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Lautie

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Type 2
Hi, just been diagnosed type 2 after routine blood test and had v high sugar levels. Started metformin yesterday, no side effects so far. Need to lose weight and stick to a low carb diet but finding an accurate list of foods that tell you what you can eat carb wise with regards to what sugar is produced when eaten. Also a list that show foods in a traffic light system to see at a glance what’s good or bad. Another confusing carb issue is something may contain 70g carb of which 5g is sugar and another item may contain 70g carb and 20g of sugar. Why?
Thanks
 
Welcome to the forum
It can be very confusing at first but you will soon get the hang of it. The traffic light system as used on packaging is useless for anyone diabetic as it only shows sugar which is only part of the story. ALL carbohydrates convert to glucose so foods like potatoes, rice, pasta, bread, breakfast cereals and the list goes on are high carb foods but actually may not have much 'sugar'
The infomation you want to look at is the carbohydrate value usually on the back of the packet, internet, shop websites or various books or apps. Carbs and Cals either book or app is useful as it gives example portion sizes with carb values.
If you are wanting to follow a low carb regime then it is suggested that no more than 130g carbs not just sugar per day is a good starting point.
Have a look at this link for some explanation and some menu and food ideas for moving forward. https://lowcarbfreshwell.com/
 
Hi @Lautie and welcome to the forum.

All( digestible) carbohydrates are digested into sugar - so you can ignore any '... of which sugars' numbers.
All the Carbs you digest affect your blood glucose and then your insulin. But we all have different genetics and we all have a different gut biome, so we don't process the carbs in exactly same way. Some can tolerate a breakfast of porridge in a morning, some can tolerate a small banana, some can eat carrots with impunity. My trusty Blood Glucose Monitor tells me that I when I ate those things (and I used to eat a lot of them every day) my Blood Glucose will spike very high (no matter how low their Glycaemic Index supposedly is).
 
The foods which contain more free sugar (the "of which sugar" part MAY release their glucose a little quicker than the starchy carbs, so it might be that those foods that contain more sugar spike your BG levels more quickly but it is by no means certain and depends on how much fat and protein and fibre is also in that food and how your particular digestive system breaks it down. So for instance, with ice cream, the carbs will be almost entirely "of which sugar" but the fat in the ice cream will slow the release of them whereas the carbs from a portion of mashed or pureed potato without lots of butter or cream may hit your blood stream incredibly quickly despite not having much "of which sugar"

This is why there is no one definitive diet or food list for diabetes. It is all very complicated and depends on the combination of different food groups and your metabolism and gut biome and even the order that you eat foods in. The best thing we can do is to suggest that you buy yourself a Blood Glucose test kit with plenty of extra test strips and start testing before and 2 hours after meals to see how your particular body responds to the food that you eat.

Sadly the Traffic Light sytem of food labelling is pretty much useless as far as diabetes is concerned, unless you want to follow the outdated NHS advice.
 
Hi, and welcome to the Forum. Did they tell you what your HbA1c results was as this will show how far into diabetes territory you are and consequently how much you need to do with regard to your diet?
 
Hi, and welcome to the Forum. Did they tell you what your HbA1c results was as this will show how far into diabetes territory you are and consequently how much you need to do with regard to your diet?
Hi Martin,
My blood sugar level was 119 which the doc said was pretty high.
 
Hi Martin,
My blood sugar level was 119 which the doc said was pretty high.
Yes, with 48 being enough for a diabetes diagnosis that is pretty high, slightly higher than mine was at 114. However, many of us on here started in 3 figures but through a combination of diet, exercise, shedding some weight and medication have managed to bring levels down and in some cases come off meds and get BG back into normal range. I can't add anything to the advice that other members have posted already but I am curious as to whether, with your HbA1c being so high, you were given a BG monitor by your surgery, with lancets & test strips on prescription, as I was by mine?
 
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Yes, with 48 being enough for a diabetes diagnosis that is pretty high, slightly higher than mine was at 114. However, many of us on here started in 3 figures but through a combination of diet, exercise, shedding some weight and medication have managed to bring their levels down and in some cases come off their meds and get their BG back into normal range. I can't add anything to the advice that other members have posted already but I am curious as to whether, with your HbA1c being so high, you were given a BG monitor by your surgery, with lancets & test strips on prescription, as I was by mine?
No I wasn’t given a BG monitor but was considering buying one so I can see what is working for me. I have restricted my diet to vegetables, not potatoes, and chicken until I get an idea of what I can have. The only thing my GP gave me was a link to DiabetesUK which I had already found as soon as the possibility of type 2 was mentioned
 
No I wasn’t given a BG monitor but was considering buying one so I can see what is working for me. I have restricted my diet to vegetables, not potatoes, and chicken until I get an idea of what I can have. The only thing my GP gave me was a link to DiabetesUK which I had already found as soon as the possibility of type 2 was mentioned

Welcome to the forum @Lautie

Well done on your decision to tackle your diabetes head-on. We have a few members who have started in 3-figures, but with a little determination, and ‘eating to their meter’ they have been able to find a flexible workable menu that gradually reduced their BG levels towards the recommended range. (it can be gentler on the fine blood vessels and nerves to drift down fairly gently rather than aiming to drop immediately).

