• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

I AM MORE CONFUSED THAN EVER!!!

At your surgery are there any other GPs? Normally we can see any of the GPs in the same Practice. It isn't compulsory to see the one that has been given to you. I never (or rarely) see my own GP as I don't like her. I see one of the others.
 
At your surgery are there any other GPs? Normally we can see any of the GPs in the same Practice. It isn't compulsory to see the one that has been given to you. I never (or rarely) see my own GP as I don't like her. I see one of the others.
My gp referred me to a doctor at the children's hospital which is why i can't change him
 
@Fluffy12

Hello Fluffy12 and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you need to and someone will 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.
 
@Fluffy12 I had type2 undiagnosed at 15. I'd had it so long I thought my symptoms were normal. I wish my GP then had tested me for diabetes as I wouldn't be nearly 20st instead of giving me antibiotics and antiseptic cream for thrush and tiredness/extreme energy.
Are you losing weight? Or are you adding?
 
@Fluffy12 I had type2 undiagnosed at 15. I'd had it so long I thought my symptoms were normal. I wish my GP then had tested me for diabetes as I wouldn't be nearly 20st instead of giving me antibiotics and antiseptic cream for thrush and tiredness/extreme energy.
Are you losing weight? Or are you adding?

I am losing a bit of weight have lost around 2 kilos
 
I eat what i would eat normally and more sometimes and i am always hungry so i have learnt to ignore it
Hunger can be associate with insulin so I'm guessing you could be producing your own insulin but tests need doing hun to confirm. I'm no medic, far from it.
A medic knows more and blood tests don't lie.
If you continue losing weight for no reason press for your parents to take it further, please.
 
Hunger can be associate with insulin so I'm guessing you could be producing your own insulin but tests need doing hun to confirm. I'm no medic, far from it.
A medic knows more and blood tests don't lie.
If you continue losing weight for no reason press for your parents to take it further, please.
I will and thank you sooo much!!!!!
Just one question
is there anything i can do to stop it from progressing so fast as i really do not want to have to take insulin?

Thanks
 
I will and thank you sooo much!!!!!
Just one question
is there anything i can do to stop it from progressing so fast as i really do not want to have to take insulin?

Thanks

Not if it is type 1, that will keep progressing. Which are the reason I and others here say that you should not ignore this.

Your elevated hbA1c and losing weight should concern your parents and any good GP, it’s a big red flag in my opinion. You’re not overreacting, and don’t be afraid of pushing it for help.
 
they already feel like i am overreacting!!!

Seems you may have more problems than you realize.

1. Definitely follow Emile's advice (above) -- get another GP doctor and perhaps see a diabetes specialist ASAP.
2. Sorry, but your family sounds like a bunch of narcissists - diminishing your concerns, lacking in empathy. This is a serious concern and should be taken seriously. No excuses for them.
 
Back
Top