magicmoose

Active Member
Messages
38
Type of diabetes
Type 2
Treatment type
Tablets (oral)
As the title suggests, I am a long time lurker and I have finally decided to join. I am a type 2 who was diagnosed in 2005 in my late twenties.

No doubt my diabetes was caused by my life style choice as I was overweight and at my highest being 165kg. Over the last 3 years I have dropped 38kg through diet and exercise but in recent weeks I have gained back 6kg which I am aiming to lose over the next month and then plod on with continuing to lose another 20kg. I want to see the scales go down, not up.

I have never really had good diabetes control, I've always been on 2g of Metformin (and still get the dreaded side effects) I've also been on varying GLP-1's, oral medications and short and long acting insulin. Three days ago started Dapagliflozin (2nd go at this drug) and I am aware of the risks of it - thanks to this forum for excellent advice. Diet recommences now, looking at trying Keto with some intermittent fasting this time around.

HbA1c was 120 in October, not been less than 100 in about four years, despite insulin! Even when my diet is good, my blood sugars are sky high! Despite the weight loss my blood sugars seem to be worse.

Hopefully, now I have finally joined I'll make some new friends and get some great advice.
 

Resurgam

Expert
Messages
9,868
Type of diabetes
Treatment type
Diet only
If by a good diet you mean one where you know the amount of carbs you are eating and use insulin to try to keep your blood glucose down, then it is a bit of a puzzle as the Hba1c would indicate readings averaging in the high teens (at a guess).
I am not experienced personally as diet keeps my BG normal - but I've read quite a few messages on this forum about medication - just in case I ever need the info.
What sort of things are on your menu?
 
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magicmoose

Active Member
Messages
38
Type of diabetes
Type 2
Treatment type
Tablets (oral)
If by a good diet you mean one where you know the amount of carbs you are eating and use insulin to try to keep your blood glucose down, then it is a bit of a puzzle as the Hba1c would indicate readings averaging in the high teens (at a guess).
I am not experienced personally as diet keeps my BG normal - but I've read quite a few messages on this forum about medication - just in case I ever need the info.
What sort of things are on your menu?

I am no longer on insulin for varying reasons but one being the weight gain. When I was injecting insulin I didn't carb count, no one showed me how to. It was a case of here's an insulin pen and here is how you inject!

I am quite open to trying new foods. Love meat especially chicken, steak, bacon and adore eggs. Not a fish eater. I do not have much knowledge yet on Keto or fasting but have just ordered a reasonably priced cook book from Amazon for some ideas. I've also armed myself with The Diabetes Code and The Obesity Code by Jason Fung.
 
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Resurgam

Expert
Messages
9,868
Type of diabetes
Treatment type
Diet only
I am no longer on insulin for varying reasons but one being the weight gain. When I was injecting insulin I didn't carb count, no one showed me how to. It was a case of here's an insulin pen and here is how you inject!

I am quite open to trying new foods. Love meat especially chicken, steak, bacon and adore eggs. Not a fish eater. I do not have much knowledge yet on Keto or fasting but have just ordered a reasonably priced cook book from Amazon for some ideas. I've also armed myself with The Diabetes Code and The Obesity Code by Jason Fung.
You might like to download or acquire a copy of Dr Atkins New Diet Revolution. I have the 2003 version which has been very useful. There is a lot about diabetes and controlling weight and blood glucose, plus lists of foods to eat or not, menus and recipes graded for different levels of carbs - after all he had decades of experience using diet to cure serious illnesses which had just had medication thrown at them before.
When you consider just how long it has been known that eating low carb stopped type two diabetes problems, it is perfectly possible to become angry about the refusal to pass on that knowledge to patients.
 
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bulkbiker

BANNED
Messages
19,575
Type of diabetes
Type 2
Treatment type
Diet only
Diet recommences now, looking at trying Keto with some intermittent fasting this time around.
Excellent way to go.. I would heartily recommend.
Also you might like to think about carnivory if you are a meat lover like me?...possibly the best low carb diet...

Edit to ad if you want to delve deeper in the world of keto maybe join www.ketogenicforums.com similar to here but with a more focused keto/carnivore approach.
 
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Rachox

Oracle
Retired Moderator
Messages
15,909
Type of diabetes
I reversed my Type 2
Treatment type
Tablets (oral)
Thanks for the tag @Jaylee .
I’m not such an ardent fan of fasting, I only ever do it for my bloods test! :joyful::hilarious:
However I am a low carb fan. I keep to under 50g carbs/day. Since my diagnosis in May 17 I have not only achieved non diabetic HbA1cs for over a year but have lost 6 1/4 stone (about 40kgs). I’m also on Metformin but I’m not familiar with your other med though so I don’t know what the risk of hypos is with it. Self testing has been a useful tool for me as well, testing before and two hours after meals to check what foods I can tolerate. Best of luck with it all.
 

magicmoose

Active Member
Messages
38
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Thank you all for the warm welcomes as well as the links to delve into and book recommendations. It is much appreciated!
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@magicmoose
Hello Magicmoose and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and useful.

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.
 
  • Like
Reactions: magicmoose

magicmoose

Active Member
Messages
38
Type of diabetes
Type 2
Treatment type
Tablets (oral)
@magicmoose
Hello Magicmoose and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and useful.

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.
Thank you Daisy for the helpful information. Might be hard to believe but after 13 years as a Type 2 I'm finally educating myself!