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THEBOT74

Active Member
Messages
27
Type of diabetes
Type 2
Hi, I was diagnosed with Type 2 diabetes on 20th May after several visits to the quack for an "MOT" and blood tests. My blood sugar levels came in at a whopping 19 after the glucose tolerance test and I must admit that I was concerned - particularly after my family and friends (my close friend in particular) nagged me to see the doctor as they noticed me getting tired during the day and evenings. The doctor first told me that I need to lose weight, he took my height and weight, as well as my BP. My BP came in at 147/80 which is high but not dangerously high. After getting the news that I had the dreaded D-word, I realised quickly that I had to change things food-wise. Right now am attending Slimming World and do their Extra Easy SP plan, which is a low-carb, high protein and veggie plan. I don't consider this a diet - in my mind diets never work as all you do on these "diets" is eat tiny portions and not giving your body's metabolism a chance to burn calories. All I've done is make some changes - I used to eat all bran or bran flakes for breakfast until I realised how much sugar they have. I now bulk up on 3-4 shredded wheat biscuits for breakfast every day, which are my 2 "b" choices and my "a" choice for skimmed or 1% milk, then lunch and dinner are protein and vegetable based, such as lean meat or fish and vegetables, or salads, or soups. I sometimes will just do an Extra Easy day and have more carbs one or two days a week but as a whole I have very limited carbs - and so far this has worked since my diagnosis. I would say that on average I'm eating calories wise around 1,000-1,500 calories a day and am losing a steady 1-2lbs a week since I was told that I'm diabetic. I now just drink water or black coffee/tea, and restricted treats. I am of the belief that it's impossible to avoid sugar. I won't completely ditch the odd takeaway or booze (provided it's distilled and not fermented, ie liqueurs, vodka or whisky in moderation).

I see that some people on here mention the very low calorie 600-800 calorie a day diet here which may work for some, but in my eyes this is dangerously low plus I'm not convinced that the portions will fill you up, so don't feel that this works for me. With the plan I'm on with Slimming World, I can still eat like a horse and lose the weight, because I'm restricting complex carbs and sugars. I even will watch certain fruit as well. Instead I am having lots of non-starchy vegetables which boosts my fibre intake. I think that with this and exercise I can accelerate my weight loss, but have always believed that to keep the weight off, you need to lose it slowly.

As part of my diabetes treatment my nurse has given my Metformin which I take with my food, and won't be seeing the nurse for the next 3 months but would like to closely monitor my blood sugar levels. Does anyone have tips on what is the best blood glucose monitor to use and how easy is it to use it?
 
HI and welcome
Yes you should definitely get a meter and start testing before and 2 hours after you eat anything to see the impact of foods on your blood sugar levels. A lot of us here use the SD Codefree meter because the cost of test strips (usually the ongoing expense of testing) are cheaper than I have found all others. You can buy direct from the home health website or via their eBay shop as well as amazon. There are some bulk buy codes for test strips which reduce the cost even more so that 50 strips can cost as little as £5.20 I think. They usually last for over a year my current batch has a use by August 2017 date.
5 packs 264086
10 packs 975833
At first you should test quite a lot to get an idea of what causes your spikes.
I will also tag @daisy1 for the intro to Low Carbing. You might well find that your breakfast choice isn't great as we tend to find that the less carbs you eat the less spikes you have.
Anyway have a read around the forum and ask any questions you may have. We're a pretty friendly bunch and have a wealth of experience.
All the best
Mark
 
@THEBOT74

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful. It can help you with low carbing. There is a link to the Low Carb Program which should help you too. 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.
 
Thanks for your replies - I did get the SD Codefree monitor and did a successful pre-meal reading but when I went to test for the post-meal the meter wouldn't register. Last night pre-meal got 6 mmol/L and this morning I got 7.1 mmol/L whereas when I got the blood tests done at my GP it was 9 after fasting and a whopping 19 after two hours when I consumed Lucozade - so looking at the figures pre-meal is an improvement, but disappointed I couldn't get a post-meal reading. I must admit that I wasted some test strips trying for the post-meal reading; I guess it's a case of trial and error.. I have continued to lose a steady pound to 2 pounds a week on Slimming World's Extra Easy SP plan and have reduced my carb intake - I look for sub-100g of carb a day. I know

How often is recommended to test blood sugar levels (every day after each meal, once a week, etc)? I also ordered a blood pressure monitor as I'd like to reduce this too which I think I will because of the changes I've made - before I was diagnosed I was having more carbs than I should but now this has been restricted to carbs at breakfast and that's all. There may be a day in the week that I have slightly more (e.g. a mug shot for lunch) but in general lunch and tea are vegetable/lean meat or fish or salad based.

