l thort this forum was to help eash other, l posted that l was still haveing troble with my diet, as l was not well at work the other day l,felt l was told off, so let me put the record straight 1 my doctors dont have a dietician, 2 no l dont know about carbs,3 l work up town in london my job is like shop floor l cant leave to have a snack, if l new all this stuff l wouldnt be posting here.
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let put the record straight
- Thread starter rosie1
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AlisonM
Much missed Moderator
- Relationship to Diabetes
- Type 1.5 LADA
We weren't trying to tell you off Rosie but to pass on what we've learned and what we've found works. Many of us have been where you are now and we know how hard it can be, so I'm sorry if you thought we were lecturing you but I assure you it's only from a desire to help.
we want to help and share our experience, we understand not everyone knows everything. There are people here who have been diagnosed a long time and we still don't know everything, me included. It is very scary to be diagnosed with something you don't understand too. I hope you will stick around long enough to get to know us and how we work.
My docotor doesn't have a dietcian attached either and every course I asked to attend he trashed. It took him six years to send me on a DESMOND course.
My docotor doesn't have a dietcian attached either and every course I asked to attend he trashed. It took him six years to send me on a DESMOND course.
I don't think anyone intended to 'tell you off'. I know I certainly didn't.
There are LOTS of doctors who don't have a dietician attached to the surgery. When that happens, the local NHS provides the service, and the doctor refers the patient to them.
If you explain the trouble you are having to your doctor and ask for a referral, you should get an appointment sent to you. If your doctor says no, you can take it further. It's not fair for them to leave you without the support that you need to manage your condition.
Here's a very brief summary of what high-carbohydrate foods are, that you need to avoid or reduce as much as possible:
- Anything made from flour (white flour is worst, but all flour is high carb)
- Breakfast cereal
- Sugar (this can be disguised as glucose, sucrose, fructose - it's all sugar)
- Pasta, rice, couscous
- Potatoes and parsnips
- Fruits that aren't berries (bananas and grapes are very high carb)
- All dried fruit
I hope this helps.
There are LOTS of doctors who don't have a dietician attached to the surgery. When that happens, the local NHS provides the service, and the doctor refers the patient to them.
If you explain the trouble you are having to your doctor and ask for a referral, you should get an appointment sent to you. If your doctor says no, you can take it further. It's not fair for them to leave you without the support that you need to manage your condition.
Here's a very brief summary of what high-carbohydrate foods are, that you need to avoid or reduce as much as possible:
- Anything made from flour (white flour is worst, but all flour is high carb)
- Breakfast cereal
- Sugar (this can be disguised as glucose, sucrose, fructose - it's all sugar)
- Pasta, rice, couscous
- Potatoes and parsnips
- Fruits that aren't berries (bananas and grapes are very high carb)
- All dried fruit
I hope this helps.
Hi Rosie
Just picked up this thread & had a quick look at your other 1.
Don't worry about asking anything & if the answers sometimes sound a bit like scolding it is never meant to be.
Has your Doctor/nurse advised about any free education courses. I went to 1 in Oxford which spent a lot of time going over the different food groups and what they can do to your blood suger. I think this type of course would help you to identify what type of food group things come into. It certainly helped me with planning what I eat.
If I don't eat I tend to feel nauseous especially first thing in the morning when like you I have a couple of weetabix (breakfast isn't breakfast to me without cereal) and I don't have time to do bacon & egg which a few people do. I then can get a bit sicky again just before lunch if I dont eat at my usual time; which is normally a sandwich (wholemeal or I have Burgen bread). a low-fat yogurt and an apple. In the eve I try to make sure I only have a couple of small pots & more veg especailly the green variety.
Sometimes I have a biccy with my morning tea as I like a good dunk occasionaly.
If you want my advice since you seem to be getting a bit nauseous if it is the same as me I found by sticking to wholemeal/granery bread for lunch it fills you up for longer so hopefully keep the hunger pangs/nausea at bay for a bit longer. As your suger levels improve this should get better.
I'm not scolding but I do think you need some assistance in your diet and can only suggest the free course which your area may run. I found out by searching Diabetes Education in Oxfordshire & it brought up the details. I'd suggest after work today you do a similar search for your area as a starting point & if no free course go and chat to your GP or nurse they would know. If not stick to your guns about how unwell you are at times as they should refer you to an NHS dietician (probably based in a local hospital rather than your own surgery).
If you haven't done this before I'd suggest you keep a food diary of everything you have eaten & drunk & take this with you next time you visit the GP/nurse you never know thye may spot something which they can advise/change to improve how you feel.
Take care
Lynne
Just picked up this thread & had a quick look at your other 1.
