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Pre- diabetes - new diagnosis - should I be self testing?

Discussion in 'Newly Diagnosed' started by Fabstitcher, Feb 14, 2018.

  1. Fabstitcher

    Fabstitcher · Newbie

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    Hi,

    Have recently be diagnosed as pre-diabetic and have not really received any advise from my GP.

    I have been enrolled onto a Diabetes Prevention Course and am attending but still feel bereft of information - I like to have as much info as I can get my hands on to make informed decisions as we are effectively talking about my health and life here.

    I've been reading posts on forums and speaking to a friend and it appears that people are self testing at home - would this be a valuable aid to assist me and if so can I have some advise as to which testing monitor I should purchase.

    I look forward to hearing from people shortly

    Thank you

    Michelle
     
  2. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    Hello and welcome aboard!

    If you intend to be proactive and stop yourself from crossing the line to diabetes, then you do need to self test. A meter will guide you with your food choices. By testing before you eat and again 2 hours after first bite and keeping a food diary you will see at a glance what that food has done to your levels. With a bit of analysis you will be able to experiment, reduce portion sizes of the carbs, or eliminate certain foods completely. Without a meter you are working blind. You will have no idea which are your personal danger foods, and will have to wait for your next lot of blood tests to see if you are getting it right or not. By that time it may be too late.
     
  3. Rachox

    Rachox Type 2 (in remission!) · Moderator
    Staff Member

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    If you do decide on getting a meter which I recommend I wouldn't necessarily obtain a free one as the ongoing expense of the test strips is actually more important. I got the SD Code Free starter pack from Amazon:

    https://www.amazon.co.uk/Codefree-G...F8&qid=1500495764&sr=8-3&keywords=sd+codefree

    I get supplies of strips and lancets direct from Home Health using the following discount codes:

    5 packs 264086

    10 packs 975833

    https://homehealth-uk.com

    Don't forget to check the box stating you have diabetes and the VAT is deducted.
     
  4. Alison Campbell

    Alison Campbell Prediabetes · Well-Known Member

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  5. NewTD2

    NewTD2 Type 2 (in remission!) · Well-Known Member

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    Hope this helps Michelle
    https://www.dietdoctor.com/low-carb
     
  6. Resurgam

    Resurgam Type 2 (in remission!) · Expert

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    If you start testing using a meter with cheap strips then you should be able to work out your best way of eating quite quickly - keeping your blood glucose low - not going up more then two whole numbers between starting to eat and two hours later seems to be good.
    Basically, though, carbohydrate you eat becomes glucose in the blood soon afterwards, and the more carbs you have to process and deal with the harder your pancreas is working, and the more fed up your body becomes at having to deal with the incoming when we eat a typical modern diet.
    I soon got my breakfasts sorted out - 20gm of carbs absolute maximum and not more than once a week, better around ten - no carbs is bad, though. Once that is sorted I can then go all day without eating and feel fine, then in the evening I might have a meal and a dessert of frozen fruit and cream. I look for low carb frozen fruit, so there is no waste and use a small bowl - more tea cup.
    You will probably be advised to eat far more than the 50 gm of carbs I find fixed me - there is an unwavering belief that carbs are essential held by many HCPs, despite all the evidence to the contrary.
    I sorted out my diabetes and have normal levels and my doctor doesn't want to see me. I used my meter to sort out foods which enabled me to keep my BG low, and now I stick to them and so do not need to test very often.
     
  7. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    @Fabstitcher

    Hello Michelle and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. 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 235,000 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 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. Most of these are 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.
     
  8. TheBigNewt

    TheBigNewt Type 1 · Well-Known Member

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    "Pre-diabetes" is sorta like "premenapausal" except for the fact that menopause is gonna happen and diabetes might not. Just watch your weight. You didn't post how old you are or if you could stand to lose some weight, or how the medical experts diagnosed you with "pre-diabetes".
     
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