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Newbies

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Kazzer

New Member
Relationship to Diabetes
Type 2
Hi I’m new to this, I have type 2 diabetes I got diagnosed with it 2 yrs ago I had my first review last week and it turn out to be a nightmare, I need to get my sugar level down as it’s still high, I thought I was doing ok but with the lockdown last year it didn’t help, I now have to change my diet and lose some weight as well, need a bit help here as I’m pretty much new to this I’m finding it quite hard as well..
 
Welcome to the forum @Kazzer, there's loads of help here. 🙂
 
Hi @Kazzer and welcome to the for um from me. Have a read around the forum and check out the learning zone on the orange tab near the top of the page. Above all, just ask questions. No question is considered too silly and there is always somebody around to give you ideas. Do you know what your HbA1c was at your review? Thats the test result that tells you where you are in the diabetes spectrum and is a good indicator of how big (or little) a hill you have to climb.
 
Hi @Kazzer and welcome to the for um from me. Have a read around the forum and check out the learning zone on the orange tab near the top of the page. Above all, just ask questions. No question is considered too silly and there is always somebody around to give you ideas. Do you know what your HbA1c was at your review? Thats the test result that tells you where you are in the diabetes spectrum and is a good indicator of how big (or little) a hill you have to climb.
Hiya I have no idea what my HbA1c is they didn’t tell me waiting to see the diabetic nurse hopefully they will tell me.
 
Sorry to hear about your diagnosis @Kazzer, but glad you have found the forum 🙂

Yes the lockdown has been tricky for lots of members. But it can also be an opportunity to give your diabetes a bit more time and attention in an environment you control.

If you would like a good overview of T2 diabetes, to add to the knowledge you’ve already picked up, you might want to register for an account with the Learning Zone (the orange tab in the main menu) which is packed full of informative bite-sized modules. Additionally, for a more personal take, members here frequently recommend Maggie Davey’s Letter to the Newly Diagnosed and Gretchen Becker’s book T2 Diabetes, the first year, which you can work through gradually and will give you a solid starting point.

One of the biggest questions when trying to get to grips with your diabetes is often ‘what can I eat’ and while there are obvious things like cakes, biscuits, sweets and sugary drinks that you will want to cut out straight away, you might be surprised how much *all* carbohydrate affects your BG levels, including rice, pasta, potatoes, bread, pastry, grains, cereals and many fruits.

Many new members find it can be really helpful to keep a brutally honest food diary for a week or two. Note down everything you eat and drink, along with a reasonable estimate of the total carbohydrate content in your meals and snacks - it doesn’t have to be gram-perfect, the nearest 5-10g is fine. It might sound like a bit of a faff, and will involve weighing portions, squinting at the fine print on packaging, and possibly looking up things on the internet, but it will give you a really good idea of which foods are the main sources of carbs in your menu. Once you can see which meals or snacks are your ‘big hitters’, and where carbs might be unexpectedly lurking, the process might also suggest some likely candidates for swaps, portion reductions, or using lower carb alternatives (eg celeriac or swede mash, or cauli ‘rice’).

The really tricky thing is that blood glucose responses to various foods are highly individual, and it can be impossible to say which types and amounts of carbohydrate will ‘spike’ your BG without checking for yourself.

You can use a BG meter, taking a reading before and again 2hrs after eating, to see what the differences are, to identify any carbs that seem to be spiking BG (initially in a way the numbers themselves matter less than the differences between them). Ideally you would want to see a rise of no more than 2-3mmol/L at the 2hr mark. Once you can see how you respond to different meals you can begin experimenting with reducing portion sizes of the carbs where you see bigger rises. You might find that you are particularly sensitive to carbohydrate from one source (eg bread), but have more liberty with others (eg oats or basmati rice) - It’s all very individual! You might even find that just having things at a different time of day makes a difference - with breakfast time being the trickiest.

Over weeks and months of experimentation you can gradually tweak and tailor your menu to find one that suits your tastebuds, your waistline, your budget and your BG levels - and a way of eating that is flexible enough to be sustainable long-term. 🙂

If you are interested in this approach you may find test-review-adjust by Alan S a helpful framework.

If you need to self fund your BG meter, the most affordable and reliable meters members here have found are the SD Gluco Navii, the Spirit Tee2, or the Contour Blue - which all have test strips at around £10 for 50. Some other brands can be 3x that much!

When it comes to managing your diabetes, it’s best to make changes to your menu and activity levels gradually - partly because they need to be sustainable long term, but also because very rapid and sudden changes to blood glucose levels are harder on the fine blood vessels, and changing things more gently will give your body time to adapt.

Diabetes is a serious condition, but it’s also one that can usually be managed well with a few changes and adaptations - it’s something that you can learn to live well with, and it shouldn’t stop you doing things you enjoy. Try not to be disheartened about your diagnosis, many people on the forum later reflect that their diagnosis became a catalyst which prompted them to make positive changes towards a healthier and more active life. Perhaps changes that they had been intending to make for years.

Often you don’t realise how weary, worn down and lethargic you have been feeling. Erratic and elevated blood glucose levels can be exhausting and are linked with low mood, but this may have come on quite gradually. Making a few positive changes can give you more energy, a clearer mind, and a brighter outlook. Plus the regular checks you get after a diagnosis with diabetes mean that any potential problems may be spotted earlier, and can be sorted out sooner.

For a bit more background information, the ‘useful links’ thread is a mine of helpful information - useful-links-for-people-new-to-diabetes

Good luck, and keep asking questions!
 
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Hiya I have no idea what my HbA1c is they didn’t tell me waiting to see the diabetic nurse hopefully they will tell me.
No problem, just ask for the number when you see the diabetics nurse. It will be over 48 if you have been given a T2 diagnosis and could be anything up to 100+. The higher the number, the more you have to focus on getting it down. Many of us on here have been unhealthily high and got it back down, so no need to panic. Getting things under control is doable!
 
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