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High reading

Messages
8
Type of diabetes
Treatment type
Tablets (oral)
Hello there, I have been recently diagnosed with type 2. Had a fasting reading of 17.5 just tested and have 30.5. Would like some advice on what I can do to lower it. Taken my medication but only on low doses atm. Thanks
 
Hiya Aliciajones215 and welcome to the forum. I'll tag @daisy1 to give you her excellent guide to managing your diabetes. Those numbers are high but you should be able to reduce them. You'll see that many of us choose food that's low-carb and full-fat, which is a bit confusing at first since it goes against the NHS "healthy eating" plan. But it does work, as we can testify.
Fill us in a bit on your diagnosis and what your GP/nurse told you.
 
Thank you for a prompt reply. Knew to this. I booked an appointment for consistent infections. I was booked in for blood test so fasted the night before. The results of my first bloods came back at 17.5, suspected type 2. Since then had a more extensive test done and confirmed type 2. Also my keystones were ok. Taking Gliclazide just one a day and have an appointment to see the diabetic nurse Friday. Not been advised on diet or anything yet as have always come under the underweight bracket. I'm 5'9 and weigh 8 and a half. When I asked my doctor about diet he doesn't want me to lose more weight so trying just the medication approach. Just wondered if my reading will settle now or if I should take any other action? Currently drinking 1 litre diluted squash is this ok? Thanks a lot Alicia
 
no don't use squash it either has sugar or sweetener in it - just drink lots of water and to bring your levels down from 30 try a brisk walk for 20 mins. Your main long term approach is going to be diet (even if medication support) as drugs alone will not do that much/enough.
 
What was the 'more extensive test' they did?

A few people have turned up here who have been 'confirmed' T2, but later established as T1...

In the meantime, if your BG is over 30, you need to be very careful.
Drink lots of water (it will help flush the sugars out of your blood into your urine)
Dont eat any carbs (that includes bread, rice, potato, pasta, sweet drinks) or sugar, or fruit, because they will drive the levels higher.
Check for ketones (do you have any ketostix?)

And hopefully someone with experience if such high blood glucose will be along with more advice.

If you start to feel unwell, seek medical advice.
 
I'm quite skinny and manage to keep my weight static with the eating plan recommended here. Carbs mean sugar (bad\) so we cut them right down and eat more fat instead (good) which is a perfectly good alternative source of energy.
Why didn't anyone think of this before? Well, they did, and it worked, but then it got discredited by the experts.
 
Hi and welcome, you've been given some good info above so I won't repeat it here. I would suggest testing your blood sugar several times a day at the moment to make sure if it goes any higher you see it happening and can get some urgent medical help if you need it.

Even if you don't have raised ketones you can still be at risk of getting really unwell if your BG is over 30, so I hope it comes down soon. Please let us know how you are doing and if you feel unwell or have any concerns, please call the NHS advice helpline on 111 or your doctor.
 
Wishing u the best of luck ..As has been said contact your doctor or healthcare team as the most important thing initially is to get your blood sugar reading down quickly .Dont panic as the correct medication will sort u out! In the meantime take the dietary advice as given here by these experienced folks! :-) U will be fine but u need to access the help u need and deserve and not neglect youself !x :-)
 
@Aliciajones215

Hello Alicia and welcome to the forum :) Here is the information we give to new members and I hope you will find it helps you to get your levels under control. Basically, you need to cut down on the carbohydrates in your diet. Ask more questions and you will get some good advice in addition to that which you have already got above.


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 over 150,000 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-and-whole-grains.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 bloodglucose 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.
 
Hello everyone, thank you all for the advice. After I wrote my initial I tested again about an hour after and it went up to 31.5. Not really knowing how to deal with this I rang NHS direct who then told me to phone out of hours GP. They advised me to go to A+E. Waited an hour and half then when I was tested again it had gone down to 20.9. So thankful it was settling itself. They ran some other tests. My blood wasn't acidic, my keytones were normal so they kept me in for observation and let me go about 4am with a level of 15.8. They told me to book an emergency appointment with my doctor today. He's just told me to take 2 tablets a day now instead of 1. Told me to test myself every sort of 2 weeks. I tested at around 12pm and I'm 22.5 so seems to be quite out of control. Thanks again Alicia
 
Hi @Aliciajones215
You seem to be having a bit of a rough ride with your sugars at the minute. I'm type 1 so can't really comment on your medications but I wonder if you could give us a rough idea of what you've eaten today to see if we can figure out what might be causing these highs. I would imagine with BG that high you are probably feeling a bit rubbish. Keep knocking back water..that should help to reduce your sugars a little
 
