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New Per diabetic

Discussion in 'Greetings and Introductions' started by Fo, Dec 17, 2018.

  1. Fo

    Fo Prediabetes · Well-Known Member

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    Hello my blood test result came back as a score of 42. Doctor said nothing to worry about, just manage my diet. I am not over weight. I am hypothyroid.
    I have symptoms of chilblains, numbness and pain in certain areas of feet, Aching fingers, going to the toilet more often, disturbed sleep and difficulty getting off to sleep. Some days feel very poorly, some days feel fine. Thank you
     
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  2. Guzzler

    Guzzler Type 2 · Master

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    Hello Fo and welcome to the forum. Tagging @daisy1 for the info pack offered to all newcomers.

    Dietary changes, even small ones, can make a big difference to your overall health. Many members here have problems with their thyroid so you have come to the right place.

    Have a wander around the forum and ask as many questions as you like.
     
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  3. Daks

    Daks Type 2 · Well-Known Member

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    Welcome buddy....
     
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  4. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    @Fo
    Hello Fo and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it 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.
     
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  5. JoKalsbeek

    JoKalsbeek Type 2 (in remission!) · Well-Known Member

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    Welcome Fo,

    That HbA1c is just in the prediabetic range, but with your symptoms, I would advise you to get a meter and find out what food does for you. Just a small adjustment to the amount of carbs you eat could put you back into the non-diabetic range and alleviate symptoms. Try eating less bread, potatoes, rice, pasta, cereal and fruit (save for avocado, berries and tomatoes). If you test before a meal and 2 hours after the first bite, you shouldn't go up more than 2.0 mmol/l. If it is higher, the meal was carbier than you could handle. (Practically all carbs turn to glucose once ingested, and you aren't efficient and getting it back out again. Loads of insulin floating around, but it's not doing what it's supposed to anymore. And that can improve, with levels like these!). If you find you're losing more weight than you want to on lower carb, as you mentioned not being overweight, try adding some extra protein and fats, like some nuts. Whenever I eat nuts, my weightloss stalls. ;)

    By the way, you don't have to be obese to be a T2. 10% Of us are actually skinny. (And it's the insulin resistance that turns to T2 that makes a lot of us big, not being overweight. We become big because of the T2 developing, not the other way around.). Are you being treated for your thyroid issues? I've found that my bloodsugars respond badly if my levothyroxine intake isn't exactly right. So keep an eye on both eh, your HbA1c and the thyroid.

    Again, welcome, and hopefully, you'll never become an actual T2!
    Jo
     
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  6. Fo

    Fo Prediabetes · Well-Known Member

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    Hello
    Thank you for your message and guidance. I have a lot to take in. Yes I take thyroxine 100mcg, and this is showing ok.
    I considered buying a monitor, but the strips are very expensive. I can see me testing every time I eat something! Today I have been diagnosed with neuropathy which I suspected, but it’s worrying. I have cut down on my sugar intake; honey, seeets and chocolate. I don’t really have much sugar left! I read that I should avoid bananas and some fruit?
    Is milk ok? Porridge? Veg? Fish? Butter?
    I will keep reading
    Thank you x
     
  7. KMcRae

    KMcRae · Active Member

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    Hi I use a GLUCORX tester around £12-15 and test strips £15 if you have to buy, this is what my nurse gave me as this is what most of the NHS prescribed now due to costs, I work in pharmaceuticals so I would advise to buy online if you have pay, strips can cost double in price at some pharmacy's.
     
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  8. Resurgam

    Resurgam Type 2 (in remission!) · Expert

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    The cheapest option for a meter and affordable strips is to do mail order - I am sure someone will give you the link - I am two years from diagnosis now and so have just about stopped testing.
    Diabetes is all about an inability to deal with carbohydrate, that is starches and sugars, it is not just the sugary foods you need to watch out for.
    I have cut out potatoes, pasta, rice, all the high carb foods. I eat a few berries with cream from time to time using frozen berries in mixtures as low as I can find - I avoid foods with a carb content over 10 percent.
    It is a bit severe, but I want normal readings and test results, which I have been getting for some time.
    I used a meter to determine my response to various foods - I found that I seem to be able to digest legumes really well - I get a higher than expected rise in blood glucose levels for the amount of carbs they contain. I know that I need to limit the serving sizes.
    I do have quite a wide choice of foods - and they are the best and tastiest ones, to my way of thinking, not the filling stodge which really does lack a lot of taste and texture.
     
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