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No guidance

lainy1953

Newbie
Messages
3
Type of diabetes
Prediabetes
I was recently told that I am pre diabetic. I was grateful for the warning and made my mind up to do something it. However I am floundering. I don't know what levels I should be aiming for. I bought my own test kit and test sporadically but don't understand the readings. I have registered everything from 5 to 10. Don't really know when I should test and how often. I feel that the doctor should have referred my to a dietician or diabetic nurse. All he said was that I would be called in for a retest in a years time
 
Hi Iainy - Well done for getting hold of a tester - now, how best to use it? Have a look at SF's blood sugar ranges as suggested above - this will give you an idea of where you should be aiming for...

Have a look at the low-carb forum - it will give you an idea of where to start your journey. Figures on meter are ranging from OK to Highish - you need to find what foods put you at each end. Do you still eat bread, pasta, starchy root veg...and dare I say it...drink beer?????

But just have a look round....plenty of advice/support on here.

All the best
 
Hello @Iainy1953, and welcome to the forum. It can all be a bit confusing at the start, and many of us found that the information given to us was 'limited', though some fare much better than others. The links given above will help you to get a start.

Also, I will tag @daisy1, who will post for you the welcome pack that is provided for newbies. It is full of really good and useful information & I would encourage you to read through this and follow up the links that are included. There is tons of info and advice on the various forums, so it would be worth while taking a bit of time browsing around & finding out as much as you can. Any questions, there is usually someone here who can give you an answer or a lead. Enjoy :)
 
Hi. At least test 2 hours after typical meals and these should be below 8.5 mmol. If you test just before the meal as well you can check the effect of the meal more exactly.
 
@lainy1953

Hello and welcome to the forum :) Here is the basic information we give to new members and I hope you will find it helpful. 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 well over 210,000 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.
 
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