Any advice regarding frequency of blood sugar testing would be great please, as this will give me an idea of which foods cause blood sugar leaps.
 
Today I've done tests on BG levels as well as measuring my BP. My BP is now 141/89 and my readings were:-

Before breakfast: 8.3 mmol/L
Two hours after: 16.3 mmol/L
Pre-lunch: 8.3 mmol/L
Two hours after lunch: 8.0 mmol/L
Before supper: 6.6 mmol/L

This means a huge leap in blood sugar level since breakfast so will look to tweak this to see if I get less of a hop in the mornings. I'll still have cereal but reduce it to a small portion with a slice of Burgen toast and see what happens. I will look at the cooked breakfast option as well. If I can address this I think my levels will drop.

Lunch and main meals are OK as I just have protein and my greens.
 
Sometimes you cannot get a reading from the strips if the sugar reading is just too high.

It looks to me as though your breakfast needs to looked at - what carbs are in your breakfast?

Seems as though you are getting to grips with the different things you can be doing ....
 
Hi

My breakfast has been recently shredded wheat. Before I was diagnosed I was a bran flakes or all bran eater but after seeing how much sugar is in them,I switched as shredded wheat has lower sugar content.

However will probably reduce portion and look at putting a few berries in it.

After my main meal which was mackerel and frozen vegetables my blood sugar leap was only by 0.9 to 7.5 mmol/L
I think that I just need to address the breakfast and if I can do this will be fine
My weight is still dropping by 1-2 lbs a week. The plan I am on at Slimming World is working

Sent from my D6603 using Diabetes.co.uk Forum mobile app
 
Hi

My breakfast has been recently shredded wheat. Before I was diagnosed I was a bran flakes or all bran eater but after seeing how much sugar is in them,I switched as shredded wheat has lower sugar content.

However will probably reduce portion and look at putting a few berries in it.

After my main meal which was mackerel and frozen vegetables my blood sugar leap was only by 0.9 to 7.5 mmol/L
I think that I just need to address the breakfast and if I can do this will be fine
My weight is still dropping by 1-2 lbs a week. The plan I am on at Slimming World is working

Sent from my D6603 using Diabetes.co.uk Forum mobile app

You need to look at the total carb content not just the sugar. ALL carbs turn to sugar in the bloodstream immediately.
 
Hi

My breakfast has been recently shredded wheat. Before I was diagnosed I was a bran flakes or all bran eater but after seeing how much sugar is in them,I switched as shredded wheat has lower sugar content.

However will probably reduce portion and look at putting a few berries in it.

After my main meal which was mackerel and frozen vegetables my blood sugar leap was only by 0.9 to 7.5 mmol/L
I think that I just need to address the breakfast and if I can do this will be fine
My weight is still dropping by 1-2 lbs a week. The plan I am on at Slimming World is working

Sent from my D6603 using Diabetes.co.uk Forum mobile app

Personally I would avoid all carbs at breakfast, in truth I just avoid breakfast completely, but if you have to have something then eggs/bacon would likely have a better impact on your blood sugars than any cereal. Have a look at the "what have you eaten today" thread or maybe www.dietdoctor.com for some meal ideas.
 
I had a cooked breakfast this morning of couple rashers of bacon, couple sausages, mushrooms fried on olive oil and reduced sugar Heinz baked beans. Was 7.3 before and after breakfast was 10.4 two hours after (based on a tin, which is 41g carbs total). So logically speaking if I just have half a tin of 50% reduced sugar baked beans with my cooked breakfast then the increase will be in NICE guidelines. I think that I need to restrict how many times a week I have cereal or just give it a miss for a while. I think that I need to limit carbs to about 25-30g a day until my blood sugar levels drop.