Unfortunately there isn’t a reliable single list of which foods would suit everyone, because different people can react quite differently to any one source of carbs - so it’s more a case of trying to find what suits you and your metabolism.

A BG meter can be really helpful for that. Checking before and 2hrs after food, and aiming for a ‘meal rise’ of 2-3mmol/L or less at the 2hr mark (in a way, to begin with the difference between before/after can almost be more informative than the numbers themselves)
 
It's a tough one. So carbs are mainly sugary and starchy foods, as opposed to fats and proteins. But say a Chicken Kiev will have lots of carbs too, due to the breadcrumbs, verses a cooked plain chicken portion. Also not all veg is low carb, generally if it's an above the ground vegetable, it's low or lower carb, than say carrots or other root vegetables.

I purchased the mini book Carbs & Cals, what a shock, some of the things I would have thought were low carb certainly were not. They have a phone app too, but you have to pay for it. You can get much of this info by just searching on the Internet too of course, e.g. "carbs chicken kiev". The other thing is prepared food, restaurant or convenience, can have lots of 'hidden' carbs (sauces and other additives). I found cutting down on these and trying to stick to more to basic ingredients more helpful.

As others have said, using a BG meter can help too, as we're all different, how our bodies deal with different carbs varies. You might be ok with a medium portion of potatoes, but not me, ten or fifteen chips tops if I don't want to see the BG go into high numbers and my feet start to tingle.

The 70g carbs of which 5g sugar..., I would just concentrate on the carbs, sugar is a carb too, it will be taken up more quickly than starch carbs. Starch is just a chain of sugars, so the body has to chop it up first, but it does that quite quickly and effectively. Even say wholemeal bread or pasta, it's still carbs, but the extra fibre will 'buffer' the uptake of the carbs a bit.
 
It's a tough one. So carbs are mainly sugary and starchy foods, as opposed to fats and proteins. But say a Chicken Kiev will have lots of carbs too, due to the breadcrumbs, verses a cooked plain chicken portion. Also not all veg is low carb, generally if it's an above the ground vegetable, it's low or lower carb, than say carrots or other root vegetables.

I purchased the mini book Carbs & Cals, what a shock, some of the things I would have thought were low carb certainly were not. They have a phone app too, but you have to pay for it. You can get much of this info by just searching on the Internet too of course, e.g. "carbs chicken kiev". The other thing is prepared food, restaurant or convenience, can have lots of 'hidden' carbs (sauces and other additives). I found cutting down on these and trying to stick to more to basic ingredients more helpful.

As others have said, using a BG meter can help too, as we're all different, how our bodies deal with different carbs varies. You might be ok with a medium portion of potatoes, but not me, ten or fifteen chips tops if I don't want to see the BG go into high numbers and my feet start to tingle.

The 70g carbs of which 5g sugar..., I would just concentrate on the carbs, sugar is a carb too, it will be taken up more quickly than starch carbs. Starch is just a chain of sugars, so the body has to chop it up first, but it does that quite quickly and effectively. Even say wholemeal bread or pasta, it's still carbs, but the extra fibre will 'buffer' the uptake of the carbs a bit.
Hi,
Been doing type 2 lifestyle for a full week now and am surprised at how not hungry I’ve been. The main thing seems to be planning, working out a menu for a few days at a time and keeping daily intake of carbs below 130g( is this ok or should it be lower?). With regards to losing weight the low carb count seems to be taking care of the calorie count and hopefully the weight loss.We’ve noticed that full fat dairy products are lower carb than low fat so we’ve switched to these as our calorie intake was 900-1000 a day so could afford a few extra ( is this ok ). Could do with a beer tho but will resist!
 
Hi,
Been doing type 2 lifestyle for a full week now and am surprised at how not hungry I’ve been. The main thing seems to be planning, working out a menu for a few days at a time and keeping daily intake of carbs below 130g( is this ok or should it be lower?). With regards to losing weight the low carb count seems to be taking care of the calorie count and hopefully the weight loss.We’ve noticed that full fat dairy products are lower carb than low fat so we’ve switched to these as our calorie intake was 900-1000 a day so could afford a few extra ( is this ok ). Could do with a beer tho but will resist!
130g is a good starting point to see if it makes a difference and |I'm sure it will especially if you previously had a high carb diet. In any case it is better to reduce carbs gradually as it can be kinder on your eyes and nerves.
The occasional beer could be counted in your carbs for the day or dry wine or spirit with diet mixers.
Full fat is more satisfying so you will be less tempted to snack.
 
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