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<blockquote data-quote="xyzzy" data-source="post: 244926" data-attributes="member: 40343"><p>Some more words of advice.</p><p></p><p>Get a test meter and test yourself. Because of the post code lottery that our NHS is you may find your GP will give you a meter and test strips or they may not. The NICE guidelines are that a Type 2 should get test strips if they understand why they are testing and responding to the results they get. </p><p>Keep a food diary and record what, when and how many carbs you are eating. Show these to your nurse or gp as evidence you know what you are doing. I get my test strips off eBay as that's the cheapest place by far. At the moment I test before I eat and +2 hours after a meal. If there is a big gap between when you get up and when you eat breakfast measure when you get up as well.</p><p></p><p>Don't be surprised if you get high readings when you wake up its called the Dawn Phenomenon and is a real pain in the neck. At around 4.00am each day your brain issues instructions for you liver to dump glucose into your bloodstream so that you have energy for the new day.</p><p></p><p>My readings after now 7 weeks from diagnosis now average at all times between 4.5 and 6.5. At these levels I am nearly back to the range of a non diabetic which is where I want to be but everyone should make their own informed judgement of the risks they want to take. I started with readings in the 20's. To get to the range I am now I cut carbs down to around 50g / day max initially and now average around 65g / day. Everyone is different so carb intake my well be different for you.</p><p></p><p>You may find articles telling you to eat this oil or that oil as it will cure your diabetes. It is rubbish there is currently no cure for type 2. You can control it with diet and possibly reverse some effects if you've been caught quickly enough. Sorry if that's a bit blunt.</p><p></p><p>You may be told by the NHS that you are eating too few carbs. Tell them you'll eat more when YOU see that they do not put your BS levels into the danger zone. Refer them to the Swedish NHS that is far more up to date with the latest scientific opinion.</p><p></p><p>Some more useful info on BS readings.</p><p></p><p>It is thought that diabetic complications can begin to arise if your BS regularly exceeds 7.8. </p><p></p><p>19 out of 20 non diabetics will have a reading of less than 6.5 two hours after eating.</p><p></p><p>You may be told by the NHS that your HbA1c is fine so long as its between 6.5 and 7.5. Remember an HbA1c value is not the same as a BS reading. A 7.5 HbA1c is well over the 7.8 BS reading where damage is thought to begin. Many people on this forum aim and regularly achieve HbA1c's less than 6%. Around an HbA1c of 5.5% you would be at the top end of the range for non diabetics.</p><p></p><p>Finally each 1% rise in HbA1c DOUBLES your risk of diabetic complications (going blind, feet falling off etc.) so someone with an HbA1c of 8 is 4 times for likely to get complications than someone at 6, at 9 its 8 times more likey etc.</p></blockquote><p></p>
[QUOTE="xyzzy, post: 244926, member: 40343"] Some more words of advice. Get a test meter and test yourself. Because of the post code lottery that our NHS is you may find your GP will give you a meter and test strips or they may not. The NICE guidelines are that a Type 2 should get test strips if they understand why they are testing and responding to the results they get. Keep a food diary and record what, when and how many carbs you are eating. Show these to your nurse or gp as evidence you know what you are doing. I get my test strips off eBay as that's the cheapest place by far. At the moment I test before I eat and +2 hours after a meal. If there is a big gap between when you get up and when you eat breakfast measure when you get up as well. Don't be surprised if you get high readings when you wake up its called the Dawn Phenomenon and is a real pain in the neck. At around 4.00am each day your brain issues instructions for you liver to dump glucose into your bloodstream so that you have energy for the new day. My readings after now 7 weeks from diagnosis now average at all times between 4.5 and 6.5. At these levels I am nearly back to the range of a non diabetic which is where I want to be but everyone should make their own informed judgement of the risks they want to take. I started with readings in the 20's. To get to the range I am now I cut carbs down to around 50g / day max initially and now average around 65g / day. Everyone is different so carb intake my well be different for you. You may find articles telling you to eat this oil or that oil as it will cure your diabetes. It is rubbish there is currently no cure for type 2. You can control it with diet and possibly reverse some effects if you've been caught quickly enough. Sorry if that's a bit blunt. You may be told by the NHS that you are eating too few carbs. Tell them you'll eat more when YOU see that they do not put your BS levels into the danger zone. Refer them to the Swedish NHS that is far more up to date with the latest scientific opinion. Some more useful info on BS readings. It is thought that diabetic complications can begin to arise if your BS regularly exceeds 7.8. 19 out of 20 non diabetics will have a reading of less than 6.5 two hours after eating. You may be told by the NHS that your HbA1c is fine so long as its between 6.5 and 7.5. Remember an HbA1c value is not the same as a BS reading. A 7.5 HbA1c is well over the 7.8 BS reading where damage is thought to begin. Many people on this forum aim and regularly achieve HbA1c's less than 6%. Around an HbA1c of 5.5% you would be at the top end of the range for non diabetics. Finally each 1% rise in HbA1c DOUBLES your risk of diabetic complications (going blind, feet falling off etc.) so someone with an HbA1c of 8 is 4 times for likely to get complications than someone at 6, at 9 its 8 times more likey etc. [/QUOTE]
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