Hi, I’m new here and could use a little advice

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Mrs_C

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Relationship to Diabetes
Type 2
Hi there

So, I’ve previously had gestational diabetes twice and was always told I was at higher risk of type 2 as a result. My last blood test was late 2022 and was in the pre diabetic range. I, unfortunately have been my own worst enemy in that I have not made the changes I should have done. As a result my blood test from last week was 56 and shows as me now being in the type 2 diabetic range.

I actually have an appointment with my GP tomorrow following why I actually got the bloods done in the first place

So what I want to ask
1) what might the doctor suggest is next? Is it a straight to metformin type scenario?
2) is type 2 anything like gestational as i have a lot of information on the diet choices etc
3) can this be reversed?

Many thanks in advance
 
Hi mrs C ,
welcome aboard ,your GP might put you on metformin or wait a bit to see if your levels come down u can ask for a review in 3 months if u want to try to get it down yourself through looking at diet and exercise , i thought i ate pretty healthy when i was diagnosed but sometimes its things like hidden carbs and the hidden sugars in food that can mess with blood sugar levels . I would say its very possible to reverse it to a more manageable level do u have the carbs n Cals book ?
I don't know much about gestational diabetes so cannot comment but i would imagine the same applies healthy eating and watching carbs etc.
 
Hi mrs C ,
welcome aboard ,your GP might put you on metformin or wait a bit to see if your levels come down u can ask for a review in 3 months if u want to try to get it down yourself through looking at diet and exercise , i thought i ate pretty healthy when i was diagnosed but sometimes its things like hidden carbs and the hidden sugars in food that can mess with blood sugar levels . I would say its very possible to reverse it to a more manageable level do u have the carbs n Cals book ?
I don't know much about gestational diabetes so cannot comment but i would imagine the same applies healthy eating and watching carbs etc.
Thank you, I don’t have the book, I’ll take a look.

I do eat a lot of carb rich foods especially pasta which is downfall of mine.

That’s a good suggestion I may ask my GP of she would consider a 3 month review period

Can I ask please in your signature it says 48, 49, 41 as your figures, how have you managed to get these down? Do they still consider you to be diabetic?
 
for me personally i suggest picking up a blood glucose meter they are pretty inexpensive and u can check your levels anytime u want i'e before and after meals etc , and see for yourself how your own body manages to process what u eat and how its coping , that way there are no nasty surprises when you get your bloods done at gps . yes im still classed as diabetic as i'm still on medication but my levels are coming out on average mid 5s range, now and again it goes in the 4s but not consistent enough at the moment , i'm still experimenting with my food and what to eat so making more home made meals etc , you will find that if you can get , there was a post once ill see if i can find it .This helps me a great deal with getting my levels down also look at the freshwell site im sure you can get the link for it on here
Jennifer's Advice for the newly diagnosed - Test, test, test

Written by Jennifer, November 2008

Sounds like you're planning to take control of your diabetes... good for you.

There is so much to absorb... you don't have to rush into anything. Begin by using your best weapon in this war, your meter. You won't keel over today, you have time to experiment, test, learn, test again and figure out just how your body and this disease are getting along. The most important thing you can do to learn about yourself and diabetes is test test test.

The single biggest question a diabetic has to answer is: What do I eat?

Unfortunately, the answer is pretty confusing. What confounds us all is the fact that different diabetics can get great results on wildly different food plans. Some of us here achieve great blood glucose control eating a high complex carbohydrate diet. Others find that anything over 75 - 100g of carbs a day is too much. Still others are somewhere in between.

At the beginning all of us felt frustrated. We wanted to be handed THE way to eat, to ensure our continued health. But we all learned that there is no one way. Each of us had to find our own path, using the experience of those that went before, but still having to discover for ourselves how OUR bodies and this disease were coexisting. Ask questions, but remember each of us discovered on our own what works best for us. You can use our experiences as jumping off points, but eventually you'll work up a successful plan that is yours alone.

What you are looking to discover is how different foods affect you. As I'm sure you've read, carbohydrates (sugars, wheat, rice... the things our Grandmas called "starches") raise blood sugars the most rapidly. Protein and fat do raise them, but not as high and much more slowly... so if you're a T2, generally the insulin your body still makes may take care of the rise.

You might want to try some experiments.

First: Eat whatever you've been currently eating... but write it all down.

Test yourself at the following times:

Upon waking (fasting)

1 hour after each meal

2 hours after each meal

At bedtime


That means 8 x each day. What you will discover by this is how long after a meal your highest reading comes... and how fast you return to "normal". Also, you may see that a meal that included bread, fruit or other carbs gives you a higher reading.

