I was told on the X-PERT course that Hounslow spend more on test strips than drugs - so I asked if good control was keeping the drug cost down ..... it is for me.
Drs prescribe, while dietitians advise a high starchy carb diet as a healthy diet for everybody, especially diabetics. Eat the carbs, & control the resultant high BG with the drugs prescribed.
On the occasions when discussion arises, the conversation goes:
Me: Are you as an HP diabetic yourself?
Them: No!
Me: Is your advice based on successful control of diabetics, or on what you have learned?
Them: Research reports.
Me: Your research finds that T2 is progressive, so that we go from diet, to oral medication, to insulin, with complications setting in along the way.
Them: Agreed.
Me: I've been there, done that. I followed the starchy carb diet, until the complications set in. I was becoming crippled with neuropathy, & had the beginning of diabetic retinopathy.
I began a low carb diet, & within 3 months, my mobility was fully restored. Two years on, my retinopathy is clear.
Them: If it works for you, fine, but we have to recommend the findings of research.
Me: I learned from diabetics with good control (on this forum.) You HPs should learn from us, NOT from other people's research. Their research confirms the idea that diabetes is progressive. Our experience shows that low carb can give long term good control, & reverse complications.
Them: but you NEED carbs for energy, for brain function, etc.
Me: I'm 71; I play tennis at club standard & hold my own against younger players without bananas & energy drinks. While playing, I drink water. My BG is maintained at 6-7 while I am playing, whereas if I rest, it will drop to 5-6. The BG I need is generated by my body. As for brain function, I read, do complex puzzles (thanks Daily Mail) & study the Bible & prepare sermons.
Them: If it works for you, fine, but we have to recommend the findings of research. In any case the long term effects of low carb are questionable.
Me: I'm a research/development scientist, working in industry. My research had to work, or I would have been out of a job. I trusted your research for 8 years, until I was becoming crippled. 2 1/2 years on, my results are all good. Your "long term" research results on low carb are inconclusive & are related to sustainability, NOT effect. (Ally might update us [the Exeter study], but we are still waiting.) I am afraid to abandon low carb. I've too much good health to lose.
Them: If it works for you, fine, but we have to recommend the findings of research.
lionheart said:Hi folks. I'm 42 and a newly diagnosed Type 2 (diet only at present - my initial bloods were 7.1)). So i've started to read as much as i can on the net and yesterday saw the nurse specialist. I am somewhat perplexed though not surprised at the amount of conflicting info you read on the net. The one that perplexes me the most is the subject of starchy carbs. I exercise a lot so have always had carbs for the energy and the information leaflet the nurse gave me emphasises having starchy carbs with each meal. However, i've read a lot of stuff that depicts bread, rice , pasta etc as the enemy, stuff for example where people reverse diabetes through a vegetarian diet and so on. I'm also a bit deflated by the GP and nurse both repeatedly saying that the illness is 'progressive',i'm quite motivated to do whatever it takes to stay well and this sort of made me feel like they were saying that whatever you do you'll lose in the end. Would appreciate your wisdom and experience. This website is a great resource.
lionheart said:Hi folks. I'm 42 and a newly diagnosed Type 2 (diet only at present - my initial bloods were 7.1)). So i've started to read as much as i can on the net and yesterday saw the nurse specialist. I am somewhat perplexed though not surprised at the amount of conflicting info you read on the net. The one that perplexes me the most is the subject of starchy carbs. I exercise a lot so have always had carbs for the energy and the information leaflet the nurse gave me emphasises having starchy carbs with each meal. However, i've read a lot of stuff that depicts bread, rice , pasta etc as the enemy, stuff for example where people reverse diabetes through a vegetarian diet and so on. I'm also a bit deflated by the GP and nurse both repeatedly saying that the illness is 'progressive',i'm quite motivated to do whatever it takes to stay well and this sort of made me feel like they were saying that whatever you do you'll lose in the end. Would appreciate your wisdom and experience. This website is a great resource.
Here is the advice we usually give to newly diagnosed diabetics. We hope that these few ideas gained through experience help you to gain control and give you some understanding of Diabetes. This forum doesn't always follow the recommended dietary advice, you have to work out what works for you as we are all different.
