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Calling all type 2's

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Yes of course you may ask, I should put it in my profile 🙂 At present I am just controlling BG using diet and exercise, I had a bit of weight to lose but I am now near ideal BMI for my age and height. I did research links on here to find out about Glycemic Index of carbs which is most important and I have been very strict about my food regime, I prefer that word to diet, I still have some slightly high readings but now that my weight is well down I seem to be pretty successful. Read up on testing times, before meals, 2 hours after, waking up etc., you may not like the results at first but better to face up to them now and see just how much you can achieve yourself. I still have to work on bedtime routines to overcome the wake up higher reading (Dawn phenomenon ) and that is where I still test most often to see if I am reducing the effect. Incidentally I found that by concentrating on the diebetic effect of foods and counting calories until I had a good natural instinct for quantites I actually lost weight without focusing on that aspect too much.
The extent to which you can control yourself depends on the level of damage that has already taken place in your natural insulin/glucose/pancreas/ liver system but my GP said that he was ok to give me at least 6 months to work it with diet and exercise before he would consider the meds requirement. Make the comittment, it is worth it from every aspect.

Appreciate above - have bought myself an Accu-check and would appreciate some testing advice. What type of readings should I be looking at. I thought I'll start in the morning before breakfast and then 2hrs later to see if what I'm eating for breakfast is good or bad for me. Do same at lunch time test 2 hours before and then 2 hours after. Want to start off slow because at the moment I'm not really sure I know what I'm doing...and I know I'll panic at first as results are likely to be high. Amanda 🙂
 
There is much advice about timings, I tested just before I began each meal then 2 hours after I started eating it, the food begins to have its effect when you start to eat the meal. If you also test when you first wake you may also find that dawn phenomenon, your body naturally gets sugars going to help you wake up but in diabetics this of course may not then be controlled, actually eating breakfast then controls this.. So don't be dis-heartened if your levels are low before lunch and dinner but higher before breakfast.
After you get the hang of it some also test 1 hour after beginning a meal, level will likely be high but gives a measure of just how well your body can still cope with the real peaks.
Can't emphasise enough that we are all different, some people for instance apparently find they cannot eat any kind of cereal at breakfast but can have a modest bowl in the evening.
The accu check will come with a diary and you can use that as a guide to when you test, it seems a lot but remember that you wont need to carry on doing so frequently once you find out basic foods and meals which "work". At the same time you have to remember that you also need to eat a balance of the essential fibre minerals vitamins etc., there are some very good "diet" apps which help you keep track of the breakdown of your food.

And if I may add once personal piece of advice, try to forget "treat" mentality, it seems tough but I am happier looking forward to the delicious food I can eat rather than pining after those which I have had to put behind me, much safer way to avoid lapses !

check the advice on Diabetes UK for testing times... http://www.diabetes.co.uk/diabetes_care/Diabetes_and_blood_glucose.html
you will also find guideline levels to aim for but it is important to understanding what you are doing or you could end up kidding yourself by taking too many test at low times or vice versa and then depressing yourself if they always seemed too high.

And keep asking questions, everybody on here has different experiences but there will always be many with very similar feelings and frustrations which they have worked through. Take it step by step, I was very confused at first but quickly got the hang of it and it is so very rewarding to see real results.
 
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...check the advice on Diabetes UK for testing times... http://www.diabetes.co.uk/diabetes_care/Diabetes_and_blood_glucose.html
...

Just wanted to point out that diabetes.co.uk is not Diabetes UK - they are http://www.diabetes.org.uk/ - it's a common misconception. Apparently a few years back a commercial company bought up all the possible domain names for all sorts of health conditions, including diabetes, and then sold them on. When I was first diagnosed I thought for quite a while thatthe .co.uk site was DUK! I beleive their forum is run by an ex-employee of DUK.

For testing schedules I'd suggest reading Alan S's 'Test, Review, Adjust':

http://loraldiabetes.blogspot.com/2006/10/test-review-adjust.html
 
I was diagnosed in 2002 and have just been on diet control and so far no medication. I keep pretty much between 4-7 mark and after meals usually stay under max 10. although I know now they say 8.5 after meals but 10 was what I was told all those years ago. Fingers crossed I can stay off any medication for some time. It is hard not eating what I really want to eat and watching everyone else stuff themselves but so far it has paid off.
 
Wow Muddlethru, your words make happy reading. I think you show that it can be done with enough determination and of course the good fortune to have perhaps caught it early. Brilliant stuff.
 
I was diagnosed in 2002 and have just been on diet control and so far no medication. I keep pretty much between 4-7 mark and after meals usually stay under max 10. although I know now they say 8.5 after meals but 10 was what I was told all those years ago. Fingers crossed I can stay off any medication for some time. It is hard not eating what I really want to eat and watching everyone else stuff themselves but so far it has paid off.

