1. This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies. Learn More.
  2. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  3. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2019 »
    Dismiss Notice
  4. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Newly diagnosed but confused by the diabetic nurse

Discussion in 'Newly Diagnosed' started by JackieCarroll, Aug 24, 2017.

  1. Chook

    Chook Type 2 · Well-Known Member

    Messages:
    4,347
    Likes Received:
    6,253
    Trophy Points:
    198
    Must have been a steak day yesterday - I had sirloin steak with oven baked celeriac chips and salad :)

    Most people lose some weight when they first start low carbing. I lost 5st but have since put 2st back on. :( I'm working at getting rid of those 2st now using the Newcastle Diet with real food.
     
    • Like Like x 2
  2. Pinkorchid

    Pinkorchid Type 2 · Well-Known Member

    Messages:
    2,882
    Likes Received:
    1,940
    Trophy Points:
    198
    Your nurse can't tell you not to test if you are willing to pay for the testing strips yourself it is your decision no one else's and if you do it just don't tell her. At the moment you do not know if you have any nerve damage only a doctor can tell you that and it may not be so.. Diabetes is finding out what works for you not what works for others because we are all so different. The general opinion here.. it is not the NHS guidelines though.. is to cut down or cut out the starchy carbs like pasta rice bread potatoes and of course all sugar and that will help to lower blood sugar levels and aids weight loss if that is needed .
     
    • Like Like x 1
  3. Petrolhead276

    Petrolhead276 Don't have diabetes · Member

    Messages:
    15
    Likes Received:
    7
    Trophy Points:
    63
    Hi Jackie,

    I don't understand this three month testing scenario either.
    Personally I would expect a monthly test, reviewing the results that are three months apart.

    I had this with my wife's diabetes and got her a free meter from one of the manufacturers.

    This idea of try changing your diet seems to be a normal first step, and I have never read anywhere why this is.
     
  4. Alison Campbell

    Alison Campbell Prediabetes · Well-Known Member

    Messages:
    1,448
    Likes Received:
    789
    Trophy Points:
    173
    Hi @Petrolhead276

    The HBA1C covers average glucose over 3 months hence 3 monthly testing to see the results of any changes in diet and meds etc

    A good change in diet can get some people down to normal levels avoiding medication and avoiding the potential side effects of medication. There is a NICE guidline chart for medical staff detailing the steps in the process.
     
    • Like Like x 1
  5. ringi

    ringi Type 2 · Well-Known Member

    Messages:
    3,247
    Likes Received:
    1,194
    Trophy Points:
    158
    If HBA1C is tested more than every 3 months, it is possible the get very misleading results. For example, think of someone that

    Had a very good diet 3 and 4 months ago
    Eat a lot of sugar 2 months ago
    Had a reasonable diet for the last month​

    The HBA1C one month ago while they are eating lots of sugar can be less than the HBA1C a few weeks after they have improved their diet!
     
  6. Petrolhead276

    Petrolhead276 Don't have diabetes · Member

    Messages:
    15
    Likes Received:
    7
    Trophy Points:
    63
    Do you have the link to the NICE guidelines?

    I would like to print them off and take them to appointments with GP.
     
    • Like Like x 1
  7. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

    Messages:
    24,556
    Likes Received:
    30,276
    Trophy Points:
    298
    • Like Like x 1
  8. Petrolhead276

    Petrolhead276 Don't have diabetes · Member

    Messages:
    15
    Likes Received:
    7
    Trophy Points:
    63
    Exactly, and surely that is why one needs to see the snapshot in time of the average 3 monthly figure on a monthly (or more frequent) basis, this then gives a truer indication or what is happening in the patients life.

    So for example:

    A test on say 31-March would cover the 90 days prior (jan-mar)
    A test of 30-April covers the 90 days prior (Feb-Apr)
    And so on
    Therefore giving 12 values of assessment over a year rather than the current 4 assessments.

    Much easier to correct a wayward diet month over month than quarter over quarter and thus get a quicker improvement.
     
    • Agree Agree x 1
  9. Alison Campbell

    Alison Campbell Prediabetes · Well-Known Member

    Messages:
    1,448
    Likes Received:
    789
    Trophy Points:
    173
  10. ringi

    ringi Type 2 · Well-Known Member

    Messages:
    3,247
    Likes Received:
    1,194
    Trophy Points:
    158
    But my own readings 2hr after meals gives me much more useful data.....
     
    • Agree Agree x 1
  11. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

    Messages:
    24,556
    Likes Received:
    30,276
    Trophy Points:
    298
    What you need is a meal by meal evaluation, and we can do this at home with our meters. This is a much better indication of our control than the HbA1c, which actually can be quite unreliable.
     
  12. woodywhippet61

    woodywhippet61 Type 2 · Well-Known Member

    Messages:
    491
    Likes Received:
    321
    Trophy Points:
    103
    Actually it's much easier to correct a wayward diet after each meal. i.e. you test, you eat something and then 2 hours after eating you test again. If your bloods have spiked or are still too high after 2 hours then you know that you've eaten something that is going to raise your BG. So you can either not eat it again or eat less of it or you could eat it and then go for a walk and see what effect that has.

    So you adjust your diet at that point. Almost instant feedback. (Some people with slow digestive systems take 3 hours so might be an idea to check then as well).

    The A1c is important because your HCP's will base their advice and any meds on it. It also of course adds to our information about how diabetes and our lifestyle is affecting us. BUT it not as important as testing to see what effect food has on our bg.
     
    • Agree Agree x 3
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook