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Recently diagnosed and put on Metformin

babycham

Member
Messages
9
HI

I am new to this forum, I am 43 year old female, I have been Impaired Gloucose Intolerent for a couple of years but my last HbA1c in June was 9.5% so I have been put on 1 Metformin 500mg 3 times a day.
I have been checking my BG ssince June when I get up most mornings and it has been between 9mmol/l and 12.1mmol/l, but I don't know what I can do to get this lower, as I know this is too high.
My diet is not good and I am overweight, but I am trying to make my portions smaller, and eat healthier but I have a sweet tooth and I have tried to be very good in that department, but I don't know what sort of things I can eat if I get the nibbles that won't effect my BG.

Any advice/information/help would be greatly appreciated.

Teresa
 
Hi Babycham,and welcome to the forum.I would suggest that you get hold of a carb counting book.I usually recommend Collins gem carb or calorie counter,either is good.They can be slipped in your pocket when you go shopping as well.You need to start lowering your carb intake.smaller portions is a good start!If you can eat nuts,try eating nuts with a small portion of dried fruit,this will substitute for sweets hopefully!Any thing that is low carb is good for nibbles.Cheese,ham ,nuts etc.I hope this will help get you started ,but take it slow,change one thing at a time,best of luck.
 
Hi Babycham and welcome,
Unfortunately it's not the size of the portions that is most important, but rather what is in them. There are certain food types that raise your blood sugar and it is these that you need to cut down on. Can you give us some idea of what a typical days meals would comprise? Then maybe we can give you some pointers on where you can make adjustments that will make a real difference to your BS.
 
If you stick to NO sugar, LITTLE bread, pasta, rice or potatoes for a few weeks, it will become part of your psyche. If you get the "munchies", thinly sliced meats or cheeses, raw veggies with a low carb dip, nuts, tiny portions of dried fruits, fresh berries, a chew of sugar free gum ( watch for sorbitol, it causes diarrhoea in large doses.) the sooner you lose the sweet tooth, the more easy it will all become. Says Me who hasn't got that far in years. I still go for the carrot sticks or celery sticks and raw cauliflower is delicious. Keep home-made low carb coleslaw in the fridge! Cherry tomatoes are nice. the list is only limited by your knowledge and imagination.
Thin slices of salami, with a bit of cheese and a drop of tomato paste on. nuked in microwave, make Pizza substitutes
 
HI
Thanks to all who have replied.
A typical day is:-

1 Oatibix or mini shredded wheat with banana/strawberries and skimmed milk
or toast and jam (1 or 2 rounds) fried bacon, egg etc occaisonaly at weekends for breakfast

wholemeal bread sandwich - ham and tomato - cream cheese and cucumber, low fat yogurt

Pasta (white) and fresh tomato/mascaponie sauce with slice of cheesy bread,
or Chilli Con Carne white rice - (made from a jar) or chicken curry white rice (made from a jar) with naan bread or new potatoes meat and vegs, Jacket potato/tuna and mayo with salad and salad cream, Low fat yogurt, or weight watches desserts

Snacks: Quavers, banana, apple, fruit scones, low fat yougurts, sugar free sweets or mints

I know what you are going to say - too much ready food, but after working all day the last thing i feel like doing is cooking from scratch, as their is 4 of us in the family.
 
babycham said:
I know what you are going to say - too much ready food, but after working all day the last thing i feel like doing is cooking from scratch, as their is 4 of us in the family.
Hi Babycham,
You must be a mind reader!!
Your lifestyle is your choice but actually what I was going to say is that all your meals are very high in carbohydrates, and its carbohydrates that cause high blood sugar. It may come as a surprise to you but your weekend "indulgence" breakfast of bacon and eggs is by far the healthiest meal in your list. Can I make some suggestions?

For breakfast try a week where you concentrate on eggs or bacon and egg. The eggs could be boiled, fried, scrambled or poached. If you really have to have bread or toast then have one slice of a low-carb variety (like Weightwatchers bread) - around half the calories per slice of normal wholemeal. Avoid bananas completely - probably the highest sugar content of all fruits. And I'm sure I don't need to tell you that jam is almost pure sugar!

For lunch either make your own sandwich using low-carb bread, or have a salad - if you can't buy a salad at or near work then take one as a packed lunch. Low-fat yogurts are not as good for you as you think - most low fat ones are high in added sugar! Remember that your enemy is carbohydrate, not fat.

Again your evening meals are nearly all high-carb based (pasta, rice, potatoes). If, like me, you really love pasta then use a low-carb one (unfortunately Dreamfields is the ony one available in the UK - it is very tasty but quite expensive - Google them to find a local outlet or you can buy online). Whatever you do don't have pasta AND bread unless it is low-carb pasta and low-carb bread. If you are cooking something fresh at the weekend then try having half the potatoes but more meat or other vegetables to compensate. Have a look round the forum - there are various recipe threads and I'm sure you will find something that whets your appetite and isn't too time-consuming to prepare. Alternatively there are loads of low-carb diet books available.

Finally your snacks - all very high in carbs, yes even the sugar free sweets - these are made with polyols instead of sugar, but polyols will raise your blood sugar almost as much as pure sugar will (and polyols are also a powerful laxative!). Many people think they can eat as many "diabetic sweets" as they like because they are "sugar free", without realising that what is used instead of sugar does just as much damage. The other problem with high-carb snacks is that they are often very short-lived. Half an hour later you fancy some more (the "Chinese meal" syndrome)! Instead try eating a protein snack like a cube of cheese or some ham on a cracker and/or a handful of nuts (but not peanuts or cashews as these are not nuts and are quite high-carb). If you really feel like a piece of fruit then go for a low-sugar one like plums or apricots.

Just for one week try going really low-carb, keep testing (ideally pre-breakfast and pre-evening meal) and see what effect it has on your BG levels. Your present levels are very high, and probably have been since you were diagnosed. If you can't get them lower then you are heading for some very serious problems a year or two down the line. I hope that you are currently having your eyes tested for diabetic retinopathy and your feet for neuropathy? If not get down to your GP and ask for this to be done asap.
 
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