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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
I've two hours after eating for testing a lot. I get a higher peak at 1 hour on a lot of food. Test before as well. That way you can see any changes.

Courses:
There's Desmond course too. Where you are dictates what you get. Some areas have there own provision, instead of either Desmond or Expert.
Nice quidlines say you should be offered something, mentioning things like skills and knowledge to manage your diabetes.

[Edit]. That is: I've heard two hours a lot.
[Edit] *sighs* I'm blaming autocorrect. The Expert course refered to above should be Xpert I believe
 
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Lesley - it is ALL carbohydrates which increase our blood glucose - not only the sweet tasting ones - sugar itself is merely another carbohydrate. Hence sugar (and fruit of course has sugar in it in the form of fructose - but your body couldn't care less what type of sugar it is - it still increases your BG) flour (so anything containing flour eg pastry bread cake etc) rice (whether long, medium or long grain) potatoes (every single type) - are the first list of things to cut down on, cos they contain the highest proportion of carbohydrate.

You'll probably see stuff telling you oh bread's OK and so is rice, as long as you eat brown bread and brown rice. Well is isn't necessarily so at all, it's not that simple unfortunately! How much of each thing that each of us can manage to eat - will be different - and the absolutely only way to discover what's good or bad for YOU personally to eat - will be your meter results gleaned from testing before and after you eat X amount of that thing and seeing what happens.

Years ago there was an advert for eggs on TV - the slogan was 'Go to work on an egg' - and it's still true - you'll have more energy and remain feeling full for far far longer after eating an egg than from eating a bowl of cereal (whatever cereal it is, including porridge) or toast for your brekkie. The same applies to any protein, at any time of day. (fish, meat, eggs, cheese - there's also protein in 'legumes' like peas and beans BUT they also have carb in them, so care is needed)

Butter on the toast does slow down it's digestion and thus the speed at which the carb reaches your bloodstream (by which time the body has converted it to glucose) and that's the same thing with 'brown' varieties of flour, rice etc. It just slows it down so the release of that carb/glucose doesn't happen so quickly which helps somewhat for anyone still producing their own insulin, which you should be at this stage. However you would still most likely have to cut down the actual amount of it, since the carbohydrate is still there - it hasn't magically disappeared by just keeping its overcoat on! (a bit like a toddler pretending not to be there - by hiding under the bedclothes LOL)

So protein won't affect your BG and neither will fats or green veg inc cauliflower - whatever you have with them is a matter of choice and testing.

Good luck!
 
Mark T said:
That would be nice! When I asked my surgery and the Diabetes Centre at Broomfield there were not any courses. Possibly that might have changed in the last 4 years but I wouldn't hold my breath!

Lesley to give you some positives you are doing the right thing with testing. It took me a few months to build up enough measurements to know what was good and what is bad. So don't get too wound up about everything right now (because stress sends your numbers higher!).

Personally I think you GP is wrong, as the NICE criteria actually says to go straight to medication if your numbers are high. But GP's are not specialists, so you can't expect them to know the guidelines inside and out.
Click to expand...
That's what I thought because the day she diagnosed me I was very high 25.5 she told me to come back to her at the end of January then she will decide whether to put me on meds
 
Lilian said:
It might be helpful to get a book giving carb count. There is one Carbs & Cals and they have an app called the same for a smart phone if you have one. For example a small steak pie (244g) is about 53g carbs and 75g chips is 30g so about 80g carbs. If you had had say a quarter of a large chicken including the skin, with the salad and some real mayonnaise your carbs would have been negligible and you would have felt just as full and for longer, but your blood glucose would not have risen anywhere near and would have recovered quicker. I do agree with Mark though, I am wondering why they have not given you any medication to help at all. However when my husband was diagnosed a few years ago they did not give him any medication, he went on low carb diet, cut out bread, potatoes etc. brought his blood sugar down and has had no problem since. Still on no medication but able to eat a pie now and again, and a bit of cake occasionally, without his HbA1c rising. In fact we think he is no longer diabetic.
Click to expand...
That is good news with your husband...I am of all potatoes now and rice and pasta...wholemeal bread seems to be ok for me.
 
trophywench said:
Lesley - it is ALL carbohydrates which increase our blood glucose - not only the sweet tasting ones - sugar itself is merely another carbohydrate. Hence sugar (and fruit of course has sugar in it in the form of fructose - but your body couldn't care less what type of sugar it is - it still increases your BG) flour (so anything containing flour eg pastry bread cake etc) rice (whether long, medium or long grain) potatoes (every single type) - are the first list of things to cut down on, cos they contain the highest proportion of carbohydrate.

