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Really need help

daisyindevon

Member
Messages
5
Hi, my name is Daisy and I was diagnosed with type 2 diabetes about 3 months ago. I am very overweight and have been all my adult life so I know it is my own fault that I got diabetes. I also know that I have to try and lose weight but I just can't seem to stick to any diet. I know all about the consequences of having badly controlled blood sugar and it terrifies me but I still can't seem to stick to any diet for more than a couple of days. I work a very demanding job and also care for my disabled father and I never seem to have time to prepare meals so eat mostly bad snacks or ready meals. I feel as though my life is totally out of control and part of me feels that I have been overweight too long and probably had the undiagnosed diabetes so long that the damage has already been done and I am going to get the bad complications anyway so why bother. I have tried talking to my GP but he is not very sympathetic and told me to just go away and try. I really do want to be healthier but although I start out each day with good intentions, I always give in. Is there anyway that I can oversome the terrible sugar cravings I have? Please I do hope someone can give me some suggestions. I know I still need to put in the effort myself but I just feel I am drowning now.

THanks for listening.

Daisy
 
Welcome to the forum Daisy! :)

Another Daisy or one of the forum monitors will be along soon to post some useful information to newbies on the forum.

Nigel
 
Hi Daisy from Daisy1 ! :D ) Welcome to the forum :) This is the basic information which Nigel mentioned in his post. It was prepared by the Forum Monitors for new members and I think this information will be useful to you. If you have any questions on this, or any other subject, just ask. For the sugar cravings I am sure someone with experience of this will be along soon to help you. It's never too late to take control and reduce the risk of complications. You have taken an excellent first step by joining this forum :)

Here is the advice that Ken and I, as Forum Monitors, usually give to newly diagnosed Diabetics. We hope that these few ideas gained through experience help you to gain control and give you some understanding of Diabetes. This forum doesn't always follow the recommended dietary advice, you have to work out what works for you as we are all different.

It's not just 'sugars' you need to avoid, diabetes is an inability to process glucose properly. Carbohydrate converts, in the body, to glucose. So it makes sense to reduce the amount of carbohydrate that you eat which includes sugars.

For more information on CARBOHYDRATE see here:

viewtopic.php?f=3&t=20306

This is NOT a low carb diet suggestion, just a reduction in your intake of carbohydrate. You have to decide yourself how much of a reduction will keep your blood glucose levels in control.

The main carbs to avoid OR reduce are the complex or starchy carbohydrates such as bread, potatoes, pasta, rice, starchy root veg and also any flour based products. The starchy carbs all convert 100% to glucose in the body and raise the blood sugar levels significantly.

If you are on Insulin you may find that reducing the carb intake also means that you can reduce your dose of insulin. This can help you to keep weight gain down as Insulin tends to make you put on weight and eventually cause insulin resistance. This should be done slowly so as not to cause hypos.

The way to find out how different foods affect you is to do regular daily testing and keep a food diary for a couple of weeks. If you test just before eating, then two hours after eating, you will see the effect of certain foods on your blood glucose levels. Some foods, which are slow acting carbohydrates, are absorbed more slowly so you may need to test three or even four hours later to see the effect that these have on your blood glucose levels.

Buy yourself a carb counter book (you can get these on-line) and you will be able to work out how much carbs you are eating, when you test, the reading two hours after should be roughly the same as the before eating reading, if it is then that meal was fine, if it isn’t then you need to check what you have eaten and think about reducing the portion size of carbs.

When you are buying products check the total carbohydrate content, this includes the sugar content. Do not just go by the amount of sugar on the packaging as this is misleading to a diabetic.


As for a tester, try asking the nurse/doctor and explain that you want to be proactive in managing your own diabetes and therefore need to test so that you can see just how foods affect your blood sugar levels. Hopefully this will work ! Sometimes they are not keen to give Type 2’s the strips on prescription, (in the UK) but you can but try!!

For TIPS FOR STRIPS see here:

viewtopic.php?f=20&t=19002#p173253

If you are an Insulin user in theory you should have no problem getting test strips.

