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New and Deeply concerned

Discussion in 'Prediabetes' started by Mel999, May 16, 2019.

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  1. Mel999

    Mel999 · Newbie

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    Hi everyone. Well im completely new to this having received a letter from my GP completely out of the blue just a few days ago. I didn't even know they were checking my blood sugars. Anyway my HbA1c has gone from 44mmol to 46mmol in the past 3 months so now they tell me I am high risk prediabetes.
    To say I'm concerned is an understatement because I'm already constantly battling my health, having already had 2 heart attacks plus serious bowel disease, for which I've had 3 major surgeries in the past 3 years with another one to come shortly. I've also had my gallbladder removed which in itself presents dietary challenges.
    So this is the last thing I needed to hear and has thrown me into a spin and I haven't slept since getting the letter.
    Any advice will be very gratefully received. Thank you. Mel (I'm a male Mel by the way - although I'm often called Miss )
     
    • Hug Hug x 4
  2. Diakat

    Diakat Type 1 · Expert
    Retired Moderator

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    Hi male-Mel,
    I’ll tag @daisy1 for some info. The good news is that you are not diabetic yet.
     
  3. Kittycat_7_

    Kittycat_7_ Type 2 · Well-Known Member

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    Hi,
    Welcome to the forum,
    There are a few members who have had there gall bladders removed, so maybe can advise.
    Do you have a special diet for the bowel disease?
    Sorry your feeling overwhelmed, hope you have some support at home.
    Hope you feel better soon.
    Take care
     
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  4. HSSS

    HSSS Type 2 · Expert

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    Re the gallbladder for a few months post surgery I was very susceptible to eating fat and it’s side effects but this gradually improved. 9 months post op I was diagnosed type 2 and immediately went keto. The sudden increase in fats again set off some digestive problems so I backed it off and then reintroduced the fats more gradually and spread through the day. Giving the body chance to catch up meant I adjusted far better and within weeks was doing much better. I eat as much fat as I want/need to now without problems. For an unlucky few it doesn’t work so well but for most it does. Bile salts can help in the meantime or for those that do struggle.

    Most of us control blood sugars by limiting carbs. This is not just sugar but also bread, rice, pasta, potatoes cereals including oats. We balance the reduction in energy from these by increasing it with fats. This goes against what we’ve been taught about fats and cholesterol for decades but it works and usually improves all measures not just blood glucose but also cholesterol and blood pressure too. Lots of evidence is coming out to show it does not cause heart problems but many drs aren’t on board with it yet. Other eminent cardiologists such as dr asseem malholtra thoroughly endorse it. Do some research and discuss it with your drs if nervous to make the changes.

    Some like me jump in deep. Others dip a toe at a time, reducing the worst carbs as listed above and increasing vegetables and fats like olive oil and avocado first (like a Mediterranean style diet) before trying to add butter cream cheese and meat fats. This may be supported better by heart drs, especially as they see the results improving.
     
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  5. Mel999

    Mel999 · Newbie

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    Thank you for your replies. I knew from reading other posts that the info and support would be top drawer.
    HSSS what does "went keto" mean?
    Sorry if thats a dumb question. My head is still in overload
     
    • Like Like x 1
  6. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

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    Keto is a very low carb diet, with high fat and normal protein. It is very similar to LCHF (low carb higher fat) but more restrictive on the carbs.

    Your previous result of 44 was also in the pre-diabetic range (anything between 42 and 47 is pre-diabetic). Did anyone warn you at that time? Please don't fret about it. You aren't yet diabetic, and with support and a little effort you can reverse this fairly quickly.
     
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  7. Mel999

    Mel999 · Newbie

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    No. The letter I received on Saturday was the first mention of diabetes to me by anyone.
    That's why it's such a shock
     
    • Hug Hug x 1
  8. daisy1

    daisy1 Type 2 · Legend

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    @Mel999
    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it both interesting and helpful.


    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 600,000 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.
     
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