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I'm new to all this

SuzeyQ2104

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Hi I recently got told I have Diabetes 2 and I have this monitor to test my blood I know how to use it but my only problem is how do I know if my sugar is low or high as I have no idea

I also scared as I have no idea what I am meant to do as dr as not told me anything just to take meds and test blood in morning and when I feel like ****
 
Hi Suzey and welcome! Unfortunately it’s all too common for people to be left with insufficient info after diagnosis. Let me tag in @daisy1 for her useful info post. Pay particular attention to the bit about the role of carbohydrates in the diet. Many of us can achieve non diabetic numbers with Metformin and diet or diet alone. Here are the numbers you are looking for, in this link:
https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html
You will feel so much better when you get your readings down.
 
Hello and welcome to the forum. May I ask what medications you've been prescribed, please? This may affect the advice that you are given. It would also help members to advise if you would tell us what your HbA1c result was, this is the result of the blood draw from your arm that led you to be given the diagnosis.

It can be quite a bewildering time when you are told that you have Diabetes then given a prescription and sent on your way. Confusion reigns but we have all been in your situation and will answer any and all your questions, you only have to ask.

As you were not told about blood glucose readings to aim for I'm guessing you were not told when to test so here's how to get the best data:

Test first thing in the morning before you start your day, this is your fasting reading.
Test before the first bite of your meal then again two hours after your first bite, the difference between the pre meal reading and the post meal reading should be no more than 2mmol but preferably a lot less than that.
Record all your readings in a diary (there are apps that you can download for this) along with the time, date and what you have eaten.
This seems like a lot of data but it will show you how you are doing and what effects your diet is having on your blood glucose levels.

Have a wander around the forum and ask as many questions as you like.
 
Hi @SuzeyQ2104, Welcome and despair not! As a fellow diabetic, not as professional advice or opinion:
It is frightful that you your doctor has not bothered to give you some education about all this. But all is not lost!
I suspect he is expecting the Diabetes nurse to do so. But that leaves you in limbo. Did he/she at least inform you of what your medication is for, how it works and what side-effects to watch out for? That is the minimum for prescribing it !!
Anyway: the answer to your question about blood sugar levels (BSLs) is on the Home page of this site, look under 'Living with Diabetes' about middle of the horizontal 'band' of options and then Blood sugar levels, far left and the Type 2 row of figures.
The after 90 minutes test is done to see what the maximum BSL after eating a meal is. So the result helps you see how well you are doing with diet and medication. The fasting test, first thing in the morning, gives some idea of what your overnight BSLs have been like.
A scheme: In order to save your fingers from an overzealous number of stabs you might consider doing 2 hours after breakfast on Mondays and Saturdays, , 2 hours after lunch on Wednesdays and Sundays, 2 hours after dinner on the Fridays and anytime you eat out. Tuesdays and Thursdays could be the days for testing first thing in the morning (fasting). That way you have a range of figures covering after meals and fasting. Anytime you are unwell, (which causes the body stress and may increase the BSLs) you could test more often
If you are having trouble working out how to use your meter, there are instructions plus the Diabetes nurse will help (assuming you were given an appointment) or see one of the nurses at your GP's practice foe help on the meantime.
On the Home page too is a section" Type two diabetes" about third from the left. There you will find information about your particular type of diabetes and about treatment , diet etc.
That does not mean you will necessarily have all your questions answered or be able to fully understand what is written.
The beauty of this site is that you can ask about anything. No question is too simple or basic. We have all been there at some stage and are more than willing to share experience, ideas and understanding and give support. We even have a forum for those who wish to write and rant on a soapbox, one for jokes, another on diet and recipes etc.
And the search box top tight of the Forums page will help if you have a particular query, word or term, there may already be thread on the topic to be able to read.
The more computer literate will shortly post for you an introductory segment, @daisy1, to provide more general and specfic info about diabetes.
Again welcome and line up your queries, questions, worries and hopes !!:):):)
 
@SuzeyQ2104
Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and helpful.

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.
 
Hi, thank for your reply.

It's really hard for me to control my diet atm as I on the waiting list to have gallstones removed and have some band put in since I can't eat much food at all.

The meds I am on are Gliclazide since I couldn't take Metformin since they are too big for me to take I'm not sure what my blood was for them to tell me I have D2 but I know they were high they said @Rachox
 
Metformin comes in a liquid as well as a pill. (Of course, FAIK the liquid might exacerbate the tummy-upset issues Metformin can give people at first! But might be worth asking your doctor. I am not one, BTW. :) )
 
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