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Newly diagnosed one month in!

Discussion in 'Greetings and Introductions' started by Absxx, May 29, 2017.

  1. Absxx

    Absxx Type 2 · Active Member

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    Hi, just after some advice really. My blood sugar has been really inconsistent since starting metformin twice in the morning and twice in the evening I'm eating a low cal low sugar diet and go to the gym for 3-4 hours each week. My diabetes nurse has forbidden me to use a blood sugar monitoring kit as I was concerned that I was having hypo's and hypers only two hypo's and mostly hypers in the 18's to 20's. my nurse isn't concerned about this. Should I be?
    Thanks
     
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  2. Art Of Flowers

    Art Of Flowers I reversed my Type 2 · Well-Known Member

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    You should get a blood sugar meter and us it to see what food spike your blood sugar.

    Metformin may reduce blood sugars a little, but to effectively reduce it you need to cut out the high carbohydrate foods in your diet. That means cut down on or cut out breakfast cereals, bread, potatoes, rice and pasta. You should also avoid fruit juice as that is high sugar. Some fruits are high sugar, so avoid bananas and grapes.

    Take a look at https://www.dietdoctor.com/low-carb for ideas of what to eat and what to avoid.
     
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  3. AM1874

    AM1874 Type 2 · Well-Known Member

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    Hi @Absxx .. and welcome
    Sadly, it's not unusual for "nursie" to tell you not to test .. many others have been told the same thing. Putting that aside, however, you have made a good move coming here. Since joining this forum the folks here have given me so much info, advice and support that I am now much more confident about the journey ahead. So ask your questions and be assured that you will receive the answers that you need .. in my experience, it gets easier .. very quickly.

    Managing and controlling your diabetes through exercise, diet and testing your Blood Glucose seems to be the best way forward. For me, committing to an LCHF (Low Carb High Fat) lifestyle and testing 3-5 times a day seems to be working and you'll find that there is a wealth of info, relevant advice and positive support about LCHF on the forum ..

    I have tagged @daisy1 for you and I would suggest that you read up on the Low Carb Program in the information that she will soon be sending you. You might also find the discussion on the Low Carb Diet forum helpful .. and, as @Art Of Flowers, has said, the following Diet Doctor websites ..
    Low Carb Intro and Information
    Low Carbs in 60 Seconds

    As suggested above you really would benefit from a meter and I suggest that you try the website at: https://homehealth-uk.com/product-category/blood-glucose/ for the SD Codefree meter or: http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/ who distribute the TEE 2 meter, which is free. The costs of testing comes down to the ongoing charges for test strips and lancets. I'm testing 3-4 times a day which works out at around £10 to £12 per month for the two packages above but, more importantly, I now know what my BG levels are .. and I will be able to manage them

    A final point to note is that you are not alone in terms of the unusual advice that you are receiving from nursie .. but you do not have to follow it. A useful little mantra that I have employed is ..
    # Listen
    # Nod
    # Smile and say thankyou
    # Ignore

    Hope this helps
     
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  4. daisy1

    daisy1 Type 2 · Legend

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    @Absxx

    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it helps you. Ask questions if you need to and someone will be able to answer.


    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 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.

    Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all 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.
     
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  5. Dairygrade

    Dairygrade Type 1 · Well-Known Member

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    Hi absxx hi and welcome as the other members said it's a good idea to test and you haven't got to tell anyone without you wish too at the end of the day it's your body and if it puts your mind at ease to see what your results are then go ahead get a meter and good luck in the future keep well.
     
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  6. Absxx

    Absxx Type 2 · Active Member

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    Thanks all, don't have to see nurse till end of august now. I have got the Desmond course on the 10/6/17 so will see what they have to say. Xx
     
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  7. Liam1955

    Liam1955 Type 2 · Master

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  8. Pinkie200

    Pinkie200 Type 2 · Newbie

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    Hi
    Hi
     
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  9. Liam1955

    Liam1955 Type 2 · Master

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    Hello and Welcome @Pinkie200 to the Forum :). @daisy1 will provide you with some basic information that all new members receive on joining the Forum.
    Have a good read of the information when daisy posts it on the Thread and don't be afraid to ask any questions you might have? :)
     
  10. urbanracer

    urbanracer Type 1 · Expert
    Retired Moderator

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    Hi @Absxx , when you write 'concerned' , does that mean that you were experiencing anxiety about the test results? Is that why your nurse doesn't want you test or am I reading things into your words that are wrong?
     
  11. AM1874

    AM1874 Type 2 · Well-Known Member

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    Hi @Absxx ..
    I would like to be wrong but I'm afraid I think its quite likely that you will be given the same advice about testing on your Desmond course .. you will probably also be told that you should eat meals with 20 to 25% starchy carbohydrates. Having said that, you are quite right to see what they say and make your decisions for yourself .. I would remind you, though, that you can always ..
    # Listen
    # Nod
    # Smile and say thankyou
    # Ignore
     
  12. Absxx

    Absxx Type 2 · Active Member

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    Not really concerned in the way you're thinking just concerned that she thinks that me spending most of the day with a blood sugar above 10 is ok. Thanks anyway x
     
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