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T2 newbie! HELP!!!

danfish2

Member
Messages
6
I’ve just been diagnosed with T2 and feel like I’ve been dropped into a deep dark cavern at the bottom of which is a minefield. I can’t move. The sides are too steep to climb. On the ground are dead peoples’ body parts, festering. Is this an early death sentence? Am I just waiting for everything in my body to fall apart?
I feel very depressed and scared and angry. I don’t know what questions to ask. Anyone feel the same? Anyone with a torch? Any light out there ?
 
Trust us.....it's not as bad as it seems really ........ :D Here is the info we regularly hand out to newly diagnosed Diabetic's......have a read and if you are not sure about anything......ask !

Here is the advice we 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.

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!!
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).......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 30 minutes moderate exercise a day. 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.

Ken / Sue
 
There is also this advice if you see your GP or attend a Diabetic Clinic. Some, if not all the quaestions can be helpful.

Here are a few questions you can ask.

What can I do to control it, diet,medication ??

Appointments to see dietician, podiatrist, retinal screening.

Test meter /strips.

Test results and what do they mean ? a print out of the results for your own records.

Who will I be seeing the nurse or GP ? I f I have problem can I see either of you ?

Are there any courses I can attend, DESMOND for Type 2, DAFNE for Type 1's ? Any other Diabetes Education classes available.

How often do I get blood tests, Hba1c/Cholesterol/full lipid panel.. Should be every 3 months initially till in control.

Take a notebook with you and write down what you are told. If the doctor/nurse says things that you do not understand then ask them to explain it so that you can write it down.

This is your condition, your diabetes, you should be encouraged to take part in the treatment that you will be getting, not dictated to.

If you find that the doctor/nurse is unsympathetic then we suggest you find out which doctor in the practice is good with diabetes. Some doctors have a special interest in certain subjects, it’s worth finding this out.

Ken / Sue
 
As has been said - it really isn't that bad, you just have to be determined to keep an eye on what you are eating and be more conscious of doing what you can to keep more healthy.After a short while you will find it becomes second nature to eat the right things.
I was diagnosed about 18months ago now and most of the time I ignore the fact but have cut down considerably on eating cakes and chocolate. My last checkup with the nurse was very good. All I need to do now is lose some weight!
I'm sure you will be just fine once you calm down from the shock. :)
 
I was diagnosed in March of this year and you do feel lost and unsure of what to do especially as I didn't get to see the DN until 6 weeks after being diagnosed. It is a mine field out there when shopping. Starting to read the labels of the food you buy and understanding the carbs. I have gone for the low carb diet and have lost over 2.1/2 stone and am keeping my BS between 6 to 7 now and am feeling quite good about that. You will come through this.

It is depressing when you are first told but the advice given on here is really helpful and you will find that you do get depressed about it I always come onto this forum as it really helps you to keep to it and they are always so nice people here that you can talk to and ask questions or just read what is happening to others and the advice they are given. It helps you to realise that everyone is different what one can eat another can't. So testing is the most important thing that you do to begin with. Apply for the Bayer meter on this site and start testing to see how your BS is effected by the food you are eating. It really gives you a kick when you test and find that your BS is okay so you know that meal is alright for you. So to begin with it is all trial and error but keep at it.

However I feel that I must warn you that some doctors depending on which area you live in (health by post code) say there is no need to test and tell you to use just the tablets to control your BS and give you a book on what to eat. You will see a lot about this on this site and we all find that testing is the only way forward. So do ask (even if you have applied for the Bayer on this site) for a meter and test strips from your doctor. I myself was told no need to test and wasn't supplied with a meter but got one of the Bayer meters and buy my own strips but am hoping that my doctor will see that I am serioous about things and will give me them on prescription.

So once you get to grip with things you will feel better about it and your anger and depression will pass and you will eventually feel a lot better about things.

I wish you all the best and do keep in contact with this forum it will help.

Sue :)
 
Thank you very much for your kind words and support! I'm feeling much better now that I've got over the shock. I've found a good GP (I hope) who answered all my questions before I'd even asked them!
Thanks again, Dan:o)

foxglove said:
As has been said - it really isn't that bad, you just have to be determined to keep an eye on what you are eating and be more conscious of doing what you can to keep more healthy.After a short while you will find it becomes second nature to eat the right things.
I was diagnosed about 18months ago now and most of the time I ignore the fact but have cut down considerably on eating cakes and chocolate. My last checkup with the nurse was very good. All I need to do now is lose some weight!
I'm sure you will be just fine once you calm down from the shock. :)
 
Thank you very much for your kind words and support! I'm feeling much better now that I've got over the shock. I've found a good GP (I hope) who answered all my questions before I'd even asked them!
Thanks again, Dan:o)



Sue Morton said:
I was diagnosed in March of this year and you do feel lost and unsure of what to do especially as I didn't get to see the DN until 6 weeks after being diagnosed. It is a mine field out there when shopping. Starting to read the labels of the food you buy and understanding the carbs. I have gone for the low carb diet and have lost over 2.1/2 stone and am keeping my BS between 6 to 7 now and am feeling quite good about that. You will come through this.

It is depressing when you are first told but the advice given on here is really helpful and you will find that you do get depressed about it I always come onto this forum as it really helps you to keep to it and they are always so nice people here that you can talk to and ask questions or just read what is happening to others and the advice they are given. It helps you to realise that everyone is different what one can eat another can't. So testing is the most important thing that you do to begin with. Apply for the Bayer meter on this site and start testing to see how your BS is effected by the food you are eating. It really gives you a kick when you test and find that your BS is okay so you know that meal is alright for you. So to begin with it is all trial and error but keep at it.

However I feel that I must warn you that some doctors depending on which area you live in (health by post code) say there is no need to test and tell you to use just the tablets to control your BS and give you a book on what to eat. You will see a lot about this on this site and we all find that testing is the only way forward. So do ask (even if you have applied for the Bayer on this site) for a meter and test strips from your doctor. I myself was told no need to test and wasn't supplied with a meter but got one of the Bayer meters and buy my own strips but am hoping that my doctor will see that I am serioous about things and will give me them on prescription.

So once you get to grip with things you will feel better about it and your anger and depression will pass and you will eventually feel a lot better about things.

I wish you all the best and do keep in contact with this forum it will help.

Sue :)
 
Thank you very much for your kind words and support! I'm feeling much better now that I've got over the shock. I've found a good GP (I hope) who answered all my questions before I'd even asked them!
Thanks again, Dan:o)


cugila said:
Trust us.....it's not as bad as it seems really ........ :D Here is the info we regularly hand out to newly diagnosed Diabetic's......have a read and if you are not sure about anything......ask !

Here is the advice we 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.

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!!
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).......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 30 minutes moderate exercise a day. 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.

Ken / Sue
 
The advice and support here is amazing, I've been reading here for a long time and only just plucked up the courage to post here. It's an excellent place for any diabetic to get information.

Albert
 
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