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Newly diagnosed and confused

Discussion in 'Newly Diagnosed' started by Mike2, Sep 12, 2016.

  1. Mike2

    Mike2 · Member

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    I have only just been diagnosed with T2 and understandably a bit overwhelmed, but also confused by something in particular. During the past few years I have quite often had symptoms of mild hypos, but on my limited understanding so far this is usually as a result of being on diabetic medication. Why would I experience low blood sugar if I am diabetic without treatment of medication?
     
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  2. Hiitsme

    Hiitsme Type 2 · Well-Known Member

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    Hi @Mike2 and welcome.
    I will tag @daisy1 for her helpful information for newbies.
    The only way to know if you are having a hypo is to test. Do you test? If so what reading gives you those feelings? There are conditions where blood sugar levels go high after a meal and then go very low. I think it's called Reactive Hypoglycemia and there is a section on this forum. This is rare but possible and other members would be able to advise you.
    http://www.diabetes.co.uk/forum/category/reactive-hypoglycemia.70/

    I don't get hypos but when bringing my readings down I could feel very slightly that way. This can be called a false hypo.

    I would advise you to get a meter and check what your actual readings are.

    Do ask questions are we will try and help.
     
  3. Daks

    Daks Type 2 · Well-Known Member

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    Hey Mike, welcome to the forum, are you skipping meals or do you eat routinely ? Do you have your HBA1C results to hand ?
     
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  4. Freema

    Freema Type 2 · Expert

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    since I was Young I had many hypos especially when drinking alcohol .. and sugar helped very rapidly when I found out why I was getting tired then...
    since I have read that many people have a history of unstable blood glucose before becoming a diabetic type 2..

    quite a lot of people also do get diabetes as a consequence from years of bench-drinking
     
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  5. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    @Mike2

    Hello Mike and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful, in addition to the answers you have already received to your post. Ask more questions when 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 210,000 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.
     
  6. Mike2

    Mike2 · Member

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    Yes, this would make sense thank you. I'm not sure of my HB1AC results as I was only just diagnosed and I have my first visit to the practice nurse tomorrow, I think the doctor said it was only just over the threshold 6.5% ? I try to routinely but my work sometimes makes this difficult to maintain regular meal times.
     
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  7. Mike2

    Mike2 · Member

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    Thanks all for the help so far btw, sorry only just getting into how the forum works
     
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  8. Lamont D

    Lamont D Reactive hypoglycemia · Master

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    There are many reasons why anybody would have low blood glucose levels. Not just meds. T1s hypo as part of their symptoms. T2s hypo because of meds and not eating regularly, though some can have T2 and hypoglycaemia. T3c have hypos. I used to have hypos because of hyperinsulinaemia. Many prediabetics have high insulin and high glucose, so there is a possibility that they can have hypos. Many normal people live quite happy and in ignorance in hypo range, they are not ill!

    As has been mentioned, the only way to find out is to use a monitor for testing blood glucose levels.
     
  9. Mike2

    Mike2 · Member

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    Yes I do intend to get a meter when I have learnt a little more about the different types and what I need. Thanks
     
  10. lynn007

    lynn007 Type 2 · Well-Known Member

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  11. Hiitsme

    Hiitsme Type 2 · Well-Known Member

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    Hi @Mike2
    The ongoing cost is the cost of the test strips. Some meters are given away free as the money is made on the strips. Quite a few on here use the sd codefree as this seems to have the cheapest strips.
    http://homehealth-uk.com/product-category/blood-glucose/blood-glucose-monitor/

    If you are interested we can give you the codes for a discount on 5 or 10 boxes of strips. You also do need to say you are diabetic as then you don't pay VAT. In the UK we use mmol/L

    I was given a meter and strips from my GP but now I have control I have to buy my own and I bought the sd codefree as it was a lot cheaper than the one I had been given. These strips are about a third of the price.
     
  12. Mike2

    Mike2 · Member

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    Thanks for the advice, I have been to see the nurse this morning and they have done a second HB1AC test for confirmation as the first one was so close to the borderline. I wont get meter and strips from GP until confirmed so am waiting for results now.
     
  13. lynn007

    lynn007 Type 2 · Well-Known Member

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    to be honest I thought was cheaper on amazon or ebay for strips ...
     
  14. bulkbiker

    bulkbiker Type 2 · Master

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    Shouldn't be... if you buy from Home Health directly then with the discount codes I think that's the cheapest.. about £5.10 for 50 strips I think that's what I last paid.
     
  15. lynn007

    lynn007 Type 2 · Well-Known Member

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    I get my strips free now off the dr which is a good thing
     
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