It's not just 'sugars' you need to avoid, diabetes is an inability to process glucose properly. Carbohydrate converts, in the body, to glucose. So it makes sense to reduce the amount of carbohydrate that you eat which includes sugars.
The main carbs to avoid OR reduce are the complex or starchy carbohydrates such as bread, potatoes, pasta, rice, starchy root veg and also any flour based products. The starchy carbs all convert 100% to glucose in the body and raise the blood sugar levels significantly.
If you are on Insulin you may find that reducing the carb intake also means that you can reduce your dose of insulin. This can help you to keep weight gain down as Insulin tends to make you put on weight and eventually cause insulin resistance. This should be done slowly so as not to cause hypos.
The way to find out how different foods affect you is to do regular daily testing and keep a food diary for a couple of weeks. If you test just before eating, then two hours after eating, you will see the effect of certain foods on your blood glucose levels. Some foods, which are slow acting carbohydrates, are absorbed more slowly so you may need to test three or even four hours later to see the effect that these have on your blood glucose levels.
Buy yourself a carb counter book (you can get these on-line) and you will be able to work out how much carbs you are eating, when you test, the reading two hours after should be roughly the same as the before eating reading, if it is then that meal was fine, if it isn’t then you need to check what you have eaten and think about reducing the portion size of carbs.
When you are buying products check the total carbohydrate content, this includes the sugar content. Do not just go by the amount of sugar on the packaging as this is misleading to a diabetic.
As for a tester, try asking the nurse/doctor and explain that you want to be proactive in managing your own diabetes and therefore need to test so that you can see just how foods affect your blood sugar levels. Hopefully this will work! Sometimes they are not keen to give Type 2’s the strips on prescription, (in the UK) but you can but try !! If you are an Insulin user in theory you should have no problem getting test strips.
The latest 2010 NICE guidelines for Bg levels are as follows:
Fasting (waking).......between 4 - 7 mmol/l. (Type 1 & 2)
2 hrs after meals......no more than 8.5 mmol/l. ( Type 2)
2hrs after meals....... no more than 9 mmol/l (Type 1)
If you are able to keep the post meal numbers lower, so much the better.
It also helps if you can do 30 minutes moderate exercise a day. It doesn't have to be strenuous.
The above is just general advice and it is recommended that you discuss with your HCP before making any changes. You can also ask questions on the forum on anything that is not clear.
Ken / Sue.
The way to find out how different foods affect you is to do regular daily testing and keep a food diary for a couple of weeks. If you test just before eating, then two hours after eating, you will see the effect of certain foods on your blood glucose levels. Some foods, which are slow acting carbohydrates, are absorbed more slowly so you may need to test three or even four hours later to see the effect that these have on your blood glucose levels.
Pattidevans said:Cugila
I am very sorry but I find you so very over prescriptive! Surely one should "eat to one's meter" and as such one should decide one's own limits,
To eat to your meter you first need to know about carbs and their effect on your blood sugars. Many members who first join here have no knowledge of 'carbs' they have only been told about 'sugars'.
There are many posts on this forum, some by me, explaining about eating to your meter but our initial post is a basic guideline for all diabetics.
You correct knowledgeable people all the time. I would prefer to find a softer management approach where well experienced members are allowed to make a contribution.
We have many knowledgable members on this forum, their advice is greatly appreciated by the members. However it is one of our jobs to check the facts and keep the information as up to date as possible. This forum prides itself on giving correct and complete information wherever possible.
We are indeed all very different and our experiences are different. However, if this if your forum approach I find it rather lacking in understanding. Each to their own.
You will find many supportive and helpful posts on this forum if you care to look. Lack of understanding ? That is your opinion.
You run another forum with a different ethos to ours, the rules of this forum are different to yours as you say each to their own. Please respect that.
Pattidevans said:I am very sorry but I find you so very over prescriptive! Surely one should "eat to one's meter" and as such one should decide one's own limits,
catherinecherub said:Was it a full moon last night?
Ken and Sue do an excellent job here and are always ready to help anyone. Why they have to be continually knocked by members is beyond me. If you don't like the advice they give then don't follow it. If you have an issue with it then there is always the pm system rather than trying to belittle them publicly.
They give their time freely and a bit of politeness wouldn't go amiss from some people. They are human too and don't need all this aggro and it must be very soul destroying for them.
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