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New To This Disease.

Discussion in 'Ask A Question' started by Irfankhan, Jun 24, 2018.

  1. Irfankhan

    Irfankhan Type 2 · Newbie

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    I diagnosed a while ago in dramatic fashion but now it sure I am affected by it. My issue is my fasting sugar level always a bit high at just over 100, like 104, 108 110 etc. My random sugar always in control like 133, 137, 140. I am taking "Zeenaryl" 4mg half tab in morning 30 minutes before breakfast. I am having around 5KM walk daily (rear miss). I am restricted to my diet but in my area of the world wheat bread is common to use and I am eating that normally. Need your suggestions, please.
     
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  2. Geordie_P

    Geordie_P Type 2 · Well-Known Member

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    Welcome to the site!
    Those numbers look quite good: if '100' means 100mg/dl, then that's like 5.6 mmol/L, then that looks like good control. If I have the numbers wrong, please correct me though (to all readers).
    I reversed my diabetes by avoiding carbs, so my advice would be to reduce your wheat bread if possible. However, if you are quite active, it might be OK. Another tip is that if you are going to eat wheat bread or rice, eat some fat or meat or eggs or green vegetables first, and it can help reduce or avoid the sudden raise in blood sugar levels.

    I try to avoid all carbs and just eat meat, eggs, fish and vegetables, but if you do need to eat bread, eating some good fat meat first can help.
     
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  3. Antje77

    Antje77 LADA · Moderator
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    Hello @Irfankhan and welcome to the forum! I see this is your first post, so I'm tagging @daisy1 for you. She'll be along and post a wonderful information sheet on this thread.
    In the mean time, read around on the forum and ask as many questions as you want :)
     
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  4. daisy1

    daisy1 Type 2 · Legend

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    @Irfankhan

    Hello Irfankhan and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful and interesting. Ask as many questions as you want and someone will be able to help.

    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.
     
  5. Prem51

    Prem51 Type 2 · Expert

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    Welcome to the forum @Irfankhan. It's good that you are testing your bg levels. If your figures are in mg/dl they are ok, though that is with the Zeenaryl medication. The bread would seem to be main reason for raising your bgs. I'm assuming you don't eat sugary sweets or drink sugary stuff, including fruit juice! If you can reduce the amount of bread you eat it should reduce your bg levels.
    Fasting bgs are often higher because of 'Dawn Phenomenon' where your liver dumps stored glucose into your bloodstream as you wake to get you going. It's quite common, even for non-diabetics.
     
  6. Geordie_P

    Geordie_P Type 2 · Well-Known Member

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    Just want to give a shout out to Daisy here: when I was first diagnosed, it was nice to get the package from Daisy: it basically covers the whole shebang. I never thanked you at the time, so let me do it now! Irfankhan, my friend, if you follow Daisy's advice, you won't go far wrong.
     
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  7. Antje77

    Antje77 LADA · Moderator
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    If you put an @ before daisy1, she'll get a notice so she'll see your comment :)
     
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