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Discussion in 'Benefits' started by rachel361, Jun 27, 2018.
How bad is type 2
Hi @rachel361 and welcome to the forum. Type 2 diabetes can lead to serious complications, including amputations, blindness, kidney failure, strokes and heart attacks, and can shorten life or cause death. I don't want to scare you but you do need to know what it can lead to if you don't deal with it.
It can however be controlled. Many of us on here have lowered our blood glucose levels by adopting a Low Carbohydrate High Fat (lchf) approach to eating - cutting out or drastically reducing sweet sugary drinks and foods which are high in starchy carbohydrates like bread, potatoes, past and rice. Starchy carbs turn to glucose in our bodies, so aren't good for T2 diabetics.
We replace the energy from carbs by eating more 'good' fats like dairy products, oily fish, nuts, and avocados.
Have you been diagnosed as having T2 diabetes? If you have, do you know what your HbA1c (blood glucose) test result reading was? If not, you should ask your gp surgery as you need to know where you are starting from.
I will tag @daisy1 who will give you more detailed information. Have a read around the forum and ask any questions you want to. The people on here are friendly and supportive and you will get a lot of good advice.
Hello Rachel and welcome to the Forum Here is the Basic Information we give to new members and I hope you will find it useful and interesting. Ask questions when you need to and someone will be able to help.
BASIC INFORMATION FOR NEW MEMBERS
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 235,000 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 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.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.
Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why
Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
Some don't get the right info til it's caused alot of damage but on the news last night apparently diabetes is sufficiently looked after by the nhs, compared to all other countries health systems. But that might not be as much as on this forum. Support wise.
I've has type2 for 40+yrs and currently even with low carb I'm struggling to keep my bgs below 10. I need insulin therapy because I'm in the 30s without it. If I go too low carb my heart doesn't like it. It's a balancing act which comes with mood swings, especially when other hormones get involved. Many like me have other health conditions not just diabetes so we have two or more slave-drivers to satisfy. It's a constant balancing act, for me. I'm awaiting a major operation to dramatically help my insulin resistance. It cannot come soon enough. It has fantastic results but some abuse its benefits. Which I'm fully aware of and have been told its mind over matter. Carb cravings can take hold if not aware of its addiction. It can be a steamroller down a hill effect. Once again not enough support from the nhs on carb cravings in the other departments. My diabetes team are fantastic. Very very knowledgeable. Now.