Ive read this thread with interest as home monitoring is one of the areas where I'm unsure of what I'm trying to achieve ? I'm recently diagnosed type two and do not require medication. At 58 weighing in around 12st 12lbs and fairly fit , I do not consider myself overweight or unfit so I'm struggling a bit to get my head around the diet thing. My reading in morning using a code free tester is 6.7. Two hours after food it can double . What should I be looking to achieve ?
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recently diagnosed and very confused.
- Thread starter davie533
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khskel
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Guidelines say T2 should aim for 8.5 or lower after meals. Do you keep a food diary? This will help you identify which foods send you high and which are OK. We are all different so it's a case of seeing what is suitable for you.
trophywench
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Not eat that again, not eat so much of it, run round the block - choice is yours!
But - better to reduce your pre-meal reading to less (around the 5 mark) and acieve no more than a 2.8 rise after eating.
Have a read of the following - http://loraldiabetes.blogspot.co.uk/2006/10/test-review-adjust.html - which explains it all. Alan Shanley wrote that especially for you!
You might read the rest of his 'Personal Journey' - some damn good tips in there, and really good explanations.
But - better to reduce your pre-meal reading to less (around the 5 mark) and acieve no more than a 2.8 rise after eating.
Have a read of the following - http://loraldiabetes.blogspot.co.uk/2006/10/test-review-adjust.html - which explains it all. Alan Shanley wrote that especially for you!
You might read the rest of his 'Personal Journey' - some damn good tips in there, and really good explanations.
Robin
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If it's over 8.5, it means the carbohydrate in the meal hit your bloodstream faster than your pancreas could keep up with it. Have a look at what you ate, and see whether you could reduce the amount of carb in the meal, swap it for a slower release carb, or eat it mixed in with fat and protein to reduce the i pact on your blood sugars. See if exercising before or after eating helps keep the figures down. Have a look at the meals you ate where you did achieve 8.5 or lower, and see what you did to achieve that, and try to replicate that at other meals. Once you see a pattern emerging, it gets easier to plan what to eat and when to exercise. If, on the other hand, no matter what you do, you're always too high, then time to contact your GP or diabetic nurse.
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Just catching up with this thread with interest.
It was a great disappointment to me that the new NICE guidance for type 2 did not support SMBG for the avoidance of hyperglycaemia. In fact I could not find a section that recommended target levels for pre/post meal BGs at all any more. I wish the patient reps on the Guideline Development Group had been experienced self-testers and/or had been able to put the case for active D&E management more clearly - as many of our members could clearly have done.
This new NICE T2 guidance had quite a difficult birth and its publication was put back because of some significant and potentially dangerous problems with some of the recommendations that were identified when it went out for consultation. Various bits were then re-drafted I think.
Interestingly, one of the people on the Guideline Development Group for this guidance was Andrew Farmer - some long-term members may remember a 2009 paper 'Farmer et al' which found benefit in SMBG for glycaemic control in some, but had concerns over people getting depressed when they were just told to take BGs and not what to do with the results (surprise surprise!). The more intensive group were aiming to 'maintain adherence to a healthy lifestyle', rather than specifically adjust food choices base on pre vs post meal BGs I think.
Meanwhile more recently I have seen this research:
Scientists have released new results underscoring the importance of a personalized diet, prepared based on complex factors such as your gut microbes and lifestyle. Surprisingly[sic!], the foods that raise blood sugar levels differ dramatically from person to person.
http://www.sciencedaily.com/releases/2015/11/151119143445.htm
And this:
https://www.mja.com.au/journal/2015...sely-when-it-comes-monitoring-type-2-diabetes
Essentially showing that *structured* SMBG in people with T2 (whether on meds or not) works. Structured, in this case being testing before a meal and, say 2 hours after a meal... then reviewing food choices based on that . Sound familiar?!
Sorry to derail the thread with all this technical stuff, but hope some find it interesting.
It was a great disappointment to me that the new NICE guidance for type 2 did not support SMBG for the avoidance of hyperglycaemia. In fact I could not find a section that recommended target levels for pre/post meal BGs at all any more. I wish the patient reps on the Guideline Development Group had been experienced self-testers and/or had been able to put the case for active D&E management more clearly - as many of our members could clearly have done.
This new NICE T2 guidance had quite a difficult birth and its publication was put back because of some significant and potentially dangerous problems with some of the recommendations that were identified when it went out for consultation. Various bits were then re-drafted I think.
Interestingly, one of the people on the Guideline Development Group for this guidance was Andrew Farmer - some long-term members may remember a 2009 paper 'Farmer et al' which found benefit in SMBG for glycaemic control in some, but had concerns over people getting depressed when they were just told to take BGs and not what to do with the results (surprise surprise!). The more intensive group were aiming to 'maintain adherence to a healthy lifestyle', rather than specifically adjust food choices base on pre vs post meal BGs I think.
http://www.ncbi.nlm.nih.gov/pubmed/19254484 - Basically he'd already made his mind up.
Meanwhile more recently I have seen this research:
Scientists have released new results underscoring the importance of a personalized diet, prepared based on complex factors such as your gut microbes and lifestyle. Surprisingly[sic!], the foods that raise blood sugar levels differ dramatically from person to person.
http://www.sciencedaily.com/releases/2015/11/151119143445.htm
And this:
https://www.mja.com.au/journal/2015...sely-when-it-comes-monitoring-type-2-diabetes
Essentially showing that *structured* SMBG in people with T2 (whether on meds or not) works. Structured, in this case being testing before a meal and, say 2 hours after a meal... then reviewing food choices based on that . Sound familiar?!
Sorry to derail the thread with all this technical stuff, but hope some find it interesting.
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