The latest 2010 NICE guidelines for Bg levels are as follows:
Fasting (waking and before meals).......between 4 - 7 mmol/l...(Type 1 & 2)
2 hrs after meals........................no more than 8.5 mmol/l.....( Type 2)

2hrs after meals......................... no more than 9 mmol/l ......(Type 1)

If you are able to keep the post meal numbers lower, so much the better.

It also helps if you can do at least 30 minutes moderate exercise a day, it can be split into 10 min sessions to start with. It doesn't have to be strenuous.

The above is just general advice and it is recommended that you discuss with your HCP before making any changes. You can also ask questions on the forum on anything that is not clear.

Finally a few QUESTIONS TO ASK AT DIABETES CLINIC.

viewtopic.php?f=20&t=17091



Sue/Ken.
 
Hi Daisy and Daisy!

Daisy, could you help out again and send DaisyfromDevon the link to my diet? It might be worth her trying that. Many thanks!

DaisyfromDevon - my diet is on the Low-carb Forum on a thread called 'Viv's Diet'. It's based on Atkins. I understand all the problems of dieting - over the last 45 years I've probably lost more than 60 stone in total, but all I've managed to do is double my weight! I lost 5 stone in 15 months the first time - went back on the carbs and put it all back on! Sigh!

I'm back on it now, and it really works for me, though more slowly this time. It also has the effect of lowering your blood glucose, your cholesterol and your blood pressure. Read it through and see if you think you can tolerate it. If so - give it a try. And good luck!

Viv 8)
 
Hi again Daisy, from Daisy1 :D Viv just asked me if I would post the link to her excellent diet for you. It's worth ploughing your way through all four pages of this thread as it's full of useful information. You should hopefully find your sugar cravings diminish if you follow this diet.

Here's the link:

viewtopic.php?f=18&t=18803
 
Welcome, daisy.

daisyindevon said:
Hi, my name is Daisy and I was diagnosed with type 2 diabetes about 3 months ago. I am very overweight and have been all my adult life so I know it is my own fault that I got diabetes.

It's not your fault that you've got diabetes. Much more likely, it is diabetes fault that you are overweight. (Can't believe this thread went 5 posts without anyone mentioning that?)

After you've done some research, you'll come to that understanding yourself, and that will give you the motivation that you need to kick the diabetes into touch. It can be done, and LOADS of us around here do it.

Stick around, and ask LOTS of questions.
 
Thank you for all your helpful replies. I am at my wits end really. Been to see my doctor today and she has said they are stopping one of my medicines (Januvia) as it is too expensive and that I have to go on insulin instead. I told her that I really really don't want that, apart from anything else, I am completely needle-phobic, but she said it is the only option. Can she force me to have insulin? Can I just refuse and try and get along with just the glucophage - I am on max dose of 2000mg a day?
 
She can't force you to have insulin - or anything else, for that matter!

In your place I would ask to see her again (or one of the others who might be more sympathetic?), try to keep your cool and not get upset, and ask her to talk you through your treatment and explain exactly why she is giving you the meds she is, and if there is any medical reason for taking you off Januvia and putting you on insulin. If there isn't a medical reason, and she says the only reason is because it's too expensive, ask her to put that in writing. Once she does that, you can (if you want) take copies and send it to the PCT, your MP, the Secretary of State for Health, your local newspapers - and so on. But that should be a last resort.

A needle phobia must be dreadful, and is not good news for a diabetic! How do you get on with finger-pricking to test your blood sugar levels? If they haven't given you a meter to self-test with, ask for one to see how you get on with that. Say you need one to help you learn which foods affect you badly. Explain again to your GP about your feelings about needles. There's no point trying to get you to inject if the stress just sends your blood sugars up!

I believe (though I'm not on insulin so don't have any experience) that some of the insulin pens are very similar to finger-pricking - ie, not a huge horrible needle at all. Someone with more experience will give us views on that soon, I'm sure.

