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Havent got a clue what im doing !!!help !!!

supernanny

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4
Pleeeease can you help me ,just been diagnosed with type 2 ,1st appt at clinic in 2 wks time but trying to get on top of things ,been reading allsorts ...eat carbs,dont eat carbs ???? been feeling really groggy lightheaded,nauseous and tired for a couple of days ,spent 3 hrs in Tesco last night reading packets etc for sugars etc....been online this morning after having branflakes for brekkie with ss milk ,had 2 wholemeal rolls with fresh chicken and salad for lunch, thought i did well !!!!then i read i need to low carb ,now am worried sick and feel like making myself sick to get rid of it....... not coping very well with this and really need some help .....xx :?
 
You don't have to low carb but you do need to reduce your carbs down as far as you can. Start by cutting out something like potatoes from your diet and see how you get on.If that is ok then cut down on portions of other starchy carbs such as pasta,rice ,bread etc again do it slowly and see how you get on.
 
I can relate to the bewilderment you describe. I went through it myself a few months ago.

Succesful diabetics reduce the amount of carbohydrate they eat, whatever approach they take. The most obvious thing to do is cut out added sugar to anything and all sweets. This was how I started and I continued to do this for about a month between blood tests and brought my fasting blood levels down by a couple of points when it was tested at the surgery. Otherwise I followed the conventional NHS healthy plate advice.

What I need is a diet that I can stick to for the rest of my life. I need to be able to eat the same food as my son and entertain friends and family and even eat out. If I can't do those things then I will fail. I can't afford to fail because developing the long term complications of diabetes will knock several years of life off my lifespan. If it doesn't, I don't want to end up like my dad, from whom I inherited my diabetic genes. His quality of life was very poor for the last 10 years, he died last year at 80.

I wasn't hapy with the NHS approach that diabetes is a deteriorating condition and that complications are inevitable. So I kept looking until I found something that was a bit more positive. I found http://www.bloodsugar101.com and this website and spent the intervening time looking around here. The advice here is great and there are people taking many differnt approaches. I have also recently found http://www.lowcarbdiabetes.com which was started by someone who posts here too.

I'd initially thought that a low Glycaemic Index diet was the way to go. My GP nodded happily when I told him that I planned to do the low GI diet. Then I looked around here and after a few weeks realised that the people who's control I really admired were all low carbers. So that is what I do, although as I'm a vegetarian I am at the higher end of the low carb range.

I recommend that you get a blood meter and as many test strips as you can from your GP and test test test. That way you will find out what makes your blood sugar spike and the you can avoid the food or eat considerably smaller quanitities of it. You can but additional strips from eBay where there are several very reliable suppliers. You can get real bargains on eBay, just make sure that you check the expiry date on teh strips and the sellers profile first - my price limit at eBay is half the retail price, including the postage, for something that has at least 10 months before it expires.

I suggest you set yourself some failry simple targets to start with - mine was to get my readings a point or so lower for the next blood tests. When I started out I knew that sugar made the readings go up, armed with only this fact for sure I managed to reduce my readings. Since I have become more knowledgable I think I may have an HbA1c closer to 6% next time this is tested.

There is a lot of conflicting information, supernanny. My view is that the advice given my the NHS will slowly poision me as the NHS recomends a diet that turns to glucose in my body, which is what happens to those slow burning complex carbohydrates - they turn to glucose as my body digests them.

I'm also not on any medication at the moment. My GP has offered both Metformin and statins and is unhappy that I have refused both to date. I'm happy with the reassurance that I have receved here that my cholesterol levels are okay but I am considering accepting Metformin because it will help with both the blood glucose readings and the weight loss I need to achieve. I will probably accept the Metformin next time I see him, although I'm planning to keep this under review.

Excercise is also important in reducing the glucose levels, I think it was Fegus who said that it wakes up the insulin receptors in your cells. I know that my lowest readings have been after exercise, but I fell off the exercise wagon during the hot weather and some rather unexpectedly high readings (down to fluctuatins in my menstrual cycle). I'm planning to climb back on to it this weekend.

