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Confusing

F

Fredieca

Newbie
Messages
1
Type of diabetes
Prediabetes
Treatment type
Diet only
Been diagnosed I am from prediabetes to a diabetes a few days ago and I don't know anything, confusing... what I must to do first, still waiting for dietician and eyes screening.
My nurse said when you over 48 that's mean you diagnose a diabetes, mine is 53.
Nurse asked me to on medication but I refused, so I need change my diet to lower it for 3 months until my blood test due on March 2023, worse case if my level above 48 they will ask me to on medication. Any advices will be great, many thanks
 
Focus on eating protein and healthy fats. That doesn't need to be boring as there are lots of great recipes if you search for Keto or low carb.
 
hello and welcome @Fredieca

I second the link posted by @catinahat . It was something I found very useful when I was first diagnosed. I have some other suggestions in my signature block.

The other thing I really recommend is getting a meter. You may find that your medical team do not support this but in my view it is vital particularly if you want to control it by diet rather than medication. A meter tells you what effect different foods have on your levels. This helps you decide what to eat.

Good luck and welcome.
 
catinahat said:
Welcome @Fredieca
Have a look at Jo's nutrition thingy https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html
It's a great introduction to a healthy T2 life and should help with your confusion by giving you answers to questions you probably haven't thought of yet.
Click to expand...

Hi cainahat, jumping in into this blog and want to ask about the diet. When the fat are burned during our weight loss of low carb meal, will it produce keton in our urine? As I check last there was +1 keton but doctor say it still okay because I check when fasting condition (10 hours after meal).
 
You made a good decision not to take medicine right away. Like a lot of members said, sugar out, reduce carbs and start reading food labels. Buy a meter and test strips and start checking your BG.

After 3 months you will have good where you stand. I have been through this and I am not taking any medication. Good luck
 
budhi76 said:
Hi cainahat, jumping in into this blog and want to ask about the diet. When the fat are burned during our weight loss of low carb meal, will it produce keton in our urine? As I check last there was +1 keton but doctor say it still okay because I check when fasting condition (10 hours after meal).
Click to expand...
Hello budhi76
Our bodies can use either fat or glucose for fuel, when we eat carbohydrates our pancreas produces insulin to allow us to use the resulting glucose.
In the absence of carbohydrates our bodies will switch to burning fat, either from your diet or your fat stores.
To be able to use the fat our liver breaks it down into keytones, the body can then use these keytones for fuel.
So the presence of keytones is neither good or bad, its just an indication of which fuel your body is using.

People often get concerned when they see ketones because they have heard about Diabetic ketoacidosis(DKA) which is a serious, possibly life threatening condition. DKA occurs when your body doesn't have enough insulin to use the sugar in your blood, its then forced to use the fat and protein just to survive.
Both blood sugar and ketones would be very high and you would become seriously ill quite quickly.

All you need to know about ketones https://hvmn.com/blogs/blog/ketosis-ketones-in-urine-all-you-need-to-know
 
catinahat said:
Hello budhi76
Our bodies can use either fat or glucose for fuel, when we eat carbohydrates our pancreas produces insulin to allow us to use the resulting glucose.
In the absence of carbohydrates our bodies will switch to burning fat, either from your diet or your fat stores.
To be able to use the fat our liver breaks it down into keytones, the body can then use these keytones for fuel.
So the presence of keytones is neither good or bad, its just an indication of which fuel your body is using.

People often get concerned when they see ketones because they have heard about Diabetic ketoacidosis(DKA) which is a serious, possibly life threatening condition. DKA occurs when your body doesn't have enough insulin to use the sugar in your blood, its then forced to use the fat and protein just to survive.
Both blood sugar and ketones would be very high and you would become seriously ill quite quickly.

All you need to know about ketones https://hvmn.com/blogs/blog/ketosis-ketones-in-urine-all-you-need-to-know
Click to expand...

Now it is clear, thanks catinahat!
 
Omar51 said:
You made a good decision not to take medicine right away. Like a lot of members said, sugar out, reduce carbs and start reading food labels. Buy a meter and test strips and start checking your BG.

After 3 months you will have good where you stand. I have been through this and I am not taking any medication. Good luck
Click to expand...
Btw, I'm also in the confusing state. My doctor say to change lifestyle by exercising. But I've read somewhere (will look at it again)... early intervention like metformin (to increase insulin sensitivity) accompanying with lifestyle will be great. Is that true?
 
budhi76 said:
Btw, I'm also in the confusing state. My doctor say to change lifestyle by exercising. But I've read somewhere (will look at it again)... early intervention like metformin (to increase insulin sensitivity) accompanying with lifestyle will be great. Is that true?
Click to expand...
It really is worth trying lifestyle intervention and checking your blood sugars on a regular basis as you go. You’ll most likely find it will motivate you. When you’ve done that you can make a personal informed decision about medication. - medication is nothing to be really worried about but why engage in it when there may well be an alternative
 
budhi76 said:
Btw, I'm also in the confusing state. My doctor say to change lifestyle by exercising. But I've read somewhere (will look at it again)... early intervention like metformin (to increase insulin sensitivity) accompanying with lifestyle will be great. Is that true?
Click to expand...
I'd probably approach as:-
1. lower carbs (may address most of the issues)
2. add/increase exercise (improve health and increase insulin sensitivity)
3. medications to improve insulin sensitivity like Metformin
4. other medication to reduce blood glucose

The first 2 are lifestyle and may be sufficient to achieve what you want/need.. Medication may be OK but will have side effects. In my opinion unless you address 1 you are unlikely to achieve what you want/need with a combination of 2 and 3 ...
 
jonathan183 said:
I'd probably approach as:-
1. lower carbs (may address most of the issues)
2. add/increase exercise (improve health and increase insulin sensitivity)
3. medications to improve insulin sensitivity like Metformin
4. other medication to reduce blood glucose

The first 2 are lifestyle and may be sufficient to achieve what you want/need.. Medication may be OK but will have side effects. In my opinion unless you address 1 you are unlikely to achieve what you want/need with a combination of 2 and 3 ...
Click to expand...

Thank you. Since so many advise lower carbs, is there any good and reliable online guide for this?
 
OrsonKartt said:
It really is worth trying lifestyle intervention and checking your blood sugars on a regular basis as you go. You’ll most likely find it will motivate you. When you’ve done that you can make a personal informed decision about medication. - medication is nothing to be really worried about but why engage in it when there may well be an alternative
Click to expand...

It’s clear, thank you OrsonKartt.
 
I can’t leave chocolate alone. I’m thinking of getting a monitor to test myself. Has anyone got one ?
 
I only use the web version for better functionality so I don’t know what the app shows I’m afraid. There’s a lot of us with useful links beneath any of our posts.

Here they are

josekalsbeek.blogspot.com

The Nutritional Thingy

There’s a few things you should know. 1. Practically all carbs turn to glucose once ingested , so not just straight sugars, but starches...
josekalsbeek.blogspot.com josekalsbeek.blogspot.com

All the things I wish I’d been told at type 2 diagnosis

You’ll probably have been or will be told something along the lines of all things in moderation, reduce sugar and fat, eat lots of fruit and veg. This advice has led to diabetes t2 being seen as progress and leading to more and more medication for the last few generations. Plenty of official...
www.diabetes.co.uk www.diabetes.co.uk
 
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