• Please Remember: Members are only permitted to share their own experiences. Members are not qualified to give medical advice. Additionally, everyone manages their health differently. Please be respectful of other people's opinions about their own diabetes management.
  • We seem to be having technical difficulties with new user accounts. If you are trying to register please check your Spam or Junk folder for your confirmation email. If you still haven't received a confirmation email, please reach out to our support inbox: support.forum@diabetes.org.uk

New to this

Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

Nicola Buck

New Member
Relationship to Diabetes
Type 2
Hi I'm new to this site. I was diagnosed with type 2 in August 2019. I struggle with what is best to eat, I need to lose weight so I have tried keto and slimming world, I have lost some weight since diagnoses. At the moment I am struggling with my bg readings being 19.3 and 18.8 what is the best way to bring this down? My new hb1ac is 70 last one was 64. I take 10mg ramipril, 6mg glimepiride 1000mg metformin 10 mg amlodipine2.5 mg indapamide and 4 mg doxazosin trying to control blood pressure too.
 
Hi @Nicola Buck and welcome from a fellow T2. I just posted a response on another thread so will repost here.

You should try and reduce the amount of carbohydrates you are eating. That includes starchy things like bread, pasta, rice and potatoes and not just sweet and sugary things. The body rapidly breaks down carbohydrates into glucose. If you reduce your portion size of carbs, and take some exercise (which also lowers BG) then the numbers will improve. The added benefit is that that combination will also lead to you loosing some weight which will bring further benefits and will also help with your BG. it is a virtuous circle.

Can you tell us a bit about yourself and your diet and we can then provide advice and encouragement. I know diagnosis is scary but there are simple things you can do. I now think of my diagnosis very positively as it provided the kick up the bum I needed to sort myself out!
 
Hi @adrian1der I'm 42 I'm 18st at the moment I have been 21st at my heaviest and 8st at my lowest (a long time ago) l struggle to stay motivated when I diet I have 2 children 9 and 15 and a fussy eater husband so meals can be complicated I love carbs rice potatoes pasta etc I'm not fussed on bread. I like to cook and will eat most things, my work is varied between office based and out working with machines where I can do up to 20000 steps a day. It concerns me that I don't feel gt most of the time with my sugar being high and my blood pressure too. All advice is gratefully received. Thank you
 
Have a look at the thread What Did You Eat Yesterday. There are lots of menu suggestions. As you will see from my signature I was nearly twenty stone last year and am now 13st 6lbs and feel so much better for it. There are lots of lower carb swops you can make. For example, last night I did a Turkey Ragu. I cooked pasta for my family and did myself some white cabbage linguine. I have to say that my wife joined me on the cabbage as she really liked the taste as I had wilted it down with a splash of water and a big knob of butter. Celeriac makes great mash and chips and is also good for pasta substitution if you have a spiraliser. Courgettes also make good noodles/spaghetti when spiralised. In casseroles and stews I swop potatoes for turnips. I've just has lunch which was bacon and eggs in the form of an omelette. Lots of protein and fat to make me full all afternoon and very low carb meal and super tasty as well!

If you are consistently running high on BG you will feel unwell. Lower potions of carbs and some exercise will soon get you lower. Hopefully combining the two will also lead to some weight loss which will help with both your BG and your BP.
 
Hi Nicola and welcome from me too

Those BG readings of high teens must be making you feel pretty rough and making life a struggle. I know I often feel like I have lead weights on my arms and legs when I hit 9s and 10s. When did you take those readings? Were they first thing in the morning or after food perhaps?

I wonder if it might be helpful to look at one meal at a time and perhaps start with breakfast, especially as that is a meal that the rest of your family could sort themselves, so you just have yourself to feed. Most of us are also more insulin resistant in the morning which means that for us diabetics, our BG levels will go higher and be slower to come down if we eat a lot of carbs then, so finding a low carb breakfast which you enjoy and fits whatever time constraints you have (I imagine considerable with a job and family) will probably have a more significant impact than any other meal. And of course most of us have the same (or similar) breakfast every morning, so a relatively easy fix.

What do you currently have for breakfast?

