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taurusmmuk

Member
Messages
21
Type of diabetes
Type 2
I was diagnosed with T2, about a 10 days ago and I am in shock even though I knew that my number would come in on the last blood test. I have been borderline diabetic for about three years and didn't do enough to stave it off.

I need help with my diet. My doctor told me to try a lower sugar diet and sensible eating for 6 weeks and then have a re-test. I have restarted my exercise regimen on the treadmill (for real this time) and have cut out cakes & biscuits but it's like driving with my eyes closed. I could be on the right track or I could be going off the cliff.

I work two shifts, 6:00am to 2:00pm one week & 2:00pm until 10:00pm the next, and I need to know what would be the best time to eat my breakfast on the early shift. I usually have it between 7 & 8, but as I stated previously I'm driving with a blindfold. My doctor said if I got confused I could have a word with the diabetic nurse but it seems that it take 2 or 3 months to get an appointment.

I have bought two books and it seems that cutting calories is good and eating fruit & veg' is OK, and I hope with the help of the people on this forum I will get a plan up and running in the near future.

Thanks for any help.
Jim.
 
Hi taurusmmuk and welcome to the forum :)

Here is some information, which we give to new members, which should help answer your questions. Anything else you need to know, just ask and someone will be able to help. You need to cut out more than just cake, sugar and biscuits - all carbohydrates need to be reduced and you will see your levels improve. I hope you have received a meter and testing strips so that you can see which foods you can eat without sending your levels high. If not, and this is the case for many members, you will get plenty of advice here on how to get the best and cheapest meter and strips - just ask. Cutting and counting carbs is more useful than cutting calories.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

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.
 
taurusmmuk wrote
I have bought two books and it seems that cutting calories is good and eating fruit & veg' is OK

Jim, welcome !
These are probably the two most important parts of daisy's post :

daisy1 wrote
I hope you have received a meter and testing strips so that you can see which foods you can eat without sending your levels high.

Cutting and counting carbs is more useful than cutting calories.

Get a meter, and make it your best friend. Use it to find out what you can eat, and what you can't. Few here get away with much fruit. Bananas seem to be worst, and berries are best. Many here eat yoghurt (often Greek) with berries. That's often what I'll have for breakfast.
I wouldn't restrict calories. Simply eat 'smarter.' Eating to your meter (avoiding the foods that spike your blood sugar levels) will help, and reward you with a lowered HbA1c !

Geoff
ps After you get over the shock, and you will, you'll get up at get at your diabetes. It's no sweat, as long as you take it seriously.

Keep coming back and asking questions, and we'll do our best to answer them.
 
Hi Jim and welcome to the forum. It really can come as quite a shock to some people to find out they have diabetes. It's not all bad though, provided you keep it under control. I'm sure you'll find plenty of help and support on this forum! :thumbup:
 
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