• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Newly Diagnosed

Sammie789

Newbie
Messages
2
Hi

Got diagnosed a week ago and still not sure if I'm doing things right.
My reading was 8.4 originally, not sure what it is now so do I need to buy a monitor? Am I allowed sweeteners in coffee? I don't know anything at all yet as I've yet to see the nurse
 
Hi Sammie and welcome to the forum :)
I think the best thing is to wait until you see your nurse before you buy a meter as she may give you one if you're lucky. If not, there are plenty of members here who can advise you which one to get and you may be able to get one free. As for sweetners in coffee, as long as they don't contain sugar, which I believe some do, I don't see any problem - I certainly use them.

To help you with the basics of caring for yourself, here is the information we give to new members. I'm sure you have got a lot of questions so ask them here and members will be able to answer them for you.

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 30,000 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

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes ... rains.html

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

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.
-------------------------------------------------------------------------------------------------------------------------------------------------------

Please sign our e-petition for free testing for all type 2's; here's the link:
http://www.diabetes.co.uk/petition/

Do get your friends and colleagues to sign as well.
 
Hi Sammy

Welcome to the forum

It's very daunting at first. Read, digest and ask questions - lots of them , no such thing as a daft question - bet you someone's thinking it

Mary x
 
Hi Sammie and welcome to the forum. :)

All a bit of a shock when it happens and can be very confusing but try not to worry as there's loads you can do to sort things out

I was diagnosed in December last year and using the advice I found on this site I got my blood sugar levels back to normal within around a couple of months or so and I have also normalised my cholesterol levels and blood pressure as well. I have now lost over 3 stone in weight too. My doctor is very pleased how I am getting on and has advised me to keep doing what I have been doing since it's obviously working really well. Not a cure as I still have to be very careful what I eat but I feel loads better than I did.

Diet wise its really easy. Just drastically cut down or better cut out all things with plain sugar, so biscuits, cakes, sugar in tea and coffee, pure fruit juices, non diet versions of soft drinks. Next and really importantly try halving starchy foods like rice, pasta, potatoes, bread, cereals and any other flour based products. Replace what's now missing with extra meat, fish, eggs, cheese and especially vegetables. Vegetables that grow above ground are best although most of us find carrots fine. Things like yoghurt are fine as is a small amount of fresh fruit. I find the ones that end in "berry" are the best. If you don't mind artificial sweeteners things like Diet Coke are fine to drink. On the starchy foods that are left swap try brown basmati rice instead of white and brown or tri-colour pasta. The bread that most recommend is actually Bergen soya bread but some do ok with wholemeal as well.

The above diet is close to one you would be one recommended to try by the Swedish Health service. It was introduced in that country last year and the American health service and several other countries health services recommend something very similar for Type 2 diabetics. In the UK the diet guidelines are now over 30 years old and are only gradually being updated. As the UK is lagging behind you have already seen what I and other forum members recommend is different to what your are told is a good diet for you follow.

Did your doctor give you a blood meter and strips as some do and some don't? It's a bit of a post code lottery and we find the progressive surgeries are pro testing and others anti. I'll warn you the anti ones can sometimes be very vocally anti! If you find your surgery is really anti then many of us would recommend getting a meter and strips yourself. If that turns out to be the case then just ask and lots of members can help.

The reason testing is important is you should try and keep your blood sugars below 8ish two hours after eating any meal. Above the 8 value is where the dangers of complications do begin to occur according to diabetic experts. So if you can't test how will you now if what you are eating is keeping you safe? The problem is every diabetic is different so my earlier advice to halve starchy foods is just a rough guide. You may find you need to eat less than half (like me) or that you can eat more than half like others.

As you get into it all and read around the forum you may see people talking about carb counting. If you want to understand what that is just ask. It is a powerful weapon that a diabetic can use to control their condition and one that many of us use to great effect.

Good luck and keep asking questions.

Regards

Steve

PS Here's two good links about what's good to eat.

First is the lady doctor who's low carb / low GI recommendations seem to form the basis of what's recommended in Sweden

http://blogg.passagen.se/dahlqvistannika/?anchor=my_lowcarb_dietary_programe_in

Second is a good beginners guide to low carb regimes that are excellent for reducing blood sugar levels and losing weight.

http://www.dietdoctor.com/lchf
 
Hi Sammy,

It's quite a shock to be diagnosed, we all experience it. First thing is don't panic. Your first visit to the nurse will explain quite a few things and she will probably reccommend that you go on a DESMOND course at your local diabetic unit at the hospital. This will give you lots of information, but most of us on this forum ignore the advise about starch carbohydrates and find that reducing our carbs helps to regulate our blood sugar levels. There is lots of advice on the website for low carb recipes and ideas. I have finally come round to feeling that diabetes isn't the end of the world (yet) and have used it as a reason to get my lifestyle in order with healthy eating, losing weight and exercising. Good luck with the nurse appointment and ask any questions on the forum you can think of even if they seem a bit daft - believe me we've probably hear them! :D
 
I was diagnosed a few days ago.
Am quite angry at the moment as I'm convinced that this is a result of taking statins for the past 10 years following a mild heart attack.
Whilst appreciating that the cocktail of drugs I have to take for my heart keeps me alive, the frustration is that I have very little control over their side effects. I take Co-enzyme Q10 as I know statins reduce it and I eat a very healthy diet and almost no processed foods additionally my alcohol intake is only 1-2 units a week and is frequently zero.

I have now rejoined a gym as I defaulted 5 years ago and got very lazy as well as gaining 3 stone so I know my portion control needs serious attention also.
At present my GP has not prescribed medication and I want to keep it that way!!!! he is also arranging for a retinal scan .
I am determined to keep this under control by diet and would appreciate any advice especially with regard to carb intake.
My Hba1c thingy is 6.635% I think ....the lab result was given as 49 so have assumed that this was 000/ml
:D
 
sassygirl said:
I was diagnosed a few days ago.
Am quite angry at the moment as I'm convinced that this is a result of taking statins for the past 10 years following a mild heart attack.
Whilst appreciating that the cocktail of drugs I have to take for my heart keeps me alive, the frustration is that I have very little control over their side effects. I take Co-enzyme Q10 as I know statins reduce it and I eat a very healthy diet and almost no processed foods additionally my alcohol intake is only 1-2 units a week and is frequently zero.

I have now rejoined a gym as I defaulted 5 years ago and got very lazy as well as gaining 3 stone so I know my portion control needs serious attention also.
At present my GP has not prescribed medication and I want to keep it that way!!!! he is also arranging for a retinal scan .
I am determined to keep this under control by diet and would appreciate any advice especially with regard to carb intake.
My Hba1c thingy is 6.635% I think ....the lab result was given as 49 so have assumed that this was 000/ml
:D

Being pro active like you are is in my opinion the best way to go. You spend so much time fighting to get yourself controlled, you don't have time to worry. :D

Welcome to the forum, and ask questions, as much and as often as you like. There is almost always someone around who can help, of has been or is going through the same things. Don't let the diabetes grind you down, you can master it, not it you.

Good luck on your journey.
 
Back
Top