Don't worry about asking anything & if the answers sometimes sound a bit like scolding it is never meant to be.
Has your Doctor/nurse advised about any free education courses. I went to 1 in Oxford which spent a lot of time going over the different food groups and what they can do to your blood suger. I think this type of course would help you to identify what type of food group things come into. It certainly helped me with planning what I eat.
If I don't eat I tend to feel nauseous especially first thing in the morning when like you I have a couple of weetabix (breakfast isn't breakfast to me without cereal) and I don't have time to do bacon & egg which a few people do. I then can get a bit sicky again just before lunch if I dont eat at my usual time; which is normally a sandwich (wholemeal or I have Burgen bread). a low-fat yogurt and an apple. In the eve I try to make sure I only have a couple of small pots & more veg especailly the green variety.
Sometimes I have a biccy with my morning tea as I like a good dunk occasionaly.
If you want my advice since you seem to be getting a bit nauseous if it is the same as me I found by sticking to wholemeal/granery bread for lunch it fills you up for longer so hopefully keep the hunger pangs/nausea at bay for a bit longer. As your suger levels improve this should get better.
I'm not scolding but I do think you need some assistance in your diet and can only suggest the free course which your area may run. I found out by searching Diabetes Education in Oxfordshire & it brought up the details. I'd suggest after work today you do a similar search for your area as a starting point & if no free course go and chat to your GP or nurse they would know. If not stick to your guns about how unwell you are at times as they should refer you to an NHS dietician (probably based in a local hospital rather than your own surgery).
If you haven't done this before I'd suggest you keep a food diary of everything you have eaten & drunk & take this with you next time you visit the GP/nurse you never know thye may spot something which they can advise/change to improve how you feel.
Take care
Lynne
Hi rosie, I can see why you felt like this, assuming that this was your original post in the other thread.
You are unfortunately facing what a lot of us faced in either no diet support or very poor support.
One of the problems we all face is that foods made with white flour or highly processed food groups, is that they can send our BS sky high very rapidly. Also fruit can be a hit and miss affair as they can also do the same.
Bananas are very hit and miss, with me they are ok, yet with others they can send ones BS high.
The trick or the game is to find alternatives that give a slow and steady rise thus allowing your system to process the food without spiking your BS.
The next point is a very sore point to a lot of type 2's, do you have a BS meter and can you get test strips on prescription? A lot of people are being refused test strips, because GP's say that we don't need to test and let the GP's manage ones sugar levels. This in practice does not work as they don't know what foods do and how they effect you, most docs will only offer an annual HbA1c tests others may get them more often.
With the aid of a meter you can see by testing before a meal and then 2 hours after what the state of play is. Once you have identified which meals are causing problems then you can start to work out which food/s in the meal are causing problems.
Its worth going back to the doctors and explain you are having problems and would it be possible for them to provide test strips on prescription. Some of us really had to justify the need for the strips and some have had some success others have drawn a blank.
If you have to go down the self funding route the SD code free system is about the cheapest to fund with strips being around ?7 for 50. Getting a meter for the bigger names on the likes of Bayer, Accu Chek, Abbott Medisense, life scan is not normally a problem as they will normally send you a meter for free, but the strips for most of these meters is around ?25 for 50. Though Buying direct from the supplier (those that will sell direct) like Abbott their strips are around the ?15 mark for 50.
You are unfortunately facing what a lot of us faced in either no diet support or very poor support.
One of the problems we all face is that foods made with white flour or highly processed food groups, is that they can send our BS sky high very rapidly. Also fruit can be a hit and miss affair as they can also do the same.
Bananas are very hit and miss, with me they are ok, yet with others they can send ones BS high.
The trick or the game is to find alternatives that give a slow and steady rise thus allowing your system to process the food without spiking your BS.
The next point is a very sore point to a lot of type 2's, do you have a BS meter and can you get test strips on prescription? A lot of people are being refused test strips, because GP's say that we don't need to test and let the GP's manage ones sugar levels. This in practice does not work as they don't know what foods do and how they effect you, most docs will only offer an annual HbA1c tests others may get them more often.
With the aid of a meter you can see by testing before a meal and then 2 hours after what the state of play is. Once you have identified which meals are causing problems then you can start to work out which food/s in the meal are causing problems.
Its worth going back to the doctors and explain you are having problems and would it be possible for them to provide test strips on prescription. Some of us really had to justify the need for the strips and some have had some success others have drawn a blank.
If you have to go down the self funding route the SD code free system is about the cheapest to fund with strips being around ?7 for 50. Getting a meter for the bigger names on the likes of Bayer, Accu Chek, Abbott Medisense, life scan is not normally a problem as they will normally send you a meter for free, but the strips for most of these meters is around ?25 for 50. Though Buying direct from the supplier (those that will sell direct) like Abbott their strips are around the ?15 mark for 50.
