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Peaking blood glucose

Trickydicky54

Newbie
Messages
2
Hi I've been T2 for about 3 years and I suppose I've not been good at diet control. HBA1C three months ago was 67. My fasting (ie morning) BG over about the last 12 months has been anywhere from 10 upwards. This morning was 13.9. I'm taking 2 x 500mg Metformin twice per day. My mealtimes are irregular. I've been off work for the last six months following the sudden death of my 25 year old daughter. About 2 hours after my first test (I've not been testing regularly) my BG was 14.6.
About 11.30 this morning, I took our dog for a long walk - about an hour and a half. I hadn't had any breakfast. While I was out, I got really hungry and bought a white bun with sausage and bacon. About 2 hours after this my BG was 18.9, the highest it's ever been AFAIK. I'm panicking. I need to get my BG under control ASAP. What's my best strategy, please?
 
Hi,

I am sorry for your loss..
Unfortunately the bun & the possible carbs "packing" out the meat in the sausage may have been the cause..

Good news is it sounds like you you have a BS meter. That is the best weapon you can use to find out what your diet is doing on the day to day..
Sugar & cake are not the only thing that screw with the blood levels.

I'll tag in @daisy1

..... Oh, & bid you a welcome!
 
Again, so sorry for your loss. I can't imagine...

Sounds like it's time of a diet change. Many type 2's can achieve normal numbers by severely restricting carbs of all kinds. No pasta, bread buns pancakes rice potato sweet fruits or their juices baked goods etc.

Primarily low carb moderate protein and healthy fats such as avocado olive oil cheese butter nuts.

As for the meal you had that would mean just removing the bun. Anything that goes on a bun or bread can be eaten on a large lettuce leaf, or a fork. Many do meat and cheese roll ups and eat with their hands. There are loads of delishous low carb foods that require no recipes.

Hoping you will adopt the lchf way of eating. Most of us feel much better on it and have been able to achieve normal bs
 
@Trickydicky54

Hello and welcome to the Forum :) I'm sorry for your loss. Here is the Basic Information we give to new members which should help your BS levels. Ask as many questions as you need to and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

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 147,000 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.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all free.
  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why :)
  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
Hi @Trickydicky54 .. and welcome

Sorry for your loss .. I can only imagine how difficult things must be for you ..

What you may be able to work with as a strategy is that managing and controlling your diabetes through exercise, diet and testing your Blood Glucose seems to be the best way forward. For me, committing to an LCHF (Low Carb High Fat) lifestyle and testing 3-5 times a day, seems to be working .. I have lost a stone and a half since my diagnosis and my BG levels are down from 12.5 to around 6.

I would suggest that you read up on the Low Carb Program in the information that you have received from @ daisy1. You might also find the discussion on the Low Carb Diet forum helpful .. and the following websites ...
Low Carbs in 60 Seconds
Low Carb 10-week Programme

For what it's worth here are a couple of posts detailing the decisions that I made when I was diagnosed ..
# Taking the Driving Seat
# Taking the Driving Seat and now going Full Throttle

Hope this helps
 
Hi I've been T2 for about 3 years and I suppose I've not been good at diet control. HBA1C three months ago was 67. My fasting (ie morning) BG over about the last 12 months has been anywhere from 10 upwards. This morning was 13.9. I'm taking 2 x 500mg Metformin twice per day. My mealtimes are irregular. I've been off work for the last six months following the sudden death of my 25 year old daughter. About 2 hours after my first test (I've not been testing regularly) my BG was 14.6.
About 11.30 this morning, I took our dog for a long walk - about an hour and a half. I hadn't had any breakfast. While I was out, I got really hungry and bought a white bun with sausage and bacon. About 2 hours after this my BG was 18.9, the highest it's ever been AFAIK. I'm panicking. I need to get my BG under control ASAP. What's my best strategy, please?


sorry for you loss of you daughter !
the best you can do to get your numbers down fast is to count all the grams of carbs in your food , and not go over 100 grams daiy untill you have learned to get your numbers down.

it is possible if one eat the mediteranian kind of foods like salats al vegetables and fish meat and cheese and avocado (which is a very fine choice because it is higher fat of the healthy kind and hasn´t hardly got any carbs..)
if you do breakfast totally without carbs like bacon and eggs, or avocado with taco, or salat with cheese ... and as bread use the famous LIDL protein rolls that only contain around 12 grams of carbs...the bake them every day in most LIDL supermarkets
for desserts double cream with berries... NO sugar

but do avoid rice, potatoes, wheat and grain and corn...and cake icecream fruit and sweets
 
@Trickydicky54

Hello and welcome to the Forum :) I'm sorry for your loss. Here is the Basic Information we give to new members which should help your BS levels. Ask as many questions as you need to and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

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 147,000 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.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all free.
  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why :)
  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
Hi Daisy and everyone else who replied. I've never used a forum before and I'm not sure how to reply to all - or do I reply to each individual? Thank you for your sentiments about my daughter. I only mentioned her because I understand stress can elevate your BG - and it doesn't get much more stressful...
I take on board your comments. I think regular testing is probably the best way forward. It's just a shame GP's won't prescribe the needful to make it happen.
 
Hi Daisy and everyone else who replied. I've never used a forum before and I'm not sure how to reply to all - or do I reply to each individual? Thank you for your sentiments about my daughter. I only mentioned her because I understand stress can elevate your BG - and it doesn't get much more stressful...
I take on board your comments. I think regular testing is probably the best way forward. It's just a shame GP's won't prescribe the needful to make it happen.
Hi @Trickydicky54 ..
From your first post, it appears that you are testing your BG .. this post, though, suggests maybe not. If you are planning to test regularly,the following may be useful. Try the website at: https://homehealth-uk.com/product-category/blood-glucose/ for the SD Codefree meter or: http://spirit-healthcare.co.uk/product/tee2-blood-glucose-meter/ who distribute the TEE 2 meter, which is free. The costs of testing comes down to the ongoing charges for test strips and lancets. I'm testing 3-4 times a day which works out at around £10 to £12 per month for the two packages above. My surgery doesn't support my self-testing but, more importantly, I now know what my BG levels are .. and I will be able to manage them
Hope this helps
 
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