You've done brilliantly - I've bought myself a Accu-check tester today and have tested 2 hours after lunch and my reading was 7.1; Can you just explain the 4-7/10 figures. I appreciate everyone is different and I'm trying hard to continue losing weight and doing physical exercise (I haven't been prescribed any medication and nurse told me not to test but I'm with you guys, if you don't check how do you know what you're putting in your mouth is agreeable/not agreeable) - if I can help myself (even if I can become a yummy mummy in the process) more than I'm up for any tips; suggestions etc... Do you follow a certain diet? Amanda🙂
 
Steffie. I'm sorry to hear about the poor treatment/advice you experienced at diagnosis; you're always such a help to everyone it seems unfair that you couldn't get the help you needed. You seem to be coping very well now so that's encouraging.

Mcdonagh47. My last three HbA1c's were 5.9 5.9 5.8. Testing after 2 hours roughly between 6 and 8.5 so that possibly could be improved upon. I was diagnosed almost two years ago so thought I was managing fairly well.

Thanks to all who responded to my post.
 
Hi Andy, how have you managed this? Be interested to know what your eating plan is like? Amanda 🙂

Sorry Amanda, I wasn't ignoring you. I've been away most of today and also missed your reply anyway.

I suspect my eating plan may not be suitable for you because I believe that my pancreas is still pumping out a reasonable amount of insulin. My problem was that I wasn't using it properly due to being overweight (otherwise known as insulin resistance).

Since diagnosis, I'd lost around 50lbs and this means I can be a little more relaxed with the level of carbs I eat without it impacting my levels too much.

Typically I have porage for breakfast (the recommended serving on the packet) plus a banana. From what other people have said on this forum I know that both of those can cause some peoples levels to go haywire, but it doesn't for me (more often than not I'm back in the 4's within 2hrs ... I seem to be very insulin sensitive in the mornings ... but that is just a hunch).

Lunch varies between a bowl of soup and 2 slices of granary bread, half a can of beans on 2 slices of granary toast or grilled mackerel in tomato sauce on toast (yep, 2 slices of granary). Plus an apple.

Evening meal varies greatly but usually consists of some variety of meat or quorn concoction plus 3 small new potatoes and assorted veg. Plus 1 or 2 clementines (2 if they're particularly small).

Of course this is the 'perfect' day and I sometimes don't keep to the plan! 🙂

p.s. This is also my 'weight loss' diet because I'm still angling to lose another stone ... some time!
 
Andy

Were they higher than that when you were first diagnosed? If not how long til you got them at that level and what else did you do (e.g. weight loss, exercise, diet)? I'm new to this and working hard to keep my BG under control following diagnosis of Prediabetes.

Katie

Straight out of hospital I was still in double figures after meals, but that was more because I was still eating pre-diagnosis portions (14.3, 12.4 and 10.9) but then it quickly settled into 8's and 9's pretty regularly with the odd major blip when I still ate something that I reacted badly to (like bowls of fruit and fibre cereal).

It looks like I started hitting the better levels around 3months later and that's when I ditched the metformin.

I did start the exercise the moment I left hospital and have kept it up ever since. I mainly concentrated on brisk walking (started slowly at first because I often kept getting false hypo symptoms), but now I can maintain a good 4mph pace for 60-90mins.

I also threw in the odd rowing machine sessions (again built up slowly up to my current maximum of 10km taking around 37mins).

So, the levels I get now are probably due to the mix of exercise, diet and weight loss. They all played their part.

Andy 🙂
 
I was diagnosed in the january, immediately put on metformin then met plus glic then off glic then background levemir within 3 months and 18 months later im on novorapid too.

Ive sort of played with the medication myself a bit but I cannot come off the novorapid.

I reduced my carb intake for this purpose and failed to control my bs by diet alone.

Ive been a 3 times a week at the gym girl since last september and although ive toned up really well and feel lots better, my bs was still high as I didnt have enough insulin to maintain the excercise.

Novorapid is my best friend and I realise that there is nothing I could have done to prevent this and I accept that this is a way of life.
 
Straight out of hospital I was still in double figures after meals, but that was more because I was still eating pre-diagnosis portions (14.3, 12.4 and 10.9) but then it quickly settled into 8's and 9's pretty regularly with the odd major blip when I still ate something that I reacted badly to (like bowls of fruit and fibre cereal).

It looks like I started hitting the better levels around 3months later and that's when I ditched the metformin.

I did start the exercise the moment I left hospital and have kept it up ever since. I mainly concentrated on brisk walking (started slowly at first because I often kept getting false hypo symptoms), but now I can maintain a good 4mph pace for 60-90mins.

I also threw in the odd rowing machine sessions (again built up slowly up to my current maximum of 10km taking around 37mins).

So, the levels I get now are probably due to the mix of exercise, diet and weight loss. They all played their part.

