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Newbie

Bluetit1802

Legend
Messages
25,215
Location
Lancashire
Type of diabetes
Treatment type
Diet only
Hi everyone,

2013 was a rubbish year for me. I was diagnosed with breast cancer, went through surgery, chemo and radiotherapy. That's all behind me now but I am still on active biological treatment until April. Early January I was given the 12 month "all clear" and was euphoric. Hubby and I were looking forward to 2014 being relatively free of hospital appointments, when BANG, a couple of weeks later I was diagnosed with T2 following a routine test.

My tests were:
2nd Jan - Random Glucose 7.4, HbA1c 52
14th Jan - Fasting glucose 7, HbA1c 53

I have no symptoms, feel well, kidney and liver checks normal. I am 2 stone overweight, and due to chemo-induced fatigue got out of the habit of long daily walks, so became a bit of a sloth. The test results stirred me into action. I immediately started a gentle weight loss diet and have already lost 3lbs in 7 days, and have booked in for aqua-aerobic classes from this Friday. Tomorrow I see the diabetic nurse for my initiation!

I have been lurking on this forum for a few days and thought I would join. I'm 66, retired, and love my bread and spuds!

BT
 
hello and welcome lovley to meet with you, it certainly seems like 2013 was not ur year and you have overcome a tremendous personal battle only to be dealt with another blow .. like u im a newbie 2 months type 2 and following advice from these guys doing well and not letting it bring me down , but the spuds and bread are easy swaps if u would like to as for me they send me into orbit blood wise , lots of others be along in a min im sure to help you on ur journey and welcome again this site full of great advice i find my nurse doesnt get but the prove is always in the results xx
 
Welcome to the forum Bluetit ! Hopefully 2014 will be a good year for you ( not sure about the bread & spuds though ! )
Mo
 
hi bt ,have you been given steroids during your cancer treatments, this can interfere with blood sugars and cause diabetic tendency's,
I am sure daisy will be in touch with you soon with lots of advice, best of luck to you, by the way, I have found celeriac to be a great veg in contrast to potatoes. it costs about a £1 for a big root from lydl.
 
hi bt ,have you been given steroids during your cancer treatments, this can interfere with blood sugars and cause diabetic tendency's,
I am sure daisy will be in touch with you soon with lots of advice, best of luck to you, by the way, I have found celeriac to be a great veg in contrast to potatoes. it costs about a £1 for a big root from lydl.

Hi Bluetit and welcome to the forum:)

Here is the information we give to new members and I think you will find it useful. Ask all the questions you need to and someone will be able to help.


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 70,000 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-and-whole-grains.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.
 
Thanks everyone for your replies and welcome.

Christine, I was given steroids but only over 3 days every 3 weeks, and my last lot were July 2013, so I doubt they would still be having any effect. I have been Googling about for a connection between breast cancer, my particular treatment, and diabetes but can't find any. I am currently on a biological drug infused every 3 weeks, called Herceptin. I also cannot see any connection with this. It seems to be down to being overweight and not very active.

BT
 
Well, I saw my specialist nurse for the first time today. She chatted, asked questions, answered questions, and gave me some locally produced leaflets on diet and food labelling, which look helpful. Because my levels aren't drastic I am just to control them with diet and exercise and will have a HbA1c test in 3 months to review the situation. I have to see her again in a month for a urine test and she is referring me to the podiatrist and for a retina test. No mention as yet of any course. I asked about home testing. I was told this isn't advised at this stage for patients in my circumstances (ie. not on medication and not likely to experience a hypo) If I follow a balanced sensible diet and increase my exercise I should see an improvement at the 3 month test. If not, then things will be reviewed.

BT
 
Hi Bluetit
7 months ago I was also diagnosed T2. After considerable weight loss I was told just today that my blood tests indicated that I had "reversed" my diabetes. My initial BG and HbA1c readings were higher than yours. Try the diet and exercise route it worked for me. If you do get a BG meter it will indicate what foods elevate your blood glucose levels. I did not totally eliminate the bread and spuds but eat them in moderation. Have wholemeal or "bergen" bread and do not mash your spuds.
Good luck and fight it!
 
Thanks Father Jack, and well done on your latest results. That is brilliant.
I have swapped from ordinary bread to granary and halved the amount of bread I eat. I am still having spuds for my main meal (not mashed!) but less of them and making sure I have some low GI food at the same time. I am chuffed to bits with my 3lb weight loss in my first 8 days and am not finding it difficult, and am not hungry.
Thanks!

BT
 
It sounds like your getting it about right Bluetit. Initially, I lost weight at a similar rate to you and I did not find it hard to stick to the regime. In fact I do not think that I could revert to my former diet.
Once again good luck!
 
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