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im not your 'average' type 2(well i dont think so)

wheelman

Newbie
Messages
1
Location
Shropshire,UK
Type of diabetes
Treatment type
Non-insulin injectable medication (incretin mimetics)
Dislikes
people who just get in my way when I'm coming up behind them in my wheelchair...!!
Hello all
Having been diagnosed type 2 several years ago, this was another kick in the teeth;after being given a spinal injury 13 years ago by an old blind git,driving on the wrong side of the road hitting me head on while on my motorbike.
I have had more than my share of health issues, Inc sleep apnoea,and a spinal injury that's paralyzed me from the chest down. So my problem is not being able to exercise much(running is off the menu! ) I find it difficult to lose weight,and have never been to a diabetic clinic (but I do have eye screening)and I have zero support, I have been on Victoza in the last 12 months which along with trying to watch what I eat ,has brought my levels into single figures.
Do we as diabetes have the right to attend a diabetic clinic, or is it upto the individual to chase them so one can attend,surely the health authority would save themselves money by being proactive...
thanks
 
For most people, well, me certainly, the diabetic clinic is actually just visiting the practice nurse at the GP surgery. Mine wants to see me at least twice a year to do the various checks but if I have a problem or a query is happy to see me more often.

Make yourself an appointment with the nurse and take it from there. She can refer you to various education type programmes like Desmond.
 
Hi wheelman, welcome to the forum. I will tag @daisy1 who has some excellent info for people new to the forum that you may find helpful. Exercise is not as efficient at burning calories as we have traditionally thought. So, not being able to exercise much will not stop you from being able to lose weight. I have found a low carb higher fat diet works really well - I lost 7 stone eating this way while doing little exercise. Well done for getting your levels into single figures!
 
Hi and welcome. Normally T2s are treated in the local surgery by a trained nurse. You have a right to at least an annual appointment and for some it will be every 6 months. For those on Victoza I would expect it to be 6-montlhy or even every 3 months. Do make an appointment and if your surgery can't handle diabetics then they must refer you to the hospital clinic. I can understand it must be difficult for you. The low carb diet will be essential for you to lose weight as well as the Victoza helping. With the right diet you may even be able to stop the Victoza by agreement with the surgery once the weight is down.
 
Hi and welcome,

Yes, it is mainly Type 1's that go to a hospital specialised diabetes clinic. Most Type 2's see their GP or dedicated nurse for at least an annual face to face review, blood pressure and urine checks, weigh in, and so forth, plus a discussion on how you are doing and a medication review if necessary. In addition to that, you should be having 6 monthly blood tests for an HbA1c and cholesterol, liver and kidney function etc. plus an annual eye retina check.

If this isn't happening for you, then you may have slipped through the net, so I suggest you make an appointment and get yourself back on the NICE recommended diabetic care pathway that all GP practices are supposed to follow.
 
@wheelman

Hello and welcome to the forum :) To add to the good advice given to you by members, here is the information we give to new members and this should help you with the low carb diet mentioned above. Ask more questions 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 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.
 
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