Andy 🙂

I've also started losing weight - I've lost 21 1b since 1st July and walk 10-11,000 steps per day (I've taken up the courage to learn to swim......); once I feel its achievable I'm going to do 30mins on the cross-trainer as well. I just took my first morning test and was a 5 (don't know if this is good/bad); I know what I'm doing may not stop me having to go onto medication/insulin but I'm determined to give myself a fighting chance. You're an inspiration 🙂
 
I've also started losing weight - I've lost 21 1b since 1st July and walk 10-11,000 steps per day (I've taken up the courage to learn to swim......); once I feel its achievable I'm going to do 30mins on the cross-trainer as well. I just took my first morning test and was a 5 (don't know if this is good/bad); I know what I'm doing may not stop me having to go onto medication/insulin but I'm determined to give myself a fighting chance. You're an inspiration 🙂

I think a 5 on waking is very good. I'd certainly be very satisfied with that.

Well done on your weight loss and I think that you're an inspiration too with your determination and progress!

Andy 🙂
 
Straight out of hospital I was still in double figures after meals, but that was more because I was still eating pre-diagnosis portions (14.3, 12.4 and 10.9) but then it quickly settled into 8's and 9's pretty regularly with the odd major blip when I still ate something that I reacted badly to (like bowls of fruit and fibre cereal).

It looks like I started hitting the better levels around 3months later and that's when I ditched the metformin.

I did start the exercise the moment I left hospital and have kept it up ever since. I mainly concentrated on brisk walking (started slowly at first because I often kept getting false hypo symptoms), but now I can maintain a good 4mph pace for 60-90mins.

I also threw in the odd rowing machine sessions (again built up slowly up to my current maximum of 10km taking around 37mins).

So, the levels I get now are probably due to the mix of exercise, diet and weight loss. They all played their part.

Andy 🙂

Wow Andy you've done really well!! Because I'm prediabetic, I too am producing more insulin than a diabetic I guess and also like you I have some weight to lose (have lost 21 pounds since diagnosis in May with another 28 to go!). I need to step up the exercise a bit more (I have started to run (ish!) ie. walk a lot/run a little/walk a lot etc!!). I also walk the dogs half an hour twice a day, but I need to include more hills! I am also getting my head round testing to see what I can/cannot tolerate so well. Reading your post strikes a real chord with me and you have given me faith that I can do this!🙂 Katie
 
Wow Andy you've done really well!! Because I'm prediabetic, I too am producing more insulin than a diabetic I guess and also like you I have some weight to lose (have lost 21 pounds since diagnosis in May with another 28 to go!). I need to step up the exercise a bit more (I have started to run (ish!) ie. walk a lot/run a little/walk a lot etc!!). I also walk the dogs half an hour twice a day, but I need to include more hills! I am also getting my head round testing to see what I can/cannot tolerate so well. Reading your post strikes a real chord with me and you have given me faith that I can do this!🙂 Katie

I'm in danger of turning this into a mutual appreciation society! :D

Like Newtothis, I think you've done a lot better than I had, so I am very impressed. 🙂

There will be times when the progress slows or even reverses though. The thing is not to fall to the temptation of giving up. For me, just thinking about how rubbish I felt is incentive enough to get back on track (which is where I am now after a 'naughty but fun' period!).

Good luck (not that you need it, I think).

Andy
 
My waking up was 5. 2hrs after breakfast porridge oats (yuk); cup of tea (drop of milk/no sugar) 7.2. Is this good? I'm going to try weetabix tomorrow because the oats were disgusting....
 
My waking up was 5. 2hrs after breakfast porridge oats (yuk); cup of tea (drop of milk/no sugar) 7.2. Is this good? I'm going to try weetabix tomorrow because the oats were disgusting....

Hi Amanda. Your waking BG is brill at 5! Mine has never gone below 6.2! I'd love to know how to get this down! I understand the dawn phenomenon (ie body releases a surge in glucose early morning to prepare you for waking up). I'm just hoping with the weight loss/exercise this will improve. I love my porridge and blueberries in the morning. Used to always have weetabix but have found this pushes my BG higher than porridge. At weekends I opt for scrambled eggs, egg and bacon or, if feeling decadent, smoked salmon and scrambled eggs!! Yum!!:D Katiexx
 
I was doing diet and exercise for three months but had to go on metformin which I had to keep upping until I was on 2000mg a day.I lost three stone in 18 months but it still wasn't enough and then went straight onto levemir and novorapid for all meals.
 
I was diagnosed type 2 3yrs ago and still not on any medication....i have managed to keep things under control with diet and exercise. I was nearly 10stone but have managed to get to just under 9stone and have stayed the same for 2yrs. My next review is in December.I don't do any testing at the moment!!!!
 
Evedan,

That's brilliant and very encouraging to hear. We're all different and sadly some people need help sooner than others but three years is great.

Jill
 
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