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Just Been Diagnosed As Pre-diabetic...

Discussion in 'Prediabetes' started by Dazblow, Sep 12, 2018.

  1. Dazblow

    Dazblow · Newbie

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    This is a first for me. Hello everyone.

    Following a blood test taken during a pre-op assessment last month and one four weeks later [ie just now] my doctor says that my Hb1c? result is 47. So I am right on the border of T2 diabetes and shocked. What is extremely frustrating/shocking is that my BMI is 20. I hardly drink. I am fit from regular running, weight training and climbing over a long period of time. Resting heartbeat of 50. Sensible diet - I thought. Age 65. Male

    I have never been on medication [and not needed it] all of my life and now my Dr is suggesting I take Metformin to attempt to reverse the problem. I am so reluctant to do that if there is any way I can better manage my own health...

    I realise that we humans can all react differently to the same advised actions but I'd be so grateful for any advice out there at this stage.
    Thanks for listening.
     
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  2. davich

    davich Type 2 (in remission!) · Member

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    Your lifestyle sounds perfect. I too keep fit and active at 63. I used to take metformin and statins. My Mmol was over 72 in 2009 now it’s 39. I simply added more cardio workouts per week and more cycling over longer hours. Seems I needed to be more active than I had ever been to get into remission. Makes my wife smile as I ride out with people half my age but am enjoying it. You obviously have a positive attitude to a healthy lifestyle so maybe just smaller changes will be enough to lower your Mmol.
     
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    #2 davich, Sep 12, 2018 at 1:35 PM
    Last edited: Sep 12, 2018
  3. Resurgam

    Resurgam Type 2 (in remission!) · Well-Known Member

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    Does your sensible diet include a fair amount of carbs 'for energy' - diabetics simply do not cope well with carbs, and many have found that reducing the carbs is key to controlling blood sugars.
    There is a lot put out about diabetics being fat and lazy and so making themselves ill - but many report a lifelong struggle with carbs which are - of course - 'healthy'. Having cut my intake down to 50 gm a day I no longer have a problem with high glucose levels and have happily been getting on with the rest of my life.
     
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  4. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    I can't for a single minute understand why your doctor wants to prescribe Metformin as you are not overweight and barely diabetic. It can be useful for diabetics that need to lose weight as it is an appetite suppressant. (among other things). The normal procedure is to discuss lifestyle matters and leave you to it for between 3 and 12 months, then test again. My HbA1c was 53 when I was diagnosed and medication was never mentioned. That was January 2014, and I remain unmedicated.

    As @Resurgam said, carbohydrate is the usual culprit for raised glucose levels. Maybe you are consuming too many? It isn't just sugar that causes problems. All carbs can. There are many slim T2 diabetics. Not all of them are overweight, despite what the media says. It isn't subcutaneous body fat that leads to diabetes, it is fat around the major organs, and we can't see that.
     
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  5. Alison Campbell

    Alison Campbell Prediabetes · Well-Known Member

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    Hi and welcome to the forum.

    Tagging @daisy1 for a new member post for you. Have a good read around the forum, there are lots of options for tackling this with or without meds.
     
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  6. daisy1

    daisy1 Type 2 · Legend
    Staff Member Retired Moderator

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    @Dazblow

    Hello Dazblow 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 NEWLY DIAGNOSED DIABETICS

    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.
     
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