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Newly diagnosed Type 2

Discussion in 'Ask A Question' started by iow1, Nov 6, 2018.

  1. iow1

    iow1 · Newbie

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    Hi everyone. Just hope I am doing this right!! I was diagnosed around 3 months ago after being "borderline" for years. My question is that 4 weeks ago I was diagnosed as Celiac so can anyone please tell me what I can actually eat as I am at a loss to know. I am on slow release medication.
     
  2. Rachox

    Rachox Type 2 (in remission!) · Moderator
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    Hi iow1 and welcome!
    Can you just tell us a bit more about your medication and dietary choices now, so we can help you better.
    I’ll also tag in @daisy1 for her really useful welcome info post.
    Oh and btw Coeliac often goes hand in hand with Type 1, so are they sure of your Type 2 diagnosis?
     
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  3. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    Hi and welcome,

    There are a lot of people with celiac disease on this forum. I understand they have to avoid gluten.

    The most obvious sources of gluten in most people’s diet are bread, pasta, breakfast cereals, flour, pastry, pizza bases, cakes and biscuits. All these foods are also best avoided if you are a T2 diabetic, so the two diets go hand in hand.
     
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  4. iow1

    iow1 · Newbie

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  5. iow1

    iow1 · Newbie

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    Thank you for getting back to me. I am on SUKKARTO 1000mg. To be honest I assumed it was type 2 - no one actually said! I think my Hb1ac was 54. It was picked up by a Bio Chemist who I saw as I have familial high Cholesterol (usually around the 8.3 mark) which is now controlled by injections every 2 weeks. As for diet - well I have not really sorted that out yet as it took a while to get my medication sorted out. Just felt so depressed and miserable about both diagnosis that I just gave up really - childish I know - but I am not obese and have always eaten sensibly so it was a shock I guess having to change my whole life & diet at the age of 67! Sorry if I'm waffling.
     
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  6. Rachox

    Rachox Type 2 (in remission!) · Moderator
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    Ok Sukkarto is a brand of Metformin, a mild drug which will only have a minimal effect on your blood sugars, diet is the key. Carbohydrates turn to sugar once eaten, so aswell as cutting out obvious sugars a lot of us here have found that taking on a low carb diet can put our blood sugar levels back to normal. Wheat is a carbohydrate, and causes the problems with Coeliac, so you could kill two birds with one stone.
    Another useful tool that many of us use is a blood glucose meter, test before and two hours after a meal to tell us how well a particular meal is tolerated.
     
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  7. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    I assume the bio-chemist told you to see your GP? He or a nurse will be in charge of your diabetes care and you should already be on the care pathway, which involves regular blood checks, retinal eye screening, a review to check medication and that all is going well, and a foot tickling session. This is where the nurse will test your foot pulses and check for sensitivity.

    I will tag @daisy1 to come along with her very informative post for all newcomers. It is full of useful stuff. As @Rachox said, it is advisable to buy a blood glucose meter as this will guide you with your food choices and show you instantly how your body has reacted to the food. A food diary is also a sensible idea, with portion sizes, as you can record your blood sugar levels alongside and look for patterns. This will enable you to tweak matters, reduce certain foods and eliminate others.

    Have a good read round, and ask as many questions as you like. By the way, an HbA1c of 54 is not drastic. Many had double that figure but are now down to non-diabetic levels.
     
  8. daisy1

    daisy1 Type 2 · Legend
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    @iow1

    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 NEW MEMBERS

    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.
     
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