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Hello and Help!

Iotegs

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2
Hi everyone, I'm so glad to find this site!
My husband and I went for our first Bupa health check just over 2 weeks ago, and thank God we did. He was diagnosed as a type 2 diabetic, with a blood sugar reading of 16. He was also diagnosed as having high blood pressure and high cholesterol, and told he had a 50% chance of getting heart disease in the next 10 years. He's 45, not active, with a stressful job. He has always eaten what I assume to be a typical bad diet, with junk food, alcohol etc.
To say this diagnosis has been a huge shock us an understatement, and luckily he has embraced the whole lifestyle change that comes with it, wholeheartedly.
He saw our doctor the next day, who told him to go to the hospital for tests. As a result if the Royal Wedding and Bank Holidays that was the following week, followed by another doctors appointment of 10 minutes. He wanted to try an treat his ailments with diet & exercise, but the doctor insisted on giving him metraformin, 1 tablet for the firstvweek, building up to 3. She reluctantly has allowed him 3 months to try and bring his cholesterol & BP down by himself, which he is determined to do. He has another doctors appointment later this week, but has still been given no literature or duet advice.
He immediately, on diagnosis, gave up alcohol, junk food, cakes, chocolate, crisis, biscuits etc and has been eating mainly porridge (not instant oats) for breakfast, with a huge salad with fish for lunch, followed by brown rice or wholemeal pasta etc for dinner. We have tried to increase his fruit & veg intake, but limited bananas, dried fruit etc, and stuck mostly to apples, pears, berries, plums etc, eaten before a meal. He has also been drinking green vegetable juices.
He has about 2 stone to lose, but has lost about 10 so far.
I'm just so confused about all the information out there. I thought the complex carbs would be ok for you, obviously avoiding White bread,rice ,pasta etc, which we never ate anyway.
Everywhere I look the is just conflicting advice. Can you really cure diabetes from eating 100% raw foods? Should I weigh out his carbs? The more I read the more confused I get! I just want to do the best for him.
Please help.......before my brain explodes!
Thanks, Lucy :P
 
Hi Lucy and welcome to the forum :) It is very confusing when everyone gives you different information. Here is the basic information the Forum Monitors give to new members which includes advice on diet and testing. You will find from this that your husband needs to reduce his carbohydrates to help keep his levels down and maybe avoid medication. I'm afraid porridge, brown rice and wholemeal pasta may not be suitable as they have the effect of raising the blood levels. The best way to find out what your husband can eat is to test before the meal, then two hours afterwards and if the levels are similar then this food is OK for him. Has he been given a testing kit? By controlling his diet well the cholesterol and blood pressure levels should also fall. Have a read of this then ask as many questions as you want and someone will know the answer.

Your question about raw foods - I am afraid there is no cure for diabetes at present regardless of what you eat. You can just learn to manage it very well to help avoid complications.

Here is the advice that Ken and I, as Forum Monitors, usually give to newly diagnosed Diabetics. We hope that these few ideas gained through experience help you to gain control and give you some understanding of Diabetes. This forum doesn't always follow the recommended dietary advice, you have to work out what works for you as we are all different.

It's not just 'sugars' you need to avoid, diabetes is an inability to process glucose properly. Carbohydrate converts, in the body, to glucose. So it makes sense to reduce the amount of carbohydrate that you eat which includes sugars.

For more information on CARBOHYDRATE see here:

viewtopic.php?f=3&t=20306

This is NOT a low carb diet suggestion, just a reduction in your intake of carbohydrate. You have to decide yourself how much of a reduction will keep your blood glucose levels in control.

The main carbs to avoid OR reduce are the complex or starchy carbohydrates such as bread, potatoes, pasta, rice, starchy root veg and also any flour based products. The starchy carbs all convert 100% to glucose in the body and raise the blood sugar levels significantly.

If you are on Insulin you may find that reducing the carb intake also means that you can reduce your dose of insulin. This can help you to keep weight gain down as Insulin tends to make you put on weight and eventually cause insulin resistance. This should be done slowly so as not to cause hypos.

The way to find out how different foods affect you is to do regular daily testing and keep a food diary for a couple of weeks. If you test just before eating, then two hours after eating, you will see the effect of certain foods on your blood glucose levels. Some foods, which are slow acting carbohydrates, are absorbed more slowly so you may need to test three or even four hours later to see the effect that these have on your blood glucose levels.

Buy yourself a carb counter book (you can get these on-line) and you will be able to work out how much carbs you are eating, when you test, the reading two hours after should be roughly the same as the before eating reading, if it is then that meal was fine, if it isn’t then you need to check what you have eaten and think about reducing the portion size of carbs.

When you are buying products check the total carbohydrate content, this includes the sugar content. Do not just go by the amount of sugar on the packaging as this is misleading to a diabetic.


As for a tester, try asking the nurse/doctor and explain that you want to be proactive in managing your own diabetes and therefore need to test so that you can see just how foods affect your blood sugar levels. Hopefully this will work ! Sometimes they are not keen to give Type 2’s the strips on prescription, (in the UK) but you can but try!!

