Type 2 Newbie, Type 2 Hyperglycemia

AussieAub

Newbie
Messages
4
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi all, newbie here, please be gentle!
Recently diagnosed with Type 2 hyperglycemia (as opposed to hypOglycemia).
As the former is HIGH blood sugar, and the latter LOW blood sugar, is there anything different in the diet and types of foods I should be looking at/avoiding/eating more of, etc...??
I'm not much of a cook, but my wife and I are trying to work out menus for all meal times, and hoped you more knowledgeable might be able to help?

My biggest issue is drink (alcohol) and exercise. I do way more of one than the other, and need to somehow resolve this in a BIG way....I'll let you decide which is which!!

Any motivational tips to get out and generally be more active also appreciated!

I have also been told by my clinic nurse that I needn't take blood readings, but having a read through the forums over the last few days, I think it might be a good idea to, if nothing else, just to see how I react to various foods. Any thoughts or comments on this too please?

Whilst it's not an ideal situation, I look forward going through this next "adventure" in my life with your expert knowledge and advice at hand!

Thanks in advance...

KIEREN
(UK based)
 
Last edited:

Freema

Expert
Messages
7,346
Type of diabetes
Type 2
Treatment type
Diet only
welcome here AussieAub :)
you´ve found the right place to get support and ideas to how to control this disease/condition... here people have good advice..
I´ll tag @daisy1 so you´ll get the very valuable information everyone new in here gets ... read it carefully , there is also an online course you can take learning how to do the low carb diet... really worth while and your wife could do it along with you...
this is the main road to get total control and most can get down to really normal non-diabetic levels that way..

long walks are an excellent way to lower blood glucose...
try not to drink much alcohol untill you get a better control..

1 normal glass of red wine a day could be beneficial by the way... first glass helps lower blood glucose next will usually do no good..

it is essential though to measure blood glucose if you want to get into an nondiabetic level
 

azure

Expert
Messages
9,780
Type of diabetes
Type 1
Treatment type
Pump
Welcome @AussieAub :)

Diabetes is a condition of hyperglycaemia so we all have hyperglycaemia when diagnosed with diabetes else we wouldn't be diabetic (if only! : D )

Having a meter is a very good idea as then you can see how various foods affect your blood sugar. Can you give us an idea of the kind of foods you're eating at the moment on the average day? Then other Type 2s can suggest meal ideas or adaptations.

For getting active, I'd say choose an exercise you enjoy. Even something simple like walking can be really helpful :)
 

Brunneria

Guru
Retired Moderator
Messages
21,884
Type of diabetes
Type 2
Treatment type
Diet only
Hi and welcome, Kieran :)

Could you tell us a little more about your situation? It may help people with their suggestions.

Did your doc prescribe any medication? Give advice? Tell you what to eat/not eat? And what sort of menus is your wife organising? :)

You may find it interesting to do a bit of googling on diabetes and alcohol, and how alcohol can affect blood glucose readings. I remember finding it fascinating when I first realised how complex the relationship between the two are, and how much the choice of drink affected things. :)
 

daisy1

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

Hello Kieren and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. The Low Carb Program in particular could help you in terms of what to eat. Ask more questions when you want and someone will be able to reply.


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 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 free 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. They're all 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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AussieAub

Newbie
Messages
4
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Wow, thanks for the info and links everyone!

The reason I ask about the two glycaemia's is I know one is HIGH sugar levels, and one is LOW levels (I've been told mine is the high one - Hyper, as opposed to Hypo). I also understood that the "hypo" variant requires insulin to boost the system, where "hyper" requires control to keep it lower. Is that not basically correct? If so, should there be a slight difference in diet between the two types?

I'm fast approaching 47yrs this month, and only really just started eating breakfasts properly, going for Weetabix as I thought it a healthy option, however, reading other posts, this may not be the best for me now!

Lunch used to be standard boring home made sandwiches, but for a while now have had other things like "healthy branded" microwave meals, beans on toast, the odd pasty, soup and bread, etc. My wife also prepares an awesome Mediterranean style pasta mix (with olives, raisins, pine nuts, sun-dried tomatoes), salads, those kind of things.

Evening meals are generally what WE call healthy: meat, veg, potatoes type dinners. Usually have a take-away or a bag of fish and chips at a weekend as an end-of week treat.

I don't normally snack, have avoided cakes, sweets and desserts for as long as I can remember, instead going for a savoury alternative if anything.

Tend to drink quite a bit more than I know I should! Often have maybe two beers (lager) and a glass of wine or two most nights - but I know this particular habit/vice needs to stop.

The Doc has put me on 500mg Metformin twice daily for the diabetes. I'm also on 40mg Arvostatin. Add to that Lisinopril and Escitalopram for high blood pressure and depression which have been long term.

My physical activity is practically none existence, for way too long a time! Having a desk job doesn't help, but I know it's no excuse. And when I get home after a days work, I just feel too exhausted to do anything!!

Hope that fills in a few more gaps. Any other advise appreciated on things like whether I should "self test/monitor" my bloods, etc.

Cheers,
KIEREN
 

Alison Campbell

Well-Known Member
Messages
1,443
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I also understood that the "hypo" variant requires insulin to boost the system, where "hyper" requires control to keep it lower

No, all diabeteswith have high blood sugar without control or medication. Put simply Type 1s can't make insulin due to the body attacking the cells that make it and have to inject insulin and types 2 make it but it does not work properly.

Hypers cause damage and complications so need to be controlled.

Hypos can be caused by many things including too much insulin so you would never give insulin to someone having a hypo incident as it needs to be treated with fast acting sugars.
 
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catapillar

Well-Known Member
Messages
3,390
Type of diabetes
Type 1
Treatment type
Insulin
Wow, thanks for the info and links everyone!

The reason I ask about the two glycaemia's is I know one is HIGH sugar levels, and one is LOW levels (I've been told mine is the high one - Hyper, as opposed to Hypo). I also understood that the "hypo" variant requires insulin to boost the system, where "hyper" requires control to keep it lower. Is that not basically correct?

No, that's wholly incorrect. If someone is hypo (has low blood sugar) and you give them insulin, there's a pretty strong risk that will kill them. Insulin lowers blood sugar. If someone is hypo it is treated with fast acting carbs - the opposite of insulin.

Diabetes is a condition of high blood sugar, so, as previously stated, anyone being diagnosed with diabetes will have been hyperglycaemic when diagnosed. Hyperglycaemia is how you are diagnosed with diabetes. Hyperglycaemia does require control to keep blood sugar lower either by diet and exercise or by medication - it's the medication used to control diabetes that can cause low blood sugar, not the diabetes itself. There is no hypo variant of diabetes.
 
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