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

I don't know how to fight this...

@Swiggy

Hello Swiggy and welcome to the forum :) Here is the basic information we give to new members and I hope you will find it useful. In particular the Low Carb Program may help you. 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 147,000 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.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all 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.
 
Hi @Swiggy welcome to the forum. Do test and keep a record of what you have eaten. You may find that you also react to wheat flour. Initially it is a pain checking everything for both hidden sugars and wheat flours but you soon get the hang of it particularly if you cook for yourself. Summer is a great time to start, lots of lovely salads around and then transition into winter stews of above ground vege and protein. You have lost weight already you can get handle on losing some more and with a low carb diet you will find that the weight gradually comes off. It takes time to go on, it will take some time to come off and stay off. As you have found already the successful diet is one that you can stick to after you have reached your target weight. This is not a race, it is a change of lifestyle and old habits hang around for a long time so don't be too hard on yourself but each day is a new start.
Thanks, I didn't realise about hidden carbs. I like what you say about each day being a new start.
 
I have a habit of waffling so I will make an effort to be brief.
April 2014 first GP visit for seven years. I was not ill, I needed a form signed by the doctor. Had a health check including blood tests. I had asked if I should ring them for results and was told that they would contact me if there was anything wrong. I didn't hear from them.
In September 2015 I saw the doctor after I hurt my shoulder and it was still very painful after six weeks. Doc said test eighteen months earlier showed that I had diabetes and to make an appointment with the practice nurse. I was stunned and confused but I went home and googled diabetes and the Newcastle research popped up.
My appointment with the nurse was just before I was due to go on holiday and she told me to go and enjoy myself and we would tackle the diabetes when I got back. She took another blood sample and made me a further appointment.
The nurse was lovely but when she told me that after my first hba1c the GP said that he would contact me I felt very let down and decided to change to another practice.
April 2014 hba1c 80
September 2015 hba1c 143
Started Newcastle diet September 2015 and hba1c done at new surgery in January 2016 was 58.
New GP thought I was confused about higher result but practice nurse had written it down. My records were still in transit at this point.
I had eye and foot screening and both were fine. Cholesterol was 4.1 and 24hr blood pressure monitoring showed that I was a bit high at 132/88 but no medication needed for anything.
Told to lose weight (16 stone after losing 30lb on Newcastle).
I bought a meter in August and I have tested every morning since then. Highest reading has been 9.1 lowest 6.3. Average reading 7.8.
Have been asked to make appointment with GP for review but I am terrified.
I have tried my best to lose weight but I am now 17stone and don't know what to do next.
So much for my attempt at brevity lol. Sorry post is so long.
I've learnt you don't have to apologise on this forum, all welcome and comments taken in good faith. Please don't be scared, you are in the best place. Keep reading and asking questions. We have lots of clever generous peeps who are happy to help.
Good luck, we've all started somewhere...:)
 
@Swiggy

Hello Swiggy and welcome to the forum :) Here is the basic information we give to new members and I hope you will find it useful. In particular the Low Carb Program may help you. 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 147,000 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.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all 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.
Hi Daisy, thanks for the information. I have a quick question - what's more important to focus on initially, losing weight or getting my blood sugar levels down. I am a bit scared that I will eat too much fat and end up gaining. But there is good news too, my FBG was down to 7.8 at 6.15am today and I had coffee with double cream for breakfast then tested before lunch (bacon, egg and mushrooms) 7.2. Two hours later 7.3. I'm very pleased.
 
Hi Daisy, thanks for the information. I have a quick question - what's more important to focus on initially, losing weight or getting my blood sugar levels down. I am a bit scared that I will eat too much fat and end up gaining. But there is good news too, my FBG was down to 7.8 at 6.15am today and I had coffee with double cream for breakfast then tested before lunch (bacon, egg and mushrooms) 7.2. Two hours later 7.3. I'm very pleased.


Without question focus on diet and blood sugar... Weight loss will inevitably follow and be a happy bonus.

Dietary fat does not make you fat, a common misconception. It's the insulin resistance that causes the weight gain so work on that and the weight loss will happen.
 
Without question focus on diet and blood sugar... Weight loss will inevitably follow and be a happy bonus.

Dietary fat does not make you fat, a common misconception. It's the insulin resistance that causes the weight gain so work on that and the weight loss will happen.
Thanks JamesUK9 I was surprised at how filling coffee with cream was yesterday. I think that I will be happy to stick with it especially if I see good results.
 
@Swiggy - Agree with the previous poster. Work on getting your Blood Sugars and HBA1C down :).
Are you following the LCHF Diet?
 
@Swiggy - Agree with the previous poster. Work on getting your Blood Sugars and HBA1C down :).
Are you following the LCHF Diet?
I am now having read so many success stories on this forum. I was only testing my fasting level every morning but I have now ordered 500 strips and I plan to monitor before and after meals.
Wish me, and my fingers, luck...
 
Hi @Swiggy - Well Done. That is the only way, is to test daily and find out what foods you can eat and those to avoid. As a suggestion maybe keep a record: Test before a meal, Eat (list the contents of the meal) then Test 2 hours after eating and log it all down.
Always wash your hands before Testing and use a different finger each time. Never use the fingertips but just on the sides.
Keep us updated on the Forum how you are getting on. :)
 
Thanks everyone, I am feeling really positive about this. I have ordered 500 strips and a cable so that I can download my results straight to my PC and I am going to test before and after meals as people on the forum have suggested. The best news is that my sister, who is not diabetic, is going to go low carb too.
Cauliflower cheese with sauce from a keto recipe site for dinner this evening. It sounds delicious.
 
Had our cauliflower cheese, it was yummy but the portion size looked very small. I will see how hungry we get.
 
Back
Top