Then for the next few days, try to curb your carbs. Eliminate breads, cereals, rice, beans, any wheat products, potato, corn, fruit... get all your carbs from veggies. Test at the same schedule above. [Note: this advice is for T2s on diet and exercise/some oral meds, if you are T1 and on fixed doses you should be eating a measured quantity of carbs at each meal to match your insulin dose. T2s on insulin and other injected meds need to reduce carbs with more caution to avoid hypos. Testing after meals will help you see how steady or spiky your levels are when you eat different foods. M]

If you try this for a few days, you may find some pretty good readings. It's worth a few days to discover. Eventually you can slowly add back carbs until you see them affecting your meter. The thing about this disease... though we share much in common and we need to follow certain guidelines... in the end, each of our bodies dictate our treatment and our success.

The closer we get to non-diabetic numbers, the greater chance we have of avoiding horrible complications. The key here is AIM... I know that everyone is at a different point in their disease... and it can be progressive. But, if we aim for the best numbers and do our best, we give ourselves the best shot at heath we've got. That's all we can do.

Here's my opinion on what numbers to aim for, they are close to non-diabetic numbers.

Fasting Under 6

One hour after meals Under 8

Two hours after meals Under 6.5


or for those in the mg/dl parts of the world:

FBG Under 110

One hour after meals Under 140

Two hours after meals Under 120


Recent studies have indicated that the most important numbers are your "after meal" numbers. They may be the most indicative of future complications, especially heart problems.

Listen to your doctor, but you are the leader of your diabetic care team. While his/her advice is learned, it is not absolute. You will end up knowing much more about your body and how it's handling diabetes than your doctor will. Your meter is your best weapon.

Just remember, we're not in a race or a competition with anyone but ourselves... Play around with your food plan... TEST TEST TEST. Learn what foods cause spikes, what foods cause cravings... Use your body as a science experiment.

You'll read about a lot of different ways people use to control their diabetes... Many are diametrically opposed. After a while you'll learn that there is no one size fits all around here. Take some time to experiment and you'll soon discover the plan that works for you.

Best of luck!
Jennifer
 
Also try keeping a food journal , that way you know how your body is coping with meals etc , portion sizes a bit more walking and just getting it right 70 % of the time helps get the glucose levels down you don't need to go crazy in the gym just be a bit more active after meals tends to help .
 
no body's perfect with managing this condition and it takes time until you see a difference just small changes to what u eat can have a massive impacts on glucose levels also check out the threads about meals with pics for good ideas good luck on your journey and hope u see an improvement just have a look around on all the threads .
 
if you type in gestational diabetes in the search button there are lots of information on here for you to read
 
search forum and type in what 🙂 u want to look at
 
It can seem complex, but for an ordinary type 2 diabetic getting hold of a blood glucose tester and supplies for it, cutting out the high carb foods we are told are so healthy and sorting out shopping lists and menus is almost bound to result in success - unless there is something else going on.
I eat foods which are under 11% carbs, avoiding seed oils and low fat versions - except for chocolate, usually 85% cocoa, but only in small amounts.
It gives me a huge variety of things to chose from or make.
These days I only eat twice a day, at around 12 hour intervals. I am never hungry.
I drink percolated coffee with cream most days.
 
Hi there

So, I’ve previously had gestational diabetes twice and was always told I was at higher risk of type 2 as a result. My last blood test was late 2022 and was in the pre diabetic range. I, unfortunately have been my own worst enemy in that I have not made the changes I should have done. As a result my blood test from last week was 56 and shows as me now being in the type 2 diabetic range.

I actually have an appointment with my GP tomorrow following why I actually got the bloods done in the first place

So what I want to ask
1) what might the doctor suggest is next? Is it a straight to metformin type scenario?
2) is type 2 anything like gestational as i have a lot of information on the diet choices etc
3) can this be reversed?

Many thanks in advance
They may suggest metformin but if you can commit to putting in some work with your dietary choices then it should be perfectly possible to reduce your HbA1C to a more reasonable level. I found following the principals in this link very easy though I did go lower than the suggested no more than 130g carbs per day. https://lowcarbfreshwell.com/
You must have a good idea of carbs from when you had gestational diabetes, how were you treated then, did you have a monitor and digging that out and getting some test strips would be useful. Otherwise get a new monitor, the GlucoNavii or TEE2 or Contour Blue seem to have the cheaper strips at the moment.
Carbs and Cals book or app is useful or getting info from shop websites or the internet and making your own list.
If you like pasta then the non wheat pasta like edamame bean or black bean are much lower in carbs and cook much quicker anyway and are fine with a good tasty sauce.
 
It can seem complex, but for an ordinary type 2 diabetic getting hold of a blood glucose tester and supplies for it, cutting out the high carb foods we are told are so healthy and sorting out shopping lists and menus is almost bound to result in success - unless there is something else going on.
I eat foods which are under 11% carbs, avoiding seed oils and low fat versions - except for chocolate, usually 85% cocoa, but only in small amounts.
It gives me a huge variety of things to chose from or make.
These days I only eat twice a day, at around 12 hour intervals. I am never hungry.
I drink percolated coffee with cream most days.
Thank you for all the info, I’ll invest in a monitor. I never contemplated that cream would be an option!
 
