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Help Please

mst

Newbie
Messages
2
Type of diabetes
Type 2
Hello,

My name is Mike I am 65yrs old and was diagnosed with type 2 diabetes about 2 ½ years ago, at the time of diagnosis I was told that my level was 9.1 and although I was shocked, scared & also a bit depressed I was determined not to let this thing defeat me.

Let me say that I also have a heart problem having suffered a heart attack in 1999 in which about a quarter of my heart was irreparably damaged, thanks to various procedures including stents and a lot of medication I have coped well with the heart disease and function very well within limits.

The diabetes however is a different story, for around a year I watched my diet & the level dropped steadily to around 6.9-7 I was very pleased with my progress and reasonable happy with the way things were going.

In March 2016 had an attack of Pancreatitus apparently caused by stones in the gall bladder duct, and then in August I went to Ireland for a holiday but unfortunately had a minor stroke. I was again hospitalized but only for 5 days, on discharge the consultant told me that my blood sugar index was 73 and should have been 40, I didn’t understand as this is a different scale to my own GP’s but I knew it was bad.

I had no facial or speech loss but my right hand, leg and foot were affected and even though I recovered well there is still some numbness in the hand & foot, I wasn’t allowed (or able for a while) to drive for 4-6 weeks so was stuck in Ireland luckily with family.

My GP has said he believes the stroke was caused by the Pancreatitus because even when it happened all my test levels except the sugar were fine & never fluctuated much at all.

Before the stroke I was eating a reasonable diet keeping the carb count low, no cakes, biscuits, sweets etc but was eating fruit as my treats especially berries & I’ll admit probably too many.

My last blood test in late September still shows the level up and I am due more in 2 weeks time, I cut out they fruit and I now allow myself a Bramley apple (I prefer them) with a bit of cheese as my snack/treat food.

But I am finding it hard to know how else to et the level down & seem to be getting conflicting information from the GP & the Diabetes nurse, I am depressed again sometimes severely, irritable, and frankly worried…I don’t know what to do to help myself and don’t seem to be able to get clear advice anywhere.

I don’t do the metering thing as my practice told me it was of no value to me & and only use it in certain cases, lately I have started to experience itching on my back, head & stomach and that worries me too, I need help but don’t know where to turn for it and so am trying this forum in hhe hope that someone can advise me.

Thanks for taking the time to read this

Mike
 
Welcome @mst

It sounds like you've had a very stressful time with your health.

Let me tag @daisy1 for you as she has some basic information.

The 73 result you mentioned sounds like your HbA1C. I'll find some information for you on that.

Many Type 2s here do test their blood sugar so they can see the effect different foods have on it.
 



welcome Mike
well so much you have to fight with at one time...

I think for a while you should drop the apple treat .... and buy that meter to know excactly how much any food spikes you ...
and try to lower your blood glucose even more... but of cause not so that you get too low like under 3.5 mmols..

it is so hard not to be able to eat what one likes most, I was also a big fan of fruits before... but also mostly only eat berries now... you could half the amount of berries at each time .... and lower your collected amount of carbs a day to under 70 grams for a start and if that is what you get now maybe go even lower...can you do any training on every day basis like the indoor bike for more than 30 minutes a day that would be very good too. but you maybe already do that... cant you get any help for your depression...where you live ?

the meter is the only reason that I have control over my blood glucose, and my GP and nurse also think it is unnessesary to measure ones blood glucose when being diabetic type 2, but I think they are terribly wrong in telling people that..

please stay in this forum daily and get help and support from others here, lots of helpful people here... and you need sombody in the same boat as yourself for support also mentally I think... a lot of others are also very hardly hit by the desease in here and struggle like you...

I have an iPhone on which I have a free APP called "lifesum" that I put my amount of every food into in weightnumbers and it can even scan the barcode from the shops and tell what is in the foods , and in that way I keep track of what kind of foods I eat and the amount of carbs proteins and fats daily and on how much I do drink of Water a day... I am so happy with that APP has made my life and counting so much easier... I if you want that I am sure somebody will help you to find out how to use if, my daughter has tought me about it
 
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Welcome Mike, I'm a type2 newbie, and although I can't help you with your specific problems (and golly, you do have alot to cope with) I strongly hope that you stay with these forums. Have a jump about and see where you land, there are all sorts out there and people who have similar problems.

Stick with us, you'll get good, sound advice,from a friendly, open, generous group of people.

Goodluck
 
Hi and welcome it seems like you have been doing the right thing with your diet and going lower on your carbs so well done with that and as for the apple a lot of people here eat those...I love one with some cheese myself... and find they do not raise their BG much it is more tropical fruits they avoid. I can understand you being worried as you have had a lot to put up with perhaps a good chat with your doctor and tell him/her just how you are feeling and hopefully they can help you with the depression.
 
Hello @mst To be honest I am not surprised you are depressed, living with a health condition will impact your mental state and so it's natural to feel irritable and short tempered, all I can say is to take each day as it's comes, do not be hard on yourself and definitely have a chat with your doctor about this, there may be a support group you can join in your area. In regards to fruit I only eat berries as they have little impact on my blood glucose levels, good snacking foods are nuts and olives, all in moderation of course. Lots around here for support and chat so it's a good place to off load
 
@mst

Hello Mike and welcome to the forum You should find it helpful to restrict the carbs in your diet as much as possible. Here is the basic information we give to new members and I hope you will find it useful. It contains a link to the Low Carb Program which you could try. Ask as many questions as you want 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 210,000 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

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.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

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.
 
Thank you to allof you who answered me...I appreciate it.

I am away a lot and hat makes consulting my GP difficult but I will have a good talk to him in 2 weeks time.

Once again thank you for the support and encouragement.

Mike
 
Hi @mst you have been through the mill haven't you? Unfortunately for some reason many members of the medical profession seem to advise that testing is not necessary - perhaps they think they will be out of a job if we all had good control of our BS! However I think that if you started testing you will be surprised at what you can eat and, more importantly, what spikes your BS which will give you more control over them.
 
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