For TIPS FOR STRIPS see here:

viewtopic.php?f=20&t=19002#p173253

If you are an Insulin user in theory you should have no problem getting test strips.

The latest 2011 NICE guidelines for Bg levels are as follows:
Fasting (waking and before meals).......between 4 - 7 mmol/l...(Type 1 & 2)
2 hrs after meals........................no more than 8.5 mmol/l.....( Type 2)

2hrs after meals......................... no more than 9 mmol/l ......(Type 1)

If you are able to keep the post meal numbers lower, so much the better.

It also helps if you can do at least 30 minutes moderate exercise a day, it can be split into 10 min sessions to start with. It doesn't have to be strenuous.

The above is just general advice and it is recommended that you discuss with your HCP before making any changes. You can also ask questions on the forum on anything that is not clear.

Finally a few QUESTIONS TO ASK AT DIABETES CLINIC.

viewtopic.php?f=20&t=17091



Sue/Ken.
 
Thanks Daisy for your prompt reply. I must admit my heart sank at the no porridge/brown rice/w/m pasta part! What on earth is left to eat, if we take bread away too. He doesn't eat meat! Any ideas where I can get some appropriate menu ideas?
He hasn't been given a blood testing kit yet, although h has borrowed his mums kit a few times. Hopefully he'll get one off the doctor this week. If not,we'll definitely buy one.

Oh and by the way Lucy in the Skywith Diamonds is one of my favourite song, for obvious reasons! Good choice for a signature!

Many hanks again, Lucy.
 
Hello again Lucy :) I recommend that you look at the Diabetes Food Forum for ideas - here is the link to it:

viewforum.php?f=3

So you are a Beatles fan too, like me :)
 
Hi

There is conflicting advice everywhere about complex carbs, pasta etc.....at the end of the day, you have to find foods that suit your tastes, and your body.

A blood testing machine is superb for this. It may be that your husband will not be one of the persons that peaks with high BG's after porridge, toast, pasta etc.....but if he is someone that does get elevated levels after eating this, he would be wise to limit his intake.

Just be aware that it is a huge change that you are making in what looks to be a very short period of time. I for one also did that, thought I was doing ok and 6 weeks after being put oin such a hugely different diet, I was in total pieces with rejceting the new life-as it was having such an impact on me.

I am speaking as a type 1 though, who was a chocoholic-and hated injections....so also had injecting to contend with in my head as well as the new food regime.

It is not easy, and it is so wonderful to see the support that new diabetics are getting from their partners, as it does have an impact on both of you.

I would get a machine and strips if at all possible, one way or another. As you will see from other messages on this forum- many type 2's and type 1's have difficulties in getting them, or in type 1 cases-the quantity that we need.

You will do it, and grat to see Lucy that you are giving so much support....
 
Hello Iotegs,

I'm a type 2 who doesn't eat meat, I'm never hungry and have lost 17lb since January. I've been reducing my carbs since I found this board and feel heaps better

Reducing carbs doesn't mean no carbs, it means portion control, testing, writing, thinking and making changes.

A typical day for me would be something like a breakfast of scrambled egg made with a peeled and chopped tomato and grated cheese and served with a couple of ryvitas. Lunch would be a salad with low fat grated cheese or a treaty cheese like Brie or Port Salut, lettuce, cucumber, tomatoes and a dressing. For my evening meal today I had a roasted quorn chicken style fillet with mashed celeriac, gravy, carrots, cauliflower, brocolli, runner beans, French beans and a little bit of stuffing. I fill up on the lower carb veggies and it's very rare for my 2 hour blood sugar to be anywhere near the NICE guidelines.

It's a lot to get your head around in one go but you will get there. The investment in a meter and test strips if you can't get them on prescription will be well worth it to help you and your husband figure out what he can eat, both in terms of type of food and portion size.
 
daisy1 said:
I'm afraid porridge, brown rice and wholemeal pasta may not be suitable as they have the effect of raising the blood levels. The best way to find out what your husband can eat is to test before the meal, then two hours afterwards and if the levels are similar then this food is OK for him.
Iotegs said:
Thanks Daisy for your prompt reply. I must admit my heart sank at the no porridge/brown rice/w/m pasta part! What on earth is left to eat, if we take bread away too.
Hi Lucy :)
Cheer up - I only said that these foods may not be suitable. The only way to find out if your husband can eat them is to try them and test afterwards. In the case of slow acting carbs like these it's a good thing to also test at three hours as his levels will take longer go to up after these carbs than with other foods. You can also reduce the portion size to see what that does. I personally don't like brown rice and pasta and very occasionally have a tiny portion of the white stuff. I do eat some bread - but a very small portion - half a bread roll for example. My husband (non diabetic) eats the other half plus one more so there is no waste and I am not tempted to eat the other half myself. I can't eat breakfast cereal at all. I have found that reducing carbs has also reduced my appetite so I find it easy to eat smaller portions.

As far as counting carbs is concerned, you don't have to do it but a lot of people here do including me. If you decide to do it there are books to help you with the figures. Ask about it on here if you're interested in trying it in due course.

Hope this helps. :)
 
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