I also have a substantial amount of weight to lose - I must be half the woman I was in February. The extra weight causes insulin resistance and my body can't use the insulin it does produce properly because of the insulin resistance. I will be reviewing my approach when I am closer to my target weight. My long term aim is to have an HbA1c under 6% and a place on the 5% sofa, I hope to be there before the end of this year. This is what will reduce the risk of me developing long term complications.

Things will become clearer as time passes, honest! But we can't afford to let too much time pass before we get a grip of what we need to do and develop good control. Good luck, ask any questions you want. Check out some of the other websites, especally bloodsugar101, there are some useful links and loads of good empowering information there.

And on a positive note, since my diagnosis I have eaten better than I have for years. I'm not hungry and those awful carb cravings have gone since I cut out the pasta, rice, bread and potatos. I have lost between 1/4 to 1/3 of the weight I need to lose in aruond 3 months, my posture has improved, I have more energy and I have realised the fuzzy head and headaches I used to get were symptoms of high blood sugar. I don't feel at all deprved on the diet I'm using.
 
One other thing, we are all different.

We respond to the food we eat differently and in how much insulin our pancreas still produces and the level of insulin resistance we carry. What makes me spike (unacceptably high blood sugar readings) may not make you spike in the same way.

That is why you need to test, whatever the advice given by your doctor.
 
Superb post Spiral!
You are a "quick study"
 
hanadr said:
Superb post Spiral!
You are a "quick study"

:D thank you. I feel like a sponge here, there is so much good information here. I feel more in control than I have for years. But the amount of information can be overwhelming, which is what I think supernanny is saying.

But it can be hard going :? What I do to manage my condition is against most of the advice I have been given by the NHS :| I should only testing x2 a week at most (I test 6-8 times a day), I should be on medication, I should be eating the NHS healthy plate. It takes a fair amount of confidence to be able to pick through the information available and decide which bits you will accept and which you will reject. It isn't an easy path.

At the moment I'm not clear when my GP wants to see me next. While he was very pleased with my HbA1c of 7% last time he didn't tell me when he wants to see me next. My agenda is to have bloodwork done every 3 months to make sure that nothing untoward is going on and I'm heading in the right direction with my readings. I plan to see him when I come back from holiday in late August and ask for Metformin and another HbA1c.

I think the other thing that would be useful to supernanny is decide what you want from your medical team, rather than let them set the agenda for your healthcare. You also need to establish what you see as a good result, the NHS has very low standards for diabetics.
 
Excellent post Spiral, maybe this should be added to the sticky threads, there are so many new diabetics who are just feeling so confused and scared, its a really good starter for them to read this.

All the best

Karen x
 
Spiral, have you ever thought of putting a video on youtube talking about your experience?
Great post, I think your experince would add great comfort to those newly diagnosed.

The NHS does not give immediate comfort and with swine flu now, no time to.
 
Well what can i say ??? except THANKYOU Spiral !!!What a mind of useful information !! You have certainly helped,Trouble was i had a call from my GP couple of days ago to confirm diabetes then told i would have to wait 2 weeks to see diabetes nurse .....I even went to see a pharmacist ,she was great but i wanted to know which tester to buy and she said "i wouldnt advise you to buy one until u have been to the clinic" apparently i will be given 1 then ,i just wanted to start testing right away 'to take control' . I have my appt on the 30th july but i am going to Turkey for 2 wks on the 2nd August so wanted to be ahead of the game so to speak (Holiday reading is going to be interesting im sure !)Do you think i should still buy one and start testing now ?? . I am so worried and stressed at the moment im not even looking forward to my long-awaited holiday (5* all inclusive )so going to really have to watch what im doing because of all the foods in the hotel,i dont want this to control my life and im sure in time i will be fine, just need some help in the interim . Both my parents have diabetes but they dont take it seriously which i find unbelieveable !! .... Im so glad i found this site ,i guess this will be my 2nd home from now on !! Thankyou again Spiral and to others that have taken the trouble to write xxxxxx
 
You need to get a meter and start testing.

Enter the competition at the top of this page, they will send you a meter at some point. That is how I got my second meter. It isn't a real competition, the meter companies are queuing up to give the bl**dy things away as they make all the money on the strips and other sundries. But that will take a few weeks.