Also meant to say...please ignore your doctors advice to only test every two weeks...your meter is your new best friend and will help you to identify the foods that you can and can't eat
 
I'm going to test at least once a day to check I'm not in a risky situation. I had toast and butter with tea and sweetener. Then had bacon, sausage egg and beans for lunch and plan on having spaghetti for dinner but going out to buy whole grain pasta is this better? Also want to get whole grain bread, no sugar jam, no sugar squash and olive oil blend butter, is this all advisable? I'm just really lethargic. Just want to get my diet better x
 
Also meant to say...please ignore your doctors advice to only test every two weeks...your meter is your new best friend and will help you to identify the foods that you can and can't eat
I like that"new best friend" ..So true! :-)
 
Hi again Alicia . I think u should do more reading up on here about carbs and then get used to reading labels on food items in the shops ! I was looking at the back of pasta packet today as I miss having some but the carbs are massive! It is very hard at first but you do get used to it.I would give up the bread and pasta if I were u ! Try instead low carb crackers etc . I like the likes of a stirfry with all sorts of veg/ seeds etc .'dont necesserely have to have rice so thats not a problem at all for me .Im a veggie so its a bit harder without having eggs,meat etc..U will get more used to it and u will feel empowered by taking control of your healh:-)!
 
I'm going to test at least once a day to check I'm not in a risky situation. I had toast and butter with tea and sweetener. Then had bacon, sausage egg and beans for lunch and plan on having spaghetti for dinner but going out to buy whole grain pasta is this better? Also want to get whole grain bread, no sugar jam, no sugar squash and olive oil blend butter, is this all advisable? I'm just really lethargic. Just want to get my diet better x
I wouldnt even go near no sugar jam etc untill your numbers come down .I think people on here also find baked beans can give the blood sugar a big spike.Maybe the no sugar ones with much of the sauce strained off (think I read thats what someone does) but only hav tiny amount perhaps! Im only learning this new way too as Im also a newbie :-)
 
I'm going to test at least once a day to check I'm not in a risky situation. I had toast and butter with tea and sweetener. Then had bacon, sausage egg and beans for lunch and plan on having spaghetti for dinner but going out to buy whole grain pasta is this better? Also want to get whole grain bread, no sugar jam, no sugar squash and olive oil blend butter, is this all advisable? I'm just really lethargic. Just want to get my diet better x
Grains like in toast and spaghetti are among the worst and it doesn't really matter if it's whole grain, will put your levels sky high regardless. As do beans from tins.

Have a look at this site: http://www.dietdoctor.com/lchf
 
It will take a while for your meds to be at their most effective. Also try and cut down on carbs and your readings should lower. I have had these high readings and they will make you feel washed out. Get well soon.
 
I'm glad you sought medical help when your BG was high, I would have advised that if I'd been around at the time and you had posted about it.

I think you should test more than once a day at the moment. Do you have enough strips? Are you getting test strips on prescription? If not I can give you a link to the meter with the cheapest strips.

Ideally for the next few weeks or so you should test before every meal and two hours after, to learn which foods increase your BG the most.

If you can't do that, then at the moment, because of your high BGs, I think you should test on waking up, then around midday and dinner time. If your BG is over, say, 12, then please test again in, say, 2 hours, to see if it's rising. At some point you would need to call NHS direct again for advice... perhaps 15 or 20? I am not sure.

There are two conditions you are at risk of if your BGs get up towards 30ish. The doctors at A&E would have been checking for these. One of them involves ketones, which you should either have special test strips at home for, or go to A&E to get tested if your BGs are high. The other one can strike without raised ketones. I don't want to worry you at all, but you may be interested in some info about these conditions. Once you are eating differently and your BGs come down and settle, you shouldn't need to worry about these two conditions.
http://www.diabetes.co.uk/diabetes-complications/diabetic-ketoacidosis.html
http://www.diabetes.co.uk/diabetes-complications/hyperosmolar-hyperglycemic-nonketotic-syndrome.html

A good general rule of thumb is - if you feel increasingly unwell, go to your doctor or A&E. It is better to be safe than sorry. There is always a chance that something other than T2 diabetes is going on. 99% of the time it will just be your body getting used to T2 and it will improve as your diet changes and meds start working over the next few weeks.

Good luck and keep us posted :)
 
I should add that most meters are calibrated to read a maximum of 33 mmol/l. If it is higher you will get "HI" alert and you should seek immediate medical advice to avoid dangers like DKA and HHNS. Keep monitoring more regular.
 
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