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confused diabetic - Type 2

KallieB

Member
Messages
12
Type of diabetes
Type 2
Hi
I'm type 2 diabetic diagnosed in May this year and I'm on metformin 2 x 500gm with evening meal.
I finished my meal at 7.50 pm took my tablets straight after.
I took my blood sugars before I ate and they were. 22.3
Took them again at 9pm and they were. 18.3
Took them again at 11.10 pm and they were 24.5
The only thing I have had is a couple mouthfuls of Volvic sugar free flavoured water
can anyone tell me if that is high, normal etc..
Thank you for reading x
 
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That is high, high, high - and not really surprising given the amount of carbs in the gluten free spaghetti. It would be much better for your blood glucose to replace the pasta with non starchy vegetables.

If you haven't already seen @daisy1's advice for newcomers, hopefully she'll post it for you soon.

Meanwhile, this is a good place to start to understand the effect that carbohydrates have on BG for Type 2s:
http://www.diabetes.co.uk/forum/threads/a-new-low-carb-guide-for-beginners.68695/
 
Hi Indy, Thank You for your reply and link you have just sent me. I have just had a quick read of the information in the link so Thank You so much it has given me an idea of some of the things I can and can't eat. As a gluten intolerant type 2 diabetic I'm finding it hard to find foods I can eat and don't have a clue what I'm able and should be eating to bring my blood sugars down so the list in the link is a good help Thank you. X
 
I have been grain free for nearly 5 years now. I don't have celiac, but probably have a FODMAPS reaction to wheat as I bloat, get joint pain and many other unpleasant digestive effects from eating it. Corn starch affects me in similar fashion. I never buy gluten free products because the carbs they contain are usually very high GI foods like potato starch, tapioca starch, etc.

My main advice would be to eat as few foods that come in boxes, bags or packages as possible - and any that you do buy, read the label carefully. Wheat is an ingredient in almost all processed foods - even salad dressings :woot:

Also learn to check the total carbohydrates on any packaged food and aim for the lower the better - under 10g/100g is a good rule of thumb.
 
@KallieB

Hello Kallie and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful in deciding which foods are best for you. There is a lot of advice on carbs and a link to the Low Carb Program which you might be interested to try. Ask more questions when you need to 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 well over 210,000 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

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.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

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 blood glucose 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 there. Going low carb to lower blood glucose levels automatically eliminates wheat and gluten so it would seem to be a win win thing for you. Those numbers are very very high and you need to get started on lowering them. The link at the bottom of daisy's post is a great place to start. :)
 
If those are your typical blood sugar levels they are has been said above very high. By all means see first what the diet advice can do for you but also consider going back to your doctor to review your medication and whether it is appropriate for your circumstances in the short term. In case you aren't aware Metformin does not work by having a strong 'instant' effect after taking it on lowering blood sugar levels; it is more of a constant background effect. At least you know what your current levels are by testing and can take action based on this.

As well as the carb content (typical portion is around 40g), spaghetti will in general have a low GI depending on how it is cooked and is a likely explanation for the continued rise some hours after eating it.
 
Yes @Jay-Marc is right. Metformin takes weeks to build up in your system to therapeutic levels and has almost no effect on a specific meal. There is no magic pill that will make high blood sugar go away. You need to start with diet and that will have the biggest effect.
 
Also worth adding that the effect of Metformin is not great. It can be a help to you if you can tolerate it but nothing more.
 
Hi. Those levels are too high. If your weight is near normal I would ask the GP to carry out the two tests for Late onset Type 1. Occasionally T1s are mis-diagnosed as T2 thru GP guesswork. So, if your diet is low carb and your weight is OK, then do discuss tests with the GP. Also Gliclazide can help if your natural insulin level is too low. I had to suggest adding Gliclazide to my Diabetes GP who hadn't a clue what to do next; he agreed!
 
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