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Diabetics R Us

@Cyberswitch

Hello and welcome back Here is a repeat of the Basic Information for new members and I hope you will find it useful. Ask as many questions as you want and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

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 235,000 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 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.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
Morning all

It was very warm during the night so didn't sleep well and gave up at 3.30am and got up .
Got my retinopathy check at 2pm and will be coming home afterwards so an early dart from work.

Have a good day.

H
 
Oh s**t. My 82 year old neighbour borrowed my pressure washer (it's really cool to see a fragile, white-haired great-grandmother cleaning her brick house with a pressure washer, by the way) and now she brought me a big 'pruimenstrudel' (sweet pastry with plums and cinnamon) to thank me.
It's still warm, it smells like I expect heaven to smell and she put some roses on top to make it look pretty.

I ate just a small piece, with six units of insulin, and planned to just wait and see whether I'd need more insulin or more pruimenstrudel (easy, as I'm on the Libre), and then bring the rest of it to the other neighbours so they'll have a lovely dessert.

The plan is fine, but the pruimenstrudel tasted so good that I'm not sure if I can get myself to bring the final part of it in action. Currently trying to convince myself that no, I really want pretty boring leftovers for dinner and not pruimenstrudel. Not sure if I'm going to believe myself though.

I'll keep you updated.
 
it's scary isn't it .When our son hit 50 I sent him a message asking how he was 50 and I was only 39
!!
Carol

I had a significant birthday recently.........my daughter......bless her......sent me a card wishing me a "Happy 21st Birthday Mum".........you may find this unusual but as she runs a laboratory she only works in Celsius........you can work it out with a thermometer if you really want to.......but I really appreciated the thought......... ..........
 

I can only deduce 21 SD
 
I took another 4 units and seem to have stopped the going up at 7.8. I guess that means I'm in for a rapid coming down now, and hopefully some more strudel.
I'm very good at dosing for slower carbs (in not too large quantities) but always mess up with things like fruits and sweets. Not sure if that will get better with more practice or if it's simply impossible for my diabetes to not spike nor drop with those kind of foods. I usually just avoid the obvious difficult foods, or have just a small bite for taste.
 
4.3 with a downward arrow called for some more pruimenstrudel
And I have been sensible and gave the neighbours a phone call to come pick up their dessert, as I don't think it's safe for me to walk over there with this much sugar and insulin making a party in my system.
I will keep some for later, though!
 
 
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