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Newly Diagnosed

yawar

Member
Messages
14
Location
Germany
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Working too much and less sleep
hello All

I was diagnosed with TYP2 in early November, 2015. Hb1ac was 12.0. I was put on Metformin 1000Mg twice per day. I lost 18 Kg, and now weigh 78Kg, I am 5 ft 10 in tall. My daily Monitoring of Blood glucose is 1-2 times per day and i am between 4.5-5.5 mmol/liter....I had another blood test on Feb3- the Blood Glucose level was 4.1 mmol/l...but the Hb1ac is down to just 11.3%..I have taken out all the Fat and oily/Sugary stuff from my diet..I am active , but do not go to the gym regularly, and I am maintaining my weight well...Do not have any symptoms...actually feel great after a long time...What should I do to get the long term sugar profile down to normal..I have lost weight and changed diet...advice will be very much appreciated

Thanks!
 
hello All

I was diagnosed with TYP2 in early November, 2015. Hb1ac was 12.0. I was put on Metformin 1000Mg twice per day. I lost 18 Kg, and now weigh 78Kg, I am 5 ft 10 in tall. My daily Monitoring of Blood glucose is 1-2 times per day and i am between 4.5-5.5 mmol/liter....I had another blood test on Feb3- the Blood Glucose level was 4.1 mmol/l...but the Hb1ac is down to just 11.3%..I have taken out all the Fat and oily/Sugary stuff from my diet..I am active , but do not go to the gym regularly, and I am maintaining my weight well...Do not have any symptoms...actually feel great after a long time...What should I do to get the long term sugar profile down to normal..I have lost weight and changed diet...advice will be very much appreciated

Thanks!
Hi Yawar
Welcome to the forum. It is a great site to look around and ask these questions. I'm sure someone will post an information pack for you as well. Do you monitor first thing in the morning before eat or drink anything? And you talk about fat, Oily and sugary stuff but how about Carbs eg: Bread, Pasta, Rice and Potatoes. Tremendous on the weight-loss and on the surface the BG's you quoted are very good
 
@yawar

Hello Yawar and welcome to the forum :) You need to reduce the carbs in your diet without limiting the fat which will give you energy. This will help to get your levels down. Here is the 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 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 over 150,000 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-and-whole-grains.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

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


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 bloodglucose 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.
 
Hi Yawar
Welcome to the forum. It is a great site to look around and ask these questions. I'm sure someone will post an information pack for you as well. Do you monitor first thing in the morning before eat or drink anything? And you talk about fat, Oily and sugary stuff but how about Carbs eg: Bread, Pasta, Rice and Potatoes. Tremendous on the weight-loss and on the surface the BG's you quoted are very good

Hi Muzza
Thanks for the reply, I do eat 2-3 slices of Brown Bread per day. No potatoes, pasta, or rice...I do eat chicken regularly and lentil soup. Fruits, mostly Apples, pears... I monitor 2-4 hours after Lunch. I have monitored just after waking up in the morning...it is still 5-5.8 mmol/l....I will start to exercise more, as I was not going to the Gym regularly in January...That would influence the Hb1ac?
 
Hi Yawar
Certainly fruit can raise sugars and some much more than others (I am pretty sure pears are in that category). Also many of us will get spikes from Brown bread as well. I would probably test each morning (Fasting Blood Glucose) and then test before eating and then 1 and 2 hours after to show that that food or meal affects your levels. You can then start to rule in or out foods or meals that spike your levels. this way your testing can be more of a tool in food selection. I'm sure there will be others to follow who can give you much more informed information re the Hb1ac results remembering that they are a record of the last three months history so will reflect your levels from your last test in November thru to February not just in February.

Those monitoring levels are very good and perhaps you have achieved them later in the last quarter and better results will reflect greater on the next test. I have found that exercise after meals has help reduce my sugar levels. You have done very well though!
 
Hi Yawar
Welcome to the forum. It is a great site to look around and ask these questions. I'm sure someone will post an information pack for you as well. Do you monitor first thing in the morning before eat or drink anything? And you talk about fat, Oily and sugary stuff but how about Carbs eg: Bread, Pasta, Rice and Potatoes. Tremendous on the weight-loss and on the surface the BG's you quoted are very good


Thanks Very Much for the encouragement! I recently, in the last 3 weeks in January started eating at the Cafeteria at work, Lunch, just eating Baked Salmon, Salads, sometimes Lentil soup, baked chicken as well...I also in the same time was eating dinner after I checked the BGL....I think, I will once again cut out eating from the Cafeteria...
 
I have been testing 4 times per day, 1-3 hours after meals, and fasting levels as well...My BGLs are between 4.1- 5.6 mmol/l as a matter of fact, my BGL in the Blood test was also 4.0mmol....I have not seen a high number as yet....Actually, someone pointed out it is tending low!!!....
 
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