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Type 2: New to Diabetes

Hi and welcome!

I find having a blood glucose meter is very reassuring, rather than making me stressed.

I used to think that every time I ate fruit, or bread, my blood glucose was going sky high, and that I was harming myself - it was just one constant round of guilt.

As soon as I got a meter and realised exactly how much those foods affected my blood glucose, I was able to feel much more confident with what I was doing. We are each different in what our bodies can tolerate. In my case, the bread had to go, but small portions of some fruits are fine.

And now I know what my body needs, I have a personal diet tailor made for me. And I am really quite relaxed about it. :D
 
At first managing without a meter is like driving a car with no map/GPS and your eyes closed. You have an idea where you are going, but can't be sure where you are or what the best route is.

Be guided by the experience and views of others here, but ultimately it seems there can be range of responses that any individual can have to particular foods. So experimenting is the only way forward.

You will get the occasional high reading - if it is to something you haven't tested before then it is probably a sign of poor tolerance - but maybe try again a few days later to see that it is repeatable.

There are lower card breads - try LivLife / Hi-Lo / Lidl protein rolls (search for threads on here). You may be pleasantly surprised and find one you can substitute your usual loaf for. Although one of these tastes like cardboard to me :)
 
@wiseowl_123

Hello and welcome to the forum :) Here is the basic information we give to new members and I hope you will find it useful. It gives advice on carbs which you must restrict, and a link to the Low Carb Program which you may like to try. Ask more questions when you need to and someone will be able to 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 well over 220,000 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 free 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.
 
Hi, wiseowl_123, and welcome.

Don't be too put off by your initial higher readings as they will go down eventually. Even the occasional spike is OK once you have worked out what may be causing it. This is a great time to experiment with foods as you can take blood glucose readings, see what you can get away with, and what you can't.

Although most of us follow a low-carb, high fat diet, as individuals we each have foods we can tolerate and others that will send our readings sky high. For example, I can't eat any grains without spiking, but I can eat small amounts of legumes and pulses.

And you CAN have crackers and biscuits. I baked some low-carb almond and rosemary savoury biscuits at the weekend, which have a nice crunch and are great with pates, cheese, etc.
 
Good afternoon @Tabbyjoolz and thank you the diabetic nurse made no mention of a meter just said I will see you in 3 months,the leaflet she gave me was really no good at all,it said that I could eat almost everything,I am 71 years of age and I don't want to sound ungrateful or unfriendly which I am not,and I really appreciate all the help and advice I have received ,but I want to control my condition not to let diabetes control me,I do hope that everyone understands how I feel,I feel that I have done enough at the moment having given up all sugar,cakes,pastry,orange squash,sweets and chocolate,potatoes,white bread,hard cheese ect I have taken my dog for so many walks per day that when I get the lead she runs away and hides.
 
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