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Diagnosed prediabetic but don't want to start meds

Suzysuze1

Member
Messages
14
Location
Dublin
Type of diabetes
Prediabetes
Treatment type
Diet only
Dislikes
Materialism
Hi. I developed gestational diabetes 3 years ago and my glucose levels seemed to be ok a few months after delivery.
In April a random test of my fasting bloods showed 6.5 so my doctor plans to do an A1c next month. Any disimprovement and she's going to start me on medication. Will I be stuck with this forever? I'm active and not overweight and my bmi is 22.5. I'm not testing but I know in the mornings my bs is high, I can feel it and I get blurred vision in one eye. Anybody have some positive advice?
 
The best advice is to treat yourself as though you are diabetic and I am tagging @daisy1 to give you some information that will help.
If you can tell us a typical day's menu other forum members will have suggestions as to how to tweak your food choices.
The usual treatment is to start by adding Metformin as a prescribed medication This has many health benefits but will only decrease your levels by a small amount.

You may be provided with a test meter and strips but it is a postcode lottery. Most people here who have to buy their own use the Codefree, the cheapest.
http://www.homehealth-uk.com/medical/blood_glucose_monitor_testing.htm
 
The best advice is to treat yourself as though you are diabetic and I am tagging @daisy1 to give you some information that will help.
If you can tell us a typical day's menu other forum members will have suggestions as to how to tweak your food choices.
The usual treatment is to start by adding Metformin as a prescribed medication This has many health benefits but will only decrease your levels by a small amount.

You may be provided with a test meter and strips but it is a postcode lottery. Most people here who have to buy their own use the Codefree, the cheapest.
http://www.homehealth-uk.com/medical/blood_glucose_monitor_testing.htm

Thank you for this! At the mere mention of metformin I get horror stories and gasps and dire warnings - all these from people who are not diabetic but have 'heard of' someone who is.
Typical day's menu
Breakfast 7am - Half slice of Biona rye bread, butter, 1 fried egg with no fat
Snack 10.30am - 4 brazil nuts, handful of blueberries, sometimes a small glass (100ml) of kefir
Lunch 1pm: 1 slice Biona bread, 2 slices of ham, slice of cheddar cheese, strawberries or raspberries
Snack 330pm: hummus with strips of red pepper, slice of ham or cheese
Dinner 630pm: Roast chicken with green beens, 1 v small potato
or poached cod, broccoli, 1 small potato
or chili con carne (beef or turkey mince) with 1 tablespoon of brown basmati rice
(Most nights: 1 or 2 small glasses of red wine. On Saturday night, 3-4 glasses of red wine.)
After dinner 8pm: 2 squares of 90% cocoa chocolate, sometimes a small natural greek yogurt with coconut flakes, or 4 pecan nuts
I never ever eat sweets, biscuits, cakes but occasionally eat a packet of crisps.

thanks!
 
@Suzysuze1

Hello Suzy and welcome to the forum :)

Here is the information we give to new members and I hope you will find it useful, especially in reducing your sugar levels. Ask more questions and someone will 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

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.
 
Thank you. I actually was given this exact information when I had diabetes in pregnancy.
However, despite following all guidelines carefully, I can't seem to find the solution in my diet. I can feel great sometimes and then the early morning spike starts to happen for days at a time.
Would it be safe to eliminate carbs completely?
:(
 
Hi and welcome. Your diet looks pretty good (BTW fat is OK). I can't comment on the gestational diabetes, but if blood sugar doen't come down on very low-carb diet then the diagnosis might be T1 rather than T2 as your BMI is good. A fasting test of 6.5 is almost normal so the HBa1C will be a more useful measure. You can eliminate carbs completely but you do need fibre in the diet and with very low carbs you need to ensure you have enough protein, veg and fats to give you a range of essential nutrients.
 
Thanks Daibell. It all seems so complex and unpredictable. I never even knew I could develop diabetes at my age (44 ).
 
I'm not testing but I know in the mornings my bs is high, I can feel it and I get blurred vision in one eye. Anybody have some positive advice?
Get a meter and start a testing routine. Depending on your lifestyle (work, shift, travel, family commitments etc), the more intensive your testing, the sooner you'll know what food to avoid.
 
Thanks DeejayR. GP said best not to start testing yet or I'd get too 'hung up' about it so I will just have to buy the strips myself. No matter how well balanced my day is, even without eating after 6.30pm I still get this sugar dump in the early morning. I have seen a thread about it and I'm trying various suggestions. This week it has been lasting longer than just early morning and right through to afternoon.
 
Thanks Daibell. It all seems so complex and unpredictable. I never even knew I could develop diabetes at my age (44 ).
Hi. The younger you are the more likely the diagnosis is T1, so keep tesing and if despite a low-carb diet you get sugar spikes into the teens 2 hours after a meal then see the GP and suggest tests for T1
 
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