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To much to take in......

Discussion in 'Newly Diagnosed' started by jason134, Mar 10, 2015.

  1. jason134

    jason134 Type 2 · Well-Known Member

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    Hi everyone just been the great news that i'm type 2. Saw the diabetic nurse the other day and am more confussed now than i was be. she gave me my hbA1c result which was 84 and put me on Metformin 3 a day. Now what the result of 84 relate to. I understand blood sugars should be about 6 when testing. But what is 84???
    Oh and the Metformin side effects aren't nice are they hope they wear of soon
     
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  2. MissPooh

    MissPooh Type 2 · Well-Known Member

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    I'm new to all this too Jason, and I've noticed there seems to be 2 different BG reporting scales. I was told mine was 12, and 9.2 on my fasting blood - haven't really a scooby what the units are and what the figures mean
     
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  3. julie56

    julie56 Type 2 · Well-Known Member

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    Hi Jason, your hbA1C of 84 mmol/mol means that your average blood sugar level over the last 3 months is 13.0mmol/L There is an Average Blood Sugar Level Converter on this website which is very useful.
     
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  4. jason134

    jason134 Type 2 · Well-Known Member

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    Hi my fasting result was 12 something again I don't really know what that represents. Oh well I'm sure we get to know sooner or later
     
  5. julie56

    julie56 Type 2 · Well-Known Member

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    Hi Jason, if you go to the Home page of diabetes co. uk and look under the header Living with Diabetes, it will tell you all you need to know about numbers. The most important thing is to get those numbers down to an acceptable level which is done by diet, i.e. avoiding anything sugary including fruit juice and cutting way back on carbohydrates such as bread, pastry, pasta and all grain products. Also exercise is a great way to bring down blood sugars, you would be surprised what a brisk 20 minute walk can do! It takes time, but there are so many knowledgeable people on this website to help with all your questions you will get there in the end.
     
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  6. Mike d

    Mike d Type 2 · Expert

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    That level (12) is high(ish) .... you need to cut that by almost half which should be your long term goal.

    First up, what do you eat?
     
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  7. Mike d

    Mike d Type 2 · Expert

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    Same with you @MissPooh

    What do YOU eat ?

    mike
     
  8. jason134

    jason134 Type 2 · Well-Known Member

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    I have cut bread pasta from my diet eat lots of fish and chicken breast with vegetables etc Oh and cut right down on potatoes
     
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  9. himtoo

    himtoo Type 1 · Well-Known Member
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    hi jason134
    Welcome to the forum and the club nobody wants to join :)
    those are the right things to cut from the diet to lower your HbA1c - well done for the proactive approach.
    i have tagged a few of the low carb / high fat diet advocates to offer some more advice on diet
    @LucySW , @graj0
     
  10. Mike d

    Mike d Type 2 · Expert

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    So give us a break down if you could. Sounds like this could be just warming into it.
     
  11. Robinredbreast

    Robinredbreast Type 1 · Oracle

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    Hello and welcome to the forum

    Best wishes RRB :)
     
  12. graj0

    graj0 · Guest

    Thanks himtoo, I'm honoured. Definitely an advocate of LC because my life has benefited so much. Mixed feelings about the HF bit, but only because my stomach doesn't cope with too much fat although I am enjoying more cheese than I used to in the low fat days and a fried egg makes a really nice change to poached and the good thing is I don't care. So I'm probably or possibly LC?F or LCNF (Normal Fat). What's in a name?
     
  13. catherinecherub

    catherinecherub · Guest

    Hi @jason134 and welcome.

    @daisy1 will be along soon to give you some helpful information to help you get your head around this new way of eating.

    It is a lot to take in at first but keeping a food diary and measuring your blood sugar levels will tell you what foods are suitable for you.

    Some people can only 10g of carbs and others can get by on up to 150 and anything in-between. Your level will be decided by your meter and it takes time to understand. There is no quick fix as you have to experiment, but it should all become clearer once you start to put it into practice.

    Remember this is a marathon and not a sprint and there will be days when there is no rhyme or reason as to why your levels are higher or lower. Stress, exercise or lack of, sleep or lack of, infections, the common cold....... can skew your readings or something simple like forgetting to wash your hands before you test, the list is endless.

    Don't panic, ask as many questions as you need and remember that we have all been where you are now and we thought it was a minefield too.
     
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  14. Daibell

    Daibell LADA · Master

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    Hi. Yes, check the conversion tools on the Home page. If the Metformin problem doesn't settle do ask for the Slow Release (SR) version.
     
  15. MissPooh

    MissPooh Type 2 · Well-Known Member

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    I suppose to put together a diet that I know will work for me I'm going to need a wee meter - but I'm going down the low carb full fat road I think, I can actually see how that would be beneficial.

    So I'm ditching my brekkie cereal, bread, potatoes, pasta, and all my lovely biccies and sweets, I love sookie boiled sweets, and of course ginger beer - I love ginger beer, I'm really going to miss that :(

    My brekkie is usually weetabix with raisins and skimmed milk, this morning it was 1 grilled sausage, a grilled tomato plus 2 scrambled eggs with some cheese added in, it was lovely too.
     
    #15 MissPooh, Mar 11, 2015 at 9:43 AM
    Last edited by a moderator: Mar 11, 2015
  16. daisy1

    daisy1 Type 2 · Legend
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    @jason134

    Hello Jason and welcome to the forum :)

    You have already received a lot of very good advice. Here is some more - the information we give to new members which I hope you will find useful. Ask more questions and someone will come along and 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 130,000 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

    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.
     
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  17. jason134

    jason134 Type 2 · Well-Known Member

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    Thanks for all your replies
     
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