Hi all

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Ray Parsons

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Relationship to Diabetes
Type 2
I am newly diagnosed with type 2 diabetes, I am 43 years of age and cannot reduce my sugar levels I have changed my diet completely, the only thing is that I have been drinking 4-6 litres of volvic flavoured water my lowest reading is 13.8 can somebody please advise as I am taking 10mg of Empagliflozin tablets as well
 
Hi Ray

When you say you've changed your diet - whose advice did you follow, and how have you changed it? Trouble is even the NHS give very doubtful advice quite often - eg low fat everything and carbohydrates at every single meal.

I wonder why you weren't prescribed Metformin first, it is the normal first line defence for Type 2. Did your GP explain why?
 
Sorry if this is obvious, but are you drinking the Volvic sugar free flavoured water? Some of the Volvic flavours have around 11g sugar per serving, which most people on here would consider quite high.
 
My diet in fairness was shocking, cutting out fats and refined sugar and going onto low fat spreads increasing in protein. My diabetes nurse gave me a leaflet about my diet which was something from the 60s they did try Metformin but I also have IBS and they destroyed my stomach, o am slightly stuck as the information has been a bit sketchy only what I have picked up from the net. I even had to buy my own blood/sugar reading machine
 
Well obviously you have got to accommodate your IBS so you are obviously the expert on that, not me - but since it is proven that eating fat does not increase serum cholesterol and therefore has little if any effect on heart disease/hardening of the arteries, the fact that the NHS clings so tenaciously to recommending low fat diets to all and sundry completely baffles me!

The thing - almost the only thing - that we eat which increases our BG is carbohydrates. End of story! It doesn't matter where they come from really - sugar is merely another carb but because it is near enough 100% carb, it's obviously the first thing to try and cut down on wherever we can - and sugar in teas and coffees is obviously the first port of call. The next thing to look at reducing is 'starchy' carb - so that's anything containing wheat flour for starters (bread, pastry, thickeners for sauces, cake, biscuits) and pasta. Then we have potatoes and also rice. plus root veg - cos parsnips are also ridiculously high carb, and then others such as carrots and swede have a bit less. Then fruit - some of that is ridiculously high in fructose, especially eg oranges - the fibre in them hardly slows the rate of absorption of their carb down at all - hence why 'pure' orange juice is such a popular and effective worldwide hypo treatment choice for insulin users!

Dietary fat is very useful to diabetics, especially those who have a decent supply of their own insulin - because fat eaten with carb (so butter on the bread, cheese on the pasta, etc) slows down the rate at which the carb is absorbed by the body thus giving the 'slowed down' ability of the body to produce the insulin and deal properly with the carbs, more time to do it in.

You may well not have to cut everything out by gradually testing foods, testing BG before and after eating, to find out how much of what, your innards can cope with - see http://loraldiabetes.blogspot.co.uk/2006/10/test-review-adjust.html for how to go about this methodically.

Good luck with it - you'll get there!
 
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