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Newly diagnosed as diabetic patient

Discussion in 'Newly Diagnosed' started by uzairawan_86, Mar 28, 2018.

  1. uzairawan_86

    uzairawan_86 Type 2 · Newbie

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    Hi everyone!
    This is Uzair from Pakistan. I have been diagnosed diabetes after having HbA1c test which was 10.5% on 30-Oct-2017. After that I consulted with a doctor and I am taking tablets Tagipmet 100/1000, 10 minutes before breakfast.

    I am doing walk in night for 30 minutes since I have been diagnosed but my office work hours are upto 9 hours long and all day I have to sit on my office chair to work on my computer.

    Please share your thoughts with me that what should I do to be fit and healthy as I am already 95kg and I don't want to lay on bed.
     
  2. Ross.Walker

    Ross.Walker Type 2 · Well-Known Member

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    Hello and welcome

    I do not know what Tagipmet is but a google says it's a bit like metformin.

    The best advice is and this will be echoed by many here, large reduction carbohydrates, specifically rice, wheat and potatoes. This can be a challenge but it is achievable especially since you do not want to lay on a bed, this is a superb attitude and will help you out enormously. Stop all sugar.
    Eat veg, lots of veg, reduce your intake of foods to help you loose weight, this has a huge benefit. Walk more, any sport is good, gardening is superb. Standing at your desk. Every little thing will help

    @daisy1 can you share the advice page please
     
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  3. daisy1

    daisy1 Type 2 · Legend

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    @uzairawan_86

    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you want 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 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.
     
  4. knoxy55

    knoxy55 Type 2 · Active Member

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    Hi Daisy 1, thank you for the above information. I am type 2 and have read that if you boiled potatoes, mash without milk and butter, and then store in fridge. Reheating them in the microwave reduces the number of carbs and some diabetics have found this useful. Have you or any other member heard about this or is it 'pie in the sky'?
     
  5. Alison Campbell

    Alison Campbell Type 2 · Well-Known Member

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  6. Julie27318

    Julie27318 Type 2 · Well-Known Member

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  7. Hotpepper20000

    Hotpepper20000 · Well-Known Member

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    But what is the “right food”?
     
  8. acs1951

    acs1951 Type 2 · Active Member

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    Those with no carbs might be a good start.
     
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  9. Hotpepper20000

    Hotpepper20000 · Well-Known Member

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    I agree.

    I find it frustrating when I hear “healthy” or “right” food from HCP or the press.
    It’s is vague and unhelpful.
     
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  10. Julie27318

    Julie27318 Type 2 · Well-Known Member

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    Fish,chicken,Lean meat,Cauliflour,
     
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  11. Hotpepper20000

    Hotpepper20000 · Well-Known Member

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    I agree but not everyone one does.
    Healthy is such a broad term.
     
  12. stephenlopez

    stephenlopez Type 2 · Well-Known Member

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    Hi @uzairawan_86

    I'm also one of the newly diagnosed ones. I can understand how are you feeling because even I don't want to get on the bed. I know that it is difficult to maintain a healthy life with diabetes when you have a 9-5 job. Even I do a 9-5 job and sometimes it feels difficult to maintain a healthy lifestyle. However, I pack my food in meal preps and I've informed everyone at my work about my condition so even they help me with diet. Here are some foods that you can carry with you as meal preps to take care of diabetes at work: http://danielpatrik.moonfruit.com/

    Also, you can check out my initial journey with diabetes yet: https://www.diabetes.co.uk/forum/threads/why.140120/page-2
     
  13. bobjan

    bobjan Type 1 · Member

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    Hi, I was diagnosed dec 2017. Not been told anything, so; What is HbA1c? what is Low Carb? does diabetes affect my legs? Anything else , I've changed docs. I am on tablets, not insulin
     
  14. catapillar

    catapillar Type 1 · Well-Known Member

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    Wel that would make you not type 1 as type 1 diabetes is treated with insulin or death.

    Hba1c = glycated haemoglobin. It's a 3 month average of your blood sugar control.

    Low carb = a low carbohydrate diet.

    Does diabetes affect your leg? Depends on whether you have diabetic complications like neuropathy that would impact on your sensations or pulses in your legs. Well controlled diabetes shouldn't affect your legs.
     
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  15. Sam50

    Sam50 Don't have diabetes · Well-Known Member

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    hi @bobjan - some Type 2 Diabetic people do take insulin-there is a separate forum on here which discusses all issues relating to Type 2 treated with insulin. I believe there are separate tests which are done ( as well as the HbA1C ) to determine whether you need to take insulin or just tablets.

    Are you on Metformin ?
    Have you been given an appointment at the diabetic clinic ? If not ask at your surgery for one.
     
    • Agree Agree x 1
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