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Newly diagnosed Type 2

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

Lis@D

New Member
Relationship to Diabetes
Type 2
Hi,
I was diagnosed with type 2 yesterday. Came as a bit of a shock but trying to get my head round it. I have been prescribed Metformin & told to reduce my sugar & carb intake. Have an appointment to go back to see the nurse in 4 weeks. She pointed me in the direction of DiabetesUK as the best place for information/advice.

Didn't take note of my tests results as had all sorts thrown at me at once (blood pressure still high, cholesterol high, need HRT, low vitamin D levels & type 2 diabetes).

I have a few questions I have now thought of but won't be able to call her till Monday due to Jubilee weekend:

What should I be reducing my carbon intake to?

Do I need to monitor my blood sugar levels myself daily or just go by the blood tests nurse will be doing every 3 months?

Is there anyone I need to inform - work, DVLA etc?

Any advice would be greatly appreciated as had a sleepless night.

Apologies for the long post.
 
Hello and welcome - you have come to the right place for information and support. It's such a shock at first, isn't it, but you'll find you soon adjust to a different lifestyle?

I suggest you start with the Learning Zone - orange tab above - and slowly work your way through for Type 2. I did one module a day, so I could take everything in, and of course you can always re-visit.

To tailor our suggestions, you really need to find out what your HbA1c was and post it (mine is in my signature below this post). Anything 48 and above is diabetic and the higher the number, the more care you need to take. If it is only just above, a few simple lifestyle tweaks may be all you need.

Your were rightly advised to reduce your carb intake. This includes bread, rice, pasta, potatoes, cereals, processed foods, many fruits. The suggested level is below 130gm a day. However everyone is different and what is right for one, is not right for another. Some people are very sensitive to carbs so have less than 50gm a day. I personally experimented between 50gm and 130gm, settling for 90gm +- 15gm each day. In order to monitor my carb intake, I got an app. There are several online, including MyFitBit and NutraCheck which I use. I fill it in every morning and keep kitchen scales and a clear glass bowl on my kitchen top.

The other issue is that you need to know what foods affect you, as again that is different for everyone. As a Type 2 you are usually not offered a glucose monitor, so many of us fund our own. I think the GlucoNavil is suggested but I'm sure someone will point you in the right direction. It is suggested you monitor immediately before and 2 hours after first bite of eating, so you can see how much your blood glucose has spiked. The increase should be no more than 2. That way you can identify which foods affect you. I can take 2 small new potatoes, or one slice of wholemeal bread from a 400gm medium cut loaf, but rice, pasta, apples are lethal for me. Once I worked out what I could and should not eat, I reduced the testing to new foods.

You soon get used to portion sizes which can seem small at first, but I fill up with lots of above ground veggies like cauliflower, runner beans etc. Many people find substitutes such as cauliflower for mash and rice, courgetti or boodles for spaghetti or noodles, roasted squash for chips. There are low carb breads and lower carb pastas on the market - some people like them, others don't! All trial and error. The most important thing is not to go too drastic reducing your carbs at first, as it can affect your eyes. Various suggestions have been made, such as reducing by 1/3 for a few weeks, then again until you get to your desired level, and where you feel OK.

There is a food area of the Forum where you will find lots of meal suggestions and recipes. Most difficult is usually breakfast, as the usual toast and cereal is not good for Type 2 diabetics. Greek yogurt with a few berries and seeds is a popular choice, as is eggs such as a veggie omelette. I usually have a salad or home made soup at lunch, and in the evening have 2/3 plate of veggies, plus a protein source like baked seafood, grilled chicken. But I'm quite a boring conventional cook.

You say you are Type 2 and have been prescribed Metformin. That is the most commonly given drugs for Type 2 and it can have side effects. This can be difficult if you are a working person. If you are getting lots of cramps, the runs etc, which don't settle after a few weeks, you can request the slow release version, or there are other drugs. If your HbA1c is below 60 you might request trying to reduce it by lifestyle changes alone. I was initially successful, but became ill (unrelated) and had to medicate.

Regarding notification, I'm sure someone will advise you of the legal requirements. I did notify the DVLA, and the insurance companies for driving and my holidays. The DVLA sent me for their specific eye tests and my licence is renewable every 3 years, but I am 72. You should also be in the system for regular checks of your eyes for retinopathy and feet for neuropathy. Your weight, BP and cholesterol will also be regularly monitored, as will your HbA1c. I was initially monitored every 3 months and am now on 6 months monitoring. Most people are annual but my illness screwed up my results. I have a very good GP but not all are as lucky.

