Hi im new diagnosed 6 weeks ago

[BAZZA_P]

So here goes

Wow its hard to know what to eat!!!!

Anyway i was diagnosed with type 2 diabetes about 6 weeks ago. I was quite surprised to have it as im 30 years old and not overweight only about 10 and half stone. I did eat alot of junk though and am a bit of an insomniac and suffer with stress alot. I was getting pains in my back and joints and had blurred vision. My fasting readings were 7.1 then 7.4 at the doctors so they got me to do the lucozade test. My reading was 8.4 after fasting and then 10.4 2 hours after drinking the lucozade.

Anyway the nurse has put me on metformin 2 a day . I bought a glucose meter and started eating healthy. My readings in the morning on my meter are usually about 5.5 to 6. Are your home readings the same thing as what they test you at the doctors?

Also sometimes when i eat a sandwich or a pasta meal etc my readings go up to 10 or 11 after say 50 minutes and come down to about 6 after 2 hours is that ok. Are you suppose to spike a little after a meal?

Ive only seen the nurse, do i need to see my GP? they sort of just gave me the metformin and said they will explain everything at the group sessions i start in June.

Any advice would be much appreciated

 

[daisy1]

Hi Bazza and welcome to the forum Fasting readings at home or at the doctors are the same if you have fasted for the same amount of time. There may however be a difference in that at home you should do the fasting test immediately on getting up, whereas you have to take into account the time you take getting to the doctors when your levels may rise. The glucose/lucozade test is different though. After eating your levels will go up but you need first to test before the meal and your level 2 hours after eating should be approaching your before-meal level. At 1 hour your level will be higher. If you have eaten slow acting carbs it will take more time for your levels to return to normal. It is quite normal to see the diabetic nurse who will often know more about diabetes than the GP.

I think the following information will help you, particularly with diet and testing. This was prepared by the Forum Monitors for new members. If you have any questions just ask and someone will know the answer.

Here is the advice that Ken and I, as Forum Monitors, usually give to newly diagnosed Diabetics. We hope that these few ideas gained through experience help you to gain control and give you some understanding of Diabetes. This forum doesn't always follow the recommended dietary advice, you have to work out what works for you as we are all different.

It's not just 'sugars' you need to avoid, diabetes is an inability to process glucose properly. Carbohydrate converts, in the body, to glucose. So it makes sense to reduce the amount of carbohydrate that you eat which includes sugars.

For more information on CARBOHYDRATE see here:

viewtopic.php?f=3&t=20306

This is NOT a low carb diet suggestion, just a reduction in your intake of carbohydrate. You have to decide yourself how much of a reduction will keep your blood glucose levels in control.

The main carbs to avoid OR reduce are the complex or starchy carbohydrates such as bread, potatoes, pasta, rice, starchy root veg and also any flour based products. The starchy carbs all convert 100% to glucose in the body and raise the blood sugar levels significantly.

If you are on Insulin you may find that reducing the carb intake also means that you can reduce your dose of insulin. This can help you to keep weight gain down as Insulin tends to make you put on weight and eventually cause insulin resistance. This should be done slowly so as not to cause hypos.

The way to find out how different foods affect you is to do regular daily testing and keep a food diary for a couple of weeks. If you test just before eating, then two hours after eating, you will see the effect of certain foods on your blood glucose levels. Some foods, which are slow acting carbohydrates, are absorbed more slowly so you may need to test three or even four hours later to see the effect that these have on your blood glucose levels.

Buy yourself a carb counter book (you can get these on-line) and you will be able to work out how much carbs you are eating, when you test, the reading two hours after should be roughly the same as the before eating reading, if it is then that meal was fine, if it isn’t then you need to check what you have eaten and think about reducing the portion size of carbs.

When you are buying products check the total carbohydrate content, this includes the sugar content. Do not just go by the amount of sugar on the packaging as this is misleading to a diabetic.


As for a tester, try asking the nurse/doctor and explain that you want to be proactive in managing your own diabetes and therefore need to test so that you can see just how foods affect your blood sugar levels. Hopefully this will work ! Sometimes they are not keen to give Type 2’s the strips on prescription, (in the UK) but you can but try!!

For TIPS FOR STRIPS see here:

viewtopic.php?f=20&t=19002#p173253

If you are an Insulin user in theory you should have no problem getting test strips.

The latest 2011 NICE guidelines for Bg levels are as follows:
Fasting (waking and before meals).......between 4 - 7 mmol/l...(Type 1 & 2)
2 hrs after meals........................no more than 8.5 mmol/l.....( Type 2)

2hrs after meals......................... no more than 9 mmol/l ......(Type 1)

If you are able to keep the post meal numbers lower, so much the better.

It also helps if you can do at least 30 minutes moderate exercise a day, it can be split into 10 min sessions to start with. It doesn't have to be strenuous.

The above is just general advice and it is recommended that you discuss with your HCP before making any changes. You can also ask questions on the forum on anything that is not clear.

Finally a few QUESTIONS TO ASK AT DIABETES CLINIC.

viewtopic.php?f=20&t=17091



Sue/Ken.

 

[the east man]

So here goes

Wow its hard to know what to eat!!!!

Anyway i was diagnosed with type 2 diabetes about 6 weeks ago. I was quite surprised to have it as im 30 years old and not overweight only about 10 and half stone. I did eat alot of junk though and am a bit of an insomniac and suffer with stress alot. I was getting pains in my back and joints and had blurred vision. My fasting readings were 7.1 then 7.4 at the doctors so they got me to do the lucozade test. My reading was 8.4 after fasting and then 10.4 2 hours after drinking the lucozade.

Anyway the nurse has put me on metformin 2 a day . I bought a glucose meter and started eating healthy. My readings in the morning on my meter are usually about 5.5 to 6. Are your home readings the same thing as what they test you at the doctors?

Also sometimes when i eat a sandwich or a pasta meal etc my readings go up to 10 or 11 after say 50 minutes and come down to about 6 after 2 hours is that ok. Are you suppose to spike a little after a meal?

Ive only seen the nurse, do i need to see my GP? they sort of just gave me the metformin and said they will explain everything at the group sessions i start in June.

Any advice would be much appreciated

Hi Bazza and welcome to the forums. Tbh I think your medical team has put you on Metformin a wee bit to quickly. Your figures aren't that high, I would have tried to control it with diet and excericse for a few months then see how the results where. My last 3 monthly reading was 6.4 and the Dr wanted to put me on medication, and I said no. My readings where within the guide lines why would I go on medication, and she then agreed :? I'm finding the longer I'm off medication, the more determined I am to control my levels to stay off it.