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Well this has escalated quickly! Now diagnosed as type 2 and starting metformin today!

Discussion in 'Newly Diagnosed' started by Steviechurch74, Apr 10, 2018.

  1. Steviechurch74

    Steviechurch74 Type 2 · Member

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    I've been feeling ill for months and getting worse. Extremely thirsty blurred vision, frequent urination, feeling hung over & dizzy etc... feeling sick barely able to drink anything other than water and an occasional cup of tea.

    About a month ago was told I was borderline with HbA1c of 46 having had an earlier reading of 48. After this I have really behaved myself and not eaten a takeaway or had any fizzy pop or beer for over a month...

    I've eaten healthy fresh cooked meals cutting carbs and switching to wholewheat bread, pasta & brown rice


    I've lost 1 stone 4 pounds

    Despite this I've felt worse than ever and barely able to keep awake and now back at HbA1c 48 and feeling truly shocking.

    I'm now diagnosed as Type 2 and starting metformin and am waiting for the results of a GAD test.

    Am I going to get worse and need insulin??
     
    #1 Steviechurch74, Apr 10, 2018 at 4:06 PM
    Last edited: Apr 10, 2018
  2. sally and james

    sally and james Family member · Well-Known Member

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    There is no need for you to get worse, or to require insulin, but you will have to cut out the bread, pasta and rice. These are all complex carbs, which break down into sugar as soon as you eat them. Do you have a blood glucose meter? Very important to have one at this stage so that you can test yourself immediately before and then two hours after meals to see how different foods affect you. I expect any type of bread would give you a nasty rise. Aim for a rise of 2mmol/L or less.
    I wonder if you have received the Newby info? I'll tag @daisy1 , who will post it on this thread for you.
    Sally
     
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  3. Diakat

    Diakat Type 1 · Moderator
    Staff Member

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    You might require insulin, depends on GAD result. If you are found to be type 1, insulin will keep you alive. If you are type 2 the advice above from Sally will help you avoid injecting and other medication.
     
  4. lindijanice

    lindijanice Type 2 · Well-Known Member

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    Hey @Steviechurch74 don't know if you have been officially welcomed to the Forum, so welcome. Right off the bat, I would encourage you to get rid of the brown carbs - for a person with diabetes they are no better than the white stuff. Look into really really reducing your total carb intake - that is key. It means being intentional in your meal planning, but well worth it. All carbs turn into sugar regardless of color, so I would suggest you start there - see if you can get down to less than 100g/day and go lower if need be. Hopefully you have a meter to test your blood sugars? If not, please get one as that is the only way you will know what foods are best to eat.

    If you are in the UK I think you can get a free one or maybe you Doc will provide? I'm tagging @Rachox as she has some codes that you can use. Hopefully @daisy1 will be along shortly to give you an information packet full of useful info that deserves a good read.

    You will hear it repeated many times on here that diabetes is a marathon not a sprint and that is certainly true. So it may take a bit of time before things get clearer and you are feeling better, but hang in there with us! We will be cheering you on to success:) Blessings/L
     
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  5. Rachox

    Rachox Type 2 (in remission!) · Moderator
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    Hi Stevie. If your diagnosis stays at Type 2 on Metformin you’ll be very lucky if your GP provides testing kit. So here’s some info on kit.
    I wouldn't necessarily obtain a free meter as the ongoing expense of the test strips is actually more important.
    I use the SD Code Free which you can get from Amazon:
    https://smile.amazon.co.uk/Codefree...pID=51iTbplucgL&preST=_SX300_QL70_&dpSrc=srch
    or Home Health:
    https://homehealth-uk.com/product-category/blood-glucose/blood-glucose-test-strips/
    I get supplies of strips and lancets direct from Home Health too using the following discount codes:
    5 packs 264086
    10 packs 975833
    Don't forget to check the box stating you have diabetes and the VAT is deducted
     
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  6. Brunneria

    Brunneria Other · Moderator
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    Hi and welcome @Steviechurch74

    Basically, at this point your doc doesn't yet know whether you are type 1 (will need insulin) or type 2 (can usually be managed with diet, exercise and/or medication). That is what the GAD test is for, to distinguish between the two types.

    So at this stage, until you get those results and know where you stand, I would have a read around the forum, reduce carbs, and think about getting a glucometer to test your blood glucose.

    If you end up Type 1 then you will be supplied with a glucometer, but as said above, most type 2s have to fund their own testing kit in the UK.

    And sorry to say, that brown bread, rice and pasta all release about the same amount of carb into the blood stream as glucose, so while the brown carbs are slower to release, they still push the blood glucose up just as high. Sad but true. I would try cutting your portions of carbs by at least half, and doing some self testing, to see what is happening to your blood glucose, while you wait for the test result.
     
  7. Daibell

    Daibell LADA · Master

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    Just a point. The GAD test alone doesn't always indicate whether you have T1 or not as there are other causes of 'T1' than GAD antibodies and these include viruses and rarer antibodies. A negative GAD doesn't always prove 'not T1' hence the c-peptide can also be useful to show the body's level of insulin and whether insulin needs to be given.
     
  8. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    @Steviechurch74

    Hello Stevie and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you want 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 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.
     
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