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High Sugar Level

Discussion in 'Newly Diagnosed' started by SAMU51, Aug 17, 2018.

  1. SAMU51

    SAMU51 Type 2 · Member

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    Good day all, This my first post so feeling very nervous. I was diagnosed with T2 in 2015 and chose the diet route. By 2017 I was in remission or so I thought...Come June 2018, it was back big time with my HbA1c @ 90. I am now on Mertfomin - 2000mg a day. I have not officially been given any testing kit but I have been testing with CodeFree. My concern is all my fasting tests average 12.2mmol and the after meal averages 15mmol. I think this is too high or am I mistaken. Am I now hyperglycemic ? Since the initial diagnosis in 2015, I've been on a low carb diet and nothing about my diet has changed...
     
    #1 SAMU51, Aug 17, 2018 at 1:19 PM
    Last edited: Aug 17, 2018
  2. Rachox

    Rachox Type 2 (in remission!) · Moderator
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  3. Guzzler

    Guzzler Type 2 · Master

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    May I ask what you consider to be low carb, please? A typical day's menu might help us spot something you may have overlooked.

    By the way, welcome to the forum.
     
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  4. Deleted Account

    Deleted Account · Guest

    Although your diet has not changed, has anything else in your life?
    Food is not the only thing which affects BG; it is also affected by stress, illness, drugs, alcohol, exercise, time of the day/month/year, ...
     
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  5. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    @SAMU51

    Hello SAMU51 and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask questions when you need to 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 235,000 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 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.
    Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

    • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

    • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
     
  6. mo53

    mo53 Type 2 · Expert

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    @SAMU51 hello and welcome. Please may I ask, your avatar sign says you are insulin dependent but you only mention metformin in your post. Do you use insulin too?
     
  7. margarett89

    margarett89 Family member · Member

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    Basic advice about a diet in type 2 diabetes:
    eat meals regularly,
    drink 8 glasses of water a day,
    put meals on the plate, so that they look bigger - choose smaller plates, put the dish on lettuce leaves,
    meals should be quite frequent (3-5 a day), but small,
    the amount of calories taken per day should be similar,
    when planning meals one should look at the glycemic index of individual products, but also on the content of vitamins, fiber and good, polyunsaturated fatty acids.

    Type 2 diabetic diet should be determined by a doctor and a dietitian. They will take into account the following factors:

    should diabetes lose weight,
    how old is he?
    sex of a diabetic,
    what work the person is doing,
    does he play any sport.

    avoid

    pouring dishes,
    canned dishes,
    highly processed, ready-made dishes (they often also have additives, such as glucose-fructose syrup that rapidly raises blood glucose levels),
    oil,
    crisps (also because of the fats they contain),
    soy sauces,
    sauces from bags and jars,
    monosodium glutamate (E621),
    marinated products,
    ketchup,
    mustard,
    ready dressings for salads.
     
  8. bulkbiker

    bulkbiker Type 2 · Oracle

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    Hi @margarett89
    I see you are quite new to the forum and haven't posted a lot but I would like to temper some of your advice.

    Eating multiple meals a day isn't that great for Type 2 especially when trying to limit insulin responses.
    I'm afraid in my experience a lot of Doctors and Dietician have little to no idea what the best diet for a Type 2 is so I would suggest that personal research is required and decisions made from that research.
    Most of your advice about avoiding heavily processed foods is fine of course
    Glycemic index may be useful but not necessarily.. most of the people here have discovered that by cutting the carbohydrate content of meals they get better results.
     
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