• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Diagnosed 3 months ago South Wales

russo109

Member
Messages
7
Hi Everybody. Initially diagnosed in March following getting up in the night going to the loo and feeling thirsty every evening and losing about a stone and half of weight over a year.
I'm a 45 year male with a BMI of 25 weighing about twelve stone.

My morning fast level was 17 and Hbac1 was 117. After seeing the GP diabetic nurse about a month later from my initial bloods, I was put on metformin working up to 3 tables a day over a period of two weeks and advised to come back for further tests as the GP thought I was Lada type 1.5 as I didn't fit the type 2 profile. Unfortunately in South Wales the trial period for testing for type 1.5 diabetes had ended so was not able to test for this. Within a week I was referred to the local hospital diabetes team who again thought I may be type 1.5. I was given a blood glucose meter straight away and told to take my readings twice a day for a week and to come back a week later to discus. My readings in that week before breakfast and evening meals were all above ten typically in the twelve’s. I also immediately cut down on all the sweet stuff (the nurse said I had a diet of a teenager with the chocolate and sweets I used to eat1). The hospital saw me straight away as my sugars were quite high and also they knew if I was type 1.5 going on insulin sooner rather than later may help protect some of my remaining insulin producing cells

On returning to the hospital a week later I was offered the opportunity to try a different mixture of tablets or to go on insulin. I could tell by the doctor that they thought the best course would to go straight on insulin. So on the 19th of April I started Novomix 30 twice a day starting off on 10 in the morning and 8 in the evening. I then kept in touch with the hospital over the next few weeks emailing my glucose levels and slowing increasing my dose on the advice of the hospital up to 17 17 units now. My meter is now showing a 7.2 seven day average and regularly measure below 7 throughout the day.

I've been to see the dietician who has advised on things to avoid etc my generally not a huge change in my original diet other than chocolates and sweets ! :)

I popped in to see my GP today after taking bloods last week my Hbac1 is now 77 after being on insulin for about 5 weeks so she was pleased with my progress. Still not officially diagnosed as type 1.5 and the nurse advised that I am on the records as being type 2. No history of diabetes in my family but my mother did have rheumatoid arthritis and thyroid problems which does tie up with type 1.5.

It’s been quite a rollercoaster since initially being diagnosed. Initially I was pretty down and took a few weeks to get my head around it all. The thought of injecting myself did make me squirm but after the first couple it’s not as bad as I thought. Occasionally it hurts if I catch the wrong spot, but find the finger pricking worse than the injections. It’s been a bit of a learning curve sorting out the repeat prescriptions and organising things like sharps bins and associated collection but are there or there about at the moment. Family and friends have been great, particularly my wife who now watches my diet like a hawk! I‘ve informed the DVLA, who have now given me a 3 year license now that I’m on insulin. There has been no effect on my car insurance.

I’m not seeing my GP for another year now but in regular contact with the hospital whilst we find the right insulin values (via email and phone).

So overall a life changing event but there can be alot worse things in life. Hopefully it will be a wakeup call for me particularly my diet. Next things to tackle is exercise (or the lack of it) so plan to go swimming. I don’t find using the Novomix too constraining in terms of what I eat but going forward may look at going on more injections adjusted to what I eat when things have settled down. Hope that this helps other people in a similar situation and going through similar issues. This forum has been great, really useful and informative with plenty of helpful posts!!
 
Hi russo and welcome, sounds like your doing really well so far so good on you for being pro active. When excercising be sure to have some fast acting glucose like lucozade to hand as exercising can bring on hypos quickly, though can put them up aswell. Testy regularly before during and after. If you get the chance would advise to go on mdi multiple daily injections as out its alot more flexible using a base for background and bolus for food. If possible do a carb counting course like dafne also. Any questions please ask

Sent from my GT-S5360 using DCUK Forum mobile app
 
Hi and welcome Russo,

Well done for adapting so well, I'm not sure I would be able to cope as well as you:-)

It really angers me though that the Pennypinching NHS are not giving people correct diagnoses! Although your treatment would be the same rite now whether you were a type 1.5 or a type 2. For research reasons they should be CONFIRMING whether you have the condition of type 2 diabetes rather than the DISEASE of type 1.5 diabetes which would be done via an antibody and c-peptide blood test... Is worrying that official records and statistics could be very wrong especially when funding for research could be effected by it.... I wonder how many people are showing officially as newly diagnosed type 2 diabetics when actually they are type 1/1.5 ?? And then you hear all over the place "type 2 diabetes is dramatically on the rise because of lifestyle etc etc" but is it? Really? Who knows when the NHS are not carrying out the necessary tests to give confirmation of diagnosis?

Apologies for my rant.....I guess I am still in the anger phase of being newly diagnosed :-D


Diagnosed with GD in 2010, Completely disappeared postpartum. Re-diagnosed December 2012 with type 1.5 diabetes, age 26, BMI 23 currently controlled by only Metformin, 500mg twice a day.
 
Update :Diagnosed end of April, confirmed by hospital consultant as T1 (late onset) even though I have had no GAD tests etc. HbA1levels have gone from 114 (12.6%) when first diagnosed to 77 (9.2%) end of May to 52 (7%) last week :D On Novamix 30 twice daily
 
Where in South Wales are you if you don't mind me asking.

I have also recently been diagnosed and my GP thinks I'm 1.5 (currently on Metformin) but I am awaiting the tests. I've been told I should get it when I get my HBA1C in about 2 months. I also don't fit many of the type 2 markers. Funding is sooooo tight though :(

But I need to know for my own care of my health reasons.
 
Hi russo and welcome to the forum :)

You are certainly doing very well already. Just to help you along, here is the information we give to new members which I hope will be useful to you. Ask as many questions as you need to and someone will come along 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 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 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 ... 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
  • 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.
 
I live in Bridgend so currently being looked after at the princess of Wales hospital. I was told they used to test for type 1.5 but funding stopped.

I was just on metaformin for a couple of weeks but my sugars remained high in the teens so the hospital put me straight on insulin. Apparently by going on insulin straight away it may save some of you insulin producing cells whuch makes keeping your sugar levels steady in the long run.

Care has been great and I can ring up the nurse any time for advice. Had my feet checked twice already, kidney and liver function done, blood pressure normal. Just waiting for eye scan. Cholesterol wad 7.5 when diagnosed now down to 5. Main diet change has been no more sweety things, plenty of fruit and no more white bread. Main meals care the same as before diagnosis.

Only issue has been I have put on a stone since going on insulin, which proves my pancreas was struggling.


Sent from the Diabetes Forum App
 
We are in the same health board then, as I'm Neath Port Talbot hospital (in fact I'm there this morning for an abdominal scan after a raised liver and kidney function test on diagnosis!)

My BS has been stable with the Metformin so far, so am hoping that I will be able to avoid insulin for a while.

I wonder if I will get my GAD test then.... My GP said I would :? I've been prescribed testing strips as its assumed I'm type 1.5 but if they don't test and they put me as being a Type 2 I'll probably lose them or have them majorly restricted :(

I have diabetic clinic this Thursday, so I will ask then.

Thanks :thumbup:
 
Back
Top