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Struggling!

Discussion in 'Prediabetes' started by MarieH21, Jul 25, 2018.

  1. MarieH21

    MarieH21 · Member

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    I am pre-diabetic with high blood pressure.

    I try to be as active as I can doing cardio 3 times a week. I have been doing HCLF which initially seemed to help manage my BM to around 5 or 6 for the first few weeks however I now am struggling to get it below 7 even first thing in the morning.

    Most mornings are around 7.6 which is often higher than my bedtime BM of around 7.1

    I have tried to have a protein snack at bedtime (cheese or chicken) but I haven't seen a change. I have increased my water intake but am at a bit of a loss.

    My typical diet is:
    breakfast: boiled egg plus coffee and cream
    Lunch: ham/cheese roll ups
    tea: meat, cabbage (fried in butter) or cauliflower cheese (made with cream) and mushrooms

    occasional snack of pork scratchings

    at least 2 lt water

    where am I going wrong?
     
  2. Guzzler

    Guzzler Type 2 · Expert

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    Fasting blood glucose levels are the last and trickiest to fall. For some people it can take months to see any improvement. Stick at it because it will happen eventually.

    If you are in the U.K the recent unusually hot weather has affected many peoples glucose levels adversely.
     
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  3. Alexandra100

    Alexandra100 Prefer not to say · Well-Known Member

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    Sounds as if you are doing everything right, which must make it all the more discouraging not to get readings as low as you would like. You don't say if you are testing after meals? If so, what numbers are you seeing? After meals readings are said to be more important than the fasting ones.
     
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  4. MarieH21

    MarieH21 · Member

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    I haven't kept such a close eye on readings after meals......is this something you recommend?
     
  5. Resurgam

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

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    If you don't test after meals how can you tell if you are eating the right amounts of the right foods?
     
  6. MarieH21

    MarieH21 · Member

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    Thank you for your reply
     
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  7. MarieH21

    MarieH21 · Member

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    true......I was just following advice from the practice nurse.
    2 hours after eating.....is this right?
     
  8. Resurgam

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

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    Two hours after the first bite is the usual timing.
     
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  9. MarieH21

    MarieH21 · Member

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    thank you
     
  10. Smallbrit

    Smallbrit Type 2 · Well-Known Member

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    I agree with all the above advice, and highly rcommend the two hours after meals testing.

    My morning blood sugars are always high - with good day control and bad day control! I see you are a newbie - have you received the welcome pack? I'm tagging @daisy1 to send it - sorry if you have already - but double info is better than no info!
     
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  11. daisy1

    daisy1 Type 2 · Legend
    Staff Member Retired Moderator

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    @MarieH21

    Hello Marie 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.
     
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