Losing weight will undoubtedly help your blood glucose readings, but it may be a struggle just because of the diabetes. If you have been undiagnosed for a while, it will certainly have contributed to your weight gain. Have a look at my diet again, and please give it a try. When the summer comes (I saw a swallow yesterday! :D ) you can live on salads, and you can eat as much as you like of the foods on the diet except where it gives definite limits, so you won't ever be hungry. Once you get some weight off, you'll be able to reduce the meds. Try asking the doctor to give you another 3 months to really work on your weight, before she attempts to put you on insulin.

If all else fails, a good bout of hysterics in the surgery usually helps - though I have to say I find it works better on males - they can't cope! :wink: (Sorry fellas!). If it takes that to make the doctor see you're seriously upset by needles, go for it. It's embarrassing, but . . .!

Best of luck

Viv 8)
 
Hi

Besides advice on insulin (and I am not a type 2), I would just like to add, that preparing decent meals does not have to be a long laborious task.

I have a white or red meat or fish every day, and steam my veg (normally leeks or carrots, or brocolli or sugar snaps or asparagus) etc....the whole meal is prepared and cooked within 30 minutes. I then have fruit and yogurt or cream, and normally a few nuts afterwards.

All prepared and cooked in less than 30minutes.

Your diet to be quite honest, is what you make it. If picking up bread, and cooking ready meals is your way to feeding yourself etc, or other foods-even if it is driving to a KFC or MCDonalds...cooking a decent meal is no hassle and it is up to you to change and get a better diet.

Others will help with the type 2 diabetes, but poor habits in food and diets is down to you to adjust........do yourself a favour and start to truly take your life style more seriously.....sugar cravings come from you feeding the habit in the first place....
If your body really says it needs a fix of sugar, have 1 decent 80%+ piece of dark chocolate after your main meal. If you need 2 pieces to start off with, give yourself 2 pieces (not complete bars!!!!) for a month, and then cut it down to 1).

Basically, if your GP has told you to go awaya and try then you seriously need to go and give it a **** good try.....
 
Absolutely agree about the meals DD. I have always cooked from scratch, so I do have a lot of experience but I never take more than half an hour to cook a meal. Vegetables are obviously super quick and most meats take 20 mins max. Fish is obviously even quicker! If you really can't spare half an hour to prep, how about doing it in bits. Prep your veggies when you can and keep them in the fridge-a couple of hours shouldn't be too bad. Or lets face it, how long honestly does it take to open a bag of salad, throw some tomatoes, cucumber, onions, radishes, cheese, ham in a bowl? If you want to change your eating habits you can. Just read lots and get organized. You can do it!! :D
 
Hi Daisy
welcome :D Reading from your post and firstly i detect that you have a very low opinion of your self. Diabetes is'nt always and sometimes never to with weight .We are all built differently so you must never judge your illness on weight . You will find out on the forum that some people have got annoyed at comments about people being diagnosed obese when actually the have been completly not over weight .I promise you that you will enjoy your experiance on the forum as we all try and help each other out and you will learn very quickly that some how or other we are all in the same boat . Be prepared to have a laugh giggle shoulder to cry on what ever and feel a very warm welcome . JF :D :D
 
Very positive from JF, and agree totally.

You do need to accept up's and downs's with diabetes. People here manage to giv you ways to see the way to the positives, and can offer you so much support than even the closest family and friends. I have had the most fantastic support from here, and you can get it too. We are all behind you wanting to get to feeling better about yourself and your diabetes.

Be positive, you can do it, and you will do it, and with the help and support from others here.....
 
hi daisy and welcome,
firstly i'ts not your fault you have diabetes, like you i used to think that because my strong family history i brouht it on by being overweight but soon learned that it was my genetics not me.
i really love my food and really miss some of the things i used to love but even if irreprable damage has been done (hope i spelt that right lol) i decided i was going to take control and so started finger prick testing to find out what and how foods affected my blood sugars, then lowered my carb intake and still have my favourites but only now and then as a treat i am slowly losing weight was around 20.5 stone and now 18 stone and really do feel better for it but we are all different so please just keep trying differnt things untill you find whats right for you and your body.
i wish you lots of luck and hope you can find the determination you need.
Rob... :)
 
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