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slipping into bad habits

kjc2012

Member
Messages
19
Location
manchester
i'm type 2 diabetic and on 500mg metformin twice daily and have been for just over a year. The thing is i go through stages of eating lots of chocolate and not taking my medication and don't know how to get back on track and stick to my diet and take my medication on a regular basis. I can go wks without taking my metformin and bing eating things i shouldn't then after a while feel so guilty and stop the chocolate and restart taking my medformin really don't know how to stop this cycle any advice???????? Than you
 
Over to you daisy !
 
Hi kjc and welcome to the forum :)

Try following this information, especially the advice on diet, and you may find it easier to control your eating better. Other members have been through what you are going through now and will share their experiences and tips with you. Ask all the questions you want and someone will have an answer for you.

Here is the information that we give to new members and I hope you find it helpful.


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.

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.
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Please sign our e-petition for free testing for all type 2's; here's the link:
http://www.diabetes.co.uk/petition/

Do get your friends and colleagues to sign as well.
 
Thank you so much it's been hard esp when i have also been diagnosed with heart disease/angina as well. I'm just waiting to see a cardiac surgeon regarding bypass surgery. There's so much to take in still even though it's been over a year. I'm also waiting to hear from my diabetes care team to discuss better management, hopefully this will include home testing kit, going to push for one as it seems everyone on here recommends home testing as part of their management, if they still wont give me testing strips, i'll buy my own to gain better control.
Once again thank you and i'll have a good look at the information you gave me.
 
Daisy1 has given you lots of good advice. I hope you get a meter and testing strips so you can monitor your blood glucose yourself. I would have thought, as you have heart disease, that your medical team would be anxious for you to get good control of your blood glucose.

To be blunt - the outcome if you do not control your blood glucose includes complications such as blindness, amputation of your feet/legs, and kidney dialysis.

You don't have to go down that route - this forum is full of good ideas, information for diabetics from other diabetics who know exactly what the condition involves. None of us intend to go down the "complications" route if we can possibly help it - and there's a lot you can do for yourself.

Come on here as often as you like, ask questions (there's no such thing as a silly question :D ), have a rant - you'll always find someone to help and support you through everything. Some of us have had heart surgery too, so can support you there too!

Let us know how you get on :D

Viv 8)
 
hi all
well everyone has been so supportive and given great advice. I can't get an appointment at my doctors till fri 9th nov seems ages to wait but i'm sure it will be round soon enough.
Once again thanks for all your advice daisy1 and viviennem and will keep you all posted on the testing srtips. :P
 
Hi

The trouble with T2 is the problems are down the line for the most part but the problems are real and unfortunately do happen time and time again. In my opinion the knack is to try and make those potential problems more immediate so one technique is to do the following. The next time while eating something you know you shouldn't shut your eyes and keep them shut for at least a minute. While they are shut and while you are eating whatever it is repeat to yourself "This is what I'll end up being able to see if I keep doing this".

Sorry if that's a bit blunt.
 
hi and thanks xyzzy. anything anyone can say to try and help is much appreciated and not blunt atall.
i'm already having complications with the heart disease and that's just after a year of being diagnosed so need all the advice i can get on how to avoid these slip ups and not atall blunt i'll definatley give it a try just feel so confined with it all watching what i'm eating, but that's better than having all the other complications that can occur later down the line.
thanks once again :)
 
Hi kcj2012

As a relative 'newbie' myself I don't usually offer advice, however I am a bit confused as to why you stop taking metformin when you start eating chocolate?

Do you get stomach upsets if you take chocolate and metformin?

Like you I was a chocoholic, used to eat loads. I made a decision 8 months ago to never eat it again, and I have only had one cube since, and it tasted horrible, far too sweet for my tastes these days. Perhaps you need to look at this approach. I think we all have feelings of anger, and 'why me', but the truth is that it is you, and you are the only one who can control this.

Good luck
 
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