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Confused

Jbicheno

Well-Known Member
Messages
116
Type of diabetes
Type 2
Treatment type
Diet only
Hi. I was diagnosed T2 diabetic by my gp at the end of February this year after a non fasting blood test of 10.8 in December followed by 2 fasting blood tests. The first was 8.6 and the next 7.2. The reason for my first blood test was that I was feeling unwell and very tired and I was concerned that the tiredness may have been connected to a problem with my thyroid (I had a partial thyroidectomy last June). I am not on any medication for that.
Since my diagnosis I have tested my blood regularly and my usual pre meal levels are 4.5-5.6 and post meal 5.5-6.5. My first HBA1C was 42 in April so would have included my pre- diagnosis bloods and a holiday in Thailand.
I am on no medication but am following the LCHF diet and exercising daily. I have lost 3 stone and dropped 2 dress sizes so am not complaining. Every test the doctor has run on me (eg eyes, blood pressure, cholesterol and an ECG) has come back normal.
My question is am I actually diabetic? The only time my blood glucose has been high is when I was unwell. This is normal isn't it?


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I'm tagging @daisy1 to give you the newcomers welcome information.

I have no idea what is going on but maybe one of the others can help you!

Welcome to the forum.
 
@Jbicheno

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful. It looks like the LCHF way of eating is helping you. There are some links to this in this information. If you have some questions go ahead and ask 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.
 
Yes, I think you're diabetic but caught it early, which is good.

How many carbs to you eat a day? And what happens if you eat more carbs than usual for one or more meals? I ask because so long as I stay within my carb limits, I have good blood glucose levels, but if I exceed my limit, my blood glucose levels go up. :)

Congrats on your weight loss!
 
Sounds like cutting the carbs is being effective and that's why readings are in the normal range (as are mine...now) but increase the cars and your readings will probably change. Type 2 is manageable with the right approach and that can esult in normal blood sugar levels...but take your eye off the ball...levels go up = still diabetic. Good news - you're doing really well! So, why change it?
 
It sounds to me you are early stage type 2 as well. You are controlling your sugar with diet and it is working for you. Congratulations on your weight loss too... a great achievement. I agree with the others in that if you increase your carb intake you may find your sugar levels rising. Also any time you encounter stress you will probably find the same thing. My sugar levels are hard to control when I'm sick and in pain even though I'm on insulin now. To me it sounds like what you're doing is working, so keep at it. If you need to go on meds for your thyroid I hope it goes well for you too. I wish you the best. :)
 
Hi. I was diagnosed T2 diabetic by my gp at the end of February this year after a non fasting blood test of 10.8 in December followed by 2 fasting blood tests. The first was 8.6 and the next 7.2. The reason for my first blood test was that I was feeling unwell and very tired and I was concerned that the tiredness may have been connected to a problem with my thyroid (I had a partial thyroidectomy last June). I am not on any medication for that.
Since my diagnosis I have tested my blood regularly and my usual pre meal levels are 4.5-5.6 and post meal 5.5-6.5. My first HBA1C was 42 in April so would have included my pre- diagnosis bloods and a holiday in Thailand.
I am on no medication but am following the LCHF diet and exercising daily. I have lost 3 stone and dropped 2 dress sizes so am not complaining. Every test the doctor has run on me (eg eyes, blood pressure, cholesterol and an ECG) has come back normal.
My question is am I actually diabetic? The only time my blood glucose has been high is when I was unwell. This is normal isn't it?


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jbicheno - Your story is quite similar to my own. My stats are in my profile.

My take on it was that I was indeed diagnosed diabetic, based on the first set of tests, but my corrective measures have been extremely effective bringing things into a healthier place.

The conversation of where that leaves us in terms of our today position has been discussed in great depth on the forum, with no definitive conclusion; although many posters have very firm ideas.

As I understand matters, our Doctors don't yet have formal guidelines on how they should classify folks achieving and maintaining don-diabetic HbA1cs over a period of time, so there have been a variety of conversations with Docs and a number of notes made on medical records.

In your shoes, I'd want to get further non-diabetic HbA1cs under my belt before I worried about any ongoing title. The main thing is understanding that at these lower levels we are giving ourselves the best chance of remaining healthy, as far as diabetes is concerned. Personally, I'd rather be fit and healthy and called a diabetic than unwell and struggling, but avoiding the title.
 
Many thanks to all of you who have responded to my question. You have made me feel much happier about the new healthier me. Who cares about the label?:)
 
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