Many of us have whole milk Natural Greek yoghurt with a few berries (rasps, blackberries, summer berry mix, sour cherries, blueberries as these are the lowest car fruits) mixed seeds and chopped nuts. I usually add a dusting of cinnamon. Eggs are another popular choice and so versatile.
I usually have a cup of coffee with real double cream with my breakfast. The whole milk yoghurt and cream are often lower carb than other alternatives and the fat slows down the digestion of food and therefore keeps you from feeling like you need to snack between meals and it provides slow release energy. It also tastes good so you don't feel deprived and that is important with a life long dietary change.

There are also options to batch bake low carb breakfast muffins at the weekend so that you can just grab one and go.

The other option which might be easier for you in some respects is to do a meal replacement shakes type diet and follow the Newcastle Diet or Fast 800 Very Low Calorie short term weight loss program to see if that will push your diabetes into remission. There are certainly people on the forum who have had success with that although the key thing with that is to keep the weight off after you finish.

I personally prefer the low carb higher fat option as it is enjoyable and I can see me eating like this now for the rest of my life with no great difficulty. I was a sugar addict and carb monster pre diagnosis and I know that I could very easily go back to that if I don't restrict my carbs. Oddly I don't find it difficult to restrict them. The days when I have problems are the days when I had a slice of bread/toast or a biscuit and then the cravings start. If I avoid them, I don't miss them and I am not even tempted by other people eating them.

As regards your 20,000 steps I appreciate that that is well over the recommended level but clocking up steps and actually doing prolonged exercise (walking, running, cycling or swimming etc) are very different. Getting into a routine of specific daily exercise and a rhythm of movement and breathing will really help. Walking should be brisk enough to make you breath more deeply and get a little sweaty and ideally 20 mins or more. That is when you start to burn the glucose in your blood.

Anyway, I hope that gives you some ideas to get started.

I know @adrian1der and myself both feel that our diabetes diagnosis was the kick up the backside we needed to lose weight and become fitter and eat healthier, so in many respects it has actually improved our health rather than diminished it.
 
I agree with @adrian1der above in that most type 2s struggle to process carbs. Keto is very strict (in my opinion) so maybe you could start by eating approx 130g of carbs daily? I used the Carbs & Cals book (or you can pay for the app) and checked my blood sugars before eating and 2 hours after to see how my body tolerated the meal. There's lots of options and friendly advice here but you need to work out what suits you as we all react to food differently. Good luck 🙂
 
I agree with @adrian1der above in that most type 2s struggle to process carbs. Keto is very strict (in my opinion) so maybe you could start by eating approx 130g of carbs daily? I used the Carbs & Cals book (or you can pay for the app) and checked my blood sugars before eating and 2 hours after to see how my body tolerated the meal. There's lots of options and friendly advice here but you need to work out what suits you as we all react to food differently. Good luck 🙂
Thank you for taking the time to contact me. X
 
I agree with @adrian1der above in that most type 2s struggle to process carbs. Keto is very strict (in my opinion) so maybe you could start by eating approx 130g of carbs daily? I used the Carbs & Cals book (or you can pay for the app) and checked my blood sugars before eating and 2 hours after to see how my body tolerated the meal. There's lots of options and friendly advice here but you need to work out what suits you as we all react to food differently. Good luck 🙂
Thanks so much I really appreciate it
 
Have a look at the thread What Did You Eat Yesterday. There are lots of menu suggestions. As you will see from my signature I was nearly twenty stone last year and am now 13st 6lbs and feel so much better for it. There are lots of lower carb swops you can make. For example, last night I did a Turkey Ragu. I cooked pasta for my family and did myself some white cabbage linguine. I have to say that my wife joined me on the cabbage as she really liked the taste as I had wilted it down with a splash of water and a big knob of butter. Celeriac makes great mash and chips and is also good for pasta substitution if you have a spiraliser. Courgettes also make good noodles/spaghetti when spiralised. In casseroles and stews I swop potatoes for turnips. I've just has lunch which was bacon and eggs in the form of an omelette. Lots of protein and fat to make me full all afternoon and very low carb meal and super tasty as well!

If you are consistently running high on BG you will feel unwell. Lower potions of carbs and some exercise will soon get you lower. Hopefully combining the two will also lead to some weight loss which will help with both your BG and your BP.
Thanks I really appreciate this
 
Hi @Nicola Buck
Keto and Slimming World sounds like complete opposites.
I suggest that it's practically impossible to cut calories much while also doing Keto. And T2 Diabetes control is a marathon - not a sprint!