You'll probably see stuff telling you oh bread's OK and so is rice, as long as you eat brown bread and brown rice. Well is isn't necessarily so at all, it's not that simple unfortunately! How much of each thing that each of us can manage to eat - will be different - and the absolutely only way to discover what's good or bad for YOU personally to eat - will be your meter results gleaned from testing before and after you eat X amount of that thing and seeing what happens.

Years ago there was an advert for eggs on TV - the slogan was 'Go to work on an egg' - and it's still true - you'll have more energy and remain feeling full for far far longer after eating an egg than from eating a bowl of cereal (whatever cereal it is, including porridge) or toast for your brekkie. The same applies to any protein, at any time of day. (fish, meat, eggs, cheese - there's also protein in 'legumes' like peas and beans BUT they also have carb in them, so care is needed)

Butter on the toast does slow down it's digestion and thus the speed at which the carb reaches your bloodstream (by which time the body has converted it to glucose) and that's the same thing with 'brown' varieties of flour, rice etc. It just slows it down so the release of that carb/glucose doesn't happen so quickly which helps somewhat for anyone still producing their own insulin, which you should be at this stage. However you would still most likely have to cut down the actual amount of it, since the carbohydrate is still there - it hasn't magically disappeared by just keeping its overcoat on! (a bit like a toddler pretending not to be there - by hiding under the bedclothes LOL)

So protein won't affect your BG and neither will fats or green veg inc cauliflower - whatever you have with them is a matter of choice and testing.

Good luc
Click to expand...
trophywench said:
Lesley - it is ALL carbohydrates which increase our blood glucose - not only the sweet tasting ones - sugar itself is merely another carbohydrate. Hence sugar (and fruit of course has sugar in it in the form of fructose - but your body couldn't care less what type of sugar it is - it still increases your BG) flour (so anything containing flour eg pastry bread cake etc) rice (whether long, medium or long grain) potatoes (every single type) - are the first list of things to cut down on, cos they contain the highest proportion of carbohydrate.

You'll probably see stuff telling you oh bread's OK and so is rice, as long as you eat brown bread and brown rice. Well is isn't necessarily so at all, it's not that simple unfortunately! How much of each thing that each of us can manage to eat - will be different - and the absolutely only way to discover what's good or bad for YOU personally to eat - will be your meter results gleaned from testing before and after you eat X amount of that thing and seeing what happens.

Years ago there was an advert for eggs on TV - the slogan was 'Go to work on an egg' - and it's still true - you'll have more energy and remain feeling full for far far longer after eating an egg than from eating a bowl of cereal (whatever cereal it is, including porridge) or toast for your brekkie. The same applies to any protein, at any time of day. (fish, meat, eggs, cheese - there's also protein in 'legumes' like peas and beans BUT they also have carb in them, so care is needed)

Butter on the toast does slow down it's digestion and thus the speed at which the carb reaches your bloodstream (by which time the body has converted it to glucose) and that's the same thing with 'brown' varieties of flour, rice etc. It just slows it down so the release of that carb/glucose doesn't happen so quickly which helps somewhat for anyone still producing their own insulin, which you should be at this stage. However you would still most likely have to cut down the actual amount of it, since the carbohydrate is still there - it hasn't magically disappeared by just keeping its overcoat on! (a bit like a toddler pretending not to be there - by hiding under the bedclothes LOL)

So protein won't affect your BG and neither will fats or green veg inc cauliflower - whatever you have with them is a matter of choice and testing.