They may suggest metformin but if you can commit to putting in some work with your dietary choices then it should be perfectly possible to reduce your HbA1C to a more reasonable level. I found following the principals in this link very easy though I did go lower than the suggested no more than 130g carbs per day. https://lowcarbfreshwell.com/
You must have a good idea of carbs from when you had gestational diabetes, how were you treated then, did you have a monitor and digging that out and getting some test strips would be useful. Otherwise get a new monitor, the GlucoNavii or TEE2 or Contour Blue seem to have the cheaper strips at the moment.
Carbs and Cals book or app is useful or getting info from shop websites or the internet and making your own list.
If you like pasta then the non wheat pasta like edamame bean or black bean are much lower in carbs and cook much quicker anyway and are fine with a good tasty sauce.

They may suggest metformin but if you can commit to putting in some work with your dietary choices then it should be perfectly possible to reduce your HbA1C to a more reasonable level. I found following the principals in this link very easy though I did go lower than the suggested no more than 130g carbs per day. https://lowcarbfreshwell.com/
You must have a good idea of carbs from when you had gestational diabetes, how were you treated then, did you have a monitor and digging that out and getting some test strips would be useful. Otherwise get a new monitor, the GlucoNavii or TEE2 or Contour Blue seem to have the cheaper strips at the moment.
Carbs and Cals book or app is useful or getting info from shop websites or the internet and making your own list.
If you like pasta then the non wheat pasta like edamame bean or black bean are much lower in carbs and cook much quicker anyway and are fine with a good tasty sauce.
Thank you for all the links and info. I looked at the weblink and going to print the green amber red charts as I like those. I had to
Test blood sugars 4 times a day (the number limits aren’t as forgiving) I started on diet, then it got worse, so metformin, then unfortunately got worse so ended up on insulin.

I think I’ve lived a bit sheltered as I did not know there were non wheat pasta options - I’ll give it a go thanks
 
Here's my opinion on what numbers to aim for, they are close to non-diabetic numbers.

Fasting Under 6

One hour after meals Under 8

Two hours after meals Under 6.5
To the original poster: please be aware this posters advice does not match diabetes uk recommendations. Diabetes UK suggest testing at 2hrs after meals and not at 1hr after meals, and targeting a blood sugar of up to 7 before meals and up to 8.5 at 2hrs after meals

 
Here’s a link where dr Sophie explains a bit about pre diabetes
 
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Thank you for all the info, I’ll invest in a monitor. I never contemplated that cream would be an option!
The sugar in milk, the lactose, is in the skimmed liquid, not the cream.
I forgot to mention using leek in lasagne. The sauce needs to be dryer than usual, and the skinny inner part of the leek can be added to it, but the outer layers of a sturdy leek can be split down one side and dipped into hot water so they lie flat, drained and dried off then layered with the sauce they make a good substitute.
 
Welcome to the Forum. I am pre-diabetic again following a few years of normality. I had not heard of the freshwell project until recently on here. I have had a look at it and it is certainly worth trying.

Also a monitor to check blood sugars before and after meals is a good idea as it gives some idea of what foods suit you and what do not.
 
To the original poster: please be aware this posters advice does not match diabetes uk recommendations. Diabetes UK suggest testing at 2hrs after meals and not at 1hr after meals, and targeting a blood sugar of up to 7 before meals and up to 8.5 at 2hrs after meals

Thanks for clarifying @Lucyr

I think @richard.m was just quoting Jennifer’s Advice which was popular on the forum for many years, and was written in the US many years ago - but yes, you are quite right, the more recent suggestions for T2 glucose levels from Diabetes UK were 4-7 before meals and no higher than 8.5 by 2hrs after meals.

I’m not sure the current NICE guidance advises recommended levels for T2, as they seem to be rather anti-self-monitoring in more recent guidance - except for the purposes of avoiding hypos?
 
I’m not sure the current NICE guidance advises recommended levels for T2, as they seem to be rather anti-self-monitoring in more recent guidance - except for the purposes of avoiding hypos?
I took the recommendations from the Diabetes UK website on the assumption that that’s the most reputable source and based on UK research or official guidance.
 
Here’s a link where dr Sophie explains everything about pre diabetes.
Everything? What about fatty liver? In 2008 Diabetes UK supported Professor Roy Taylor's brilliant Counterpoint study. This showed prediabetes and T2D is generally due to increasing amounts of fat in the liver. The result is the liver becomes insulin resistant and HbA1c levels rise during prediabetes. Eventually, excess fat affects the pancreas and its production of insulin. T2D breaks out. That's why Professor Taylor says show me a diabetic and I will show you a fatty liver. The treatment for fatty liver is a weight loss diet. Dr David Unwin says his Norwood Surgery has a 93% success rate with prediabetics with their real food diet.
 
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