That's why I prefer a Low Carb approach which will usually reduce Blood Glucose quickly and reduce weight in a steady and sustainable way. Low carb need to be something that works for your own body and we are all different. If you use your BG meter to test meals ( just before a meal to 2hrs after a meal) and aim for a rise of no more than 2.0 mmol but don't cut down on calories, then you should find that you will lose weight at a rate of around 2lbs per week without really trying.

This may mean that you are eating at the high end of low carb (about 130gms of carbs per day) or like me at the lower end just a little above keto at between 20gms and 40gms of carbs per day. It doesn't matter so long as your BG meter tells you that it suits your body.
 
Hi @Nicola Buck
Keto and Slimming World sounds like complete opposites.
I suggest that it's practically impossible to cut calories much while also doing Keto. And T2 Diabetes control is a marathon - not a sprint!

That's why I prefer a Low Carb approach which will usually reduce Blood Glucose quickly and reduce weight in a steady and sustainable way. Low carb need to be something that works for your own body and we are all different. If you use your BG meter to test meals ( just before a meal to 2hrs after a meal) and aim for a rise of no more than 2.0 mmol but don't cut down on calories, then you should find that you will lose weight at a rate of around 2lbs per week without really trying.

This may mean that you are eating at the high end of low carb (about 130gms of carbs per day) or like me at the lower end just a little above keto at between 20gms and 40gms of carbs per day. It doesn't matter so long as your BG meter tells you that it suits your body.
Hi thankyou. How do you count the carbs? I've read so much online I get myself confused
 
Hi thankyou. How do you count the carbs? I've read so much online I get myself confused
For packaged foods look at the label on the back you are interested in the Total Carbohydrates (or Net Carbohydrates if a USA product because they include Fiber in carbs where in the UK we ignore it since it can't be digested. Not just the sugar or 'of which sugars').

For other foods you can look at online sites such as www.dietdoctor.com
You can also use Google to search e.g. nutrition in potato
 
Counting the carbs is more a term that Type 1 folk do when they need to match insulin dose to the amount of carb in a meal, but the principal is to look at the TOTAL carbohydrate in the foods you eat, that information can be found on the back (usually) of packaging or by an internet search for the total carb of that food, usually given in g carb per 100g of the product. From there you can work out what would be in the portion you have.
The book or app Carbs and Cals gives you the carb value of lots of foods or there are other apps people use.
People often just consider the high carb components rather than every single item.
 
For packaged foods look at the label on the back you are interested in the Total Carbohydrates (or Net Carbohydrates if a USA product because they include Fiber in carbs where in the UK we ignore it since it can't be digested. Not just the sugar or 'of which sugars').

For other foods you can look at online sites such as www.dietdoctor.com
You can also use Google to search e.g. nutrition in potato
Great thankyou.
 
Counting the carbs is more a term that Type 1 folk do when they need to match insulin dose to the amount of carb in a meal, but the principal is to look at the TOTAL carbohydrate in the foods you eat, that information can be found on the back (usually) of packaging or by an internet search for the total carb of that food, usually given in g carb per 100g of the product. From there you can work out what would be in the portion you have.
The book or app Carbs and Cals gives you the carb value of lots of foods or there are other apps people use.
People often just consider the high carb components rather than every single item.
Thank you
 
Hi thankyou. How do you count the carbs? I've read so much online I get myself confused
Hi and welcome.
Your medication regime is very similar to mine (see my signature) so we have similar issues.
I found the easiest way to count carbs is to get an app - it was the first thing I did on diagnosis. I have NutraCheck, (there are others), and it counts cals and total carbs (the important bit). You just search for the food and tap on the right portion size. The iPhone app keeps a running total by meal, day and week, and displays it for you. There is also a web version which has a more comprehensive display. I keep digital scales and a clear bowl on my kitchen top to get the right portion size.
Everyone is different and it's trial and error to see what suits you best. I experimented between 50gm and 130gm total carbs a day, settling on 90gm. Some people are very sensitive to carbs so go lower. The Slimming World regime is very heavy on carbs. To do it low carb would mean finding substitutes for potato, rice, pasta, bread etc. For example, I cut squash into wedges, then roast them, and have instead of all forms of potatoes. Cauliflower is also my best friend - as mash or rice, and sometimes topped with a little cheese sauce. I make a lasagne with squash sheets instead of pasta, but you can buy carb free pasta as well.
Adrian1der has made excellent suggestions, and I have posted pictures on "What did you eat yesterday" I do appreciate it is difficult cooking for a family, working and running a home. As you like cooking, it may be possible for you to cook for your family, plus your low carb alternative at the same time, say, a few less potatoes, but add a few cauliflower florets. The other thing I do is batch cook and freeze individual portions, so you could cook the family meal, and re-heat your own meal. Best wishes.
 
