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Recently diagnosed.. Confused

Hunter6421

Member
Messages
5
Type of diabetes
Type 2
Hi

I have been diagnosed with Type 2 since Jan 14th of this year, My Ha1bc number was 67, which they said was a bit high, but they didnt suggest trying diet control instead was put straight on 1x 500mg Metformin as a treatmemt regimen.

Last week i saw the practice nurse for the first time, and felt like i was just put through a revolving door. Came out with a bunch of photocopied leaflets and was told to go up to 2 tablets a day. I havent even been seen by the hospital diabetic clinic yet. Surely this is too soon to up treatment without seeing how the first regimen was progressing? shouldnt they do diet or wait a few months on 1 tablet first?
 
Hi, and welcome

@SweetLucie means 48 in present day units. The 6.5 she mentions is old money. I agree, 67 is high, and most people are started on Metformin at that level. Have you been told you will be referred to a hospital diabetic clinic? It is unlikely to happen to a T2. They are mainly for T1s and those with more unusual forms of diabetes. Don't hold your breath for that referral unless you have been promised one. From what I can see from your post, your treatment so far is pretty typical. You may be referred to a local course, and should be referred for an annual eye retina screening and annual foot checks, plus regular blood tests and monitoring until your levels and medication stabilise.

I will tag @daisy1 to come along with some excellent information for newly diagnosed. Try to read it carefully, paying particular attention to the role of all carbohydrates.
 
Hey Hunter,

I see that daisy has been tagged so lots of good advise about to head your way, I'll just add that I was diagnosed a some months ago, so I'm still learning myself and bought myself a meter with my 1st reading being 20.3.... My Ha1bc was I think 103 when I was going blind and spending all day drinking water (which caused me to be diagnosed) so slightly higher than yours, but there's not prices here high readings here. So you're in a better place than I was when I started (but you've only just started so no worries).

Still after taking the wonderful advice from everyone on this site and so started avoiding spuds, bread, pasta and rice (in my first few months) I hoovering about the 6.5 range (on my meter) and I lost weight, I also went out walking for 20mins each day, so all good. I also had to switch from normal Metformin to the Slow Release variety as was rushing to the loo too much and I had some odd side effects, since which its worked for me. The other thing I've done is have breakfast (I was always WAY too busy before to have time for it) now everyday either real porridge oats or a quick fry up eggs and bacon, no bread...

The other thing I'd say is giving things up and changing isn't easy, occasionally I've had a curry, eaten chips, but its been like once a fortnight, I know I have to make lots of changes but I'm also not a saint, so I've allowed the odd kink in the road... I've also been to poundland and tesco's and bought some Dextrose tablets (for when I've felt a bit weak) and had one or 2 just to perk me back up.

We are all different so there isn't a one size fits all on what works best for us all, but you've found the best support group here on this site and you're on the right path, good luck and let us know how you get on :)
 
@Hunter6421

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful. Ask as many questions as you want and someone will be able to help.

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 over 150,000 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-and-whole-grains.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

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


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 bloodglucose 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.
 
Hi Hunter6421
Sounds similar to what happened to me too.. Was diagnosed 30th Oct 2015 and found this forum the same day. Put up with the metformin sh*ts for 3 weeks then gave them up and stopped eating carbs as much as possible. Also bought an SD Codefree blood sugar monitor and started recording readings on a spreadsheet to monitor what causes blood sugar spikes in me (it varies a lot between different people). After 2 months I went back for another HbA1c and had gone from 70 (on diagnosis with a FBG of12.2) to 45. I saw 2 Diabetes Nurses who were quite amazed that my sugars had dropped so much without medication and also know a lot less about Type 2 than I did after reading all the info here. I am going back for the results of another HbA1c in a couple of weeks and I hope that will be even better. I've lost 2 1/2 stone and feel much better with no symptoms of Type 2. For me giving up carbs has helped an awful amount. I am also doing a 3 days of liquid only fasting a week which brings my sugars even lower. There is a huge amount of info contained within the forums on this site and I would seriously recommend reading as much as you can. Diabetes is horrible and can have a dreadful impact on your life but there are a lot of things you can do to reduce (maybe even reverse) these effects. I see it as a battle to preserve my health. All the best whatever you choose to do.
Regards
Mark
 
Hi bulkbiker, Yes me too got the same treatment, went to doctors New Years Eve 2015 feeling rotten had flu and thought I may have a water infection. was sent for blood tests same day to hospital. Back to docs said there was glucose in my water, gave me a few antibiotics. got a call from surgery on the Monday 4th Jan 2016 to see a doctor at 7.30pm that day, I was thinking all sorts but tried to focus that the blood results would show up as a bit anaemic and run down due to the flu. Within 5 mins of being there was told I was a Diabetic, shock set in and I could not take it in. Yes sent to diabetic nurse next day given a BG metre and told to test every day, [not told before or after meals ] I learned this from this site. Was put on metformin 50mmg 1 daily for first week then increased to 2 daily. Yes came out too with a few leaflets was told had to have an eye test and feet tested. Eat healthy and make an appointment to see doc in 2 weeks. For them they went back to their jobs for me devasted and everything else, no real explanations or advice, was told by the diabetic nurse to join This Diabetic UK Website, that was the best advice in the world I received believe me, I am no different than anyone else on this site just replied to your message to let you know we all felt the same at the time. Ask any questions you like someone will answer you like I did. :happy::happy:
 
@Hunter6421 sometimes after reading some members experiences with their NHS "care" I think you are often better off having as little contact as possible, and doing as much for yourself as you can.

I have only seen my GP twice, once for diagnosis and the other after my first 3 month test. He knows I have ignored all his advice and the NHS guidelines. My surgery doesn't seem to have a Practice or Diabetes Nurse, and other than my Eye test I have had no other contact.

If you follow the advice given in the welcome post above, you can quickly and easily gain control of the disease, and as long as you have regular HbA1c blood tests to make sure you are progressing well, you don't need to have too much interference from your HCP's

Good luck.
 
Same as my experience but i came off the tablets after 3 months and used diet and a bit of exercise to control my blood sugar levels.
 
Same as my experience but i came off the tablets after 3 months and used diet and a bit of exercise to control my blood sugar levels.
Well done you hope there will come a time when I can come off meds a bit early for me yet.:)
 
Hb1ac 57 was on meteor min for 3 months couldn't get on with it went on sitaglaptin terrible nausea and giddy so tired phoned nose stopped them but she said I need different media. I would rather stay off meds she won't have none of it any advice please
 
Hi hunter, I was diagnosed in Aug last year with an Hba1c of 87, I was lucky as they didn't put me on meds. My last test was in Jan and was 44, that is diet and exercise alone. I should say it is a reduced carb diet and 3 gym visits a week during lunch hour. Depending on when they are reviewing your next set of tests it might be worth discussing alternatives to meds.
 
Welcome @Hunter6421
This is a great place for advice and to ask questions. Get yourself a meter and test. Then you can tell where you are at and control your sugars as well thru diet
 
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