Who, me?

Wudge said:

So, I hit 50 (or perhaps I should say 50 hit me) and I feel fine. Then one day the world went black and I wake up in casualty with a broken jaw and a nice lady telling me not to worry, I'd just fallen over due to a hypo. After several stitches and umpty 'don't be silly I'm not diabetic' I am presented with the evidence. Bit of a shock. No symptoms. No weight loss, no insatiable thirst, no inkling. So here I am. All advice welcomed.

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Eh?

Diabetes is condition of elevated blood glucose. I would have thought it very unusual for an undiagnosed diabetic to present with low blood glucose. When diabetics get hypos, it's usually due to the medication they take (either insulin or something that promotes insulin production).

I'm not a Doctor, but that sounds like something other than diabetes. Reactive Hypoglycemia or something:
http://en.wikipedia.org/wiki/Reactive_hypoglycemia

Make sure that they don't fob you off with a dodgy diagnosis.

Hello Wudge and welcome.

A hypo is caused by having too low blood sugars. As an undiagnosed diabetic your levels should have been high not low. As borofergie says in the overwhelming majority of cases being T2 makes you no more likely of hypoing than anyone else so get the diagnosis checked out. Its insulin injections and strong diabetic medication that can cause hypos not the condition itself. If you have been correctly diagnosed as Type 2 then losing weight is not an indicator as that's for Type 1 but insatiable thirst can be as is getting up in the night to pee. If they've put you on a medication called Metformin then again that is not a hypo inducing drug in the vast majority of cases and is why you wont need to report your condition to the DVLA.

Anyway here's what I did. I was diagnosed in December last year and using the advice I found on this site I got my blood sugar levels back to normal within around a couple of months or so and I have also normalised my cholesterol levels and blood pressure as well. I have now lost over 3 stone in weight too. My doctor is very pleased how I am getting on and has advised me to keep doing what I have been doing since it's obviously working really well. I have normalised everything and just take Metformin to help a bit. Not a cure as I still have to be very careful what I eat but I feel loads better than I did.

Diet wise its really easy. Just drastically cut down or better cut out all things with plain sugar, so biscuits, cakes, sugar in tea and coffee, pure fruit juices, non diet versions of soft drinks. Next and really importantly try halving starchy foods like rice, pasta, potatoes, bread, cereals and any other flour based products. Replace what's now missing with extra meat, fish, eggs, cheese and especially vegetables. Vegetables that grow above ground are best although most of us find carrots fine. Things like yoghurt are fine as is a small amount of fresh fruit. I find the ones that end in "berry" are the best. If you don't mind artificial sweeteners things like Diet Coke are fine to drink. On the starchy foods that are left swap try brown basmati rice instead of white and brown or tri-colour pasta. The bread that most recommend is actually Bergen soya bread but some do ok with wholemeal as well.

The above diet is close to one you would be one recommended to try by the Swedish Health service. It was introduced in that country last year and the American health service and several other countries health services recommend something very similar for Type 2 diabetics. In the UK the diet guidelines are now over 30 years old and are only gradually being updated. As the UK is lagging behind you may find what I and other forum members recommend is different to what your are told is a good diet for you follow.

Did your doctor give you a blood meter and strips as some do and some don't? It's a bit of a post code lottery and we find the progressive surgeries are pro testing and others anti. I'll warn you the anti ones can sometimes be very vocally anti! If you find your surgery is really anti then many of us would recommend getting a meter and strips yourself. If that turns out to be the case then just ask and lots of members can help.

The reason testing is important is you should try and keep your blood sugars below 8ish two hours after eating any meal. Above the 8 value is where the dangers of complications do begin to occur according to diabetic experts. So if you can't test how will you now if what you are eating is keeping you safe? The problem is every diabetic is different so my earlier advice to halve starchy foods is just a rough guide. You may find you need to eat less than half (like me) or that you can eat more than half like others.

As you get into it all and read around the forum you may see people talking about carb counting. If you want to understand what that is just ask. It is a powerful weapon that a diabetic can use to control their condition and one that many of us use to great effect.

Good luck and keep asking questions.

Regards

Steve

PS Here's two good links about what's good to eat.

First is the lady doctor who's low carb / low GI recommendations seem to form the basis of what's recommended in Sweden

http://blogg.passagen.se/dahlqvistannika/?anchor=my_lowcarb_dietary_programe_in

Second is a good beginners guide to low carb regimes that are excellent for reducing blood sugar levels and losing weight.

http://www.dietdoctor.com/lchf

Hi there and welcome to Diabetes.co.uk

We hope you find all the advice you need and share any tips you have with our other members.

Enjoy your stay!

Hi Wudge and welcome to the forum
Here is some information that should be useful to you if maybe you have diabetes. Even if you haven't, this is good advice to follow. Ask all the questions you like and someone will answer.

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 30,000 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 ... rains.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 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.
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Please sign our e-petition for free testing for all type 2's; here's the link:
http://www.diabetes.co.uk/petition/

Do get your friends and colleagues to sign as well.

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Dear xyzzy,

Sorry to contradict you but sudden weight loss is an indicator of Type 2 - I know, it happened to me.

Regards,

Rob

Same for me.
It isn't ALWAYS a symptom but if you do get it, then it is a strong indicator.

Cheers

LGC

Thankyou LGC,

I dropped from 14 stone to 12.5 in 1/2 months without any change of diet (a dieter's dream eh?) - then went to the doctor's with shortness of breath after exertion - the resultant blook test - explained everything.

Rob

Hello Wudge and welcome.

Welcome wudge. Agree totally with what others said about hypos:-
"

borofergie said:

Eh?
Diabetes is condition of elevated blood glucose. I would have thought it very unusual for an undiagnosed diabetic to present with low blood glucose. When diabetics get hypos, it's usually due to the medication they take (either insulin or something that promotes insulin production).

Click to expand...

Regarding weight loss, this is normally a sign of lack of insulin in a diabetic, which is why it's normally associated with type 1s rather than type 2s as type 2s normally produce enough insulin that this doesn't occur.

The key however is just to get your blood sugars under control. Reduce the carbs as others have said and see the results.
Good luck

As a couple of others have already said. It's not diabetes that causes hypos, but the treatment. So ask to see the doctor who made the diagnosis again and get an explanation.
High blood glucose sufficient to cause you to pass out and hurt yourself would not be symptom free. Something else is happening.
Hana