Hi and welcome.
Your medication regime is very similar to mine (see my signature) so we have similar issues.
I found the easiest way to count carbs is to get an app - it was the first thing I did on diagnosis. I have NutraCheck, (there are others), and it counts cals and total carbs (the important bit). You just search for the food and tap on the right portion size. The iPhone app keeps a running total by meal, day and week, and displays it for you. There is also a web version which has a more comprehensive display. I keep digital scales and a clear bowl on my kitchen top to get the right portion size.
Everyone is different and it's trial and error to see what suits you best. I experimented between 50gm and 130gm total carbs a day, settling on 90gm. Some people are very sensitive to carbs so go lower. The Slimming World regime is very heavy on carbs. To do it low carb would mean finding substitutes for potato, rice, pasta, bread etc. For example, I cut squash into wedges, then roast them, and have instead of all forms of potatoes. Cauliflower is also my best friend - as mash or rice, and sometimes topped with a little cheese sauce. I make a lasagne with squash sheets instead of pasta, but you can buy carb free pasta as well.
Adrian1der has made excellent suggestions, and I have posted pictures on "What did you eat yesterday" I do appreciate it is difficult cooking for a family, working and running a home. As you like cooking, it may be possible for you to cook for your family, plus your low carb alternative at the same time, say, a few less potatoes, but add a few cauliflower florets. The other thing I do is batch cook and freeze individual portions, so you could cook the family meal, and re-heat your own meal. Best wishes.
Thank you its so helpful just communicating with people that understand x
 
Thank you its so helpful just communicating with people that understand x

Glad you are finding helpful @Nicola Buck

Diabetes can come as a real shock, and feel overwhelming at first, but take things steady, and making sustained progress is the key. Diabetes is a serious condition, but it’s also one that can usually be managed well with a few changes and adaptations - it’s something that you can learn to live well with, and it shouldn’t stop you doing things you enjoy. Try not to be disheartened about your diagnosis, many people on the forum later reflect that their diagnosis became a catalyst which prompted them to make positive changes towards a healthier and more active life. Perhaps changes that they had been intending to make for years.

Sorry to hear your BG readings have been quite high recently, but the suggestion of checking before and 2hrs after eating is a good one. Keep a note of the total carbs in the meal, and the before/after readings and then make adjustments to any meal that gives a rise of more than 2-3mmol/L, reducing the portion of carbohydrates, trying some swaps, etc.

That way you can gradually work through your menu and aim for lower rises, which will allow your levels to come down gradually - which is much kinder on the fine blood vessels in the body.

Keep going, and keep asking questions 🙂
 
Glad you are finding helpful @Nicola Buck

Diabetes can come as a real shock, and feel overwhelming at first, but take things steady, and making sustained progress is the key. Diabetes is a serious condition, but it’s also one that can usually be managed well with a few changes and adaptations - it’s something that you can learn to live well with, and it shouldn’t stop you doing things you enjoy. Try not to be disheartened about your diagnosis, many people on the forum later reflect that their diagnosis became a catalyst which prompted them to make positive changes towards a healthier and more active life. Perhaps changes that they had been intending to make for years.

Sorry to hear your BG readings have been quite high recently, but the suggestion of checking before and 2hrs after eating is a good one. Keep a note of the total carbs in the meal, and the before/after readings and then make adjustments to any meal that gives a rise of more than 2-3mmol/L, reducing the portion of carbohydrates, trying some swaps, etc.

That way you can gradually work through your menu and aim for lower rises, which will allow your levels to come down gradually - which is much kinder on the fine blood vessels in the body.

Keep going, and keep asking questions 🙂
Thank you I have taken the advice on board and have cut carbs right down I'm already starting to feel a bit better. Just need my b12 shot now and hopefully il have some more energy!
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Back
Top