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Discussion in 'Diabetes Discussions' started by natsmum1, Feb 12, 2019.

  1. natsmum1

    natsmum1 · Newbie

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    hi all

    Looking for some help, I am currently a type 2 diabetic which I got when I was pregnant and never went away, I was insulin dependent when pregnant which I was taken off straight after my sons birth, I have been battling with my sugars since. My average reading is between 10 and 18.6 and can go as high as 24. My GP currently has me in metformin 2000mg and Gliclazide 160mg. I am awaiting an operation in my knee which I cannot have until I get my sugars down. I can’t exercise much but do try to swim when my knee allows, I try to follow a strict diet but nothing is working! Any suggestions would be appreciated! Thanks Sarah x
     
  2. brianmt

    brianmt Type 2 · Well-Known Member

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    I was diagnosed with a HBc1a of 95, ( bs 15 plus ) very high, I got it down to normal in 4 months by a LCHF diet and constant checking.
    If you publish a typical days meals , maybe , just maybe , we can all help to tweak your diet. For instance I used to eat 3 shredded wheat of a morning, testing showed me it raised my BS to over 12. I also used to eat masses of fruit.
    I bought a cheap treadmill of gumtree for 60 quid, It's great , park it in front of the telly and I walk a football match at 3 miles a hour. I am waiting for a knee replacement too.
     
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  3. Energize

    Energize Type 2 · Well-Known Member

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    Hi @natsmum1
    Welcome to the forum

    It would be helpful to know what your 'strict diet' contains. Very often, diabetics are advised to eat a lot of carbs, which are likely to raise glucose levels, even the higher GI foods

    Perhaps you could outline what foods you do eat and any you particularly try to avoid? People on here will then be better placed to make some suggestions.

    Also, I'll tag in @Daisy 1 / or @daisy1 (confused as to who is 'Daisy' ;) ) who will post some excellent information for you
     
  4. Rachox

    Rachox Type 2 (in remission!) · Moderator
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    Welcome natsmum, @daisy1 is the correct tag!
    As others have said let us know what you’re eating and we might be able to help you tweak your diet.
     
  5. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    Hi, and welcome to the forum,

    Considering the medication you are on, your levels are very high and not doing your health any good at all. These meds only work properly alongside a suitable diet. That is a diet that does not raise blood glucose levels. As all carbs turn to glucose once digested it makes sense to restrict the amount you eat. Please let us have some idea of your typical day's food and drink, and we may spot things you can change.
     
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  6. Antje77

    Antje77 LADA · Well-Known Member

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    Have you had tests for C-peptide and antibodies? LADA (a slower onset version of T1 which develops when adult) can start out looking like gestational diabetes. GP's often aren't aware of T1 developing in adults.
     
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  7. DavidGrahamJones

    DavidGrahamJones Type 2 · Well-Known Member

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    As already suggested lowering carbs is going to make a difference. I also agree with Antje77, a C-peptide test would let you know how your pancreas is doing and I think an insulin resistance test would help as well.
     
  8. natsmum1

    natsmum1 · Newbie

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    Thanks all I try to only have 2 piece of brown bread a day and sweet potato at night all the rest is salads, veggies and meat with some dairy like milk and a small amount of cheese.

    A typical day is:

    Breakfast, eggs , banana
    Lunch. 2 pieces of brown bread with ham and salad
    Dinner, chicken, veg and sweet potatoes

    Thanks


    Sarah
     
  9. daisy1

    daisy1 Type 2 · Legend
    Staff Member Retired Moderator

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    @natsmum1
    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and helpful.

    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 235,000 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 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.
    Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

    • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

    • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
     
  10. JoKalsbeek

    JoKalsbeek Type 2 (in remission!) · Well-Known Member

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    Hi Sarah,

    The eggs are fine, but a banana will spike you something awful... (It's about 20 grams of sugar which are fast to hit the bloodstream, so a massive spike.). The colour of the bread doesn't matter either. Whether it's brown or white doesn't make the carbs any less. 12 grams a slice for wholemeal... That'd add up too. Sweet potatoes, same story... Your diet is still rather carby. And practically all carbs turn into glucose once ingested. So you might want to look at you intake some. But do be careful, as cutting back on the cabs while on gliclazide can cause you to hypo, so don't go in blind. Use a meter, discuss it with your doc. You're probably wise to ask for a set of tests anyway to make sure you really are a T2. I'm guessing, with your diet being what it is, you may be "just" a T2, (I think you might be seeing higher numbers if you weren't), but better safe than sorry.

    If you have any questions, shoot.
     
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  11. briped

    briped Type 2 · Well-Known Member

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  12. natsmum1

    natsmum1 · Newbie

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    Thanks guys any suggestions on a diet I need to lose about 2 stone! I am going around in circles! My GP is flippin useless!
     
  13. brianmt

    brianmt Type 2 · Well-Known Member

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    Well I was nearly 18 stone and had tried everything over the years, no joy. Upon diagnosis I found this site and within days I got myself a meter and started on my low carb regime . Out went bread , pasta, rice, beer as my meter said NO. In came bacon eggs, lots of , green veg , cauliflower cheese, curry's,( no rice) very dark chocolate 95%, double cream , within 3 months I'd lost 3 stone (4.5 stone to date) and you know what. I was never hungry couldn't believe how easy it was. Found out half way through that gin had no carbs, so a cheeky gin and slimline was a nice treat also Red Wine is ok.
    dietdoctor.com has loads of great recipes and I find Iceland have lots of low carb ready meals for when I feel very lazy.
    Just make sure you test, KILL THE CARBS !!
     
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