noangelcake
Newbie
- Messages
- 1
- Type of diabetes
- Treatment type
- Diet only
hi just joined ,newly diagnosed ,confused and a bit scared
Hi @noangelcake
Welcome to the forum
Sorry to here about your diagnosis.
I am not in the least surprised to here that you are a bit confused and scared, you would not be human if you dealt otherwise. For all of us being diagnosed as diabetics was an emotional roller coaster at first - it is not uncommon for the newly diagnosed to go through the full spectrum of the different stages of grief: denial, anger, guilt, bargaining, depression and finally acceptance and hope,
So do not panic and do not feel alone, we have all been through it and have come the other side, stronger and ready to tell the tale. We are here for you to help guide you across as well.
Tell us a bit more about you, your history for instance, how were you diagnosed, what were your levels on diagnosis, what type of diabetes do you have. Don't worry if you are not able to answer all of this yet.
Diabetes is a serious condition, one that demands respect to its rules if one is to steer clear of some quite unpleasant health complications. What are these rules? @daisy1 will come along soon with all sorts of useful information contained in the standardized first response to the newly diagnosed. This is very important and very useful information so take your time reading through it, and do not be afraid to come back here and ask questions about anything that seems unclear.
Your first job is to educate yourself about this condition as much as you can. Do so be reading this information as well as other posts you see on the forum. The amount of information may seem a bit overwhelming at first but do not worry, take your time, ask questions about anything you are not certain about and all will soon be clearer.
In short your job as a diabetic is to follow your treatment regime so as maintain your blood glucose levels as close to normal non diabetic levels as possible.
Everything we eat is converted by our body to glucose, a simple form of sugar that our body cells use as fuel. In order to get the glucose out of our blood and into the cells were it is needed our pancreas secretes an enzyme called insulin. In type 1 diabetes the body is unable to produce insulin while in type 2 insulin is produced but the body is unable to use it properly/ efficiently. As a result glucose does not leave our bloodstream to fit our cells, and our blood glucose levels become elevated. The body's response to this elevated glucose levels is to try and flush it through our system and this is why thirst and frequent urination are very common symptoms of uncontrolled diabetes.
If blood glucose levels are very high, the body, starved of glucose us cell fuel, starts using up our own fat reserves and even muscle as an alternative fuel source and this is why newly diagnosed diabetics, particularly type 1s, often experience a period of unexplained rapid weight loss in the period leading to diagnosis.
Diabetes treatment involves a combination of lifestyle changes and/or medication. The medication will be determined by your doctor after usually a period of trying to see if you can control your levels through lifestyle changes alone.
Lifestyle changes will include:
- improving your diet.
- increasing physical activity through more exercise e.g. 30 minute daily walks.
- shedding any excess weight
- giving up smoking
- drinking sensibly
Diet is probably the most controversial of the above. Some things we all agree on: eat less processed food and more natural food prepared from scratch with fresh ingredients for instants. Obviously avoid or limit to a very occasional and infrequent treat sugary staff.
Some are a little bid less universally accepted, probably chief amongst them being the role of carbohydrates in the diabetic diet.
Carbohydrates is one of the three macronutrients contained in various degrees in all food. The other two are proteins and fats.
Food that is rich in carbohydrates includes, bread and other grain products such as cereals, rice, pasta, potatoes and other root vegetables, sugar and items with a high sugar content such as non-diet fizzy drinks, deserts, fruits.
It is the carbohydrate part of food that our body primarily converts to glucose. In order to keep our glucose levels down most of us on this site have found that we need to limit our intake of carbohydrate rich food, sometimes going against NHS advice to eat lots of carbohydrates, or at least to shift to different types of carbohydrates, they are not all the same, that do not cause our glucose to rise us much.
In order to learn how different food affects your glucose levels, so that armed with this feedback, you can make better dietary choices for your next meal it is highly advisable that you start testing your glucose on waking up in the morning and at least before and two hours after each meal. For this you will need to acquire a glucose meter and testing strips if your doctor will not supply you with one. I believe Sd code free, which can be obtained on eBay or Amazon, is a popular choice because of its reasonable cost.
Although there are recommended ranges that glucose counts should fall, for instance for type two diabetics fasting levels on waking up in the morning and pre meal levels should fall in the range 4 - 7 mmol, while corresponding counts 2 hour after meals should be in the range 4 - 8,5 mmol.
Depending on how high your levels were on diagnosis, you may need some time before you can meet these target ranges. Do not worry! It is best to work your levels down gradually so us to give your body time to adjust; a temporary blurring of the eyesight is an often encountered symptom of the body adjusting to lower glucose level.
At first, concentrate on your after meal readings and try to get these two hour readings to be within 2 mmol of your readings before the meal, if you do not meet this target then either lower the quantity of carbohydrate of your next meal of substitute a better carbohydrate and try again.
Once you start hitting this 2 mmol target consistently, you should see a gradual reducing trend in all your glucose counts.
Most people have found it extremely useful to keep a food diary as well as a record of their glucose readings, myfittnesspal is an app and Internet site that s lot use to maintain such a diary as it also keeps account of calories and carbs.
I will close this rather lengthy welcome with just s word of warning. The temptation, fueled by fear may be for knee jerk reactions and taking extreme measure in trying to get a quick cure. This however is not what is required. What is required is new healthier habits that you will be able to maintain for the rest of your life.
Once again welcome and I apologize if this post has ended up being rather long.
Pavlos