My main meter is an Accu-check Aviva from Roche. It is a simple and straightforward meter and I have it because it was a freebie from the company after I rang their customer services. I understand from others that the Aviva strips are about the most expensive on the market, but the meter isn't too baffling for anyone who gets a bit stressed by electronic gadgetry while lots of functions. It also has free software if you call customer services that will let you look at how you are doing. So far I have not paid more than £12 for a tub of test strips on eBay, my last lot came out at £9 a tub, but I did buy in bulk - 500 strips.

There are loads of meters. One of the customer service helplines I called said they had a meter on offer at ASDA for less than £5, they wouldn't send me a freebie. But I seem to remeber that meter had much cheaper test strips.

If you part with any cash for anything you get to manage your diabetes be sure to ask for the VAT to be taken off. You may need to persist with this as most people don't ask for this and most assistants haven't got a clue. The one time I got the VAT removed it was the pharmasist knew what to do.

Going on holiday is probably not the best time to make major dietary changes. If you start with some small changes, like cutting out sugar and reducing junk food (cutting out crisps was really hard) you will have taken a really major step, and small steady changes are more likely to be sustainable in the longer term. Simply by cutting out the added sugar for a few weeks will be reducing the load you are putting in to your system.

I also started to keep a food diary, but I have been a bit lax over the last couple of weeks. The food diary is helpful in making connections between the spikes and what you have eaten. It also makes you think before you eat! I was amazed at how much junk I ate unconsciously :oops:

Having said that a holiday is probably the worst time to make dietary changes, at a 5* hotel you will have a fabulous choice of food. Avoid or reduce at the very least bread, pasta, potatoes and rice and try not to eat too much fruit, especially tropical fruit as that has more sugar in it. Enjoy your holiday.

You can get the book version of Bloodsugar101 from Amazon. It was a really good investment and may be good holiday reading. I'd also suggest a fun book too!

I have finally tried to sort out the accomodation for the rest of my holiday today. I'm not leaving the country and was worried about how I would cope with the lack of availability of vegetarian low carb food on the west coast islands. I have decided to simply do my best, keep testing, make use of the inforamtion I gather with my meter and try to avoid spikes and make up for lost time when I get back.

I think it is best to get to grips with things now, that way it will be easier to resist temptation at high pressure times like events that involve lots of food. And hopefully, by the time things like that will come around I will know how to cheat and be flexible aslo known as plaaning off plan treats. We all need off plan treats from time to time.
 
Awwww supernanny I feel for you, it is such a worrying and confusing time for you and you just dont know what to do for best huh?

Try and read 'success stories' in the forum there you will see how everyone of us has struggled in the beginning some worse than others and it will be so encouraging for you to read about it all.

Dont worry about your holiday, supernanny, worry and stress will also raise your blood glucose and it doesnt solve anything.
Have you got hold of the Collins Gem Carb Counter book, its a good starter you know you will learn so much about carbohydrates, the testing is very important when devising your diet, keep a food diary and write down what you eat and how it affected your blood sugar, and yes its true we are all different, some of us can eat 5 new potatoes and bg stays reasonable, others spike like crazy, others can eat bread, some cant, so play around with your food see what you can tolerate, maybe you need to cut back a little bit on certain foods, or cut them out altogether and there is a chance that you may be able to reintroduce them again at a later stage.

Re your holiday, well take your tester with you, the food in turkey is actually pretty good there, plenty of vegetables and meat dishes and fish, but stay clear of the white bread they tend to serve with all their dishes, or just have a very tiny amount for the sake of it, rice, pasta, potatoes, starchy veg and fruit are the foods that you need to watch, if you celebrate have spirits or red wine.
the important thing is that you dont feel deprived, so if you are missing food you really love and want, think of your health and reward yourself with other things, I can think of lots of ideas in Turkey eg their lovely leather goods, silver jewellery etc. You can expect cravings for the carby foods, but seriously, this gets better after a while and if you do have the odd lapse, wll get back on ttrack at the very next meal.
Just enjoy your holiday, it will all work out just fine you will see

All the best

Karen x
 
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