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Possible diabetic

MaryJ

Well-Known Member
Messages
842
Hi all,

Great site, my knowledge is growing by the minute.

I'm a bit flumaxed. Had no dealings with Diabetes before. Not in our family. Had none of the symptoms mentioned as far as I've noticed. Although in the last few days noticed thirst (peusdo symptoms)????????

Had a strip dipped in urine sample at the hospital (i have ongoing kidney /infection issues) and they found 3 + of Glucose , advised I see GP. Fasting blood test done came back as 9.1, asked to repeat it found out today came back as 8.5 and appt made with GP.

Am I to assume I will be told I am diabetic? Sorry, I know ultimately the GP can only really say this but you guys have loads of experience. Gut feelings would be appreciated?

Many thanks

mary :D x
 
Unless there is something else causing it, I'd say the verdict will be that you're diabetic. Don't panic though! It's not the end of the world. We've seen lots of higher fasting blood sugars than yours, so a sensible diet and exercise and you'll soon have it under control. Come back when you're officially diagnosed, and Daisy will send you the "newbies" message with loads of good info on it.
Keep in touch!
 
Just back from doctors

Confirmed type 2

Had questions ready, ready for 'debate' not required.

Can i try diet/exercise first - Yes that's what we advise

Can i have a monitor/strips - Yes let me give you one now

Can i have strips on repeat - Yes - I'll write one now for 50 as the monitor doesnt come with many.

will i see a diabetic nurse - yes speak to reception

see you in 3 months

amazed and delighted and determined to get numbers down,

thanks all for the info to know what to ask for

Mary x
 
Well done Mary, and lucky on the strips! Don't know if you got Daisy's welcome post as you joined as a "maybe diabetic", if not this is it below:-



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.

Good luck and keep asking questions
 
Hi Mary and welcome to the forum :) Sorry you've joined this club! In the information that Grazer posted most of the links haven't worked so here is the link to the page:

viewtopic.php?f=20&t=17088
 
Hi Mary, and welcome!

You sound to have a very clued-up GP's practice, just like mine. We're the lucky ones! It certainly makes life easier when they encourage you to be pro-active in managing your own condition, and the meter is your essential tool while you're learning which foods, and how much, you can safely eat.

Don't be afraid to ask questions - we've all been there, and there's no such thing as a silly question. :D

Viv 8)
 
Sounds like you have a fantastic GP MaryJ........................ welcome to the club no-one wants to be in! :)
 
Thanks all for the replies

1st question

how do you know which of the food on the plate caused the bg result?

Is it as obvious as 'it will be the carb'? or do you have to trial various combinations or try foods on their own to positvely say 'I have to eliminate or reduce X food'?


You'll be sorry you said ask q's lol

thanks

mary :D
 
MaryJ said:
Thanks all for the replies

1st question

how do you know which of the food on the plate caused the bg result?

Is it as obvious as 'it will be the carb'? or do you have to trial various combinations or try foods on their own to positvely say 'I have to eliminate or reduce X food'?


You'll be sorry you said ask q's lol

thanks

mary :D

It tends to be obvious. We normally only have one biggish source of carbs on our plate, so that will be the thing causing the spike. Obviously, if you have two, like rice and potatos, you'll have to try them individually to see which affects you. Also, if you have a sugary thing (like a dessert with sugar) together with a carby thing (like in a flan), you can't differentiate - fact is, they're both bad for most of us. In the early days, I tried to make sure I had only one main carb source on my plate so I knew if I had a bad result, it would be that. You'll get to know that starchy carbs will affect you more - white rice, white flour products, white pasta etc. Remember to test after different cooking styles. If I have old potatos boiled, I get a high BG (boiling releases the starches), but if I have the same pots roasted it's much better (the fat slows down the ability of our system to convert them to sugar) Test after different mixes too; If you put nuts in a meal, it will reduce the Glycemic index of the whole meal. So it's about lots of experimenting and testing. After a while, you'll start to know how things affect you and you will be able to test less. Remember to test 2 hour after a meal, you'll always have a consistent comparison then, and your BG should be back to a reasonable level by then. I aimed initially to get it below 8 after 2 hours, now below 7.
Good luck!
 
Hi MaryJ,

Sounds like you dropped lucky with a GP practice that is a bit more clued in than both.
I can't comment on what works for T2 but as a T1 I can see what is heacy carb by what hits me and the usual rule is that if you are on pre-packaged stuff it is easy in that they often have the carb values on there.

One word of advise is to be careful about "per portion", "per 100g as prepared", "per 100g raw" since this can make a big difference. A baked potato is a great example in that raw it is a **** site heavier than baked but the carb content sure doesn't change.
So take care that you understand the units, unfortunately there is not a huge amount of standardisation. I keep a calculator and set of digital scales in the kitchen.

I once heard my wife trying to explain some basic ideas to a friend of hers who, err. well her friend really is not too bright.
The basic rule she explain was "If it grows, is colourful and doesn't taste sweet then it is not too heavy in carbs. If it grows and is colourful (ie not whiteish) then probably not too heavy. If it is an animal of some kind then it is likely nothing"
For an idiots guide I thought that was pretty good. Yes I know that things like cauliflower etc are next to nothing but then this was to a T2 so not as critical to get it right to within a gram :)

Hope the management by diet works for you.

All the best

A
 
many thanks for all the replies, definately helpful.

I am (now was) a carb monster, so finding this very difficult. I've only had 1 reading inside the 'before eating' margin and none within '2 hours after food'. The worst was this morning after porridge 15.5 the best 8.8 after a cheese omlette.

I'm trialling, measuring, logging, (i love a spreadsheet)

how long does it take for numbers to start coming down? are we talking days/weeks/months after changing your diet?
 
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