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 30,000 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 carbohydrates
- Reduce your carbohydrate intake
- Choose ‘better’ 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 ... rains.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
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
Blood glucose ranges for type 1 diabetes (adults)
- Before meals: 4 to 7 mmol/l
- 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (children)
- Before meals: 4 to 7 mmol/l
- 2 hours after meals: under 9 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.
- Before meals: 4 to 8 mmol/l
- 2 hours after meals: under 10 mmol/l
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.
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Please sign our e-petition for free testing for all type 2's; here's the link:
http://www.diabetes.co.uk/petition/
Do get your friends and colleagues to sign as well.
kanebo said:hello debbsy3, I have also just been diagnosed and put on metformin. Still struggling to get my head around this. i asked for the glucose monmitor to give me better control of this condition and GP refused as I was not at risk of Hypoglycemia. This of course was a telphone consutation as you just can't get and appointment anymore. He also suggested I lose weight. Clearly he has not met me before as I am not overwieght and never have been. Anyway I bought one myself and sugar level still between 9 and 12 fasting. Don't know what if i have a problem with the test strips as the last two readings have came up up E-4. Any advice?
Kanebo
kanebo said:hello debbsy3, I have also just been diagnosed and put on metformin. Still struggling to get my head around this. i asked for the glucose monmitor to give me better control of this condition and GP refused as I was not at risk of Hypoglycemia. This of course was a telphone consutation as you just can't get and appointment anymore. He also suggested I lose weight. Clearly he has not met me before as I am not overwieght and never have been. Anyway I bought one myself and sugar level still between 9 and 12 fasting. Don't know what if i have a problem with the test strips as the last two readings have came up up E-4. Any advice?
Kanebo
Jodie24 said:Hi. I'm Jodie and a final year student at University! I am currently undergoing research into type 2 diabetes and the effect of nutrition! I have put together a short questionnaire which I am trying to find type 2 diabetics to fill in for my project! It would be a huge help. Thank you
brockbhoy said:hi, new member so go easy lol
was diagnosed bout 7 weeks ago(type 2) n have tried to change my diet, it's hard when you have a sweet tooth.
was at dietician last week and she said lowering carb intake isn't neccesary as long as its the right sort of carbs: wholegrain
but most other diabetics have said to only have a small amount of wholegrain carbs.
what do you guys think?
thanks, would this still b ok if u are on meds for cholestorol?GraceK said:brockbhoy said:hi, new member so go easy lol
was diagnosed bout 7 weeks ago(type 2) n have tried to change my diet, it's hard when you have a sweet tooth.
was at dietician last week and she said lowering carb intake isn't neccesary as long as its the right sort of carbs: wholegrain
but most other diabetics have said to only have a small amount of wholegrain carbs.
what do you guys think?
I think and eat this - http://www.dietdoctor.com/lchf
brockbhoy said:thanks, would this still b ok if u are on meds for cholestorol?GraceK said:brockbhoy said:hi, new member so go easy lol
was diagnosed bout 7 weeks ago(type 2) n have tried to change my diet, it's hard when you have a sweet tooth.
was at dietician last week and she said lowering carb intake isn't neccesary as long as its the right sort of carbs: wholegrain
but most other diabetics have said to only have a small amount of wholegrain carbs.
what do you guys think?
I think and eat this - http://www.dietdoctor.com/lchf
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