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Hi!

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7
Type of diabetes
Type 2
Hello, I'm Lauren. I'm 30 and was diagnosed T2 back in 2013. For a year I successfully kept it all under control, but for the last 2 it's been very up and down for me.

Mental health issues and uncooperative GP's have made my life quite hard to keep it all together. I've been on Gliclazide and Metformin but now I cannot tolerate them. Have now been given an urgent referral to a DSN at the hospital and will begin insulin therapy next week...a little apprehensive but I hope to now get it all back on track and with a little help from people here I hope to back to 'normal' in no time...
 
Hello. Sounds like you've had a rough ride. Welcome. There are lots of clever peeps around who'll be able to help. All very friendly. Good luck with the next part of your journey. Keep reading and posting. :)
 
@Capt._Kirk's_Wife - Hello and Welcome to the Forum :). I will tag @daisy1 who will provide you with some basic information that all new members to the Forum receive. Have a read and ask any questions you may have.:)
 
@Capt._Kirk's_Wife

Hello Lauren and welcome to the forum :) As mentioned above, here is the basic information we give to new members and I hope this will be useful to you. It contains advice on carbs and includes a link to the Low Carb Program which you might like to join. Ask as many questions as you want and someone will be able to 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 220,000 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 free 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.
 
Hi Lauren and welcome to the forum.
Good to hear your determined to take back control.
You've made a really important step by joining here. There are a lot of people willing to help and support you on your journey. Good luck for next week.
Maggie
 
@Capt._Kirk's_Wife - Hi :). There is two threads where fasting blood sugars are posted daily if you would like to add yours? It's under the headings:
Type 2's: What was your fasting blood glucose in a morning? And
What was your fasting blood glucose number this am?
 
@Liam1955

I don't actually know! That reading was taken by the nurse a couple of days ago. I'm waiting to pick up a new testing kit from the diabetic nurse. They want me to do a couple of days testing before they start the insulin. I may just buy a kit though..
 
@Liam1955

I don't actually know! That reading was taken by the nurse a couple of days ago. I'm waiting to pick up a new testing kit from the diabetic nurse. They want me to do a couple of days testing before they start the insulin. I may just buy a kit though..
Greetings!
 
So another quick update..work were very kind to let us all finish early so I'm about to go and pick my meter up and do some testing over the weekend..possibly the worst time for blood sugar levels
 
An update..I was admitted to hospital on Tuesday 7th Feb due to an abscess on my back. I had surgery that night to drain it and I should be going home today. I started my insulin therapy yesterday, morning fasting sugar was 12 this morning compared to when I was admitted it was 19. So everything is now in place and on track, I feel really bad that it's taken something like this to get everything in motion.
 
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