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Hi everyone

Jake89

Newbie
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My name's Jake and I am on this site to find out more info about Type one diabetes. Just learning all the ins and outs of it now to support someone very special to me. :P
 
Hi Jake and welcome to the forum :)

To help you find out as much as you can for your very special person, here is the information we give to new members and I hope you will find it useful. Ask lots of questions and someone will help.


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.
 
Thanks every one for all the replies. I would like to know if anyone on here is on an insulin pump, my friend is waiting to go on the pump. Any suggestions or tips will be greatly appreciated. Thanks in advance :D
 
Also on a pump, best advice I could give if going on to a pump, get the basal rates sorted asap.

Sent from my GT-S5360 using DCUK Forum mobile app
 
Mainly the practical stuff really i know the needle comes out once you insert the tube thingy, i was wondering weather it affects the way you move about especially when you sleep and stuff. Also how long did it take for you the get use to the units and stuff, also is there a big transformation from the injections. Hope I haven't over whelmed with the questions lol

Thanks
 
Jake89 said:
Mainly the practical stuff really i know the needle comes out once you insert the tube thingy, i was wondering weather it affects the way you move about especially when you sleep and stuff. Also how long did it take for you the get use to the units and stuff, also is there a big transformation from the injections. Hope I haven't over whelmed with the questions lol

Thanks

For my particular pump I have a little hand held device that I place the cannula (part with the needle) in. I then use this to insert the needle into my body. It occasionally is a bit sore but this soon disappears. I then remove the needle part and I am left with a flexible plastic cannula in my body. (Some people opt for a metal needle/cannula which stays inside their body. )The outside part of this I can attach the tubing to. My particular pump allows me to attach and unattached the tubing as much as I want (it just unclips by squeezing it).

I then attach the tubing to the pump and prime it (ie get insulin to run through it till it comes out the other end of the tubing.

I then attach this to my cannula and can use it for about 3 days before the cannula and tubing are replaced.

The cannula does not restrict my movement at all. The only time it is a little annoying is if I lay on my tummy in the gym so I just place a towel under me. During the night I sleep exactly the same as I always have and I just put the pump in a case and attach it to my pjs. Some people leave it loose in the bed.

As Brett said the most important part is getting the basal rate correct (the part that keeps your levels stable when you're not eating). This can be frustrating as my overnight took a long time to get right which involved waking every two hours. Frustrating but definitely worth it!! The smaller units you can give yourself is great.

I had a great pump nurse and also bought Pumping Insulin by John Walsh and Ruth Roberts as lots if people recommended it and it was helpful in adjusting my basal units and just as a general guide.

Patch13
 
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