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What to do?

kadtoy

Member
Messages
5
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I have been type 2 for the last four years, I started my treatment on Metformine 1 x 250mg
The next year my HBA1C was up at 60 from 45. The dose was raised to 2 x 250mg.
So, to shorten the story, over for years, the HBA1C has risen, from 45 to 60. to 76 to 98 to 100.
My GP just keeps throwing more and more tablets at it, am now on 1000mg Glucophage and 3 x 500 Metformine SR each day.
Last week I had a run in with this doctor and have now demanded to see a consultant.

I have lost over a stone in six months, Permanently dry mouthed and dead tired at all times.

I will take anything up to 8 weeks to see the consultant, any advice?
 
@kadtoy

Hello and welcome to the forum :)

I would suggest that, until you see your consultant, and afterwards, that you look at your diet and reduce the carbs you are eating. This should have a difference on your levels. Ask more questions and members will come along with more advice. Here is the advice we give to new members which should help you.



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 over 140,000 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.
 
Hi Daisy1
Thanks for putting this up for me to ready, really appreciated.
Until I get to see a consultant, I have been changing the way I look at food, I eat mainly good carbs and not processed.
I exercise up to three times a week for 1.5 hours at a time (Karate)
But I really am having issues with controlling this.
I have started a food diary with test results etc. By poor fingers feel like pin cushions.
Thanks for the advice.
 
Hi again. Lots of material from @daisy1 there so have a browse and see if you can understand where your medical history has been taking you. We're diabetics, not doctors, and often the signposts are pointing in different directions and we have to choose which road to follow. Hope you choose this one
 
Welcome to the forum. Hopefully what Daisy 1 has put forward will help.

The thing that stood out for me was you eat 'mainly good carbs'. I find I react no differently to 'good' carbs than to bad whole wheat bread is just as bad as white. it is the quantity of carbs that matters. If possible when you do the food diary make a note of quantities as well as what your have. I manage to keep to about 100g of carbs a day, many here are on a lot less, the NHS guidelines are for about 250g of carbs ( and they will push you to whole wheat options).

All carbs turn to sugar, the difference is in the rate your body can convert them at.
 
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