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Trying to get to grips with diagnosis.

Pinkie Pax

Member
Messages
5
Location
St Helens, Merseyside
Type of diabetes
Treatment type
Tablets (oral)
Hi. Newbie here. Diagnosed type 2 (1/9/15). I've done Slimming World on and off over the last few years, although yo-yoed a bit. I always managed to lose weight when I stuck to the plan. I've been reading up on diet changes and I'm more than a little confuddled! I'm used to eating pasta, rice, pulses, potatoes, loads of fruit and fat free yougurt etc. Reading articles I have found these might not be the best type of food to eat. As I'm so recently diagnosed, I obviously haven't received a dietician appointment yet. Should I be cutting these out of my diet completely, or should I wait to be seen by the dietician?
 
Hi Pinkie Pax, I was diagnosed just last week and went straight on to the low carb/ high fat diet. I feel much better already and I have lost 5 lbs! I don't think it can do any harm to start right away.
 
Hi. Newbie here. Diagnosed type 2 (1/9/15). I've done Slimming World on and off over the last few years, although yo-yoed a bit. I always managed to lose weight when I stuck to the plan. I've been reading up on diet changes and I'm more than a little confuddled! I'm used to eating pasta, rice, pulses, potatoes, loads of fruit and fat free yougurt etc. Reading articles I have found these might not be the best type of food to eat. As I'm so recently diagnosed, I obviously haven't received a dietician appointment yet. Should I be cutting these out of my diet completely, or should I wait to be seen by the dietician?
Hi and welcome. I'll tag @daisy1 who has some newbie info she can post. The dietician will almost certainly tell you to eat carbs with every meal and cut down on fats, neither of which I would ever do. Read around and decide what you think is best for you.
 
@Pinkie Pax

Hello Pinkie Pax and welcome to the forum :)

Here is the information we give to new members and I hope you will find it useful. This will give you some information on diet which I think will be helpful to you. Ask as many questions as you want and someone will be able to answer.


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

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.
 
Thanks for all your replies. Everyone on here seems very friendly and helpful. I think I'll cut down the carbs straight away and continue to read the articles you've advised.
 
Welome to the forums - good luck getting those glucose levels down.
 
Just a suggestion: go over to the Low Carb- What Have You Eaten Today thread and browse some of the meals listed there. I am finding it useful as a newbie of just over a week, to get ideas for food combos. Good Luck.
 
Hi. Newbie here. Diagnosed type 2 (1/9/15). I've done Slimming World on and off over the last few years, although yo-yoed a bit. I always managed to lose weight when I stuck to the plan. I've been reading up on diet changes and I'm more than a little confuddled! I'm used to eating pasta, rice, pulses, potatoes, loads of fruit and fat free yougurt etc. Reading articles I have found these might not be the best type of food to eat. As I'm so recently diagnosed, I obviously haven't received a dietician appointment yet. Should I be cutting these out of my diet completely, or should I wait to be seen by the dietician?
http://www.ncl.ac.uk/magres/research/diabetes/reversal.htm

https://intensivedietarymanagement.com/

http://wholehealthsource.blogspot.no/search/label/leptin


 
Welcome to the forum! I got my info and education about my low-carb high-fat diet from this forum. I have lost weight slowly but easily doing this diet and it stops all craving, hunger and yoyoing. You might like also to consult www.dietdoctor.com.
 
Should I be cutting these out of my diet completely, or should I wait to be seen by the dietician?

No, jump right in with both feet. Your NHS Dietician will probably tell you the opposite anyway.

Ultimately it is up to you what you eat, but I can assure you, after the first few days when you still crave the Carbs, you will start to feel much better almost immediately.
 
Hi there- I received my diagnosis 6 weeks ago after being admitted to hospital for severe dehydration (complications from my Prednisone, or so I thought!). My blood sugars at the time of diagnosis was over 53mmol/l (over 900mg/dl) which is pretty extreme. (in fact I haven't met anyone else yet who even comes close to how high that was!) I was immediately put on insulin and metformin and am still having to have insulin 4x's a day with 2 doses of the metformin. I made drastic changes to what I eat (including giving up pretty much all sugar and restricting my carb intake.) and while I am still not seeing a huge weight loss, I feel better and able to listen to my body in a way i haven't done in years. My sugars now average around 6.0mmol/l a day which is due in part to the meds, diet and exercise. My dietitian appointment keeps getting postponed so I am doing all I can to manage some changes myself. It is a little trial and error (had a few hypos and a couple of BSG levels that hit 10 after eating fast food) but I decided that I didn't want to wait to see a dietitian when I can be proactive. I imagine you will have to cut back/give up some of those higher carbs (pasta, potato, breads etc) but what I am also learning is that I am new, and I don't have to be perfect or get it all right all at once. It's ok to take baby steps. I was pretty extreme in what I have cut out, but that was in part due to fear and in part needing to feel like i was taking control of my diagnosis and not letting all the negative info I read about diabetes make me even more fearful or confused about my future. Its a huge thing you are going through and you are being proactive by being on this forum and reaching out so just make sure you are kind to yourself.
 
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