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Hello

Kimton61

Member
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21
Just like to say hello to all the form members. I was diagnosed with type 2 in Oct 2010,controlled by diet only and have just been told I must start taking metformin to control my diabetes.....any tips on how to remember to take tablets, cos I struggling at the moment.

Tony
 
I have a compartmented box with a clock in it. You can set up to eight alarms. It beeps for one minute and if you don't tend to it a red flashing light keeps going until you do. So far it is the only foolproof thing I tried and I tried a few.

It's called a Tab Time Super 8 and no, I am not connected with any firm selling them.
 
Hi Tony and welcome to the forum :)

I too had difficulties in remembering my tablets and it was easier when I got myself a weekly pill box so I could sort out what to take and when, although I still forgot them. If I couldn't remember if I had taken them I could check the box which was helpful. For some reason I don't forget any more. I really don't know why so I can't be of much use there. I have to take many different pills at different times of the day. I put this question on the forum and got a lot of useful replies. So I hope you will get lots more up to date ideas. Edit: just seen you have had a good idea posted already while I was writing this :)

In the meantime, here is the information we give to new members and I hope you will find it interesting and helpful. Ask more questions and someone will be able to reply.


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.
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Please sign our e-petition for free testing for all type 2's; here's the link:
http://www.diabetes.co.uk/petition/

Do get your friends and colleagues to sign as well.
 
I travel a lot on business so I am not sure if that clever gadget would work for me it might set the security alarms off ...but I have found that if I set a repeating reminder in my phone I tend to remember. After a couple of years you get into the habit :)
 
Fraddycat said:
I travel a lot on business so I am not sure if that clever gadget would work for me it might set the security alarms off ...but I have found that if I set a repeating reminder in my phone I tend to remember. After a couple of years you get into the habit :)

I remember when I found the clever gadget. At the time I did not own a mobile phone and I suspect that a few other people may not also. I can remember thinking that I wasn't going to buy one just so I didn't forget my pills. Of course, If I had owned a phone then I might have tried it. Worth a shot.
 
Squire, I guess I am also lucky that I only take tablets once a day after dinner, if I have to take them more often I might have to invest in your gadget (no I know its not your company but it does sound really neat)
 
Yes it works for me.

Before I bought it I tried a wallet with compartments in it. Each day had four compartments so plenty of room. I found that I still forgot the pills and sometimes I would open it to see yesterdays still in there. It was just a posher way of forgetting to take my pills.

The new thing beeps and has a flashing light. Difficult to miss.
 
What dosage of Metformin are you taking? Because if it's 1000mg or more you could ask your GP for Metformin Slow Release, you need only take them once a day, so less to remember. I was very irregular with my meal times and still am to some extent so I stick to always taking them in the evening, with either my main meal or a snack. But ALWAYS with food. :)
 
Hi Tony and welcome to the forum. When it comes to remembering to take tablets, all I do is keep them somewhere visible that I know I'm definitely going to notice every morning. Having a box with all the days labelled on it also helps, especially if you happen to be on more than 1 kind of medication :thumbup:
 
Hello everyone,
How are you all?i am newbie here.i like this forum and want to say welcome to all who's join newly to this board.
I hope so you enjoy your stay here.All the best...
 
Hi , i am new to this and do not know if i am sending this correctly . I do not know if i have diabetes , i went to the doctor about a month ago for some test results , whilst the doc was looking down the screen she said "oh i see your diabetes is under control" . I said what diabetes ,she found my results and never mentioned it so i thought she had looked at some one else and forgot it. Last week i was seeing my endocrinologist for a different matter and he said you have diabetes did you know , he put me on 500 metformin, this was a shock. I have a lot of the symptoms when he went through it. I did a urine and blood test the urine was normal my blood hba1c (ifcc) was 46 his secretary told this to me , i do not have another appointment yet , i never saw any one else it was 2 weeks ago . I am worried should i be, does all this and my test result sound normal , i have looked online and cannot find much. Can anyone help please. Many thanks James PS i am 47
 
eddie777 said:
Hi , i am new to this and do not know if i am sending this correctly . I do not know if i have diabetes , i went to the doctor about a month ago for some test results , whilst the doc was looking down the screen she said "oh i see your diabetes is under control" . I said what diabetes ,she found my results and never mentioned it so i thought she had looked at some one else and forgot it. Last week i was seeing my endocrinologist for a different matter and he said you have diabetes did you know , he put me on 500 metformin, this was a shock. I have a lot of the symptoms when he went through it. I did a urine and blood test the urine was normal my blood hba1c (ifcc) was 46 his secretary told this to me , i do not have another appointment yet , i never saw any one else it was 2 weeks ago . I am worried should i be, does all this and my test result sound normal , i have looked online and cannot find much. Can anyone help please. Many thanks James PS i am 47

Hello Eddie ... welcome to the forum. I'm sure Daisy will pick up your post and give you some great information to look at. In the meantime you could go to BOARD INDEX and click on NEWLY DIAGNOSED and you'll find some information there in the meantime. From what you say it seems something has gone amiss in the communication between your GP and yourself and if I was you I would make an appointment and ask for an explanation. I know sometimes we never actually see our own GPs but a series of locums which doesn't help with overall continuity of care. But it's YOUR health, and you have every right to query what's what and not have to sit there worrying and guessing. Also, I would recommend that you telephone your Endocrinologist's secretary and ask her to send you copies of at least the last 3 clinic letters that were sent to your GP, because they will contain all the information and treatment recommendations from your Endocrinologist. You are ENTITLED to a copy of these letters and you DO NOT HAVE TO PAY FOR THEM. Every time you go to clinic you should specifically ask the Consultant to copy you in to their letter to your GP.

Unfortunately, there are times when the hospital clinicians send letters and treatment recommendations but they're not picked up on by GPs, but if you have a copy of the letter yourself you can give your GP a nudge. We shouldn't have to, but sometimes it's necessary and I'd rather have the information ABOUT ME in front of ME because I'm more likely to take notice of it than anyone else. Did your Endocrinologist give you a prescription for your Metformin? If so you should make an appointment to see your GP, take your meds with you and ask why you weren't advised before that you were diabetic? Your GP will probably refer you for an appointment with the Diabetes Nurse (DN), you'll be referred for an eye test and a chiropody appointment. That's the pathway I'm on from my GP, but not sure if it's the same everywhere.

Meanwhile, stick with the forum here, I'm fairly new here myself and I've found a wealth of invaluable information that I didn't get from the NHS. Hope to hear more from you soon. Take care. :)
 
Hi Eddie and welcome to the forum :)

Grace mentioned the information I give to new members. Have a look at it - it is further up this thread as I posted it for Tony. I hope you will find it useful. Ask all the questions on things you need to know and someone will be able to help.
 
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