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Just diagnosed with Type 2

Discussion in 'Newly Diagnosed' started by pwuk, Jul 8, 2013.

  1. pwuk

    pwuk · Newbie

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    Hi,

    My GP has diagnosed me as a type 2 diabetic and suggested that I lower my weight and eat a more healthy balanced diet. I was not prescribed any meds to deal with diabetes, however I was prescribed meds to deal with hypertension and cholesterol. I'm not quite sure what my BP was but my cholesterol was '5' and the GP said it should be a '4'. I was prescribed Lisinopril and Simvastatin.

    I have since been scheduled to meet a dietician and wonder if at or following this appointment I am likely to be given meds for diabetes? Is it just the GP who prescribes meds or does the dietician too?

    I was given a book called Diabetes but nothing else and wonder if I should be checking my glucose levels and recording these for any future appointments with the GP?

    I welcome any advice anyone can provide as at the moment I am just trying to gain an understanding for myself via the internet.

    Thanks,
     
  2. Cultivator

    Cultivator · Active Member

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    Hi, I'd suggest reading loads of stuff on here and waiting to see what the dietician says :) You need to know your 'numbers' then you can decide how much action you need to take. It also depends on all sorts of other things - your age, weight etc etc. It is perfectly possible to control type 2 with diet alone - but you don't always get the best diet advice everywhere - OR, you may need meds aswell :) It will depend on the numbers - make sure you get all the numbers, and if you haven't had an HbA1c, you will really need that before they can tell you anything (in my opinion)

    Good luck
     
  3. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    Hi pwuk and welcome to the forum :)
    Here is the information we give to new members which I think you will find useful. Ask more questions if 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 30,000 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 ... rains.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 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.
     
  4. Daibell

    Daibell LADA · Master

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    Hi. Your GP may prescribe some meds after a few months of the right diet if your blood sugar hasn't come down to the right region. The NHS can give some very poor diet advice so beware and take note of the guidance on the this forum and website. A diabetic cannot have a 'normal' healthy diet as he/she doesn't process carbohydrates properly. This means reducing the portion sizes of carbs in your diet and having low-GI ones where you can. Don't worry too much about fats as it's carbs that are the bad guys. GPs love giving out statins and have this figure of 4 in mind for diabetics. Your figure of 5 isn't bad at all. If the statins don't give you any problems e.g. muscle aches then you might want to continue with them; some on this forum have decided to give them a miss.
     
  5. pwuk

    pwuk · Newbie

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    Daibel, Cultivator and Daisy1 thank you all for your responses.

    I still have a lot to learn but this forum is very helpful.

    Thanks again.
     
  6. EllisB

    EllisB · Well-Known Member

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    Hi,

    If your GP has not prescribed any medication, your blood glucose has probably not been too bad over the last 3 months.

    Call the surgery and ask them what your HbA1c was.

    The doctors like type 2s to remain below 48 mmol/mol, but the 'normal' range is 36 and below. If you are not way above 48 diet, exercise and weight loss (if you are overweight) will bring you down to satisfactory levels. If you don't come down far enough, then you'll probably be put on Metformin.

    Those of us lucky enough to be diagnosed early and make the necessary lifestyle changes can remain medication free for years.
     
  7. Allic1971

    Allic1971 Type 2 · Active Member

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    Hi

    I just got diagnosed this week too, high BP put on micardis, high cholesterol put on Crestor and Type 2 the doc said to me, loose weight, change my diet, and come back after I had seen the diabetic nurse.. :think:

    I saw here and there's not much in my diet I can change, I do eat lots of veggies and the right carbs not on meds yet but going back to see her on Wednesday as my BG levels are between 9.1-17.3.
    The 17.3 was after eating weetabix so this is now a NO for me :eh:

    good luck and hope you get some answers soon! :thumbup:
     
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