Don't like eggs unfortunately but will carry on with cooked breakfast, and lunch/supper I carry with lean meat and veggie mealo


Sent from my D6603 using Diabetes.co.uk Forum mobile app
 
I think I've cracked the breakfast issue - if I just have either 1/4 tin of the half sugar beans with my cooked breakfast or none at all, this will ensure that my levels are down. So if I can have around 20-25g of carbs a day this will get my blood sugar levels down. I'm still losing weight at a steady rate which is also a good sign.
 
Hi, I was diagnosed with Type 2 diabetes on 20th May after several visits to the quack for an "MOT" and blood tests. My blood sugar levels came in at a whopping 19 after the glucose tolerance test and I must admit that I was concerned - particularly after my family and friends (my close friend in particular) nagged me to see the doctor as they noticed me getting tired during the day and evenings. The doctor first told me that I need to lose weight, he took my height and weight, as well as my BP. My BP came in at 147/80 which is high but not dangerously high. After getting the news that I had the dreaded D-word, I realised quickly that I had to change things food-wise. Right now am attending Slimming World and do their Extra Easy SP plan, which is a low-carb, high protein and veggie plan. I don't consider this a diet - in my mind diets never work as all you do on these "diets" is eat tiny portions and not giving your body's metabolism a chance to burn calories. All I've done is make some changes - I used to eat all bran or bran flakes for breakfast until I realised how much sugar they have. I now bulk up on 3-4 shredded wheat biscuits for breakfast every day, which are my 2 "b" choices and my "a" choice for skimmed or 1% milk, then lunch and dinner are protein and vegetable based, such as lean meat or fish and vegetables, or salads, or soups. I sometimes will just do an Extra Easy day and have more carbs one or two days a week but as a whole I have very limited carbs - and so far this has worked since my diagnosis. I would say that on average I'm eating calories wise around 1,000-1,500 calories a day and am losing a steady 1-2lbs a week since I was told that I'm diabetic. I now just drink water or black coffee/tea, and restricted treats. I am of the belief that it's impossible to avoid sugar. I won't completely ditch the odd takeaway or booze (provided it's distilled and not fermented, ie liqueurs, vodka or whisky in moderation).

I see that some people on here mention the very low calorie 600-800 calorie a day diet here which may work for some, but in my eyes this is dangerously low plus I'm not convinced that the portions will fill you up, so don't feel that this works for me. With the plan I'm on with Slimming World, I can still eat like a horse and lose the weight, because I'm restricting complex carbs and sugars. I even will watch certain fruit as well. Instead I am having lots of non-starchy vegetables which boosts my fibre intake. I think that with this and exercise I can accelerate my weight loss, but have always believed that to keep the weight off, you need to lose it slowly.

As part of my diabetes treatment my nurse has given my Metformin which I take with my food, and won't be seeing the nurse for the next 3 months but would like to closely monitor my blood sugar levels. Does anyone have tips on what is the best blood glucose monitor to use and how easy is it to use it?

Bulkbiker is spot on with the SD CodeFree, cheapest to run with supplies by far. The only draw back is this make tends to read high at typically 1.0mmol higher than the same blood sample test on other meters. Just have to allow for this and not get stressed.

I also have a GlucoRx my favoured machine when lancets and strips are on prescription. Just a better build, feel and accuracy. I also have a new dual machine for blood and Ketones. The ketone testing is so important to ensure I am in ketosis through my LCHF lifestyle.


Sent from my iPhone using DCUK Forum
 
Thanks for your reply.

This morning pre-breakfast reading was 8.7 and after cooked breakfast it was 9.2 which was good, I had two rashers of bacon, two sausages and a portion of mushrooms. This is my breakfast from here on until my blood sugar levels drop. Now that I've figured out what's best for breakfast I can stick to a low carbs plan, 20-25g carbs a day.

Sent from my D6603 using Diabetes.co.uk Forum mobile app
 
Just to confuse matters further, the best wisdom currently is that you should avoid cooking with olive oil. It's great as a salad dressing but it apparently turns toxic at high temperatures. Coconut oil is great for cooking with (very high burn point) but it is expensive. I have a similar breakfast only with black pudding instead of sausages - for the iron. I almost forgot eggs... a fried egg with your breakfast works wonders - full of great nutrients, the one true superfood!
 
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