The other way you can help yourself is to tackle your cholesterol and BP. These high readings don't necessarily mean you are overweight, but if you are, you should try to lose weight, and you should certainly look at your exercise. I have familial hypertension, so have been on medication over half my life, even when I was a normal weight. I am required to do home monitoring every 6 months, so bought an armband home monitor kit (I have White Coat Syndrome at the GP or hospital). You will probably be offered statins for your cholesterol. Many people take them quite happily, but some, like me, have adverse reactions. What my GP suggested was to take a mini cholesterol lowering drink every day and it did work for me.

I had been an active sportsperson until my mid-60's when my hip gave out. My GP suggested aquafit, which I now do 3 times a week which has helped. My neighbour in his 80's cycles a couple of times a week, other friends go for daily walks. Of course there are gyms, but you can also exercise at home via videos if you prefer to be private (and save money).

This is a very long post but I hope it gives you some insight. Please feel free to ask any questions - we have all been where you are, and there's no such thing as a silly question. Best wishes.
 
DVLA is only if you are on insulin (so in your case, nope) 🙂

Please do keep asking questions and even just venting if you feel overwhelmed. You are defo in a place where folks get it and can relate x
 
NB - omelettes for any meal don't need to be veggie - unless you happen to be a vegetarian!

If you start reducing the amount of carbohydrate in your diet, not only will that help your blood glucose level and your weight, it often reduces cholesterol and any weight loss should improve BP.
 
Hello Lis@D.
If you are an ordinary type 2 by reducing starch and sugar your glucose levels will be reduced - and as we can happily live on protein and fats using a glucose meter to test after meals should soon indicate how low you need to go at the moment in order to get more normal levels. I found that once I was seeing under 8 mmol/l after eating the numbers went down without need to make any other changes as my metabolism recovered.
These days I can eat more carbs and still see normal numbers, though I don't do that regularly as I am happy enough eating as I am now, day to day.
 
Welcome to the forum @Lis@D

Glad you have joined us! Diabetes can be a frustrating, confusing, and overwhelming diagnosis to receive, and it can make a huge difference to have some friendly, experienced forum members alongside to share their experiences, give you encouragement, and be alongside you as you look to get to grips with your new diagnosis.

Diabetes is a marathon not a sprint, and there’s no one single approach that works for everyone. It’s very much a question of working things out as you go along, keep asking questions, and to find a set if strategies and approaches that work for you.

Good luck, and let us know how you get on 🙂
 
Hi,
I was diagnosed with type 2 yesterday. Came as a bit of a shock but trying to get my head round it. I have been prescribed Metformin & told to reduce my sugar & carb intake. Have an appointment to go back to see the nurse in 4 weeks. She pointed me in the direction of DiabetesUK as the best place for information/advice.

Didn't take note of my tests results as had all sorts thrown at me at once (blood pressure still high, cholesterol high, need HRT, low vitamin D levels & type 2 diabetes).

I have a few questions I have now thought of but won't be able to call her till Monday due to Jubilee weekend:

What should I be reducing my carbon intake to?

Do I need to monitor my blood sugar levels myself daily or just go by the blood tests nurse will be doing every 3 months?

Is there anyone I need to inform - work, DVLA etc?

Any advice would be greatly appreciated as had a sleepless night.

Apologies for the long post.
Hi @Lis@D and welcome! 🙂 we totally get how overwhelming a Diabetes diagnosis can be. We hope your appointment with the nurse proved beneficial! You wouldn't need to inform the DVLA if you have been prescribed Metformin, only if you are prescribed Insulin. In terms of testing, the nurse should let you know if this is required for you. It is not necessary for everyone with Diabetes to self test 🙂
 
It is not necessary for everyone with Diabetes to self test 🙂

Not "necessary" but it can be hugely beneficial as it enables you to "see" your diabetes and how your body responds to your food choices on a meal by meal basis and therefore modify your diet to a level of carbohydrate which it can tolerate and we are all different in that respect, so there is no definitive answer to your question about how many carbs you should be reducing your diet to..... other than.... what your body can cope with.

@Lis@D Welcome from me too by the way. I hope you find the forum as helpful, informative and supportive as I have over the past 3 years. Good luck with your diabetes journey. We are here to walk it with you and help you to keep on the right track.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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