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New to Forum, new to diabetes

Discussion in 'Greetings and Introductions' started by makka, Nov 12, 2012.

  1. makka

    makka · Active Member

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    Hi all,

    Quite new to all of this with it being me who has this. Diagnosed last week, told to make lifestyle changes (already do everything that was said except oodles of exercise) I know I need to loose weight. Have to wait until month end before I can see doctor again.

    Ho hum!
     
  2. Robinredbreast

    Robinredbreast Type 1 · Oracle

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    Hello and welcome to the forum :thumbup:

    Best wishes RRB
     
  3. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    Hi Makka and welcome to the forum :)

    I think you will find this information useful - it is how we try to help new members. Ask all the questions you like as there is always someone who will be able to help you.


    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 well over 30,000 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 ... rains.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 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.
     
  4. makka

    makka · Active Member

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    Hi and many thanks for the replies, looks like I really need to press the quack for an appointment with the nurse soonest
     
  5. Osidge

    Osidge Type 2 · Well-Known Member
    Retired Moderator

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    As you have been diagnosed it is unfair of the GP to make you wait before he or a specialist nurse talks you through that diagnosis. Keep pushing for that appointment.

    Getting weight off will generally assist those with Type 2 diabetes to improve their blood sugar results. Diet and exercise are, unfortunately, the only two ways that I know to achieve that realistically. Depending on how overweight you are, there are medical or surgical options - especially if you have been unsuccessful with diet. More to talk to the GP about!

    Hope you get an early appointment

    Take care

    Doug
     
  6. Cultivator

    Cultivator · Active Member

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    Well, yes, maybe... but in my experience - and it seems to be supported by a lot of people on here - the nurse will not necessarily give you the best advice! Like you I have been diagnosed a bit over 4 years but have only recently decided to get a grip and found this forum. I think you will get better and more effective information and advice here. You may be lucky and get a really progressive and well informed diabetic nurse - and, of course, nobody would say don't bother going there, but I would just say, weigh up whatever you are told against people's experince on this forum too.

    Good luck :)
     
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