Good luck!
Click to expand...
thank you....I am eating more salad and veg now and cut out potatoes all together and testing a lot more food now..I'm on a mission I will do this.
 
Mark T said:
That would be nice! When I asked my surgery and the Diabetes Centre at Broomfield there were not any courses. Possibly that might have changed in the last 4 years but I wouldn't hold my breath!

Lesley to give you some positives you are doing the right thing with testing. It took me a few months to build up enough measurements to know what was good and what is bad. So don't get too wound up about everything right now (because stress sends your numbers higher!).

Personally I think you GP is wrong, as the NICE criteria actually says to go straight to medication if your numbers are high. But GP's are not specialists, so you can't expect them to know the guidelines inside and out.
Click to expand...
Thank you mark
 
Lesley - you can refer yourself it seems.

How can I access your service?
Referral process
You can refer yourself or be referred by a healthcare professional, such as your GP, using the contact details below.

Where and when
Our programmes are run throughout the Mid Essex area.

Appointments must be booked.

You must be registered before you’re offered a place on the course.

How do I contact your service?
Call us on: 01621 727354.

Write to us at: Expert Patient Programme, Healthy Living Department, St Peter’s Hospital, Spital Road, Maldon CM9 6EG.

I suggest you have them a phone call. Good luck.
 
Lilian said:
Write to us at: Expert Patient Programme,
Click to expand...
I'm sorry, I thought we were talking about a course for diabetes. I've asked and I don't know of EPP being involved in doing that.
I've done EPP and it wasn't anything to do with diabetes.
 
We run free courses to help you take control of your long-term health condition.

What does your service do?
We run programmes across Mid Essex for people with chronic conditions such as:

  • Arthritis
  • MS (multiple sclerosis)
  • ME (myalgic encephalomyelitis)
  • COPD (chronic obstructive pulmonary disease)
  • Diabetes
  • Asthma
  • Parkinson’s
  • Depression
 
Did you say that your blood glucose was 25 when tested ? Mine was 26 and I was admitted to hospital and put on a drip all night to bring it down. I am now on metformin and gliclazide and these plus diet have got my levels down to average of 7." if I was you I would go back to the doctor for another consultation x
 
I am making an appointment on Monday Dr hasn't give me any meds was told to wait till the end of January then she will decide and yes I was 25.5 when she tested me
 
Good luck love x let us know how you get on x
 
Lilian said:
We run free courses to help you take control of your long-term health condition.
What does your service do?
We run programmes across Mid Essex for people with chronic conditions such as:
  • Arthritis
  • MS (multiple sclerosis)
  • ME (myalgic encephalomyelitis)
  • COPD (chronic obstructive pulmonary disease)
  • Diabetes
  • Asthma
  • Parkinson’s
  • Depression
Click to expand...

Is that from here: http://www.provide.org.uk/expert-patient-programme/. Unfortuneatly it doesn't give any information.
That page mentions Challenging-pain workshops and Looking-after-me courses. The other, main 'course' is the Self Management Course (Expert Patient Programme). Non of these are to do with diabetes, nor cover it. People with diabetes get to go on them, as opposed to them being for or about diabetes. The one I went on had a couple of despressed people, a couple of diabetics, heart patients and a couple of other conditions.
 
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Ralph-YK said:
Is that from here: http://www.provide.org.uk/expert-patient-programme/. Unfortuneatly it doesn't give any information.
That page mentions Challenging-pain workshops and Looking-after-me courses. The other, main 'course' is the Self Management Course (Expert Patient Programme). Non of these are to do with diabetes, nor cover it. People with diabetes get to go on them, as opposed to them being for or about diabetes. The one I went on had a couple of despressed people, a couple of diabetics, heart patients and a couple of other conditions.
Click to expand...

I went on an Expert course that was purely for diabetics. I guess the best thing is for Lesley to telephone them. The one I went on actually took us round a local supermarket to show us how to pick the right foods, what to look for on the labels, what consisted of high carbs, what oils are best etc. We had a session of playing food games, one showing exactly what diabetes is all about etc. One evening a week for six weeks. Some are in the day for people who cannot get out in the evening.
 
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