Vicsetter
Well-Known Member
- Relationship to Diabetes
- Type 2
As others have said we are not telling you off, but trying (badly obviously) to tell you what we think should be happening.
It would help in future posts if you put your hba1c (if known) and medication in your signature, I had to search your posts to find you are prescribed Metformin - are you talking it or not? It is not a good idea to stop talking prescribed medicine without referring to your GP.
Are you not getting the support of your GP - is it a case of here's some medicine get on with it? Has your GP not mentioned diet and not asked if you want to see a dietician?
I find that feelings of hunger/nausea are not related to my blood sugar readings. As a T2 on basically diet control you really should not be thinking of snacking and with what you have listed as a typical day, you should not need to snack (although I do not know your BMI (weight/height)).
As others have said you should be avoiding fast acting carbohydrates, that is basically anything made from white flour, so avoid pasta and white bread.
It would certainly help if you had a meter and could test. This would tell you whether your feelings were related to your blood glucose or not. You would also see if what you are eating is ok for you (for example, I don't have a problem with bananas (try and avoid the overripe ones) and have one for breakfast).
Bear in mind that your feelings of nausea and hunger might be symptoms of another problem and you should go back to your GP with this.
Well done in persisting with us and not giving up, that attitude will take you a long way with your diabetes. We are really here to help and although it may seem like you are being told off, it isn't so. I haven't encountered anyone on here that would do such a thing, although the disagreements do sometimes get a bit exited.
Just seen your latest post - looks like you've got things moving. Well done
It would help in future posts if you put your hba1c (if known) and medication in your signature, I had to search your posts to find you are prescribed Metformin - are you talking it or not? It is not a good idea to stop talking prescribed medicine without referring to your GP.
Are you not getting the support of your GP - is it a case of here's some medicine get on with it? Has your GP not mentioned diet and not asked if you want to see a dietician?
I find that feelings of hunger/nausea are not related to my blood sugar readings. As a T2 on basically diet control you really should not be thinking of snacking and with what you have listed as a typical day, you should not need to snack (although I do not know your BMI (weight/height)).
As others have said you should be avoiding fast acting carbohydrates, that is basically anything made from white flour, so avoid pasta and white bread.
It would certainly help if you had a meter and could test. This would tell you whether your feelings were related to your blood glucose or not. You would also see if what you are eating is ok for you (for example, I don't have a problem with bananas (try and avoid the overripe ones) and have one for breakfast).
Bear in mind that your feelings of nausea and hunger might be symptoms of another problem and you should go back to your GP with this.
Well done in persisting with us and not giving up, that attitude will take you a long way with your diabetes. We are really here to help and although it may seem like you are being told off, it isn't so. I haven't encountered anyone on here that would do such a thing, although the disagreements do sometimes get a bit exited.
Just seen your latest post - looks like you've got things moving. Well done
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trophywench
Well-Known Member
- Relationship to Diabetes
- Type 1
And do have a look at the Diabetes UK website, if nowhere else. All sorts of info on there, some of it will be relevant and some of it won't - it's up to you.
You need to do what all of us have had to do - educate yourself - and not rely on just one place to get that education from. (if you are)
You need to do what all of us have had to do - educate yourself - and not rely on just one place to get that education from. (if you are)
jalapino
Chilli Man
- Relationship to Diabetes
- Type 2
I have read your previous thread and I no it can come across straight to the point from others....but as northerner says when you type something on here sometimes it comes across in the wrong way to which it not was not meant to be, or you can take it the wrong way which was never the intention from the posts from others.
Every one on here have different ways of saying things but they all honestly are just trying to help.
Ask all questions as I have done and still do, and you will find that every one on this forum just wants to help 🙂
I was the same a year ago when diagnosed and was given no information from my surgery and there lies the problem, end of the day if they diagnose you with something it is THERE job to give you the right information to give you a head start so you don't feel like you are in the dark, which im afraid happens a lot.
We are all here for you so please do not feel isolated and do not feel you are being told of!....you have a common problem so no one on this forum would have a dig at you...we are all in the same boat 🙂
Every one on here have different ways of saying things but they all honestly are just trying to help.
Ask all questions as I have done and still do, and you will find that every one on this forum just wants to help 🙂
I was the same a year ago when diagnosed and was given no information from my surgery and there lies the problem, end of the day if they diagnose you with something it is THERE job to give you the right information to give you a head start so you don't feel like you are in the dark, which im afraid happens a lot.
We are all here for you so please do not feel isolated and do not feel you are being told of!....you have a common problem so no one on this forum would have a dig at you...we are all in the same boat 🙂
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