• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Need a bit of help!

MrsWilliams

Member
Messages
9
Type of diabetes
Treatment type
Tablets (oral)
Hi I'm new to this group. I was told I was borderline diabetic when I was 18 fell pregnant and was gestational diabetic while pregnant then told I was type 2 after my first pregnancy. I am now 24 and have 3 children and my diabetes has got really bad (fasting bloods have been 17-20) I have no idea what I should really be eating. If anyone could help me out with some sort of eating plan would be great. Hope to hear from someone soon )
 
Hi and welcome

Here's a link to the basic information given on this site for the newly diagnosed, which should prove useful

http://www.diabetes.co.uk/forum/ind...-Newly-Diagnosed-Diabetics.26870/#post-247834

You are young and diabetes will be with you for a very long time so it is vital that you learn to control it if you are to avoid some pretty unpleasant health complications. Having set that it is not difficult to get on top of your diabetes with a little discipline and of course the help and support of the people on this site.

The main thing to remember is that what you need to control and manage is all carbohydrates not just sugar. Carbs turn to glucose in our bodies so are just as bad as sugar. So limit drastically your intake of carbs such as sugar, bread and other grain products, rice, pasta. Whole meal not much better than white in this regard.

To learn how much to restrict carb intake, monitor their effect on your glucose levels by testing before and two hours after each meal. For now just aim to have after meal counts that are not more than 2 mmol of your before meal counts.

Try to increase your level of physical activity, even moderate exercise such as walking for 30 to 45 minutes daily will help with glycemic control by using up some of the glucose in the bloodstream to power up your muscles.

If overweight try to shift the excess weight. Hopefully the reduced carb intake and increased activity will mean that you do this automatically. As we lose excess weight and our body fat percentage we become less insulin resistant and our bodies are able to transfer glucose out of our blood stream and into our cells more efficiently. In effect we become less diabetic.

If you smoke, stop now. Diabetes and smoking do not mix happily.

Set yourself realistic and achievable targets and work towards them. What you want to do is pick up healthy habits that you will be able to stick to long term, not quick short term fixes.

Ask any questions you may have.

Good luck with your efforts.

Keep us posted on your progress.

Pavlos
 
Hi and welcome to the forum. @daisy1 will be along soon to provide you with basic information.

Here is what I would do to start with..
1. Cut out most of the sugar and starchy carbs, wheat, flour, bread, rice, pasta,...
2. I would question the type 2 diagnosis (what tests did the doctor do to diagnose you?) - not because you do not have diabetic levels - just that I would get yourself checked for LADA and MODY because of your age. You could just be very unfortunate of course.
3. What medication are you on and what are your blood glucose levels through out the rest of the day?
 


Could I ask what LADA and MODY is please? I'm on 100mg slow release metformin one a day. Was put upto two but was making me really ill! I've been put back down to one a day for 4weeks then having a review and if my HBA1C is still high they are going to think of giving me insulin. I had the sugary drink wait a hr then blood test. Thanks for everyone's responses x
 
I was just going to say the same
 
You are quite young to be Type 2. MODY http://www.diabetes.co.uk/diabetes_mody.html and LADA http://www.diabetes.co.uk/diabetes_lada.html are variations on Type 1 and there are tests such as c-peptide and for GAD antibodies which can tell you the difference.

If metformin was working initially and now it isn't then that is another sign that you are not Type 2. If you are overweight then the docs may assume you are Type 2. Type 1 can come on slowly if you have LADA.

Yes, having gestational diabetes does make you more likely to get Type 2, but not usually that quickly. It took me nearly 20 years to go from borderline gestational to Type 2.
 
I agree with some of the other posters that LADA etc is a possibility rather than T2. If you are overweight then getting that down thru lower carbs will help make the diagnosis easier to determine. As and when you reach a reasonable BMI and your blood sugar doesn't come down into a better range then T1 etc becomes more likely. Insulin is usually needed in the longer-term with T1, but tablets including Metformin can often hold that at bay for years even. Ask the GP for the Slow Release version of Metformin called Metformin SR which reduces/avoids bowel issues. Don't panic ref possible insulin. I went onto it almost 2 years ago and believe it or not it makes life much easier than tablets which may not work well
 

Hi MrsWilliams and welcome to the forum

Here is the information mentioned by Andrew Colvin which we give to new members and I hope you will find it helps you. Ask lots of questions and you will get replies from many people.

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 over 100,000 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.
 

I am overweight but when I was diagnosed I was much lighter than I am now. If I was to lose the weight and my blood sugars didn't come down would it be advised to go to my doctor again and suggest testing for LADA?

Thanks so much to everyone who's giving me advise so glad I've found this forum
 
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

Never quite understood the last reference. Is that from the first bite or the last? I have been eating a lot slower these days as it seems to influence my readings. Sometimes taking half to three quarters of an hour to eat breakfast or lunch. I am retired so I do have the time. I have often used the halfway mark as a guide.
 
I'm sure it's 2hours after you finish? Not sure if I'm correct though but i got told to test 2hours after finishing food
 
Hello and welcome Missus.
You're in the right place.
 
I'd start with a low carb diet, either way it will help lower bg and lose weight and if you go to insulin, with the least amount of insulin needed
if you're overweight I would see dr for the slow release metformin and try and get to the 2000mg a day

these sites helped me
http://www.dietdoctor.com/lchf
http://www.phlaunt.com/diabetes/14045524.php
http://lowcarbdiets.about.com/od/lowcarbliving/a/Food-Cravings.htm
http://www.myfitnesspal.com/
http://diabeticmediterraneandiet.com/low-carb-mediterranean-diet/
http://www.lowcarbdietitian.com/blog/carbohydrate-restriction-an-option-for-diabetes-management
 
if you're overweight I would see dr for the slow release metformin and try and get to the 2000mg a day

I am overweight and on the slow release metformin but on 100mg. They put me up to 200mg but I was really ill to the point that I couldn't eat and was being violently sick. I've got until the 4th of October to get my bloods down before they think about putting me on insulin
 
going onto insulin to get your BG in range isn't a bad thing, it's scary. it can also help save what's left of your beta cells
the main thing is to get and keep your BG in range with diet, exercise and drugs
with metformin, you can be on the toilet upto a couple of weeks till it settles down, if you can take one, odds are you will be fine with 2 in a week or so
also the low carb helps with the symptoms and a probiotic helped me too
 
It wouldn't be a problem if I didn't have three children under 5 to look after. My youngest is only 8months and I just didn't have the energy to do anything with him and with my husband at work full time didn't have anyone to turn to for help while I was stuck on the toilet or being sick. I've been on insulting twice before with my last two pregnancies so I'm not afraid to go onto it but would like to be able to do it without
 
Cookies are required to use this site. You must accept them to continue using the site. Learn More.…