato still firmly off limits.
 
No worries at all @Benluce0uf / Carol

If BP is dropping, then good.and yes, they should have weighed you, at least initially IMO. No bother on that front either as it's in the scheme of things, not the final target and if you have scales (and yes, I get the sensitivities from the ladies) then use them as you see fit.

Your HbA1c is a measure of your blood glucose over the previous 3 months weighted toward the last month. THAT number is important. Who did that 8.5 test? You? May is your 1st HbA1c? In other words, they pronounced you diabetic on the basis of a finger test?

BTW, pastas and potatoes will (for many diabetics) jump figures but we'll get to that when we need to. Keep coming back Carol :)

Mike
Wow, thanks Mike, very interesting stuff.. The 8.5 was a fasting BT taken by doctors! Maybe I have been eating the wrong stuff , thinking I'm being good!
I will keep coming back and reading what you all have to say, as I said a phone call from GP to say I was diabetic was the last thing I was expecting! Thank you all
 
Hi and welcome. You've had a lot of good advice already. Yes, the 8.5 reading is only slightly elevated and a lot depends on how long after a meal it was taken. When you get the meter, test 2hours after a typical meal. The target is to be below that 8.5 number. Although wholemeal bread is always better than refined white it is still a carb. When you do have bread, go for wholegrain and not too much. Keep the pasta down. Protein and fat is fine and will keep you feeling full for longer. Veg and non-tropical fruit is also good. With the right diet both your weight and blood sugar will go down.
 
Wow, thanks Mike, very interesting stuff.. The 8.5 was a fasting BT taken by doctors! Maybe I have been eating the wrong stuff , thinking I'm being good!
I will keep coming back and reading what you all have to say, as I said a phone call from GP to say I was diabetic was the last thing I was expecting! Thank you all

OK thanks Carol . @Benluce0uf .. in effect, it was NOT bloods from a finger but a full blood workout with a report after the event? Sure sounds like it so my apologies for the confusion. If that was the case, I can now follow the course of events.

You can be good (many of us were) but still got this condition for reasons you could not count, but again, no bother with that stuff.

The goal is weight loss and diet and portions, but the ladies have covered that well enough so it bears no repetition from me.

Really happy your BP has dropped but I would think about gentler exercise if you can and if there's anyone who knows anything about thyroid conditions, it's @Totto so I've tagged her ... sorry @Totto .... message awaits :)

REALLY early days with you, but this joint gives you access to the best group of people you'll ever meet on a forum, all willing to share and help. Trust me on this one. It can be brought under control.

Thanks Carol
 
Thanks for the tag @Mike D

Hi @Benluce0uf were you diagnosed by a single fasting blood test? No HbA1c done? No follow up fasting BG test?

Go back to your GP and see that you get a HbA1c test done, at least. And full blood count as well as liver panel and kidney tests including urine sample.

I think you need a new GP actually.

Are you on Levo? Do you get the free thyroid hormones tested or only TSH? What are your numbers?

LCHF is a good idea regardless, particularly staying off grains as grainfree can have an amazing effect on autoimmune conditions like hypothyroidism.
 
Thanks for the tag @Mike D

Hi @Benluce0uf were you diagnosed by a single fasting blood test? No HbA1c done? No follow up fasting BG test?

Go back to your GP and see that you get a HbA1c test done, at least. And full blood count as well as liver panel and kidney tests including urine sample.

I think you need a new GP actually.

Are you on Levo? Do you get the free thyroid hormones tested or only TSH? What are your numbers?

LCHF is a good idea regardless, particularly staying off grains as grainfree can have an amazing effect on autoimmune conditions like hypothyroidism.
Hi @Totto ,
I did a fasting blood test, was worried about my thyroid and cholesterol, so when they came back ok and he said I was diabetic I asked to be retested, he said I didn't need another one. Cholesterol was 5 can't remember thyroid one. I do take levo, 200mg.
Just TSH, I've done a urine sample and that came back fine, nothing showing up. I have a HBA1C BT in May, 3 months from my first fasting BT! Thanks for your help, I find it quite stressful trying to work out if I can eat something or not!! Can I have a mushroom omelette? Is that ok?
 
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