Type 2 on Warfarin.

[Squeekyboy]

@liam1955 Hi William, I arrived a T2 but I'm not dependant on insulin but am on Metformin so I guess I'm in the wrong place?

Squeekyboy

 

[13lizanne]

Welcome @Squeekyboy, you are in the right place and @daisy1 will be along shortly to give you the basic information to help you learn more about your type 2 diabetes. Ask any question about your diabetes and someone will answer you

 

[daisy1]

@Squeekyboy

Hello and welcome to the forum You have done the right thing coming here for advice. Here is the information we give to new members and I hope you will find it useful. Don't be afraid to ask all the questions you like as someone will help willingly.

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

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


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.

 

[Liam1955]

@Squeekyboy - Steve, I have sent you a tag - click on it and you should get onto Type 2 Life. It is a thread for EVERYONE. William

 

[Squeekyboy]

@dazy1 Wow unbelievable & thank you for the help here & the guide lines, also to 13lizanne for your welcoming message & pointing me in the direction of dazy1.

Well here is a question & I hope its ok to write it here?:
I'm allergic to eggs & anything that contains them & for the moment I'm taking Warfarin (may be coming of that soon, I hope?) but for now I'm not allowed anything containing Vitamins, 'A B C D E or K' which basically means little to no Green Veg's containing any of the vitamins stated & No fruit or vegetables high in vitamin C.
Now I know you are not Doctors but what else might I eat or is it back to the Doctor?

I have & am trying to eat better carbs but can't test my BG as no test strips left (had a number of them to begin with but no more...do we have to by them ourselves now ?

Squeekyboy
(Steve)

 

[Squeekyboy]

@Squeekyboy - Steve, I have sent you a tag - click on it and you should get onto Type 2 Life. It is a thread for EVERYONE. William

Thanks William. Squeekyboy -Steve

 

[Liam1955]

@Squeekyboy - Steve, I have asked a Moderator for help to get you onto Type 2 Life. William.

 

[doolallylady]

@Squeekyboy

If you go to the front page of the Diabetes Forum, scroll down until you see Type 2 Diabetes and click, you will see a list of subjects.
Look for the heading Type 2 Life, click again, then click the last page number showing (currently 186) and you should find yourself up to date with the Crazy Gang. See you there.

 

[Liam1955]

@Squeekyboy

If you go to the front page of the Diabetes Forum, scroll down until you see Type 2 Diabetes and click, you will see a list of subjects.
Look for the heading Type 2 Life, click again, then click the last page number showing (currently 186) and you should find yourself up to date with the Crazy Gang. See you there.

Thanks Karen - you are a Star!

 

[doolallylady]

You are very welcome xx

 

[catherinecherub]

@dazy1 Wow unbelievable & thank you for the help here & the guide lines, also to 13lizanne for your welcoming message & pointing me in the direction of dazy1.

Well here is a question & I hope its ok to write it here?:
I'm allergic to eggs & anything that contains them & for the moment I'm taking Warfarin (may be coming of that soon, I hope?) but for now I'm not allowed anything containing Vitamins, 'A B C D E or K' which basically means little to no Green Veg's containing any of the vitamins stated & No fruit or vegetables high in vitamin C.
Now I know you are not Doctors but what else might I eat or is it back to the Doctor?

I have & am trying to eat better carbs but can't test my BG as no test strips left (had a number of them to begin with but no more...do we have to by them ourselves now ?

Squeekyboy
(Steve)

Hi @ Squeekyboy and welcome.
I am going to change the title of your post so that you will be able to get replies from posters about Warfarin.
You do not need to post exclusively on Type 2 Life.

 

[zand]

Hi, I was on warfarin for 2 separate spells of 2 years each. I was given the same advice as you regarding veg containing vitamin K whilst my INR levels were stabilising. Once they had been stable for a few weeks though I was allowed to adapt my diet to the one I wanted to follow, which included lots of veg. My warfarin levels were gradually increased accordingly. The only problem with doing this is that your diet needs to stay consistent.

I also don't eat eggs - I hate them!.

Here's a list of things to eat that are low carb :-

http://www.diabetes.co.uk/forum/threads/a-few-asking-for-low-carb-food-lists.96321/#post-1086609

The best way to find out if a particular food is OK for you personally is to test with a blood glucose meter, before eating and 2 hours afterwards. .

 

[Liam1955]

@Squeekyboy - I went on the internet and found this site of interest, what foods can be eaten and those to avoid whilst taking Warfarin: 'What can I eat on Courmadin (Warfarin) Dr. Gourmet"

 

[Squeekyboy]

@Squeekyboy - I went on the internet and found this site of interest, what foods can be eaten and those to avoid whilst taking Warfarin: 'What can I eat on Courmadin (Warfarin) Dr. Gourmet"

Thank you William. Steve

 

[lindisfel]

Thank you William. Steve

Hi squeekyboy, I was on Warfarin for AF. Vit k is OK providing one has the same green veg every day. It is grapefruit that causes problems. I am on Rivaroxaban now. Derek