New T2

CondorX

Well-Known Member
Messages
241
Type of diabetes
Type 2
Treatment type
Diet only
I was told on Friday by my GP that I am "definitely diabetic, likely T2" . I had some bloods done recently after he gave me a form months ago when I visited with a chronic cough - usually only go to the GP once or twice a year, as I also have asthma so have to have an annual check and a flu jab.
I am 60, overweight and don't exercise enough. Work crazy hours as an NHS Consultant (in a very different speciality to Diabetes!) I do need to lose about 15kg.
GP wants to do more tests before prescribing Metformin. So will book those this week.
I am shocked to say the least........hoping I don't imminently expire from a heart attack or stroke like my paternal grandfather and maternal grandmother......

I bought a meter yesterday - an Accu Check Mobile :

HbA1c 7%
This morning's preprandial glucose 8.0 mmol/l

And some books about foods..........

Hoping to find some help through the contradictory maze out there.......
 

Rachox

Oracle
Retired Moderator
Messages
15,909
Type of diabetes
I reversed my Type 2
Treatment type
Tablets (oral)
Hi @CondorX and welcome to the forum. Please look in my signature and click on the link to Newly Diagnosed what you should know. Lots of info there for you. I’ll also tag in @daisy1 who will link it in here for you.
You have made a good move by buying a meter so you can see what different foods do to your blood glucose level. You also need to start looking at your diet, I take Metformin but they only have a small effect, your diet will be the key to control. A low carb way of eating will not only control your blood sugars but should enable you to loose weight. Have a peep at my signature for my numbers, both HbA1c and weight loss.
Any questions, fire away!
 

Guzzler

Master
Messages
10,577
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Poor grammar, bullying and drunks.
Hello and welcome to the forum. Tagging @daisy1 for the info pack offered to all newcomers.

You may find https://www.dietdoctor.com a useful site for information and great recipes. Meanwhile have a wander around the forum and ask as many questions as you like.
 

HSSS

Expert
Messages
7,476
Type of diabetes
Type 2
Treatment type
Diet only
Welcome

Can I suggest you take a good look at low carb high fat methods of eating (keto is just a version of this). It helps many of us lose significant amounts of weight, if desired, keep our numbers down and for some even eliminate medications and achieve remission and reduce or improve complications. Try clicking these links for more detailed explanations that are well worth readings


https://www.diabetes.co.uk/forum/blog/jokalsbeek.401801/ for info including low carb made simple


And https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/ to show it really works and for motivation


and https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/ for food ideas


also https://www.dietdoctor.com/ for more food ideas and general info of carb content of foods. Lots of other websites for recipes out there too. Just use the term low carb or keto with whatever you fancy.


Also it’s very important to be able to check for yourself what’s happening so you can make the necessary adjustments day to day and meal by meal rather than wait 3,6 or even 12 months and then have no idea what had what effect. A good starting point is testing on waking then immediately before food and 2 hrs after. Ideally you want no more than a 2mmol rise (less is even better) which is achieved by adjusting the amount of carbs you do or don’t eat (and to remain ideally below 7.8 ultimately but that might take a bit more time). Some foods or those eaten with fats might take longer than this to reach a peak so if it’s a “slow” carb like oats or “brown” carbs maybe try a 3 or even 4hr test before assuming it’s ok.


IMPORTANT FOR ANYONE ON MEDS CONSIDERING LOWERING CARBS: if you lower your carbs then any glucose lowering meds may need to be adjusted accordingly to make sure you aren’t taking more than your new diet requires. It can cause a hypo if you have more gliclazide or insulin etc (this is not relevant for metformin on its own) than your new carb intake requires. Keep a close eye on your numbers and ideally do this with your dr. Please don’t be put off by an ill informed out dated rubbishing of low carb diets or being told you should eat carbs to match meds, it should be the other way around.
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@CondorX
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.