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Newly diagnosed

csarge38

Member
Messages
11
Hello all,

Newly diagnosed as type 2 diabetic and told to have a dramatic lifestyle change. Somewhat daunting prospect and now too scared to eat anything until blood glucose meter arrives in post. Initial blood glucose level was 21.2 so sent straight to hospital to have it dealt with. (Released from hospital with oral meds and little else. BG was 13.1 on release after insulin jab in guts) When they say drastic change just how 'drastic' do they mean? Lettuce leaf on toast for the rest of my life? Very confused as to what I can and cant eat or drink. I know the basic stuff, fruit, veg etc but bought grapes today and was told loads of sugar in them mate???????? One kilo of grapes destined for the bin then? Any and all advice keenly sought.

Regards

Confused of Tunbridge Wells.

Actually it's Chris from Larkfield but T/Wells sounded better
 
Hi Chris and welcome to the forum :)

This information which we give to new members should give you a better idea of how you need to eat. Ask all the questions you want as there is always someone here to help. You do need to be careful with sugary fruit - stick to those with the name ending in berry. When you get your meter you can test before and 2 hours after eating to see which foods you can eat and which you can't, by aiming for similar levels for both readings.


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.
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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.
 
Thank you for your prompt reply. I was also wondering just how often I should be testing BG. I am afraid that I am likely to be asking loads of silly questions like this but sometimes it is better to speak to others with type 2 than it is speaking to a GP.. Beside which I dont need to make an appointment to speak to other type 2 sufferers if that is the correct terminology.

Thanks again

Chris
 
Hi Chris, welcome to the forum!

It is recommended that you test before meals and 2 hours after (often referred to on here as +2) then you can see the impact the food you have eaten has on your BG. As it says in Daisy's post you should be aiming for 8 or less +2 if you can.

Ask as many questions as you like, we are all happy to help!
 
Hi again Chris :)

Read the long information I sent you and you will see about testing BGs. To start with, test before (if you have enough strips) and after meals. When you have worked out which foods you can eat which don't put your levels up, you can test less - maybe testing just for new foods, or occasionally to make sure all is going well. Some members test more often.

No question is silly - it's just that you need to know something.
 
Hi Chris :wave: the only daft question is the one that you DON'T ask. As for diet, if you decide to cut carbs as lots of us do, then you can look forward to eggs and bacon,the perfect breakfast for a T2(unless your a Vegetarian) Lots of Cheese, cream, meats, fish, it's the boring bits that we cut out such as potatoes, pasta and rice. Most of us eat Burgen Soya and Linseed bread, it's low GI and lower carb than most so digested slowly. You really need to test as explained in Daisy's post to see how carbs effect you though. Don't be surprised if that's not what your GP says, most of us have found that the NHS advice is garbage. Very few GPs have 'seen the light'.

Ann
 
Hello Chris :)

Ditto what everyone else has had to say before me - especially 'no question is silly'. That's really true. We all need info once we're diagnosed cos there's precious little given to us at the time so the sensible thing is to seek the help of those who've got the T Shirt.

I'd also like to say that once you've got your head round the fact that you can have all the things Ann has mentioned above, but without the carbs, believe me you'll enjoy your food more than you have for years. :)
 
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